SENATE BILL 24-175
BY SENATOR(S) Fields and Buckner, Hansen, Bridges, Coleman, Cutter,
Exum, Ginal, Gonzales, Hinrichsen, Jaquez Lewis, Kolker, Marchman,
Michaelson Jenet, Mullica, Priola, Roberts, Sullivan, Winter F., Zenzinger,
Fenberg;
also REPRESENTATIVE(S) 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, McCormick, Ortiz, Parenti,
Ricks, Rutinel, Sirota, Snyder, Story, Titone, Valdez, Velasco, Weissman,
Willford, Woodrow, Young, McCluskie.
C
ONCERNING MEASURES TO IMPROVE PERINATAL HEALTH OUTCOMES , AND,
IN CONNECTION THEREWITH, MAKING AN APPROPRIATION.
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. In Colorado Revised Statutes, 10-16-104, add (3)(e)
as follows:
10-16-104. Mandatory coverage provisions - definitions - rules
- applicability. (3) Maternity coverage. (e) Doula services. (I) A
S USED
IN THIS SUBSECTION
(3)(e), UNLESS THE CONTEXT OTHERWISE REQUIRES :
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. (A) "BILLING GUIDANCE" MEANS GUIDANCE FROM THE DEPARTMENT
OF HEALTH CARE POLICY AND FINANCING CONCERNING COVERAGE AND
BILLING FOR DOULA SERVICES AFTER CONSIDERATION OF THE FINDINGS AND
RECOMMENDATIONS FOR DOULA SERVICES RESULTING FROM THE
STAKEHOLDER PROCESS REQUIRED PURSUANT TO SECTION
25.5-4-506.
(B) "D
OULA" MEANS A TRAINED BIRTH COMPANION WHO PROVIDES
PERSONAL
, NONMEDICAL SUPPORT TO PREGNANT AND POSTPARTUM PEOPLE
AND THEIR FAMILIES PRIOR TO CHILDBIRTH
, DURING LABOR AND DELIVERY,
AND DURING THE POSTPARTUM PERIOD AND WHO HAS THE QUALIFICATIONS
AND TRAINING REQUIRED BY THE STATE
.
(C) "D
OULA SERVICES" MEANS SERVICES PROVIDED BY A DOULA .
(D) "M
EDICAL ASSISTANCE PROGRAM " MEANS THE "COLORADO
MEDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF TITLE 25.5.
(II) I
N THE LARGE GROUP MARKET , MATERNITY COVERAGE
PURSUANT TO THIS SUBSECTION
(3) MUST INCLUDE COVERAGE FOR DOULA
SERVICES
, TO THE EXTENT PRACTICABLE , FOR THE SAME SCOPE AND
DURATION OF COVERAGE THAT IS INCLUDED IN THE DEPARTMENT OF HEALTH
CARE POLICY AND FINANCING
'S REQUEST SUBMITTED PURSUANT TO SECTION
25.5-4-506 FOR FEDERAL AUTHORIZATION FOR DOULA SERVICES UNDER THE
MEDICAL ASSISTANCE PROGRAM
. THE BENEFIT MAY INCLUDE THE SAME
QUALIFICATIONS FOR INDIVIDUALS PROVIDING DOULA SERVICES AS
RECOMMENDED IN THE BILLING GUIDANCE FOR INDIVIDUALS PROVIDING
DOULA SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM
.
(III) E
XCEPT AS PROVIDED IN SUBSECTION (3)(e)(VI) OF THIS
SECTION
, IN THE INDIVIDUAL AND SMALL GROUP MARKETS , MATERNITY
COVERAGE PURSUANT TO THIS SUBSECTION
(3) MUST INCLUDE COVERAGE
FOR DOULA SERVICES IF THE SERVICES ARE WITHIN THE DOULA
'S AREA OF
PROFESSIONAL COMPETENCE AND THE DOULA SERVICES ARE
:
(A) C
URRENTLY REIMBURSED WHEN RENDERED BY ANY OTHER
HEALTH
-CARE PROVIDERS; OR
(B) COVERED AS PART OF THE MATERNITY ESSENTIAL HEALTH
BENEFIT
.
