Colorado 2024 Regular Session

Colorado Senate Bill SB223 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. 24-1150.01 Jane Ritter x4342
1	8		SENATE BILL 24-223
2		-	BY SENATOR(S) Fenberg and Gardner, Bridges, Buckner, Cutter,
3		-	Michaelson Jenet, Mullica, Priola;
4		-	also REPRESENTATIVE(S) Snyder, Brown, Kipp, Lieder, Lindsay, Vigil.
	9	+	Senate Committees House Committees
	10	+	Finance Finance
	11	+	Appropriations Appropriations
	12	+	A BILL FOR AN ACT
5	13		C
6		-	ONCERNING LICENSING ISSUES FOR CLINICS THAT PERFORM SERVICES
7		-	RELATED TO FERTILITY
8		-	.
9		-
10		-	Be it enacted by the General Assembly of the State of Colorado:
11		-	SECTION 1. In Colorado Revised Statutes, 25-57-102, amend (2)
12		-	as follows:
13		-	25-57-102. Legislative declaration. (2) Therefore, the general
14		-	assembly finds that to protect the health and welfare of donor-conceived
15		-	persons and their families in Colorado, it is essential to enact the
16		-	"Donor-conceived Persons and Families of Donor-conceived Persons
17		-	Protection Act" to regulate the use of donated gametes provided from
18		-	gamete agencies, gamete banks, or fertility clinics located inside or outside
19		-	of Colorado to recipients in or who are residents of,
20		-	Colorado.
21		-	SECTION 2. In Colorado Revised Statutes, 25-57-103, amend (3),
22		-	(5), (7), (9), and (11) as follows:
23		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
24		-	officers and the Governor. To determine whether the Governor has signed the bill
25		-	or taken other action on it, please consult the legislative status sheet, the legislative
26		-	history, or the Session Laws.
27		-	________
28		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
29		-	through words or numbers indicate deletions from existing law and such material is not part of
30		-	the act. 25-57-103. Definitions. As used in this article 57, unless the context
31		-	otherwise requires:
32		-	(3) "Donor" means an individual who produces eggs or sperm
33		-	collected by a gamete agency, gamete bank, or fertility clinic or whose eggs
34		-	or sperm created an embryo received by a gamete agency, gamete bank, or
35		-	fertility clinic for use in assisted reproduction by a recipient who is
36		-	unknown to the donor of the gametes at the time of donation. A
37		-	DONOR AND
38		-	A RECIPIENT PARENT OR PARENTS ARE
39		-	"UNKNOWN" TO EACH OTHER IF A
40		-	GAMETE AGENCY
41		-	, GAMETE BANK, OR FERTILITY CLINIC INTRODUCED OR
42		-	INITIATED THE MATCH OR CONNECTION BETWEEN THE DONOR AND RECIPIENT
43		-	PARENTS
44		-	, AND THE DONOR AND RECIPIENT PARENT OR PARENTS DO NOT
45		-	MUTUALLY EXCHANGE IDENTIFYING INFORMATION
46		-	. The term "donor" only
47		-	applies to the regulation of gamete agencies, gamete banks, or fertility
48		-	clinics pursuant to this article 57 and does not apply for the purposes of
49		-	determining parentage.
	14	+	ONCERNING LICENSING ISSUES FOR CLINICS THAT PERFORM SERVICES101
	15	+	RELATED TO FERTILITY.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	+	Current law requires a gamete agency, gamete bank, or fertility
	24	+	clinic (clinic) to obtain a license from the department of public health and
	25	+	environment (department) on or after January 1, 2025, before the clinic
	26	+	may match or provide gametes or embryos to recipients in Colorado. The
	27	+	bill extends this deadline to July 1, 2025.
