Colorado 2024 Regular Session

Colorado Senate Bill SB175 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
	1	+	Second Regular Session
	2	+	Seventy-fourth General Assembly
	3	+	STATE OF COLORADO
	4	+	REREVISED
	5	+	This Version Includes All Amendments
	6	+	Adopted in the Second House
	7	+	LLS NO. 24-0137.01 Brita Darling x2241
1	8		SENATE BILL 24-175
2		-	BY SENATOR(S) Fields and Buckner, Hansen, Bridges, Coleman, Cutter,
3		-	Exum, Ginal, Gonzales, Hinrichsen, Jaquez Lewis, Kolker, Marchman,
4		-	Michaelson Jenet, Mullica, Priola, Roberts, Sullivan, Winter F., Zenzinger,
5		-	Fenberg;
6		-	also REPRESENTATIVE(S) McLachlan and Jodeh, Amabile, Bacon, Bird,
7		-	Boesenecker, Brown, deGruy Kennedy, Duran, English, Froelich, Garcia,
8		-	Hamrick, Hernandez, Herod, Joseph, Kipp, Lieder, Lindsay, Lindstedt,
9		-	Lukens, Mabrey, Marshall, Marvin, Mauro, McCormick, Ortiz, Parenti,
10		-	Ricks, Rutinel, Sirota, Snyder, Story, Titone, Valdez, Velasco, Weissman,
11		-	Willford, Woodrow, Young, McCluskie.
	9	+	Senate Committees House Committees
	10	+	Health & Human Services Health & Human Services
	11	+	Appropriations Appropriations
	12	+	A BILL FOR AN ACT
12	13		C
13		-	ONCERNING MEASURES TO IMPROVE PERINATAL HEALTH OUTCOMES , AND,
14		-	IN CONNECTION THEREWITH, MAKING AN APPROPRIATION.
15		-
16		-	Be it enacted by the General Assembly of the State of Colorado:
17		-	SECTION 1. In Colorado Revised Statutes, 10-16-104, add (3)(e)
18		-	as follows:
19		-	10-16-104. Mandatory coverage provisions - definitions - rules
	14	+	ONCERNING MEASURES TO IMPROVE PERINATAL HEALTH OUTCOMES ,
	15	+	101
	16	+	AND, IN CONNECTION THEREWITH , MAKING AN APPROPRIATION .102
	17	+	Bill Summary
	18	+	(Note: This summary applies to this bill as introduced and does
	19	+	not reflect any amendments that may be subsequently adopted. If this bill
	20	+	passes third reading in the house of introduction, a bill summary that
	21	+	applies to the reengrossed version of this bill will be available at
	22	+	http://leg.colorado.gov
	23	+	.)
	24	+	The bill requires health benefit plans to provide coverage for doula
	25	+	services in the same scope and duration of coverage for doula services
	26	+	that will be included in the department of health care policy and
	27	+	financing's request for federal authorization of doula services under the
	28	+	"Colorado Medical Assistance Act" (medical assistance program). Doulas
	29	+	providing services must meet the same qualifications for and submit to
	30	+	HOUSE
	31	+	3rd Reading Unamended
	32	+	May 4, 2024
	33	+	HOUSE
	34	+	Amended 2nd Reading
	35	+	May 3, 2024
	36	+	SENATE
	37	+	3rd Reading Unamended
	38	+	April 22, 2024
	39	+	SENATE
	40	+	Amended 2nd Reading
	41	+	April 19, 2024
	42	+	SENATE SPONSORSHIP
	43	+	Fields and Buckner, Hansen, Bridges, Coleman, Cutter, Exum, Fenberg, Ginal, Gonzales,
	44	+	Hinrichsen, Jaquez Lewis, Kolker, Marchman, Michaelson Jenet, Mullica, Priola, Roberts,
	45	+	Sullivan, Winter F., Zenzinger
	46	+	HOUSE SPONSORSHIP
	47	+	McLachlan and Jodeh, Amabile, Bacon, Bird, Boesenecker, Brown, deGruy Kennedy,
	48	+	Duran, English, Froelich, Garcia, Hamrick, Hernandez, Herod, Joseph, Kipp, Lieder, Lindsay,
	49	+	Lindstedt, Lukens, Mabrey, Marshall, Marvin, Mauro, McCluskie, McCormick, Ortiz,
	50	+	Parenti, Ricks, Rutinel, Sirota, Snyder, Story, Titone, Valdez, Velasco, Weissman, Willford,
	51	+	Woodrow, Young
	52	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	53	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	54	+	Dashes through the words or numbers indicate deletions from existing law. the same regulation as individuals providing doula services as
	55	+	recommended in the report of the department of public health and
	56	+	environment resulting from the stakeholder process for doula services
	57	+	under the medical assistance program.
	58	+	Coverage for doula services will be implemented for large
	59	+	employer health benefit plans issued or renewed in this state on and after
	60	+	July 1, 2025. For small group and individual plans, doula services will be
	61	+	implemented if the division of insurance and the federal department of
	62	+	health and human services determine that the benefit does not require
	63	+	state defrayal of the cost of the benefit or the division of insurance
	64	+	determines defrayal is not required and the federal department fails to
	65	+	respond to the divison's request for confirmation of the determination
	66	+	within 365 days after the request is made.
	67	+	The bill authorizes the department of public health and
	68	+	environment (department) to partner with the designated state perinatal
	69	+	care quality collaborative (perinatal quality collaborative) to track the
	70	+	statewide implementation of the recommendations of the Colorado
	71	+	maternal mortality review committee, implement perinatal health quality
	72	+	improvement programs with hospitals that provide labor and delivery or
	73	+	neonatal care services (hospital) to improve infant and maternal health
	74	+	outcomes, and address disparate care outcomes among certain populations
	75	+	and of those living in frontier areas of the state.
	76	+	The bill requires hospitals to submit specified data to the perinatal
	77	+	quality collaborative concerning disparities in perinatal health care and
	78	+	health-care outcomes; to annually participate in at least one maternal or
	79	+	infant health quality improvement initiative (initiative), as determined by
	80	+	the hospitals; and to report to the perinatal quality collaborative regarding
	81	+	the implementation and outcomes of the initiative. The bill authorizes
	82	+	financial support for hospitals in rural and frontier areas of the state,
	83	+	hospitals that serve a higher number of medical assistance patients or
	84	+	uninsured patients, and hospitals with lower-acuity maternal or neonatal
	85	+	levels of care.
	86	+	In collaboration with the department, the bill requires the perinatal
	87	+	quality collaborative to issue an annual report on clinical quality
	88	+	improvements in maternal and infant health outcomes and related data
	89	+	that can be shared with hospitals and health facilities, policymakers, and
	90	+	others and posted on the internet.
	91	+	The bill requires coverage of over-the-counter, prescribed choline
	92	+	supplements for pregnant people to fulfill the federal food and drug
	93	+	administration's daily adequate intake for pregnant people.
	94	+	Be it enacted by the General Assembly of the State of Colorado:1
	95	+	SECTION 1. In Colorado Revised Statutes, 10-16-104, add2
	96	+	175-2- (3)(e) as follows:1
	97	+	10-16-104. Mandatory coverage provisions - definitions - rules2
20	98		- applicability. (3) Maternity coverage. (e) Doula services. (I) A
21		-	S USED
22		-	IN THIS SUBSECTION
23		-	(3)(e), UNLESS THE CONTEXT OTHERWISE REQUIRES :
24		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
25		-	officers and the Governor. To determine whether the Governor has signed the bill
26		-	or taken other action on it, please consult the legislative status sheet, the legislative
27		-	history, or the Session Laws.
28		-	________
29		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
30		-	through words or numbers indicate deletions from existing law and such material is not part of
31		-	the act. (A) "BILLING GUIDANCE" MEANS GUIDANCE FROM THE DEPARTMENT
32		-	OF HEALTH CARE POLICY AND FINANCING CONCERNING COVERAGE AND
33		-	BILLING FOR DOULA SERVICES AFTER CONSIDERATION OF THE FINDINGS AND
34		-	RECOMMENDATIONS FOR DOULA SERVICES RESULTING FROM THE
35		-	STAKEHOLDER PROCESS REQUIRED PURSUANT TO SECTION
36		-	25.5-4-506.
37		-	(B) "D
38		-	OULA" MEANS A TRAINED BIRTH COMPANION WHO PROVIDES
39		-	PERSONAL
40		-	, NONMEDICAL SUPPORT TO PREGNANT AND POSTPARTUM PEOPLE
41		-	AND THEIR FAMILIES PRIOR TO CHILDBIRTH
42		-	, DURING LABOR AND DELIVERY,
43		-	AND DURING THE POSTPARTUM PERIOD AND WHO HAS THE QUALIFICATIONS
44		-	AND TRAINING REQUIRED BY THE STATE
45		-	.
