2012 Healthcare2
Bill # Short TitleSponsorsBill SummaryMost Recent StatusCalendar NotificationNews Links
HB12-1052Health Care Work Force Data Collection SUMMERS / BOYD The bill requires the director of the division of registrations in the department of regulatory agencies (director) to implement a system to collect health care work force data from health care professionals who are eligible for the Colorado health service corps, from practical and professional nurses, and from pharmacists. The bill requires a voluntary advisory group designated by the director of the primary care office to recommend the structure of the data elements to be collected regarding specific information about each health care professional and his or her practice. The director is authorized to accept and expend any gifts, grants, or donations that may be available from any private or public sources for the implementation of the data collection system. 05/29/2012 Governor Action - Signed
NOT ON CALENDARNo news items found
HB12-1054Simplify Procurement DHCPF Health Care Providers FIELDS / BOYD The bill simplifies the procurement process by exempting the department of health care policy and financing (department) and a health care provider from certain state fiscal rule requirements concerning standard state contracts and commitment vouchers when the department has regulatory authority over the program and when the provider has already signed a department-approved provider application to provide services under department-administered programs or to bill for services provided under those programs. Applicable programs include medicaid, the children's basic health plan, the Colorado indigent care program, the school health services program, services funded by the primary care fund, and the health and medical care program for old age pensioners. Eligible providers include health care providers, mental health care providers, pharmacists, home health agencies, and other providers authorized under the applicable department-administered programs who provide health care, health care coordination, or outreach, enrollment, or administrative support services. 03/15/2012 Governor Action - Signed
NOT ON CALENDARNo news items found
HB12-1059Military Spouse Practice Occupation Profession LOOPER The bill authorizes military spouses to practice in a regulated profession or occupation other than real estate for one year if the spouse is licensed, registered, or certified to practice in another state; there is no other reason to deny the license; and the person consents to be governed by Colorado law. If applying for authority to continue to practice in Colorado, the applicant must notify the agency that the person is practicing in Colorado and include the contact information for the applicant's employer. If the agency denies the application, the agency notifies the employer. The director of the division of registrations may promulgate rules to implement the bill. The bill also directs agencies to exempt regulated persons who are on active duty for more than 120 days from the requirement to pay certification fees and complete continuing education that became due during the period of active duty, with the exemption continuing for 6 months after the period of active duty. An agency may accept continuing medical education, training, or service from the armed services in satisfaction of Colorado continuing education requirements. A service member or spouse who is an emergency medical service provider certified or licensed in another state is exempt from certification in Colorado. The term "emergency medical technician" is changed to "emergency medical service provider" to align with the trend in other states. 06/08/2012 Governor Action - Signed
NOT ON CALENDARRelease: LooperÂ’s measure to help military spouses find employment to go in effect
Gov. Hickenlooper finishes signing bills passed this year by the General Assembly
HB12-1065Deadline Advan Prac Nurse Retain Prescriptive Auth GARDNER D. Pursuant to legislation in 2009, the standards for advanced practice nurses (APNs) to obtain prescriptive authority were modified to require APNs, in addition to obtaining specified levels of education and experience, to develop an articulated plan for safe prescribing that documents how the APN will collaborate with physicians and other health care professionals in his or her practice of prescribing medications. Under the 2009 legislation, APNs who were granted prescriptive authority prior to July 1, 2010, were permitted to retain that authority but were required to develop an articulated plan of safe prescribing within one year, or by July 1, 2011. The bill allows the state board of nursing, on a case-by-case basis, to extend the deadline by which APNs with prescriptive authority granted before July 1, 2010, are required to develop an articulated plan, but in no case is the board allowed to extend the deadline beyond July 1, 2012. An APN seeking a deadline extension must submit to the board, prior to July 1, 2012, an application and fee and an attestation that he or she has developed an articulated plan. The board is to adopt rules establishing the criteria for granting a deadline extension. A decision of the board regarding a deadline extension request is not appealable. 04/02/2012 Governor Action - Signed
NOT ON CALENDARNo news items found
