Amendments for SB19-228
Senate Journal, April 12
After consideration on the merits, the Committee recommends that SB19-228 be amended
as follows, and as so amended, be referred to the Committee on Appropriations with
favorable recommendation.
Amend printed bill, page 9, line 8, after "COLORADO," insert "OR A
CORONER ELECTED PURSUANT TO SECTION 30-10-601,".
Page 9, strike line 11 and substitute "EXAMINER OR CORONER;".
Page 9, line 12, after "EXAMINER" insert "OR THE CORONER".
Page 9, line 20, strike "FIVE" and substitute "THREE".
Page 14, line 9, strike "THREE" and substitute "TWO".
Page 16, line 23, strike "THREE" and substitute "TWO".
Page 20, strike lines 15 through 27.
Strike page 21.
Page 22, strike lines 1 through 8 and substitute:
"(2) Perinatal substance use data linkage project. (a) THE
CENTER FOR RESEARCH INTO SUBSTANCE USE DISORDER PREVENTION,
TREATMENT, AND RECOVERY SUPPORT STRATEGIES ESTABLISHED IN
SECTION 27-80-118, REFERRED TO IN THIS SECTION AS THE "CENTER", IN
PARTNERSHIP WITH THE UNIVERSITY OF DENVER AND THE STATE
SUBSTANCE ABUSE TREND AND RESPONSE TASK FORCE ESTABLISHED IN
SECTION 18-18.5-103, SHALL CONDUCT A STATEWIDE PERINATAL
SUBSTANCE USE DATA LINKAGE PROJECT THAT USES ONGOING
COLLECTION, ANALYSIS, INTERPRETATION, AND DISSEMINATION OF DATA
FOR THE PLANNING, IMPLEMENTATION, AND EVALUATION OF PUBLIC
HEALTH ACTIONS TO IMPROVE OUTCOMES FOR FAMILIES IMPACTED BY
SUBSTANCE USE DURING PREGNANCY. THE DATA LINKAGE PROJECT SHALL
CONSIDER STATE ADMINISTERED DATA SOURCES THAT INCLUDE:
(I) HEALTH CARE UTILIZATION BY PREGNANT AND POSTPARTUM
WOMEN WITH SUBSTANCE USE DISORDERS AND THEIR INFANTS;
(II) HUMAN SERVICES AND PUBLIC HEALTH PROGRAM UTILIZATION
BY PREGNANT AND POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDERS
AND THEIR INFANTS;
(III) HEALTH CARE, HUMAN SERVICES, AND PUBLIC HEALTH
PROGRAM OUTCOMES AMONG PREGNANT AND POSTPARTUM WOMEN WITH
SUBSTANCE USE DISORDERS AND THEIR INFANTS; AND
(IV) COSTS ASSOCIATED WITH HEALTH CARE, HUMAN SERVICES,
AND PUBLIC HEALTH PROGRAM PROVISIONS FOR PREGNANT AND
POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDERS AND THEIR
INFANTS.
(b) THE DATA LINKAGE PROJECT SHALL USE VITAL RECORDS TO
ESTABLISH MATERNAL AND INFANT DYADS BEGINNING AT THE BIRTH
HOSPITALIZATION AND RETROSPECTIVELY LINK THE PRENATAL PERIOD
AND PROSPECTIVELY LINK THE FIRST YEAR POSTPARTUM.
(c) THE LINKED INFORMATION NETWORK OF COLORADO IN THE
COLORADO GOVERNOR'S OFFICE OF INFORMATION TECHNOLOGY WILL
OBTAIN DATA THROUGH THE LINKED INFORMATION NETWORK OF
COLORADO GOVERNANCE PROCESS AND PERFORM SECURE LINKAGE AND
ANONYMIZATION ON BEHALF OF COLORADO.
(d) THE CENTER SHALL REPORT TO THE HEALTH AND INSURANCE
AND THE PUBLIC HEALTH CARE AND HUMAN SERVICES COMMITTEES OF THE
HOUSE OF REPRESENTATIVES AND THE HEALTH AND HUMAN SERVICES
COMMITTEE OF THE SENATE, OR THEIR SUCCESSOR COMMITTEES:
(I) THE PRELIMINARY RESULTS OF THE DATA LINKAGE PROJECT ON
OR BEFORE JANUARY 1, 2021, AND;
(II) THE FINAL RESULTS OF THE DATA LINKAGE PROJECT ON OR
BEFORE JULY 1, 2022.
