First Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
INTRODUCED
LLS NO. 25-0593.01 Christy Chase x2008
HOUSE BILL 25-1027
House Committees Senate Committees
Health & Human Services
A BILL FOR AN ACT
C
ONCERNING MODIFICATIONS TO STATUTES GOVERNING DISEASE101
CONTROL.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
.)
The bill amends various statutes governing the operations of the
department of public health and environment (department) regarding
disease control. Specifically, sections 1 through 9 of the bill:
! Repeal the governor's expert emergency epidemic response
committee (GEEERC);
! Direct the state board of health to review and approve the
HOUSE SPONSORSHIP
Gilchrist and Brown,
SENATE SPONSORSHIP
Daugherty,
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. department's emergency response and recovery plan every
3 years; and
! Require the executive director of the department or, if the
executive director is not the chief medical officer, the chief
medical officer to convene a group of subject matter
experts to develop crisis standards of care to be used in
responding to a public health emergency.
Sections 10 through 15 modify school immunization provisions
as follows to:
! Allow the records of a physician assistant to be used to
create a certificate of immunization for a student;
! Eliminate a provision regarding a plan for complying with
immunization requirements since it is not one of the ways
for complying with school immunization requirements;
! Repeal the 14-day period within which a student whose
certificate of immunization is not up to date to comply with
immunization requirements to attend school and instead
direct the state board of health to establish a timeline for
compliance that is no shorter than 14 days after notice of
noncompliance is received;
! Extend from February 15 to April 15 the deadline for a
school to distribute the annual letter to parents specifying
the school's aggregate immunization rates and the
immunization requirements applicable for the next school
year;
! Remove gendered pronouns and replace them with
gender-neutral language; and
! Repeal the requirement for schools to notify the department
and the local public health agency when a student is
suspended or expelled from school for noncompliance with
immunization requirements.
Section 16 extends from July 15 to September 15 the date by
which the department is required to submit to the general assembly an
annual report summarizing health-care-associated infections data received
from health facilities in the state.
Section 17 repeals the requirement for certain health-care
providers to offer a hepatitis C screening test to individuals born between
1945 and 1965 and instead directs the state board of health to adopt
standards, consistent with recommendations from the federal centers for
disease control and prevention, for hepatitis C screening tests.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, 25-1-105, add (4) as2
HB25-1027-2- follows:1
25-1-105. Executive director - chief medical officer -2
qualifications - salary - office - duties - crisis standards of care.3
(4) (a) I
N THE EVENT OF A PUBLIC HEALTH EMERGENCY , IF THE GOVERNOR4
AND THE EXECUTIVE DIRECTOR AND , IF THE EXECUTIVE DIRECTOR IS NOT5
THE CHIEF MEDICAL OFFICER, THE CHIEF MEDICAL OFFICER AGREE THAT6
CRISIS STANDARDS OF CARE ARE NEEDED TO RESPOND TO THE PUBLIC7
HEALTH EMERGENCY , THE EXECUTIVE DIRECTOR OR, IF THE EXECUTIVE8
DIRECTOR IS NOT THE CHIEF MEDICAL OFFICER , THE CHIEF MEDICAL9
OFFICER SHALL:10
(I) A
SSEMBLE A GROUP OF SUBJECT MATTER EXPERTS TO DEVELOP11
CRISIS STANDARDS OF CARE FOR USE BY HEALTH -CARE PROVIDERS AND12
HEALTH-CARE FACILITIES IN RESPONDING TO THE PUBLIC HEALTH13
EMERGENCY; AND14
(II) A
CTIVATE ALL OR PORTIONS OF THE CRISIS STANDARDS OF15
CARE AS NEEDED DURING THE PUBLIC HEALTH EMERGENCY .16
(b) U
PON AGREEMENT OF THE GOVERNOR AND THE EXECUTIVE17
