Colorado 2025 Regular Session

Colorado House Bill HB1027 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
	1	+	First Regular Session
	2	+	Seventy-fifth General Assembly
	3	+	STATE OF COLORADO
	4	+	REREVISED
	5	+	This Version Includes All Amendments
	6	+	Adopted in the Second House
	7	+	LLS NO. 25-0593.01 Christy Chase x2008
1	8		HOUSE BILL 25-1027
2		-	BY REPRESENTATIVE(S) Gilchrist and Brown, Bacon, Boesenecker,
3		-	Duran, Froelich, Garcia, Hamrick, Lindsay, Mabrey, McCormick, Rutinel,
4		-	Rydin, Sirota, Smith, Story, Titone, Willford, McCluskie, Bird, Woodrow;
5		-	also SENATOR(S) Daugherty and Mullica, Amabile, Ball, Bridges, Cutter,
6		-	Exum, Gonzales J., Jodeh, Kipp, Kolker, Michaelson Jenet, Roberts,
7		-	Weissman, Winter F., Coleman.
	9	+	House Committees Senate Committees
	10	+	Health & Human Services Health & Human Services
	11	+	A BILL FOR AN ACT
8	12		C
9		-	ONCERNING MODIFICATIONS TO STATUTES GOVERNING DISEASE CONTROL .
10		-
11		-	Be it enacted by the General Assembly of the State of Colorado:
12		-	SECTION 1. In Colorado Revised Statutes, 25-1-105, add (4) as
13		-	follows:
14		-	25-1-105. Executive director - chief medical officer -
15		-	qualifications - salary - office - duties - crisis standards of care.
	13	+	ONCERNING MODIFICATIONS TO STATUTES GOVERNING DISEASE101
	14	+	CONTROL.102
	15	+	Bill Summary
	16	+	(Note: This summary applies to this bill as introduced and does
	17	+	not reflect any amendments that may be subsequently adopted. If this bill
	18	+	passes third reading in the house of introduction, a bill summary that
	19	+	applies to the reengrossed version of this bill will be available at
	20	+	http://leg.colorado.gov
	21	+	.)
	22	+	The bill amends various statutes governing the operations of the
	23	+	department of public health and environment (department) regarding
	24	+	disease control. Specifically, sections 1 through 9 of the bill:
	25	+	! Repeal the governor's expert emergency epidemic response
	26	+	committee (GEEERC);
	27	+	! Direct the state board of health to review and approve the
	28	+	SENATE
	29	+	3rd Reading Unamended
	30	+	March 14, 2025
	31	+	SENATE
	32	+	Amended 2nd Reading
	33	+	March 13, 2025
	34	+	HOUSE
	35	+	3rd Reading Unamended
	36	+	February 7, 2025
	37	+	HOUSE
	38	+	Amended 2nd Reading
	39	+	February 6, 2025
	40	+	HOUSE SPONSORSHIP
	41	+	Gilchrist and Brown, Bacon, Boesenecker, Duran, Froelich, Garcia, Hamrick, Lindsay,
	42	+	Mabrey, McCluskie, McCormick, Rutinel, Rydin, Sirota, Smith, Story, Titone, Willford
	43	+	SENATE SPONSORSHIP
	44	+	Daugherty and Mullica, Amabile, Ball, Bridges, Coleman, Cutter, Exum, Gonzales J.,
	45	+	Jodeh, Kipp, Kolker, Michaelson Jenet, Roberts, Weissman, Winter F.
	46	+	Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
	47	+	Capital letters or bold & italic numbers indicate new material to be added to existing law.
	48	+	Dashes through the words or numbers indicate deletions from existing law. department's emergency response and recovery plan every
	49	+	3 years; and
	50	+	! Require the executive director of the department or, if the
	51	+	executive director is not the chief medical officer, the chief
	52	+	medical officer to convene a group of subject matter
	53	+	experts to develop crisis standards of care to be used in
	54	+	responding to a public health emergency.
	55	+	Sections 10 through 15 modify school immunization provisions
	56	+	as follows to:
	57	+	! Allow the records of a physician assistant to be used to
	58	+	create a certificate of immunization for a student;
	59	+	! Eliminate a provision regarding a plan for complying with
	60	+	immunization requirements since it is not one of the ways
	61	+	for complying with school immunization requirements;
	62	+	! Repeal the 14-day period within which a student whose
	63	+	certificate of immunization is not up to date to comply with
	64	+	immunization requirements to attend school and instead
	65	+	direct the state board of health to establish a timeline for
	66	+	compliance that is no shorter than 14 days after notice of
	67	+	noncompliance is received;
	68	+	! Extend from February 15 to April 15 the deadline for a
	69	+	school to distribute the annual letter to parents specifying
	70	+	the school's aggregate immunization rates and the
	71	+	immunization requirements applicable for the next school
	72	+	year;
	73	+	! Remove gendered pronouns and replace them with
	74	+	gender-neutral language; and
	75	+	! Repeal the requirement for schools to notify the department
	76	+	and the local public health agency when a student is
	77	+	suspended or expelled from school for noncompliance with
	78	+	immunization requirements.
	79	+	Section 16 extends from July 15 to September 15 the date by
	80	+	which the department is required to submit to the general assembly an
	81	+	annual report summarizing health-care-associated infections data received
	82	+	from health facilities in the state.
	83	+	Section 17 repeals the requirement for certain health-care
	84	+	providers to offer a hepatitis C screening test to individuals born between
	85	+	1945 and 1965 and instead directs the state board of health to adopt
	86	+	standards, consistent with recommendations from the federal centers for
	87	+	disease control and prevention, for hepatitis C screening tests.
	88	+	Be it enacted by the General Assembly of the State of Colorado:1
	89	+	SECTION 1. In Colorado Revised Statutes, 25-1-105, add (4) as2
	90	+	1027-2- follows:1
	91	+	25-1-105. Executive director - chief medical officer -2
	92	+	qualifications - salary - office - duties - crisis standards of care.3
16	93		(4) (a) I
17		-	N THE EVENT OF A PUBLIC HEALTH EMERGENCY , IF THE GOVERNOR
18		-	AND THE EXECUTIVE DIRECTOR AND
19		-	, IF THE EXECUTIVE DIRECTOR IS NOT THE
20		-	CHIEF MEDICAL OFFICER
21		-	, THE CHIEF MEDICAL OFFICER AGREE THAT CRISIS
22		-	STANDARDS OF CARE ARE NEEDED TO RESPOND TO THE PUBLIC HEALTH
23		-	EMERGENCY
24		-	, THE EXECUTIVE DIRECTOR OR, IF THE EXECUTIVE DIRECTOR IS
25		-	NOT THE CHIEF MEDICAL OFFICER
26		-	, THE CHIEF MEDICAL OFFICER SHALL:
27		-	NOTE: This bill has been prepared for the signatures of the appropriate legislative
28		-	officers and the Governor. To determine whether the Governor has signed the bill
29		-	or taken other action on it, please consult the legislative status sheet, the legislative
30		-	history, or the Session Laws.
31		-	________
32		-	Capital letters or bold & italic numbers indicate new material added to existing law; dashes
33		-	through words or numbers indicate deletions from existing law and such material is not part of
34		-	the act. (I) ASSEMBLE A GROUP OF SUBJECT MATTER EXPERTS TO DEVELOP
35		-	CRISIS STANDARDS OF CARE FOR USE BY HEALTH
36		-	-CARE PROVIDERS AND
37		-	HEALTH
38		-	-CARE FACILITIES IN RESPONDING TO THE PUBLIC HEALTH
39		-	EMERGENCY
40		-	; AND
41		-	(II) ACTIVATE ALL OR PORTIONS OF THE CRISIS STANDARDS OF CARE
42		-	AS NEEDED DURING THE PUBLIC HEALTH EMERGENCY
43		-	.
	94	+	N THE EVENT OF A PUBLIC HEALTH EMERGENCY , IF THE GOVERNOR4
	95	+	AND THE EXECUTIVE DIRECTOR AND , IF THE EXECUTIVE DIRECTOR IS NOT5
	96	+	THE CHIEF MEDICAL OFFICER, THE CHIEF MEDICAL OFFICER AGREE THAT6
	97	+	CRISIS STANDARDS OF CARE ARE NEEDED TO RESPOND TO THE PUBLIC7
	98	+	HEALTH EMERGENCY , THE EXECUTIVE DIRECTOR OR, IF THE EXECUTIVE8
	99	+	DIRECTOR IS NOT THE CHIEF MEDICAL OFFICER , THE CHIEF MEDICAL9
	100	+	OFFICER SHALL:10
	101	+	(I) A
	102	+	SSEMBLE A GROUP OF SUBJECT MATTER EXPERTS TO DEVELOP11
	103	+	CRISIS STANDARDS OF CARE FOR USE BY HEALTH -CARE PROVIDERS AND12
	104	+	HEALTH-CARE FACILITIES IN RESPONDING TO THE PUBLIC HEALTH13
	105	+	EMERGENCY; AND14
	106	+	(II) A
	107	+	CTIVATE ALL OR PORTIONS OF THE CRISIS STANDARDS OF15
	108	+	CARE AS NEEDED DURING THE PUBLIC HEALTH EMERGENCY .16
44	109		(b) U
45		-	PON AGREEMENT OF THE GOVERNOR AND THE EXECUTIVE
46		-	DIRECTOR AND
47		-	, IF THE EXECUTIVE DIRECTOR IS NOT THE CHIEF MEDICAL
48		-	OFFICER
49		-	, THE CHIEF MEDICAL OFFICER THAT THE CRISIS STANDARDS OF CARE
50		-	ARE NO LONGER NEEDED TO RESPOND TO THE PUBLIC HEALTH EMERGENCY
51		-	,
52		-	THE EXECUTIVE DIRECTOR OR, IF THE EXECUTIVE DIRECTOR IS NOT THE CHIEF
53		-	MEDICAL OFFICER
54		-	, THE CHIEF MEDICAL OFFICER SHALL VACATE THE CRISIS
55		-	STANDARDS OF CARE
56		-	.
