36 | 33 | | SENATE SPONSORSHIP |
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37 | 34 | | Cutter and Daugherty, |
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38 | 35 | | Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. |
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39 | 36 | | Capital letters or bold & italic numbers indicate new material to be added to existing law. |
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40 | 37 | | Dashes through the words or numbers indicate deletions from existing law. banks) to maintain donor identifying information and update it every 3 |
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41 | 38 | | years. The bill requires donor banks to collect identifying information and |
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42 | 39 | | medical history from the gamete donor only at the initial donation. |
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43 | 40 | | Current law prohibits donor banks from prohibiting an adult |
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44 | 41 | | donor-conceived person from communicating about the gamete donor |
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45 | 42 | | with the donor-conceived person's friends, family, or other third parties. |
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46 | 43 | | The bill eliminates that prohibition. |
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47 | 44 | | The bill repeals certain provisions relating to gamete donor record |
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48 | 45 | | stewardship in the event of donor bank dissolution, bankruptcy, or |
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49 | 46 | | insolvency and eliminates the requirement that donor banks inform a |
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50 | 47 | | recipient parent about future implications about a gamete donor's medical |
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51 | 48 | | history or other persons conceived using the same gamete donor. |
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52 | 49 | | Current law requires the department of public health and |
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53 | 50 | | environment (department) to draft written materials that must be provided |
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54 | 51 | | to individuals prior to donating or receiving gametes. The bill removes |
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55 | 52 | | the responsibility from the department and requires donor banks to create |
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56 | 53 | | the materials. |
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57 | 54 | | Current law requires donor recipients to update and inform donor |
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58 | 55 | | banks regarding live births using donated gametes. The bill allows donor |
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59 | 56 | | banks to only recommend this step to recipients of donor gametes. |
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60 | 57 | | Donor bank licensure renewal is extended from annually to once |
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61 | 58 | | every 5 years. The requirement that the department investigate donor |
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62 | 59 | | banks outside the state of Colorado is eliminated, and the fine for donor |
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63 | 60 | | banks that are out of compliance is modified from an automatic $20,000 |
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64 | 61 | | per-day fine to a fine to be determined by the state board of health. |
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65 | 62 | | Be it enacted by the General Assembly of the State of Colorado:1 |
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66 | 63 | | SECTION 1. Short title. The short title of this act is the2 |
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67 | 64 | | "Reducing Barriers to Building Families Act".3 |
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68 | 65 | | SECTION 2. Legislative declaration. (1) The general assembly4 |
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69 | 66 | | finds that:5 |
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70 | 67 | | (a) On February 16, 2024, the Alabama supreme court ruled that6 |
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71 | 68 | | embryos formed through in vitro fertilization, or IVF, are considered7 |
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72 | 69 | | children under the state's "Wrongful Death of a Minor Act";8 |
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73 | 70 | | (b) The court's 131-page opinion held that the act applies to all9 |
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74 | 71 | | unborn children, regardless of their location. The chief justice of Alabama10 |
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75 | 72 | | quoted the Bible and stated that embryos are children in cryogenic11 |
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76 | 73 | | 1259-2- nurseries. The result was that medical professionals performing IVF could1 |
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77 | 74 | | be legally prosecuted for manslaughter if an embryo was destroyed.2 |
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78 | 75 | | (c) The ruling raised great concerns about the impact on, in3 |
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79 | 76 | | particular, provision of women's health-care services, fertility care for all4 |
