First Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
ENGROSSED
This Version Includes All Amendments Adopted
on Second Reading in the House of Introduction
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
Amended 2nd Reading
February 6, 2025
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
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
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) EVERY THREE YEARS, TO REVIEW AND AMEND , AS3
NECESSARY, THE DEPARTMENT'S INTERNAL EMERGENCY RESPONSE AND4
RECOVERY PLAN THAT ADDRESSES THE PUBLIC HEALTH RESPONSE TO ACTS5
OF BIOTERRORISM, PANDEMIC INFLUENZA, AND EPIDEMICS CAUSED BY6
NOVEL AND HIGHLY FATAL INFECTIOUS AGENTS .7
(II) A
S USED IN THIS SUBSECTION (1)(i):8
(A) "I
NTERNAL EMERGENCY RESPONSE AND RECOVERY PLAN "9
MEANS THE PORTION OF THE STATE EMERGENCY OPERATIONS PLAN10
PREPARED AND UPDATED BY THE DEPARTMENT THAT SPECIFIES11
OPERATIONS THAT WILL BE IMPLEMENTED IF THERE IS AN OCCURRENCE OR12
IMMINENT THREAT OF AN EMERGENCY EPIDEMIC .13
(B) "S
TATE EMERGENCY OPERATIONS PLAN " MEANS THE PLAN14
DEVELOPED IN ACCORDANCE WITH SECTION 24-33.5-705 (2) BY THE OFFICE15
OF EMERGENCY MANAGEMENT IN THE DIVISION OF HOMELAND SECURITY16
AND EMERGENCY MANAGEMENT IN THE DEPARTMENT OF PUBLIC SAFETY17
TO ADDRESS THE PREPARATION, PREVENTION, MITIGATION, RESPONSE, AND18
RECOVERY FROM EMERGENCIES AND DISASTERS .19
SECTION 3. In Colorado Revised Statutes, repeal 24-33.5-704.520
(1).21
SECTION 4. In Colorado Revised Statutes, 24-33.5-704.5,22
amend (2) as follows:23
24-33.5-704.5. Continuity of operations plans - reports to24
general assembly. (2) Each department that administers a publicly25
funded safety net program shall develop a continuity of operations plan26
The plan shall establish
THAT ESTABLISHES procedures for the response27
1027
-4- by, and continuation of operations of, the department and the SAFETY NET1
program in the event of an emergency epidemic. Each department shall2
file its plan with the executive director of the department of public health3
and environment and shall update the plan at least annually. In addition,4
notwithstanding section 24-1-136 (11), each department shall submit a5
report by March 1 of each year to the health and human services6
committee COMMITTEES of the senate and the public health care and7
human services committee of the house of representatives, or any8
successor committees, regarding the status of the department's plan, as9
well as the status of any other plans or procedures of the department10
regarding emergency and disaster preparedness.11
SECTION 5. In Colorado Revised Statutes, 2-3-1502, repeal (6)12
as follows:13
2-3-1502. Definitions. As used in this part 15, unless the context14
otherwise requires:15
(6) "GEEERC" means the governor's expert emergency epidemic16
response committee created in section 24-33.5-704.5.17
SECTION 6. In Colorado Revised Statutes, 2-3-1503, amend18
(1)(a) and (2) as follows:19
2-3-1503. Legislative emergency preparedness, response, and20
recovery committee - creation - membership - duties. (1) (a) There is21
hereby created a legislative emergency preparedness, response, and22
recovery committee. The legislative committee shall develop a plan for23
the response by, and continuation of operations of, the general assembly24
and the legislative service agencies in the event of an emergency25
epidemic or disaster. The legislative committee shall cooperate and26
coordinate with the division
AND the department and the GEEERC
in27
1027
-5- developing the plan The legislative committee shall develop and SHALL1
submit the plan to the speaker of the house of representatives, the2
president of the senate, the governor, the executive director of the3
department,
AND the director of the division. and the GEEERC no later
4
than July 1, 2011. The legislative committee shall meet at least annually5
to review and amend the plan as necessary and shall provide any updated6
plan to the persons INDIVIDUALS or entities specified in this paragraph (a)7
SUBSECTION (1)(a). The legislative committee may recommend legislation8
pertaining to the preparedness, response, and recovery by, and9
continuation of operations of, the general assembly and the legislative10
service agencies in the event of an emergency epidemic or disaster. The11
legislative committee shall provide information to and fully cooperate12
