Second Regular Session
Seventy-fourth General Assembly
STATE OF COLORADO
INTRODUCED
LLS NO. 24-0137.01 Brita Darling x2241
SENATE BILL 24-175
Senate Committees House Committees
Health & Human Services
A BILL FOR AN ACT
C
ONCERNING MEASURES TO IMPROVE PERINATAL HEALTH OUTCOMES .101
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 requires health benefit plans to provide coverage for doula
services in the same scope and duration of coverage for doula services
that will be included in the department of health care policy and
financing's request for federal authorization of doula services under the
"Colorado Medical Assistance Act" (medical assistance program). Doulas
providing services must meet the same qualifications for and submit to
the same regulation as individuals providing doula services as
recommended in the report of the department of public health and
SENATE SPONSORSHIP
Fields and Buckner, Hansen
HOUSE SPONSORSHIP
McLachlan,
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. environment resulting from the stakeholder process for doula services
under the medical assistance program.
Coverage for doula services will be implemented for large
employer health benefit plans issued or renewed in this state on and after
July 1, 2025. For small group and individual plans, doula services will be
implemented if the division of insurance and the federal department of
health and human services determine that the benefit does not require
state defrayal of the cost of the benefit or the division of insurance
determines defrayal is not required and the federal department fails to
respond to the divison's request for confirmation of the determination
within 365 days after the request is made.
The bill authorizes the department of public health and
environment (department) to partner with the designated state perinatal
care quality collaborative (perinatal quality collaborative) to track the
statewide implementation of the recommendations of the Colorado
maternal mortality review committee, implement perinatal health quality
improvement programs with hospitals that provide labor and delivery or
neonatal care services (hospital) to improve infant and maternal health
outcomes, and address disparate care outcomes among certain populations
and of those living in frontier areas of the state.
The bill requires hospitals to submit specified data to the perinatal
quality collaborative concerning disparities in perinatal health care and
health-care outcomes; to annually participate in at least one maternal or
infant health quality improvement initiative (initiative), as determined by
the hospitals; and to report to the perinatal quality collaborative regarding
the implementation and outcomes of the initiative. The bill authorizes