PAGE 2-SENATE BILL 24-175 (IV) THIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL
IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION
(3)(e) FOR, LARGE
EMPLOYER HEALTH BENEFIT PLANS ISSUED OR RENEWED IN THIS STATE ON
OR AFTER
JULY 1, 2025, OR TWELVE MONTHS AFTER THE DATE ON WHICH THE
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING SUBMITS ITS
REQUEST PURSUANT TO SECTION
25.5-4-506 FOR FEDERAL AUTHORIZATION
FOR DOULA SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM
,
WHICHEVER IS LATER.
(V) W
ITH RESPECT TO INDIVIDUAL AND SMALL GROUP HEALTH
BENEFIT PLANS
, THE DIVISION SHALL:
(A) R
EVIEW THE ACTUARIAL REVIEW CONDUCTED PURSUANT TO
SECTION
10-16-155.5 AND SUBMIT TO THE FEDERAL DEPARTMENT OF HEALTH
AND HUMAN SERVICES THE DIVISION
'S DETERMINATION AS TO WHETHER THE
BENEFIT SPECIFIED IN THIS SUBSECTION
(3)(e) IS IN ADDITION TO ESSENTIAL
HEALTH BENEFITS AND WOULD BE SUBJECT TO DEFRAYAL BY THE STATE
PURSUANT TO
42 U.S.C. SEC. 18031 (d)(3)(B); AND
(B) REQUEST THAT THE FEDERAL DEPARTMENT OF HEALTH AND
HUMAN SERVICES CONFIRM THE DIVISION
'S DETERMINATION WITHIN SIXTY
DAYS AFTER RECEIPT OF THE DIVISION
'S REQUEST AND SUBMISSION OF ITS
DETERMINATION
.
(VI) T
HIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL
IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION
(3)(e) FOR, INDIVIDUAL
AND SMALL GROUP HEALTH BENEFIT PLANS ISSUED OR RENEWED IN THIS
STATE UPON THE EARLIER OF
:
(A) T
WELVE MONTHS AFTER THE FEDERAL DEPARTMENT OF HEALTH
AND HUMAN SERVICES CONFIRMS THE DIVISION
'S DETERMINATION OR
OTHERWISE INFORMS THE DIVISION THAT THE COVERAGE SPECIFIED IN THIS
SUBSECTION
(3)(e) DOES NOT CONSTITUTE AN ADDITIONAL BENEFIT THAT
REQUIRES DEFRAYAL BY THE STATE PURSUANT TO
42 U.S.C. SEC. 18031
(d)(3)(B);
OR
(B) THE PASSAGE OF MORE THAN THREE HUNDRED SIXTY -FIVE DAYS
SINCE THE DIVISION SUBMITTED ITS DETERMINATION AND REQUEST FOR
CONFIRMATION PURSUANT TO SUBSECTION
(3)(e)(V) OF THIS SECTION, AND
THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES HAS FAILED
PAGE 3-SENATE BILL 24-175 TO RESPOND TO THE REQUEST WITHIN THAT PERIOD , IN WHICH CASE THE
DIVISION SHALL CONSIDER THE FEDERAL DEPARTMENT
'S UNREASONABLE
DELAY A PRECLUSION FROM REQUIRING DEFRAYAL BY THE STATE
.
(VII) T
HE COMMISSIONER MAY PROMULGATE RULES AS NECESSARY
TO IMPLEMENT THIS SUBSECTION
(3).
