Colorado 2024 Regular Session

Colorado Senate Bill SB221 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	+	REVISED
	5	+	This Version Includes All Amendments Adopted
	6	+	on Second Reading in the Second House
	7	+	LLS NO. 24-1178.01 Shelby Ross x4510
1	8		SENATE BILL 24-221
2		-	BY SENATOR(S) Roberts and Kirkmeyer, Pelton R., Rich, Bridges,
3		-	Buckner, Cutter, Exum, Fields, Ginal, Hinrichsen, Jaquez Lewis, Liston,
4		-	Michaelson Jenet, Mullica, Pelton B., Priola, Simpson, Will, Zenzinger,
5		-	Fenberg;
6		-	also REPRESENTATIVE(S) Catlin and Lukens, Lynch, McLachlan,
7		-	Amabile, Armagost, Bacon, Bird, Boesenecker, Brown, Daugherty,
8		-	deGruy Kennedy, Duran, English, Hamrick, Jodeh, Joseph, Kipp, Lieder,
9		-	Lindsay, Martinez, Mauro, McCormick, Ricks, Rutinel, Snyder, Soper,
10		-	Story, Titone, Velasco, Vigil, Weissman, Winter T., Young, McCluskie
11		-	.
	9	+	Senate Committees House Committees
	10	+	Health & Human Services Appropriations
	11	+	Appropriations
	12	+	A BILL FOR AN ACT
12	13		C
13		-	ONCERNING FUNDING FOR RURAL HEALTH CARE , AND, IN CONNECTION
14		-	THEREWITH
15		-	, MAKING AN APPROPRIATION.
16		-
17		-	Be it enacted by the General Assembly of the State of Colorado:
18		-	SECTION 1. In Colorado Revised Statutes, 23-76.5-104, amend
19		-	(1) as follows:
20		-	23-76.5-104. Initiative reporting. (1) On or before November 1,
21		-	2023, and on or before November 1 each year thereafter, the rural program
22		-	office shall submit a report to the house of representatives education
23		-	committee and the senate education committee, or their successor
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. committees, concerning the initiative. The report must include:
32		-	(a) Information about each institution's health-care professionals
33		-	rural tracks, the number of students enrolled in each rural track, the number
34		-	of students who have completed each rural track and are practicing in a
35		-	rural or frontier county, and any other relevant data and information about
36		-	the initiative; and
37		-	(b) The rural program office's analysis of the effectiveness of the
	14	+	ONCERNING FUNDING FOR RURAL HEALTH CARE , AND, IN101
	15	+	CONNECTION THEREWITH , MAKING AN APPROPRIATION .102
	16	+	Bill Summary
	17	+	(Note: This summary applies to this bill as introduced and does
	18	+	not reflect any amendments that may be subsequently adopted. If this bill
	19	+	passes third reading in the house of introduction, a bill summary that
	20	+	applies to the reengrossed version of this bill will be available at
	21	+	http://leg.colorado.gov
	22	+	.)
	23	+	For the Colorado rural health-care workforce initiative (workforce
	24	+	initiative), the bill authorizes the department of higher education to enter
	25	+	into a limited purpose fee-for-service contract with the board of regents
	26	+	of the university of Colorado for allocation to programs or institutions of
	27	+	higher education to expand an existing rural track program. If an
	28	+	allocation is made to a program or institution to expand an existing rural
	29	+	HOUSE
	30	+	2nd Reading Unamended
	31	+	May 7, 2024
	32	+	SENATE
	33	+	3rd Reading Unamended
	34	+	May 3, 2024
	35	+	SENATE
	36	+	Amended 2nd Reading
	37	+	May 2, 2024
	38	+	SENATE SPONSORSHIP
	39	+	Roberts and Kirkmeyer, Pelton R., Rich, Bridges, Buckner, Cutter, Exum, Fenberg,
	40	+	Fields, Ginal, Hinrichsen, Jaquez Lewis, Liston, Michaelson Jenet, Mullica, Pelton B., Priola,
	41	+	Simpson, Will, Zenzinger
	42	+	HOUSE SPONSORSHIP
	43	+	Catlin and Lukens, Lynch, McLachlan
	44	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	45	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	46	+	Dashes through the words or numbers indicate deletions from existing law. track program, the department of higher education shall utilize a formula
	47	+	developed and revised annually by the rural program office that is based
	48	+	on data that documents the program's or institution's fulfillment of certain
	49	+	requirements. The bill requires the rural program office to submit a report
	50	+	to the general assembly each year that includes the allocation formula
	51	+	developed by the rural program office.