with the division
AND the department and the GEEERC
in fulfilling its13
duties under this section.14
(2) In the event of an emergency epidemic or disaster that the15
governor declares to be a disaster emergency pursuant to section16
24-33.5-704, C.R.S., the legislative committee shall convene as rapidly17
and as often as necessary to advise the speaker of the house of18
representatives, the president of the senate, and the legislative service19
agencies regarding reasonable and appropriate measures to be taken by20
the general assembly and the legislative service agencies to respond to the21
emergency epidemic or disaster and protect the public health, safety, and22
welfare. The legislative committee shall communicate, cooperate, and23
seek advice and assistance from the division
AND the department and the
24
GEEERC in responding to the emergency epidemic or disaster.25
SECTION 7. In Colorado Revised Statutes, 24-33.5-703, repeal26
(2) as follows:27
1027
-6- 24-33.5-703. Definitions. As used in this part 7, unless the1
context otherwise requires:2
(2) "Committee" means the governor's expert emergency epidemic3
response committee created in section 24-33.5-704.5.4
SECTION 8. In Colorado Revised Statutes, 24-33.5-711.5,5
amend (1) as follows:6
24-33.5-711.5. Liability - limits on damages and compensation7
- immunity for good faith compliance with rules and orders.8
(1) Neither The state nor the members of the expert emergency epidemic9
response committee designated or appointed pursuant to section10
24-33.5-704.5 are IS NOT liable for any A claim based upon the11
committee's advice PROVIDED BY AN OFFICER OR EMPLOYEE OF A STATE12
DEPARTMENT to the governor or the alleged negligent exercise or13
performance of, or failure to exercise or perform, an act relating to an14
emergency epidemic. Liability against a member of the committee AN15
OFFICER OR EMPLOYEE OF A STATE DEPARTMENT may be found only for16
wanton or willful misconduct or willful disregard of the best interests of17
protecting and maintaining the public health. Damages awarded on the18
basis of such liability shall not exceed one hundred thousand dollars for19
any injury to or damage suffered by one person or three hundred thousand20
dollars for an injury to or damage suffered by three or more persons in the21
course of an emergency epidemic.22
SECTION 9. In Colorado Revised Statutes, 25-1.5-102, amend23
(1)(b)(I) as follows:24
25-1.5-102. Epidemic and communicable diseases - powers and25
duties of department - rules - definitions. (1) The department has, in26
addition to all other powers and duties imposed upon it by law, the27
1027
-7- powers and duties provided in this section as follows:1
(b) (I) To investigate and monitor the spread of disease that is2
considered part of an emergency epidemic, as defined in section3
24-33.5-703 (4), to determine the extent of environmental contamination4
resulting from the emergency epidemic, and to rapidly provide5
epidemiological and environmental information to the governor's expert6
emergency epidemic response committee, created in section7
24-33.5-704.5 STATE BOARD OF HEALTH.8
SECTION 10. In Colorado Revised Statutes, 25-4-901, repeal9
(1); and add (1.6) and (1.8) as follows:10
25-4-901. Definitions. As used in this part 9, unless the context11
otherwise requires:12
(1) "Certificate of immunization" means one of the following13
forms of documentation that include the dates and types of immunizations14
administered to a student:15
(a) A paper document that includes information transferred from16
the records of a licensed physician, registered nurse, or public health17
official; or18
(b) An electronic file or a hard copy of an electronic file provided19
to the school directly from the immunization tracking system, established20
pursuant to section 25-4-2403.21
(1.6) "IMMUNIZATION RECORD" MEANS A PAPER OR ELECTRONIC22
DOCUMENT FROM THE RECORDS OF A LICENSED PHYSICIAN, A PHYSICIAN23
ASSISTANT AUTHORIZED PURSUANT TO SECTION 12-240-107 (6), AN24
ADVANCED PRACTICE REGISTERED NURSE, OR A PUBLIC HEALTH OFFICIAL25
THAT INCLUDES THE DATES AND TYPES OF IMMUNIZATIONS ADMINISTERED26
TO A STUDENT.27
1027
-8- (1.8) "OFFICIAL CERTIFICATE OF IMMUNIZATION" MEANS ONE OF1
THE FOLLOWING FORMS OF DOCUMENTATION THAT INCLUDES THE DATES2
AND TYPES OF IMMUNIZATIONS ADMINISTERED TO A STUDENT :3