DIRECTOR AND, IF THE EXECUTIVE DIRECTOR IS NOT THE CHIEF MEDICAL18
OFFICER, THE CHIEF MEDICAL OFFICER THAT THE CRISIS STANDARDS OF19
CARE ARE NO LONGER NEEDED TO RESPOND TO THE PUBLIC HEALTH20
EMERGENCY, THE EXECUTIVE DIRECTOR OR, IF THE EXECUTIVE DIRECTOR21
IS NOT THE CHIEF MEDICAL OFFICER, THE CHIEF MEDICAL OFFICER SHALL22
VACATE THE CRISIS STANDARDS OF CARE .23
SECTION 2. In Colorado Revised Statutes, 25-1-108, add (1)(i)24
as follows:25
25-1-108. Powers and duties of state board of health - rules -26
definitions. (1) In addition to all other powers and duties conferred and27
HB25-1027
-3- imposed upon the state board of health by this part 1, the board has the1
following specific powers and duties:2
(i) (I) T
O REVIEW AND APPROVE THE INTERNAL EMERGENCY3
RESPONSE AND RECOVERY PLAN SUBMITTED TO THE BOARD EVERY THREE4
YEARS.5
(II) A
S USED IN THIS SUBSECTION (1)(i):6
(A) "I
NTERNAL EMERGENCY RESPONSE AND RECOVERY PLAN "7
MEANS THE PORTION OF THE STATE EMERGENCY OPERATIONS PLAN8
PREPARED AND UPDATED BY THE DEPARTMENT THAT SPECIFIES9
OPERATIONS THAT WILL BE IMPLEMENTED IF THERE IS AN OCCURRENCE OR10
IMMINENT THREAT OF AN EMERGENCY EPIDEMIC .11
(B) "S
TATE EMERGENCY OPERATIONS PLAN " MEANS THE PLAN12
DEVELOPED IN ACCORDANCE WITH SECTION 24-33.5-705 (2) BY THE OFFICE13
OF EMERGENCY MANAGEMENT IN THE DIVISION OF HOMELAND SECURITY14
AND EMERGENCY MANAGEMENT IN THE DEPARTMENT OF PUBLIC SAFETY15
TO ADDRESS THE PREPARATION, PREVENTION, MITIGATION, RESPONSE, AND16
RECOVERY FROM EMERGENCIES AND DISASTERS .17
SECTION 3. In Colorado Revised Statutes, repeal 24-33.5-704.518
(1).19
SECTION 4. In Colorado Revised Statutes, 24-33.5-704.5,20
amend (2) as follows:21
24-33.5-704.5. Continuity of operations plans - reports to22
general assembly. (2) Each department that administers a publicly23
funded safety net program shall develop a continuity of operations plan24
The plan shall establish
THAT ESTABLISHES procedures for the response25
by, and continuation of operations of, the department and the
SAFETY NET26
program in the event of an emergency epidemic. Each department shall
27
HB25-1027
-4- file its plan with the executive director of the department of public health1
and environment and shall update the plan at least annually. In addition,2
notwithstanding section 24-1-136 (11), each department shall submit a3
report by March 1 of each year to the health and human services4
committee COMMITTEES of the senate and the public health care and5
human services committee of the house of representatives, or any6
successor committees, regarding the status of the department's plan, as7
well as the status of any other plans or procedures of the department8
regarding emergency and disaster preparedness.9
SECTION 5. In Colorado Revised Statutes, 2-3-1502, repeal (6)10
as follows:11
2-3-1502. Definitions. As used in this part 15, unless the context12
otherwise requires:13
(6) "GEEERC" means the governor's expert emergency epidemic14
response committee created in section 24-33.5-704.5.15
SECTION 6. In Colorado Revised Statutes, 2-3-1503, amend16
(1)(a) and (2) as follows:17
2-3-1503. Legislative emergency preparedness, response, and18
recovery committee - creation - membership - duties. (1) (a) There is19
hereby created a legislative emergency preparedness, response, and20
recovery committee. The legislative committee shall develop a plan for21
the response by, and continuation of operations of, the general assembly22
and the legislative service agencies in the event of an emergency23
epidemic or disaster. The legislative committee shall cooperate and24
coordinate with the division
AND the department and the GEEERC
in25
developing the plan The legislative committee shall develop and SHALL26
submit the plan to the speaker of the house of representatives, the27
HB25-1027
-5- president of the senate, the governor, the executive director of the1
department,
AND the director of the division. and the GEEERC no later