57		-	SECTION 2. In Colorado Revised Statutes, 25-1-108, add (1)(i) as
58		-	follows:
59		-	25-1-108. Powers and duties of state board of health - rules -
60		-	definitions. (1) In addition to all other powers and duties conferred and
61		-	imposed upon the state board of health by this part 1, the board has the
62		-	following specific powers and duties:
63		-	(i) (I) E
64		-	VERY THREE YEARS, TO REVIEW AND AMEND, AS NECESSARY,
65		-	THE DEPARTMENT'S INTERNAL EMERGENCY RESPONSE AND RECOVERY PLAN
66		-	THAT ADDRESSES THE PUBLIC HEALTH RESPONSE TO ACTS OF BIOTERRORISM
67		-	,
68		-	PANDEMIC INFLUENZA, AND EPIDEMICS CAUSED BY NOVEL AND HIGHLY
69		-	FATAL INFECTIOUS AGENTS
70		-	.
	110	+	PON AGREEMENT OF THE GOVERNOR AND THE EXECUTIVE17
	111	+	DIRECTOR AND, IF THE EXECUTIVE DIRECTOR IS NOT THE CHIEF MEDICAL18
	112	+	OFFICER, THE CHIEF MEDICAL OFFICER THAT THE CRISIS STANDARDS OF19
	113	+	CARE ARE NO LONGER NEEDED TO RESPOND TO THE PUBLIC HEALTH20
	114	+	EMERGENCY, THE EXECUTIVE DIRECTOR OR, IF THE EXECUTIVE DIRECTOR21
	115	+	IS NOT THE CHIEF MEDICAL OFFICER, THE CHIEF MEDICAL OFFICER SHALL22
	116	+	VACATE THE CRISIS STANDARDS OF CARE .23
	117	+	SECTION 2. In Colorado Revised Statutes, 25-1-108, add (1)(i)24
	118	+	as follows:25
	119	+	25-1-108. Powers and duties of state board of health - rules -26
	120	+	definitions. (1) In addition to all other powers and duties conferred and27
	121	+	1027
	122	+	-3- imposed upon the state board of health by this part 1, the board has the1
	123	+	following specific powers and duties:2
	124	+	(i) (I) EVERY THREE YEARS, TO REVIEW AND AMEND , AS3
	125	+	NECESSARY, THE DEPARTMENT'S INTERNAL EMERGENCY RESPONSE AND4
	126	+	RECOVERY PLAN THAT ADDRESSES THE PUBLIC HEALTH RESPONSE TO ACTS5
	127	+	OF BIOTERRORISM, PANDEMIC INFLUENZA, AND EPIDEMICS CAUSED BY6
	128	+	NOVEL AND HIGHLY FATAL INFECTIOUS AGENTS .7
71	129		(II) A
72		-	S USED IN THIS SUBSECTION (1)(i):
	130	+	S USED IN THIS SUBSECTION (1)(i):8
73	131		(A) "I
74		-	NTERNAL EMERGENCY RESPONSE AND RECOVERY PLAN " MEANS
75		-	THE PORTION OF THE STATE EMERGENCY OPERATIONS PLAN PREPARED AND
76		-	UPDATED BY THE DEPARTMENT THAT SPECIFIES OPERATIONS THAT WILL BE
77		-	IMPLEMENTED IF THERE IS AN OCCURRENCE OR IMMINENT THREAT OF AN
78		-	EMERGENCY EPIDEMIC
79		-	.
	132	+	NTERNAL EMERGENCY RESPONSE AND RECOVERY PLAN "9
	133	+	MEANS THE PORTION OF THE STATE EMERGENCY OPERATIONS PLAN10
	134	+	PREPARED AND UPDATED BY THE DEPARTMENT THAT SPECIFIES11
	135	+	OPERATIONS THAT WILL BE IMPLEMENTED IF THERE IS AN OCCURRENCE OR12
	136	+	IMMINENT THREAT OF AN EMERGENCY EPIDEMIC .13
80	137		(B) "S
81		-	TATE EMERGENCY OPERATIONS PLAN " MEANS THE ~~PLAN~~
82		-	~~PAGE 2-HOUSE BILL 25-1027~~ DEVELOPED IN ACCORDANCE WITH SECTION 24-33.5-705 (2) BY THE ~~OFFICE~~
83		-	OF EMERGENCY MANAGEMENT IN THE DIVISION OF HOMELAND ~~SECURITY~~
84		-	AND EMERGENCY MANAGEMENT IN THE DEPARTMENT OF PUBLIC ~~SAFETY TO~~
85		-	ADDRESS THE PREPARATION
86		-	~~, PREVENTION,~~ ~~MITIGATION, RESPONSE,~~ AND
87		-	~~RECOVERY FROM EMERGENCIES AND DISASTERS~~
88		-	.
89		-	SECTION 3. In Colorado Revised Statutes, ~~repeal~~ 24-33.5-704.5
90		-	(1).
91		-	~~SECTION 4. In Colorado Revised Statutes,~~ 24-33.5-704.5~~, amend~~
92		-	(2) ~~as follows:~~
93		-	~~24-33.5-704.5.~~ Continuity of operations ~~plans - reports to~~
94		-	~~general assembly.~~ ~~(2) Each department that administers a publicly funded~~
95		-	~~safety net program shall develop a continuity of operations plan~~ The ~~plan~~
96		-	~~shall establish THAT ESTABLISHES procedures for the response by, and~~
97		-	continuation of operations of, the department and the
98		-	~~SAFETY NET program~~
99		-	~~in the event of an emergency epidemic. Each department shall~~ file its ~~planwith~~ the executive director of the department of public ~~health and~~
100		-	environment and shall update the plan at least annually. In addition,
101		-	notwithstanding section 24-1-136 (11), each department shall submit a
102		-	report by March 1 of each year to the health and human ~~services committee~~
103		-	COMMITTEES of the senate and the public health care ~~and human services~~
104		-	committee of the house of representatives, or ~~any successor committees,~~
105		-	regarding the status of the department's plan, ~~as well as the status of any~~
106		-	other plans or procedures of the ~~department regarding emergency and~~
107		-	disaster preparedness.
108		-	SECTION 5. In Colorado Revised Statutes, 2-3-1502, repeal (6)
109		-	as follows:
110		-	2-3-1502. Definitions. As used in this part 15, unless the ~~context~~
111		-	otherwise requires:
112		-	(6) "GEEERC" means the governor's expert emergency ~~epidemic~~
113		-	response committee created in section 24-33.5-704.5.
114		-	SECTION 6. In Colorado Revised Statutes, 2-3-1503, ~~amend (1)(a)~~
115		-	and (2) as follows:
116		-	~~PAGE 3-HOUSE BILL 25-1027~~ 2-3-1503. Legislative emergency preparedness, response, ~~and~~
117		-	recovery committee - creation - membership - duties. (1) (a) There is
118		-	hereby created a legislative emergency preparedness, response, ~~and~~
119		-	recovery committee. The legislative committee shall develop a plan ~~for the~~
120		-	response by, and continuation of operations of, the general ~~assembly and the~~
121		-	legislative service agencies in the event of an ~~emergency epidemic or~~
122		-	disaster. The legislative committee shall cooperate ~~and coordinate with the~~
123		-	division
	138	+	TATE EMERGENCY OPERATIONS PLAN " MEANS THE PLAN14
	139	+	DEVELOPED IN ACCORDANCE WITH SECTION 24-33.5-705 (2) BY THE OFFICE15
	140	+	OF EMERGENCY MANAGEMENT IN THE DIVISION OF HOMELAND SECURITY16
	141	+	AND EMERGENCY MANAGEMENT IN THE DEPARTMENT OF PUBLIC SAFETY17
	142	+	TO ADDRESS THE PREPARATION, PREVENTION, MITIGATION, RESPONSE, AND18
	143	+	RECOVERY FROM EMERGENCIES AND DISASTERS .19
	144	+	SECTION 3. In Colorado Revised Statutes, repeal 24-33.5-704.520
	145	+	(1).21
	146	+	SECTION 4. In Colorado Revised Statutes, 24-33.5-704.5,22
	147	+	amend (2) as follows:23
	148	+	24-33.5-704.5. Continuity of operations plans - reports to24
	149	+	general assembly. (2) Each department that administers a publicly25
	150	+	funded safety net program shall develop a continuity of operations plan26
	151	+	The plan shall establish
	152	+	THAT ESTABLISHES procedures for the response27
	153	+	1027
	154	+	-4- by, and continuation of operations of, the department and the SAFETY NET1
	155	+	program in the event of an emergency epidemic. Each department shall2
	156	+	file its plan with the executive director of the department of public health3
	157	+	and environment and shall update the plan at least annually. In addition,4
	158	+	notwithstanding section 24-1-136 (11), each department shall submit a5
	159	+	report by March 1 of each year to the health and human services6
	160	+	committee COMMITTEES of the senate and the public health care and7
	161	+	human services committee of the house of representatives, or any8
	162	+	successor committees, regarding the status of the department's plan, as9
	163	+	well as the status of any other plans or procedures of the department10
	164	+	regarding emergency and disaster preparedness.11
	165	+	SECTION 5. In Colorado Revised Statutes, 2-3-1502, repeal (6)12
	166	+	as follows:13
	167	+	2-3-1502. Definitions. As used in this part 15, unless the context14
	168	+	otherwise requires:15
	169	+	(6) "GEEERC" means the governor's expert emergency epidemic16
	170	+	response committee created in section 24-33.5-704.5.17
	171	+	SECTION 6. In Colorado Revised Statutes, 2-3-1503, amend18
	172	+	(1)(a) and (2) as follows:19
	173	+	2-3-1503. Legislative emergency preparedness, response, and20
	174	+	recovery committee - creation - membership - duties. (1) (a) There is21
	175	+	hereby created a legislative emergency preparedness, response, and22
	176	+	recovery committee. The legislative committee shall develop a plan for23
	177	+	the response by, and continuation of operations of, the general assembly24
	178	+	and the legislative service agencies in the event of an emergency25
	179	+	epidemic or disaster. The legislative committee shall cooperate and26
	180	+	coordinate with the division
124	181		AND the department and the GEEERC
125		-	in developing the plan The
126		-	legislative committee shall develop and SHALL submit the plan to the
127		-	speaker of the house of representatives, the president of the senate, the
128		-	governor, the executive director of the department,
129		-	AND the director of the
130		-	division. and the GEEERC no later than July 1, 2011. The legislative
131		-	committee shall meet at least annually to review and amend the plan as
132		-	necessary and shall provide any updated plan to the persons
133		-	INDIVIDUALS
134		-	or entities specified in this paragraph (a) SUBSECTION (1)(a). The legislative
135		-	committee may recommend legislation pertaining to the preparedness,
136		-	response, and recovery by, and continuation of operations of, the general
137		-	assembly and the legislative service agencies in the event of an emergency
138		-	epidemic or disaster. The legislative committee shall provide information
139		-	to and fully cooperate with the division
	182	+	in27
	183	+	1027
	184	+	-5- developing the plan The legislative committee shall develop and SHALL1
	185	+	submit the plan to the speaker of the house of representatives, the2
	186	+	president of the senate, the governor, the executive director of the3
	187	+	department,
	188	+	AND the director of the division. and the GEEERC no later
	189	+	4
	190	+	than July 1, 2011. The legislative committee shall meet at least annually5
	191	+	to review and amend the plan as necessary and shall provide any updated6
	192	+	plan to the persons INDIVIDUALS or entities specified in this paragraph (a)7
	193	+	SUBSECTION (1)(a). The legislative committee may recommend legislation8
	194	+	pertaining to the preparedness, response, and recovery by, and9
	195	+	continuation of operations of, the general assembly and the legislative10
	196	+	service agencies in the event of an emergency epidemic or disaster. The11
	197	+	legislative committee shall provide information to and fully cooperate12
	198	+	with the division
	199	+	AND the department and the GEEERC
	200	+	in fulfilling its13
	201	+	duties under this section.14
	202	+	(2) In the event of an emergency epidemic or disaster that the15
	203	+	governor declares to be a disaster emergency pursuant to section16
	204	+	24-33.5-704, C.R.S., the legislative committee shall convene as rapidly17
	205	+	and as often as necessary to advise the speaker of the house of18
	206	+	representatives, the president of the senate, and the legislative service19
	207	+	agencies regarding reasonable and appropriate measures to be taken by20
	208	+	the general assembly and the legislative service agencies to respond to the21
	209	+	emergency epidemic or disaster and protect the public health, safety, and22
	210	+	welfare. The legislative committee shall communicate, cooperate, and23
	211	+	seek advice and assistance from the division
140	212		AND the department and the
141		-	GEEERC in fulfilling its duties under this section.