financial support for hospitals in rural and frontier areas of the state,
hospitals that serve a higher number of medical assistance patients or
uninsured patients, and hospitals with lower-acuity maternal or neonatal
levels of care.
In collaboration with the department, the bill requires the perinatal
quality collaborative to issue an annual report on clinical quality
improvements in maternal and infant health outcomes and related data
that can be shared with hospitals and health facilities, policymakers, and
others and posted on the internet.
The bill requires coverage of over-the-counter, prescribed choline
supplements for pregnant people to fulfill the federal food and drug
administration's daily adequate intake for pregnant people.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, 10-16-104, add2
(3)(e) as follows:3
SB24-175-2- 10-16-104. Mandatory coverage provisions - definitions - rules1
- applicability. (3) Maternity coverage. (e) Doula services. (I) A
S2
USED IN THIS SUBSECTION (3)(e), UNLESS THE CONTEXT OTHERWISE3
REQUIRES:4
(A) "D
OULA" MEANS A TRAINED BIRTH COMPANION WHO PROVIDES5
PERSONAL, NONMEDICAL SUPPORT TO PREGNANT AND POSTPARTUM6
PEOPLE AND THEIR FAMILIES PRIOR TO CHILDBIRTH , DURING LABOR AND7
DELIVERY, AND DURING THE POSTPARTUM PERIOD AND WHO HAS THE8
QUALIFICATIONS AND TRAINING REQUIRED BY THE STATE .9
(B) "D
OULA SERVICES" MEANS SERVICES PROVIDED BY A DOULA .10
(C) "M
EDICAL ASSISTANCE PROGRAM " MEANS THE "COLORADO11
M
EDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF TITLE 25.5.12
(D) "R
EPORT" MEANS THE REPORT OF THE DEPARTMENT OF13
HEALTH CARE POLICY AND FINANCING , INCLUDING THE FINDINGS AND14
RECOMMENDATIONS FOR DOULA SERVICES , RESULTING FROM THE15
STAKEHOLDER PROCESS REQUIRED PURSUANT TO SECTION 25.5-4-506.16
(II) E
XCEPT AS PROVIDED IN SUBSECTION (3)(e)(VI) OF THIS17
SECTION, MATERNITY COVERAGE PURSUANT TO THIS SUBSECTION (3) MUST18
INCLUDE COVERAGE FOR DOULA SERVICES .19
(III) T
HE COVERAGE FOR DOULA SERVICES PURSUANT TO THIS20
SUBSECTION (3)(e) MUST:21
(A) I
NCLUDE THE SAME SCOPE AND DURATION OF COVERAGE FOR22
DOULA SERVICES THAT IS INCLUDED IN THE DEPARTMENT OF HEALTH CARE23
POLICY AND FINANCING'S REQUEST SUBMITTED PURSUANT TO SECTION24
25.5-4-506
FOR FEDERAL AUTHORIZATION FOR DOULA SERVICES UNDER25
THE MEDICAL ASSISTANCE PROGRAM ; EXCEPT THAT THE COMMISSIONER26
MAY ADOPT RULES AS NECESSARY TO IMPLEMENT THE BENEFIT IN THE27
SB24-175
-3- PRIVATE INSURANCE MARKET ; AND1
(B) R
EQUIRE THE SAME QUALIFICATIONS FOR AND REGULATION OF2
INDIVIDUALS PROVIDING DOULA SERVICES AS RECOMMENDED IN THE3
REPORT FOR INDIVIDUALS PROVIDING DOULA SERVICES UNDER THE4
MEDICAL ASSISTANCE PROGRAM .5
(IV) T
HIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL6
IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION (3)(e) FOR, LARGE7
EMPLOYER HEALTH BENEFIT PLANS ISSUED OR RENEWED IN THIS STATE ON8
OR AFTER JULY 1, 2025, OR TWELVE MONTHS AFTER THE DATE ON WHICH9
THE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING SUBMITS ITS10
REQUEST PURSUANT TO SECTION 25.5-4-506 FOR FEDERAL AUTHORIZATION11
FOR DOULA SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM ,12
WHICHEVER IS LATER.13
(V) W
ITH RESPECT TO INDIVIDUAL AND SMALL GROUP HEALTH14
BENEFIT PLANS, THE DIVISION SHALL:15
(A) R
EVIEW THE ACTUARIAL REVIEW CONDUCTED PURSUANT TO16
SECTION 10-16-155.5 AND SUBMIT TO THE FEDERAL DEPARTMENT OF17
HEALTH AND HUMAN SERVICES THE DIVISION 'S DETERMINATION AS TO18
WHETHER THE BENEFIT SPECIFIED IN THIS SUBSECTION (3)(e) IS IN19
ADDITION TO ESSENTIAL HEALTH BENEFITS AND WOULD BE SUBJECT TO20
DEFRAYAL BY THE STATE PURSUANT TO 42 U.S.C. SEC. 18031 (d)(3)(B);21
AND22
(B) R
EQUEST THAT THE FEDERAL DEPARTMENT OF HEALTH AND23
HUMAN SERVICES CONFIRM THE DIVISION'S DETERMINATION WITHIN SIXTY24
DAYS AFTER RECEIPT OF THE DIVISION'S REQUEST AND SUBMISSION OF ITS25
DETERMINATION.26
(VI) T
HIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL27
SB24-175
-4- IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION (3)(e) FOR,1
INDIVIDUAL AND SMALL GROUP HEALTH BENEFIT PLANS ISSUED OR2
RENEWED IN THIS STATE UPON THE EARLIER OF :3
(A) T
WELVE MONTHS AFTER THE FEDERAL DEPARTMENT OF4
HEALTH AND HUMAN SERVICES CONFIRMS THE DIVISION 'S DETERMINATION5
OR OTHERWISE INFORMS THE DIVISION THAT THE COVERAGE SPECIFIED IN6
THIS SUBSECTION (3)(e) DOES NOT CONSTITUTE AN ADDITIONAL BENEFIT7
THAT REQUIRES DEFRAYAL BY THE STATE PURSUANT TO 42 U.S.C. SEC.8
18031 (d)(3)(B);
OR9
(B) T
HE PASSAGE OF MORE THAN THREE HUNDRED SIXTY -FIVE10
DAYS SINCE THE DIVISION SUBMITTED ITS DETERMINATION AND REQUEST11
FOR CONFIRMATION PURSUANT TO SUBSECTION (3)(e)(V) OF THIS SECTION,12
AND THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES HAS13
FAILED TO RESPOND TO THE REQUEST WITHIN THAT PERIOD , IN WHICH CASE14
THE DIVISION SHALL CONSIDER THE FEDERAL DEPARTMENT 'S15
UNREASONABLE DELAY A PRECLUSION FROM REQUIRING DEFR AYAL BY THE16
STATE.17
SECTION 2. In Colorado Revised Statutes, 25-1.5-103, add18
(1)(d) as follows:19
25-1.5-103. Health facilities - powers and duties of department20
- rules - limitations on rules - definitions - repeal. (1) The department21
has, in addition to all other powers and duties imposed upon it by law, the22
powers and duties provided in this section as follows:23
(d) (I) T
O ENSURE THAT EACH HOSPITAL THAT PROVIDES LABOR24
AND DELIVERY OR NEONATAL CARE SERVICES IS COMPLYING WITH THE25
REQUIREMENTS SPECIFIED IN SECTION 25-52-106.5, INCLUDING26
PARTICIPATING IN AT LEAST ONE MATERNAL OR INFANT HEALTH QUALITY27
