Second Regular Session
Seventy-fourth General Assembly
STATE OF COLORADO
REREVISED
This Version Includes All Amendments
Adopted in the Second House
LLS NO. 24-0137.01 Brita Darling x2241
SENATE BILL 24-175
Senate Committees House Committees
Health & Human Services Health & Human Services
Appropriations Appropriations
A BILL FOR AN ACT
C
ONCERNING MEASURES TO IMPROVE PERINATAL HEALTH OUTCOMES ,
101
AND, IN CONNECTION THEREWITH , MAKING AN APPROPRIATION .102
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
HOUSE
3rd Reading Unamended
May 4, 2024
HOUSE
Amended 2nd Reading
May 3, 2024
SENATE
3rd Reading Unamended
April 22, 2024
SENATE
Amended 2nd Reading
April 19, 2024
SENATE SPONSORSHIP
Fields and Buckner, Hansen, Bridges, Coleman, Cutter, Exum, Fenberg, Ginal, Gonzales,
Hinrichsen, Jaquez Lewis, Kolker, Marchman, Michaelson Jenet, Mullica, Priola, Roberts,
Sullivan, Winter F., Zenzinger
HOUSE SPONSORSHIP
McLachlan and Jodeh, Amabile, Bacon, Bird, Boesenecker, Brown, deGruy Kennedy,
Duran, English, Froelich, Garcia, Hamrick, Hernandez, Herod, Joseph, Kipp, Lieder, Lindsay,
Lindstedt, Lukens, Mabrey, Marshall, Marvin, Mauro, McCluskie, McCormick, Ortiz,
Parenti, Ricks, Rutinel, Sirota, Snyder, Story, Titone, Valdez, Velasco, Weissman, Willford,
Woodrow, Young
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. the same regulation as individuals providing doula services as
recommended in the report of the department of public health and
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
175-2- (3)(e) as follows:1
10-16-104. Mandatory coverage provisions - definitions - rules2
- applicability. (3) Maternity coverage. (e) Doula services. (I) A
S3
USED IN THIS SUBSECTION (3)(e), UNLESS THE CONTEXT OTHERWISE4
REQUIRES:5
(A) "BILLING GUIDANCE" MEANS GUIDANCE FROM THE6
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING CONCERNING7
COVERAGE AND BILLING FOR DOULA SERVICES AFTER CONSIDERATION OF8
THE FINDINGS AND RECOMMENDATIONS FOR DOULA SERVICES RESULTING9
FROM THE STAKEHOLDER PROCESS REQUIRED PURSUANT TO SECTION10
25.5-4-506.11
(B) "DOULA" MEANS A TRAINED BIRTH COMPANION WHO PROVIDES12
PERSONAL, NONMEDICAL SUPPORT TO PREGNANT AND POSTPARTUM13
PEOPLE AND THEIR FAMILIES PRIOR TO CHILDBIRTH , DURING LABOR AND14
DELIVERY, AND DURING THE POSTPARTUM PERIOD AND WHO HAS THE15
QUALIFICATIONS AND TRAINING REQUIRED BY THE STATE .16
(C) "DOULA SERVICES" MEANS SERVICES PROVIDED BY A DOULA .17
(D) "MEDICAL ASSISTANCE PROGRAM " MEANS THE "COLORADO18
M
EDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF TITLE 25.5.19(II) IN THE LARGE GROUP MARKET , MATERNITY COVERAGE20
PURSUANT TO THIS SUBSECTION (3) MUST INCLUDE COVERAGE FOR DOULA21
SERVICES, TO THE EXTENT PRACTICABLE, FOR THE SAME SCOPE AND22