SECTION 2. In Colorado Revised Statutes, 25-1.5-103, add (1)(d)
as follows:
25-1.5-103. Health facilities - powers and duties of department
- rules - limitations on rules - definitions - repeal. (1) The department
has, in addition to all other powers and duties imposed upon it by law, the
powers and duties provided in this section as follows:
(d) (I) T
O ENSURE THAT EACH HOSPITAL THAT PROVIDES
NONEMERGENT PERINATAL CARE SERVICES IS COMPLYING WITH THE
REQUIREMENTS SPECIFIED IN SECTION
25-52-106.5, INCLUDING
PARTICIPATING IN AT LEAST ONE MATERNAL OR INFANT HEALTH QUALITY
IMPROVEMENT INITIATIVE AND SUBMITTING OUTCOME DATA TO THE
PERINATAL QUALITY COLLABORATIVE DEFINED IN SECTION
25-52-103 (3).
(II) T
HIS SUBSECTION (1)(d) IS REPEALED, EFFECTIVE SEPTEMBER 1,
2029.
SECTION 3. In Colorado Revised Statutes, 25-52-103, amend (3);
and add (6.5) as follows:
25-52-103. Definitions. As used in this article 52, unless the context
otherwise requires:
(3) "Designated state perinatal care quality collaborative"
OR
"PERINATAL QUALITY COLLABORATIVE " means a statewide nonprofit
network of health facilities, clinicians, and public health professionals
working to improve the quality of care for mothers and babies through
continuous quality improvement.
(6.5) "M
EDICAL ASSISTANCE PROGRAM " MEANS THE MEDICAL
ASSISTANCE PROGRAM ESTABLISHED PURSUANT TO ARTICLES
4 TO 6 OF TITLE
25.5.
PAGE 4-SENATE BILL 24-175 SECTION 4. In Colorado Revised Statutes, add 25-52-106.5 as
follows:
25-52-106.5. Perinatal health quality improvement program -
perinatal health quality improvement engagement program - perinatal
quality collaborative duties - data collection - reporting - legislative
declaration - definitions. (1) T
HE GENERAL ASSEMBLY FINDS AND
DECLARES THAT
:
(a) D
ISPARITIES IN MATERNAL AND INFANT HEALTH -CARE ACCESS,
DELIVERY, AND OUTCOMES IN COLORADO PERSIST, SUCH THAT BIRTHING
PEOPLE WHO ARE
AMERICAN INDIAN/ALASKA NATIVE ARE NEARLY THREE
TIMES MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR
POSTPARTUM THAN THE OVERALL POPULATION OF THOSE GIVING BIRTH IN
COLORADO;
(b) B
IRTHING PEOPLE WHO ARE BLACK ARE NEARLY TWO TIMES
MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR POSTPARTUM
THAN THE OVERALL POPULATION OF THOSE GIVING BIRTH IN
COLORADO;
(c) B
IRTHING PEOPLE LIVING IN FRONTIER COUNTIES ARE MORE
LIKELY TO DIE FROM PREGNANCY
-RELATED CAUSES THAN THOSE LIVING IN
URBAN COUNTIES
, AND PEOPLE INSURED THROUGH THE MEDICAL ASSISTANCE
PROGRAM ARE MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE
YEAR POSTPARTUM THAN THOSE WITH PRIVATE INSURANCE
;
(d) D
ISCRIMINATION CONTRIBUTED TO HALF OF ALL
PREGNANCY
-ASSOCIATED DEATHS IN COLORADO, AND NINETY PERCENT OF
ALL DEATHS WERE DEEMED PREVENTABLE BY THE
COLORADO MATERNAL
MORTALITY REVIEW COMMITTEE
;
(e) I
N 2022, THE UNITED STATES' INFANT MORTALITY RATE
INCREASED FOR THE FIRST TIME IN TWO DECADES
. INFANTS BORN TO BLACK
AND
NATIVE AMERICAN BIRTHING PEOPLE ARE TWO TIMES MORE LIKELY TO
DIE COMPARED WITH THEIR WHITE AND
HISPANIC COUNTERPARTS.