46		-	(C) "D
47		-	OULA SERVICES" MEANS SERVICES PROVIDED BY A DOULA .
48		-	(D) "M
49		-	EDICAL ASSISTANCE PROGRAM " MEANS THE "COLORADO
50		-	MEDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF TITLE 25.5.
51		-	(II) I
52		-	N THE LARGE GROUP MARKET , MATERNITY COVERAGE
53		-	PURSUANT TO THIS SUBSECTION
54		-	(3) MUST INCLUDE COVERAGE FOR DOULA
55		-	SERVICES
56		-	, TO THE EXTENT PRACTICABLE , FOR THE SAME SCOPE AND
57		-	DURATION OF COVERAGE THAT IS INCLUDED IN THE DEPARTMENT OF HEALTH
58		-	CARE POLICY AND FINANCING
59		-	'S REQUEST SUBMITTED PURSUANT TO SECTION
60		-	25.5-4-506 FOR FEDERAL AUTHORIZATION FOR DOULA SERVICES UNDER THE
61		-	MEDICAL ASSISTANCE PROGRAM
62		-	. THE BENEFIT MAY INCLUDE THE SAME
63		-	QUALIFICATIONS FOR INDIVIDUALS PROVIDING DOULA SERVICES AS
64		-	RECOMMENDED IN THE BILLING GUIDANCE FOR INDIVIDUALS PROVIDING
65		-	DOULA SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM
66		-	.
67		-	(III) E
68		-	XCEPT AS PROVIDED IN SUBSECTION (3)(e)(VI) OF THIS
69		-	SECTION
70		-	, IN THE INDIVIDUAL AND SMALL GROUP MARKETS , MATERNITY
71		-	COVERAGE PURSUANT TO THIS SUBSECTION
72		-	(3) MUST INCLUDE COVERAGE
73		-	FOR DOULA SERVICES IF THE SERVICES ARE WITHIN THE DOULA
74		-	'S AREA OF
75		-	PROFESSIONAL COMPETENCE AND THE DOULA SERVICES ARE
76		-	:
77		-	(A) C
78		-	URRENTLY REIMBURSED WHEN RENDERED BY ANY OTHER
79		-	HEALTH
80		-	-CARE PROVIDERS; OR
81		-	(B) COVERED AS PART OF THE MATERNITY ESSENTIAL HEALTH
82		-	BENEFIT
83		-	.
84		-	PAGE 2-SENATE BILL 24-175 (IV) THIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL
85		-	IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION
86		-	(3)(e) FOR, LARGE
87		-	EMPLOYER HEALTH BENEFIT PLANS ISSUED OR RENEWED IN THIS STATE ON
88		-	OR AFTER
89		-	JULY 1, 2025, OR TWELVE MONTHS AFTER THE DATE ON WHICH THE
90		-	DEPARTMENT OF HEALTH CARE POLICY AND FINANCING SUBMITS ITS
91		-	REQUEST PURSUANT TO SECTION
92		-	25.5-4-506 FOR FEDERAL AUTHORIZATION
93		-	FOR DOULA SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM
94		-	,
95		-	WHICHEVER IS LATER.
	99	+	S3
	100	+	USED IN THIS SUBSECTION (3)(e), UNLESS THE CONTEXT OTHERWISE4
	101	+	REQUIRES:5
	102	+	(A) "BILLING GUIDANCE" MEANS GUIDANCE FROM THE6
	103	+	DEPARTMENT OF HEALTH CARE POLICY AND FINANCING CONCERNING7
	104	+	COVERAGE AND BILLING FOR DOULA SERVICES AFTER CONSIDERATION OF8
	105	+	THE FINDINGS AND RECOMMENDATIONS FOR DOULA SERVICES RESULTING9
	106	+	FROM THE STAKEHOLDER PROCESS REQUIRED PURSUANT TO SECTION10
	107	+	25.5-4-506.11
	108	+	(B) "DOULA" MEANS A TRAINED BIRTH COMPANION WHO PROVIDES12
	109	+	PERSONAL, NONMEDICAL SUPPORT TO PREGNANT AND POSTPARTUM13
	110	+	PEOPLE AND THEIR FAMILIES PRIOR TO CHILDBIRTH , DURING LABOR AND14
	111	+	DELIVERY, AND DURING THE POSTPARTUM PERIOD AND WHO HAS THE15
	112	+	QUALIFICATIONS AND TRAINING REQUIRED BY THE STATE .16
	113	+	(C) "DOULA SERVICES" MEANS SERVICES PROVIDED BY A DOULA .17
	114	+	(D) "MEDICAL ASSISTANCE PROGRAM " MEANS THE "COLORADO18
	115	+	M
	116	+	EDICAL ASSISTANCE ACT", ARTICLES 4, 5, AND 6 OF TITLE 25.5.19(II) IN THE LARGE GROUP MARKET , MATERNITY COVERAGE20
	117	+	PURSUANT TO THIS SUBSECTION (3) MUST INCLUDE COVERAGE FOR DOULA21
	118	+	SERVICES, TO THE EXTENT PRACTICABLE, FOR THE SAME SCOPE AND22
	119	+	DURATION OF COVERAGE THAT IS INCLUDED IN THE DEPARTMENT OF23
	120	+	HEALTH CARE POLICY AND FINANCING 'S REQUEST SUBMITTED PURSUANT24
	121	+	TO SECTION 25.5-4-506 FOR FEDERAL AUTHORIZATION FOR DOULA25
	122	+	SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM. THE BENEFIT MAY26
	123	+	INCLUDE THE SAME QUALIFICATIONS FOR INDIVIDUALS PROVIDING27
	124	+	175
	125	+	-3- DOULA SERVICES AS RECOMMENDED IN THE BILLING GUIDANCE FOR1
	126	+	INDIVIDUALS PROVIDING DOULA SERVICES UNDER THE MEDICAL2
	127	+	ASSISTANCE PROGRAM.3
	128	+	(III) EXCEPT AS PROVIDED IN SUBSECTION (3)(e)(VI) OF THIS4
	129	+	SECTION, IN THE INDIVIDUAL AND SMALL GROUP MARKETS , MATERNITY5
	130	+	COVERAGE PURSUANT TO THIS SUBSECTION (3) MUST INCLUDE COVERAGE6
	131	+	FOR DOULA SERVICES IF THE SERVICES ARE WITHIN THE DOULA'S AREA OF7
	132	+	PROFESSIONAL COMPETENCE AND THE DOULA SERVICES ARE :8
	133	+	(A) CURRENTLY REIMBURSED WHEN RENDERED BY ANY OTHER9
	134	+	HEALTH-CARE PROVIDERS; OR10
	135	+	(B) COVERED AS PART OF THE MATERNITY ESSENTIAL HEALTH11
	136	+	BENEFIT.12
	137	+	(IV) T
	138	+	HIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL13
	139	+	IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION (3)(e) FOR, LARGE14
	140	+	EMPLOYER HEALTH BENEFIT PLANS ISSUED OR RENEWED IN THIS STATE ON15
	141	+	OR AFTER JULY 1, 2025, OR TWELVE MONTHS AFTER THE DATE ON WHICH16
	142	+	THE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING SUBMITS ITS17
	143	+	REQUEST PURSUANT TO SECTION 25.5-4-506 FOR FEDERAL AUTHORIZATION18
	144	+	FOR DOULA SERVICES UNDER THE MEDICAL ASSISTANCE PROGRAM ,19
	145	+	WHICHEVER IS LATER.20
96	146		(V) W
97		-	ITH RESPECT TO INDIVIDUAL AND SMALL GROUP HEALTH
98		-	BENEFIT PLANS
99		-	, THE DIVISION SHALL:
	147	+	ITH RESPECT TO INDIVIDUAL AND SMALL GROUP HEALTH21
	148	+	BENEFIT PLANS, THE DIVISION SHALL:22
100	149		(A) R
101		-	EVIEW THE ACTUARIAL REVIEW CONDUCTED PURSUANT TO
102		-	SECTION
103		-	10-16-155.5 AND SUBMIT TO THE FEDERAL DEPARTMENT OF HEALTH
104		-	AND HUMAN SERVICES THE DIVISION
105		-	'S DETERMINATION AS TO WHETHER THE
106		-	BENEFIT SPECIFIED IN THIS SUBSECTION
107		-	(3)(e) IS IN ADDITION TO ESSENTIAL
108		-	HEALTH BENEFITS AND WOULD BE SUBJECT TO DEFRAYAL BY THE STATE
109		-	PURSUANT TO
110		-	42 U.S.C. SEC. 18031 (d)(3)(B); AND
111		-	(B) REQUEST THAT THE FEDERAL DEPARTMENT OF HEALTH AND
112		-	HUMAN SERVICES CONFIRM THE DIVISION
113		-	'S DETERMINATION WITHIN SIXTY
114		-	DAYS AFTER RECEIPT OF THE DIVISION
115		-	'S REQUEST AND SUBMISSION OF ITS
116		-	DETERMINATION
117		-	.