(a) INFORMATION FROM AN IMMUNIZATION RECORD TRANSFERRED4
BY A LICENSED PHYSICIAN, A PHYSICIAN ASSISTANT AUTHORIZED5
PURSUANT TO SECTION 12-240-107 (6), AN ADVANCED PRACTICE6
REGISTERED NURSE, A PUBLIC HEALTH OFFICIAL, OR A SCHOOL OFFICIAL7
ONTO A PAPER OR ELECTRONIC VERSION OF THE OFFICIAL CERTIFICATE OF8
IMMUNIZATION FORM CREATED AND MAINTAINED BY THE DEPARTMENT OF9
PUBLIC HEALTH AND ENVIRONMENT ; OR10
(b) AN ELECTRONIC FILE OR A HARD COPY OF AN ELECTRONIC FILE11
PROVIDED TO THE SCHOOL DIRECTLY FROM THE IMMUNIZATION TRACKING12
SYSTEM, ESTABLISHED PURSUANT TO SECTION 25-4-2403.13
SECTION 11. In Colorado Revised Statutes, 25-4-902, amend14
(1) introductory portion, (1)(a), (2), (3), and (4)(b); and repeal (1)(b) as15
follows:16
25-4-902. Immunization prior to attending school -17
standardized immunization information. (1) A student shall not attend18
any school in the state of Colorado on or after the dates specified in19
section 25-4-906 (4) unless he or she THE STUDENT OR THE STUDENT 'S20
PARENT OR LEGAL GUARDIAN has presented one of the following to the21
appropriate school official:22
(a) An up-to-date OFFICIAL certificate of immunization from a23
licensed physician, physician assistant authorized pursuant to section24
12-240-107 (6), advanced practice registered nurse, or authorized25
representative of the department of public health and environment or a26
local public health agency stating that the student has received27
1027
-9- immunization against communicable diseases as specified by the state1
board of health, based on recommendations of the advisory committee on2
immunization practices of the centers for disease control and prevention3
in the federal department of health and human services; or4
(b) A written authorization signed by one parent or legal guardian,5
an emancipated student, or a student eighteen years of age or older6
requesting that local public health officials administer the immunizations;7
or8
9
(2) If the student's OFFICIAL certificate of immunization is not up10
to date according to the requirements of the state board of health, the11
parent or guardian OF THE STUDENT or, IF THE STUDENT IS EMANCIPATED12
OR EIGHTEEN YEARS OF AGE OR OLDER, the emancipated student or the13
student eighteen years of age or older shall submit to the school, within14
fourteen THIRTY days after receiving direct personal notification that the15
OFFICIAL certificate OF IMMUNIZATION is not up to date, documentation16
INDICATING that the next required immunization has been given and THAT17
INCLUDES a written plan for completion of all required immunizations.18
The scheduling of immunizations in the written plan shall follow19
medically recommended minimum intervals approved by the state board20
of health. If the student begins but does not continue or complete the21
written plan, he or she THE SCHOOL shall be suspended or expelled22
SUSPEND OR EXPEL THE STUDENT pursuant to this part 9.23
(3) Notwithstanding the provisions of subsection (1) of this24
section, a school shall enroll a student who is in out-of-home placement25
within five school days after receiving the student's education information26
and records as required in section 22-32-138, C.R.S., regardless of27
1027
-10- whether the school has received the items specified in subsection (1) of1
this section. Upon enrolling the student,
THE REQUIREMENTS OF2
SUBSECTIONS (1) AND (2) OF THIS SECTION APPLY, AND the school shall3
notify the student's legal guardian that, unless the school receives the4
student's
OFFICIAL certificate of immunization or a written authorization5
for administration of immunizations CERTIFICATE OF EXEMPTION within6
fourteen days after the student enrolls, the school shall WILL suspend the7
student until such time as the school receives the OFFICIAL certificate of8
immunization or the authorization CERTIFICATE OF EXEMPTION.9
(4) (b) On or before February 15, 2021 APRIL 15, 2026, and on or10
before February 15 APRIL 15 each year thereafter, a school shall include11
on the document
DESCRIBED IN SUBSECTION (4)(a) OF THIS SECTION the12
school's specific immunization and exemption rates for the measles,13
mumps, and rubella vaccine for the school's enrolled student population14
for the prior school year compared to the vaccinated children standard15