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80 | 77 | | individuals, and assisted reproductive technologies. Many legal and5 |
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81 | 78 | | medical experts across the country, including in Colorado, believe the6 |
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82 | 79 | | ruling, in ways similar to what has happened in Alabama, will interfere7 |
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83 | 80 | | nationwide with women's access to medical care, including necessary8 |
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84 | 81 | | medical care following miscarriages; will make it difficult for people to9 |
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85 | 82 | | undergo fertility care, including IVF and embryo transfer; could end or10 |
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86 | 83 | | severely limit IVF medical treatments; and could interfere with11 |
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87 | 84 | | individuals even transferring their embryos to clinics outside of our state.12 |
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88 | 85 | | (d) After the ruling, IVF clinics in Alabama ceased providing13 |
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89 | 86 | | infertility medical services and also ceased transferring embryos owned14 |
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90 | 87 | | by their patients to clinics outside of Alabama due to potential legal and15 |
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91 | 88 | | felony risks if an embryo was inadvertently destroyed.16 |
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92 | 89 | | (2) (a) The Alabama ruling, coupled with new, intrusive, and17 |
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93 | 90 | | difficult-to-implement requirements for gamete donation, has had18 |
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94 | 91 | | negative impacts on people seeking fertility treatments in Colorado.19 |
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95 | 92 | | (b) Colorado has been recognized for decades as a medical20 |
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96 | 93 | | destination for those seeking sophisticated and cutting-edge medical care21 |
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97 | 94 | | for infertility. Colorado's fertility clinics are highly respected; the state's22 |
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98 | 95 | | medical practitioners are known as pioneers in assisted reproductive23 |
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99 | 96 | | technologies, or ART medical care; and Colorado continues to advance24 |
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100 | 97 | | and provide top-notch ART fertility care.25 |
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101 | 98 | | (c) Equally matching its sophisticated ART medical care,26 |
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102 | 99 | | Colorado also ranks highly among all states due to its progressive laws27 |
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103 | 100 | | 1259 |
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104 | 101 | | -3- and legal protections for children born through assisted reproductive1 |
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105 | 102 | | technologies, laws that ensure donors of gametes (ova and sperm) and2 |
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106 | 103 | | embryos are not considered legal parents of any resulting children, and3 |
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107 | 104 | | the laws protect the parental rights of parents whose children are born4 |
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108 | 105 | | through ART, including through donated gametes and surrogacy.5 |
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109 | 106 | | Children born through ART in Colorado legally are able to know who6 |
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110 | 107 | | their parents are from the moment of birth, and potential parents are7 |
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111 | 108 | | likewise safeguarded due to Colorado's protections, including not8 |
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112 | 109 | | requiring a genetic relationship between parent and child and not9 |
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113 | 110 | | requiring parents to be married, and including opposite gender10 |
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114 | 111 | | individuals' access to ART, making Colorado a top choice for domestic11 |
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115 | 112 | | and international individuals seeking assisted reproduction medical care12 |
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116 | 113 | | treatment options.13 |
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117 | 114 | | (3) Therefore, the general assembly declares that:14 |
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118 | 115 | | (a) Colorado should remain a world-class destination for all15 |
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119 | 116 | | people who want to start a family, providing safe, cutting-edge medical16 |
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120 | 117 | | care for individuals in need of those services;17 |
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121 | 118 | | (b) It is also important to keep the transparency and rules around18 |
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122 | 119 | | disclosure in order to address the concerns of donor-conceived19 |