2
than July 1, 2011. The legislative committee shall meet at least annually3
to review and amend the plan as necessary and shall provide any updated4
plan to the persons INDIVIDUALS or entities specified in this paragraph (a)5
SUBSECTION (1)(a). The legislative committee may recommend legislation6
pertaining to the preparedness, response, and recovery by, and7
continuation of operations of, the general assembly and the legislative8
service agencies in the event of an emergency epidemic or disaster. The9
legislative committee shall provide information to and fully cooperate10
with the division
AND the department and the GEEERC
in fulfilling its11
duties under this section.12
(2) In the event of an emergency epidemic or disaster that the13
governor declares to be a disaster emergency pursuant to section14
24-33.5-704, C.R.S., the legislative committee shall convene as rapidly15
and as often as necessary to advise the speaker of the house of16
representatives, the president of the senate, and the legislative service17
agencies regarding reasonable and appropriate measures to be taken by18
the general assembly and the legislative service agencies to respond to the19
emergency epidemic or disaster and protect the public health, safety, and20
welfare. The legislative committee shall communicate, cooperate, and21
seek advice and assistance from the division
AND the department and the
22
GEEERC in responding to the emergency epidemic or disaster.23
SECTION 7. In Colorado Revised Statutes, 24-33.5-703, repeal24
(2) as follows:25
24-33.5-703. Definitions. As used in this part 7, unless the26
context otherwise requires:27
HB25-1027
-6- (2) "Committee" means the governor's expert emergency epidemic1
response committee created in section 24-33.5-704.5.2
SECTION 8. In Colorado Revised Statutes, 24-33.5-711.5,3
amend (1) as follows:4
24-33.5-711.5. Liability - limits on damages and compensation5
- immunity for good faith compliance with rules and orders.6
(1) Neither The state nor the members of the expert emergency epidemic7
response committee designated or appointed pursuant to section8
24-33.5-704.5 are IS NOT liable for any A claim based upon the9
committee's advice PROVIDED BY AN OFFICER OR EMPLOYEE OF A STATE10
DEPARTMENT to the governor or the alleged negligent exercise or11
performance of, or failure to exercise or perform, an act relating to an12
emergency epidemic. Liability against a member of the committee AN13
OFFICER OR EMPLOYEE OF A STATE DEPARTMENT may be found only for14
wanton or willful misconduct or willful disregard of the best interests of15
protecting and maintaining the public health. Damages awarded on the16
basis of such liability shall not exceed one hundred thousand dollars for17
any injury to or damage suffered by one person or three hundred thousand18
dollars for an injury to or damage suffered by three or more persons in the19
course of an emergency epidemic.20
SECTION 9. In Colorado Revised Statutes, 25-1.5-102, amend21
(1)(b)(I) as follows:22
25-1.5-102. Epidemic and communicable diseases - powers and23
duties of department - rules - definitions. (1) The department has, in24
addition to all other powers and duties imposed upon it by law, the25
powers and duties provided in this section as follows:26
(b) (I) To investigate and monitor the spread of disease that is27
HB25-1027
-7- considered part of an emergency epidemic, as defined in section1
24-33.5-703 (4), to determine the extent of environmental contamination2
resulting from the emergency epidemic, and to rapidly provide3
epidemiological and environmental information to the governor's expert4
emergency epidemic response committee, created in section5
24-33.5-704.5 STATE BOARD OF HEALTH.6
SECTION 10. In Colorado Revised Statutes, 25-4-901, amend7
(1)(a) as follows:8
25-4-901. Definitions. As used in this part 9, unless the context9
otherwise requires:10
(1) "Certificate of immunization" means one of the following11
