Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO INTRODUCED LLS NO. 24-0065.02 Brita Darling x2241 SENATE BILL 24-042 Senate Committees House Committees Health & Human Services A BILL FOR AN ACT C ONCERNING THE CREATION OF THE ARIE P. TAYLOR SICKLE CELL101 DISEASE OUTREACH PROGRAM TO PROVIDE SUPPORT TO102 INDIVIDUALS LIVING WITH SICKLE CELL DISEASE .103 Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) The bill creates the Arie P. Taylor sickle cell disease outreach program (outreach program) in the department of public health and environment (department). To implement the outreach program, the bill requires the department, subject to available appropriations, to contract with one or more community-based nonprofit organizations (outreach SENATE SPONSORSHIP Buckner and Fields, Coleman, Exum HOUSE SPONSORSHIP English, Bacon, Herod Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law. organizations) to provide outreach and support services in the community to individuals living with sickle cell disease and their families. The department shall contract with a third-party entity (administrator) to solicit applicants and administer the outreach program. On or before January 1, 2025, the department shall select one or more outreach organizations to implement the outreach program and shall give priority to community organizations with experience in providing services and support to the sickle cell community and that meet other criteria in the bill. The outreach program may include informal counseling and health guidance, direction and support to individuals and their families in locating and accessing services in the community, outreach concerning activities and programs available to individuals and families living with sickle cell disease, peer support and referrals, advocacy regarding the interests of the sickle cell disease community, referrals for screening, and other services and support identified by the department. The department shall approve the services provided through a contract and may consult with the university of Colorado school of medicine's sickle-cell anemia treatment and research center to identify needed services and supports. Prior to the expiration of a contract, the outreach organization, in conjunction with the administrator, shall prepare and submit a written report to the department describing the impact of the outreach program provided under the contract, and the department shall provide the report to certain committees of the general assembly. The bill repeals the outreach program after 5 years. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, add 25-1.5-121 as2 follows:3 25-1.5-121. Arie P. Taylor sickle cell disease outreach program4 - contracts - administration - report - legislative declaration -5 definitions - repeal. (1) T HE GENERAL ASSEMBLY FINDS AND DECLARES6 THAT:7 (a) S ICKLE-CELL ANEMIA IS A GENETIC DISORDER OF THE8 HEMOGLOBIN IN RED BLOOD CELLS THAT CAUSES RED BLOOD CELLS THAT9 CARRY OXYGEN TO STICK TOGETHER AFTER THE OXYGEN IS RELEASED ,10 SB24-042-2- CAUSING BLOCKAGES IN THE SMALL BLOOD VESSELS ;1 (b) T HE MAIN SYMPTOMS OF SICKLE -CELL ANEMIA ARE ANEMIA2 AND EPISODES OF SEVERE PAIN CAUSED BY THE BLOCKAGES IN THE SMALL3 BLOOD VESSELS; OVER TIME, PEOPLE WITH SICKLE-CELL ANEMIA ARE4 INCREASINGLY AT RISK OF OTHER HEALTH COMPLICATIONS , AND THE5 DISORDER DAMAGES THEIR ORGANS ;6 (c) A CCORDING TO THE 2022-23 "COLORADO SICKLE CELL STATE7 A CTION PLAN" PREPARED BY THE COLORADO SICKLE CELL TREATMENT8 AND RESEARCH CENTER AT THE UNIVERSITY OF COLORADO SCHOOL OF9 MEDICINE, APPROXIMATELY FOUR HUNDRED FIFTY PEOPLE IN COLORADO10 ARE LIVING WITH SICKLE-CELL ANEMIA, ALTHOUGH THIS NUMBER LIKELY11 UNDERCOUNTS THE POPULATION LIVING WITH SICKLE CELL DISEASE ;12 (d) D UE TO THE EFFECTS OF SICKLE CELL DISEASE , INCLUDING13 EPISODES OF DEBILITATING PAIN , MANY INDIVIDUALS LIVING WITH14 SICKLE-CELL ANEMIA AND THEIR FAMILIES NEED SERVICES AND SUPPORT15 IN THE COMMUNITY TO MANAGE THEIR HEALTH CONDITION AND DAILY16 LIVES;17 (e) A RIE PARKS TAYLOR WAS THE FIRST AFRICAN AMERICAN18 WOMAN TO SERVE AS A WOMEN IN THE AIR FORCE, "WAF", CLASSROOM19 INSTRUCTOR AND OFFICER; TO BE ELECTED TO SERVE IN THE HOUSE OF20 REPRESENTATIVES OF THE COLORADO GENERAL ASSEMBLY ; TO SERVE AS21 THE CLERK AND RECORDER FOR THE CITY AND COUNTY OF DENVER OR22 ANY COUNTY IN COLORADO; AND TO SERVE AS THE CHIEF CLERK OF THE23 D ENVER ELECTION COMMISSION ;24 (f) P ASSIONATE ABOUT THE CONCERNS OF INDIVIDUALS LIVING25 WITH SICKLE-CELL ANEMIA, DURING HER TIME IN THE GENERAL ASSEMBLY26 REPRESENTATIVE TAYLOR SPONSORED LEGISLATION THAT CREATED THE27 SB24-042 -3- SICKLE-CELL ANEMIA TREATMENT AND RESEARCH CENTER AT THE1 UNIVERSITY OF COLORADO SCHOOL OF MEDICINE , WHICH PROVIDES2 SUPPORT AND TREATMENT FOR INDIVIDUALS WITH SICKLE CELL DISEASE3 AND CONDUCTS RESEARCH RELATING TO SICKLE CELL DISEASE ; AND4 (g) C REATING AN OUTREACH PROGRAM BY PARTNERING WITH ONE5 OR MORE COMMUNITY -BASED NONPROFIT ORGANIZATIONS TO ENHANCE6 SERVICES AND SUPPORT IN THE COMMUNITY FOR INDIVI DUALS WITH SICKLE7 CELL DISEASE AND THEIR FAMILIES WILL HELP ENSURE A BETTER QUALITY8 OF LIFE FOR THESE COLORADANS.9 (2) A S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE10 REQUIRES:11 (a) "A DMINISTRATOR" MEANS THE THIRD -PARTY ENTITY12 CONTRACTED WITH THE DEPARTMENT TO ADMINISTER THE OUTREACH13 PROGRAM PURSUANT TO SUBSECTION (3)(b) OF THIS SECTION.14 (b) "O UTREACH PROGRAM" MEANS THE ARIE P. TAYLOR SICKLE15 CELL DISEASE OUTREACH PROGRAM CREATED IN SUBSECTION (3) OF THIS16 SECTION.17 (3) (a) T HERE IS CREATED IN THE DEPARTMENT