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123 | 120 | | individuals while preserving the whole ecosystem of Colorado's20 |
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124 | 121 | | world-class assisted reproduction technologies, infertility medical care21 |
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125 | 122 | | options, and gamete donation medical environment; and22 |
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126 | 123 | | (c) Recent legislation in Colorado has been challenging to23 |
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127 | 124 | | implement and has had a chilling effect on donations, as individuals are24 |
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128 | 125 | | daunted by the invasive reporting requirements. This act seeks to25 |
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129 | 126 | | streamline implementation of the provisions of the "Donor-Conceived26 |
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130 | 127 | | Persons Protection Act" while preserving the important transparency and27 |
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131 | 128 | | 1259 |
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132 | 129 | | -4- reporting requirements.1 |
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133 | 130 | | SECTION 3. In Colorado Revised Statutes, add 25-57-113 as2 |
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134 | 131 | | follows:3 |
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135 | 132 | | 25-57-113. Reproductive health care - fertility treatment -4 |
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136 | 133 | | protections - definitions. (1) A |
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137 | 134 | | S USED IN THIS SECTION, UNLESS THE5 |
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138 | 135 | | CONTEXT OTHERWISE REQUIRES :6 |
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139 | 136 | | (a) "F |
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140 | 137 | | ERTILITY TREATMENT" MEANS ANY TEST, PROCEDURE,7 |
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141 | 138 | | MEDICATION, SURGERY, OR SERVICE TO DIAGNOSE, ENHANCE, OR ASSIST8 |
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142 | 139 | | AN INDIVIDUAL'S ABILITY TO REPRODUCE OR ACHIEVE PREGNANCY ,9 |
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143 | 140 | | INCLUDING, BUT NOT LIMITED TO:10 |
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144 | 141 | | (I) I |
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145 | 142 | | N VITRO FERTILIZATION;11 |
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146 | 143 | | (II) I |
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147 | 144 | | NTRAUTERINE INSEMINATION ;12 |
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148 | 145 | | (III) O |
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149 | 146 | | VULATION INDUCTION;13 |
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150 | 147 | | (IV) T |
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151 | 148 | | ESTICULAR OR OVARIAN BIOPSY;14 |
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152 | 149 | | (V) E |
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153 | 150 | | MBRYO BIOPSY;15 |
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154 | 151 | | (VI) C |
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155 | 152 | | RYOPRESERVATION AND T HAWING OF GAMETES AND16 |
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156 | 153 | | EMBRYOS;17 |
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157 | 154 | | (VII) C |
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158 | 155 | | RYOPRESERVATION OF TESTICULAR AND OVARIAN TISSUE ;18 |
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159 | 156 | | (VIII) S |
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160 | 157 | | TORAGE, DONATION, OR DISPOSAL OF GAMETES, EMBRYOS,19 |
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161 | 158 | | OR REPRODUCTIVE TISSUE;20 |
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162 | 159 | | (IX) P |
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163 | 160 | | RE-IMPLANTATION GENETIC TESTING , OR ANY OTHER21 |
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164 | 161 | | MEDICAL SCREENING OR EVALUATION OF EMBRYOS OR GAMETES ;22 |
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165 | 162 | | (X) D |
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166 | 163 | | ONATION OF SPERM OR EGGS; AND23 |
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167 | 164 | | (XI) S |
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168 | 165 | | URROGACY.24 |
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169 | 166 | | (b) "R |
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170 | 167 | | EPRODUCTIVE HEALTH CARE " MEANS, BUT IS NOT LIMITED25 |
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171 | 168 | | TO:26 |
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172 | 169 | | (I) F |
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173 | 170 | | AMILY PLANNING;27 |
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174 | 171 | | 1259 |
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175 | 172 | | -5- (II) CONTRACEPTION;1 |
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176 | 173 | | (III) S |
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177 | 174 | | TERILIZATION;2 |
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178 | 175 | | (IV) P |
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179 | 176 | | RE-CONCEPTION CARE;3 |