	28	+	The bill adds a requirement that applicants for an original and
	29	+	HOUSE
	30	+	3rd Reading Unamended
	31	+	May 8, 2024
	32	+	HOUSE
	33	+	2nd Reading Unamended
	34	+	May 7, 2024
	35	+	SENATE
	36	+	3rd Reading Unamended
	37	+	May 3, 2024
	38	+	SENATE
	39	+	Amended 2nd Reading
	40	+	May 2, 2024
	41	+	SENATE SPONSORSHIP
	42	+	Fenberg and Gardner, Bridges, Buckner, Cutter, Michaelson Jenet, Mullica, Priola
	43	+	HOUSE SPONSORSHIP
	44	+	Snyder, Brown, Kipp, Lieder, Lindsay, Vigil
	45	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	46	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	47	+	Dashes through the words or numbers indicate deletions from existing law. renewal license must submit documentation to demonstrate compliance
	48	+	with licensing requirements.
	49	+	Subject to available appropriations, the department may, as it
	50	+	deems necessary, perform on-site inspections or complaint investigations
	51	+	of clinics located outside of Colorado.
	52	+	Beginning in fiscal year 2025-26, the bill requires the general
	53	+	assembly to annually appropriate $229,335 to the gamete agency, gamete
	54	+	bank, or fertility clinic fund.
	55	+	Be it enacted by the General Assembly of the State of Colorado:1
	56	+	SECTION 1. In Colorado Revised Statutes, 25-57-102, amend2
	57	+	(2) as follows:3
	58	+	25-57-102. Legislative declaration. (2) Therefore, the general4
	59	+	assembly finds that to protect the health and welfare of donor-conceived5
	60	+	persons and their families in Colorado, it is essential to enact the6
	61	+	"Donor-conceived Persons and Families of Donor-conceived Persons7
	62	+	Protection Act" to regulate the use of donated gametes provided from8
	63	+	gamete agencies, gamete banks, or fertility clinics located inside or9
	64	+	outside of Colorado to recipients in or who are residents of,
	65	+	Colorado.10
	66	+	SECTION 2. In Colorado Revised Statutes, 25-57-103, amend11
	67	+	(3), (5), (7), (9), and (11) as follows:12
	68	+	25-57-103. Definitions. As used in this article 57, unless the13
	69	+	context otherwise requires:14
	70	+	(3) "Donor" means an individual who produces eggs or sperm15
	71	+	collected by a gamete agency, gamete bank, or fertility clinic or whose16
	72	+	eggs or sperm created an embryo received by a gamete agency, gamete17
	73	+	bank, or fertility clinic for use in assisted reproduction by a recipient who18
	74	+	is unknown to the donor of the gametes at the time of donation. A
	75	+	DONOR19
	76	+	AND A RECIPIENT PARENT OR PARENTS ARE "UNKNOWN" TO EACH OTHER20
	77	+	IF A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC INTRODUCED21
	78	+	223-2- OR INITIATED THE MATCH OR CONNECTION BETWEEN THE DONOR AND1
	79	+	RECIPIENT PARENTS, AND THE DONOR AND RECIPIENT PARENT OR PARENTS2
	80	+	DO NOT MUTUALLY EXCHANGE IDENTIFYING INFORMATION . The term3
	81	+	"donor" only applies to the regulation of gamete agencies, gamete banks,4
	82	+	or fertility clinics pursuant to this article 57 and does not apply for the5
	83	+	purposes of determining parentage.6
50	84		(5) "Fertility clinic" means an entity or organization
51		-	LOCATED IN
52		-	COLORADO that performs assisted reproduction medical procedures and
53		-	receives donor gametes for a recipient in or who is a resident of, Colorado,
54		-	and the recipient and gamete donor are unknown to each other at time of donation.
55		-	(7) "Gamete agency" means an oocyte or sperm donor matching
56		-	agency that: is located within or outside of Colorado and matches gamete
57		-	donors with recipients in or who are residents of, Colorado, and the
58		-	potential recipients and gamete donors are unknown to each other at time
59		-	of donation.
60		-	(a) MATCHES GAMETE DONORS WITH RECIPIENTS ; AND
61		-	(b) MATCHES THE POTENTIAL RECIPIENTS AND GAMETE DONORS WHO
62		-	ARE UNKNOWN TO EACH OTHER AT THE TIME OF THE DONATION
63		-	; AND
64		-	(c) (I) IS LOCATED WITHIN COLORADO; OR
65		-	(II) IS LOCATED OUTSIDE OF COLORADO AND MATCHES INTENDED
66		-	RECIPIENTS LOCATED IN
67		-	COLORADO DURING THE MATCHING PROCESS WITH
68		-	GAMETE DONORS
69		-	.