forms of documentation that include the dates and types of immunizations12
administered to a student:13
(a) A paper
OR ELECTRONIC document that includes information14
transferred from the records of a licensed physician,
PHYSICIAN15
ASSISTANT AUTHORIZED PURSUANT TO SECTION 12-240-107 (6),16
ADVANCED PRACTICE registered nurse, or public health official; or17
SECTION 11. In Colorado Revised Statutes, 25-4-902, amend18
(1) introductory portion, (1)(a), (2), (3), and (4)(b); and repeal (1)(b) as19
follows:20
25-4-902. Immunization prior to attending school -21
standardized immunization information - rules - repeal. (1) A student22
shall not attend any school in the state of Colorado on or after the dates23
specified in section 25-4-906 (4) unless he or she
THE STUDENT OR THE24
STUDENT'S PARENT OR LEGAL GUARDIAN has presented one of the25
following to the appropriate school official:26
(a) An up-to-date certificate of immunization from a licensed27
HB25-1027
-8- physician, physician assistant authorized pursuant to section 12-240-1071
(6), advanced practice registered nurse, or authorized representative of the2
department of public health and environment or a local public health3
agency stating that the student has received immunization against4
communicable diseases as specified by the state board of health, based on5
recommendations of the advisory committee on immunization practices6
of the centers for disease control and prevention in the federal department7
of health and human services; or8
(b) A written authorization signed by one parent or legal guardian,9
an emancipated student, or a student eighteen years of age or older10
requesting that local public health officials administer the immunizations;11
or12
(2) (a) (I) If the student's certificate of immunization is not up to13
date according to the requirements of the state board of health, the parent14
or guardian
OF THE STUDENT or, IF THE STUDENT IS EMANCIPATED OR15
EIGHTEEN YEARS OF AGE OR OLDER , the emancipated
student or the16
student eighteen years of age or older shall submit to the school, within17
fourteen days after receiving direct personal notification that the18
certificate is not up to date, documentation
INDICATING that the next19
required immunization has been given and
THAT INCLUDES a written plan20
for completion of all required immunizations. The scheduling of21
immunizations in the written plan shall follow medically recommended22
minimum intervals approved by the state board of health. If the student23
begins but does not continue or complete the written plan, he or she
THE24
SCHOOL shall be suspended or expelled SUSPEND OR EXPEL THE STUDENT25
pursuant to this part 9.26
(II) T
HIS SUBSECTION (2)(a) IS REPEALED, EFFECTIVE JULY 1, 2026.27
HB25-1027
-9- (b) (I) IF THE STUDENT'S CERTIFICATE OF IMMUNIZATION IS NOT UP1
TO DATE ACCORDING TO THE REQUIREMENTS OF THE STATE BOARD OF2
HEALTH, THE PARENT OR GUARDIAN OF THE STUDENT OR , IF THE STUDENT3
IS EMANCIPATED OR EIGHTEEN YEARS OF AGE OR OLDER , THE STUDENT4
SHALL SUBMIT TO THE SCHOOL , WITHIN THE PERIOD SPECIFIED BY THE5
STATE BOARD OF HEALTH BY RULE , DOCUMENTATION INDICATING THAT6
THE NEXT REQUIRED IMMUNIZATION HAS BEEN GIVEN AND THAT INCLUDES7
A WRITTEN PLAN FOR COMPLETION OF ALL REQUIRED IMMUNIZATIONS . THE8
SCHEDULING OF IMMUNIZATIONS IN THE WRITTEN PLAN MUST FOLLOW9
MEDICALLY RECOMMENDED MINIMUM INTERVALS APPROVED BY THE10
STATE BOARD OF HEALTH . IF THE STUDENT BEGINS BUT DOES NOT11
CONTINUE OR COMPLETE THE WRITTEN PLAN , THE SCHOOL SHALL SUSPEND12
OR EXPEL THE STUDENT PURSUANT TO THIS PART 9.13
(II) T
HE STATE BOARD OF HEALTH SHALL ADOPT RULES14
ESTABLISHING THE PERIOD WITHIN WHICH A PARENT , LEGAL GUARDIAN, OR15
STUDENT MUST SUBMIT THE DOCUMENTATION SPECIFIED IN SUBSECTION16
(2)(b)(I)
OF THIS SECTION, WHICH PERIOD SHALL BE NOT LESS THAN17
FOURTEEN DAYS AFTER THE PARENT , LEGAL GUARDIAN, OR STUDENT18