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180 | 177 | | (V) M |
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181 | 178 | | ATERNITY CARE;4 |
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182 | 179 | | (VI) P |
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183 | 180 | | OSTPARTUM CARE;5 |
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184 | 181 | | (VII) A |
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185 | 182 | | BORTION CARE;6 |
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186 | 183 | | (VIII) E |
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187 | 184 | | MERGENCY CONTRACEPTION ;7 |
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188 | 185 | | (IX) F |
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189 | 186 | | ERTILITY SERVICES;8 |
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190 | 187 | | (X) C |
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191 | 188 | | OUNSELING REGARDING REPRODUCTIVE HEALTH CARE ; AND9 |
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192 | 189 | | (XI) R |
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193 | 190 | | EFERRAL SERVICES REGARDING REPRODUCTIVE HEALTH10 |
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194 | 191 | | CARE.11 |
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195 | 192 | | (2) EVERY INDIVIDUAL HAS A RIGHT TO MAKE AUTONOMOUS12 |
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196 | 193 | | DECISIONS ABOUT THE INDIVIDUAL'S OWN REPRODUCTIVE HEALTH,13 |
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197 | 194 | | INCLUDING THE RIGHT TO USE OR REFUSE REPRODUCTIVE HEALTHCARE,14 |
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198 | 195 | | INCLUDING THE RIGHT TO USE GAMETES AND EMBRYOS , DESTROY15 |
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199 | 196 | | GAMETES AND EMBRYOS, AND INCLUDING THE RIGHT TO DONATE GAMETES16 |
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200 | 197 | | AND EMBRYOS TO THIRD PARTIES FOR PROCREATION OR RESEARCH .17 |
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201 | 198 | | (3) T |
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202 | 199 | | HE STATE AND LOCAL GOVERNMENTS SHALL NOT INTERFERE18 |
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203 | 200 | | WITH OR RESTRICT A PHYSICIAN OR LICENSED MEDICAL PROVIDER 'S19 |
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204 | 201 | | ABILITY TO PROVIDE REPRODUCTIVE HEALTH CARE , AS DEFINED IN THIS20 |
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205 | 202 | | SECTION.21 |
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206 | 203 | | (4) I |
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207 | 204 | | T IS CONTRARY TO THE PUBLIC POLICY OF THIS STATE TO22 |
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208 | 205 | | PERMIT AN INDIVIDUAL TO BRING A CIVIL OR CRIMINAL ACTION23 |
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209 | 206 | | AUTHORIZED IN ANOTHER STATE AGAINST AN INDIVIDUAL IN THIS STATE24 |
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210 | 207 | | FOR ENGAGING OR ATTEMPTING TO ENGAGE IN THE FOLLOWING CONDUCT :25 |
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211 | 208 | | (a) T |
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212 | 209 | | ERMINATING OR SEEKING TO TERMINATE A PREGNANCY ;26 |
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213 | 210 | | (b) P |
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214 | 211 | | ERFORMING OR INDUCING THE TERMINATION OF A27 |
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215 | 212 | | 1259 |
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216 | 213 | | -6- PREGNANCY;1 |
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217 | 214 | | (c) K |
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218 | 215 | | NOWINGLY ENGAGING IN CONDUCT THAT AIDS OR ABETS THE2 |
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219 | 216 | | PERFORMANCE OR INDUCEMENT OF THE TERMINATION OF PREGNANCY ;3 |
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220 | 217 | | (d) P |
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221 | 218 | | ROVIDING REPRODUCTIVE HEALTH CARE , AS DEFINED IN THIS4 |
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222 | 219 | | SECTION; OR5 |
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223 | 220 | | (e) P |
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224 | 221 | | ROVIDING FERTILITY TREATMENT , AS DEFINED IN THIS6 |
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225 | 222 | | SECTION.7 |
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226 | 223 | | SECTION 4. In Colorado Revised Statutes, 25-57-104, amend8 |
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227 | 224 | | (1); and add (1.5) as follows:9 |
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228 | 225 | | 25-57-104. Collection of identifying information and medical10 |
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229 | 226 | | history - applicability. (1) Except as provided in subsection (3) of this11 |
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230 | 227 | | section, a gamete agency, gamete bank, or fertility clinic that collects12 |
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231 | 228 | | gametes from a donor or matches a donor with a recipient shall collect the13 |
---|
232 | 229 | | donor's identifying information and medical history. and shall make a14 |
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233 | 230 | | good faith effort to maintain current contact information and updates on15 |
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234 | 231 | | the medical history of the donor by requesting updates from the donor at16 |