70		-	PAGE 2-SENATE BILL 24-223 (9) "Gamete bank" means an entity or organization that:
71		-	(a) Collects gametes from a donor or receives embryos; and
72		-	(b) Provides gametes or embryos to a recipient parent or parents or
73		-	the recipient parent's medical provider when the recipient and donor are
74		-	unknown to each other at time of donation; and
75		-	(c) (I) that
76		-	Is located within or outside of Colorado; OR
77		-	(II) IS LOCATED OUTSIDE OF COLORADO and provides gametes or
	85	+	LOCATED IN7
	86	+	C
	87	+	OLORADO that performs assisted reproduction medical procedures and8
	88	+	receives donor gametes for a recipient in
	89	+	or who is a resident of,9
	90	+	Colorado, and the recipient and gamete donor are unknown to each other10
	91	+	at time of donation.11
	92	+	(7) "Gamete agency" means an oocyte or sperm donor matching12
	93	+	agency that: is located within or outside of Colorado and matches gamete13
	94	+	donors with recipients in or who are residents of, Colorado, and the14
	95	+	potential recipients and gamete donors are unknown to each other at time15
	96	+	of donation.16
	97	+	(a) M
	98	+	ATCHES GAMETE DONORS WITH RECIPIENTS ; AND17
	99	+	(b) M
	100	+	ATCHES THE
	101	+	POTENTIAL RECIPIENTS AND GAMETE DONORS18
	102	+	WHO ARE UNKNOWN TO EACH OTHER AT THE TIME OF THE DONATION ; AND19
	103	+	(c) (I) I
	104	+	S LOCATED WITHIN COLORADO; OR20
	105	+	(II) I
	106	+	S LOCATED OUTSIDE OF COLORADO AND MATCHES INTENDED
	107	+	21
	108	+	RECIPIENTS LOCATED IN COLORADO DURING THE MATCHING PROCESS WITH22
	109	+	GAMETE DONORS.23
	110	+	(9) "Gamete bank" means an entity or organization that:24
	111	+	(a) Collects gametes from a donor or receives embryos; and25
	112	+	(b) Provides gametes or embryos to a recipient parent or parents26
	113	+	or the recipient parent's medical provider when the recipient and donor27
	114	+	223
	115	+	-3- are unknown to each other at time of donation; and1
	116	+	(c) (I) that Is located within or outside of Colorado; OR2
	117	+	(II) I
	118	+	S LOCATED OUTSIDE OF COLORADO and provides gametes or3
78	119		embryos to a recipient parent or parents
79		-	LOCATED in or who are residents of,Colorado.
80		-	(11) "Matches" or "matches gametes" means the process of
81		-	matching a donor with a recipient in or who is a resident of, Colorado. A
	120	+	LOCATED in or who are residents
	121	+	4
	122	+	of, Colorado.5
	123	+	(11) "Matches" or "matches gametes" means the process of6
	124	+	matching a donor with a recipient in or who is a resident of, Colorado. A7
82	125		"
83		-	MATCH" IS MADE BY A GAMETE AGENCY , AND A MATCH IS CONSIDERED
84		-	MADE WHEN AN INTENDED RECIPIENT PARENT SELECTS A SPECIFIC POTENTIAL
85		-	DONOR
86		-	, OR AGREES TO RECEIVE A SPECIFIC POTENTIAL DONOR 'S GAMETES,
87		-	PRIOR TO THE COLLECTION OF THE GAMETES .