	52	+	The bill authorizes any money not expended or encumbered from
	53	+	any appropriation at the end of any fiscal year to remain available for
	54	+	expenditure for the workforce initiative in the next fiscal year without
	55	+	further appropriation.
	56	+	The bill requires the department of health care policy and
	57	+	financing to distribute money appropriated for payments to rural
	58	+	hospitals.
	59	+	Be it enacted by the General Assembly of the State of Colorado:1
	60	+	SECTION 1. In Colorado Revised Statutes, 23-76.5-104, amend2
	61	+	(1) as follows:3
	62	+	23-76.5-104. Initiative reporting. (1) On or before November4
	63	+	1, 2023, and on or before November 1 each year thereafter, the rural5
	64	+	program office shall submit a report to the house of representatives6
	65	+	education committee and the senate education committee, or their7
	66	+	successor committees, concerning the initiative. The report must include:8
	67	+	(a) Information about each institution's health-care professionals9
	68	+	rural tracks, the number of students enrolled in each rural track, the10
	69	+	number of students who have completed each rural track and are11
	70	+	practicing in a rural or frontier county, and any other relevant data and12
	71	+	information about the initiative; and
	72	+	13
	73	+	(b) The rural program office's analysis of the effectiveness of the14
38	74		initiative and rural tracks;
39		-	AND
40		-	(c) THE ALLOCATION FORMULA DEVELOPED PURSUANT TO SECTION
41		-	23-76.5-105 (2)(c).
42		-	SECTION 2. In Colorado Revised Statutes, 23-76.5-105, amend
43		-	(1), (2)(a) introductory portion, and (2)(a)(VI)(A); and add (2)(c) and (3)
44		-	as follows:
45		-	23-76.5-105. Initiative funding - fee-for-service contracts.
46		-	(1) Subject to available appropriations, the department of higher education
47		-	shall enter into a limited purpose fee-for-service contract with the university
48		-	of Colorado health sciences center pursuant to section 23-18-308 to provide
49		-	funding for the rural program office
50		-	IN THE DEPARTMENT OF FAMILY
51		-	MEDICINE
52		-	to carry out its
53		-	THE OFFICE'S duties described in section
54		-	23-76.5-103. The funding for the rural program office may be included in
55		-	a single fee-for-service contract with the university of Colorado health
56		-	sciences center described in
57		-	PURSUANT TO subsection (2) of this section.