DURATION OF COVERAGE THAT IS INCLUDED IN THE DEPARTMENT OF23
HEALTH CARE POLICY AND FINANCING 'S REQUEST SUBMITTED PURSUANT24
TO SECTION 25.5-4-506 FOR FEDERAL AUTHORIZATION FOR DOULA25
SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM. THE BENEFIT MAY26
INCLUDE THE SAME QUALIFICATIONS FOR INDIVIDUALS PROVIDING27
175
-3- DOULA SERVICES AS RECOMMENDED IN THE BILLING GUIDANCE FOR1
INDIVIDUALS PROVIDING DOULA SERVICES UNDER THE MEDICAL2
ASSISTANCE PROGRAM.3
(III) EXCEPT AS PROVIDED IN SUBSECTION (3)(e)(VI) OF THIS4
SECTION, IN THE INDIVIDUAL AND SMALL GROUP MARKETS , MATERNITY5
COVERAGE PURSUANT TO THIS SUBSECTION (3) MUST INCLUDE COVERAGE6
FOR DOULA SERVICES IF THE SERVICES ARE WITHIN THE DOULA'S AREA OF7
PROFESSIONAL COMPETENCE AND THE DOULA SERVICES ARE :8
(A) CURRENTLY REIMBURSED WHEN RENDERED BY ANY OTHER9
HEALTH-CARE PROVIDERS; OR10
(B) COVERED AS PART OF THE MATERNITY ESSENTIAL HEALTH11
BENEFIT.12
(IV) T
HIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL13
IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION (3)(e) FOR, LARGE14
EMPLOYER HEALTH BENEFIT PLANS ISSUED OR RENEWED IN THIS STATE ON15
OR AFTER JULY 1, 2025, OR TWELVE MONTHS AFTER THE DATE ON WHICH16
THE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING SUBMITS ITS17
REQUEST PURSUANT TO SECTION 25.5-4-506 FOR FEDERAL AUTHORIZATION18
FOR DOULA SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM ,19
WHICHEVER IS LATER.20
(V) W
ITH RESPECT TO INDIVIDUAL AND SMALL GROUP HEALTH21
BENEFIT PLANS, THE DIVISION SHALL:22
(A) R
EVIEW THE ACTUARIAL REVIEW CONDUCTED PURSUANT TO23
SECTION 10-16-155.5 AND SUBMIT TO THE FEDERAL DEPARTMENT OF24
HEALTH AND HUMAN SERVICES THE DIVISION 'S DETERMINATION AS TO25
WHETHER THE BENEFIT SPECIFIED IN THIS SUBSECTION (3)(e) IS IN26
ADDITION TO ESSENTIAL HEALTH BENEFITS AND WOULD BE SUBJECT TO27
175
-4- DEFRAYAL BY THE STATE PURSUANT TO 42 U.S.C. SEC. 18031 (d)(3)(B);1
AND2
(B) R
EQUEST THAT THE FEDERAL DEPARTMENT OF HEALTH AND3
HUMAN SERVICES CONFIRM THE DIVISION'S DETERMINATION WITHIN SIXTY4
DAYS AFTER RECEIPT OF THE DIVISION'S REQUEST AND SUBMISSION OF ITS5
DETERMINATION.6
(VI) T
HIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL7
IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION (3)(e) FOR,8
INDIVIDUAL AND SMALL GROUP HEALTH BENEFIT PLANS ISSUED OR9
RENEWED IN THIS STATE UPON THE EARLIER OF :10
(A) T
WELVE MONTHS AFTER THE FEDERAL DEPARTMENT OF11
HEALTH AND HUMAN SERVICES CONFIRMS THE DIVISION 'S DETERMINATION12
OR OTHERWISE INFORMS THE DIVISION THAT THE COVERAGE SPECIFIED IN13
THIS SUBSECTION (3)(e) DOES NOT CONSTITUTE AN ADDITIONAL BENEFIT14
THAT REQUIRES DEFRAYAL BY THE STATE PURSUANT TO 42 U.S.C. SEC.15
18031 (d)(3)(B);
OR16
(B) T
HE PASSAGE OF MORE THAN THREE HUNDRED SIXTY -FIVE17