SB24-175
-5- IMPROVEMENT INITIATIVE , SUBMITTING OUTCOME DATA TO THE1
PERINATAL QUALITY COLLABORATIVE AS DEFINED IN SECTION 25-52-103,2
AND REPORTING ANNUALLY TO THE DEPARTMENT AND TO THE PERINATAL3
QUALITY COLLABORATIVE CONCERNING THE HOSPITAL 'S COMPLIANCE4
WITH SECTION 25-52-106.5.5
(II) T
HIS SUBSECTION (1)(d) IS REPEALED, EFFECTIVE SEPTEMBER6
1,
2029.7
SECTION 3. In Colorado Revised Statutes, 25-52-103, amend8
(3); and add (6.5) as follows:9
25-52-103. Definitions. As used in this article 52, unless the10
context otherwise requires:11
(3) "Designated state perinatal care quality collaborative"
OR12
"
PERINATAL QUALITY COLLABORATIVE " means a statewide nonprofit13
network of health facilities, clinicians, and public health professionals14
working to improve the quality of care for mothers and babies through15
continuous quality improvement.16
(6.5) "M
EDICAL ASSISTANCE PROGRAM " MEANS THE MEDICAL17
ASSISTANCE PROGRAM ESTABLISHED PURSUANT TO ARTICLES 4 TO 6 OF18
TITLE 25.5.19
SECTION 4. In Colorado Revised Statutes, add 25-52-106.5 as20
follows:21
25-52-106.5. Perinatal health quality improvement program22
- hospital engagement program - perinatal quality collaborative23
duties - data collection - reporting - legislative declaration -24
definitions. (1) T
HE GENERAL ASSEMBLY FINDS AND DECLARES THAT :25
(a) D
ISPARITIES IN MATERNAL AND INFANT HEALTH-CARE ACCESS,26
DELIVERY, AND OUTCOMES IN COLORADO PERSIST, SUCH THAT BIRTHING27
SB24-175
-6- PEOPLE IDENTIFIED AS AMERICAN INDIAN/ALASKA NATIVE AND BLACK1
ARE THREE TIMES MORE LIKELY TO DIE DURING PREGNANCY AND TWO2
TIMES MORE LIKELY TO DIE WITHIN ONE YEAR POSTPARTUM THAN THE3
OVERALL BIRTHING POPULATION ;4
(b) B
IRTHING PEOPLE LIVING IN FRONTIER COUNTIES ARE MORE5
LIKELY TO DIE FROM PREGNANCY -RELATED CAUSES THAN THOSE LIVING6
IN URBAN COUNTIES, AND PEOPLE INSURED THR OUGH THE MEDICAL7
ASSISTANCE PROGRAM ARE MORE LI KELY TO DIE DURING PREGNANCY OR8
WITHIN ONE YEAR POSTPARTUM THAN THOSE WITH PRIVATE INSURANCE ;9
(c) D
ISCRIMINATION CONTRIBUTED TO HALF OF ALL10
PREGNANCY-ASSOCIATED DEATHS IN COLORADO, AND NINETY PERCENT OF11
ALL DEATHS WERE DEEMED PREVENTABLE BY THE COLORADO MATERNAL12
MORTALITY REVIEW COMMITTEE ;13
(d) I
N 2022, THE UNITED STATES' INFANT MORTALITY RATE14
INCREASED FOR THE FIRST TIME IN TWO DECADES . INFANTS BORN TO15
B
LACK AND NATIVE AMERICAN BIRTHING PEOPLE ARE TWO TIMES MORE16
LIKELY TO DIE COMPARED WITH THEIR WHITE AND HISPANIC17
COUNTERPARTS.18
(e) T
HE COMMITTEE AND THE MATERNAL HEALTH TASK FORCE19
ESTABLISHED BY THE DEPARTMENT RECOMMEND STATEWIDE , UNIVERSAL20
PARTICIPATION IN QUALITY IMPROVEMENT INITIATIVES LED BY THE21
PERINATAL QUALITY COLLABORATIVE AND THE ADOPTION OF ALLIANCE22
FOR INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES ;23