described in section 25-4-911. The school may include on the document16
the school's specific immunization and exemption rates for any other17
vaccine for the school's enrolled student population for the prior school18
year. The school shall directly distribute the document to the parent or19
legal guardian of each student enrolled in its school, emancipated20
students, or students eighteen years of age or older, consistent with21
section 25-4-903 (5).22 SECTION 12. In Colorado Revised Statutes, 25-4-902.5, amend23
(1) as follows:24
25-4-902.5. Immunization prior to attending a college or25
university - tuberculosis screening process development. (1) Except26
as provided in section 25-4-903, no A student shall NOT attend any college27
1027
-11- or university in the state of Colorado on or after the dates specified in1
section 25-4-906 (4) unless the student can present to the appropriate2
official of the school a AN OFFICIAL certificate of immunization from a3
licensed physician, licensed physician assistant authorized under section4
12-240-107 (6), licensed advanced practice registered nurse, or authorized5
representative of the department of public health and environment or6
county, district, or municipal public health agency stating that the student7
has received immunization against communicable diseases as specified8
by the state board of health. or a written authorization signed by one9
parent or guardian or the emancipated student or the student eighteen10
years of age or older requesting that local health officials administer the11
immunizations or a plan signed by one parent or guardian or the12
emancipated student or the student eighteen years of age or older for13
receipt by the student of the required inoculation or the first or the next14
required of a series of inoculations within thirty days.15
SECTION 13. In Colorado Revised Statutes, 25-4-903, amend16
(2) introductory portion, (2)(a), (2)(b)(II)(B), (2.2)(a)(III), (2.2)(b)(II),17
and (2.2)(b)(III) as follows:18
25-4-903. Exemptions from immunization - rules. (2) A19
U
NLESS A STUDENT IS EXEMPTED PURSUANT TO THIS SECTION , THE parent20
or legal guardian
OF A STUDENT shall have his or her
THE student21
immunized, unless the student is exempted pursuant to this section, or an22
emancipated student or a student eighteen years of age or older OR, IF A23
STUDENT IS EMANCIPATED OR EIGHTEEN YEARS OF AGE OR OLDER , THE24
STUDENT shall have himself or herself THEMSELF immunized. unless the25
student is exempted pursuant to this section. A student is exempted from26
receiving the required immunizations in the following manner:27
1027
-12- (a) By submitting to the student's school a completed certificate1
of medical exemption from a licensed physician, physician assistant2
authorized pursuant to section 12-240-107 (6), or advanced practice3
registered nurse that the physical condition of the student is such that one4
or more specified immunizations would endanger his or her THE5
STUDENT'S life or health or are medically contraindicated due to other6
medical conditions; or7
(b) (II) (B) A complete certificate of nonmedical exemption must8
include the signature of a person who is authorized pursuant to title 12 to9
administer immunizations within his or her THE PERSON'S scope of10
practice to the student for whom the certificate of nonmedical exemption11
is sought. Nothing in this subsection (2)(b)(II)(B) requires a person12
authorized pursuant to title 12 to administer immunizations within his or13
her THE PERSON'S scope of practice to sign a certificate of nonmedical14
exemption. Notwithstanding any law or rule to the contrary, a body that15
regulates the professional conduct of a person who is authorized pursuant16
to title 12 to administer immunizations within his or her THE PERSON'S17
scope of practice to the student for whom the certificate is sought shall18
not order a disciplinary action against the person because the person19
authorized to sign the certificate signed such certificate pursuant to this20
subsection (2)(b)(II)(B). It is unlawful for the employer or any A21
professional organization to retaliate against a person because the person22
authorized to sign a certificate signed such certificate pursuant to this23
subsection (2)(b)(II)(B).24
(2.2) (a) (III) A person authorized pursuant to title 12 to25