HB12-1210Recognition Out-of-state Professionals To Practice BEEZLEY / JAHN The bill allows a person with a currently valid license, certificate, or registration in good standing from another state to practice his or her profession in this state for up to one year before the person has to meet the licensing, certification, or registration requirements in Colorado. For the person to be eligible to practice in this state, he or she shall have no other basis for disqualification from practice other than the lack of a license, certificate, or registration and shall apply for a license, certificate, or registration within 30 days after engaging in practice in Colorado. 03/15/2012 Senate Committee on Health and Human Services Postpone Indefinitely
NOT ON CALENDARNo news items found
HB12-1214Community College Two-year Degree Programs BECKER / NICHOLSON H.B. 12-1214 Community colleges - two-year dental hygiene degree programs. The act allows a Colorado community college to offer a two-year degree program with academic designation in dental hygiene even though there is not a valid student transfer agreement for the degree program. APPROVED by Governor May 24, 2012 EFFECTIVE August 8, 2012 NOTE: This act was passed without a safety clause. 05/24/2012 Governor Action - Signed
NOT ON CALENDARNo news items found
HB12-1219Funding Emerging Medical Discoveries MIKLOSI / WILLIAMS S. The bill establishes a new fund to pay for the costs of clinical trials, governmental approval, and product sales of new medical products discovered at the health sciences center at the university of Colorado. The bill appropriates $10 million to the fund from the general fund. 03/08/2012 House Committee on State, Veterans, & Military Affairs Postpone Indefinitely
NOT ON CALENDARNo news items found
HB12-1242Biometric System Monitor Prescription Drugs MASSEY / BOYD The bill requires the division of registrations (division) in the department of regulatory agencies, by January 1, 2013, to develop an electronic system to monitor and store in a secure database information pertaining to:
* The prescribing of prescription drugs;
* The dispensing or delivery of prescription drugs by a prescription drug outlet (PDO) or health care practitioner (practitioner); and
* The dispensing or delivery of restricted over-the-counter substances, also known as methamphetamine precursor drugs, by a PDO or practitioner. Practitioners and PDOs are required to maintain biometric scanning devices and to use those devices to obtain a biometric scan of a person's biometric identifier, such as a fingerprint or retinal scan, and to submit the scan to the database. Practitioners and PDOs are also required, prior to prescribing or dispensing a prescription drug or dispensing a restricted over-the-counter substance, to submit specified information to the database, including:
* The date of the prescription order;
* The name of the substance prescribed or dispensed, including strength, quantity, and directions for use;
* The name and address of the practitioner or PDO, as applicable; and
* The name and address of the person receiving the substance, as applicable, in an encrypted format. Once the information is received, the database assigns a unique identifying number to the particular prescription order or restricted over-the-counter substance and immediately transmits to the practitioner or PDO, as applicable, the following:
* The identifying number for the substance;
* The names of the substances prescribed or dispensed in connection with the biometric scan that may conflict with or overlap the practitioner's prescription order or the restricted over-the-counter substance; and
* The name and address of the practitioner whose prescription order may conflict with or overlap the prescribing practitioner's prescription or restricted over-the-counter substance and the name and address of the practitioner or PDO that dispensed or delivered the conflicting or overlapping prescription or restricted over-the-counter substance. Before dispensing or delivering a prescription drug or restricted over-the-counter substance, the practitioner or PDO is to submit the biometric scan to the database, and the database is to immediately transmit to the practitioner or PDO the following:
* The names of the substances that have been prescribed in connection with the biometric scan that may conflict with or overlap the substance to be dispensed or delivered;
* The name and address of the practitioner whose order may conflict with or overlap the prescription drug or restricted over-the-counter substance to be dispensed or delivered and the full name and address of the practitioner or PDO that dispensed or delivered the conflicting or overlapping prescription or restricted over-the-counter substance;
* A graduated alert system indicating the potential dangers related to dispensing or prescribing the substances as they relate to any conflicting or overlapping prescriptions;
* A warning or critical alert relating to the severity of the conflict or overlap, requiring the practitioner to biometrically acknowledge receipt of the conflict or overlap; and
* A warning or critical alert relating to the severity of the conflict or overlap to additional practitioners who provided or delivered the conflicting or overlapping substances. The bill makes exceptions for practitioners who administer a substance directly to the patient and for substances dispensed in an inpatient or residential facility. A person who fails to comply with the requirements of the bill commits a class 1 misdemeanor. 