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235 | 232 | | least once every three years.17 |
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236 | 233 | | (1.5) (a) A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC18 |
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237 | 234 | | SHALL ENCOURAGE A DONOR TO INFORM THE GAMETE AGENCY, GAMETE19 |
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238 | 235 | | BANK, OR FERTILITY CLINIC OF SIGNIFICANT MEDICAL HISTORY UPDATES.20 |
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239 | 236 | | (b) A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC21 |
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240 | 237 | | SHALL DOCUMENT A DONOR'S OR RECIPIENT PARENT'S REPORT OF ANY22 |
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241 | 238 | | SIGNIFICANT MEDICAL HISTORY UPDATES, AND THE INFORMATION SHALL23 |
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242 | 239 | | BE RETAINED AS PART OF THE RECORDS REFERENCED IN SECTION24 |
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243 | 240 | | 25-57-107.25 |
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244 | 241 | | (c) A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC SHALL26 |
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245 | 242 | | DOCUMENT A DONOR OR RECIPIENT PARENT'S REPORT OF SIGNIFICANT27 |
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246 | 243 | | 1259 |
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247 | 244 | | -7- MEDICAL HISTORY UPDATES.1 |
---|
248 | 245 | | (d) A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC2 |
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249 | 246 | | SHALL DISSEMINATE NOTICE OF SIGNIFICANT MEDICAL HISTORY UPDATES3 |
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250 | 247 | | TO OTHER RECIPIENTS OF THE DONOR'S GAMETES, IN ACCORDANCE WITH4 |
---|
251 | 248 | | THE GUIDELINES FROM THE AMERICAN SOCIETY FOR REPRODUCTIVE5 |
---|
252 | 249 | | MEDICINE.6 |
---|
253 | 250 | | SECTION 5. In Colorado Revised Statutes, 25-57-106, amend7 |
---|
254 | 251 | | (1) as follows:8 |
---|
255 | 252 | | 25-57-106. Disclosure of identifying information and medical9 |
---|
256 | 253 | | history - applicability. (1) Except as provided in subsection (4) of this10 |
---|
257 | 254 | | section, upon the request of a donor-conceived person who is eighteen11 |
---|
258 | 255 | | years of age or older, a gamete agency, gamete bank, or fertility clinic that12 |
---|
259 | 256 | | matched or collected the gametes used in the assisted reproduction of13 |
---|
260 | 257 | | such THE donor-conceived person shall provide the donor-conceived14 |
---|
261 | 258 | | person with the identifying information of the donor who provided the15 |
---|
262 | 259 | | gametes or embryo. A gamete agency, gamete bank, or fertility clinic16 |
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263 | 260 | | shall not impede or prohibit compliance with this section or17 |
---|
264 | 261 | | communication between:18 |
---|
265 | 262 | | (a) An adult donor-conceived person and the donor whose19 |
---|
266 | 263 | | gametes were used to conceive the donor-conceived person; or20 |
---|
267 | 264 | | (b) An adult donor-conceived person and the person's friends,21 |
---|
268 | 265 | | family, or other third parties about the donor whose gametes were used22 |
---|
269 | 266 | | to conceive the donor-conceived person. THE DONOR-CONCEIVED PERSON23 |
---|
270 | 267 | | HAS THE RIGHT, IN ACCORDANCE WITH RELEVANT LAWS, TO CONTACT THE24 |
---|
271 | 268 | | DONOR. THE DONOR HAS A RIGHT TO RESPOND, ENGAGE, OR DECLINE25 |
---|
272 | 269 | | CONTACT AND COMMUNICATION .26 |
---|
273 | 270 | | (c) A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC IS27 |
---|
274 | 271 | | 1259 |
---|
275 | 272 | | -8- ENCOURAGED TO PROVIDE INFORMATION TO A DONOR-CONCEIVED PERSON1 |
---|
276 | 273 | | REGARDING THE PHYSICAL AND EMOTIONAL RISKS ASSOCIATED WITH2 |
---|
277 | 274 | | PUBLICLY RELEASING A DONOR'S PRIVATE AND SENSITIVE INFORMATION.3 |
---|
278 | 275 | | SECTION 6. In Colorado Revised Statutes, 25-57-107, amend4 |
---|
279 | 276 | | (1) introductory portion and (2); and repeal (3), (4), (5), (6), and (7) as5 |
---|
280 | 277 | | follows:6 |
---|
281 | 278 | | 25-57-107. Record keeping. (1) Except as provided in subsection7 |
---|
282 | 279 | | (6) of this section, A gamete agency, gamete bank, or fertility clinic shall8 |
---|
283 | 280 | | permanently maintain:9 |
---|
284 | 281 | | (2) A gamete agency, gamete bank, or fertility clinic that receives10 |
---|
285 | 282 | | gametes or embryos from another gamete agency, gamete bank, or11 |
---|
286 | 283 | | fertility clinic shall permanently maintain the name, address, telephone12 |
---|
287 | 284 | | number, and e-mail address of the gamete agency, gamete bank, or13 |
---|
288 | 285 | | fertility clinic from which it received the gametes or embryos. A gamete14 |
---|
289 | 286 | | bank or fertility clinic that collected gametes from a donor who was15 |
---|
290 | 287 | | matched with a recipient by a gamete agency that is a separate entity shall16 |
---|
291 | 288 | | permanently maintain the name, address, telephone number, and e-mail17 |
---|
292 | 289 | | address of the gamete agency that matched the donor and the recipient. A18 |
---|
293 | 290 | | GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC SHALL CREATE A19 |
---|
294 | 291 | | PLAN TO PERMANENTLY MAINTAIN THE INFORMATION AS REQUIRED BY20 |
---|
295 | 292 | | THIS SECTION, INCLUDING IN THE CASE OF DISSOLUTION, INSOLVENCY, OR21 |
---|
296 | 293 | | BANKRUPTCY, AND SHALL MAKE THE PLAN AVAILABLE FOR INSPECTION22 |