(f) T
HE COMMITTEE AND THE MATERNAL HEALTH TASK FORCE
ESTABLISHED BY THE DEPARTMENT RECOMMEND STATEWIDE
, UNIVERSAL
PARTICIPATION IN QUALITY IMPROVEMENT INITIATIVES LED BY THE
PERINATAL QUALITY COLLABORATIVE AND THE ADOPTION OF
ALLIANCE FOR
PAGE 5-SENATE BILL 24-175 INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES ;
(g) T
HE NATIONAL GOVERNORS ASSOCIATION, THROUGH ITS
MATERNAL AND INFANT HEALTH INITIATIVE
, SIMILARLY RECOMMENDS THE
ADOPTION OF PATIENT SAFETY BUNDLES AND INCREASED FUNDING FOR
STATE MATERNAL MORTALITY REVIEW COMMITTEES AND PERINATAL
QUALITY COLLABORATIVES
;
(h) N
INETY-SIX PERCENT OF BIRTHS IN COLORADO OCCUR IN
HOSPITALS
, AND THERE IS A NEED TO PROVIDE PRACTICAL SUPPORT TO
HOSPITALS
, ESPECIALLY FRONTIER AND RURAL HOSPITALS , FOR THE
IMPLEMENTATION OF CLINICAL QUALITY IMPROVEMENT INITIATIVES
; AND
(i) PARTICIPATION IN STATE PERINATAL QUALITY COLLABORATIVES
HAS BEEN SHOWN TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES
THROUGH IMPROVED ACCESS TO
, AND THE TIMELINESS OF, TREATMENT AND
THROUGH REDUCED SERIOUS PREGNANCY COMPLICATIONS
.
(2) A
S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE
REQUIRES
:
(a) "E
NGAGEMENT PROGRAM " MEANS THE PERINATAL HEALTH
QUALITY IMPROVEMENT ENGAGEMENT PROGRAM CREATED IN SUBSECTION
(5) OF THIS SECTION.
(b) "H
OSPITAL" MEANS A HOSPITAL LICENSED OR CERTIFIED
PURSUANT TO SECTION
25-1.5-103 THAT PROVIDES NONEMERGENT
PERINATAL CARE SERVICES
.
(c) "Q
UALITY IMPROVEMENT PROGRAM " MEANS THE HOSPITAL
PERINATAL HEALTH QUALITY IMPROVEMENT PROGRAM CREATED IN
SUBSECTION
(4) OF THIS SECTION.
(3) (a) T
HE DEPARTMENT SHALL CONTRACT WITH THE PERINATAL
QUALITY COLLABORATIVE TO
:
(I) T
RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S
RECOMMENDATIONS TO PREVENT MATERNAL MORTALITY
;
(II) I
MPLEMENT HOSPITAL QUALITY IMPROVEMENT PROGRAMS
PAGE 6-SENATE BILL 24-175 THROUGH PERINATAL CARE SETTINGS TO REDUCE PREVENTABLE CAUSES OF
MATERNAL MORTALITY AND MORBIDITY
; AND
(III) ADDRESS DISPARATE CARE OF AND OUTCOMES AMONG
AMERICAN INDIAN/ALASKA NATIVE AND BLACK BIRTHING POPULATIONS,
BIRTHING PEOPLE INSURED THROUGH THE MEDICAL ASSISTANCE PROGRAM ,
AND BIRTHING PEOPLE LIVING IN RURAL AND FRONTIER COUNTIES .
(b) I
N IMPLEMENTING HOSPITAL QUALITY IMPROVEMENT PROGRAMS ,
THE PERINATAL QUALITY COLLABORATIVE SHALL PROVIDE QUALITY
IMPROVEMENT PROGRAM SUPPORT THAT MAY INCLUDE
:
(I) C
LINICAL QUALITY IMPROVEMENT SCIENCE EDUCATION
CONCERNING BEST PRACTICES AND INNOVATIONS TO SUPPORT OPTIMAL
OUTCOMES
;
(II) T
AILORED INTERVENTIONS DESIGNED TO ADDRESS THE NEEDS OF
PRIORITY POPULATIONS
;
(III) I
NDIVIDUALIZED PROGRAM IMPLEMENTATION GUI DANCE AND
SUPPORT
;
(IV) D
ATA REPORTING, ANALYSIS, AND RAPID RESPONSE FEEDBACK
FOR ASSISTANCE IN MONITORING THE SUSTAINABILITY OF IMPLEMENTED
CHANGES
;
(V) P
ROVIDER TRAINING IN STIGMA, BIAS, AND TRAUMA-INFORMED
AND RESPECTFUL CARE
; AND
(VI) PUBLIC RECOGNITION AS A MATERNAL AND INFANT CARE
QUALITY CHAMPION
.