88		-	SECTION 3. In Colorado Revised Statutes, 25-57-105, amend (4)
89		-	as follows:
90		-	25-57-105. Declaration regarding disclosure of identifying
91		-	information and medical history - applicability. (4) A gamete agency,
92		-	gamete bank, or fertility clinic located outside of Colorado shall not match
93		-	INTENDED RECIPIENTS LOCATED IN COLORADO WITH DONORS , or provide
94		-	gametes
95		-	TO A RECIPIENT PARENT OR PARENTS LOCATED IN COLORADO OR TO
96		-	THE RECIPIENT PARENT
97		-	'S MEDICAL PROVIDER LOCATED IN COLORADO, from
98		-	a donor who does not agree to the disclosure of the donor's identity as set
99		-	forth in subsection (2) of this section. to a recipient parent or parents located
100		-	in or who are residents of Colorado
101		-	SECTION 4. In Colorado Revised Statutes, 25-57-108, amend (4)
102		-	introductory portion as follows:
103		-	25-57-108. Written materials for recipient parents and gamete
104		-	donors. (4) A gamete agency, gamete bank, or fertility clinic located
105		-	outside of Colorado that either matches donors to or provides gametes or
106		-	embryos to recipients in or who are residents of,
107		-	Colorado shall:
108		-	PAGE 3-SENATE BILL 24-223 SECTION 5. In Colorado Revised Statutes, 25-57-110, amend (1)
109		-	and (3)(a)(I) as follows:
110		-	25-57-110. License required - application - inspection - issuance,
111		-	denial, suspension, or revocation - fees - civil penalties - rules. (1) On
112		-	or after January JULY 1, 2025, a gamete agency, gamete bank, or fertility
113		-	clinic shall not operate as a gamete agency, gamete bank, or fertility clinic
114		-	in Colorado, or match or provide gametes or embryos to recipients in
115		-	Colorado, without having first obtained a license from the department. Such
116		-	THE license is conditioned on compliance with the applicable standards,
117		-	requirements, and other provisions of this article 57 and its implementing
118		-	rules.
119		-	(3) (a) (I) The department shall investigate and review each original
120		-	application and each renewal application for a license to operate as a
121		-	gamete agency, gamete bank, or fertility clinic. T
122		-	HE DEPARTMENT SHALL
123		-	REQUIRE ALL APPLICANTS TO SUBMIT INFORMATION IN THE ORIGINAL AND
124		-	RENEWAL APPLICATION PROCESS TO DOCUMENT COMPLIANCE WITH
125		-	LICENSING REQUIREMENTS
126		-	. SUBJECT TO AVAILABLE APPROPRIATIONS , THE
127		-	DEPARTMENT MAY
128		-	, AS IT DEEMS NECESSARY, PERFORM ON-SITE INSPECTIONS
129		-	OR COMPLAINT INVESTIGATIONS OF A GAMETE AGENCY
130		-	, GAMETE BANK, OR
131		-	FERTILITY CLINIC LOCATED OUTSIDE OF
132		-	COLORADO. The department shall
133		-	determine an applicant's compliance with this article 57, and the rules
134		-	adopted pursuant to this article 57, for the collection and provision of
135		-	gametes from donors who are unknown to a recipient at the time of the
136		-	donation before issuing a license.
	126	+	MATCH" IS MADE BY A GAMETE AGENCY, AND A MATCH IS CONSIDERED8
	127	+	MADE WHEN AN INTENDED RECIPIENT PARENT SELECTS A SPECIFIC9
	128	+	POTENTIAL DONOR, OR AGREES TO RECEIVE A SPECIFIC POTENTIAL DONOR'S10
	129	+	GAMETES, PRIOR TO THE COLLECTION OF THE GAMETES .11
	130	+	SECTION 3. In Colorado Revised Statutes, 25-57-105, amend12
	131	+	(4) as follows:13
	132	+	25-57-105. Declaration regarding disclosure of identifying14
	133	+	information and medical history - applicability. (4) A gamete agency,15
	134	+	gamete bank, or fertility clinic located outside of Colorado shall not16
	135	+	match
	136	+	INTENDED RECIPIENTS LOCATED IN COLORADO WITH DONORS , or
	137	+	17
	138	+	provide gametes
	139	+	TO A RECIPIENT PARENT OR PARENTS LOCATED IN
	140	+	18
	141	+	C
	142	+	OLORADO OR TO THE RECIPIENT PARENT 'S MEDICAL PROVIDER LOCATED
	143	+	19
	144	+	IN COLORADO, from a donor who does not agree to the disclosure of the20