DAYS SINCE THE DIVISION SUBMITTED ITS DETERMINATION AND REQUEST18
FOR CONFIRMATION PURSUANT TO SUBSECTION (3)(e)(V) OF THIS SECTION,19
AND THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES HAS20
FAILED TO RESPOND TO THE REQUEST WITHIN THAT PERIOD , IN WHICH CASE21
THE DIVISION SHALL CONSIDER THE FEDERAL DEPARTMENT 'S22
UNREASONABLE DELAY A PRECLUSION FROM REQUIRING DEFRAYAL BY THE23
STATE.24
(VII) THE COMMISSIONER MAY PROMULGATE RULES AS25
NECESSARY TO IMPLEMENT THIS SUBSECTION (3).26
SECTION 2. In Colorado Revised Statutes, 25-1.5-103, add27
175
-5- (1)(d) as follows:1
25-1.5-103. Health facilities - powers and duties of department2
- rules - limitations on rules - definitions - repeal. (1) The department3
has, in addition to all other powers and duties imposed upon it by law, the4
powers and duties provided in this section as follows:5
(d) (I) T
O ENSURE THAT EACH HOSPITAL THAT PROVIDES6
NONEMERGENT PERINATAL CARE SERVICES IS COMPLYING WITH THE7
REQUIREMENTS SPECIFIED IN SECTION 25-52-106.5, INCLUDING8
PARTICIPATING IN AT LEAST ONE MATERNAL OR INFANT HEALTH QUALITY9
IMPROVEMENT INITIATIVE AND SUBMITTING OUTCOME DATA TO THE10
PERINATAL QUALITY COLLABORATIVE DEFINED IN SECTION 25-52-103 (3).11
(II) T
HIS SUBSECTION (1)(d) IS REPEALED, EFFECTIVE SEPTEMBER12
1,
2029.13
SECTION 3. In Colorado Revised Statutes, 25-52-103, amend14
(3); and add (6.5) as follows:15
25-52-103. Definitions. As used in this article 52, unless the16
context otherwise requires:17
(3) "Designated state perinatal care quality collaborative"
OR18
"
PERINATAL QUALITY COLLABORATIVE " means a statewide nonprofit19
network of health facilities, clinicians, and public health professionals20
working to improve the quality of care for mothers and babies through21
continuous quality improvement.22
(6.5) "M
EDICAL ASSISTANCE PROGRAM " MEANS THE MEDICAL23
ASSISTANCE PROGRAM ESTABLISHED PURSUANT TO ARTICLES 4 TO 6 OF24
TITLE 25.5.25
SECTION 4. In Colorado Revised Statutes, add 25-52-106.5 as26
follows:27
175
-6- 25-52-106.5. Perinatal health quality improvement program1
- perinatal health quality improvement engagement program -2
perinatal quality collaborative duties - data collection - reporting -3
legislative declaration - definitions. (1) T
HE GENERAL ASSEMBLY FINDS4
AND DECLARES THAT:5
(a) D
ISPARITIES IN MATERNAL AND INFANT HEALTH-CARE ACCESS,6
DELIVERY, AND OUTCOMES IN COLORADO PERSIST, SUCH THAT BIRTHING7
PEOPLE WHO ARE AMERICAN INDIAN/ALASKA NATIVE ARE NEARLY THREE
8
TIMES MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR9
POSTPARTUM THAN THE OVERALL POPULATION OF THOSE GIVING BIRTH IN10
C
OLORADO;
11
(b) B
IRTHING PEOPLE WHO ARE BLACK ARE NEARLY TWO TIMES
12
MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR13