(c) T
HE DEPARTMENT SHALL PROVIDE VITAL STATISTICS DATA TO
THE PERINATAL QUALITY COLLABORATIVE FOR PURPOSES OF DATA ANALYSIS
AND REPORTING
. THE PERINATAL QUALITY COLLABORATIVE SHALL DEVELOP
A DATA
-SHARING AGREEMENT WITH THE DEPARTMENT TO IDENTIFY SPECIFIC
VITAL STATISTICS DATA THAT MUST BE SHARED
. THE DATA-SHARING
AGREEMENT MUST ADDRESS THE CONFIDENTIALITY OF DATA TO ENSURE
THAT DATA SHARING IS PROTECTED
.
PAGE 7-SENATE BILL 24-175 (4) Hospital perinatal health quality improvement program. A
HOSPITAL SHALL:
(a) N
O LATER THAN JULY 1, 2025, AND NO LATER THAN JULY 1 EACH
YEAR THEREAFTER
, SUBMIT TO THE PERINATAL QUALITY COLLABORATIVE ,
EITHER DIRECTLY OR THROUGH A STATEWIDE ASSOCIATION OF HOSPITALS ,
A MINIMUM DATA SET OF KEY DRIVERS OF DISPARITIES IN PERINATAL HEALTH
CARE AND HEALTH
-CARE OUTCOMES, MATERNAL MORTALITY AND SEVERE
MATERNAL MORBIDITY
, AND INFANT HEALTH CARE AND HEALTH -CARE
OUTCOMES
, INCLUDING:
(I) C
ESAREAN DELIVERIES;
(II) P
ERINATAL HYPERTENSION, SEPSIS, AND CARDIAC CONDITIONS;
(III) M
ATERNAL AND NEONATAL READMISSIONS AND LENGTH OF
STAY
;
(IV) U
NEXPECTED NEWBORN COMPLICATIONS ;
(V) P
ERINATAL MENTAL HEALTH AND SUBSTANCE USE CONDITIONS ;
(VI) O
BSTETRIC HEMORRHAGE ; AND
(VII) PRETERM BIRTH; AND
(b) BEGINNING DECEMBER 15, 2025, PARTICIPATE ANNUALLY IN AT
LEAST ONE MATERNAL OR INFANT HEALTH QUALITY IMPROVEMENT
INITIATIVE
, AS DETERMINED BY THE HOSPITAL, IN COLLABORATION WITH THE
PERINATAL QUALITY COLLABORATIVE PURS UANT TO SUBSECTION
(3) OF THIS
SECTION
, WITH THE GOAL OF:
(I) P
ROMOTING EVIDENCE-BASED, CULTURALLY RELEVANT , SAFE,
EQUITABLE, HIGH-QUALITY CARE; AND
(II) PREVENTING MATERNAL AND INFANT MORTALITY AND SEVERE
MORBIDITY
.
(5) Perinatal health quality improvement engagement program.
(a) N
O LATER THAN JULY 1, 2025, THE DEPARTMENT SHALL CREATE A
PAGE 8-SENATE BILL 24-175 PERINATAL HEALTH QUALITY IMPROVEMENT ENGAGEMENT PROGRAM THAT
PROVIDES FINANCIAL SUPPORT TO HOSPITALS AND FACILITIES THAT PROVIDE
EMERGENT LABOR AND DELIVERY OR PERINATAL CARE SERVICES THAT DO
NOT HAVE SUFFICIENT RESOURCES TO PARTICIPATE IN ONE OR MORE
MATERNAL OR INFANT HEALTH QUALITY IMPROVEMENT INITIATIVES
PURSUANT TO SUBSECTION
(4) OF THIS SECTION.