THE ARIE P.18 T AYLOR SICKLE CELL DISEASE OUTREACH PROGRAM . THE PURPOSE OF THE19 OUTREACH PROGRAM IS TO PROVIDE SERVICES AND SUPPORT IN THE20 COMMUNITY TO INDIVIDUALS LIVING WITH SICKLE CELL DISEASE AND21 THEIR FAMILIES.22 (b) T HE DEPARTMENT SHALL CONTRACT WITH A THIRD -PARTY23 ENTITY TO ADMINISTER THE OUTREACH PROGRAM .24 (4) (a) T HE ADMINISTRATOR SHALL SOLICIT APPLICATIONS FROM25 COMMUNITY-BASED NONPROFIT ORGANIZATIONS THAT ARE CAPABLE OF26 IMPLEMENTING THE OUTREACH PROGRAM AND SHALL PRESENT QUALIFIED27 SB24-042 -4- APPLICANTS TO THE DEPARTMENT .1 (b) S UBJECT TO AVAILABLE APPROPRIATIONS , ON OR BEFORE2 J ANUARY 1, 2025, THE DEPARTMENT SHALL CONTRACT WITH ONE OR MORE3 COMMUNITY-BASED NONPROFIT ORGANIZATIONS PRESENTED BY THE4 ADMINISTRATOR TO PROVIDE COMMUNITY -BASED SERVICES AND SUPPORT5 TO INDIVIDUALS LIVING WITH SICKLE CELL DISEASE AND THEIR FAMILIES .6 (c) T HE DEPARTMENT SHALL DETERMINE THE INITIAL TERM OF A7 CONTRACT, NOT TO EXCEED TWO YEARS , AND SHALL APPROVE THE8 SERVICES AND SUPPORT TO BE INCLUDED IN A CONTRACT .9 (d) I N AWARDING A CONTRACT , THE DEPARTMENT SHALL GIVE10 PRIORITY TO A COMMUNITY-BASED NONPROFIT ORGANIZATION THAT :11 (I) H AS A MINIMUM OF TEN YEARS ' EXPERIENCE IN PROVIDING12 SERVICES AND SUPPORT IN COLORADO TO INDIVIDUALS LIVING WITH13 SICKLE CELL DISEASE AND THEIR FAMILIES, SPECIFICALLY IN THE DENVER14 METROPOLITAN AREA OR COLORADO SPRINGS, WHICH AREAS OF THE15 STATE HAVE THE HIGHEST NUMBER OF INDIVIDUALS LIVING WITH SICKLE16 CELL DISEASE IN COLORADO;17 (II) H AS EXPERIENCE PROVIDING THE SERVICES AND SUPPORT18 DESCRIBED IN SUBSECTION (5)(a) OF THIS SECTION; AND19 (III) I S ENGAGED IN FUNDRAISING FOR AND RAISING AWARENESS20 OF THE NEEDS OF INDIVIDUALS LIVING WITH SICKLE CELL DISEASE AND21 THEIR FAMILIES AND MAINTAINS A NETWORK OF PERSONS ABLE TO22 PROVIDE PEER ASSISTANCE AND RESOURCES TO THOSE INDIVIDUALS .23 (5) (a) D EPENDING UPON THE AMOUNT OF AVAILABLE24 APPROPRIATIONS AND THE NEEDS TO BE ADDRESSED THR OUGH A25 CONTRACT, THE COMMUNITY-BASED SERVICES AND SUPPORT PROVIDED26 THROUGH THE OUTREACH PROGRAM MAY INCLUDE THE FOLLOWING27 SB24-042 -5- SERVICES AND SUPPORT PROVIDED BY A COMMUNITY -BASED NONPROFIT1 ORGANIZATION OR BY COMMUNITY HEALTH WORKERS OR SOCIAL2 WORKERS EMPLOYED BY THE COMMUNITY -BASED NONPROFIT3 ORGANIZATION:4 (I) C ULTURALLY APPROPRIATE HEALTH EDUCATION AND5 INFORMATION CONCERNING SICKLE CELL DISEASE AND LIVING WITH SICKLE6 CELL DISEASE;7 (II) I NFORMAL COUNSELING AND GUIDANCE ON HEALTH8 BEHAVIORS;9 (III) D IRECTION AND SUPPORT TO INDIVIDUALS AND THEIR10 FAMILIES IN LOCATING AND ACCESSING SERVICES IN THE COMMUNITY TO11 ADDRESS THEIR NEEDS, INCLUDING NONMEDICAL NEEDS SUCH AS HOUSING ,12 FOOD, EDUCATION, TRANSPORTATION, EMPLOYMENT, LEGAL SERVICES,13 AND OTHER SUPPORT;14 (IV) O UTREACH TO THE SICKLE