(e) FOR THE FISCAL YEARS 2019-20, 2020-21 AND 2021-22, THE
GENERAL ASSEMBLY SHALL APPROPRIATE ONE HUNDRED THOUSAND
DOLLARS TO THE STATE DEPARTMENT FOR ALLOCATION TO THE CENTER
FOR THE PURPOSES OF THIS SUBSECTION (2).".
Page 33, line 21, after "COLORADO," insert "OR A CORONER ELECTED
PURSUANT TO SECTION 30-10-601,".
Page 33, strike line 24 and substitute "EXAMINER OR CORONER;".
Page 33, line 25, after "EXAMINER" insert "OR THE CORONER".
Senate Journal, April 19
After consideration on the merits, the Committee recommends that SB19-228 be amended
as follows, and as so amended, be referred to the Committee of the Whole with favorable
recommendation.
Strike the Health and Human Services Committee Report, dated April 11,
2019.
Amend printed bill, page 9, line 8, after "COLORADO," insert "OR A
CORONER ELECTED PURSUANT TO SECTION 30-10-601,".
Page 9, strike line 11 and substitute "EXAMINER OR CORONER;".
Page 9, line 12, after "EXAMINER" insert "OR THE CORONER".
Page 9, after line 15 insert:
"SECTION 9. In Colorado Revised Statutes, 23-18-308, amend
(1)(b) and (1)(c); and add (1)(d) as follows:
23-18-308. Fee-for-service contracts - limited purpose.
(1) Subject to available appropriations, the department shall enter into
fee-for-service contracts for the following purposes:
(b) The inclusive higher education pilot program pursuant to
section 23-75-104; and
(c) Cybersecurity and distributed ledger technologies, such as
blockchains, as set forth in sections 24-33.5-1904 and 24-33.5-1905;
AND
(d) A PROGRAM TO INCREASE PUBLIC AWARENESS CONCERNING
OPIOID USE THAT IS DEVELOPED AND IMPLEMENTED BY THE CENTER FOR
RESEARCH INTO SUBSTANCE USE DISORDER PREVENTION, TREATMENT,
AND RECOVERY SUPPORT STRATEGIES PURSUANT TO SECTION 27-80-118.".
Renumber succeeding sections accordingly.
Page 9, line 20, strike "FIVE" and substitute "TWO".
Page 12, strike line 3 and substitute "as follows:".
Page 14, line 9, strike "THREE" and substitute "TWO".
Page 15, strike lines 3 through 27.
Strike page 16.
Page 17, strike lines 1 through 10.
Page 18, strike line 16 and substitute "(25)(a)(XX) and (25)(a)(XXI) as
follows:".
Page 18, strike lines 24 and 25.
Page 18, line 26, strike "(XXII)" and substitute "(XXI)".
Page 19, strike lines 4 through 27.
Strike pages 20 through 24.
Page 25, strike lines 1 though 5.
Renumber succeeding sections accordingly.
Page 33, line 21, after "COLORADO," insert "OR A CORONER ELECTED
PURSUANT TO SECTION 30-10-601,".
Page 33, strike line 24 and substitute "EXAMINER OR CORONER;".
Page 33, line 25, after "EXAMINER" insert "OR THE CORONER".
Page 34, after line 1 insert:
"SECTION 24. Appropriation. (1) For the 2019-20 state fiscal
year, $157,754 is appropriated to the department of human services for
use by the office of behavioral health. This appropriation is from the
general fund and is based on an assumption that the office will require an
additional 1.5 FTE. To implement this act, the office may use this
appropriation for the administration and evaluation expenses related to
the Charlie Hughes and Nathan Gauna opioid prevention grant program.
(2) For the 2019-20 state fiscal year, $2,000,000 is appropriated
to the youth opioid and substance use prevention fund created in section
27-80-103.5 (4), C.R.S. This appropriation is from the marijuana tax cash
fund created in section 39-28.8-501 (1), C.R.S. The department of human
services is responsible for the accounting related to this appropriation.