	150	+	EVIEW THE ACTUARIAL REVIEW CONDUCTED PURSUANT TO23
	151	+	SECTION 10-16-155.5 AND SUBMIT TO THE FEDERAL DEPARTMENT OF24
	152	+	HEALTH AND HUMAN SERVICES THE DIVISION 'S DETERMINATION AS TO25
	153	+	WHETHER THE BENEFIT SPECIFIED IN THIS SUBSECTION (3)(e) IS IN26
	154	+	ADDITION TO ESSENTIAL HEALTH BENEFITS AND WOULD BE SUBJECT TO27
	155	+	175
	156	+	-4- DEFRAYAL BY THE STATE PURSUANT TO 42 U.S.C. SEC. 18031 (d)(3)(B);1
	157	+	AND2
	158	+	(B) R
	159	+	EQUEST THAT THE FEDERAL DEPARTMENT OF HEALTH AND3
	160	+	HUMAN SERVICES CONFIRM THE DIVISION'S DETERMINATION WITHIN SIXTY4
	161	+	DAYS AFTER RECEIPT OF THE DIVISION'S REQUEST AND SUBMISSION OF ITS5
	162	+	DETERMINATION.6
118	163		(VI) T
119		-	HIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL
120		-	IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION
121		-	(3)(e) FOR, INDIVIDUAL
122		-	AND SMALL GROUP HEALTH BENEFIT PLANS ISSUED OR RENEWED IN THIS
123		-	STATE UPON THE EARLIER OF
124		-	:
	164	+	HIS SUBSECTION (3)(e) APPLIES TO, AND THE DIVISION SHALL7
	165	+	IMPLEMENT THE REQUIREMENTS OF THIS SUBSECTION (3)(e) FOR,8
	166	+	INDIVIDUAL AND SMALL GROUP HEALTH BENEFIT PLANS ISSUED OR9
	167	+	RENEWED IN THIS STATE UPON THE EARLIER OF :10
125	168		(A) T
126		-	WELVE MONTHS AFTER THE FEDERAL DEPARTMENT OF HEALTH
127		-	AND HUMAN SERVICES CONFIRMS THE DIVISION
128		-	'S DETERMINATION OR
129		-	OTHERWISE INFORMS THE DIVISION THAT THE COVERAGE SPECIFIED IN THIS
130		-	SUBSECTION
131		-	(3)(e) DOES NOT CONSTITUTE AN ADDITIONAL BENEFIT THAT
132		-	REQUIRES DEFRAYAL BY THE STATE PURSUANT TO
133		-	42 U.S.C. SEC. 18031
134		-	(d)(3)(B);
135		-	OR
136		-	(B) THE PASSAGE OF MORE THAN THREE HUNDRED SIXTY -FIVE DAYS
137		-	SINCE THE DIVISION SUBMITTED ITS DETERMINATION AND REQUEST FOR
138		-	CONFIRMATION PURSUANT TO SUBSECTION
139		-	(3)(e)(V) OF THIS SECTION, AND
140		-	THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES HAS FAILED
141		-	PAGE 3-SENATE BILL 24-175 TO RESPOND TO THE REQUEST WITHIN THAT PERIOD , IN WHICH CASE THE
142		-	DIVISION SHALL CONSIDER THE FEDERAL DEPARTMENT
143		-	'S UNREASONABLE
144		-	DELAY A PRECLUSION FROM REQUIRING DEFRAYAL BY THE STATE
145		-	.
146		-	(VII) T
147		-	HE COMMISSIONER MAY PROMULGATE RULES AS NECESSARY
148		-	TO IMPLEMENT THIS SUBSECTION
149		-	(3).
150		-	SECTION 2. In Colorado Revised Statutes, 25-1.5-103, add (1)(d)
151		-	as follows:
152		-	25-1.5-103. Health facilities - powers and duties of department
153		-	- rules - limitations on rules - definitions - repeal. (1) The department
154		-	has, in addition to all other powers and duties imposed upon it by law, the
155		-	powers and duties provided in this section as follows:
	169	+	WELVE MONTHS AFTER THE FEDERAL DEPARTMENT OF11
	170	+	HEALTH AND HUMAN SERVICES CONFIRMS THE DIVISION 'S DETERMINATION12
	171	+	OR OTHERWISE INFORMS THE DIVISION THAT THE COVERAGE SPECIFIED IN13
	172	+	THIS SUBSECTION (3)(e) DOES NOT CONSTITUTE AN ADDITIONAL BENEFIT14
	173	+	THAT REQUIRES DEFRAYAL BY THE STATE PURSUANT TO 42 U.S.C. SEC.15
	174	+	18031 (d)(3)(B);
	175	+	OR16
	176	+	(B) T
	177	+	HE PASSAGE OF MORE THAN THREE HUNDRED SIXTY -FIVE17
	178	+	DAYS SINCE THE DIVISION SUBMITTED ITS DETERMINATION AND REQUEST18
	179	+	FOR CONFIRMATION PURSUANT TO SUBSECTION (3)(e)(V) OF THIS SECTION,19
	180	+	AND THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES HAS20
	181	+	FAILED TO RESPOND TO THE REQUEST WITHIN THAT PERIOD , IN WHICH CASE21
	182	+	THE DIVISION SHALL CONSIDER THE FEDERAL DEPARTMENT 'S22
	183	+	UNREASONABLE DELAY A PRECLUSION FROM REQUIRING DEFRAYAL BY THE23
	184	+	STATE.24
	185	+	(VII) THE COMMISSIONER MAY PROMULGATE RULES AS25
	186	+	NECESSARY TO IMPLEMENT THIS SUBSECTION (3).26
	187	+	SECTION 2. In Colorado Revised Statutes, 25-1.5-103, add27
	188	+	175
	189	+	-5- (1)(d) as follows:1
	190	+	25-1.5-103. Health facilities - powers and duties of department2
	191	+	- rules - limitations on rules - definitions - repeal. (1) The department3
	192	+	has, in addition to all other powers and duties imposed upon it by law, the4
	193	+	powers and duties provided in this section as follows:5
156	194		(d) (I) T
157		-	O ENSURE THAT EACH HOSPITAL THAT PROVIDES
158		-	NONEMERGENT PERINATAL CARE SERVICES IS COMPLYING WITH THE
159		-	REQUIREMENTS SPECIFIED IN SECTION
160		-	25-52-106.5, INCLUDING
161		-	PARTICIPATING IN AT LEAST ONE MATERNAL OR INFANT HEALTH QUALITY
162		-	IMPROVEMENT INITIATIVE AND SUBMITTING OUTCOME DATA TO THE
163		-	PERINATAL QUALITY COLLABORATIVE DEFINED IN SECTION
164		-	25-52-103 (3).
	195	+	O ENSURE THAT EACH HOSPITAL THAT PROVIDES6
	196	+	NONEMERGENT PERINATAL CARE SERVICES IS COMPLYING WITH THE7
	197	+	REQUIREMENTS SPECIFIED IN SECTION 25-52-106.5, INCLUDING8
	198	+	PARTICIPATING IN AT LEAST ONE MATERNAL OR INFANT HEALTH QUALITY9
	199	+	IMPROVEMENT INITIATIVE AND SUBMITTING OUTCOME DATA TO THE10
	200	+	PERINATAL QUALITY COLLABORATIVE DEFINED IN SECTION 25-52-103 (3).11
165	201		(II) T
166		-	HIS SUBSECTION (1)(d) IS REPEALED, EFFECTIVE SEPTEMBER 1,
167		-	2029.
168		-	SECTION 3. In Colorado Revised Statutes, 25-52-103, amend (3);
169		-	and add (6.5) as follows:
170		-	25-52-103. Definitions. As used in this article 52, unless the context
171		-	otherwise requires:
	202	+	HIS SUBSECTION (1)(d) IS REPEALED, EFFECTIVE SEPTEMBER12
	203	+	1,
	204	+	2029.13
	205	+	SECTION 3. In Colorado Revised Statutes, 25-52-103, amend14
	206	+	(3); and add (6.5) as follows:15
	207	+	25-52-103. Definitions. As used in this article 52, unless the16
	208	+	context otherwise requires:17
172	209		(3) "Designated state perinatal care quality collaborative"
173		-	OR
174		-	"PERINATAL QUALITY COLLABORATIVE " means a statewide nonprofit
175		-	network of health facilities, clinicians, and public health professionals
176		-	working to improve the quality of care for mothers and babies through
177		-	continuous quality improvement.