142		-	(2) In the event of an emergency epidemic or disaster that the
143		-	governor declares to be a disaster emergency pursuant to section
144		-	24-33.5-704, C.R.S.,
145		-	the legislative committee shall convene as rapidly and
146		-	as often as necessary to advise the speaker of the house of representatives,
147		-	the president of the senate, and the legislative service agencies regarding
148		-	reasonable and appropriate measures to be taken by the general assembly
149		-	and the legislative service agencies to respond to the emergency epidemic
150		-	or disaster and protect the public health, safety, and welfare. The legislative
151		-	committee shall communicate, cooperate, and seek advice and assistance
152		-	from the division
153		-	AND the department and the GEEERC
154		-	in responding to
155		-	the emergency epidemic or disaster.
156		-	SECTION 7. In Colorado Revised Statutes, 24-33.5-703, repeal (2)
157		-	as follows:
158		-	24-33.5-703. Definitions. As used in this part 7, unless the context
159		-	otherwise requires:
160		-	PAGE 4-HOUSE BILL 25-1027 (2) "Committee" means the governor's expert emergency epidemic
161		-	response committee created in section 24-33.5-704.5.
162		-	SECTION 8. In Colorado Revised Statutes, 24-33.5-711.5, amend
163		-	(1) as follows:
164		-	24-33.5-711.5. Liability - limits on damages and compensation
165		-	- immunity for good faith compliance with rules and orders. (1) Neither
166		-	The state nor the members of the expert emergency epidemic response
167		-	committee designated or appointed pursuant to section 24-33.5-704.5 are
168		-	IS NOT liable for any A claim based upon the committee's advice PROVIDED
169		-	BY AN OFFICER OR EMPLOYEE OF A STATE DEPARTMENT
170		-	to the governor or
171		-	the alleged negligent exercise or performance of, or failure to exercise or
172		-	perform, an act relating to an emergency epidemic. Liability against a
173		-	member of the committee AN OFFICER OR EMPLOYEE OF A STATE
174		-	DEPARTMENT
175		-	may be found only for wanton or willful misconduct or willful
176		-	disregard of the best interests of protecting and maintaining the public
177		-	health. Damages awarded on the basis of such liability shall not exceed one
178		-	hundred thousand dollars for any injury to or damage suffered by one
179		-	person or three hundred thousand dollars for an injury to or damage
180		-	suffered by three or more persons in the course of an emergency epidemic.
181		-	SECTION 9. In Colorado Revised Statutes, 25-1.5-102, amend
182		-	(1)(b)(I) as follows:
183		-	25-1.5-102. Epidemic and communicable diseases - powers and
184		-	duties of department - rules - definitions. (1) The department has, in
185		-	addition to all other powers and duties imposed upon it by law, the powers
186		-	and duties provided in this section as follows:
187		-	(b) (I) To investigate and monitor the spread of disease that is
188		-	considered part of an emergency epidemic, as defined in section
189		-	24-33.5-703 (4), to determine the extent of environmental contamination
190		-	resulting from the emergency epidemic, and to rapidly provide
191		-	epidemiological and environmental information to the governor's expert
192		-	emergency epidemic response committee, created in section 24-33.5-704.5
193		-	STATE BOARD OF HEALTH.
194		-	SECTION 10. In Colorado Revised Statutes, 25-4-901, repeal (1);
195		-	and add (1.6) and (1.8) as follows:
196		-	PAGE 5-HOUSE BILL 25-1027 25-4-901. Definitions. As used in this part 9, unless the context
197		-	otherwise requires:
198		-	(1) "Certificate of immunization" means one of the following forms
199		-	of documentation that include the dates and types of immunizations
200		-	administered to a student:
201		-	(a) A paper document that includes information transferred from the
202		-	records of a licensed physician, registered nurse, or public health official;
203		-	or
204		-	(b) An electronic file or a hard copy of an electronic file provided
205		-	to the school directly from the immunization tracking system, established
206		-	pursuant to section 25-4-2403.
207		-	(1.6) "IMMUNIZATION RECORD " MEANS A PAPER OR ELECTRONIC
208		-	DOCUMENT FROM THE RECORDS OF A LICENSED PHYSICIAN
209		-	, A PHYSICIAN
210		-	ASSISTANT AUTHORIZED PURSUANT TO SECTION
211		-	12-240-107 (6), AN
212		-	ADVANCED PRACTICE REGISTERED NURSE
213		-	, OR A PUBLIC HEALTH OFFICIAL
214		-	THAT INCLUDES THE DATES AND TYPES OF IMMUNIZATIONS ADMINISTERED
215		-	TO A STUDENT
216		-	.
217		-	(1.8) "O
218		-	FFICIAL CERTIFICATE OF IMMUNIZATION" MEANS ONE OF THE
219		-	FOLLOWING FORMS OF DOCUMENTATION THAT INCLUDES THE DATES AND
220		-	TYPES OF IMMUNIZATIONS ADMINISTERED TO A STUDENT
221		-	:
222		-	(a) I
223		-	NFORMATION FROM AN IMMUNIZATION RECORD TRANSFERRED
224		-	BY A LICENSED PHYSICIAN
225		-	, A PHYSICIAN ASSISTANT AUTHORIZED PURSUANT
226		-	TO SECTION
227		-	12-240-107 (6), AN ADVANCED PRACTICE REGISTERED NURSE ,
228		-	A PUBLIC HEALTH OFFICIAL, OR A SCHOOL OFFICIAL ONTO A PAPER OR
229		-	ELECTRONIC VERSION OF THE OFFICIAL CERTIFICATE OF IMMUNIZATION FORM
230		-	CREATED AND MAINTAINED BY THE DEPARTMENT OF PUBLIC HEALTH AND
231		-	ENVIRONMENT
232		-	; OR
233		-	(b) AN ELECTRONIC FILE OR A HARD COPY OF AN ELECTRONIC FILE
234		-	PROVIDED TO THE SCHOOL DIRECTLY FROM THE IMMUNIZATION TRACKING
235		-	SYSTEM
236		-	, ESTABLISHED PURSUANT TO SECTION 25-4-2403.
237		-	SECTION 11. In Colorado Revised Statutes, 25-4-902, amend (1)
238		-	introductory portion, (1)(a), (2), (3), (4)(a)(II), and (4)(b); and repeal (1)(b)
239		-	PAGE 6-HOUSE BILL 25-1027 as follows:
240		-	25-4-902. Immunization prior to attending school - standardized
241		-	immunization information. (1) A student shall not attend any school in
242		-	the state of Colorado on or after the dates specified in section 25-4-906 (4)
243		-	unless he or she
244		-	THE STUDENT OR THE STUDENT 'S PARENT OR LEGAL
245		-	GUARDIAN
246		-	has presented one of the following to the appropriate school
247		-	official:
248		-	(a) An up-to-date
249		-	OFFICIAL certificate of immunization from a
250		-	licensed physician, physician assistant authorized pursuant to section
251		-	12-240-107 (6), advanced practice registered nurse, or authorized
252		-	representative of the department of public health and environment or a local
253		-	public health agency stating that the student has received immunization
254		-	against communicable diseases as specified by the state board of health
255		-	based on recommendations of the advisory committee on immunization
256		-	practices of the centers for disease control and prevention in the federal
257		-	department of health and human services IN RULES ADOPTED IN
258		-	ACCORDANCE WITH SECTION
259		-	25-4-904 (1); or
260		-	(b) A written authorization signed by one parent or legal guardian,an emancipated student, or a student eighteen years of age or older
261		-	requesting that local public health officials administer the immunizations;
262		-	or
263		-	(2) If the student's OFFICIAL certificate of immunization is not up to
264		-	date according to the requirements of the state board of health, the parent
265		-	or guardian
266		-	OF THE STUDENT or, IF THE STUDENT IS EMANCIPATED OR
267		-	EIGHTEEN YEARS OF AGE OR OLDER
268		-	, the emancipated
269		-	student or the student
270		-	eighteen years of age or older shall submit to the school, within fourteen
271		-	THIRTY days after receiving direct personal notification that the OFFICIAL
272		-	certificate OF IMMUNIZATION is not up to date, documentation INDICATING
273		-	that the next required immunization has been given and THAT INCLUDES a
274		-	written plan for completion of all required immunizations. The scheduling
275		-	of immunizations in the written plan shall follow medically recommended
276		-	minimum intervals approved by the state board of health. If the student
277		-	begins but does not continue or complete the written plan, he or she
278		-	THE
279		-	SCHOOL
280		-	shall be suspended or expelled
281		-	SUSPEND OR EXPEL THE STUDENT
282		-	pursuant to this part 9.