58		-	(2) (a) Subject to available appropriations, the department of higher
59		-	education shall enter into a limited purpose fee-for-service contract with the
60		-	governing boards of each of the following institutions, except for Colorado
61		-	mountain college, for allocation to each program or school
62		-	INSTITUTION
63		-	listed in this subsection (2) to establish or expand an existing rural track
64		-	pursuant to this article 76.5:
65		-	(VI) The university of Colorado, in the following programs or
66		-	schools:
67		-	(A) At the health sciences center campus, in its school of dental
	75	+	AND15
	76	+	(c) T
	77	+	HE ALLOCATION FORMULA DEVELOPED PURSUANT TO SECTION16
	78	+	23-76.5-105 (2)(c).17
	79	+	SECTION 2. In Colorado Revised Statutes, 23-76.5-105, amend18
	80	+	221-2- (1), (2)(a) introductory portion, and (2)(a)(VI)(A); and add (2)(c) and (3)1
	81	+	as follows:2
	82	+	23-76.5-105. Initiative funding - fee-for-service contracts.3
	83	+	(1) Subject to available appropriations, the department of higher4
	84	+	education shall enter into a limited purpose fee-for-service contract with5
	85	+	the university of Colorado health sciences center pursuant to section6
	86	+	23-18-308 to provide funding for the rural program office
	87	+	IN THE7
	88	+	DEPARTMENT OF FAMILY MEDICINE to carry out its
	89	+	THE OFFICE'S duties8
	90	+	described in section 23-76.5-103. The funding for the rural program9
	91	+	office may be included in a single fee-for-service contract with the10
	92	+	university of Colorado health sciences center described in PURSUANT TO11
	93	+	subsection (2) of this section.12
	94	+	(2) (a) Subject to available appropriations, the department of13
	95	+	higher education shall enter into a limited purpose fee-for-service contract14
	96	+	with the governing boards of each of the following institutions, except for15
	97	+	Colorado mountain college, for allocation to each program or school16
	98	+	INSTITUTION listed in this subsection (2) to establish or expand an existing17
	99	+	rural track pursuant to this article 76.5:18
	100	+	(VI) The university of Colorado, in the following programs or19
	101	+	schools:20
	102	+	(A) At the health sciences center campus, in its school of dental21
68	103		medicine and in
69		-	THE RURAL PROGRAM OF its doctor of medicine ~~program in~~
70		-	~~PAGE 2-SENATE BILL 24-221~~ the school of medicine;
	104	+	THE RURAL PROGRAM OF its doctor of medicine program22
	105	+	in the school of medicine;23
71	106		(c) S
72		-	UBJECT TO AVAILABLE APPROPRIATIONS , THE DEPARTMENT OF
73		-	HIGHER EDUCATION MAY ENTER INTO A LIMITED PURPOSE FEE
74		-	-FOR-SERVICE
75		-	CONTRACT WITH THE BOARD OF REGENTS OF THE UNIVERSITY OF
76		-	COLORADO
77		-	FOR ALLOCATION TO EACH PROGRAM OR INSTITUTION LISTED IN SUBSECTION
78		-	(2)(a) OF THIS SECTION TO EXPAND AN EXISTING RURAL TRACK PROGRAM
79		-	PURSUANT TO THIS ARTICLE
80		-	76.5. THE RURAL PROGRAM OFFICE , IN
81		-	COLLABORATION WITH THE INSTITUTIONS
82		-	, SHALL DEVELOP A FORMULA
83		-	BASED ON DATA THAT DOCUMENTS THE PROGRAM
84		-	'S OR INSTITUTION'S