---|
297 | 294 | | UPON REQUEST BY THE DEPARTMENT .23 |
---|
298 | 295 | | (3) Except as provided in subsection (6) of this section, in its24 |
---|
299 | 296 | | application for a license pursuant to section 25-57-110, a gamete agency,25 |
---|
300 | 297 | | gamete bank, or fertility clinic shall submit a proposed plan to26 |
---|
301 | 298 | | permanently maintain the records described in subsections (1) and (2) of27 |
---|
302 | 299 | | 1259 |
---|
303 | 300 | | -9- this section in the event of dissolution, insolvency, or bankruptcy. The1 |
---|
304 | 301 | | plan may include identification of a named entity to receive or maintain2 |
---|
305 | 302 | | the records, obtaining a surety bond in favor of a third party in an amount3 |
---|
306 | 303 | | sufficient to cover the costs of permanent record keeping, an obligation4 |
---|
307 | 304 | | to condition any sale on the acquiring entity's obligation to maintain5 |
---|
308 | 305 | | records consistent with this section, or similar methods. The department6 |
---|
309 | 306 | | shall not issue a license pursuant to section 25-57-110 until it approves a7 |
---|
310 | 307 | | plan that it finds sufficient to ensure that the records will be permanently8 |
---|
311 | 308 | | maintained by a viable entity.9 |
---|
312 | 309 | | (4) Except as provided in subsection (6) of this section, upon10 |
---|
313 | 310 | | dissolution, insolvency, or bankruptcy, a gamete agency, gamete bank, or11 |
---|
314 | 311 | | fertility clinic shall:12 |
---|
315 | 312 | | (a) Implement the plan approved by the department pursuant to13 |
---|
316 | 313 | | subsection (3) of this section;14 |
---|
317 | 314 | | (b) File with the department a statement providing the name and15 |
---|
318 | 315 | | contact information of the successor entity, if any, that will receive and16 |
---|
319 | 316 | | maintain the records described in subsections (1) and (2) of this section;17 |
---|
320 | 317 | | and18 |
---|
321 | 318 | | (c) Inform by mail and electronic mail sent to the last-known19 |
---|
322 | 319 | | address on file all gamete donors whose gametes were collected, matched,20 |
---|
323 | 320 | | or received by the gamete agency, gamete bank, or fertility clinic, as well21 |
---|
324 | 321 | | as recipient parents who received gametes or embryos from the gamete22 |
---|
325 | 322 | | agency, gamete bank, or fertility clinic and reported a pregnancy or live23 |
---|
326 | 323 | | birth, the name and contact information of the successor entity that will24 |
---|
327 | 324 | | receive and maintain the records described in subsections (1) and (2) of25 |
---|
328 | 325 | | this section.26 |
---|
329 | 326 | | (5) A gamete agency, gamete bank, or fertility clinic shall comply27 |
---|
330 | 327 | | 1259 |
---|
331 | 328 | | -10- with reporting requirements about gamete screening and testing in1 |
---|
332 | 329 | | accordance with federal law and applicable laws of this state other than2 |
---|
333 | 330 | | those set forth in this article 57.3 |
---|
334 | 331 | | (6) A gamete bank or fertility clinic that collects gametes from a4 |
---|
335 | 332 | | donor who was matched with a recipient by a gamete agency that is a5 |
---|
336 | 333 | | separate entity is not subject to the requirements of subsection (1), (3), or6 |
---|
337 | 334 | | (4) of this section.7 |
---|
338 | 335 | | (7) (a) Subsection (2) of this section applies only to gametes or8 |
---|
339 | 336 | | embryos matched or received on or after July 1, 2024.9 |
---|
340 | 337 | | (b) Subsections (1), (3), and (4) of this section apply only to10 |
---|
341 | 338 | | gametes matched or collected on or after January 1, 2025, for use by a11 |
---|
342 | 339 | | recipient parent or parents who are unknown to the donor at the time of12 |
---|
343 | 340 | | the donation.13 |
---|
344 | 341 | | SECTION 7. In Colorado Revised Statutes, 25-57-108, amend14 |
---|
345 | 342 | | (1) introductory portion, (2) introductory portion, and (4) introductory15 |
---|
346 | 343 | | portion; and add (5) as follows:16 |
---|
347 | 344 | | 25-57-108. Written materials for recipient parents and gamete17 |
---|
348 | 345 | | donors. (1) On or before January 1, 2025, the department shall MAY18 |
---|
349 | 346 | | develop written materials for intended recipient parents. The department19 |
---|
350 | 347 | | shall MAY develop the materials in conjunction with licensed mental20 |
---|
351 | 348 | | health professionals who have prior documented experience counseling21 |
---|
352 | 349 | | gamete donors, recipients, and donor-conceived persons, as well as22 |
---|
353 | 350 | | experience and competency in counseling families with lesbian, gay,23 |
---|
354 | 351 | | bisexual, and transgender parents and single parents, along with24 |
---|
355 | 352 | | organizations representing these communities. THE DEPARTMENT SHALL25 |
---|
356 | 353 | | POST THE WRITTEN MATERIAL ON ITS WEBSITE , WHICH IS DEEMED26 |
---|
357 | 354 | | SUFFICIENT TO MEET THE REQUIREMENTS IN SUBSECTIONS (3) AND (4) OF27 |
---|
358 | 355 | | 1259 |
---|
359 | 356 | | -11- THIS SECTION. GAMETE AGENCIES, GAMETE BANKS, AND FERTILITY CLINICS1 |
---|
360 | 357 | | ARE NOT REQUIRED TO USE THE WRITTEN MATERIALS DEVELOPED BY THE2 |
---|
361 | 358 | | DEPARTMENT. The materials must include information on the following3 |
---|
362 | 359 | | subjects:4 |
---|
363 | 360 | | (2) On or before January 1, 2025, the department shall MAY5 |
---|
364 | 361 | | develop written materials for gamete donors. The department shall6 |
---|
365 | 362 | | develop the materials in conjunction with licensed mental health7 |
---|
366 | 363 | | professionals who have prior documented experience counseling gamete8 |
---|
