SENATE BILL 24-068
BY SENATOR(S) Ginal, Cutter, Hansen, Hinrichsen, Jaquez Lewis,
Marchman, Michaelson Jenet, Fenberg;
also REPRESENTATIVE(S) Brown, Epps, Bird, Boesenecker, Clifford,
Daugherty, deGruy Kennedy, Froelich, Garcia, Hernandez, Herod, Kipp,
Lieder, Lindsay, Lindstedt, Mabrey, Mauro, McCormick, McLachlan,
Parenti, Rutinel, Story, Titone, Valdez, Velasco, Vigil, Willford, Woodrow,
Young.
C
ONCERNING END-OF-LIFE OPTIONS FOR AN INDIVIDUAL WITH A TERMINAL
ILLNESS
.
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. In Colorado Revised Statutes, 25-48-102, amend (2),
(3), (4), (5), (7), (9), (10), (12), (13), (15), and (16); repeal (8); and add
(1.5) as follows:
25-48-102. Definitions. As used in this article 48, unless the context
otherwise requires:
(1.5) "A
DVANCED PRACTICE REGISTERED NURSE " HAS THE SAME
MEANING AS SET FORTH IN SECTION
12-255-104 (1).
NOTE: This bill has been prepared for the signatures of the appropriate legislative
officers and the Governor. To determine whether the Governor has signed the bill
or taken other action on it, please consult the legislative status sheet, the legislative
history, or the Session Laws.
________
Capital letters or bold & italic numbers indicate new material added to existing law; dashes
through words or numbers indicate deletions from existing law and such material is not part of
the act. (2) "Attending physician PROVIDER" means a physician OR
ADVANCED PRACTICE REGISTERED NURSE
who has primary responsibility for
the care of a terminally ill individual and the treatment of the individual's
terminal illness.
(3) "Consulting physician
PROVIDER" means a physician OR
ADVANCED PRACTICE REGISTERED NURSE
who is qualified by specialty or
experience to make a professional diagnosis and prognosis regarding a
terminally ill individual's illness.
(4) "Health-care provider" or "provider" means a person who is
licensed, certified, registered, or otherwise authorized or permitted by law
to administer health care or dispense medication in the ordinary course of
business or practice of a profession. The term includes a health-care facility,
including a long-term care facility as defined in section 25-3-103.7 (1)(f.3)
and a continuing care retirement community as described in section
25.5-6-203 (1)(c)(I)(A).
(5) "Informed decision" means a decision that is BY A MENTALLY
CAPABLE INDIVIDUAL TO REQUEST AND OBTAIN A PRESCRIPTION FOR
MEDICATION PURSUANT TO THIS ARTICLE
48, THAT THE QUALIFIED
INDIVIDUAL MAY SELF
-ADMINISTER TO BRING ABOUT DEATH , AFTER BEING
FULLY INFORMED BY THE ATTENDING PROVIDER AND THE CONSULTING
PROVIDER OF
:
(a) Made by an individual to obtain a prescription for medicalaid-in-dying medication that the qualified individual may decide to
self-administer to end his or her life in a peaceful manner THE INDIVIDUAL'S
DIAGNOSIS AND PROGNOSIS
;
(b) Based on an understanding and acknowledgment of the relevantfacts; and THE POTENTIAL RISKS ASSOCIATED WITH TAKING THE MEDICATION
TO BE PRESCRIBED
;
(c) Made after the attending physician fully informs the individualof: THE PROBABLE RESULT OF TAKING THE MEDICATION TO BE PRESCRIBED ;
(I) His or her medical diagnosis and prognosis of six months or less;
PAGE 2-SENATE BILL 24-068 (II) The potential risks associated with taking the medical aid-in
dying medication to be prescribed;
(III) The probable result of taking the medical aid-in-dying
medication to be prescribed;
(IV) The choices available to an individual that demonstrate his or
her self-determination and intent to end his or her life in a peaceful manner,
including the ability to choose whether to:
(A) Request medical aid in dying;
(B) Obtain a prescription for medical aid-in-dying medication to end
his or her life;
(C) Fill the prescription and possess medical aid-in-dying
medication to end his or her life; and
(D) Ultimately self-administer the medical aid-in-dying medication
to bring about a peaceful death; and
(V) All feasible alternatives or additional treatment opportunities,
including comfort care, palliative care, hospice care, and pain control.