(3) For the 2019-20 state fiscal year, $997,754 is appropriated to
the department of human services for use by the office of behavioral
health. This appropriation is from the general fund and is based on an
assumption that the office will require an additional 1.5 FTE. To
implement this act, the office may use this appropriation for the maternal
and child health pilot program.
(4) For the 2019-20 state fiscal year, $750,000 is appropriated to
the department of higher education for use by the regents of the
university of Colorado. This appropriation is from the marijuana tax cash
fund created in section 39-28.8-501 (1), C.R.S. To implement this act,
the regents may use this appropriation for allocation to the center for
research into substance use disorder prevention, treatment, and recovery
support strategies and the college of nursing.
(5) For the 2019-20 state fiscal year, $50,000 is appropriated to
the department of higher education. This appropriation is from the
general fund. To implement this act, the department may use this
appropriation for the college opportunity fund program to be used for
limited purpose fee-for-service contracts with state institutions.
(6) For the 2019-20 state fiscal year, $50,000 is appropriated to
the department of higher education. This appropriation is from
reappropriated funds received from the limited purpose fee-for-service
contracts with state institutions under subsection (6) of this section. To
implement this act, the department may use this appropriation for the
regents of the university of Colorado for allocation to the center for
research into substance use disorder prevention, treatment, and recovery
support strategies.
(7) For the 2019-20 state fiscal year, $2,000,000 is appropriated
to the department of public health and environment. This appropriation
is from the general fund. To implement this act, the office may use this
appropriation as follows:
(a) $71,852 for use by the prevention services division for
administration, which amount is based on an assumption that the division
will require an additional 0.9 FTE;
(b) $1,564,148 for distributions to local public health agencies;
and
(c) $364,000 for personal services related to health statistics and
vital records.".
Renumber succeeding sections accordingly.
Page 2, line 108, strike the second "AND".
Page 2, line 11, strike "PROGRAM." and substitute "PROGRAM; AND
MAKING AN APPROPRIATION.".
Senate Journal, April 24
SB19-228 by Senator(s) Winter and Moreno; also Representative(s) Buentello and Singer--Concerning
measures to prevent substance abuse, and, in connection therewith, requiring certain
prescribers to complete substance use disorder training; prohibiting physicians and
physician assistants from accepting benefits for prescribing specific medications; requiring
opioid prescriptions to bear warning labels; allowing medical examiners access to the
prescription drug monitoring program; providing funding to address opioid and substance
use disorders through public health interventions in local communities; requiring state
departments to report receipt and eligibility for federal funds for HIV and hepatitis testing;
requiring the office of behavioral health in the department of human services to administer
grant programs; requiring the center for research into substance use disorder prevention,
treatment, and recovery support strategies to develop and implement a program to increase
public awareness concerning the safe use, storage, and disposal of antagonist drugs, to
conduct a needs assessment among mothers and pregnant women, and to implement a grant
program; and requiring the office of behavioral health in the department of human services
to administer a child and maternal health pilot program.
Amendment No. 1, Health & Human Services Committee Amendment.
(Printed in Senate Journal, April 12, pages 828-829 and placed in members' bill files.)
Amendment No. 2, Appropriations Committee Amendment.
(Printed in Senate Journal, April 19, pages 978-980 and placed in members' bill files.)
Amendment No. 3(L.017), by Senator Winter.
Amend printed bill, page 4, after line 1 insert:
"SECTION 1. In Colorado Revised Statutes, amend 10-16-143.5
as follows:
10-16-143.5. Pharmacy reimbursement - substance use
disorders - injections - patient counseling. (1) If a pharmacy has
entered into a collaborative pharmacy practice agreement with one or
more physicians pursuant to section 12-42.5-602 to administer injectable
antagonist medication for medication-assisted treatment for substance use
disorders, the pharmacy administering the drug shall receive an enhanced
dispensing fee.