283		-	PAGE 7-HOUSE BILL 25-1027 (3) Notwithstanding the provisions of subsection (1) of this section,
284		-	a school shall enroll a student who is in out-of-home placement within five
285		-	school days after receiving the student's education information and records
286		-	as required in section 22-32-138, C.R.S.,
287		-	regardless of whether the school
288		-	has received the items specified in subsection (1) of this section. Upon
289		-	enrolling the student,
290		-	THE REQUIREMENTS OF SUBSECTIONS (1) AND (2) OF
291		-	THIS SECTION APPLY
292		-	, AND the school shall notify the student's legal guardian
293		-	that, unless the school receives the student's
294		-	OFFICIAL certificate of
295		-	immunization or a written authorization for administration of
296		-	immunizations CERTIFICATE OF EXEMPTION within fourteen days after the
297		-	student enrolls, the school shall WILL suspend the student until such time as
298		-	the school receives the
299		-	OFFICIAL certificate of immunization or theauthorization CERTIFICATE OF EXEMPTION.
300		-	(4) (a) On or before January 15, 2021, the department of public
301		-	health and environment shall develop and provide to the department of
302		-	education and the department of human services a standardized document
303		-	regarding childhood immunizations. The department of education and the
304		-	department of human services shall post the standardized immunization
305		-	document on their websites on or before January 31, 2021, and on or before
306		-	January 31 each year thereafter. The standardized document must be
307		-	updated annually and must include, but need not be limited to:
308		-	(II) A list of immunizations currently recommended for children by
309		-	the advisory committee on immunization practices of the centers for disease
310		-	control and prevention in the federal department of health and human
311		-	services and the recommended age at which each immunization should be
312		-	given,
313		-	AS SPECIFIED BY THE STATE BOARD OF HEALTH IN RULES ADOPTED IN
314		-	ACCORDANCE WITH SECTION
315		-	25-4-904 (1);
316		-	(b) On or before February 15, 2021
317		-	APRIL 15, 2026, and on or before
318		-	February 15 APRIL 15 each year thereafter, a school shall include on the
319		-	document
320		-	DESCRIBED IN SUBSECTION (4)(a) OF THIS SECTION the school's
321		-	specific immunization and exemption rates for the measles, mumps, and
322		-	rubella vaccine for the school's enrolled student population for the prior
323		-	school year compared to the vaccinated children standard described in
324		-	section 25-4-911. The school may include on the document the school's
325		-	specific immunization and exemption rates for any other vaccine for the
326		-	school's enrolled student population for the prior school year. The school
327		-	shall directly distribute the document to the parent or legal guardian of each
328		-	PAGE 8-HOUSE BILL 25-1027 student enrolled in its school, emancipated students, or students eighteen
329		-	years of age or older, consistent with section 25-4-903 (5).
330		-	SECTION 12. In Colorado Revised Statutes, 25-4-902.5, amend
331		-	(1) as follows:
332		-	25-4-902.5. Immunization prior to attending a college or
333		-	university - tuberculosis screening process development. (1) Except as
334		-	provided in section 25-4-903, no A student shall NOT attend any college or
335		-	university in the state of Colorado on or after the dates specified in section
336		-	25-4-906 (4) unless the student can present to the appropriate official of the
337		-	school a
338		-	AN OFFICIAL certificate of immunization from a licensed physician,
339		-	licensed physician assistant authorized under section 12-240-107 (6),
340		-	licensed advanced practice registered nurse, or authorized representative of
341		-	the department of public health and environment or county, district, or
342		-	municipal public health agency stating that the student has received
343		-	immunization against communicable diseases as specified by the state board
344		-	of health. or a written authorization signed by one parent or guardian or the
345		-	emancipated student or the student eighteen years of age or older requesting
346		-	that local health officials administer the immunizations or a plan signed by
347		-	one parent or guardian or the emancipated student or the student eighteen
348		-	years of age or older for receipt by the student of the required inoculation
349		-	or the first or the next required of a series of inoculations within thirty days.
350		-	SECTION 13. In Colorado Revised Statutes, 25-4-903, amend (2)
351		-	introductory portion, (2)(a), (2)(b)(II)(B), (2.2)(a)(III), (2.2)(b)(II), and
352		-	(2.2)(b)(III) as follows:
353		-	25-4-903. Exemptions from immunization - rules. (2) A
354		-	UNLESS
355		-	A STUDENT IS EXEMPTED PURSUANT TO THIS SECTION
356		-	, THE parent or legal
357		-	guardian
	213	+	24
	214	+	GEEERC in responding to the emergency epidemic or disaster.25
	215	+	SECTION 7. In Colorado Revised Statutes, 24-33.5-703, repeal26
	216	+	(2) as follows:27
	217	+	1027
	218	+	-6- 24-33.5-703. Definitions. As used in this part 7, unless the1
	219	+	context otherwise requires:2
	220	+	(2) "Committee" means the governor's expert emergency epidemic3
	221	+	response committee created in section 24-33.5-704.5.4
	222	+	SECTION 8. In Colorado Revised Statutes, 24-33.5-711.5,5
	223	+	amend (1) as follows:6
	224	+	24-33.5-711.5. Liability - limits on damages and compensation7
	225	+	- immunity for good faith compliance with rules and orders.8
	226	+	(1) Neither The state nor the members of the expert emergency epidemic9
	227	+	response committee designated or appointed pursuant to section10
	228	+	24-33.5-704.5 are IS NOT liable for any A claim based upon the11
	229	+	committee's advice PROVIDED BY AN OFFICER OR EMPLOYEE OF A STATE12
	230	+	DEPARTMENT to the governor or the alleged negligent exercise or13
	231	+	performance of, or failure to exercise or perform, an act relating to an14
	232	+	emergency epidemic. Liability against a member of the committee AN15
	233	+	OFFICER OR EMPLOYEE OF A STATE DEPARTMENT may be found only for16
	234	+	wanton or willful misconduct or willful disregard of the best interests of17
	235	+	protecting and maintaining the public health. Damages awarded on the18
	236	+	basis of such liability shall not exceed one hundred thousand dollars for19
	237	+	any injury to or damage suffered by one person or three hundred thousand20
	238	+	dollars for an injury to or damage suffered by three or more persons in the21
	239	+	course of an emergency epidemic.22
	240	+	SECTION 9. In Colorado Revised Statutes, 25-1.5-102, amend23
	241	+	(1)(b)(I) as follows:24
	242	+	25-1.5-102. Epidemic and communicable diseases - powers and25
	243	+	duties of department - rules - definitions. (1) The department has, in26
	244	+	addition to all other powers and duties imposed upon it by law, the27
	245	+	1027
	246	+	-7- powers and duties provided in this section as follows:1
	247	+	(b) (I) To investigate and monitor the spread of disease that is2
	248	+	considered part of an emergency epidemic, as defined in section3
	249	+	24-33.5-703 (4), to determine the extent of environmental contamination4
	250	+	resulting from the emergency epidemic, and to rapidly provide5
	251	+	epidemiological and environmental information to the governor's expert6
	252	+	emergency epidemic response committee, created in section7
	253	+	24-33.5-704.5 STATE BOARD OF HEALTH.8
	254	+	SECTION 10. In Colorado Revised Statutes, 25-4-901, repeal9
	255	+	(1); and add (1.6) and (1.8) as follows:10
	256	+	25-4-901. Definitions. As used in this part 9, unless the context11
	257	+	otherwise requires:12
	258	+	(1) "Certificate of immunization" means one of the following13
	259	+	forms of documentation that include the dates and types of immunizations14
	260	+	administered to a student:15
	261	+	(a) A paper document that includes information transferred from16
	262	+	the records of a licensed physician, registered nurse, or public health17
	263	+	official; or18
	264	+	(b) An electronic file or a hard copy of an electronic file provided19
	265	+	to the school directly from the immunization tracking system, established20
	266	+	pursuant to section 25-4-2403.21
	267	+	(1.6) "IMMUNIZATION RECORD" MEANS A PAPER OR ELECTRONIC22
	268	+	DOCUMENT FROM THE RECORDS OF A LICENSED PHYSICIAN, A PHYSICIAN23
	269	+	ASSISTANT AUTHORIZED PURSUANT TO SECTION 12-240-107 (6), AN24
	270	+	ADVANCED PRACTICE REGISTERED NURSE, OR A PUBLIC HEALTH OFFICIAL25
	271	+	THAT INCLUDES THE DATES AND TYPES OF IMMUNIZATIONS ADMINISTERED26
	272	+	TO A STUDENT.27
	273	+	1027
	274	+	-8- (1.8) "OFFICIAL CERTIFICATE OF IMMUNIZATION" MEANS ONE OF1
	275	+	THE FOLLOWING FORMS OF DOCUMENTATION THAT INCLUDES THE DATES2
	276	+	AND TYPES OF IMMUNIZATIONS ADMINISTERED TO A STUDENT :3
	277	+	(a) INFORMATION FROM AN IMMUNIZATION RECORD TRANSFERRED4
	278	+	BY A LICENSED PHYSICIAN, A PHYSICIAN ASSISTANT AUTHORIZED5
	279	+	PURSUANT TO SECTION 12-240-107 (6), AN ADVANCED PRACTICE6
	280	+	REGISTERED NURSE, A PUBLIC HEALTH OFFICIAL, OR A SCHOOL OFFICIAL7
	281	+	ONTO A PAPER OR ELECTRONIC VERSION OF THE OFFICIAL CERTIFICATE OF8
	282	+	IMMUNIZATION FORM CREATED AND MAINTAINED BY THE DEPARTMENT OF9
	283	+	PUBLIC HEALTH AND ENVIRONMENT ; OR10
	284	+	(b) AN ELECTRONIC FILE OR A HARD COPY OF AN ELECTRONIC FILE11