	210	+	OR18
	211	+	"
	212	+	PERINATAL QUALITY COLLABORATIVE " means a statewide nonprofit19
	213	+	network of health facilities, clinicians, and public health professionals20
	214	+	working to improve the quality of care for mothers and babies through21
	215	+	continuous quality improvement.22
178	216		(6.5) "M
179		-	EDICAL ASSISTANCE PROGRAM " MEANS THE MEDICAL
180		-	ASSISTANCE PROGRAM ESTABLISHED PURSUANT TO ARTICLES
181		-	4 TO 6 OF TITLE
182		-	25.5.
183		-	PAGE 4-SENATE BILL 24-175 SECTION 4. In Colorado Revised Statutes, add 25-52-106.5 as
184		-	follows:
185		-	25-52-106.5. Perinatal health quality improvement program -
186		-	perinatal health quality improvement engagement program - perinatal
187		-	quality collaborative duties - data collection - reporting - legislative
188		-	declaration - definitions. (1) T
189		-	HE GENERAL ASSEMBLY FINDS AND
190		-	DECLARES THAT
191		-	:
	217	+	EDICAL ASSISTANCE PROGRAM " MEANS THE MEDICAL23
	218	+	ASSISTANCE PROGRAM ESTABLISHED PURSUANT TO ARTICLES 4 TO 6 OF24
	219	+	TITLE 25.5.25
	220	+	SECTION 4. In Colorado Revised Statutes, add 25-52-106.5 as26
	221	+	follows:27
	222	+	175
	223	+	-6- 25-52-106.5. Perinatal health quality improvement program1
	224	+	- perinatal health quality improvement engagement program -2
	225	+	perinatal quality collaborative duties - data collection - reporting -3
	226	+	legislative declaration - definitions. (1) T
	227	+	HE GENERAL ASSEMBLY FINDS4
	228	+	AND DECLARES THAT:5
192	229		(a) D
193		-	ISPARITIES IN MATERNAL AND INFANT HEALTH -CARE ACCESS,
194		-	DELIVERY, AND OUTCOMES IN COLORADO PERSIST, SUCH THAT BIRTHING
195		-	PEOPLE WHO ARE
196		-	AMERICAN INDIAN/ALASKA NATIVE ARE NEARLY THREE
197		-	TIMES MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR
198		-	POSTPARTUM THAN THE OVERALL POPULATION OF THOSE GIVING BIRTH IN
199		-	COLORADO;
	230	+	ISPARITIES IN MATERNAL AND INFANT HEALTH-CARE ACCESS,6
	231	+	DELIVERY, AND OUTCOMES IN COLORADO PERSIST, SUCH THAT BIRTHING7
	232	+	PEOPLE WHO ARE AMERICAN INDIAN/ALASKA NATIVE ARE NEARLY THREE
	233	+	8
	234	+	TIMES MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR9
	235	+	POSTPARTUM THAN THE OVERALL POPULATION OF THOSE GIVING BIRTH IN10
	236	+	C
	237	+	OLORADO;
	238	+	11
200	239		(b) B
201	240		IRTHING PEOPLE WHO ARE BLACK ARE NEARLY TWO TIMES
202		-	MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR POSTPARTUM
203		-	THAN THE OVERALL POPULATION OF THOSE GIVING BIRTH IN
204		-	COLORADO;
205		-	(c) B
206		-	IRTHING PEOPLE LIVING IN FRONTIER COUNTIES ARE MORE
207		-	LIKELY TO DIE FROM PREGNANCY
208		-	-RELATED CAUSES THAN THOSE LIVING IN
209		-	URBAN COUNTIES
210		-	, AND PEOPLE INSURED THROUGH THE MEDICAL ASSISTANCE
211		-	PROGRAM ARE MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE
212		-	YEAR POSTPARTUM THAN THOSE WITH PRIVATE INSURANCE
213		-	;
214		-	(d) D
215		-	ISCRIMINATION CONTRIBUTED TO HALF OF ALL
216		-	PREGNANCY
217		-	-ASSOCIATED DEATHS IN COLORADO, AND NINETY PERCENT OF
218		-	ALL DEATHS WERE DEEMED PREVENTABLE BY THE
219		-	COLORADO MATERNAL
220		-	MORTALITY REVIEW COMMITTEE
221		-	;
222		-	(e) I
223		-	N 2022, THE UNITED STATES' INFANT MORTALITY RATE
224		-	INCREASED FOR THE FIRST TIME IN TWO DECADES
225		-	. INFANTS BORN TO BLACK
226		-	AND
227		-	NATIVE AMERICAN BIRTHING PEOPLE ARE TWO TIMES MORE LIKELY TO
228		-	DIE COMPARED WITH THEIR WHITE AND
229		-	HISPANIC COUNTERPARTS.
230		-	(f) T
231		-	HE COMMITTEE AND THE MATERNAL HEALTH TASK FORCE
232		-	ESTABLISHED BY THE DEPARTMENT RECOMMEND STATEWIDE
233		-	, UNIVERSAL
234		-	PARTICIPATION IN QUALITY IMPROVEMENT INITIATIVES LED BY THE
235		-	PERINATAL QUALITY COLLABORATIVE AND THE ADOPTION OF
236		-	ALLIANCE FOR
237		-	PAGE 5-SENATE BILL 24-175 INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES ;
238		-	(g) T
239		-	HE NATIONAL GOVERNORS ASSOCIATION, THROUGH ITS
240		-	MATERNAL AND INFANT HEALTH INITIATIVE
241		-	, SIMILARLY RECOMMENDS THE
242		-	ADOPTION OF PATIENT SAFETY BUNDLES AND INCREASED FUNDING FOR
243		-	STATE MATERNAL MORTALITY REVIEW COMMITTEES AND PERINATAL
244		-	QUALITY COLLABORATIVES
245		-	;
246		-	(h) N
247		-	INETY-SIX PERCENT OF BIRTHS IN COLORADO OCCUR IN
248		-	HOSPITALS
249		-	, AND THERE IS A NEED TO PROVIDE PRACTICAL SUPPORT TO
250		-	HOSPITALS
251		-	, ESPECIALLY FRONTIER AND RURAL HOSPITALS , FOR THE
252		-	IMPLEMENTATION OF CLINICAL QUALITY IMPROVEMENT INITIATIVES
253		-	; AND
254		-	(i) PARTICIPATION IN STATE PERINATAL QUALITY COLLABORATIVES
255		-	HAS BEEN SHOWN TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES
256		-	THROUGH IMPROVED ACCESS TO
257		-	, AND THE TIMELINESS OF, TREATMENT AND
258		-	THROUGH REDUCED SERIOUS PREGNANCY COMPLICATIONS
259		-	.
	241	+	12
	242	+	MORE LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR13
	243	+	POSTPARTUM THAN THE OVERALL POPULATION OF THOSE GIVING BIRTH IN14
	244	+	C
	245	+	OLORADO;
	246	+	15
	247	+	(c) BIRTHING PEOPLE LIVING IN FRONTIER COUNTIES ARE MORE16
	248	+	LIKELY TO DIE FROM PREGNANCY -RELATED CAUSES THAN THOSE LIVING17
	249	+	IN URBAN COUNTIES, AND PEOPLE INSURED THROUGH THE MEDICAL18
	250	+	ASSISTANCE PROGRAM ARE MORE LI KELY TO DIE DURING PREGNANCY OR19
	251	+	WITHIN ONE YEAR POSTPARTUM THAN THOSE WITH PRIVATE INSURANCE ;20
	252	+	(d) DISCRIMINATION CONTRIBUTED TO HALF OF ALL21
	253	+	PREGNANCY-ASSOCIATED DEATHS IN COLORADO, AND NINETY PERCENT OF22
	254	+	ALL DEATHS WERE DEEMED PREVENTABLE BY THE COLORADO MATERNAL23
	255	+	MORTALITY REVIEW COMMITTEE ;24
	256	+	(e) IN 2022, THE UNITED STATES' INFANT MORTALITY RATE25
	257	+	INCREASED FOR THE FIRST TIME IN TWO DECADES . INFANTS BORN TO26
	258	+	B
	259	+	LACK AND NATIVE AMERICAN BIRTHING PEOPLE ARE TWO TIMES MORE27
	260	+	175
	261	+	-7- LIKELY TO DIE COMPARED WITH THEIR WHITE AND HISPANIC1
	262	+	COUNTERPARTS.2
	263	+	(f) THE COMMITTEE AND THE MATERNAL HEALTH TASK FORCE3
	264	+	ESTABLISHED BY THE DEPARTMENT RECOMMEND STATEWIDE , UNIVERSAL4
	265	+	PARTICIPATION IN QUALITY IMPROVEMENT INITIATIVES LED BY THE5
	266	+	PERINATAL QUALITY COLLABORATIVE AND THE ADOPTION OF ALLIANCE6
	267	+	FOR INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES ;7
	268	+	(g) THE NATIONAL GOVERNORS ASSOCIATION, THROUGH ITS8
	269	+	MATERNAL AND INFANT HEALTH INITIATIVE, SIMILARLY RECOMMENDS THE9
	270	+	ADOPTION OF PATIENT SAFETY BUNDLES AND INCREASED FUNDING FOR10
	271	+	STATE MATERNAL MORTALITY REVIEW COMMITTEES AND PERINATAL11
	272	+	QUALITY COLLABORATIVES ;12
	273	+	(h) NINETY-SIX PERCENT OF BIRTHS IN COLORADO OCCUR IN13
	274	+	HOSPITALS, AND THERE IS A NEED TO PROVIDE PRACTICAL SUPPORT TO14
	275	+	HOSPITALS, ESPECIALLY FRONTIER AND RURAL HOSPITALS , FOR THE15
	276	+	IMPLEMENTATION OF CLINICAL QUALITY IMPROVEMENT INITIATIVES ; AND16
	277	+	(i) PARTICIPATION IN STATE PERINATAL QUALITY COLLABORATIVES17
	278	+	HAS BEEN SHOWN TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES18
	279	+	THROUGH IMPROVED ACCESS TO , AND THE TIMELINESS OF, TREATMENT19
	280	+	AND THROUGH REDUCED SERIOUS PREGNANCY COMPLICATIONS .20
260	281		(2) A
261		-	S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE
262		-	REQUIRES
263		-	:
	282	+	S USED IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE21
	283	+	REQUIRES:22
264	284		(a) "E
265		-	NGAGEMENT PROGRAM " MEANS THE PERINATAL HEALTH
266		-	QUALITY IMPROVEMENT ENGAGEMENT PROGRAM CREATED IN SUBSECTION
267		-	(5) OF THIS SECTION.