367 | 364 | | donors, recipients, and donor-conceived persons, as well as experience9 |
---|
368 | 365 | | and competency in counseling families with lesbian, gay, bisexual, and10 |
---|
369 | 366 | | transgender parents and single parents, along with organizations11 |
---|
370 | 367 | | representing these communities. THE DEPARTMENT SHALL POST THE12 |
---|
371 | 368 | | WRITTEN MATERIAL ON ITS WEBSITE, WHICH IS DEEMED SUFFICIENT TO13 |
---|
372 | 369 | | MEET THE REQUIREMENTS IN SUBSECTIONS (3) AND (4) OF THIS SECTION.14 |
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373 | 370 | | GAMETE AGENCIES, GAMETE BANKS, AND FERTILITY CLINICS ARE NOT15 |
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374 | 371 | | REQUIRED TO USE THE WRITTEN MATERIALS DEVELOPED BY THE16 |
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375 | 372 | | DEPARTMENT. The materials must include information on the following17 |
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376 | 373 | | subjects:18 |
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377 | 374 | | (4) A gamete agency, gamete bank, or fertility clinic located19 |
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378 | 375 | | outside of Colorado that either matches donors to or provides AN20 |
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379 | 376 | | INDIVIDUAL WHO EITHER MATCHES DONORS OR PROVIDES gametes or21 |
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380 | 377 | | embryos to recipients in Colorado shall:22 |
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381 | 378 | | (5) A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC23 |
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382 | 379 | | SHALL DEVELOP WRITTEN MATERIALS TO BE SHARED WITH INTENDED24 |
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383 | 380 | | RECIPIENT PARENTS AND GAMETE DONORS BASED ON GUIDELINES FOR25 |
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384 | 381 | | PSYCHOEDUCATIONAL COUNSELING PUBLISHED BY THE AMERICAN26 |
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385 | 382 | | SOCIETY OF REPRODUCTIVE MEDICINE.27 |
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386 | 383 | | 1259 |
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387 | 384 | | -12- SECTION 8. In Colorado Revised Statutes, 25-57-109, amend1 |
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388 | 385 | | (1)(a); and add (1)(c) as follows:2 |
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389 | 386 | | 25-57-109. Donor age limits - limits on number of families per3 |
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390 | 387 | | donor - restriction on dissemination of gametes - limits on4 |
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391 | 388 | | egg-retrieval cycles per ovum donor - rules - applicability.5 |
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392 | 389 | | (1) (a) Except as provided in subsection (4) of this section, a gamete6 |
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393 | 390 | | agency, gamete bank, or fertility clinic shall make a good faith effort to7 |
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394 | 391 | | determine how many families are established with gametes matched or8 |
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395 | 392 | | provided by the gamete agency, gamete bank, or fertility clinic from each9 |
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396 | 393 | | donor by conducting sufficient record-keeping, requiring recipients as a10 |
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397 | 394 | | condition of receiving donor gametes, to provide information on live11 |
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398 | 395 | | births, and requesting information from recipients on live births, and12 |
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399 | 396 | | using industry best practices, including methods or processes to account13 |
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400 | 397 | | for the number or percentage of live births that are likely not reported,14 |
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401 | 398 | | such as the correlation between the number of units of donor gametes sold15 |
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402 | 399 | | or released and the resulting live births. A gamete agency, gamete bank,16 |
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403 | 400 | | or fertility clinic shall not match or provide gametes from a donor to17 |
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404 | 401 | | additional families once the gamete agency, gamete bank, or fertility18 |
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405 | 402 | | clinic has record of or should reasonably know that twenty-five families19 |
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406 | 403 | | have been established using a single donor's gametes in or outside of20 |
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407 | 404 | | Colorado, with no limit on the number of children conceived by each of21 |
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408 | 405 | | the families, unless the donor requests, and the gamete agency, gamete22 |
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409 | 406 | | bank, or fertility clinic agrees to, a lower limit on the number of families.23 |
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410 | 407 | | This limit does not include any children conceived by the donor as a24 |
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411 | 408 | | parent or children conceived with the donor's gametes when the donor is25 |