	285	+	PROVIDED TO THE SCHOOL DIRECTLY FROM THE IMMUNIZATION TRACKING12
	286	+	SYSTEM, ESTABLISHED PURSUANT TO SECTION 25-4-2403.13
	287	+	SECTION 11. In Colorado Revised Statutes, 25-4-902, amend14
	288	+	(1) introductory portion, (1)(a), (2), (3), (4)(a)(II), and (4)(b); and repeal15
	289	+	(1)(b) as follows:16
	290	+	25-4-902. Immunization prior to attending school -17
	291	+	standardized immunization information. (1) A student shall not attend18
	292	+	any school in the state of Colorado on or after the dates specified in19
	293	+	section 25-4-906 (4) unless he or she THE STUDENT OR THE STUDENT 'S20
	294	+	PARENT OR LEGAL GUARDIAN has presented one of the following to the21
	295	+	appropriate school official:22
	296	+	(a) An up-to-date OFFICIAL certificate of immunization from a23
	297	+	licensed physician, physician assistant authorized pursuant to section24
	298	+	12-240-107 (6), advanced practice registered nurse, or authorized25
	299	+	representative of the department of public health and environment or a26
	300	+	local public health agency stating that the student has received27
	301	+	1027
	302	+	-9- immunization against communicable diseases as specified by the state1
	303	+	board of health based on recommendations of the advisory committee on2
	304	+	immunization practices of the centers for disease control and prevention3
	305	+	in the federal department of health and human services IN RULES ADOPTED4
	306	+	IN ACCORDANCE WITH SECTION 25-4-904 (1); or5
	307	+	(b) A written authorization signed by one parent or legal guardian,6
	308	+	an emancipated student, or a student eighteen years of age or older7
	309	+	requesting that local public health officials administer the immunizations;8
	310	+	or9
	311	+	10
	312	+	(2) If the student's OFFICIAL certificate of immunization is not up11
	313	+	to date according to the requirements of the state board of health, the12
	314	+	parent or guardian OF THE STUDENT or, IF THE STUDENT IS EMANCIPATED13
	315	+	OR EIGHTEEN YEARS OF AGE OR OLDER, the emancipated student or the14
	316	+	student eighteen years of age or older shall submit to the school, within15
	317	+	fourteen THIRTY days after receiving direct personal notification that the16
	318	+	OFFICIAL certificate OF IMMUNIZATION is not up to date, documentation17
	319	+	INDICATING that the next required immunization has been given and THAT18
	320	+	INCLUDES a written plan for completion of all required immunizations.19
	321	+	The scheduling of immunizations in the written plan shall follow20
	322	+	medically recommended minimum intervals approved by the state board21
	323	+	of health. If the student begins but does not continue or complete the22
	324	+	written plan, he or she THE SCHOOL shall be suspended or expelled23
	325	+	SUSPEND OR EXPEL THE STUDENT pursuant to this part 9.24
	326	+	(3) Notwithstanding the provisions of subsection (1) of this25
	327	+	section, a school shall enroll a student who is in out-of-home placement26
	328	+	within five school days after receiving the student's education information27
	329	+	1027
	330	+	-10- and records as required in section 22-32-138, C.R.S., regardless of1
	331	+	whether the school has received the items specified in subsection (1) of2
	332	+	this section. Upon enrolling the student,
	333	+	THE REQUIREMENTS OF3
	334	+	SUBSECTIONS (1) AND (2) OF THIS SECTION APPLY, AND the school shall4
	335	+	notify the student's legal guardian that, unless the school receives the5
	336	+	student's
	337	+	OFFICIAL certificate of immunization or a written authorization6
	338	+	for administration of immunizations CERTIFICATE OF EXEMPTION within7
	339	+	fourteen days after the student enrolls, the school shall WILL suspend the8
	340	+	student until such time as the school receives the OFFICIAL certificate of9
	341	+	immunization or the authorization CERTIFICATE OF EXEMPTION.10
	342	+	(4) (a) On or before January 15, 2021, the department of public11
	343	+	health and environment shall develop and provide to the department of12
	344	+	education and the department of human services a standardized document13
	345	+	regarding childhood immunizations. The department of education and the14
	346	+	department of human services shall post the standardized immunization15
	347	+	document on their websites on or before January 31, 2021, and on or16
	348	+	before January 31 each year thereafter. The standardized document must17
	349	+	be updated annually and must include, but need not be limited to:18
	350	+	(II) A list of immunizations currently recommended for children19
	351	+	by the advisory committee on immunization practices of the centers for20
	352	+	disease control and prevention in the federal department of health and21
	353	+	human services and the recommended age at which each immunization22
	354	+	should be given,
	355	+	AS SPECIFIED BY THE STATE BOARD OF HEALTH IN RULES
	356	+	23
	357	+	ADOPTED IN ACCORDANCE WITH SECTION 25-4-904 (1);24
	358	+	(4) (b) On or before February 15, 2021 APRIL 15, 2026, and on or25
	359	+	before February 15 APRIL 15 each year thereafter, a school shall include26
	360	+	on the document
	361	+	DESCRIBED IN SUBSECTION (4)(a) OF THIS SECTION the27
	362	+	1027
	363	+	-11- school's specific immunization and exemption rates for the measles,1
	364	+	mumps, and rubella vaccine for the school's enrolled student population2
	365	+	for the prior school year compared to the vaccinated children standard3
	366	+	described in section 25-4-911. The school may include on the document4
	367	+	the school's specific immunization and exemption rates for any other5
	368	+	vaccine for the school's enrolled student population for the prior school6
	369	+	year. The school shall directly distribute the document to the parent or7
	370	+	legal guardian of each student enrolled in its school, emancipated8
	371	+	students, or students eighteen years of age or older, consistent with9
	372	+	section 25-4-903 (5).10
	373	+	SECTION 12. In Colorado Revised Statutes, 25-4-902.5, amend11
	374	+	(1) as follows:12
	375	+	25-4-902.5. Immunization prior to attending a college or13
	376	+	university - tuberculosis screening process development. (1) Except14
	377	+	as provided in section 25-4-903, no A student shall NOT attend any college15
	378	+	or university in the state of Colorado on or after the dates specified in16
	379	+	section 25-4-906 (4) unless the student can present to the appropriate17
	380	+	official of the school a AN OFFICIAL certificate of immunization from a18
	381	+	licensed physician, licensed physician assistant authorized under section19
	382	+	12-240-107 (6), licensed advanced practice registered nurse, or authorized20
	383	+	representative of the department of public health and environment or21
	384	+	county, district, or municipal public health agency stating that the student22
	385	+	has received immunization against communicable diseases as specified23
	386	+	by the state board of health. or a written authorization signed by one24
	387	+	parent or guardian or the emancipated student or the student eighteen25
	388	+	years of age or older requesting that local health officials administer the26
	389	+	immunizations or a plan signed by one parent or guardian or the27
	390	+	1027
	391	+	-12- emancipated student or the student eighteen years of age or older for1
	392	+	receipt by the student of the required inoculation or the first or the next2
	393	+	required of a series of inoculations within thirty days.3
	394	+	SECTION 13. In Colorado Revised Statutes, 25-4-903, amend4
	395	+	(2) introductory portion, (2)(a), (2)(b)(II)(B), (2.2)(a)(III), (2.2)(b)(II),5
	396	+	and (2.2)(b)(III) as follows:6
	397	+	25-4-903. Exemptions from immunization - rules. (2) A7
	398	+	U
	399	+	NLESS A STUDENT IS EXEMPTED PURSUANT TO THIS SECTION , THE parent8
	400	+	or legal guardian
358	401		OF A STUDENT shall have his or her
359		-	THE student immunized, unless
360		-	the student is exempted pursuant to this section, or an emancipated student
361		-	or a student eighteen years of age or older OR, IF A STUDENT IS
362		-	EMANCIPATED OR EIGHTEEN YEARS OF AGE OR OLDER
363		-	, THE STUDENT shall
364		-	have himself or herself
365		-	THEMSELF immunized. unless the student is
366		-	exempted pursuant to this section. A student is exempted from receiving the
367		-	required immunizations in the following manner:
368		-	(a) By submitting to the student's school a completed certificate of
369		-	medical exemption from a licensed physician, physician assistant authorized
370		-	PAGE 9-HOUSE BILL 25-1027 pursuant to section 12-240-107 (6), or advanced practice registered nurse
371		-	that the physical condition of the student is such that one or more specified
372		-	immunizations would endanger his or her
373		-	THE STUDENT'S life or health or
374		-	are medically contraindicated due to other medical conditions; or
375		-	(b) (II) (B) A complete certificate of nonmedical exemption must
376		-	include the signature of a person who is authorized pursuant to title 12 to
377		-	administer immunizations within his or her
378		-	THE PERSON'S scope of practice
379		-	to the student for whom the certificate of nonmedical exemption is sought.
380		-	Nothing in this subsection (2)(b)(II)(B) requires a person authorized
381		-	pursuant to title 12 to administer immunizations within his or her
382		-	THE
383		-	PERSON
384		-	'S scope of practice to sign a certificate of nonmedical exemption.