	285	+	NGAGEMENT PROGRAM " MEANS THE PERINATAL HEALTH23
	286	+	QUALITY IMPROVEMENT E NGAGEMENT PROGRAM CREATED IN SUBSECTION24
	287	+	(5)
	288	+	OF THIS SECTION.25
268	289		(b) "H
269		-	OSPITAL" MEANS A HOSPITAL LICENSED OR ~~CERTIFIED~~
270		-	PURSUANT TO SECTION
271		-	~~25-1.5-103 THAT PROVIDES NONEMERGENT~~
272		-	~~PERINATAL CARE SERVICES~~
273		-	.
	290	+	OSPITAL" MEANS A HOSPITAL LICENSED OR CERTIFIED26
	291	+	PURSUANT TO SECTION 25-1.5-103 THAT PROVIDES NONEMERGENT
	292	+	27
	293	+	175
	294	+	-8- PERINATAL CARE SERVICES.1
274	295		(c) "Q
275		-	UALITY IMPROVEMENT PROGRAM " MEANS THE HOSPITAL
276		-	PERINATAL HEALTH QUALITY IMPROVEMENT PROGRAM CREATED IN
277		-	SUBSECTION
278		-	(4) OF THIS SECTION.
	296	+	UALITY IMPROVEMENT PROGRAM " MEANS THE HOSPITAL2
	297	+	PERINATAL HEALTH QUALITY IMPROVEMENT PROGRAM CREATED IN3
	298	+	SUBSECTION (4) OF THIS SECTION.4
279	299		(3) (a) T
280		-	HE DEPARTMENT SHALL CONTRACT WITH THE PERINATAL
281		-	QUALITY COLLABORATIVE TO
282		-	:
	300	+	HE DEPARTMENT SHALL CONTRACT WITH THE PERINATAL5
	301	+	QUALITY COLLABORATIVE TO :6
283	302		(I) T
284		-	RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S
285		-	RECOMMENDATIONS TO PREVENT MATERNAL MORTALITY
286		-	;
	303	+	RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S7
	304	+	RECOMMENDATIONS TO PREVENT MATERNAL MORTALITY ;8
287	305		(II) I
288		-	MPLEMENT HOSPITAL QUALITY IMPROVEMENT PROGRAMS
289		-	PAGE 6-SENATE BILL 24-175 THROUGH PERINATAL CARE SETTINGS TO REDUCE PREVENTABLE CAUSES OF
290		-	MATERNAL MORTALITY AND MORBIDITY
291		-	; AND
292		-	(III) ADDRESS DISPARATE CARE OF AND OUTCOMES AMONG
293		-	AMERICAN INDIAN/ALASKA NATIVE AND BLACK BIRTHING POPULATIONS,
294		-	BIRTHING PEOPLE INSURED THROUGH THE MEDICAL ASSISTANCE PROGRAM ,
295		-	AND BIRTHING PEOPLE LIVING IN RURAL AND FRONTIER COUNTIES .
	306	+	MPLEMENT HOSPITAL QUALITY IMPROVEMENT PROGRAMS9
	307	+	THROUGH PERINATAL CARE SETTINGS TO REDUCE PREVENTABLE CAUSES10
	308	+	OF MATERNAL MORTALITY AND MORBIDITY ; AND11
	309	+	(III) A
	310	+	DDRESS DISPARATE CARE OF AND OUTCOMES AMONG12
	311	+	A
	312	+	MERICAN INDIAN/ALASKA NATIVE AND BLACK BIRTHING POPULATIONS,13
	313	+	BIRTHING PEOPLE INSURED THROUGH THE MEDICAL ASSISTANCE PROGRAM ,14
	314	+	AND BIRTHING PEOPLE LIVING IN RURAL AND
	315	+	FRONTIER COUNTIES.15
296	316		(b) I
297		-	N IMPLEMENTING HOSPITAL QUALITY IMPROVEMENT ~~PROGRAMS ,~~
298		-	~~THE PERINATAL QUALITY COLLABORATIVE SHALL PROVIDE QUALITY~~
299		-	~~IMPROVEMENT PROGRAM SUPPORT THAT MAY INCLUDE~~
300		-	:
	317	+	N IMPLEMENTING HOSPITAL QUALITY IMPROVEMENT
	318	+	16
	319	+	PROGRAMS, THE PERINATAL QUALITY COLLABORATIVE SHALL PROVIDE17
	320	+	QUALITY IMPROVEMENT PROGRAM SUPPORT THAT MAY INCLUDE:18
301	321		(I) C
302		-	LINICAL QUALITY IMPROVEMENT SCIENCE EDUCATION
303		-	CONCERNING BEST PRACTICES AND INNOVATIONS TO SUPPORT OPTIMAL
304		-	OUTCOMES
305		-	;
	322	+	LINICAL QUALITY IMPROVEMENT SCIENCE EDUCATION19
	323	+	CONCERNING BEST PRACTICES AND INNOVATIONS TO SUPPORT OPTIMAL20
	324	+	OUTCOMES;21
306	325		(II) T
307		-	AILORED INTERVENTIONS DESIGNED TO ADDRESS THE NEEDS OF
308		-	PRIORITY POPULATIONS
309		-	;
	326	+	AILORED INTERVENTIONS DESIGNED TO ADDRESS THE NEEDS22
	327	+	OF PRIORITY POPULATIONS;23
310	328		(III) I
311		-	NDIVIDUALIZED PROGRAM IMPLEMENTATION GUI DANCE AND
312		-	SUPPORT
313		-	;
	329	+	NDIVIDUALIZED PROGRAM IMPLEMENTATION GUIDANCE AND24
	330	+	SUPPORT;25
314	331		(IV) D
315		-	ATA REPORTING, ANALYSIS, AND RAPID ~~RESPONSE FEEDBACK~~
316		-	FOR ASSISTANCE IN MONITORING THE SUSTAINABILITY ~~OF IMPLEMENTED~~
317		-	~~CHANGES~~
318		-	;
	332	+	ATA REPORTING, ANALYSIS, AND RAPID RESPONSE26
	333	+	FEEDBACK FOR ASSISTANCE IN MONITORING THE SUSTAINABILITY OF27
	334	+	175
	335	+	-9- IMPLEMENTED CHANGES ;1
319	336		(V) P
320		-	ROVIDER TRAINING IN STIGMA, BIAS, AND TRAUMA-INFORMED
321		-	AND RESPECTFUL CARE
322		-	; AND
323		-	(VI) PUBLIC RECOGNITION AS A MATERNAL AND INFANT CARE
324		-	QUALITY CHAMPION
325		-	.