(b) T
HE DEPARTMENT SHALL SELECT HOSPITALS AND FACILITIES
THAT PROVIDE EMERGENT LABOR AND DELIVERY OR PERINATAL CARE
SERVICES TO PARTICIPATE IN THE ENGAGEMENT PROGRAM AND MAY
CONTRACT WITH THE PERINATAL QUALITY COLLABORATIVE TO ADMINISTER
THE ENGAGEMENT PROGRAM
. IN ORDER TO PARTICIPATE IN THE
ENGAGEMENT PROGRAM
, A HOSPITAL OR FACILITY MUST COMMIT TO WORK
WITH THE PERINATAL QUALITY COLLABORATIVE ON THE MATERNAL OR
INFANT HEALTH QUALITY IMPROVEMENT INITIATIVES SELECTED BY THE
HOSPITAL OR FACILITY
.
(c) T
HE DEPARTMENT SHALL PRIORITIZE FINANCIAL SUPPORT FOR
HOSPITALS AND FACILITIES THAT
:
(I) A
RE IN RURAL AND FRONTIER AREAS OF THE STATE ;
(II) Q
UALIFY FOR DISPROPORTIONATE SHARE PAYMENTS UNDER THE
MEDICAL ASSISTANCE PROGRAM
; OR
(III) HAVE LOWER-ACUITY MATERNAL OR NEONATAL LEVELS OF
CARE DESIGNATIONS
.
(d) H
OSPITALS AND FACILITIES RECEIVING FINANCIAL SUPPORT
PURSUANT TO THE ENGAGEMENT PROGRAM MAY USE THE FINANCIAL
SUPPORT FOR QUALITY IMPROVEMENT
, INCLUDING DEDICATED STAFF TIME,
TRAINING COSTS, TRAVEL, CONTINUING EDUCATION, AND DATA ENTRY AND
TECHNICAL ASSISTANCE
.
(6) Collaboration with the perinatal quality collaborative.
(a) T
HE DEPARTMENT SHALL CONTRACT WITH THE PERINATAL QUALITY
COLLABORATIVE TO
:
(I) T
RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S
RECOMMENDATIONS
, DEVELOPED PURSUANT TO SECTION 25-52-104, TO
PAGE 9-SENATE BILL 24-175 PREVENT MATERNAL MORTALITY ; AND
(II) NO LATER THAN JULY 1, 2026, AND NO LATER THAN JULY 1 EACH
YEAR THEREAFTER
, ISSUE A REPORT TO THE DEPARTMENT CONCERNING :
(A) C
LINICAL QUALITY IMPROVEMENT EFFORTS TO REDUCE
DISPARITIES IN PERINATAL HEALTH OUTCOMES AND TO PREVENT MATERNAL
AND INFANT MORTALITY AND MORBIDITY THAT INCLUDES RELEVANT
,
AGGREGATE HOSPITAL MATERNAL AND INFANT HEALTH QUALITY METRICS
AND THAT MAY BE DISTRIBUTED TO POLICYMAKERS
, HEALTH-CARE
PROVIDERS
, HOSPITALS AND OTHER HEALTH FACILITIES , PUBLIC HEALTH
PROFESSIONALS
, AND OTHER INTERESTED PERSONS TO ASSIST THE
DEPARTMENT IN PROMOTING DATA ACCESS AND FACILITATING ADDITIONAL
EFFORTS TO REDUCE MATERNAL AND INFANT MORTALITY AND MORBIDITY
;
(B) H
OSPITAL PARTICIPATION IN MATERNAL AND INFANT PERINATAL
QUALITY IMPROVEMENT INITIATIVES PURS UANT TO SUBSECTION
(4)(b) OF
THIS SECTION
;
(C) I
MPLEMENTATION OF THE FEDERAL HEALTH RESOURCES AND
SERVICES ADMINISTRATION MATERNAL AND CHILD HEALTH BUREAU
'S AND
AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS' ALLIANCE
FOR INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES AND
RELATED PERFORMANCE METRICS
, INCLUDING THE STATUS OF ADDRESSING
DRIVERS OF PERINATAL HEALTH DISPARITIES AND MATERNAL AND INFANT
MORTALITY AND MORBIDITY AS DESCRIBED IN SUBSECTION
(4)(a) OF THIS
SECTION
; AND
(D) AREAS OF OPPORTUNITY FOR ONGOING IMPROVEMENT .