POSTPARTUM THAN THE OVERALL POPULATION OF THOSE GIVING BIRTH IN14
C
OLORADO;
15
(c) BIRTHING PEOPLE LIVING IN FRONTIER COUNTIES ARE MORE16
LIKELY TO DIE FROM PREGNANCY -RELATED CAUSES THAN THOSE LIVING17
IN URBAN COUNTIES, AND PEOPLE INSURED THROUGH THE MEDICAL18
ASSISTANCE PROGRAM ARE MORE LI KELY TO DIE DURING PREGNANCY OR19
WITHIN ONE YEAR POSTPARTUM THAN THOSE WITH PRIVATE INSURANCE ;20
(d) DISCRIMINATION CONTRIBUTED TO HALF OF ALL21
PREGNANCY-ASSOCIATED DEATHS IN COLORADO, AND NINETY PERCENT OF22
ALL DEATHS WERE DEEMED PREVENTABLE BY THE COLORADO MATERNAL23
MORTALITY REVIEW COMMITTEE ;24
(e) IN 2022, THE UNITED STATES' INFANT MORTALITY RATE25
INCREASED FOR THE FIRST TIME IN TWO DECADES . INFANTS BORN TO26
B
LACK AND NATIVE AMERICAN BIRTHING PEOPLE ARE TWO TIMES MORE27
175
-7- LIKELY TO DIE COMPARED WITH THEIR WHITE AND HISPANIC1
COUNTERPARTS.2
(f) THE COMMITTEE AND THE MATERNAL HEALTH TASK FORCE3
ESTABLISHED BY THE DEPARTMENT RECOMMEND STATEWIDE , UNIVERSAL4
PARTICIPATION IN QUALITY IMPROVEMENT INITIATIVES LED BY THE5
PERINATAL QUALITY COLLABORATIVE AND THE ADOPTION OF ALLIANCE6
FOR INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES ;7
(g) THE NATIONAL GOVERNORS ASSOCIATION, THROUGH ITS8
MATERNAL AND INFANT HEALTH INITIATIVE, SIMILARLY RECOMMENDS THE9
ADOPTION OF PATIENT SAFETY BUNDLES AND INCREASED FUNDING FOR10
STATE MATERNAL MORTALITY REVIEW COMMITTEES AND PERINATAL11
QUALITY COLLABORATIVES ;12
(h) NINETY-SIX PERCENT OF BIRTHS IN COLORADO OCCUR IN13
HOSPITALS, AND THERE IS A NEED TO PROVIDE PRACTICAL SUPPORT TO14
HOSPITALS, ESPECIALLY FRONTIER AND RURAL HOSPITALS , FOR THE15
IMPLEMENTATION OF CLINICAL QUALITY IMPROVEMENT INITIATIVES ; AND16
(i) PARTICIPATION IN STATE PERINATAL QUALITY COLLABORATIVES17
HAS BEEN SHOWN TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES18
THROUGH IMPROVED ACCESS TO , AND THE TIMELINESS OF, TREATMENT19
AND THROUGH REDUCED SERIOUS PREGNANCY COMPLICATIONS .20
(2) A
S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE21
REQUIRES:22
(a) "E
NGAGEMENT PROGRAM " MEANS THE PERINATAL HEALTH23
QUALITY IMPROVEMENT E NGAGEMENT PROGRAM CREATED IN SUBSECTION24
(5)
OF THIS SECTION.25
(b) "H
OSPITAL" MEANS A HOSPITAL LICENSED OR CERTIFIED26
PURSUANT TO SECTION 25-1.5-103 THAT PROVIDES NONEMERGENT
27
175
-8- PERINATAL CARE SERVICES.1
(c) "Q
UALITY IMPROVEMENT PROGRAM " MEANS THE HOSPITAL2
PERINATAL HEALTH QUALITY IMPROVEMENT PROGRAM CREATED IN3
SUBSECTION (4) OF THIS SECTION.4
(3) (a) T
HE DEPARTMENT SHALL CONTRACT WITH THE PERINATAL5
QUALITY COLLABORATIVE TO :6
(I) T
RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S7
RECOMMENDATIONS TO PREVENT MATERNAL MORTALITY ;8
(II) I
MPLEMENT HOSPITAL QUALITY IMPROVEMENT PROGRAMS9
THROUGH PERINATAL CARE SETTINGS TO REDUCE PREVENTABLE CAUSES10