	337	+	ROVIDER TRAINING IN STIGMA, BIAS, AND TRAUMA-INFORMED2
	338	+	AND RESPECTFUL CARE; AND3
	339	+	(VI) P
	340	+	UBLIC RECOGNITION AS A MATERNAL AND INFANT CARE4
	341	+	QUALITY CHAMPION.5
326	342		(c) T
327		-	HE DEPARTMENT SHALL PROVIDE VITAL STATISTICS DATA TO
328		-	THE PERINATAL QUALITY COLLABORATIVE FOR PURPOSES OF DATA ANALYSIS
329		-	AND REPORTING
330		-	. THE PERINATAL QUALITY COLLABORATIVE SHALL DEVELOP
331		-	A DATA
332		-	-SHARING AGREEMENT WITH THE DEPARTMENT TO IDENTIFY SPECIFIC
333		-	VITAL STATISTICS DATA THAT MUST BE SHARED
334		-	. THE DATA-SHARING
335		-	AGREEMENT MUST ADDRESS THE CONFIDENTIALITY OF DATA TO ENSURE
336		-	THAT DATA SHARING IS PROTECTED
337		-	.
338		-	PAGE 7-SENATE BILL 24-175 (4) Hospital perinatal health quality improvement program. A
339		-	HOSPITAL SHALL:
	343	+	HE DEPARTMENT SHALL PROVIDE VITAL STATISTICS DATA TO6
	344	+	THE PERINATAL QUALITY COLLABORATIVE FOR PURPOSES OF DATA7
	345	+	ANALYSIS AND REPORTING . THE PERINATAL QUALITY COLLABORATIVE
	346	+	8
	347	+	SHALL DEVELOP A DATA-SHARING AGREEMENT WITH THE DEPARTMENT TO9
	348	+	IDENTIFY SPECIFIC VITAL STATISTICS DATA THAT MUST BE SHARED . THE10
	349	+	DATA-SHARING AGREEMENT MUST ADDRESS THE CONFIDENTIALITY OF11
	350	+	DATA TO ENSURE THAT DATA SHARING IS PROTECTED .12
	351	+	(4) Hospital perinatal health quality improvement program.13
	352	+	A
	353	+	HOSPITAL SHALL:14
340	354		(a) N
341		-	O LATER THAN JULY 1, 2025, AND NO LATER THAN JULY 1 EACH
342		-	YEAR THEREAFTER
343		-	, SUBMIT TO THE PERINATAL QUALITY COLLABORATIVE ,
344		-	EITHER DIRECTLY OR THROUGH A STATEWIDE ASSOCIATION OF HOSPITALS ,
345		-	A MINIMUM DATA SET OF KEY DRIVERS OF DISPARITIES IN PERINATAL HEALTH
346		-	CARE AND HEALTH
347		-	-CARE OUTCOMES, MATERNAL MORTALITY AND SEVERE
348		-	MATERNAL MORBIDITY
349		-	, AND INFANT HEALTH CARE AND HEALTH -CARE
350		-	OUTCOMES
351		-	, INCLUDING:
	355	+	O LATER THAN JULY 1, 2025, AND NO LATER THAN JULY 1
	356	+	15
	357	+	EACH YEAR THEREAFTER , SUBMIT TO THE PERINATAL QUALITY16
	358	+	COLLABORATIVE, EITHER DIRECTLY OR THROUGH A STATEWIDE17
	359	+	ASSOCIATION OF HOSPITALS, A MINIMUM DATA SET OF KEY DRIVERS OF18
	360	+	DISPARITIES IN PERINATAL HEALTH CARE AND HEALTH -CARE OUTCOMES,19
	361	+	MATERNAL MORTALITY AND SEVERE MATERNAL MORBIDITY , AND INFANT20
	362	+	HEALTH CARE AND HEALTH -CARE OUTCOMES, INCLUDING:21
352	363		(I) C
353		-	ESAREAN DELIVERIES;
	364	+	ESAREAN DELIVERIES;22
354	365		(II) P
355		-	ERINATAL HYPERTENSION, SEPSIS, AND CARDIAC CONDITIONS;
	366	+	ERINATAL HYPERTENSION, SEPSIS, AND CARDIAC CONDITIONS;23
356	367		(III) M
357		-	ATERNAL AND NEONATAL READMISSIONS AND LENGTH OF
358		-	STAY
359		-	;
	368	+	ATERNAL AND NEONATAL READMISSIONS AND LENGTH OF24
	369	+	STAY;25
360	370		(IV) U
361		-	NEXPECTED NEWBORN COMPLICATIONS ;
	371	+	NEXPECTED NEWBORN COMPLICATIONS ;26
362	372		(V) P
363		-	ERINATAL MENTAL HEALTH AND SUBSTANCE USE CONDITIONS ;
	373	+	ERINATAL MENTAL HEALTH AND SUBSTANCE USE27
	374	+	175
	375	+	-10- CONDITIONS;1
364	376		(VI) O
365		-	BSTETRIC HEMORRHAGE ; AND
366		-	(VII) PRETERM BIRTH; AND
367		-	(b) BEGINNING DECEMBER 15, 2025, PARTICIPATE ANNUALLY IN AT
368		-	LEAST ONE MATERNAL OR INFANT HEALTH QUALITY IMPROVEMENT
369		-	INITIATIVE
370		-	, AS DETERMINED BY THE HOSPITAL, IN COLLABORATION WITH THE
371		-	PERINATAL QUALITY COLLABORATIVE PURS UANT TO SUBSECTION
372		-	(3) OF THIS
373		-	SECTION
374		-	, WITH THE GOAL OF:
	377	+	BSTETRIC HEMORRHAGE ; AND2
	378	+	(VII) P
	379	+	RETERM BIRTH; AND
	380	+	3
	381	+	(b) B
	382	+	EGINNING DECEMBER 15, 2025, PARTICIPATE
	383	+	ANNUALLY IN4
	384	+	AT LEAST ONE MATERNAL OR INFANT HEALTH QUALITY IMPROVEMENT5
	385	+	INITIATIVE, AS DETERMINED BY THE HOSPITAL, IN COLLABORATION WITH6
	386	+	THE PERINATAL QUALITY COLLABORATIVE PURSUANT TO SUBSECTION (3)7
	387	+	OF THIS SECTION, WITH THE GOAL OF:8
375	388		(I) P
376		-	ROMOTING EVIDENCE-BASED, CULTURALLY RELEVANT , SAFE,
377		-	EQUITABLE, HIGH-QUALITY CARE; AND
378		-	(II) PREVENTING MATERNAL AND INFANT MORTALITY AND SEVERE
379		-	MORBIDITY
380		-	.
381		-	(5) Perinatal health quality improvement engagement program.
382		-	(a) N
383		-	O LATER THAN JULY 1, 2025, THE DEPARTMENT SHALL CREATE A
384		-	PAGE 8-SENATE BILL 24-175 PERINATAL HEALTH QUALITY IMPROVEMENT ENGAGEMENT PROGRAM THAT
385		-	PROVIDES FINANCIAL SUPPORT TO HOSPITALS AND FACILITIES THAT PROVIDE
386		-	EMERGENT LABOR AND DELIVERY OR PERINATAL CARE SERVICES THAT DO
387		-	NOT HAVE SUFFICIENT RESOURCES TO PARTICIPATE IN ONE OR MORE
388		-	MATERNAL OR INFANT HEALTH QUALITY IMPROVEMENT INITIATIVES
389		-	PURSUANT TO SUBSECTION
390		-	(4) OF THIS SECTION.
	389	+	ROMOTING EVIDENCE-BASED, CULTURALLY RELEVANT, SAFE,9
	390	+	EQUITABLE, HIGH-QUALITY CARE; AND10
	391	+	(II) P
	392	+	REVENTING MATERNAL AND INFANT MORTALITY AND SEVERE11
	393	+	MORBIDITY.
	394	+	12
	395	+	13
	396	+	(5) Perinatal health quality improvement engagement14
	397	+	program. (a) N
	398	+	O LATER THAN JULY 1, 2025, THE DEPARTMENT SHALL15
	399	+	CREATE A PERINATAL HEALTH QUALITY IMPROVEMENT ENGAGEMENT16
	400	+	PROGRAM THAT PROVIDES FINANCIAL SUPPORT TO HOSPITALS AND
	401	+	17
	402	+	FACILITIES THAT PROVIDE EMERGENT LABOR AND DELIVERY OR PERINATAL18
	403	+	CARE SERVICES THAT DO NOT HAVE SUFFICIENT RESOURCES TO19
	404	+	PARTICIPATE IN ONE OR MORE MATERNAL OR INFANT HEALTH QUALITY20
	405	+	IMPROVEMENT INITIATIVES PURSUANT TO SUBSECTION (4) OF THIS21
	406	+	SECTION.22
391	407		(b) T
392	408		HE DEPARTMENT SHALL SELECT HOSPITALS AND FACILITIES
393		-	THAT PROVIDE EMERGENT LABOR AND DELIVERY OR PERINATAL CARE
394		-	SERVICES TO PARTICIPATE IN THE ENGAGEMENT PROGRAM AND MAY
395		-	CONTRACT WITH THE PERINATAL QUALITY COLLABORATIVE TO ADMINISTER
396		-	THE ENGAGEMENT PROGRAM
397		-	. IN ORDER TO PARTICIPATE IN THE
398		-	ENGAGEMENT PROGRAM
399		-	, A HOSPITAL OR FACILITY MUST COMMIT TO WORK
400		-	WITH THE PERINATAL QUALITY COLLABORATIVE ON THE MATERNAL OR
401		-	INFANT HEALTH QUALITY IMPROVEMENT INITIATIVES SELECTED BY THE
402		-	HOSPITAL OR FACILITY
403		-	.