(d) THE FEASIBLE END-OF-LIFE CARE AND TREATMENT OPTIONS FOR
THE INDIVIDUAL
'S TERMINAL DISEASE , INCLUDING COMFORT CARE ,
PALLIATIVE CARE, HOSPICE CARE, AND PAIN CONTROL, AND THE RISKS AND
BENEFITS OF EACH OF THESE OPTIONS
; AND
(e) THE INDIVIDUAL'S RIGHT TO WITHDRAW A REQUEST PURSUANT TO
THIS ARTICLE
48 OR WITHDRAW CONSENT FOR ANY OTHER TREATMENT AT
ANY TIME
.
(7) "Medical aid-in-dying" means the medical practice of a
physician prescribing medical aid-in-dying medication to a qualified
individual that the individual may choose to self-administer to bring about
a peaceful death PRACTICE OF EVALUATING A REQUEST , THE DETERMINING
OF QUALIFICATION
, THE PERFORMING OF THE DUTIES IN SECTIONS 25-48-106
AND 25-48-107, AND THE PROVIDING OF A PRESCRIPTION TO A QUALIFIED
INDIVIDUAL PURSUANT TO THIS ARTICLE
48.
PAGE 3-SENATE BILL 24-068 (8) "Medical aid-in-dying medication" means medication prescribed
by a physician pursuant to this article to provide medical aid in dying to a
qualified individual.
(9) "Medically confirmed" means that a consulting physician who
PROVIDER has examined the terminally ill individual and the individual's
relevant medical records
AND has confirmed the medical opinion of the
attending physician
PROVIDER.
(10) "Mental capacity" or "mentally capable" means that in the
opinion of an individual's attending physician PROVIDER, consulting
physician PROVIDER, psychiatrist, or psychologist, the individual has the
ability to make and communicate an informed decision to health-care
providers.
(12) "Prognosis of six months or less" means a prognosis resulting
from a terminal illness that the illness will, within reasonable medical
judgment, result in death within six months. and which has been medically
confirmed.
(13) (a) "Qualified individual" means a terminally ill adult with a
prognosis of six months or less, who has mental capacity, has made an
informed decision, is a resident of the state and has satisfied the
requirements of this article in order to obtain a prescription for medical
aid-in-dying medication to end his or her life in a peaceful manner WHO IS
A CAPABLE ADULT AND WHO HAS SATISFIED THE REQUIREMENTS OF THIS
ARTICLE
48 IN ORDER TO OBTAIN A PRESCRIPTION FOR MEDICATION TO BRING
ABOUT A DEATH
.
(b) A
N INDIVIDUAL IS NOT A "QUALIFIED INDIVIDUAL" BASED SOLELY
ON THE INDIVIDUAL
'S AGE OR DISABILITY.
(15) (a) "Self-administer" means
WHEN a qualified individual's
affirmative, conscious, and physical act of administering the medical
aid-in-dying medication to himself or herself to bring about his or her own
death INDIVIDUAL PERFORMS AN AFFIRMATIVE, CONSCIOUS, VOLUNTARY ACT
TO INGEST MEDICATION PRESCRIBED PURSUANT TO THIS ARTICLE
48 TO
BRING ABOUT THE INDIVIDUAL
'S DEATH.
(b) "S
ELF-ADMINISTER" DOES NOT INCLUDE ADMINISTRATION BY
PAGE 4-SENATE BILL 24-068 PARENTERAL INJECTION OR INFUSION.
(16) "Terminal illness" means an incurable and irreversible illness
DISEASE that HAS BEEN MEDICALLY CONFIRMED AND will, within reasonable
medical judgment, result in death
WITHIN SIX MONTHS.
SECTION 2. In Colorado Revised Statutes, 25-48-103, amend
(1)(a) and (1)(b) as follows:
25-48-103. Right to request medical aid-in-dying medication.
(1) An adult resident of Colorado may make a request, in accordance with
sections 25-48-104 and 25-48-112, to receive a prescription for medical
aid-in-dying medication if:
(a) The individual's attending physician
PROVIDER has diagnosed the
individual with a terminal illness with a prognosis of six months or less;
(b) The individual's attending physician PROVIDER has determined
the individual has mental capacity; and
SECTION 3. In Colorado Revised Statutes, 25-48-104, amend (1)
and (2)(c) as follows:
25-48-104. Request process - witness requirements.
(1) (a) E
XCEPT AS PROVIDED IN SUBSECTION (1)(b) OF THIS SECTION, in
order to receive a prescription for medical aid-in-dying medication pursuant
to this article
ARTICLE 48, an individual who satisfies the requirements in
section 25-48-103 must make two oral requests, separated by at least fifteen
SEVEN days, and a valid written request to his or her THE INDIVIDUAL'S
attending physician PROVIDER.