03/15/2012 House Committee on Health and Environment Postpone Indefinitely
NOT ON CALENDARNo news items found
HB12-1245Health Care Options Gov Employees FIELDS The bill creates a 13-member group purchase of health care insurance by government employees task force (task force) to meet in the 2012 interim to study issues involving the pooling of resources among state and local government employees in the state to purchase health care insurance and related products, report its findings and recommendations, and, if appropriate, propose statutory modifications. The bill specifies the required qualifications of the members of the task force and additional requirements governing the appointing authorities and procedures of the task force. The task force is required to study, make recommendations, and report findings on all matters relating to the group purchase of health care insurance by government employees, including, without limitation, innovative solutions and strategies for leveraging the purchasing power of state and local governments to expand health care coverage for the employees of such governments and their families at the lowest cost to the taxpayer while addressing any impediments to such goals provided by federal or state law. The task force is required to submit a written report of its findings and recommendations to the relevant committees of the general assembly by December 15, 2012. The task force is required to meet at least 4 times, with the first meeting occurring no later than August 1, 2012. Meetings of the task force are public meetings. The task force is required to solicit and accept reports and public testimony and may request other sources to provide testimony, written comments, and other relevant data to the task force. Members of the task force will serve without compensation and will not be reimbursed for their expenses. Any staff assistance required by the task force shall be performed by existing employees of the department of personnel within existing appropriations. 03/28/2012 House Committee on State, Veterans, & Military Affairs Postpone Indefinitely
NOT ON CALENDARRelease: Updated: Gov. HickenlooperÂ’s statewide bill signing tour schedule
HB12-1257Health Care Consumer & Provider Protections KEFALAS / BOYD The bill clarifies that an intermediary between a health insurance carrier and health care provider is a "person or entity" for purposes of complying with health care contract disclosure requirements. Each health care provider who provides outpatient health care or treatment is required to disclose to a patient the right to request the nondiscounted charge for the care or treatment and, upon request, make that information available before the scheduling of care or treatment. Each health insurance carrier shall:
* Provide notice to covered persons advising them of the relationship with the third-party administrator, the policyholder, and the insurance carrier;
* Disclose to the covered person all charges, fees, and commissions paid to the third-party administrator; and
* Prohibit a third-party administrator from altering a health care provider's charges or adding charges to any of the insurance claims submitted by a health care provider. Each carrier must disclose to each covered person any charges for administrative costs that are in addition to the charges for the care or services provided by the health care provider. The bill makes technical corrections to the law concerning the contractual relationship with a third-party intermediary. Current law uses the term "intermediary" when the proper entity is "third-party administrator". 
03/07/2012 House Committee on State, Veterans, & Military Affairs Postpone Indefinitely
NOT ON CALENDARNo news items found
HB12-1311Sunset Continue Pharmacy Board SUMMERS / BOYD Sunset Process - House Health and Environment Committee. The bill implements the recommendations of the sunset review and report on the Colorado state board of pharmacy as follows: Recommendation 1 - Contained in C.R.S. section 12-42.5-103 (3)(b) and Section 3 of the bill
* The bill continues the state board of pharmacy (board) and its functions and the regulation of the practice of pharmacy through September 1, 2021. Recommendation 2 - Contained in C.R.S. sections 12-42.5-106 (1)(j) and 12-42.5-202 (1.5) and Section 2 of the bill
* The bill repeals the rehabilitation evaluation committee, which is tasked with reviewing applications to participate in the pharmacy peer health assistance program and making recommendations to the board. The functions of the rehabilitation evaluation committee are transferred to the board. Recommendation 3 - Contained in C.R.S. section 12-42.5-203 (2)(a)
* The pharmacy peer health assistance program is funded from license and renewal fees, the amount of which are set in statute. The bill permits the board annually to increase license and renewal fees, based on increases in the consumer price index, to cover the costs of the pharmacy peer health assistance program. Recommendation 4 - Contained in C.R.S. section 12-42.5-102 (25)(b)
* The definition of an "other outlet" that registers with the board is expanded to include ambulatory surgical centers, medical clinics operated by hospitals, and long-term care facilities for seniors. Recommendation 5 - Contained in C.R.S. sections 12-42.5-102 (16) and 12-42.5-118 (10)