administer immunizations within his or her THE PERSON'S scope of26
practice to the student for whom the certificate of nonmedical exemption27
1027
-13- is sought and who signs the certificate of nonmedical exemption form1
shall provide a copy of a completed certificate of nonmedical exemption2
to the student's parent or legal guardian, the emancipated student, or the3
student eighteen years of age or older.4
(b) (II) A person authorized pursuant to title 12 to administer5
immunizations within his or her THE PERSON'S scope of practice to the6
student for whom the certificate of nonmedical exemption is sought and7
who signs the certificate of nonmedical exemption shall submit the8
nonmedical exemption data to the immunization tracking system created9
in section 25-4-2403.10
(III) Notwithstanding subsections (2.2)(b)(I) and (2.2)(b)(II) of11
this section, a licensed physician, a physician assistant authorized12
pursuant to section 12-240-107 (6), an advanced practice registered nurse,13
or a person authorized pursuant to title 12 to administer immunizations14
within his or her THE PERSON'S scope of practice is not subject to a15
regulatory sanction for failing to submit medical exemption or16
nonmedical exemption data to the immunization tracking system.17
SECTION 14. In Colorado Revised Statutes, amend 25-4-905 as18
follows:19
25-4-905. Immunization of indigent children. (1) The county,20
district, or municipal public health agency; a public health or school nurse21
under the supervision of a licensed physician or physician assistant22
authorized under section 12-240-107 (6); or the department of public23
health and environment, in the absence of a county, district, or municipal24
public health agency or public health nurse, shall provide, at public25
expense to the extent that funds are FUNDING IS available, immunizations26
required by this part 9 to each child whose parents or guardians cannot27
1027
-14- afford to have the child immunized or, if emancipated, who cannot1
himself or herself THEMSELF afford immunization and who has not been2
exempted. The department of public health and environment shall provide3
all vaccines necessary to comply with this section as far as funds FUNDING4
will permit. Nothing in this section precludes the department of public5
health and environment from distributing vaccines to physicians,6
PHYSICIAN ASSISTANTS AUTHORIZED UNDER SECTION 12-240-107 (6),7
advanced practice registered nurses, or others as required by law or the8
rules of the department. No
AN indigent child shall NOT be excluded,9
suspended, or expelled from school unless the immunizations have been10
available and readily accessible to the child at public expense.11
(2) Notwithstanding any other provision of this part 9 to the12
contrary, programs and services that provide immunizations to children13
for communicable diseases shall be
MADE available to a child regardless14
of his or her
THE CHILD'S race, religion, gender, ethnicity, national origin,15
or immigration status.16
SECTION 15. In Colorado Revised Statutes, 25-4-906, amend17
(1), (2), and (4) as follows:18
25-4-906. Certificate of immunization - forms. (1) The19
department of public health and environment shall provide official20
certificates of immunization to the schools, private physicians, and21
county, district, and municipal public health agencies. Upon the22
commencement of the gathering of epidemiological information pursuant23
to section 25-4-2403 to implement the immunization tracking system,24
such form shall include a notice that informs a parent or legal guardian25
that he or she THE PARENT OR LEGAL GUARDIAN has the option to exclude26
his or her THEIR infant's, child's, or student's immunization information27
1027
-15- from the immunization tracking system created in section 25-4-2403. 1
A SCHOOL OFFICIAL MAY ACCEPT any immunization record provided by2
a licensed physician, registered nurse, or public health official may be3
accepted by the school official as certification AS PROOF of immunization.4
if the information is transferred to the official certificate of immunization5
and verified by the school official.6
(2) (a) (I) EXCEPT AS PROVIDED IN SUBSECTION (2)(a)(II) OF THIS7
SECTION, each school shall maintain on file an official certificate of8
immunization for every student enrolled IN THE SCHOOL.9