(b) I
N COMPLIANCE WITH ALL APPLICABLE STATE AND FEDERAL LAWS
RELATING TO THE PUBLICATION OF HEALTH INFORMATION AND LEGALLY
BINDING DATA USE AGREEMENTS
, THE PERINATAL QUALITY COLLABORATIVE
AND THE DEPARTMENT SHALL MAKE AN AGGREGATED AND DE
-IDENTIFIED
REPORT PREPARED PURSUANT TO SUBSECTION
(6)(a)(II) OF THIS SECTION
PUBLICLY AVAILABLE ON THE DEPARTMENT
'S WEBSITE AND ON THE WEBSITE
OF THE PERINATAL QUALITY COLLABORATIVE
.
(c) T
HE PERINATAL QUALITY COLLABORATIVE SHALL CONSULT WITH
A STATEWIDE ASSOCIATION OF HOSPITALS AND WITH DIVERSE HOSPITAL
PAGE 10-SENATE BILL 24-175 LEADERSHIP TO SUPPORT ONGOING HOSPITAL ENGAGEMENT IN QUALITY
IMPROVEMENT AND TO ADVISE PRACTITIONERS IN CLINICAL SETTINGS
ACROSS THE STATE ON THE ADVANCEMENT OF BEST PRACTICES TO REDUCE
MATERNAL AND INFANT MORTALITY AND MORBIDITY
.
(d) D
ATA SUBMITTED PURSUANT TO SUBSECTION (4)(a) OF THIS
SECTION IS CONSIDERED CONFIDENTIAL AND PROPRIETARY
, CONTAINS TRADE
SECRETS
, OR IS NOT A PUBLIC RECORD PURSUANT TO PART 2 OF ARTICLE 72
OF TITLE 24 AND IS ONLY REPORTABLE IN AN AGGREGATED AND
DE
-IDENTIFIED MANNER.
SECTION 5. In Colorado Revised Statutes, add 25.5-5-518 as
follows:
25.5-5-518. Coverage for choline dietary supplements. (1) N
O
LATER THAN
JULY 1, 2025, THE STATE BOARD SHALL PROMULGATE RULES TO
INCLUDE COVERAGE UNDER THE MEDICAL ASSISTANCE PROGRAM FOR
OVER
-THE-COUNTER CHOLINE DIETARY SUPPLEMENTS FOR PREGNANT
PERSONS
.
(2) T
HE STATE DEPARTMENT SHALL SEEK FEDERAL APPROVAL , AS
NECESSARY
, FOR THE COVERAGE DESCRIBED IN SUBSECTION (1) OF THIS
SECTION
.
SECTION 6. Appropriation. (1) For the 2024-25 state fiscal year,
$1,328,652 is appropriated to the department of public health and
environment for use by the prevention services division. This appropriation
is from the general fund and is based on an assumption that the division will
require an additional 0.9 FTE. To implement this act, the division may use
this appropriation for maternal and child health related to community health.
SECTION 7. Safety clause. The general assembly finds,
determines, and declares that this act is necessary for the immediate
preservation of the public peace, health, or safety or for appropriations for
PAGE 11-SENATE BILL 24-175 the support and maintenance of the departments of the state and state
institutions.
____________________________ ____________________________
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 12-SENATE BILL 24-175