	145	+	donor's identity as set forth in subsection (2) of this section. to a recipient21
	146	+	parent or parents located in or who are residents of Colorado22
	147	+	SECTION 4. In Colorado Revised Statutes, 25-57-108, amend23
	148	+	(4) introductory portion as follows:24
	149	+	25-57-108. Written materials for recipient parents and gamete25
	150	+	donors. (4) A gamete agency, gamete bank, or fertility clinic located26
	151	+	outside of Colorado that either matches donors to or provides gametes or27
	152	+	223
	153	+	-4- embryos to recipients in or who are residents of, Colorado shall:1
	154	+	SECTION 5. In Colorado Revised Statutes, 25-57-110, amend2
	155	+	(1) and (3)(a)(I) as follows:3
	156	+	25-57-110. License required - application - inspection -4
	157	+	issuance, denial, suspension, or revocation - fees - civil penalties -5
	158	+	rules. (1) On or after January JULY 1, 2025, a gamete agency, gamete6
	159	+	bank, or fertility clinic shall not operate as a gamete agency, gamete bank,7
	160	+	or fertility clinic in Colorado, or match or provide gametes or embryos to8
	161	+	recipients in Colorado, without having first obtained a license from the9
	162	+	department. Such THE license is conditioned on compliance with the10
	163	+	applicable standards, requirements, and other provisions of this article 5711
	164	+	and its implementing rules.12
	165	+	(3) (a) (I) The department shall investigate and review each13
	166	+	original application and each renewal application for a license to operate14
	167	+	as a gamete agency, gamete bank, or fertility clinic. T
	168	+	HE DEPARTMENT15
	169	+	SHALL REQUIRE ALL APPLICANTS TO SUBMIT INFORMATION IN THE16
	170	+	ORIGINAL AND RENEWAL APPLICATION PROCESS TO DOCUMENT17
	171	+	COMPLIANCE WITH LICENSING REQUIREMENTS . SUBJECT TO AVAILABLE18
	172	+	APPROPRIATIONS, THE DEPARTMENT MAY , AS IT DEEMS NECESSARY ,19
	173	+	PERFORM ON-SITE INSPECTIONS OR COMPLAINT INVESTIGATIONS OF A20
	174	+	GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC LOCATED OUTSIDE21
	175	+	OF COLORADO. The department shall determine an applicant's compliance22
	176	+	with this article 57, and the rules adopted pursuant to this article 57, for23
	177	+	the collection and provision of gametes from donors who are unknown to24
	178	+	a recipient at the time of the donation before issuing a license.25
137	179		SECTION 6. In Colorado Revised Statutes, amend 25-57-111 as
138		-	follows:
139		-	25-57-111. Rule-making authority. On or before July 1, 2024,
140		-	JANUARY 1, 2025, the state board shall promulgate any rules necessary to
141		-	implement this article 57. In promulgating rules, the state board shall
142		-	consider and protect the interests of donor-conceived persons and families
143		-	of donor-conceived persons, including lesbian, gay, bisexual, and
144		-	transgender parents and donor-conceived persons and single parents.
145		-	SECTION 7. In Colorado Revised Statutes, amend 25-57-112 as
146		-	follows:
147		-	25-57-112. Gamete agency, gamete bank, or fertility clinic fund
148		-	PAGE 4-SENATE BILL 24-223 - created - priorities - appropriation. (1) The gamete agency, gamete
149		-	bank, or fertility clinic fund, referred to in this section as the "fund", is
150		-	created in the state treasury. The fund consists of money credited to the fund
151		-	pursuant to section 25-57-110
152		-	AND ANY MONEY APPROPRIATED TO THE FUND
153		-	BY THE GENERAL ASSEMBLY
154		-	. The money in the fund is subject to annual
155		-	appropriation by the general assembly for the direct and indirect costs of the
156		-	department in performing its duties pursuant to this article 57. At the end of
157		-	any fiscal year, all unexpended and unencumbered money in the fund
158		-	remains in the fund and is not credited or transferred to the general fund or
159		-	any other fund.