	409	+	23
	410	+	THAT PROVIDE EMERGENT LABOR AND DELIVERY OR PERINATAL CARE24
	411	+	SERVICES TO PARTICIPATE IN THE ENGAGEMENT PROGRAM AND MAY25
	412	+	CONTRACT WITH THE PERINATAL QUALITY COLLABORATIVE TO26
	413	+	ADMINISTER THE ENGAGEMENT PROGRAM . IN ORDER TO PARTICIPATE IN27
	414	+	175
	415	+	-11- THE ENGAGEMENT PROGRAM , A HOSPITAL OR FACILITY MUST COMMIT TO1
	416	+	WORK WITH THE PERINATAL QUALITY COLLABORATIVE ON THE MATERNAL2
	417	+	OR INFANT HEALTH QUALITY IMPROVEMENT INITIATIVES SELECTED BY THE3
	418	+	HOSPITAL OR FACILITY.4
404	419		(c) T
405		-	HE DEPARTMENT SHALL PRIORITIZE FINANCIAL SUPPORT ~~FOR~~
406		-	HOSPITALS AND FACILITIES ~~THAT~~
407		-	:
	420	+	HE DEPARTMENT SHALL PRIORITIZE FINANCIAL SUPPORT FOR5
	421	+	HOSPITALS AND FACILITIES
	422	+	THAT:6
408	423		(I) A
409		-	RE IN RURAL AND FRONTIER AREAS OF THE STATE ;
	424	+	RE IN RURAL AND FRONTIER AREAS OF THE STATE ;7
410	425		(II) Q
411		-	UALIFY FOR DISPROPORTIONATE SHARE PAYMENTS UNDER THE
412		-	MEDICAL ASSISTANCE PROGRAM
413		-	; OR
414		-	(III) HAVE LOWER-ACUITY MATERNAL OR NEONATAL LEVELS OF
415		-	CARE DESIGNATIONS
416		-	.
	426	+	UALIFY FOR DISPROPORTIONATE SHARE PAYMENTS UNDER8
	427	+	THE MEDICAL ASSISTANCE PROGRAM ; OR9
	428	+	(III) H
	429	+	AVE LOWER-ACUITY MATERNAL OR NEONATAL LEVELS OF10
	430	+	CARE DESIGNATIONS.11
417	431		(d) H
418		-	OSPITALS AND FACILITIES RECEIVING FINANCIAL SUPPORT
419		-	PURSUANT TO THE ENGAGEMENT PROGRAM MAY USE THE FINANCIAL
420		-	SUPPORT FOR QUALITY IMPROVEMENT
421		-	, INCLUDING DEDICATED STAFF TIME,
422		-	TRAINING COSTS, TRAVEL, CONTINUING EDUCATION, AND DATA ENTRY AND
423		-	TECHNICAL ASSISTANCE
424		-	.
425		-	(6) Collaboration with the perinatal quality collaborative.
	432	+	OSPITALS AND FACILITIES
	433	+	RECEIVING FINANCIAL SUPPORT12
	434	+	PURSUANT TO THE ENGAGEMENT PROGRAM MAY USE THE FINANCIAL13
	435	+	SUPPORT FOR QUALITY IMPROVEMENT , INCLUDING DEDICATED STAFF TIME,14
	436	+	TRAINING COSTS, TRAVEL, CONTINUING EDUCATION, AND DATA ENTRY15
	437	+	AND TECHNICAL ASSISTANCE.16
	438	+	(6) Collaboration with the perinatal quality collaborative.17
426	439		(a) T
427	440		HE DEPARTMENT SHALL CONTRACT WITH THE PERINATAL QUALITY
428		-	~~COLLABORATIVE TO~~
429		-	:
	441	+	18
	442	+	COLLABORATIVE TO:19
430	443		(I) T
431		-	RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S
432		-	RECOMMENDATIONS
433		-	, DEVELOPED PURSUANT TO SECTION 25-52-104, TO
434		-	PAGE 9-SENATE BILL 24-175 PREVENT MATERNAL MORTALITY ; AND
435		-	(II) NO LATER THAN JULY 1, 2026, AND NO LATER THAN JULY 1 EACH
436		-	YEAR THEREAFTER
437		-	, ISSUE A REPORT TO THE DEPARTMENT CONCERNING :
	444	+	RACK STATEWIDE IMPLEMENTATION OF THE COMMITTEE 'S20
	445	+	RECOMMENDATIONS , DEVELOPED PURSUANT TO SECTION 25-52-104, TO21
	446	+	PREVENT MATERNAL MORTALITY ; AND22
	447	+	(II) N
	448	+	O LATER THAN JULY 1, 2026, AND NO LATER THAN JULY 1
	449	+	23
	450	+	EACH YEAR THEREAFTER , ISSUE A REPORT TO THE DEPARTMENT24
	451	+	CONCERNING:25
438	452		(A) C
439		-	LINICAL QUALITY IMPROVEMENT EFFORTS TO REDUCE
440		-	DISPARITIES IN PERINATAL HEALTH OUTCOMES AND TO PREVENT MATERNAL
441		-	AND INFANT MORTALITY AND MORBIDITY THAT INCLUDES RELEVANT
442		-	,
443		-	AGGREGATE HOSPITAL MATERNAL AND INFANT HEALTH QUALITY METRICS
444		-	AND THAT MAY BE DISTRIBUTED TO POLICYMAKERS
445		-	, HEALTH-CARE
446		-	PROVIDERS
447		-	, HOSPITALS AND OTHER HEALTH FACILITIES , PUBLIC HEALTH
448		-	PROFESSIONALS
449		-	, AND OTHER INTERESTED PERSONS TO ASSIST THE
450		-	DEPARTMENT IN PROMOTING DATA ACCESS AND FACILITATING ADDITIONAL
451		-	EFFORTS TO REDUCE MATERNAL AND INFANT MORTALITY AND MORBIDITY
452		-	;
	453	+	LINICAL
	454	+	QUALITY IMPROVEMENT EFFORTS TO REDUCE26
	455	+	DISPARITIES IN PERINATAL HEALTH OUTCOMES AND TO PREVENT27
	456	+	175
	457	+	-12- MATERNAL AND INFANT MORTALITY AND MORBIDITY THAT INCLUDES1
	458	+	RELEVANT, AGGREGATE HOSPITAL MATERNAL AND INFANT HEALTH2
	459	+	QUALITY METRICS AND THAT MAY BE DISTRIBUTED TO POLICYMAKERS ,3
	460	+	HEALTH-CARE PROVIDERS, HOSPITALS AND OTHER HEALTH FACILITIES ,4
	461	+	PUBLIC HEALTH PROFESSIONALS , AND OTHER INTERESTED PERSONS TO5
	462	+	ASSIST THE DEPARTMENT IN PROMOTING DATA ACCESS AND FACILITATING6
	463	+	ADDITIONAL EFFORTS TO REDUCE MATERNAL AND INFANT MORTALITY AND7
	464	+	MORBIDITY; 8
453	465		(B) H
454		-	OSPITAL PARTICIPATION IN MATERNAL AND INFANT PERINATAL
455		-	QUALITY IMPROVEMENT INITIATIVES PURS UANT TO SUBSECTION
456		-	(4)(b) OF
457		-	THIS SECTION
458		-	;
	466	+	OSPITAL PARTICIPATION IN MATERNAL AND INFANT
	467	+	9
	468	+	PERINATAL QUALITY IMPROVEMENT INITIATIVES PURSUANT TO10
	469	+	SUBSECTION (4)(b) OF THIS SECTION;11
459	470		(C) I
460	471		MPLEMENTATION OF THE FEDERAL HEALTH RESOURCES AND
461		-	SERVICES ADMINISTRATION MATERNAL AND CHILD HEALTH BUREAU
462		-	'S AND
463		-	AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS' ALLIANCE
464		-	FOR INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES AND
465		-	RELATED PERFORMANCE METRICS
466		-	, INCLUDING THE STATUS OF ADDRESSING
467		-	DRIVERS OF PERINATAL HEALTH DISPARITIES AND MATERNAL AND INFANT
468		-	MORTALITY AND MORBIDITY AS DESCRIBED IN SUBSECTION
469		-	(4)(a) OF THIS
470		-	SECTION
471		-	; AND
472		-	(D) AREAS OF OPPORTUNITY FOR ONGOING IMPROVEMENT .