RECEIVES DIRECT, PERSONAL NOTIFICATION THAT THE CERTIFICATE OF19
IMMUNIZATION IS NOT UP TO DATE. THE RULES ADOPTED BY THE BOARD20
PURSUANT TO THIS SUBSECTION (2)(b)(II) SHALL TAKE EFFECT ON JULY 1,21
2026.22
(3) Notwithstanding the provisions of
subsection (1) of this23
section, a school shall enroll a student who is in out-of-home placement24
within five school days after receiving the student's education information25
and records as required in section 22-32-138, C.R.S., regardless of26
whether the school has received the items specified in subsection (1) of27
HB25-1027
-10- this section. Upon enrolling the student, THE REQUIREMENTS OF1
SUBSECTIONS (1) AND (2) OF THIS SECTION APPLY, AND the school shall2
notify the student's legal guardian that, unless the school receives the3
student's certificate of immunization or a written authorization for4
administration of immunizations CERTIFICATE OF EXEMPTION within5
fourteen days after the student enrolls, the school shall WILL suspend the6
student until such time as the school receives the certificate of7
immunization or the authorization CERTIFICATE OF EXEMPTION.8
(4) (b) On or before February 15, 2021 APRIL 15, 2026, and on or9
before February 15 APRIL 15 each year thereafter, a school shall include10
on the document
DESCRIBED IN SUBSECTION (4)(a) OF THIS SECTION the11
school's specific immunization and exemption rates for the measles,12
mumps, and rubella vaccine for the school's enrolled student population13
for the prior school year compared to the vaccinated children standard14
described in section 25-4-911. The school may include on the document15
the school's specific immunization and exemption rates for any other16
vaccine for the school's enrolled student population for the prior school17
year. The school shall directly distribute the document to the parent or18
legal guardian of each student enrolled in its school, emancipated19
students, or students eighteen years of age or older, consistent with20
section 25-4-903 (5).21
SECTION 12. In Colorado Revised Statutes, 25-4-903, amend22
(2) introductory portion, (2)(a), (2)(b)(II)(B), (2.2)(a)(III), (2.2)(b)(II),23
and (2.2)(b)(III) as follows:24
25-4-903. Exemptions from immunization - rules. (2) A
25
U
NLESS A STUDENT IS EXEMPTED PURSUANT TO THIS SECTION , THE parent26
or legal guardian
OF A STUDENT shall have his or her
THE student27
HB25-1027
-11- immunized, unless the student is exempted pursuant to this section, or an1
emancipated student or a student eighteen years of age or older OR, IF A2
STUDENT IS EMANCIPATED OR EIGHTEEN YEARS OF AGE OR OLDER , THE3
STUDENT shall have himself or herself THEMSELF immunized. unless the4
student is exempted pursuant to this section. A student is exempted from5
receiving the required immunizations in the following manner:6
(a) By submitting to the student's school a completed certificate7
of medical exemption from a licensed physician, physician assistant8
authorized pursuant to section 12-240-107 (6), or advanced practice9
registered nurse that the physical condition of the student is such that one10
or more specified immunizations would endanger his or her THE11
STUDENT'S life or health or are medically contraindicated due to other12
medical conditions; or13
(b) (II) (B) A complete certificate of nonmedical exemption must14
include the signature of a person who is authorized pursuant to title 12 to15
administer immunizations within his or her THE PERSON'S scope of16
practice to the student for whom the certificate of nonmedical exemption17
is sought. Nothing in this subsection (2)(b)(II)(B) requires a person18
authorized pursuant to title 12 to administer immunizations within his or19
her THE PERSON'S scope of practice to sign a certificate of nonmedical20
exemption. Notwithstanding any law or rule to the contrary, a body that21
regulates the professional conduct of a person who is authorized pursuant22
