Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO INTRODUCED LLS NO. 24-1150.01 Jane Ritter x4342 SENATE BILL 24-223 Senate Committees House Committees Finance A BILL FOR AN ACT C ONCERNING LICENSING ISSUES FOR CLINICS THAT PERFORM SERVICES101 RELATED TO FERTILITY.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 .) Current law requires a gamete agency, gamete bank, or fertility clinic (clinic) to obtain a license from the department of public health and environment (department) on or after January 1, 2025, before the clinic may match or provide gametes or embryos to recipients in Colorado. The bill extends this deadline to July 1, 2025. The bill adds a requirement that applicants for an original and SENATE SPONSORSHIP Fenberg, HOUSE SPONSORSHIP (None), 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. renewal license must submit documentation to demonstrate compliance with licensing requirements. Subject to available appropriations, the department may, as it deems necessary, perform on-site inspections or complaint investigations of clinics located outside of Colorado. Beginning in fiscal year 2025-26, the bill requires the general assembly to annually appropriate $229,335 to the gamete agency, gamete bank, or fertility clinic fund. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 25-57-102, amend2 (2) as follows:3 25-57-102. Legislative declaration. (2) Therefore, the general4 assembly finds that to protect the health and welfare of donor-conceived5 persons and their families in Colorado, it is essential to enact the6 "Donor-conceived Persons and Families of Donor-conceived Persons7 Protection Act" to regulate the use of donated gametes provided from8 gamete agencies, gamete banks, or fertility clinics located inside or9 outside of Colorado to recipients in or who are residents of, Colorado.10 SECTION 2. In Colorado Revised Statutes, 25-57-103, amend11 (3), (5), (7), (9), and (11) as follows:12 25-57-103. Definitions. As used in this article 57, unless the13 context otherwise requires:14 (3) "Donor" means an individual who produces eggs or sperm15 collected by a gamete agency, gamete bank, or fertility clinic or whose16 eggs or sperm created an embryo received by a gamete agency, gamete17 bank, or fertility clinic for use in assisted reproduction by a recipient who18 is unknown to the donor of the gametes at the time of donation. A DONOR19 AND A RECIPIENT PARENT OR PARENTS ARE "UNKNOWN" TO EACH OTHER20 IF A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC INTRODUCED21 SB24-223-2- OR INITIATED THE MATCH OR CONNECTION BETWEEN THE DONOR AND1 RECIPIENT PARENTS, AND THE DONOR AND RECIPIENT PARENT OR PARENTS2 DO NOT MUTUALLY EXCHANGE IDENTIFYING INFORMATION . The term3 "donor" only applies to the regulation of gamete agencies, gamete banks,4 or fertility clinics pursuant to this article 57 and does not apply for the5 purposes of determining parentage.6 (5) "Fertility clinic" means an entity or organization LOCATED IN7 C OLORADO that performs assisted reproduction medical procedures and8 receives donor gametes for a recipient in or who is a resident of, 9 Colorado, and the recipient and gamete donor are unknown to each other10 at time of donation.11 (7) "Gamete agency" means an oocyte or sperm donor matching12 agency that: is located within or outside of Colorado and matches gamete13 donors with recipients in or who are residents of, Colorado, and the14 potential recipients and gamete donors are unknown to each other at time15 of donation.16 (a) M ATCHES GAMETE DONORS WITH RECIPIENTS ; AND17 (b) H AS POTENTIAL RECIPIENTS AND GAMETE DONORS WHO ARE18 UNKNOWN TO EACH OTHER AT THE TIME OF THE DONATION ; AND19 (c) (I) I S LOCATED WITHIN COLORADO; OR20 (II) I S LOCATED OUTSIDE OF COLORADO AND MATCHES GAMETE21 DONORS WITH RECIPIENTS LOCATED IN COLORADO.22 (9) "Gamete bank" means an entity or organization that:23 (a) Collects gametes from a donor or receives embryos; and24 (b) Provides gametes or embryos to a recipient parent or parents25 or the recipient parent's medical provider when the recipient and donor26 are unknown to each other at time of donation; and27 SB24-223 -3- (c) (I) that Is located within or outside of Colorado; OR1 (II) I S LOCATED OUTSIDE OF COLORADO and provides gametes or2 embryos to a recipient parent or parents LOCATED in or who are residents 3 of, Colorado.4 (11) "Matches" or "matches gametes" means the process of5 matching a donor with a recipient in or who is a resident of, Colorado. A6 " MATCH" IS MADE BY A GAMETE AGENCY, AND A MATCH IS CONSIDERED7 MADE WHEN AN INTENDED RECIPIENT PARENT SELECTS A SPECIFIC8 POTENTIAL DONOR, OR AGREES TO RECEIVE A SPECIFIC POTENTIAL DONOR'S9 GAMETES, PRIOR TO THE COLLECTION OF THE GAMETES .10 SECTION 3. In Colorado Revised Statutes, 25-57-105, amend11 (4) as follows:12 25-57-105. Declaration regarding disclosure of identifying13 information and medical history - applicability. (4) A gamete agency,14 gamete bank, or fertility clinic located outside of Colorado shall not15 match or provide gametes from a donor who does not agree to the16 disclosure of the donor's identity as set forth in subsection (2) of this17 section to a recipient parent or parents located in or who are residents of, 18 Colorado.19 SECTION 4. In Colorado Revised Statutes, 25-57-108, amend20 (4) introductory portion as follows:21 25-57-108. Written materials for recipient parents and gamete22 donors. (4) A gamete agency, gamete bank, or fertility clinic located23 outside of Colorado that either matches donors to or provides gametes or24 embryos to recipients in or who are residents of, Colorado shall:25 SECTION 5. In Colorado Revised Statutes, 25-57-110, amend26 (1) and (3)(a)(I) as follows:27 SB24-223 -4- 25-57-110. License required - application - inspection -1 issuance, denial, suspension, or revocation - fees - civil penalties -2 rules. (1) On or after January JULY 1, 2025, a gamete agency, gamete3 bank, or fertility clinic shall not operate as a gamete agency, gamete bank,4 or fertility clinic in Colorado, or match or provide gametes or embryos to5 recipients in Colorado, without having first obtained a license from the6 department. Such THE license is conditioned on compliance with the7 applicable standards, requirements, and other provisions of this article 578 and its implementing rules.9 (3) (a) (I) The department shall investigate and review each10 original application and each renewal application for a license to operate11 as a gamete agency, gamete bank, or fertility clinic. T HE DEPARTMENT12 SHALL REQUIRE ALL APPLICANTS TO SUBMIT INFORMATION IN THE13 ORIGINAL AND RENEWAL APPLICATION PROCESS TO DOCUMENT14 COMPLIANCE WITH LICENSING REQUIREMENTS . SUBJECT TO AVAILABLE15 APPROPRIATIONS, THE DEPARTMENT MAY , AS IT DEEMS NECESSARY ,16 PERFORM ON-SITE INSPECTIONS OR COMPLAINT INVESTIGATIONS OF A17 GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC LOCATED OUTSIDE18 OF COLORADO. The department shall determine an applicant's compliance19 with this article 57, and the rules adopted pursuant to this article 57, for20 the collection and provision of gametes from donors who are unknown to21 a recipient at the time of the donation before issuing a license.22 SECTION 6. In Colorado Revised Statutes, amend 25-57-112 as23 follows:24 25-57-112. Gamete agency, gamete bank, or fertility clinic25 fund - created - priorities - appropriation. (1) The gamete agency,26 gamete bank, or fertility clinic fund, referred to in this section as the27 SB24-223 -5- "fund", is created in the state treasury. The fund consists of money1 credited to the fund pursuant to section 25-57-110 AND ANY MONEY2 APPROPRIATED TO THE FUND BY THE GENERAL ASSEMBLY . The money in3 the fund is subject to annual appropriation by the general assembly for the4 direct and indirect costs of the department in performing its duties5 pursuant to this article 57. At the end of any fiscal year, all unexpended6 and unencumbered money in the fund remains in the fund and is not7 credited or transferred to the general fund or any other fund.8 (2) T HE DEPARTMENT SHALL PRIORITIZE THE USE OF MONEY IN THE9 FUND FOR PROVIDING TECHNICAL AND COMPLIANCE ASSISTANCE AND10 PROCESSING LICENSES, YET RETAIN ADEQUATE RESOURCES FOR11 ENFORCEMENT.12 (3) B EGINNING IN FISCAL YEAR 2025-26, THE GENERAL ASSEMBLY13 SHALL ANNUALLY APPROPRIATE TWO HUNDRED TWENTY -NINE THOUSAND14 THREE HUNDRED THIRTY-FIVE DOLLARS TO THE FUND.15 SECTION 7. Safety clause. The general assembly finds,16 determines, and declares that this act is necessary for the immediate17 preservation of the public peace, health, or safety or for appropriations for18 the support and maintenance of the departments of the state and state19 institutions.20 SB24-223 -6-