85		-	FULFILLMENT OF THE REQUIREMENTS SPECIFIED IN SECTION
86		-	23-76.5-102 FOR
87		-	THE DEPARTMENT OF HIGHER EDUCATION TO USE TO MAKE ALLOCATIONS TO
88		-	A PROGRAM OR INSTITUTION PURSUANT TO THIS SUBSECTION
89		-	(2)(c). WHEN
90		-	DEVELOPING THE ALLOCATION FORMULA
91		-	, THE RURAL PROGRAM OFFICE
92		-	SHALL CONSIDER
93		-	:
	107	+	UBJECT TO AVAILABLE APPROPRIATIONS, THE DEPARTMENT OF24
	108	+	HIGHER EDUCATION MAY ENTER INTO A LIMITED PURPOSE25
	109	+	FEE-FOR-SERVICE CONTRACT WITH THE BOARD OF REGENTS OF THE26
	110	+	UNIVERSITY OF COLORADO FOR ALLOCATION TO EACH PROGRAM OR27
	111	+	221
	112	+	-3- INSTITUTION LISTED IN SUBSECTION (2)(a) OF THIS SECTION TO EXPAND AN1
	113	+	EXISTING RURAL TRACK PROGRAM PURSUANT TO THIS ARTICLE 76.5. THE2
	114	+	RURAL PROGRAM OFFICE, IN COLLABORATION WITH THE INSTITUTIONS ,3
	115	+	SHALL DEVELOP A FORMULA BASED ON DATA THAT DOCUMENTS THE4
	116	+	PROGRAM'S OR INSTITUTION'S FULFILLMENT OF THE REQUIREMENTS5
	117	+	SPECIFIED IN SECTION 23-76.5-102 FOR THE DEPARTMENT OF HIGHER6
	118	+	EDUCATION TO USE TO MAKE ALLOCATIONS TO A PROGRAM OR7
	119	+	INSTITUTION PURSUANT TO THIS SUBSECTION (2)(c). WHEN DEVELOPING8
	120	+	THE ALLOCATION FORMULA , THE RURAL PROGRAM OFFICE SHALL9
	121	+	CONSIDER:10
94	122		(I) T
95		-	HE PERCENTAGE OF MONEY DEDICATED TO DIRECT STUDENT
96		-	SUPPORT IN THE FORM OF SCHOLARSHIPS AND RURAL HOUSING ASSISTANCE
97		-	DURING RURAL PRACTICAL EXPERIENCE
98		-	;
	123	+	HE PERCENTAGE OF MONEY DEDICATED TO DIRECT STUDENT11
	124	+	SUPPORT IN THE FORM OF SCHOLARSHIPS AND RURAL HOUSING ASSISTANCE12
	125	+	DURING RURAL PRACTICAL EXPERIENCE ;13
99	126		(II) T
100		-	HE NUMBER OF STUDENTS ENROLLED IN EACH RURAL TRACK
101		-	PROGRAM
102		-	;
	127	+	HE NUMBER OF STUDENTS ENROLLED IN EACH RURAL TRACK14
	128	+	PROGRAM;15
103	129		(III) T
104		-	HE LENGTH OF STUDY FOR THE RURAL TRACK PROGRAM ;
	130	+	HE LENGTH OF STUDY FOR THE RURAL TRACK PROGRAM ;16
105	131		(IV) T
106		-	HE TUITION EXPENSES FOR THE RURAL TRACK PROGRAM ;
	132	+	HE TUITION EXPENSES FOR THE RURAL TRACK PROGRAM ;17
107	133		(V) T
108		-	HE AMOUNT OF RURAL CURRICULUM PROVIDED TO STUDENTS ;
	134	+	HE AMOUNT OF RURAL CURRICULUM PROVIDED TO STUDENTS ;18
109	135		(VI) T
110		-	HE RURAL PRACTICAL EXPERIENCE PROVIDED TO STUDENTS ;
	136	+	HE RURAL PRACTICAL EXPERIENCE PROVIDED TO STUDENTS ;19
111	137		(VII) T
112		-	HE TEACHING DEVELOPMENT PROVIDED TO ~~VOLUNTEER~~
113		-	RURAL PRECEPTORS
114		-	~~; AND~~
115		-	~~(VIII) THE~~ NUMBER OF GRADUATES WHO ENTER RURAL PRACTICE .
	138	+	HE TEACHING DEVELOPMENT PROVIDED TO VOLUNTEER20
	139	+	RURAL PRECEPTORS; AND21
	140	+	(VIII) T
	141	+	HE NUMBER OF GRADUATES WHO ENTER RURAL PRACTICE .22
116	142		(3) A
117		-	NY MONEY NOT EXPENDED OR ENCUMBERED FROM ~~ANY~~
118		-	APPROPRIATION AT THE END OF ANY FISCAL YEAR REMAINS ~~AVAILABLE FOR~~
119		-	EXPENDITURE FOR THE PURPOSE OF THIS SECTION IN THE NEXT ~~FISCAL YEAR~~
120		-	WITHOUT FURTHER APPROPRIATION
121		-	.
122		-	~~PAGE 3-SENATE BILL 24-~~221 ~~SECTION 3. In Colorado Revised Statutes, add 25.5-4-433 as~~
123		-	follows:
124		-	25.5-4-~~433~~. Rural hospital cash fund - creation - definition.