* Currently, hospitals, which are registered as prescription drug outlets (PDOs), are allowed to operate "satellite" pharmacies that are located in an area outside the PDO but at the same location as the PDO. If a satellite has an address that differs from the PDO, the satellite must obtain a separate registration from the federal drug enforcement agency (DEA), which requires, as a prerequisite, a state registration; however, current law does not permit a separate registration for a satellite that has a different address than the PDO. The bill establishes a new hospital satellite pharmacy registration to require a satellite that is located in a building that is under the same ownership and control as a registered PDO but that has a different address to obtain a separate registration from the board, thereby allowing the hospital satellite pharmacy to obtain its own registration from the DEA. Recommendation 6 - Contained in C.R.S. section 12-42.5-302 (2)
* Current law permits the board to exempt wholesalers who exclusively distribute veterinary prescription drugs from the requirements that otherwise apply to prescription drug wholesalers, including the requirement to maintain records of the pedigree of each wholesale distribution of a prescription drug that occurs outside the normal distribution channel. The bill allows the board to exempt wholesalers that distribute veterinary prescription drugs from the pedigree requirement, regardless of whether the wholesaler exclusively distributes veterinary prescription drugs. Recommendation 7 - Contained in C.R.S. section 12-42.5-119 (3)(b) and 12-64-111 (1)(hh)
* A licensed veterinarian is permitted to issue an oral prescription order to a wholesaler, in which case the veterinarian must provide a written prescription to the wholesaler within 72 hours after issuing the oral order. A licensed veterinarian is subject to discipline by the state board of veterinary medicine if he or she fails to provide a written prescription within 72 hours as required by section 12 of the bill. Recommendation 8 - Contained in C.R.S. section 12-42.5-125 (6)
* Under current law, the board may issue a letter of admonition to a licensee as a form of discipline, but the board is not authorized to issue letters of admonition to registrants. The bill permits the board to issue letters of admonition to registrants as a disciplinary tool. Recommendation 9 - Contained in C.R.S. section 12-42.5-125 (7)
* When the board issues a confidential letter of concern to a licensee or registrant, current law requires the board to send the letter via certified mail. The bill deletes the certified mail requirement, thereby allowing the board to determine the manner in which to transmit the letter to the licensee or registrant. Recommendation 10 - Contained in C.R.S. section 12-42.5-117 (1)(b)
* PDOs are required to employ a pharmacist manager to ensure the PDO operates in accordance with applicable laws. If the pharmacist manager's employment is terminated, either voluntarily or involuntarily, the PDO must replace the former pharmacist manager and, within 14 days after termination of the former pharmacist manager, apply to transfer the registration of the former pharmacist manager to a new pharmacist manager, and pay a transfer fee. The bill extends the deadline for applying for the registration transfer and payment of the fee to 30 days after termination of the former pharmacist manager. Recommendation 11 - Contained in C.R.S. section 12-42.5-204 (1) and (2)(a)
* Current law requires a pharmacist or pharmacy intern to actually experience impaired practice before he or she is allowed to apply to the board for participation in a pharmacy peer health assistance program. The requirement to experience impaired practice is repealed, and a pharmacist or pharmacy intern who recognizes a potential for the existence of a problem that may impair his or her practice is allowed to apply for the program. Recommendation 12 - Contained in C.R.S. section 12-42.5-123 (2)
* When a practitioner determines that an equivalent drug should not be substituted for the prescribed drug, the practitioner must indicate that order by writing "dispense as written" on the prescription order or by initialing in his or her own handwriting a preprinted box labeled "dispense as written". The bill allows the practitioner, when issuing an electronically generated prescription order, to indicate the "dispense as written" by electronic means, including use of an electronic signature. Recommendation 13 - Contained in C.R.S. sections 12-42.5-124 (1)(d) and (1)(r) and 12-42.5-125
* Under current law, a pharmacist or pharmacy intern is subject to discipline if he or she is unfit to practice by reason of a physical or mental illness. The bill removes as grounds for discipline the mere existence of a physical or mental illness and instead authorizes discipline only if the pharmacist or pharmacy intern fails to notify the board of a physical or mental illness or condition that affects his or her ability to safely practice pharmacy; fails to act within the limitations of the illness or condition; or fails to comply with the limitations agreed to under a confidential agreement with the board. Additionally, the bill authorizes the board to enter into a confidential agreement to limit the practice of a pharmacist or pharmacy intern who has a physical or mental illness or condition that impedes his or her ability to practice with reasonable skill and safety. The bill, in C.R.S. section 12-42.5-119 (13), permits interns to practice pharmacy under the direct and immediate supervision of a registered manufacturer or regulated health care-related professional, as determined pursuant to board rule. Section 1 of the bill also recodifies and relocates the laws regulating pharmacists and the practice of pharmacy by the board from article 22 in title 12, C.R.S., to a new article 42.5 in title 12, C.R.S. Section 5 relocates laws pertaining to the licensing of addiction programs and researchers by the department of human services to a new part 2 in article 80 of title 27, C.R.S. Sections 6 through 91 contain conforming amendments related to the recodification and relocations. The bill takes effect July 1, 2012. 