	180	+	26
	181	+	follows:27
	182	+	223
	183	+	-5- 25-57-111. Rule-making authority. On or before July 1, 2024,1
	184	+	J
	185	+	ANUARY 1, 2025, the state board shall promulgate any rules necessary to
	186	+	2
	187	+	implement this article 57. In promulgating rules, the state board shall3
	188	+	consider and protect the interests of donor-conceived persons and families4
	189	+	of donor-conceived persons, including lesbian, gay, bisexual, and5
	190	+	transgender parents and donor-conceived persons and single parents.6
	191	+	SECTION 7. In Colorado Revised Statutes, amend 25-57-112 as7
	192	+	follows:8
	193	+	25-57-112. Gamete agency, gamete bank, or fertility clinic9
	194	+	fund - created - priorities - appropriation. (1) The gamete agency,10
	195	+	gamete bank, or fertility clinic fund, referred to in this section as the11
	196	+	"fund", is created in the state treasury. The fund consists of money12
	197	+	credited to the fund pursuant to section 25-57-110
	198	+	AND ANY MONEY13
	199	+	APPROPRIATED TO THE FUND BY THE GENERAL ASSEMBLY . The money in14
	200	+	the fund is subject to annual appropriation by the general assembly for the15
	201	+	direct and indirect costs of the department in performing its duties16
	202	+	pursuant to this article 57. At the end of any fiscal year, all unexpended17
	203	+	and unencumbered money in the fund remains in the fund and is not18
	204	+	credited or transferred to the general fund or any other fund.19
160	205		(2) T
161		-	HE DEPARTMENT SHALL PRIORITIZE THE USE OF MONEY IN THE
162		-	FUND FOR PROVIDING TECHNICAL AND COMPLIANCE ASSISTANCE AND
163		-	PROCESSING LICENSES
164		-	, YET RETAIN ADEQUATE RESOURCES FOR
165		-	ENFORCEMENT
166		-	.
	206	+	HE DEPARTMENT SHALL PRIORITIZE THE USE OF MONEY IN THE20
	207	+	FUND FOR PROVIDING TECHNICAL AND COMPLIANCE ASSISTANCE AND21
	208	+	PROCESSING LICENSES, YET RETAIN ADEQUATE RESOURCES FOR22
	209	+	ENFORCEMENT.23
167	210		(3) B
168		-	EGINNING IN FISCAL YEAR 2025-26, THE GENERAL ASSEMBLY
169		-	SHALL ANNUALLY APPROPRIATE ONE HUNDRED TWENTY
170		-	-FIVE THOUSAND
171		-	DOLLARS TO THE FUND
172		-	.
173		-	SECTION 8. Safety clause. The general assembly finds,
174		-	determines, and declares that this act is necessary for the immediate
175		-	preservation of the public peace, health, or safety or for appropriations for
176		-	PAGE 5-SENATE BILL 24-223 the support and maintenance of the departments of the state and state
177		-	institutions.
178		-	____________________________ ____________________________
179		-	Steve Fenberg Julie McCluskie
180		-	PRESIDENT OF SPEAKER OF THE HOUSE
181		-	THE SENATE OF REPRESENTATIVES
182		-	____________________________ ____________________________
183		-	Cindi L. Markwell Robin Jones
184		-	SECRETARY OF CHIEF CLERK OF THE HOUSE
185		-	THE SENATE OF REPRESENTATIVES
186		-	APPROVED________________________________________
187		-	(Date and Time)
188		-	_________________________________________
189		-	Jared S. Polis
190		-	GOVERNOR OF THE STATE OF COLORADO
191		-	PAGE 6-SENATE BILL 24-223
	211	+	EGINNING IN FISCAL YEAR 2025-26, THE GENERAL ASSEMBLY24
	212	+	SHALL ANNUALLY APPROPRIATE ONE HUNDRED TWENTY -FIVE THOUSAND
	213	+	25
	214	+	DOLLARS TO THE FUND.26
	215	+	SECTION 8. Safety clause. The general assembly finds,27
	216	+	223
	217	+	-6- determines, and declares that this act is necessary for the immediate1
	218	+	preservation of the public peace, health, or safety or for appropriations for2
	219	+	the support and maintenance of the departments of the state and state3
	220	+	institutions.4
	221	+	223
	222	+	-7-