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412 | 409 | | known to the recipient parent or parents at the time of the donation. This26 |
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413 | 410 | | limit does not include donations of embryos from one family to another27 |
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414 | 411 | | 1259 |
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415 | 412 | | -13- family.1 |
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416 | 413 | | (c) A GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC SHALL2 |
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417 | 414 | | NOT DISSEMINATE A DONOR'S GAMETES TO ANY ADDITIONAL RECIPIENTS3 |
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418 | 415 | | WITHOUT THE RECIPIENT'S INFORMED WRITTEN CONSENT IF THE DONOR4 |
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419 | 416 | | INFORMS THE GAMETE AGENCY, GAMETE BANK, OR FERTILITY CLINIC THAT5 |
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420 | 417 | | THE DONOR EXPERIENCED SIGNIFICANT MEDICAL HISTORY UPDATES .6 |
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421 | 418 | | SECTION 9. In Colorado Revised Statutes, 25-57-110, amend7 |
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422 | 419 | | (2)(a) and (3)(a)(I); and repeal (3)(a)(III) as follows:8 |
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423 | 420 | | 25-57-110. License required - application - inspection -9 |
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424 | 421 | | issuance, denial, suspension, or revocation - fees - civil penalties -10 |
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425 | 422 | | rules. (2) (a) A gamete agency, gamete bank, or fertility clinic shall11 |
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426 | 423 | | submit an annual application and fee EVERY TWO YEARS for a license to12 |
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427 | 424 | | operate on the form and in the manner prescribed by the department. THE13 |
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428 | 425 | | DEPARTMENT MAY ADOPT A RULE TO EXTEND THE PERIOD OF LICENSURE14 |
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429 | 426 | | UP TO FIVE YEARS IF THE DEPARTMENT DETERMINES THE CHANGE TO BE15 |
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430 | 427 | | APPROPRIATE AND IN THE PUBLIC INTEREST.16 |
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431 | 428 | | (3) (a) (I) The department shall investigate and review each17 |
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432 | 429 | | original application and each renewal application for a license to operate18 |
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433 | 430 | | as a gamete agency, gamete bank, or fertility clinic. The department shall19 |
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434 | 431 | | require all applicants to submit information in the original and renewal20 |
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435 | 432 | | application process to document compliance with licensing requirements.21 |
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436 | 433 | | Subject to available appropriations, the department may, as it deems22 |
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437 | 434 | | necessary, perform on-site inspections or complaint investigations of a23 |
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438 | 435 | | gamete agency, gamete bank, or fertility clinic located outside of24 |
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439 | 436 | | Colorado. The department shall determine an applicant's compliance with25 |
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440 | 437 | | this article 57, and the rules adopted pursuant to this article 57, for the26 |
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441 | 438 | | collection and provision of gametes from donors who are unknown to a27 |
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442 | 439 | | 1259 |
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443 | 440 | | -14- recipient at the time of the donation before issuing a license.1 |
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444 | 441 | | (III) When investigating or reviewing the records of a gamete2 |
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445 | 442 | | agency, gamete bank, or fertility clinic located outside of Colorado, the3 |
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446 | 443 | | department shall investigate and review only the records pertaining to4 |
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447 | 444 | | donors whose gametes or embryos were matched or provided to recipients5 |
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448 | 445 | | in Colorado.6 |
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449 | 446 | | 7 |
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450 | 447 | | SECTION 10. Safety clause. The general assembly finds,8 |
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451 | 448 | | determines, and declares that this act is necessary for the immediate9 |
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452 | 449 | | preservation of the public peace, health, or safety or for appropriations for10 |
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453 | 450 | | the support and maintenance of the departments of the state and state11 |
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454 | 451 | | institutions.12 |
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455 | 452 | | 1259 |
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456 | 453 | | -15- |
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