06/08/2012 Governor Action - Signed
NOT ON CALENDARGov. Hickenlooper finishes signing bills passed this year by the General Assembly
SB12-018Alternative Medicaid Program For Elderly LUNDBERG The bill creates a voluntary alternative medical assistance program (program) for the medicaid-eligible elderly. An eligible participant agrees to receive an amount equal to 70% of the medical assistance benefits that he or she would have received if the participant were enrolled in the state's traditional medicaid program in exchange for 2 features currently not allowed under the traditional medicaid program:
* The participant can choose any provider; and
* The state waives the right to pursue all estate recovery methods from the participant's family after the participant dies. The participant's physician assesses the level of care the participant needs. The department of health care policy and financing (department) then determines the expected costs to provide that level of care if the participant were enrolled in and were receiving services under the traditional medicaid program and allocates 70% of that amount annually to reimburse providers for the participant's care. The department issues a debit card to the participant that is funded monthly with one-twelfth of the annual amount so allocated to the participant, which the participant uses to pay for medical services while enrolled in the alternative program. The eligible participant purchases long-term care services, assisted living services, home- and community-based services, home health services, prescribed drugs, or any health or dental care service at rates set by the provider, and the participant agrees to provide all additional resources needed for his or her care beyond the 70% medicaid benefit amount provided through the program. The participant is responsible for researching and selecting the services. Each year, the department conducts a redetermination of the participant's eligibility for services and the participant's physician reassesses the level of care that the participant needs. The department must seek a federal waiver for the program. 
02/02/2012 Senate Committee on Health and Human Services Postpone Indefinitely
NOT ON CALENDARNo news items found
SB12-032Medicaid Reform Seek Federal Waiver BROPHY The bill requires the department of health care policy and financing (state department) to seek a federal waiver to allow for increased flexibility and efficiency in the management of the medicaid program and the children's basic health plan. The waiver will seek authorization to determine eligibility categories and income levels and to establish an asset test for eligibility, implement cost-sharing and premiums, encourage the use of private health benefits coverage, and encourage persons to maintain employer-sponsored health insurance. As part of the waiver, the state department may negotiate for capped federal reimbursements with provisions for adjustments in the federal reimbursements for population growth and inflation. The state department shall report to the general assembly concerning the waiver request and identify necessary changes to state law to implement the reforms requested in the waiver. 02/01/2012 Senate Committee on Health and Human Services Postpone Indefinitely
NOT ON CALENDARNo news items found
SB12-037Electronic Prescription Controlled Substances KING S. / YOUNG S.B. 12-37 Controlled substances - electronic prescriptions. Under current law, a pharmacy is prohibited from dispensing a prescribed schedule II, III, IV, or V controlled substance absent a written prescription from the practitioner prescribing the substance. The act allows a pharmacy to dispense those controlled substances if the practitioner electronically creates and transmits the prescription drug order in conformance with federal law. APPROVED by Governor March 22, 2012 EFFECTIVE March 22, 2012 03/22/2012 Governor Action - Signed
NOT ON CALENDARNo news items found
SB12-065Prior Authorization Form Prescription Drugs MORSE The bill requires the commissioner of insurance to develop by July 1, 2013, and requires prescribing providers and health benefit plans to use by January 1, 2014, a uniform prior authorization form for purposes of submitting and receiving requests for prior coverage approval of a prescription drug. If the health benefit plan fails to use or accept the prior authorization form or fails to respond to a request within 2 business days, the request is deemed granted. An approved prior authorization form is valid for 12 months after the date of approval. 05/02/2012 Senate Committee on Health and Human Services Postpone Indefinitely
NOT ON CALENDARA 'loss' in Legislature is a win for bill's author