	143	+	NY MONEY NOT EXPENDED OR ENCUMBERED FROM ANY23
	144	+	APPROPRIATION AT THE END OF ANY FISCAL YEAR REMAINS AVAILABLE24
	145	+	FOR EXPENDITURE FOR THE PURPOSE OF THIS SECTION IN THE NEXT FISCAL25
	146	+	YEAR WITHOUT FURTHER APPROPRIATION .26
	147	+	SECTION 3. In Colorado Revised Statutes, add 25.5-4-431 as27
	148	+	221
	149	+	-4- follows:1
	150	+	25.5-4-431. Rural hospital cash fund - creation - definition.2
125	151		(1) T
126	152		HE RURAL HOSPITAL CASH FUND IS CREATED IN THE STATE TREASURY
127		-	AND IS REFERRED TO IN THIS SECTION AS THE
128		-	"FUND". THE FUND CONSISTS
129		-	OF MONEY CREDITED TO THE FUND AND ANY OTHER MONEY THAT THE
130		-	GENERAL ASSEMBLY MAY APPROPRIATE OR TRANSFER TO THE FUND
131		-	.
	153	+	3
	154	+	AND IS REFERRED TO IN THIS SECTION AS THE "FUND". THE FUND CONSISTS4
	155	+	OF MONEY CREDITED TO THE FUND AND ANY OTHER MONEY THAT THE5
	156	+	GENERAL ASSEMBLY MAY APPROPRIATE OR TRANSFER TO THE FUND .6
132	157		(2) T
133		-	HE STATE TREASURER SHALL CREDIT ALL INTEREST AND ~~INCOME~~
134		-	~~DERIVED FROM THE DEPOSIT AND INVESTMENT OF MONEY IN THE FUND TO~~
135		-	THE ~~FUND~~
136		-	.
	158	+	HE STATE TREASURER SHALL CREDIT ALL INTEREST AND
	159	+	7
	160	+	INCOME DERIVED FROM THE DEPOSIT AND INVESTMENT OF MONEY IN THE8
	161	+	FUND TO THE FUND.9
137	162		(3) M
138	163		ONEY IN THE FUND IS CONTINUOUSLY APPROPRIATED TO THE
139		-	~~DEPARTMENT OF HEALTH CARE POLICY AND FINANCING FOR THE PURPOSE OF~~
140		-	~~DISTRIBUTING MONEY IN EQUAL AMOUNTS TO RURAL HOSPITALS~~
141		-	.
	164	+	10
	165	+	DEPARTMENT OF HEALTH CARE POLICY AND FINANCING FOR THE PURPOSE11
	166	+	OF DISTRIBUTING MONEY IN EQUAL AMOUNTS TO RURAL HOSPITALS .12
142	167		(4) O
143	168		N JULY 1, 2024, THE STATE TREASURER SHALL TRANSFER ONE
144		-	MILLION SEVEN HUNDRED FORTY
145		-	-TWO THOUSAND TWENTY -NINE DOLLARS
146		-	FROM THE GENERAL FUND TO THE FUND
147		-	.
148		-	(5) A
149		-	S USED IN THIS SECTION, "RURAL HOSPITAL" MEANS A HOSPITAL
150		-	LICENSED OR CERTIFIED PURSUANT TO SECTION
151		-	25-1.5-103 (1)(a) OR AN
152		-	AFFILIATE OWNED OR CONTROLLED
153		-	, AS DEFINED IN SECTION 25.5-4-402.8
154		-	(1)(c),
155		-	BY A HOSPITAL, AND THAT IS LOCATED IN A COUNTY WITH A
156		-	POPULATION OF FEWER THAN FIFTY THOUSAND RESIDENTS OR IN A
157		-	MUNICIPALITY WITH A POPULATION OF FEWER THAN TWENTY
158		-	-FIVE
159		-	THOUSAND RESIDENTS IF THE MUNICIPALITY IS NOT CONTIGUOUS TO A
160		-	MUNICIPALITY WITH A POPULATION OF TWENTY
161		-	-FIVE THOUSAND OR MORE
162		-	RESIDENTS
163		-	.
164		-	SECTION 4. Appropriation. (1) For the 2024-25 state fiscal year,
165		-	$866,667 is appropriated to the department of higher education. This
166		-	appropriation is from the general fund. To implement this act, the
167		-	department may use this appropriation for the college opportunity fund
168		-	program to be used for limited purpose fee-for-service contracts with state
169		-	institutions.