(b) I
F AN INDIVIDUAL'S ATTENDING PROVIDER HAS DETERMINED THAT
THE INDIVIDUAL WILL
, WITHIN REASONABLE MEDICAL JUDGMENT , DIE WITHIN
FORTY
-EIGHT HOURS AFTER MAKING THE INITIAL ORAL REQUEST UNDER THIS
SECTION
, THE INDIVIDUAL MAY SATISFY THE REQUIREMENTS OF THIS
SECTION BY REITERATING THE ORAL REQUEST TO THE ATTENDING PROVIDER
AT ANY TIME AFTER MAKING THE INITIAL ORAL REQUEST
.
(2) (c) Neither
The individual's attending physician nor OR
CONSULTING PROVIDER OR
a person authorized as the individual's qualified
PAGE 5-SENATE BILL 24-068 power of attorney or durable medical power of attorney shall NOT serve as
a witness to the written request.
SECTION 4. In Colorado Revised Statutes, 25-48-105, amend (2)
as follows:
25-48-105. Right to rescind request - requirement to offer
opportunity to rescind. (2) An attending physician PROVIDER shall not
write a prescription for medical aid-in-dying medication under this article
ARTICLE 48 unless the attending physician PROVIDER offers the qualified
individual an opportunity to rescind the request for the medical aid-in-dying
medication.
SECTION 5. In Colorado Revised Statutes, 25-48-106, amend (1)
introductory portion, (1)(d), (1)(f), (1)(h) introductory portion, (1)(h)(IV),
(1)(i), and (1)(l) as follows:
25-48-106. Attending provider responsibilities. (1) The attending
physician
PROVIDER shall:
(d) Refer the individual to a consulting physician PROVIDER for
medical confirmation of the diagnosis and prognosis and for a
determination of whether the individual is mentally capable, is
making an
informed decision, and acting voluntarily;
(f) Refer the individual to a licensed mental health professional
pursuant to section 25-48-108 if the attending physician believes that the
individual may not be mentally capable of making an informed decision
PROVIDER OBSERVES SIGNS THAT THE INDIVIDUAL MAY NOT BE CAPABLE OF
MAKING AN INFORMED DECISION
;
(h) Counsel
EDUCATE the individual about the importance of:
(IV) Notifying his or her THE INDIVIDUAL'S next of kin OR ANY
PERSON WHO PLAYS A SIGNIFICANT ROLE IN THE INDIVIDUAL
'S LIFE, WHICH
MAY INCLUDE A PERSON NOT LEGALLY RELATED TO THE INDIVIDUAL
, of the
request for medical aid-in-dying medication;
(i) Inform the individual that he or she
THE INDIVIDUAL may rescind
the request for medical aid-in-dying medication at any time and in any
PAGE 6-SENATE BILL 24-068 manner PURSUANT TO THIS ARTICLE 48;
(l) Either:
(I) Dispense medical aid-in-dying medications directly to the
qualified individual, including ancillary medications intended to minimize
the individual's discomfort, if the attending physician
PROVIDER has a
current drug enforcement administration certificate and complies with any
applicable administrative rule; or
(II) Deliver the written prescription personally, by mail, or through
authorized electronic transmission in the manner permitted under article 280
of title 12, to a licensed pharmacist, who shall dispense the medical
aid-in-dying medication to the qualified individual, the attending physician
PROVIDER, or an individual expressly designated by the qualified individual.
SECTION 6. In Colorado Revised Statutes, amend 25-48-107 as
follows:
25-48-107. Consulting provider responsibilities. (1) Before an
individual who is requesting medical aid-in-dying medication may receive
a prescription for the medical aid-in-dying medication, a consulting
physician
PROVIDER must:
(1) (a) Examine the individual and his or her THE INDIVIDUAL'S
relevant medical records; AND
(2) (b) Confirm, in writing, to the attending physician PROVIDER
THAT THE INDIVIDUAL
:
(a)
(I) That the individual Has a terminal illness;
(b) (II) The individual Has a prognosis of six months or less;
(c) (III) That the individual Is making an informed decision; and
(d) (IV) That the individual Is mentally capable, or provide
documentation that the consulting physician PROVIDER has referred the
individual for further evaluation in accordance with section 25-48-108;
AND
PAGE 7-SENATE BILL 24-068 (V) HAS REQUESTED A PRESCRIPTION FOR MEDICAL AID -IN-DYING
MEDICATION
.