OF MATERNAL MORTALITY AND MORBIDITY ; AND11
(III) A
DDRESS DISPARATE CARE OF AND OUTCOMES AMONG12
A
MERICAN INDIAN/ALASKA NATIVE AND BLACK BIRTHING POPULATIONS,13
BIRTHING PEOPLE INSURED THROUGH THE MEDICAL ASSISTANCE PROGRAM ,14
AND BIRTHING PEOPLE LIVING IN RURAL AND
FRONTIER COUNTIES.15
(b) I
N IMPLEMENTING HOSPITAL QUALITY IMPROVEMENT
16
PROGRAMS, THE PERINATAL QUALITY COLLABORATIVE SHALL PROVIDE17
QUALITY IMPROVEMENT PROGRAM SUPPORT THAT MAY INCLUDE:18
(I) C
LINICAL QUALITY IMPROVEMENT SCIENCE EDUCATION19
CONCERNING BEST PRACTICES AND INNOVATIONS TO SUPPORT OPTIMAL20
OUTCOMES;21
(II) T
AILORED INTERVENTIONS DESIGNED TO ADDRESS THE NEEDS22
OF PRIORITY POPULATIONS;23
(III) I
NDIVIDUALIZED PROGRAM IMPLEMENTATION GUIDANCE AND24
SUPPORT;25
(IV) D
ATA REPORTING, ANALYSIS, AND RAPID RESPONSE26
FEEDBACK FOR ASSISTANCE IN MONITORING THE SUSTAINABILITY OF27
175
-9- IMPLEMENTED CHANGES ;1
(V) P
ROVIDER TRAINING IN STIGMA, BIAS, AND TRAUMA-INFORMED2
AND RESPECTFUL CARE; AND3
(VI) P
UBLIC RECOGNITION AS A MATERNAL AND INFANT CARE4
QUALITY CHAMPION.5
(c) T
HE DEPARTMENT SHALL PROVIDE VITAL STATISTICS DATA TO6
THE PERINATAL QUALITY COLLABORATIVE FOR PURPOSES OF DATA7
ANALYSIS AND REPORTING . THE PERINATAL QUALITY COLLABORATIVE
8
SHALL DEVELOP A DATA-SHARING AGREEMENT WITH THE DEPARTMENT TO9
IDENTIFY SPECIFIC VITAL STATISTICS DATA THAT MUST BE SHARED . THE10
DATA-SHARING AGREEMENT MUST ADDRESS THE CONFIDENTIALITY OF11
DATA TO ENSURE THAT DATA SHARING IS PROTECTED .12
(4) Hospital perinatal health quality improvement program.13
A
HOSPITAL SHALL:14
(a) N
O LATER THAN JULY 1, 2025, AND NO LATER THAN JULY 1
15
EACH YEAR THEREAFTER , SUBMIT TO THE PERINATAL QUALITY16
COLLABORATIVE, EITHER DIRECTLY OR THROUGH A STATEWIDE17
ASSOCIATION OF HOSPITALS, A MINIMUM DATA SET OF KEY DRIVERS OF18
DISPARITIES IN PERINATAL HEALTH CARE AND HEALTH -CARE OUTCOMES,19
MATERNAL MORTALITY AND SEVERE MATERNAL MORBIDITY , AND INFANT20
HEALTH CARE AND HEALTH -CARE OUTCOMES, INCLUDING:21
(I) C
ESAREAN DELIVERIES;22
(II) P
ERINATAL HYPERTENSION, SEPSIS, AND CARDIAC CONDITIONS;23
(III) M
ATERNAL AND NEONATAL READMISSIONS AND LENGTH OF24
STAY;25
(IV) U
NEXPECTED NEWBORN COMPLICATIONS ;26
(V) P
ERINATAL MENTAL HEALTH AND SUBSTANCE USE27
175
-10- CONDITIONS;1
(VI) O
BSTETRIC HEMORRHAGE ; AND2
(VII) P
RETERM BIRTH; AND
3
(b) B
EGINNING DECEMBER 15, 2025, PARTICIPATE
ANNUALLY IN4
AT LEAST ONE MATERNAL OR INFANT HEALTH QUALITY IMPROVEMENT5
INITIATIVE, AS DETERMINED BY THE HOSPITAL, IN COLLABORATION WITH6
THE PERINATAL QUALITY COLLABORATIVE PURSUANT TO SUBSECTION (3)7
OF THIS SECTION, WITH THE GOAL OF:8
(I) P
ROMOTING EVIDENCE-BASED, CULTURALLY RELEVANT, SAFE,9
EQUITABLE, HIGH-QUALITY CARE; AND10
(II) P
REVENTING MATERNAL AND INFANT MORTALITY AND SEVERE11
MORBIDITY.