CELL DISEASE COMMUNITY15 CONCERNING ACTIVITIES AND PROGRAMS AVAILABLE TO INDIVIDUALS16 LIVING WITH THE EFFECTS OF SICKLE CELL DISEASE AND THEIR FAMILIES ;17 (V) P EER SUPPORT SERVICES AND REFERRALS FOR INDIVIDUALS18 AND FAMILIES LIVING WITH SICKLE CELL DISEASE IN THE LOCAL19 COMMUNITY;20 (VI) A DVOCACY REGARDING THE INTERESTS OF THE SICKLE CELL21 DISEASE COMMUNITY THROUGH PARTNERSHIPS WITH THE GENERAL22 PUBLIC, STATE AND LOCAL GOVERNMENT ENTITIES , HEALTH-CARE23 PROVIDERS, AND OTHER COMMUNITY -BASED ORGANIZATIONS;24 (VII) R EFERRALS FOR SICKLE-CELL ANEMIA SCREENING; AND25 (VIII) A NY OTHER SERVICES AND SUPPORT AS DETERMINED BY THE26 DEPARTMENT.27 SB24-042 -6- (b) IN DETERMINING THE SERVICES AND SUPPORT INCLUDED IN A1 CONTRACT, THE DEPARTMENT MAY CONSULT WITH THE SICKLE -CELL2 ANEMIA TREATMENT AND RESEARCH CENTER , CREATED IN SECTION3 23-21-203, TO IDENTIFY THE COMMUNITY-BASED SERVICES AND SUPPORT4 THAT IS LIKELY TO HAVE THE GREATEST IMPACT ON THE INDIVIDUALS AND5 FAMILIES SERVED THROUGH THE OUTREACH PROGRAM GIVEN THE AM OUNT6 AND DURATION OF THE CONTRACT .7 (6) (a) P RIOR TO THE EXPIRATION OF A CONTRACT , A8 COMMUNITY-BASED NONPROFIT ORGANIZATION IMPLEMENTING THE9 OUTREACH PROGRAM SHALL PREPARE AND SUBMIT , IN CONJUNCTION WITH10 THE ADMINISTRATOR , A WRITTEN REPORT TO THE DEPARTMENT11 DESCRIBING:12 (I) T HE TYPE AND AMOUNT OF SERVICES AND SUPPORT PROVIDED13 TO THE COMMUNITY PURSUANT TO THE OUTREACH PROGRAM ;14 (II) T HE NUMBER OF INDIVIDUALS AND FAMILIES IMPACTED15 THROUGH THE SERVICES AND SUPPORT ;16 (III) T HE CHARACTERISTICS OF THE INDIVIDUALS RECEIVING17 SERVICES AND SUPPORT, INCLUDING WHETHER THE SERVICES OR SUPPORT18 WAS PROVIDED TO ADULTS OR CHILDREN WITH SICKLE CELL DISEASE OR19 THEIR FAMILY MEMBERS , BUT EXCLUDING PERSONALLY IDENTIFYING20 INFORMATION REGARDING THE INDIVIDUALS ; AND21 (IV) T HE LOCATION WHERE THE SERVICES AND SUPPORT WAS22 PROVIDED.23 (b) T HE DEPARTMENT SHALL PROVIDE THE REPORT TO THE HOUSE24 OF REPRESENTATIVES PUBLIC AND BEHAVIORAL HEALTH AND HUMAN25 SERVICES COMMITTEE AND THE SENATE HEALTH AND HUMAN SERVICES26 COMMITTEE, OR THEIR SUCCESSOR COMMITTEES. THE DEPARTMENT MAY27 SB24-042 -7- INCLUDE WITH THE REPORT INFORMATION KNOWN TO THE DEPARTMENT1 CONCERNING THE OUTCOMES OF THE SERVICES AND SUPPORT PROVIDED ,2 AS WELL AS OTHER RELEVANT INFORMATION CONCERNING THE IMPACT OF3 THE OUTREACH PROGRAM ON INDIVIDUALS LIVING WITH SICKLE CELL4 DISEASE AND THEIR FAMILIES.5 (7) T HIS SECTION IS REPEALED, EFFECTIVE JULY 1, 2030.6 SECTION 2. Safety clause. The general assembly finds,7 determines, and declares that this act is necessary for the immediate8 preservation of the public peace, health, or safety or for appropriations for9 the support and maintenance of the departments of the state and state10 institutions.11 SB24-042 -8-