SECTION 7. In Colorado Revised Statutes, repeal and reenact,
with amendments, 25-48-108 as follows:
25-48-108. Confirmation that individual is mentally capable -
referral to mental health professional. (1) I
F EITHER THE ATTENDING
PROVIDER OR THE CONSULTING PROVIDER HAS DOUBTS AS TO WHETHER AN
INDIVIDUAL IS MENTALLY CAPABLE
, THE PROVIDER SHALL REFER THE
INDIVIDUAL TO A LICENSED MENTAL HEALTH PROVIDER FOR DETERMINATION
REGARDING MENTAL CAPABILITY
.
(2) T
HE LICENSED MENTAL HEALTH PROVIDER TO WHOM THE
INDIVIDUAL IS REFERRED PURSUANT TO SUBSECTION
(1) OF THIS SECTION
SHALL SUBMIT TO THE REQUESTING ATTENDING PROVIDER OR THE
CONSULTING PROVIDER WHO REFERRED THE INDIVIDUAL A WRITTEN
DETERMINATION OF WHETHER THE INDIVIDUAL IS MENTALLY CAPABLE
.
(3) I
F THE LICENSED MENTAL HEALTH PROVIDER DETERMINES THAT
THE INDIVIDUAL IS NOT MENTALLY CAPABLE
, THE INDIVIDUAL IS NOT A
QUALIFIED INDIVIDUAL AND THE ATTENDING PROVIDER SHALL NOT
PRESCRIBE MEDICATION TO THE INDIVIDUAL UNDER THIS ARTICLE
48.
SECTION 8. In Colorado Revised Statutes, 25-48-109, amend (1)
as follows:
25-48-109. Death certificate. (1) Unless otherwise prohibited by
law, the attending physician
PROVIDER or the hospice medical director shall
sign the death certificate of a qualified individual who obtained and
self-administered
MEDICAL aid-in-dying medication.
SECTION 9. In Colorado Revised Statutes, 25-48-110, amend (2)
as follows:
25-48-110. Informed decision required. (2) Immediately before
writing a prescription for medical aid-in-dying medication under this article
ARTICLE 48, the attending physician PROVIDER shall verify that the
individual with a terminal illness is making an informed decision.
PAGE 8-SENATE BILL 24-068 SECTION 10. In Colorado Revised Statutes, 25-48-111, amend (1)
introductory portion, (1)(c), (1)(d), and (1)(g) as follows:
25-48-111. Medical record documentation requirements -
reporting requirements - department compliance reviews - rules.
(1) The attending physician PROVIDER shall document in the individual's
medical record, the following information:
(c) The attending physician's PROVIDER'S diagnosis and prognosis,
determination of mental capacity, and that the individual is making a
voluntary request and an informed decision;
(d) The consulting physician's
PROVIDER'S confirmation of diagnosis
and prognosis, mental capacity, and that the individual is making an
informed decision;
(g) A notation by the attending physician
PROVIDER that all
requirements under this article ARTICLE 48 have been satisfied AND
indicating steps taken to carry out the request, including a notation of the medical aid-in-dying medications prescribed and when.
SECTION 11. In Colorado Revised Statutes, amend 25-48-112 as
follows:
25-48-112. Form of written request. (1) A request for medical
aid-in-dying medication authorized by this article
ARTICLE 48 must be in
substantially the following form:
Request for medication to end my life
in a peaceful manner
I, am an adult of sound mind. I am suffering from ,
which my attending physician PROVIDER has determined is a terminal illness
and which has been medically confirmed. I have been fully informed of my
diagnosis and prognosis of six months or less, the nature of the medical
aid-in-dying medication to be prescribed and potential associated risks, the
expected result, and the feasible alternatives or additional treatment
opportunities, including comfort care, palliative care, hospice care, and pain
control.
I request that my attending physician
PROVIDER prescribe medical
aid-in-dying medication that will end my life in a peaceful manner if I
PAGE 9-SENATE BILL 24-068 choose to take it, and I authorize my attending physician PROVIDER to
contact any pharmacist about my request.
I understand that I have the right to rescind this request at any time.
I understand the seriousness of this request, and I expect to die if I take the
aid-in-dying medication prescribed.
I further understand that although most deaths occur within three hours, my death may take longer, and my attending physician
PROVIDER has counseled
me about this possibility. I make this request voluntarily, without
reservation, and without being coerced, and I accept full responsibility for
my actions.