(f) T
HE NATIONAL GOVERNORS ASSOCIATION, THROUGH ITS24
MATERNAL AND INFANT HEALTH INITIATIVE , SIMILARLY RECOMMENDS THE25
ADOPTION OF PATIENT SAFETY BUNDLES AND INCREASED FUNDING FOR26
STATE MATERNAL MORTALITY REVIEW COMMITTEES AND PERINATAL27
SB24-175
-7- QUALITY COLLABORATIVES ;1
(g) N
INETY-SIX PERCENT OF BIRTHS IN COLORADO OCCUR IN2
HOSPITALS, AND THERE IS A NEED TO PROVIDE PRACTICAL SUPPORT TO3
HOSPITALS, ESPECIALLY FRONTIER AND RURAL HOSPITALS , FOR THE4
IMPLEMENTATION OF CLINICAL QUALITY IMPROVEMENT INITIATIVES ; AND5
(h) P
ARTICIPATION IN STATE PERINATAL QUALITY6
COLLABORATIVES HAS BEEN SHOWN TO IMPROVE MATERNAL AND INFANT7
HEALTH OUTCOMES THROUGH IMPROVED ACCESS TO , AND THE TIMELINESS8
OF, TREATMENT AND THR OUGH REDUCED SERIOUS PREGNANCY9
COMPLICATIONS.10
(2) A
S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE11
REQUIRES:12
(a) "E
NGAGEMENT PROGRAM " MEANS THE PERINATAL HEALTH13
QUALITY IMPROVEMENT ENGAGEMENT PROGRAM CREATED IN SUBSECTION14
(5)
OF THIS SECTION.15
(b) "H
OSPITAL" MEANS A HOSPITAL LICENSED OR CERTIFIED16
PURSUANT TO SECTION 25-1.5-103 THAT PROVIDES LABOR AND DELIVERY17
OR NEONATAL CARE SERVICES.18
(c) "Q
UALITY IMPROVEMENT PROGRAM " MEANS THE HOSPITAL19
PERINATAL HEALTH QUALITY IMPROVEMENT PROGRAM CREATED IN20
SUBSECTION (4) OF THIS SECTION.21
(3) (a) T
HE DEPARTMENT SHALL CONTRACT WITH THE PERINATAL22
QUALITY COLLABORATIVE TO :23
(I) T
RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S24
RECOMMENDATIONS TO PREVENT MATERNAL MORTALITY ;25
(II) I
MPLEMENT HOSPITAL QUALITY IMPROVEMENT PROGRAMS26
THROUGH PERINATAL CARE SETTINGS TO REDUCE PREVENTABLE CAUSES27
SB24-175
-8- OF MATERNAL MORTALITY AND MORBIDITY ; AND1
(III) A
DDRESS DISPARATE CARE OF AND OUTCOMES AMONG2
A
MERICAN INDIAN/ALASKA NATIVE AND BLACK BIRTHING POPULATIONS,3
BIRTHING PEOPLE INSURED THROUGH THE MEDICAL ASSISTANCE PROGRAM ,4
AND BIRTHING PEOPLE LIVING IN FRONTIER COUNTIES .5
(b) Q
UALITY IMPROVEMENT PROGRAM SUPPORT MAY INCLUDE :6
(I) C
LINICAL QUALITY IMPROVEMENT SCIENCE EDUCATION7
CONCERNING BEST PRACTICES AND INNOVATIONS TO SUPPORT OPTIMAL8
OUTCOMES;9
(II) T
AILORED INTERVENTIONS DESIGNED TO ADDRESS THE NEEDS10
OF PRIORITY POPULATIONS;11
(III) I
NDIVIDUALIZED PROGRAM IMPLEMENTATION GUIDANCE AND12
SUPPORT;13
(IV) D
ATA REPORTING, ANALYSIS, AND RAPID RESPONSE14
FEEDBACK FOR ASSISTANCE IN MONITORING THE SUSTAINABILITY OF15
IMPLEMENTED CHANGES ;16
(V) P
ROVIDER TRAINING IN STIGMA, BIAS, AND TRAUMA-INFORMED17
AND RESPECTFUL CARE; AND18
(VI) P
UBLIC RECOGNITION AS A MATERNAL AND INFANT CARE19
QUALITY CHAMPION.20
(c) T
HE DEPARTMENT SHALL PROVIDE VITAL STATISTICS DATA TO21
THE PERINATAL QUALITY COLLABORATIVE FOR PURPOSES OF DATA22
ANALYSIS AND REPORTING.23
(4) Hospital perinatal health quality improvement program.24