to title 12 to administer immunizations within his or her THE PERSON'S23
scope of practice to the student for whom the certificate is sought shall24
not order a disciplinary action against the person because the person25
authorized to sign the certificate signed such certificate pursuant to this26
subsection (2)(b)(II)(B). It is unlawful for the employer or any A27
HB25-1027
-12- professional organization to retaliate against a person because the person1
authorized to sign a certificate signed such certificate pursuant to this2
subsection (2)(b)(II)(B).3
(2.2) (a) (III) A person authorized pursuant to title 12 to4
administer immunizations within his or her THE PERSON'S scope of5
practice to the student for whom the certificate of nonmedical exemption6
is sought and who signs the certificate of nonmedical exemption form7
shall provide a copy of a completed certificate of nonmedical exemption8
to the student's parent or legal guardian, the emancipated student, or the9
student eighteen years of age or older.10
(b) (II) A person authorized pursuant to title 12 to administer11
immunizations within his or her THE PERSON'S scope of practice to the12
student for whom the certificate of nonmedical exemption is sought and13
who signs the certificate of nonmedical exemption shall submit the14
nonmedical exemption data to the immunization tracking system created15
in section 25-4-2403.16
(III) Notwithstanding subsections (2.2)(b)(I) and (2.2)(b)(II) of17
this section, a licensed physician, a physician assistant authorized18
pursuant to section 12-240-107 (6), an advanced practice registered nurse,19
or a person authorized pursuant to title 12 to administer immunizations20
within his or her THE PERSON'S scope of practice is not subject to a21
regulatory sanction for failing to submit medical exemption or22
nonmedical exemption data to the immunization tracking system.23
SECTION 13. In Colorado Revised Statutes, amend 25-4-905 as24
follows:25
25-4-905. Immunization of indigent children. (1) The county,26
district, or municipal public health agency; a public health or school nurse27
HB25-1027
-13- under the supervision of a licensed physician or physician assistant1
authorized under section 12-240-107 (6); or the department of public2
health and environment, in the absence of a county, district, or municipal3
public health agency or public health nurse, shall provide, at public4
expense to the extent that funds are FUNDING IS available, immunizations5
required by this part 9 to each child whose parents or guardians cannot6
afford to have the child immunized or, if emancipated, who cannot7
himself or herself THEMSELF afford immunization and who has not been8
exempted. The department of public health and environment shall provide9
all vaccines necessary to comply with this section as far as funds FUNDING10
will permit. Nothing in this section precludes the department of public11
health and environment from distributing vaccines to physicians,12
PHYSICIAN ASSISTANTS AUTHORIZED UNDER SECTION 12-240-107 (6),13
advanced practice registered nurses, or others as required by law or the14
rules of the department. No
AN indigent child shall NOT be excluded,15
suspended, or expelled from school unless the immunizations have been16
available and readily accessible to the child at public expense.17
(2) Notwithstanding any other provision of this part 9 to the18
contrary, programs and services that provide immunizations to children19
for communicable diseases shall be
MADE available to a child regardless20
of his or her
THE CHILD'S race, religion, gender, ethnicity, national origin,21
or immigration status.22
SECTION 14. In Colorado Revised Statutes, 25-4-906, amend23
(1) as follows:24
25-4-906. Certificate of immunization - forms. (1) The25
department of public health and environment shall provide official26
certificates of immunization to the schools, private physicians, and27
HB25-1027