385		-	Notwithstanding any law or rule to the contrary, a body that regulates the
386		-	professional conduct of a person who is authorized pursuant to title 12 to
387		-	administer immunizations within his or her
388		-	THE PERSON'S scope of practice
389		-	to the student for whom the certificate is sought shall not order a
390		-	disciplinary action against the person because the person authorized to sign
391		-	the certificate signed such certificate pursuant to this subsection
392		-	(2)(b)(II)(B). It is unlawful for the employer or any
393		-	A professional
394		-	organization to retaliate against a person because the person authorized to
395		-	sign a certificate signed such certificate pursuant to this subsection
396		-	(2)(b)(II)(B).
397		-	(2.2) (a) (III) A person authorized pursuant to title 12 to administer
398		-	immunizations within his or her
399		-	THE PERSON'S scope of practice to the
400		-	student for whom the certificate of nonmedical exemption is sought and
401		-	who signs the certificate of nonmedical exemption form shall provide a
402		-	copy of a completed certificate of nonmedical exemption to the student's
403		-	parent or legal guardian, the emancipated student, or the student eighteen
404		-	years of age or older.
405		-	(b) (II) A person authorized pursuant to title 12 to administer
406		-	immunizations within his or her
407		-	THE PERSON'S scope of practice to the
408		-	student for whom the certificate of nonmedical exemption is sought and
409		-	who signs the certificate of nonmedical exemption shall submit the
410		-	nonmedical exemption data to the immunization tracking system created in
411		-	section 25-4-2403.
412		-	(III) Notwithstanding subsections (2.2)(b)(I) and (2.2)(b)(II) of this
413		-	section, a licensed physician, a physician assistant authorized pursuant to
414		-	PAGE 10-HOUSE BILL 25-1027 section 12-240-107 (6), an advanced practice registered nurse, or a person
415		-	authorized pursuant to title 12 to administer immunizations within his or her
416		-	THE PERSON'S scope of practice is not subject to a regulatory sanction for
417		-	failing to submit medical exemption or nonmedical exemption data to the
418		-	immunization tracking system.
419		-	SECTION 14. In Colorado Revised Statutes, amend 25-4-904 as
420		-	follows:
421		-	25-4-904. Rules - immunization rules - rule-making authority of
422		-	state board of health. (1) (a) The state board of health shall establish rules
423		-	and regulations
424		-	for administering this part 9. Such IN ORDER TO PREVENT
425		-	THE TRANSMISSION OF COMMUNICABLE DISEASES AND THE EFFECTS OF
426		-	SERIOUS DISEASES
427		-	, THE STATE BOARD OF HEALTH rules and regulations shall:
428		-	(I) Establish which THE immunizations shall be THAT ARE required
	402	+	THE student9
	403	+	immunized, unless the student is exempted pursuant to this section, or an10
	404	+	emancipated student or a student eighteen years of age or older OR, IF A11
	405	+	STUDENT IS EMANCIPATED OR EIGHTEEN YEARS OF AGE OR OLDER , THE12
	406	+	STUDENT shall have himself or herself THEMSELF immunized. unless the13
	407	+	student is exempted pursuant to this section. A student is exempted from14
	408	+	receiving the required immunizations in the following manner:15
	409	+	(a) By submitting to the student's school a completed certificate16
	410	+	of medical exemption from a licensed physician, physician assistant17
	411	+	authorized pursuant to section 12-240-107 (6), or advanced practice18
	412	+	registered nurse that the physical condition of the student is such that one19
	413	+	or more specified immunizations would endanger his or her THE20
	414	+	STUDENT'S life or health or are medically contraindicated due to other21
	415	+	medical conditions; or22
	416	+	(b) (II) (B) A complete certificate of nonmedical exemption must23
	417	+	include the signature of a person who is authorized pursuant to title 12 to24
	418	+	administer immunizations within his or her THE PERSON'S scope of25
	419	+	practice to the student for whom the certificate of nonmedical exemption26
	420	+	is sought. Nothing in this subsection (2)(b)(II)(B) requires a person27
	421	+	1027
	422	+	-13- authorized pursuant to title 12 to administer immunizations within his or1
	423	+	her THE PERSON'S scope of practice to sign a certificate of nonmedical2
	424	+	exemption. Notwithstanding any law or rule to the contrary, a body that3
	425	+	regulates the professional conduct of a person who is authorized pursuant4
	426	+	to title 12 to administer immunizations within his or her THE PERSON'S5
	427	+	scope of practice to the student for whom the certificate is sought shall6
	428	+	not order a disciplinary action against the person because the person7
	429	+	authorized to sign the certificate signed such certificate pursuant to this8
	430	+	subsection (2)(b)(II)(B). It is unlawful for the employer or any A9
	431	+	professional organization to retaliate against a person because the person10
	432	+	authorized to sign a certificate signed such certificate pursuant to this11
	433	+	subsection (2)(b)(II)(B).12
	434	+	(2.2) (a) (III) A person authorized pursuant to title 12 to13
	435	+	administer immunizations within his or her THE PERSON'S scope of14
	436	+	practice to the student for whom the certificate of nonmedical exemption15
	437	+	is sought and who signs the certificate of nonmedical exemption form16
	438	+	shall provide a copy of a completed certificate of nonmedical exemption17
	439	+	to the student's parent or legal guardian, the emancipated student, or the18
	440	+	student eighteen years of age or older.19
	441	+	(b) (II) A person authorized pursuant to title 12 to administer20
	442	+	immunizations within his or her THE PERSON'S scope of practice to the21
	443	+	student for whom the certificate of nonmedical exemption is sought and22
	444	+	who signs the certificate of nonmedical exemption shall submit the23
	445	+	nonmedical exemption data to the immunization tracking system created24
	446	+	in section 25-4-2403.25
	447	+	(III) Notwithstanding subsections (2.2)(b)(I) and (2.2)(b)(II) of26
	448	+	this section, a licensed physician, a physician assistant authorized27
	449	+	1027
	450	+	-14- pursuant to section 12-240-107 (6), an advanced practice registered nurse,1
	451	+	or a person authorized pursuant to title 12 to administer immunizations2
	452	+	within his or her THE PERSON'S scope of practice is not subject to a3
	453	+	regulatory sanction for failing to submit medical exemption or4
	454	+	nonmedical exemption data to the immunization tracking system.5
	455	+	SECTION 14. In Colorado Revised Statutes, amend 25-4-904 as6
	456	+	follows:7
	457	+	25-4-904. Rules - immunization rules - rule-making authority8
	458	+	of state board of health. (1) (a) The state board of health shall establish9
	459	+	rules and regulations for administering this part 9. Such IN ORDER TO10
	460	+	PREVENT THE TRANSMISSION OF COMMUNICABLE DISEASES AND THE11
	461	+	EFFECTS OF SERIOUS DISEASES, THE STATE BOARD OF HEALTH rules and12
	462	+	regulations shall:13
	463	+	(I) Establish which THE immunizations shall be THAT ARE required14
429	464		and the manner and frequency of their administration,
430	465		TAKING INTO
431		-	CONSIDERATION RECOMMENDATIONS OF THE ADVISORY COMMITTEE ON
432		-	IMMUNIZATION PRACTICES OF THE CENTERS FOR DISEASE CONTROL AND
433		-	PREVENTION IN THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN
434		-	SERVICES AND
435		-	, AS APPROPRIATE, RECOMMENDATIONS OF THE AMERICAN
436		-	ACADEMY OF PEDIATRICS, THE AMERICAN ACADEMY OF FAMILY
437		-	PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRICIANS AND
438		-	GYNECOLOGISTS, AND THE AMERICAN COLLEGE OF PHYSICIANS; and shall
439		-	(II) Conform to recognized standard medical practices.
440		-	(b) Such THE rules and regulations may also require the reporting
441		-	of statistical information and names of noncompliers by the schools.
442		-	(c) The department of public health and environment shall
443		-	administer and enforce the immunization requirements.
444		-	(2) All rule-making authority granted to the state board of health
445		-	under this article 4 is granted on the condition that the general assembly
446		-	reserves the power to delete or rescind any rule of the board. All rules
447		-	promulgated
448		-	ADOPTED pursuant to this subsection (2) SECTION are subject
449		-	to section 24-4-103.
450		-	SECTION 15. In Colorado Revised Statutes, amend 25-4-904.5 as
451		-	PAGE 11-HOUSE BILL 25-1027 follows:
452		-	25-4-904.5. Annual alignment evaluation. The department of
453		-	public health and environment shall annually evaluate the state's
454		-	immunization practices, including an examination of updated best practices
455		-	and guidelines recommended by the advisory committee on immunization
456		-	practices of the centers for disease control and prevention in the federal
457		-	department of health and human services
458		-	AND, AS APPROPRIATE, BY THE
459		-	AMERICAN ACADEMY OF PEDIATRICS, THE AMERICAN ACADEMY OF FAMILY
460		-	PHYSICIANS, THE AMERICAN COLLEGE OF OBSTETRICIANS AND
461		-	GYNECOLOGISTS, AND THE AMERICAN COLLEGE OF PHYSICIANS. The state
462		-	board of health shall review the department of public health and
463		-	environment's annual evaluation and may update the state's immunization
464		-	practices pursuant to the department of public health and environment's
465		-	annual evaluation.
466		-	SECTION 16. In Colorado Revised Statutes, amend 25-4-905 as
467		-	follows:
468		-	25-4-905. Immunization of indigent children. (1) The county,
469		-	district, or municipal public health agency; a public health or school nurse
470		-	under the supervision of a licensed physician or physician assistant
471		-	authorized under section 12-240-107 (6); or the department of public health
472		-	and environment, in the absence of a county, district, or municipal public
473		-	health agency or public health nurse, shall provide, at public expense to the
474		-	extent that funds are
475		-	FUNDING IS available, immunizations required by this
476		-	part 9 to each child whose parents or guardians cannot afford to have the
477		-	child immunized or, if emancipated, who cannot himself or herself
478		-	THEMSELF afford immunization and who has not been exempted. The
479		-	department of public health and environment shall provide all vaccines
480		-	necessary to comply with this section as far as funds
481		-	FUNDING will permit.