A
HOSPITAL SHALL:25
(a) S
UBMIT ANNUALLY TO THE PERINATAL QUALITY26
COLLABORATIVE A MINIMUM DATA SET OF KEY DRIVERS OF DISPARITIES IN27
SB24-175
-9- PERINATAL HEALTH CARE AND HEALTH -CARE OUTCOMES, MATERNAL1
MORTALITY AND SEVERE MATERNAL MORBIDITY , AND INFANT HEALTH2
CARE AND HEALTH-CARE OUTCOMES, INCLUDING:3
(I) C
ESAREAN DELIVERIES;4
(II) P
ERINATAL HYPERTENSION, SEPSIS, AND CARDIAC CONDITIONS;5
(III) M
ATERNAL AND NEONATAL READMISSIONS AND LENGTH OF6
STAY;7
(IV) U
NEXPECTED NEWBORN COMPLICATIONS ;8
(V) P
ERINATAL MENTAL HEALTH AND SUBSTANCE USE9
CONDITIONS;10
(VI) O
BSTETRIC HEMORRHAGE ; AND11
(VII) P
RETERM BIRTH;12
(b) P
ARTICIPATE ANNUALLY IN AT LEAST ONE MATERNAL OR13
INFANT HEALTH QUALITY IMPROVEMENT INITIATIVE , AS DETERMINED BY14
THE HOSPITAL, IN COLLABORATION WITH THE PERINATAL QUALITY15
COLLABORATIVE, WITH THE GOAL OF:16
(I) P
ROMOTING EVIDENCE-BASED, CULTURALLY RELEVANT, SAFE,17
EQUITABLE, HIGH-QUALITY CARE; AND18
(II) P
REVENTING MATERNAL AND INFANT MORTALITY AND SEVERE19
MORBIDITY; AND20
(c) N
O LATER THAN DECEMBER 15, 2024, AND NO LATER THAN21
D
ECEMBER 15 EACH YEAR THEREAFTER , REPORT TO THE PERINATAL22
QUALITY COLLABORATIVE AND TO THE DEPARTMENT CONCERNING THE23
HOSPITAL'S:24
(I) P
ARTICIPATION IN MATERNAL AND INFANT PERINATAL QUALITY25
IMPROVEMENT INITIATIVES PURSUANT TO THIS SECTION ;26
(II) I
MPLEMENTATION OF THE FEDERAL HEALTH RESOURCES AND27
SB24-175
-10- SERVICES ADMINISTRATION MATERNAL AND CHILD HEALTH BUREAU 'S AND1
A
MERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS' ALLIANCE2
FOR INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES AND3
RELATED PERFORMANCE METRICS , INCLUDING THE STATUS OF ADDRESSING4
DRIVERS OF PERINATAL HEALTH DISPARITIES AND MATERNAL AND INFANT5
MORTALITY AND MORBIDITY AS DESCRIBED IN SUBSECTION (4)(a) OF THIS6
SECTION; AND7
(III) A
REAS OF OPPORTUNITY FOR ONGOING IMPROVEMENT FOR8
THE HOSPITAL.9
(5) Hospital perinatal health quality improvement engagement10
program. (a) N
O LATER THAN JULY 1, 2025, THE DEPARTMENT SHALL11
CREATE A PERINATAL HEALTH QUALITY IMPROVEMENT ENGAGEMENT12
PROGRAM THAT PROVIDES FINANCIAL SUPPORT TO HOSPITALS WITHOUT13
SUFFICIENT RESOURCES TO PARTICIPATE IN ONE OR MORE MATERNAL OR14
INFANT HEALTH QUALITY IMPROVEMENT INITIATIVES PURSUANT TO15
SUBSECTION (4) OF THIS SECTION.16
(b) T
HE DEPARTMENT SHALL SELECT HOSPITALS TO PARTICIPATE17
IN THE ENGAGEMENT PROGRAM AND MAY CONTRACT WITH THE PERINATAL18
QUALITY COLLABORATIVE TO ADMINISTER THE ENGAGEMENT PROGRAM .19
I
N ORDER TO PARTICIPATE IN THE ENGAGEMENT PROGRAM , A HOSPITAL20
MUST COMMIT TO WORK WITH THE PERINATAL QUALITY COLLABORATIVE21
ON THE MATERNAL OR INFANT HEALTH QUALITY IMPROVEMENT22
INITIATIVES SELECTED BY THE HOSPITAL.23
(c) T