-14- county, district, and municipal public health agencies. Upon the1
commencement of the gathering of epidemiological information pursuant2
to section 25-4-2403 to implement the immunization tracking system,3
such form shall include a notice that informs a parent or legal guardian4
that he or she THE PARENT OR LEGAL GUARDIAN has the option to exclude5
his or her THEIR infant's, child's, or student's immunization information6
from the immunization tracking system created in section 25-4-2403. Any7
immunization record provided by PAPER OR ELECTRONIC DOCUMENT THAT8
INCLUDES INFORMATION TRANSFERRED FROM THE RECORDS OF a licensed9
physician,
A LICENSED PHYSICIAN ASSISTANT AUTHORIZED UNDER SECTION10
12-240-107
(6), AN ADVANCED PRACTICE registered nurse, or A public11
health official may be accepted by the school official as certification of12
immunization. if the information is transferred to the official certificate
13
of immunization and verified by the school official.14
SECTION 15. In Colorado Revised Statutes, 25-4-907, repeal (2)15
as follows:16
25-4-907. Noncompliance. (2) In the event of suspension or17
expulsion of a student, school officials shall notify the state department18
of public health and environment or the county, district, and municipal19
public health agency. An agent of said department shall then contact the20
parent or guardian or the emancipated student or student eighteen years21
of age or older in an effort to secure compliance with this part 9 in order22
that the student may be reenrolled in school.23
SECTION 16. In Colorado Revised Statutes, 25-3-603, amend24
(1) as follows:25
25-3-603. Department reports. (1) Notwithstanding section26
24-1-136 (11)(a)(I), on or before July 15, 2017 SEPTEMBER 15, 2025, and27
HB25-1027
-15- each July 15 SEPTEMBER 15 thereafter, the department shall submit to the1
health and human services committees of the house of representatives and2
of the senate,
OR THEIR SUCCESSOR COMMITTEES , a report summarizing3
the risk-adjusted health-facility data. The department shall post the report4
on its website.5
SECTION 17. In Colorado Revised Statutes, 25-4-2005, amend6
(1) as follows:7
25-4-2005. Hepatitis C testing - recommendations - definitions8
- rules - repeal. (1) (a) (I) The department recommends that each9
primary health-care provider or physician, physician assistant, or nurse10
practitioner who treats a patient in an inpatient or outpatient setting offer11
a person born between the years of 1945 and 1965 a hepatitis C screening12
test or hepatitis C diagnostic test unless the health-care provider providing13
such services reasonably believes that:14
(a)
(A) The patient is being treated for a life-threatening15
emergency;16
(b) (B) The patient has previously been offered or has been the17
subject of a hepatitis C screening; or18
(c) (C) The patient lacks capacity to consent to a hepatitis C19
screening test.20
(II) T
HIS SUBSECTION (1)(a) IS REPEALED, EFFECTIVE JULY 1, 2026.21
(b) (I) T
HE STATE BOARD OF HEALTH CREATED IN SECTION22
25-1-103
SHALL ADOPT RULES ESTABLISHING STANDARDS FOR HEPATITIS23
C
SCREENING AND DIAGNOSTIC TESTS FOR USE BY PRIMARY HEALTH -CARE24
PROVIDERS, PHYSICIANS, PHYSICIAN ASSISTANTS , OR NURSE25
PRACTITIONERS WHO TREAT PATIENTS IN AN INPATIENT OR OUTPATIENT26
SETTING. THE BOARD SHALL ENSURE THAT THE SCREENING AND27
HB25-1027
-16- DIAGNOSTIC TEST STANDARDS ALIGN WITH RECOMMENDATIONS OF THE1
FEDERAL CENTERS FOR DISEASE CONTROL AND PREVENTION FOR HEPATITIS2
C
SCREENING AND DIAGNOSTIC TESTING .3
(II) T
HE RULES ADOPTED BY THE BOARD PURSUANT TO THIS4
SUBSECTION (1)(b) SHALL TAKE EFFECT ON JULY 1, 2026.5
SECTION 18. Safety clause. The general assembly finds,6
determines, and declares that this act is necessary for the immediate7
preservation of the public peace, health, or safety or for appropriations for8
the support and maintenance of the departments of the state and state9
institutions.10
HB25-1027
-17-