(II) IN LIEU OF AN OFFICIAL CERTIFICATE OF IMMUNIZATION , A10
LICENSED CHILDREN'S RESIDENTIAL CAMP MAY MAINTAIN ON FILE AN11
OUT-OF-STATE IMMUNIZATION RECORD FOR AN OUT-OF-STATE CAMPER12
ATTENDING THE RESIDENTIAL CAMP .13
(b) (I) WHEN A STUDENT WITHDRAWS, TRANSFERS, IS PROMOTED,14
OR OTHERWISE LEAVES A SCHOOL , THE SCHOOL SHALL:15
(A) RETURN the OFFICIAL certificate shall be returned OF16
IMMUNIZATION to the parent or guardian OF A STUDENT or, IF A STUDENT17
IS EMANCIPATED OR EIGHTEEN YEARS OF AGE OR OLDER , TO the18
emancipated student; or student eighteen years of age or older when a19
student withdraws, transfers, is promoted, or otherwise leaves the school,20
or the school shall21
(B) Transfer the OFFICIAL certificate OF IMMUNIZATION with the22
student's school record to the new school. 23
(II) Upon a college or university student's request, the COLLEGE OR24
UNIVERSITY SHALL FORWARD THE official certificate of immunization25
shall be forwarded as specified by the student.26
(4) All students enrolled in any school in Colorado on and after27
1027
-16- August 15, 1979, shall furnish the required OFFICIAL certificate of1
immunization or shall be suspended or expelled from school. Students2
enrolling in school in Colorado for the first time on and after July 1, 1978,3
shall provide a AN OFFICIAL certificate of immunization or shall be4
excluded from school except as provided in section 25-4-903.5
SECTION 16. In Colorado Revised Statutes, 25-4-907, repeal (2)6
as follows:7
25-4-907. Noncompliance. (2) In the event of suspension or8
expulsion of a student, school officials shall notify the state department9
of public health and environment or the county, district, and municipal10
public health agency. An agent of said department shall then contact the11
parent or guardian or the emancipated student or student eighteen years12
of age or older in an effort to secure compliance with this part 9 in order13
that the student may be reenrolled in school.14
SECTION 17. In Colorado Revised Statutes, 25-3-603, amend15
(1) as follows:16
25-3-603. Department reports. (1) Notwithstanding section17
24-1-136 (11)(a)(I), on or before July 15, 2017 SEPTEMBER 15, 2025, and18
each July 15 SEPTEMBER 15 thereafter, the department shall submit to the19
health and human services committees of the house of representatives and20
of the senate,
OR THEIR SUCCESSOR COMMITTEES , a report summarizing21
the risk-adjusted health-facility data. The department shall post the report22
on its website.23
SECTION
18. In Colorado Revised Statutes, 25-4-2005, amend24
(1) as follows:25
25-4-2005. Hepatitis C testing - recommendations - definitions26
- rules - repeal. (1) (a) (I) The department recommends that each27
1027
-17- primary health-care provider or physician, physician assistant, or nurse1
practitioner who treats a patient in an inpatient or outpatient setting offer2
a person born between the years of 1945 and 1965 a hepatitis C screening3
test or hepatitis C diagnostic test unless the health-care provider providing4
such services reasonably believes that:5
(a) (A) The patient is being treated for a life-threatening6
emergency;7
(b) (B) The patient has previously been offered or has been the8
subject of a hepatitis C screening; or9
(c) (C) The patient lacks capacity to consent to a hepatitis C10
screening test.11
(II) T
HIS SUBSECTION (1)(a) IS REPEALED, EFFECTIVE JULY 1, 2026.12
(b) (I) T
HE STATE BOARD OF HEALTH CREATED IN SECTION13
25-1-103
SHALL ADOPT RULES ESTABLISHING STANDARDS FOR HEPATITIS14
C
SCREENING AND DIAGNOSTIC TESTS FOR USE BY PRIMARY HEALTH -CARE15
PROVIDERS, PHYSICIANS, PHYSICIAN ASSISTANTS , OR NURSE16
PRACTITIONERS WHO TREAT PATIENTS IN AN INPATIENT OR OUTPATIENT17
SETTING. THE BOARD SHALL ENSURE THAT THE SCREENING AND18
DIAGNOSTIC TEST STANDARDS ALIGN WITH RECOMMENDATIONS OF THE19
FEDERAL CENTERS FOR DISEASE CONTROL AND PREVENTION FOR HEPATITIS20
C
SCREENING AND DIAGNOSTIC TESTING .21
(II) T
HE RULES ADOPTED BY THE BOARD PURSUANT TO THIS22
SUBSECTION (1)(b) SHALL TAKE EFFECT ON JULY 1, 2026.23
SECTION
19. Safety clause. The general assembly finds,24
determines, and declares that this act is necessary for the immediate25
preservation of the public peace, health, or safety or for appropriations for26
1027
-18- the support and maintenance of the departments of the state and state1
institutions.2
1027
-19-