Signed:
Dated:
Declaration of witnesses
We declare that the individual signing this request:
Is personally known to us or has provided proof of identity;
Signed this request in our presence;
Appears to be of sound mind and not under duress, coercion, or undue
influence; and
I am not the attending physician
PROVIDER for the individual.
witness 1/date
witness 2/date
Note: Of the two witnesses to the written request, at least one must not:
Be a relative (by blood, marriage, civil union, or adoption) of the individual
signing this request; be entitled to any portion of the individual's estate upon
death; or own, operate, or be employed at a health-care facility where the
individual is a patient or resident.
And neither the individual's attending physician
OR CONSULTING PROVIDER
nor a person authorized as the individual's qualified power of attorney or durable medical power of attorney shall serve as a witness to the written request.
SECTION 12. In Colorado Revised Statutes, 25-48-116, amend (3)
introductory portion as follows:
25-48-116. Immunity for actions in good faith - prohibition
against reprisals. (3) A request by an individual for, or the provision by
an attending physician
PROVIDER of, medical aid-in-dying medication in
good faith compliance with this article ARTICLE 48 does not:
PAGE 10-SENATE BILL 24-068 SECTION 13. In Colorado Revised Statutes, 25-48-117, amend
(2); and add (3) as follows:
25-48-117. No duty to prescribe or dispense. (2) If a health-care
provider is unable or unwilling to carry out an individual's request for
medical aid-in-dying medication made in accordance with this article, and
the individual transfers his or her care to a new health-care provider, the
prior health-care provider shall transfer, upon request, a copy of the
individual's relevant medical records to the new health-care provider.
ARTICLE 48, THE PROVIDER SHALL INFORM THE INDIVIDUAL OF THE
PROVIDER
'S INABILITY OR UNWILLINGNESS.
(3) I
F THE INDIVIDUAL TRANSFERS THE INDIVIDUAL'S CARE TO A NEW
HEALTH
-CARE PROVIDER, THE PRIOR HEALTH -CARE PROVIDER SHALL
TRANSFER
, UPON REQUEST, A COPY OF THE INDIVIDUAL'S RELEVANT MEDICAL
RECORDS TO THE NEW HEALTH
-CARE PROVIDER.
SECTION 14. In Colorado Revised Statutes, 25-48-118, amend
(1); and add (2.5) and (2.7) as follows:
25-48-118. Health-care facility permissible prohibitions - notice
to the public - sanctions if provider violates policy. (1) A health-care
facility may prohibit a physician
PROVIDER employed or under contract from
writing a prescription for medical aid-in-dying medication for a qualified
individual who intends to use the medical aid-in-dying medication on the
facility's premises. The health-care facility must notify the physician
PROVIDERS AND STAFF AT THE TIME OF HIRING , CONTRACTING WITH, OR
PRIVILEGING AND ON A YEARLY BASIS THEREAFTER
in writing of its policy
with regard to prescriptions for medical aid-in-dying medication. A
health-care facility that fails to provide
EXPLICIT advance notice to the
physician
PROVIDERS AND STAFF shall not be entitled to enforce such a
policy. against the physician.
(2.5) A HEALTH-CARE FACILITY SHALL NOT PROHIBIT A PROVIDER
FROM PROVIDING INFORMATION TO AN INDIVIDUAL REGARDING THE
INDIVIDUAL
'S HEALTH STATUS , INCLUDING DIAGNOSIS , PROGNOSIS,
RECOMMENDED TREATMENT , AND TREATMENT ALTERNATIVES , INCLUDING
THE RISKS AND BENEFITS OF THE RECOMMENDED TREATMENT AND EACH
TREATMENT ALTERNATIVE
.
PAGE 11-SENATE BILL 24-068 (2.7) A HEALTH FACILITY THAT IS A COVERED ENTITY, AS DEFINED IN
SECTION
25-58-103 (1), SHALL COMPLY WITH SECTION 25-58-105 (3) AND
RULES PROMULGATED PURSUANT TO SECTION
25-58-105 REGARDING THE
FACILITY
'S AVAILABILITY OF END-OF-LIFE HEALTH-CARE SERVICES.