12
13
(5) Perinatal health quality improvement engagement14
program. (a) N
O LATER THAN JULY 1, 2025, THE DEPARTMENT SHALL15
CREATE A PERINATAL HEALTH QUALITY IMPROVEMENT ENGAGEMENT16
PROGRAM THAT PROVIDES FINANCIAL SUPPORT TO HOSPITALS AND
17
FACILITIES THAT PROVIDE EMERGENT LABOR AND DELIVERY OR PERINATAL18
CARE SERVICES THAT DO NOT HAVE SUFFICIENT RESOURCES TO19
PARTICIPATE IN ONE OR MORE MATERNAL OR INFANT HEALTH QUALITY20
IMPROVEMENT INITIATIVES PURSUANT TO SUBSECTION (4) OF THIS21
SECTION.22
(b) T
HE DEPARTMENT SHALL SELECT HOSPITALS AND FACILITIES
23
THAT PROVIDE EMERGENT LABOR AND DELIVERY OR PERINATAL CARE24
SERVICES TO PARTICIPATE IN THE ENGAGEMENT PROGRAM AND MAY25
CONTRACT WITH THE PERINATAL QUALITY COLLABORATIVE TO26
ADMINISTER THE ENGAGEMENT PROGRAM . IN ORDER TO PARTICIPATE IN27
175
-11- THE ENGAGEMENT PROGRAM , A HOSPITAL OR FACILITY MUST COMMIT TO1
WORK WITH THE PERINATAL QUALITY COLLABORATIVE ON THE MATERNAL2
OR INFANT HEALTH QUALITY IMPROVEMENT INITIATIVES SELECTED BY THE3
HOSPITAL OR FACILITY.4
(c) T
HE DEPARTMENT SHALL PRIORITIZE FINANCIAL SUPPORT FOR5
HOSPITALS AND FACILITIES
THAT:6
(I) A
RE IN RURAL AND FRONTIER AREAS OF THE STATE ;7
(II) Q
UALIFY FOR DISPROPORTIONATE SHARE PAYMENTS UNDER8
THE MEDICAL ASSISTANCE PROGRAM ; OR9
(III) H
AVE LOWER-ACUITY MATERNAL OR NEONATAL LEVELS OF10
CARE DESIGNATIONS.11
(d) H
OSPITALS AND FACILITIES
RECEIVING FINANCIAL SUPPORT12
PURSUANT TO THE ENGAGEMENT PROGRAM MAY USE THE FINANCIAL13
SUPPORT FOR QUALITY IMPROVEMENT , INCLUDING DEDICATED STAFF TIME,14
TRAINING COSTS, TRAVEL, CONTINUING EDUCATION, AND DATA ENTRY15
AND TECHNICAL ASSISTANCE.16
(6) Collaboration with the perinatal quality collaborative.17
(a) T
HE DEPARTMENT SHALL CONTRACT WITH THE PERINATAL QUALITY
18
COLLABORATIVE TO:19
(I) T
RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S20
RECOMMENDATIONS , DEVELOPED PURSUANT TO SECTION 25-52-104, TO21
PREVENT MATERNAL MORTALITY ; AND22
(II) N
O LATER THAN JULY 1, 2026, AND NO LATER THAN JULY 1
23
EACH YEAR THEREAFTER , ISSUE A REPORT TO THE DEPARTMENT24
CONCERNING:25
(A) C
LINICAL
QUALITY IMPROVEMENT EFFORTS TO REDUCE26
DISPARITIES IN PERINATAL HEALTH OUTCOMES AND TO PREVENT27
175
-12- MATERNAL AND INFANT MORTALITY AND MORBIDITY THAT INCLUDES1
RELEVANT, AGGREGATE HOSPITAL MATERNAL AND INFANT HEALTH2
QUALITY METRICS AND THAT MAY BE DISTRIBUTED TO POLICYMAKERS ,3
HEALTH-CARE PROVIDERS, HOSPITALS AND OTHER HEALTH FACILITIES ,4
PUBLIC HEALTH PROFESSIONALS , AND OTHER INTERESTED PERSONS TO5
ASSIST THE DEPARTMENT IN PROMOTING DATA ACCESS AND FACILITATING6
ADDITIONAL EFFORTS TO REDUCE MATERNAL AND INFANT MORTALITY AND7
MORBIDITY; 8
(B) H
OSPITAL PARTICIPATION IN MATERNAL AND INFANT
9
PERINATAL QUALITY IMPROVEMENT INITIATIVES PURSUANT TO10
SUBSECTION (4)(b) OF THIS SECTION;11
(C) I
MPLEMENTATION OF THE FEDERAL HEALTH RESOURCES AND
12
SERVICES ADMINISTRATION MATERNAL AND CHILD HEALTH BUREAU 'S AND13
A
MERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS' ALLIANCE
14
FOR INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES AND15
RELATED PERFORMANCE METRICS , INCLUDING THE STATUS OF ADDRESSING16
DRIVERS OF PERINATAL HEALTH DISPARITIES AND MATERNAL AND INFANT17
MORTALITY AND MORBIDITY AS DESCRIBED IN SUBSECTION (4)(a) OF THIS18
SECTION; AND19
(D) A
REAS OF OPPORTUNITY FOR ONGOING IMPROVEMENT .