HE DEPARTMENT SHALL PRIORITIZE FINANCIAL SUPPORT FOR24
HOSPITALS THAT:25
(I) A
RE IN RURAL AND FRONTIER AREAS OF THE STATE ;26
(II) Q
UALIFY FOR DISPROPORTIONATE SHARE PAYMENTS UNDER27
SB24-175
-11- THE MEDICAL ASSISTANCE PROGRAM ; OR1
(III) H
AVE LOWER-ACUITY MATERNAL OR NEONATAL LEVELS OF2
CARE DESIGNATIONS.3
(d) H
OSPITALS RECEIVING FINANCIAL SUPPORT PURSUANT TO THE4
ENGAGEMENT PROGRAM MAY USE THE FINANCIAL SUPPORT FOR5
DEDICATED QUALITY IMPROVEMENT , STAFF TIME, TRAINING COSTS,6
TRAVEL, CONTINUING EDUCATION , AND DATA ENTRY AND TECHNICAL7
ASSISTANCE.8
(6) Collaboration with the perinatal quality collaborative.9
(a) I
N COLLABORATION WITH THE DEPARTMENT , THE PERINATAL QUALITY10
COLLABORATIVE SHALL:11
(I) T
RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S12
RECOMMENDATIONS , DEVELOPED PURSUANT TO SECTION 25-52-104, TO13
PREVENT MATERNAL MORTALITY ; AND14
(II) I
SSUE AN ANNUAL REPORT TO THE DEPARTMENT ON CLINICAL15
QUALITY IMPROVEMENT EFFORTS TO REDUCE DISPARITIES IN PERINATAL16
HEALTH OUTCOMES AND TO PREVENT MATERNAL AND INFANT MORTALITY17
AND MORBIDITY THAT INCLUDES RELEVANT , AGGREGATE HOSPITAL18
MATERNAL AND INFANT HEALTH QUALITY METRICS AND THAT MAY BE19
DISTRIBUTED TO POLICYMAKERS , HEALTH-CARE PROVIDERS, HOSPITALS20
AND OTHER HEALTH FACILITIES , PUBLIC HEALTH PROFESSIONALS , AND21
OTHER INTERESTED PERSONS TO ASSIST THE DEPARTMENT IN PROMOTING22
DATA ACCESS AND FACILITATING ADDITIONAL EFFORTS TO REDUCE23
MATERNAL AND INFANT MORTALITY AND MORBIDITY .24
(b) I
N COMPLIANCE WITH ALL APPLICABLE STATE AND FEDERAL25
LAWS RELATING TO THE PUBLICATION OF HEALTH INFORMATION AND26
LEGALLY BINDING DATA USE AGREEMENTS , THE PERINATAL QUALITY27
SB24-175
-12- COLLABORATIVE AND THE DEPARTMENT SHALL MAKE THE REPORT1
PREPARED PURSUANT TO SUBSECTION (6)(a)(II) OF THIS SECTION PUBLICLY2
AVAILABLE ON THE DEPARTMENT 'S WEBSITE AND ON THE WEBSITE OF THE3
PERINATAL QUALITY COLLABORATIVE .4
SECTION 5. In Colorado Revised Statutes, 25.5-5-506, add (4)5
as follows:6
25.5-5-506. Prescribed drugs - utilization review. (4) D
UE TO7
THE POSITIVE HEALTH-CARE OUTCOMES AND COST SAVINGS DURING A8
BIRTHING PERSON'S PREGNANCY AND DELIVERY OF A CHILD AND FOR THE9
CHILD AFTER BIRTH, THE DRUG FORMULARY FOR MEDICAL ASSISTANCE10
RECIPIENTS IN FEE-FOR-SERVICE AND PRIMARY CARE PHYSICIAN11
PROGRAMS MUST INCLUDE OVER -THE-COUNTER, PRESCRIBED CHOLINE12
SUPPLEMENTS TO FULFILL THE FEDERAL FOOD AND DRUG13
ADMINISTRATION'S DAILY ADEQUATE INTAKE FOR PREGNANT PEOPLE .14
SECTION 6. Safety clause. The general assembly finds,15
determines, and declares that this act is necessary for the immediate16
preservation of the public peace, health, or safety or for appropriations for17
the support and maintenance of the departments of the state and state18
institutions.19
SB24-175
-13-