	472	+	12
	473	+	SERVICES ADMINISTRATION MATERNAL AND CHILD HEALTH BUREAU 'S AND13
	474	+	A
	475	+	MERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS' ALLIANCE
	476	+	14
	477	+	FOR INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES AND15
	478	+	RELATED PERFORMANCE METRICS , INCLUDING THE STATUS OF ADDRESSING16
	479	+	DRIVERS OF PERINATAL HEALTH DISPARITIES AND MATERNAL AND INFANT17
	480	+	MORTALITY AND MORBIDITY AS DESCRIBED IN SUBSECTION (4)(a) OF THIS18
	481	+	SECTION; AND19
	482	+	(D) A
	483	+	REAS OF OPPORTUNITY FOR ONGOING IMPROVEMENT .
	484	+	20
473	485		(b) I
474		-	N COMPLIANCE WITH ALL APPLICABLE STATE AND FEDERAL LAWS
475		-	RELATING TO THE PUBLICATION OF HEALTH INFORMATION AND LEGALLY
476		-	BINDING DATA USE AGREEMENTS
477		-	, THE PERINATAL QUALITY COLLABORATIVE
478		-	AND THE DEPARTMENT SHALL MAKE AN AGGREGATED AND DE
479		-	-IDENTIFIED
480		-	REPORT PREPARED PURSUANT TO SUBSECTION
481		-	(6)(a)(II) OF THIS SECTION
482		-	PUBLICLY AVAILABLE ON THE DEPARTMENT
483		-	'S WEBSITE AND ON THE WEBSITE
484		-	OF THE PERINATAL QUALITY COLLABORATIVE
485		-	.
	486	+	N COMPLIANCE WITH ALL APPLICABLE STATE AND FEDERAL21
	487	+	LAWS RELATING TO THE PUBLICATION OF HEALTH INFORMATION AND22
	488	+	LEGALLY BINDING DATA USE AGREEMENTS , THE PERINATAL QUALITY23
	489	+	COLLABORATIVE AND THE DEPARTMENT SHALL MAKE AN AGGREGATED
	490	+	24
	491	+	AND DE-IDENTIFIED REPORT PREPARED PURSUANT TO SUBSECTION25
	492	+	(6)(a)(II)
	493	+	OF THIS SECTION PUBLICLY AVAILABLE ON THE DEPARTMENT 'S26
	494	+	WEBSITE AND ON THE WEBSITE OF THE PERINATAL QUALITY27
	495	+	175
	496	+	-13- COLLABORATIVE.1
486	497		(c) T
487		-	HE PERINATAL QUALITY COLLABORATIVE SHALL CONSULT ~~WITH~~
488		-	~~A STATEWIDE ASSOCIATION OF HOSPITALS AND WITH DIVERSE HOSPITAL~~
489		-	~~PAGE 10-SENATE~~ ~~BILL 24-175~~ ~~LEADERSHIP TO SUPPORT ONGOING HOSPITAL ENGAGEMENT IN QUALITY~~
490		-	~~IMPROVEMENT AND~~ TO ~~ADVISE PRACTITIONERS IN CLINICAL SETTINGS~~
491		-	~~ACROSS THE STATE ON THE ADVANCEMENT OF BEST PRACTICES~~ TO ~~REDUCE~~
492		-	~~MATERNAL AND INFANT MORTALITY AND MORBIDITY~~
493		-	.
	498	+	HE PERINATAL QUALITY COLLABORATIVE SHALL CONSULT
	499	+	2
	500	+	WITH A STATEWIDE ASSOCIATION OF HOSPITALS AND WITH DIVERSE3
	501	+	HOSPITAL LEADERSHIP TO SUPPORT ONGOING HOSPITAL ENGAGEMENT IN4
	502	+	QUALITY IMPROVEMENT AND TO ADVISE PRACTITIONERS IN CLINICAL5
	503	+	SETTINGS ACROSS THE STATE ON THE ADVANCEMENT OF BEST PRACTICES6
	504	+	TO REDUCE MATERNAL AND INFANT MORTALITY AND MORBIDITY .7
494	505		(d) D
495	506		ATA SUBMITTED PURSUANT TO SUBSECTION (4)(a) OF THIS
496		-	SECTION IS CONSIDERED CONFIDENTIAL AND PROPRIETARY
497		-	, CONTAINS TRADE
498		-	SECRETS
499		-	, OR IS NOT A PUBLIC RECORD PURSUANT TO PART 2 OF ARTICLE 72
500		-	OF TITLE 24 AND IS ONLY REPORTABLE IN AN AGGREGATED AND
501		-	DE
502		-	-IDENTIFIED MANNER.
503		-	SECTION 5. In Colorado Revised Statutes, add 25.5-5-518 as
504		-	follows:
505		-	25.5-5-518. Coverage for choline dietary supplements. (1) N
	507	+	8
	508	+	SECTION IS CONSIDERED CONFIDENTIAL AND PROPRIETARY , CONTAINS9
	509	+	TRADE SECRETS, OR IS NOT A PUBLIC RECORD PURSUANT TO PART 2 OF10
	510	+	ARTICLE 72 OF TITLE 24 AND IS ONLY REPORTABLE IN AN AGGREGATED11
	511	+	AND DE-IDENTIFIED MANNER.12
	512	+	SECTION 5. In Colorado Revised Statutes, add 25.5-5-517 as13
	513	+	follows:14
	514	+	25.5-5-517. Coverage for choline dietary supplements. (1) N
506	515		O
507		-	LATER THAN
508		-	JULY 1, 2025, THE STATE BOARD SHALL PROMULGATE RULES TO
509		-	INCLUDE COVERAGE UNDER THE MEDICAL ASSISTANCE PROGRAM FOR
510		-	OVER
511		-	-THE-COUNTER CHOLINE DIETARY SUPPLEMENTS FOR PREGNANT
512		-	PERSONS
513		-	.
	516	+	15
	517	+	LATER THAN JULY 1, 2025, THE STATE BOARD SHALL PROMULGATE RULES16
	518	+	TO INCLUDE COVERAGE UNDER THE MEDICAL ASSISTANCE PROGRAM FOR17
	519	+	OVER-THE-COUNTER CHOLINE DIETARY SUPPLEMENTS FOR PREGNANT18
	520	+	PERSONS.19
514	521		(2) T
515	522		HE STATE DEPARTMENT SHALL SEEK FEDERAL APPROVAL , AS
516		-	NECESSARY
517		-	, FOR THE COVERAGE DESCRIBED IN SUBSECTION (1) OF THIS
518		-	SECTION
519		-	.
520		-	SECTION 6. Appropriation. (1) For the 2024-25 state fiscal year,
521		-	$1,328,652 is appropriated to the department of public health and
522		-	environment for use by the prevention services division. This appropriation
523		-	is from the general fund and is based on an assumption that the division will
524		-	require an additional 0.9 FTE. To implement this act, the division may use
525		-	this appropriation for maternal and child health related to community health.
526		-	SECTION 7. Safety clause. The general assembly finds,
527		-	determines, and declares that this act is necessary for the immediate
528		-	preservation of the public peace, health, or safety or for appropriations for
529		-	PAGE 11-SENATE BILL 24-175 the support and maintenance of the departments of the state and state
530		-	institutions.
531		-	____________________________ ____________________________
532		-	Steve Fenberg Julie McCluskie
533		-	PRESIDENT OF SPEAKER OF THE HOUSE
534		-	THE SENATE OF REPRESENTATIVES
535		-	____________________________ ____________________________
536		-	Cindi L. Markwell Robin Jones
537		-	SECRETARY OF CHIEF CLERK OF THE HOUSE
538		-	THE SENATE OF REPRESENTATIVES
539		-	APPROVED________________________________________
540		-	(Date and Time)
541		-	_________________________________________
542		-	Jared S. Polis
543		-	GOVERNOR OF THE STATE OF COLORADO
544		-	PAGE 12-SENATE BILL 24-175
	523	+	20
	524	+	NECESSARY, FOR THE COVERAGE DESCRIBED IN SUBSECTION (1) OF THIS21
	525	+	SECTION.22
	526	+	SECTION 6. Appropriation. (1) For the 2024-25 state fiscal23
	527	+	year, $1,328,652 is appropriated to the department of public health and24
	528	+	environment for use by the prevention services division. This25
	529	+	appropriation is from the general fund and is based on an assumption that26
	530	+	the division will require an additional 0.9 FTE. To implement this act, the27
	531	+	175
	532	+	-14- division may use this appropriation for maternal and child health related1
	533	+	to community health.2
	534	+	SECTION 7. Safety clause. The general assembly finds,3
	535	+	determines, and declares that this act is necessary for the immediate4
	536	+	preservation of the public peace, health, or safety or for appropriations for5
	537	+	the support and maintenance of the departments of the state and state6
	538	+	institutions.7
	539	+	175
	540	+	-15-