482		-	Nothing in this section precludes the department of public health and
483		-	environment from distributing vaccines to physicians,
484		-	PHYSICIAN
485		-	ASSISTANTS AUTHORIZED UNDER SECTION
486		-	12-240-107 (6), advanced practice
487		-	registered nurses, or others as required by law or the rules of the
488		-	department. No
489		-	AN indigent child shall NOT be excluded, suspended, or
490		-	expelled from school unless the immunizations have been available and
491		-	readily accessible to the child at public expense.
492		-	(2) Notwithstanding any other provision of this part 9 to the
493		-	PAGE 12-HOUSE BILL 25-1027 contrary, programs and services that provide immunizations to children for
494		-	communicable diseases shall be
495		-	MADE available to a child regardless of hisor her THE CHILD'S race, religion, gender, ethnicity, national origin, or
496		-	immigration status.
497		-	SECTION 17. In Colorado Revised Statutes, 25-4-906, amend (1),
498		-	(2), and (4) as follows:
499		-	25-4-906. Certificate of immunization - forms. (1) The
500		-	department of public health and environment shall provide official
501		-	certificates of immunization to the schools, private physicians, and county,
502		-	district, and municipal public health agencies. Upon the commencement of
503		-	the gathering of epidemiological information pursuant to section 25-4-2403
504		-	to implement the immunization tracking system, such form shall include a
505		-	notice that informs a parent or legal guardian that he or she
506		-	THE PARENT OR
507		-	LEGAL GUARDIAN
508		-	has the option to exclude his or her
509		-	THEIR infant's, child's,
510		-	or student's immunization information from the immunization tracking
511		-	system created in section 25-4-2403. A
512		-	SCHOOL OFFICIAL MAY ACCEPT any
513		-	immunization record provided by a licensed physician, registered nurse, or
514		-	public health official may be accepted by the school official as certification
515		-	AS PROOF of immunization if the information is transferred to the official
516		-	certificate of immunization. and verified by the school official.
517		-	(2) (a) (I) EXCEPT AS PROVIDED IN SUBSECTION (2)(a)(II) OF THIS
518		-	SECTION
519		-	, each school shall maintain on file an official certificate of
520		-	immunization for every student enrolled
521		-	IN THE SCHOOL.
522		-	(II) I
523		-	N LIEU OF AN OFFICIAL CERTIFICATE OF IMMUNIZATION , A
524		-	LICENSED CHILDREN
525		-	'S RESIDENTIAL CAMP MAY MAINTAIN ON FILE AN
526		-	OUT
527		-	-OF-STATE IMMUNIZATION RECORD FOR AN OUT -OF-STATE CAMPER
528		-	ATTENDING THE RESIDENTIAL CAMP
529		-	.
530		-	(b) (I) W
531		-	HEN A STUDENT WITHDRAWS, TRANSFERS, IS PROMOTED, OR
532		-	OTHERWISE LEAVES A SCHOOL
533		-	, THE SCHOOL SHALL:
534		-	(A) U
535		-	PON REQUEST, RETURN the OFFICIAL certificate shall be
536		-	returned OF IMMUNIZATION to the parent or guardian OF A STUDENT or, IF A
537		-	STUDENT IS EMANCIPATED OR EIGHTEEN YEARS OF AGE OR OLDER
538		-	, TO the
539		-	emancipated
540		-	student; or student eighteen years of age or older when a
541		-	student withdraws, transfers, is promoted, or otherwise leaves the school,
542		-	PAGE 13-HOUSE BILL 25-1027 or the school shall
543		-	(B) Transfer the OFFICIAL certificate OF IMMUNIZATION with the
544		-	student's school record to the new school.
545		-	(II) Upon a college or university student's request, the
546		-	COLLEGE OR
547		-	UNIVERSITY SHALL FORWARD THE
548		-	official certificate of immunization shall
549		-	be forwarded as specified by the student.
550		-	(4) All students enrolled in any school in Colorado on and after
551		-	August 15, 1979, shall furnish the required
552		-	OFFICIAL certificate of
553		-	immunization or shall be suspended or expelled from school. Students
554		-	enrolling in school in Colorado for the first time on and after July 1, 1978,
555		-	shall provide a
556		-	AN OFFICIAL certificate of immunization or shall be excluded
557		-	from school except as provided in section 25-4-903.
558		-	SECTION 18. In Colorado Revised Statutes, 25-4-907, repeal (2)
559		-	as follows:
560		-	25-4-907. Noncompliance. (2) In the event of suspension or
561		-	expulsion of a student, school officials shall notify the state department of
562		-	public health and environment or the county, district, and municipal public
563		-	health agency. An agent of said department shall then contact the parent or
564		-	guardian or the emancipated student or student eighteen years of age or
565		-	older in an effort to secure compliance with this part 9 in order that the
566		-	student may be reenrolled in school.
567		-	SECTION 19. In Colorado Revised Statutes, 25-3-603, amend (1)
568		-	as follows:
569		-	25-3-603. Department reports. (1) Notwithstanding section
570		-	24-1-136 (11)(a)(I), on or before July 15, 2017 SEPTEMBER 15, 2025, and
571		-	each July 15 SEPTEMBER 15 thereafter, the department shall submit to the
572		-	health and human services committees of the house of representatives and
	466	+	15
	467	+	CONSIDERATION RECOMMENDATIONS OF THE ADVISORY COMMITTEE ON16
	468	+	IMMUNIZATION PRACTICES OF THE CENTERS FOR DISEASE CONTROL AND17
	469	+	PREVENTION IN THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN18
	470	+	SERVICES AND, AS APPROPRIATE, RECOMMENDATIONS OF THE AMERICAN19
	471	+	A
	472	+	CADEMY OF PEDIATRICS, THE AMERICAN ACADEMY OF FAMILY
	473	+	20
	474	+	P
	475	+	HYSICIANS, THE AMERICAN COLLEGE OF OBSTETRICIANS AND
	476	+	21
	477	+	G
	478	+	YNECOLOGISTS, AND THE AMERICAN COLLEGE OF PHYSICIANS; and shall
	479	+	22
	480	+	(II) Conform to recognized standard medical practices.23
	481	+	(b) Such THE rules and regulations may also require the reporting24
	482	+	of statistical information and names of noncompliers by the schools.25
	483	+	(c) The department of public health and environment shall26
	484	+	administer and enforce the immunization requirements.27
	485	+	1027
	486	+	-15- (2) All rule-making authority granted to the state board of health1
	487	+	under this article 4 is granted on the condition that the general assembly2
	488	+	reserves the power to delete or rescind any rule of the board. All rules3
	489	+	promulgated ADOPTED pursuant to this subsection (2) SECTION are subject4
	490	+	to section 24-4-103.5
	491	+	SECTION 15. In Colorado Revised Statutes, amend 25-4-904.56
	492	+	as follows:7
	493	+	25-4-904.5. Annual alignment evaluation. The department of8
	494	+	public health and environment shall annually evaluate the state's9
	495	+	immunization practices, including an examination of updated best10
	496	+	practices and guidelines recommended by the advisory committee on11
	497	+	immunization practices of the centers for disease control and prevention12
	498	+	in the federal department of health and human services
	499	+	AND, AS
	500	+	13
	501	+	APPROPRIATE, BY THE AMERICAN ACADEMY OF PEDIATRICS, THE14
	502	+	A
	503	+	MERICAN ACADEMY OF FAMILY PHYSICIANS, THE AMERICAN COLLEGE
	504	+	15
	505	+	OF OBSTETRICIANS AND GYNECOLOGISTS, AND THE AMERICAN COLLEGE16
	506	+	OF PHYSICIANS. The state board of health shall review the department of17
	507	+	public health and environment's annual evaluation and may update the18
	508	+	state's immunization practices pursuant to the department of public health19
	509	+	and environment's annual evaluation.20
	510	+	SECTION 16. In Colorado Revised Statutes, amend 25-4-905 as21
	511	+	follows:22
	512	+	25-4-905. Immunization of indigent children. (1) The county,23
	513	+	district, or municipal public health agency; a public health or school nurse24
	514	+	under the supervision of a licensed physician or physician assistant25
	515	+	authorized under section 12-240-107 (6); or the department of public26
	516	+	health and environment, in the absence of a county, district, or municipal27
	517	+	1027
	518	+	-16- public health agency or public health nurse, shall provide, at public1
	519	+	expense to the extent that funds are FUNDING IS available, immunizations2
	520	+	required by this part 9 to each child whose parents or guardians cannot3
	521	+	afford to have the child immunized or, if emancipated, who cannot4
	522	+	himself or herself THEMSELF afford immunization and who has not been5
	523	+	exempted. The department of public health and environment shall provide6
	524	+	all vaccines necessary to comply with this section as far as funds FUNDING7
	525	+	will permit. Nothing in this section precludes the department of public8
	526	+	health and environment from distributing vaccines to physicians,9
	527	+	PHYSICIAN ASSISTANTS AUTHORIZED UNDER SECTION 12-240-107 (6),10
	528	+	advanced practice registered nurses, or others as required by law or the11
	529	+	rules of the department. No
	530	+	AN indigent child shall NOT be excluded,12
	531	+	suspended, or expelled from school unless the immunizations have been13
	532	+	available and readily accessible to the child at public expense.14
	533	+	(2) Notwithstanding any other provision of this part 9 to the15
	534	+	contrary, programs and services that provide immunizations to children16
	535	+	for communicable diseases shall be
	536	+	MADE available to a child regardless17
	537	+	of his or her
	538	+	THE CHILD'S race, religion, gender, ethnicity, national origin,18
	539	+	or immigration status.19