SECTION 15. In Colorado Revised Statutes, amend 25-48-120 as
follows:
25-48-120. Safe disposal of unused medical aid-in-dying
medications. (1) A person who has custody or control of medical
aid-in-dying medication dispensed under this article that the terminally ill
individual decides not to use or that remains unused ARTICLE 48 after the A
terminally ill individual's death shall dispose of the unused medical aid-in-dying medication either by:
(1)
(a) Returning the unused medical aid-in-dying medication to the
attending physician PROVIDER who prescribed the medical aid-in-dying
medication, who shall dispose of the unused medical aid-in-dying
medication in the manner required by law; or
(2)
(b) Lawful means in accordance with section 25-15-328, C.R.S.
or any other state or federally approved medication take-back program
authorized under the federal "Secure and Responsible Drug Disposal Act
of 2010", Pub.L. 111-273, and regulations adopted pursuant to the federal
act.
SECTION 16. In Colorado Revised Statutes, amend 25-48-121 as
follows:
25-48-121. Actions complying with article not a crime. Nothing
in this article
ARTICLE 48 authorizes a physician PROVIDER or any other
person to end an individual's life by lethal injection, mercy killing, or
euthanasia. Actions taken in accordance with this article
ARTICLE 48 do not,
for any purpose, constitute suicide, assisted suicide, mercy killing,
homicide, or elder abuse under the "Colorado Criminal Code", as set forth
in title 18. C.R.S.
SECTION 17. In Colorado Revised Statutes, amend 25-48-122 as
follows:
PAGE 12-SENATE BILL 24-068 25-48-122. Claims by government entity for costs. A government
entity that incurs costs resulting from an individual terminating his or her
life pursuant to this article SELF-ADMINISTRATION OF MEDICATION
PRESCRIBED UNDER THIS ARTICLE
48 in a public place has a claim against
the estate of the individual to recover the costs and reasonable attorney fees
related to enforcing the claim.
SECTION 18. In Colorado Revised Statutes, add 25-48-124 as
follows:
25-48-124. Severability. I
F ANY PART OF THIS ARTICLE 48 IS FOUND
TO BE IN CONFLICT WITH FEDERAL REQUIREMENTS THAT ARE A PRESCRIBED
CONDITION FOR RECEIPT OF FEDERAL FUNDS
, THE CONFLICTING PART OF THIS
SECTION IS INOPERATIVE SOLELY TO THE EXTENT OF THE CONFLICT
, AND THE
CONFLICT DOES NOT AFFECT THE OPERATION OF THE REMAINDER OF THIS
ARTICLE
48.
SECTION 19. In Colorado Revised Statutes, 10-7-103, add (3) as
follows:
10-7-103. Life insurance policies - prohibition. (3) A
LIFE
INSURANCE COMPANY DOING BUSINESS IN
COLORADO SHALL NOT DENY OR
ALTER BENEFITS OTHERWISE AVAILABLE TO AN INDIVIDUAL WITH A
TERMINAL DISEASE BASED ON THE AVAILABILITY OF MEDICAL AID
-IN-DYING
PURSUANT TO ARTICLE
48 OF TITLE 25.
SECTION 20. In Colorado Revised Statutes, add 10-16-167 as
follows:
10-16-167. Medical aid-in-dying - carrier prohibitions. (1) A
CARRIER SHALL NOT:
(a) D
ENY OR ALTER BENEFITS OTHERWISE AVAILABLE TO A COVERED
INDIVIDUAL WITH A TERMINAL DISEASE BASED ON THE AVAILABILITY OF
MEDICAL AID
-IN-DYING PURSUANT TO ARTICLE 48 OF TITLE 25.
(b) A
TTEMPT TO COERCE AN INDIVIDUAL WITH A TERMINAL DISEASE
TO MAKE A REQUEST FOR MEDICAL AID
-IN-DYING MEDICATION.
SECTION 21. Act subject to petition - effective date. This act
PAGE 13-SENATE BILL 24-068 takes effect at 12:01 a.m. on the day following the expiration of the
ninety-day period after final adjournment of the general assembly; except
that, if a referendum petition is filed pursuant to section 1 (3) of article V
of the state constitution against this act or an item, section, or part of this act
within such period, then the act, item, section, or part will not take effect
unless approved by the people at the general election to be held in
November 2024 and, in such case, will take effect on the date of the official
declaration of the vote thereon by the governor.
____________________________ ____________________________
Steve Fenberg Julie McCluskie
PRESIDENT OF SPEAKER OF THE HOUSE
THE SENATE OF REPRESENTATIVES
____________________________ ____________________________
Cindi L. Markwell Robin Jones
SECRETARY OF CHIEF CLERK OF THE HOUSE
THE SENATE OF REPRESENTATIVES
APPROVED________________________________________
(Date and Time)
_________________________________________
Jared S. Polis
GOVERNOR OF THE STATE OF COLORADO
PAGE 14-SENATE BILL 24-068