20
(b) I
N COMPLIANCE WITH ALL APPLICABLE STATE AND FEDERAL21
LAWS RELATING TO THE PUBLICATION OF HEALTH INFORMATION AND22
LEGALLY BINDING DATA USE AGREEMENTS , THE PERINATAL QUALITY23
COLLABORATIVE AND THE DEPARTMENT SHALL MAKE AN AGGREGATED
24
AND DE-IDENTIFIED REPORT PREPARED PURSUANT TO SUBSECTION25
(6)(a)(II)
OF THIS SECTION PUBLICLY AVAILABLE ON THE DEPARTMENT 'S26
WEBSITE AND ON THE WEBSITE OF THE PERINATAL QUALITY27
175
-13- COLLABORATIVE.1
(c) T
HE PERINATAL QUALITY COLLABORATIVE SHALL CONSULT
2
WITH A STATEWIDE ASSOCIATION OF HOSPITALS AND WITH DIVERSE3
HOSPITAL LEADERSHIP TO SUPPORT ONGOING HOSPITAL ENGAGEMENT IN4
QUALITY IMPROVEMENT AND TO ADVISE PRACTITIONERS IN CLINICAL5
SETTINGS ACROSS THE STATE ON THE ADVANCEMENT OF BEST PRACTICES6
TO REDUCE MATERNAL AND INFANT MORTALITY AND MORBIDITY .7
(d) D
ATA SUBMITTED PURSUANT TO SUBSECTION (4)(a) OF THIS
8
SECTION IS CONSIDERED CONFIDENTIAL AND PROPRIETARY , CONTAINS9
TRADE SECRETS, OR IS NOT A PUBLIC RECORD PURSUANT TO PART 2 OF10
ARTICLE 72 OF TITLE 24 AND IS ONLY REPORTABLE IN AN AGGREGATED11
AND DE-IDENTIFIED MANNER.12
SECTION 5. In Colorado Revised Statutes, add 25.5-5-517 as13
follows:14
25.5-5-517. Coverage for choline dietary supplements. (1) N
O
15
LATER THAN JULY 1, 2025, THE STATE BOARD SHALL PROMULGATE RULES16
TO INCLUDE COVERAGE UNDER THE MEDICAL ASSISTANCE PROGRAM FOR17
OVER-THE-COUNTER CHOLINE DIETARY SUPPLEMENTS FOR PREGNANT18
PERSONS.19
(2) T
HE STATE DEPARTMENT SHALL SEEK FEDERAL APPROVAL , AS
20
NECESSARY, FOR THE COVERAGE DESCRIBED IN SUBSECTION (1) OF THIS21
SECTION.22
SECTION 6. Appropriation. (1) For the 2024-25 state fiscal23
year, $1,328,652 is appropriated to the department of public health and24
environment for use by the prevention services division. This25
appropriation is from the general fund and is based on an assumption that26
the division will require an additional 0.9 FTE. To implement this act, the27
175
-14- division may use this appropriation for maternal and child health related1
to community health.2
SECTION 7. Safety clause. The general assembly finds,3
determines, and declares that this act is necessary for the immediate4
preservation of the public peace, health, or safety or for appropriations for5
the support and maintenance of the departments of the state and state6
institutions.7
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