	540	+	SECTION 17. In Colorado Revised Statutes, 25-4-906, amend20
	541	+	(1), (2), and (4) as follows:21
	542	+	25-4-906. Certificate of immunization - forms. (1) The22
	543	+	department of public health and environment shall provide official23
	544	+	certificates of immunization to the schools, private physicians, and24
	545	+	county, district, and municipal public health agencies. Upon the25
	546	+	commencement of the gathering of epidemiological information pursuant26
	547	+	to section 25-4-2403 to implement the immunization tracking system,27
	548	+	1027
	549	+	-17- such form shall include a notice that informs a parent or legal guardian1
	550	+	that he or she THE PARENT OR LEGAL GUARDIAN has the option to exclude2
	551	+	his or her THEIR infant's, child's, or student's immunization information3
	552	+	from the immunization tracking system created in section 25-4-2403. 4
	553	+	A SCHOOL OFFICIAL MAY ACCEPT any immunization record provided by5
	554	+	a licensed physician, registered nurse, or public health official may be6
	555	+	accepted by the school official as certification AS PROOF of immunization7
	556	+	if the information is transferred to the official certification of8
	557	+	immunization. and verified by the school official.9
	558	+	(2) (a) (I) EXCEPT AS PROVIDED IN SUBSECTION (2)(a)(II) OF THIS10
	559	+	SECTION, each school shall maintain on file an official certificate of11
	560	+	immunization for every student enrolled IN THE SCHOOL.12
	561	+	(II) IN LIEU OF AN OFFICIAL CERTIFICATE OF IMMUNIZATION , A13
	562	+	LICENSED CHILDREN'S RESIDENTIAL CAMP MAY MAINTAIN ON FILE AN14
	563	+	OUT-OF-STATE IMMUNIZATION RECORD FOR AN OUT-OF-STATE CAMPER15
	564	+	ATTENDING THE RESIDENTIAL CAMP .16
	565	+	(b) (I) WHEN A STUDENT WITHDRAWS, TRANSFERS, IS PROMOTED,17
	566	+	OR OTHERWISE LEAVES A SCHOOL , THE SCHOOL SHALL:18
	567	+	(A) UPON REQUEST, RETURN the OFFICIAL certificate shall be19
	568	+	returned OF IMMUNIZATION to the parent or guardian OF A STUDENT or, IF20
	569	+	A STUDENT IS EMANCIPATED OR EIGHTEEN YEARS OF AGE OR OLDER, TO the21
	570	+	emancipated student; or student eighteen years of age or older when a22
	571	+	student withdraws, transfers, is promoted, or otherwise leaves the school,23
	572	+	or the school shall24
	573	+	(B) Transfer the OFFICIAL certificate OF IMMUNIZATION with the25
	574	+	student's school record to the new school. 26
	575	+	(II) Upon a college or university student's request, the COLLEGE OR27
	576	+	1027
	577	+	-18- UNIVERSITY SHALL FORWARD THE official certificate of immunization1
	578	+	shall be forwarded as specified by the student.2
	579	+	(4) All students enrolled in any school in Colorado on and after3
	580	+	August 15, 1979, shall furnish the required OFFICIAL certificate of4
	581	+	immunization or shall be suspended or expelled from school. Students5
	582	+	enrolling in school in Colorado for the first time on and after July 1, 1978,6
	583	+	shall provide a AN OFFICIAL certificate of immunization or shall be7
	584	+	excluded from school except as provided in section 25-4-903.8
	585	+	SECTION 18. In Colorado Revised Statutes, 25-4-907, repeal (2)9
	586	+	as follows:10
	587	+	25-4-907. Noncompliance. (2) In the event of suspension or11
	588	+	expulsion of a student, school officials shall notify the state department12
	589	+	of public health and environment or the county, district, and municipal13
	590	+	public health agency. An agent of said department shall then contact the14
	591	+	parent or guardian or the emancipated student or student eighteen years15
	592	+	of age or older in an effort to secure compliance with this part 9 in order16
	593	+	that the student may be reenrolled in school.17
	594	+	SECTION 19. In Colorado Revised Statutes, 25-3-603, amend18
	595	+	(1) as follows:19
	596	+	25-3-603. Department reports. (1) Notwithstanding section20
	597	+	24-1-136 (11)(a)(I), on or before July 15, 2017 SEPTEMBER 15, 2025, and21
	598	+	each July 15 SEPTEMBER 15 thereafter, the department shall submit to the22
	599	+	health and human services committees of the house of representatives and23
573	600		of the senate,
574		-	OR THEIR SUCCESSOR COMMITTEES , a report summarizing the
575		-	risk-adjusted health-facility data. The department shall post the report on its
576		-	website.
577		-	SECTION 20. In Colorado Revised Statutes, 25-4-2005, amend (1)
578		-	as follows:
579		-	PAGE 14-HOUSE BILL 25-1027 25-4-2005. Hepatitis C testing - recommendations - definitions
580		-	- rules - repeal. (1) (a) (I) The department recommends that each primary
581		-	health-care provider or physician, physician assistant, or nurse practitioner
582		-	who treats a patient in an inpatient or outpatient setting offer a person born
583		-	between the years of 1945 and 1965 a hepatitis C screening test or hepatitis
584		-	C diagnostic test unless the health-care provider providing such services
585		-	reasonably believes that:
586		-	(a)
587		-	(A) The patient is being treated for a life-threatening emergency;
588		-	(b) (B) The patient has previously been offered or has been the
589		-	subject of a hepatitis C screening; or
590		-	(c) (C) The patient lacks capacity to consent to a hepatitis C
591		-	screening test.
	601	+	OR THEIR SUCCESSOR COMMITTEES , a report summarizing24
	602	+	the risk-adjusted health-facility data. The department shall post the report25
	603	+	on its website.26
	604	+	SECTION 20.
	605	+	In Colorado Revised Statutes, 25-4-2005, amend27
	606	+	1027
	607	+	-19- (1) as follows:1
	608	+	25-4-2005. Hepatitis C testing - recommendations - definitions2
	609	+	- rules - repeal. (1) (a) (I) The department recommends that each3
	610	+	primary health-care provider or physician, physician assistant, or nurse4
	611	+	practitioner who treats a patient in an inpatient or outpatient setting offer5
	612	+	a person born between the years of 1945 and 1965 a hepatitis C screening6
	613	+	test or hepatitis C diagnostic test unless the health-care provider providing7
	614	+	such services reasonably believes that:8
	615	+	(a) (A) The patient is being treated for a life-threatening9
	616	+	emergency;10
	617	+	(b) (B) The patient has previously been offered or has been the11
	618	+	subject of a hepatitis C screening; or12
	619	+	(c) (C) The patient lacks capacity to consent to a hepatitis C13
	620	+	screening test.14
592	621		(II) T
593		-	HIS SUBSECTION (1)(a) IS REPEALED, EFFECTIVE JULY 1, 2026.
	622	+	HIS SUBSECTION (1)(a) IS REPEALED, EFFECTIVE JULY 1, 2026.15
594	623		(b) (I) T
595		-	HE STATE BOARD OF HEALTH CREATED IN SECTION 25-1-103
596		-	SHALL ADOPT RULES ESTABLISHING STANDARDS FOR HEPATITIS C SCREENING
597		-	AND DIAGNOSTIC TESTS FOR USE BY PRIMARY HEALTH
598		-	-CARE PROVIDERS,
599		-	PHYSICIANS, PHYSICIAN ASSISTANTS, OR NURSE PRACTITIONERS WHO TREAT
600		-	PATIENTS IN AN INPATIENT OR OUTPATIENT SETTING
601		-	. THE BOARD SHALL
602		-	ENSURE THAT THE SCREENING AND DI AGNOSTIC TEST STANDARDS ALIGN
603		-	WITH RECOMMENDATIONS OF THE FEDERAL CENTERS FOR DISEASE CONTROL
604		-	AND PREVENTION FOR HEPATITIS
605		-	C SCREENING AND DIAGNOSTIC TESTING .
	624	+	HE STATE BOARD OF HEALTH CREATED IN SECTION16
	625	+	25-1-103
	626	+	SHALL ADOPT RULES ESTABLISHING STANDARDS FOR HEPATITIS17
	627	+	C
	628	+	SCREENING AND DIAGNOSTIC TESTS FOR USE BY PRIMARY HEALTH -CARE18
	629	+	PROVIDERS, PHYSICIANS, PHYSICIAN ASSISTANTS , OR NURSE19
	630	+	PRACTITIONERS WHO TREAT PATIENTS IN AN INPATIENT OR OUTPATIENT20
	631	+	SETTING. THE BOARD SHALL ENSURE THAT THE SCREENING AND21
	632	+	DIAGNOSTIC TEST STANDARDS ALIGN WITH RECOMMENDATIONS OF THE22
	633	+	FEDERAL CENTERS FOR DISEASE CONTROL AND PREVENTION FOR HEPATITIS23
	634	+	C
	635	+	SCREENING AND DIAGNOSTIC TESTING .24
606	636		(II) T
607		-	HE RULES ADOPTED BY THE BOARD PURSUANT TO THIS
608		-	SUBSECTION
609		-	(1)(b) SHALL TAKE EFFECT ON JULY 1, 2026.
610		-	SECTION 21. Safety clause. The general assembly finds,
611		-	determines, and declares that this act is necessary for the immediate
612		-	preservation of the public peace, health, or safety or for appropriations for
613		-	PAGE 15-HOUSE BILL 25-1027 the support and maintenance of the departments of the state and state
614		-	institutions.
615		-	____________________________ ____________________________
616		-	Julie McCluskie James Rashad Coleman, Sr.
617		-	SPEAKER OF THE HOUSE PRESIDENT OF
618		-	OF REPRESENTATIVES THE SENATE
619		-	____________________________ ____________________________
620		-	Vanessa Reilly Esther van Mourik
621		-	CHIEF CLERK OF THE HOUSE SECRETARY OF
622		-	OF REPRESENTATIVES THE SENATE
623		-	APPROVED________________________________________
624		-	(Date and Time)
625		-	_________________________________________
626		-	Jared S. Polis
627		-	GOVERNOR OF THE STATE OF COLORADO
628		-	PAGE 16-HOUSE BILL 25-1027
	637	+	HE RULES ADOPTED BY THE BOARD PURSUANT TO THIS25
	638	+	SUBSECTION (1)(b) SHALL TAKE EFFECT ON JULY 1, 2026.26
	639	+	SECTION 21.
	640	+	Safety clause. The general assembly finds,27
	641	+	1027
	642	+	-20- determines, and declares that this act is necessary for the immediate1
	643	+	preservation of the public peace, health, or safety or for appropriations for2
	644	+	the support and maintenance of the departments of the state and state3
	645	+	institutions.4
	646	+	1027
	647	+	-21-