170		-	(2) For the 2024-25 state fiscal year, $866,667 is appropriated to the
171		-	department of higher education. This appropriation is from reappropriated
172		-	PAGE 4-SENATE BILL 24-221 funds received from the limited purpose fee-for-service contracts with state
173		-	institutions under subsection (1) of this section. To implement this act, the
174		-	department may use this appropriation for the regents of the university of
175		-	Colorado for allocation to institutions of higher education pursuant to
176		-	section 23-76.5-105 (2)(c), C.R.S.
177		-	SECTION 5. Safety clause. The general assembly finds,
178		-	determines, and declares that this act is necessary for the immediate
179		-	preservation of the public peace, health, or safety or for appropriations for
180		-	PAGE 5-SENATE BILL 24-221 the support and maintenance of the departments of the state and state
181		-	institutions.
182		-	____________________________ ____________________________
183		-	Steve Fenberg
184		-	Julie McCluskie
185		-	PRESIDENT OF SPEAKER OF THE HOUSE
186		-	THE SENATE OF REPRESENTATIVES
187		-	____________________________ ____________________________
188		-	Cindi L. Markwell Robin Jones
189		-	SECRETARY OF CHIEF CLERK OF THE HOUSE
190		-	THE SENATE OF REPRESENTATIVES
191		-	APPROVED________________________________________
192		-	(Date and Time)
193		-	_________________________________________
194		-	Jared S. Polis
195		-	GOVERNOR OF THE STATE OF COLORADO
196		-	PAGE 6-SENATE BILL 24-221
	169	+	13
	170	+	MILLION SEVEN HUNDRED FORTY-TWO THOUSAND TWENTY -NINE DOLLARS14
	171	+	FROM THE GENERAL FUND TO THE FUND .15
	172	+	(5) AS USED IN THIS SECTION, "RURAL HOSPITAL" MEANS A16
	173	+	HOSPITAL LICENSED OR CERTIFIED PURSUANT TO SECTION 25-1.5-10317
	174	+	(1)(a)
	175	+	OR AN AFFILIATE OWNED OR CONTROLLED , AS DEFINED IN SECTION18
	176	+	25.5-4-402.8 (1)(c),
	177	+	BY A HOSPITAL, AND THAT IS LOCATED IN A COUNTY19
	178	+	WITH A POPULATION OF FEWER THAN FIFTY THOUSAND RESIDENTS OR IN A20
	179	+	MUNICIPALITY WITH A POPULATION OF FEWER THAN TWENTY -FIVE21
	180	+	THOUSAND RESIDENTS IF THE MUNICIPALITY IS NOT CONTIGUOUS TO A22
	181	+	MUNICIPALITY WITH A POPULATION OF TWENTY -FIVE THOUSAND OR MORE23
	182	+	RESIDENTS.24
	183	+	SECTION 4. Appropriation. (1) For the 2024-25 state fiscal25
	184	+	year, $866,667 is appropriated to the department of higher education. This26
	185	+	appropriation is from the general fund. To implement this act, the27
	186	+	221
	187	+	-5- department may use this appropriation for the college opportunity fund1
	188	+	program to be used for limited purpose fee-for-service contracts with2
	189	+	state institutions.3
	190	+	(2) For the 2024-25 state fiscal year, $866,667 is appropriated to4
	191	+	the department of higher education. This appropriation is from5
	192	+	reappropriated funds received from the limited purpose fee-for-service6
	193	+	contracts with state institutions under subsection (1) of this section. To7
	194	+	implement this act, the department may use this appropriation for the8
	195	+	regents of the university of Colorado for allocation to institutions of9
	196	+	higher education pursuant to section 23-76.5-105 (2)(c), C.R.S.10
	197	+	11
	198	+	SECTION 5. Safety clause. The general assembly finds,12
	199	+	determines, and declares that this act is necessary for the immediate13
	200	+	preservation of the public peace, health, or safety or for appropriations for14
	201	+	the support and maintenance of the departments of the state and state15
	202	+	institutions.16
	203	+	221
	204	+	-6-