(2) IF A PHARMACY DISPENSES AN OPIOID THAT IS A SCHEDULE II
OR SCHEDULE III DRUG PURSUANT TO SECTION 18-18-204 OR 18-18-205 TO
A PATIENT WHO HAS NOT PREVIOUSLY RECEIVED AN OPIOID PRESCRIPTION
AND THE PHARMACY PROVIDES COUNSELING CONCERNING THE RISK OF
OPIOIDS TO THE PATIENT, THE DISPENSING PHARMACY SHALL RECEIVE AN
ENHANCED DISPENSING FEE.".
Renumber succeeding sections accordingly.
Page 34, line 3, strike "16 through 23" and substitute "17 through 24".
Page 34, lines 4 and 5, strike "16 through 23" and substitute "17 through
24".
Amendment No. 4(L.020), by Senator Moreno.
Amend printed bill, page 8, strike lines 19 through 26 and substitute:
"SECTION 7. In Colorado Revised Statutes, 12-42.5-121, add
(3) as follows:
12-42.5-121. Labeling - rules. (3) THE BOARD SHALL
PROMULGATE RULES CONCERNING THE LABELING REQUIREMENTS FOR A
PRESCRIPTION DRUG THAT IS DISPENSED TO A PATIENT FOR OUTPATIENT
USE AND CONTAINS AN OPIOID, EXCEPT FOR AN OPIOID PRESCRIBED FOR
TREATMENT OF A SUBSTANCE USE DISORDER OR THAT IS A PARTIAL OPIOID
ANTAGONIST, WHICH RULES MUST INCLUDE A WARNING TO INDICATE RISKS
SUCH AS OVERDOSE AND ADDICTION.".
Page 33, strike lines 5 through 12 and substitute:
"SECTION 22. In Colorado Revised Statutes, 12-280-124, add
as relocated by House Bill 19-1172 (3) as follows:
12-280-124. Labeling - rules. (3) THE BOARD SHALL
PROMULGATE RULES CONCERNING THE LABELING REQUIREMENTS FOR A
PRESCRIPTION DRUG THAT IS DISPENSED TO A PATIENT FOR OUTPATIENT
USE AND CONTAINS AN OPIOID, EXCEPT FOR AN OPIOID PRESCRIBED FOR
TREATMENT OF A SUBSTANCE USE DISORDER OR THAT IS A PARTIAL OPIOID
ANTAGONIST, WHICH RULES MUST INCLUDE A WARNING TO INDICATE RISKS
SUCH AS OVERDOSE AND ADDICTION.".
Amendment No. 5(L.024), by Senator Winter.
Amend printed bill, page 4, strike lines 2 through 13.
Strike pages 5 through 7.
Page 8, strike lines 1 through 8.
Renumber succeeding sections accordingly.
Page 18, line 16, strike "and (25)(a)(XXII)" and substitute "(25)(a)(XXII),
and (25)(a)(XXIII)".
Page 18, after line 20 insert:
"(XX) THE COMPETENCY REQUIREMENTS CREATED BY RULE OF
THE APPLICABLE LICENSING BOARDS PURSUANT TO SECTION 12-30-111;".
Renumber succeeding subparagraphs accordingly.
Page 29, strike lines 3 through 27.
Strike pages 30 and 31.
Page 32, strike lines 1 through 21 and substitute:
"SECTION 11. In Colorado Revised Statutes, add to article 30
as relocated by House Bill 19-1172 12-30-111 as follows:
12-30-111. Demonstrated competency - opiate prescribers -
rules - definition - repeal. (1) (a) THE APPLICABLE LICENSING BOARD
FOR EACH LICENSED HEALTH CARE PROVIDER SHALL PROMULGATE RULES
THAT REQUIRE EACH LICENSED HEALTH CARE PROVIDER, AS A CONDITION
OF RENEWING, REACTIVATING, OR REINSTATING A LICENSE ON OR AFTER
OCTOBER 1, 2019, TO COMPLETE UP TO FOUR CREDIT HOURS OF TRAINING
PER LICENSING CYCLE IN ORDER TO DEMONSTRATE COMPETENCY
REGARDING: BEST PRACTICES FOR OPIOID PRESCRIBING, ACCORDING TO
THE MOST RECENT VERSION OF THE DIVISION'S GUIDELINES FOR THE SAFE
PRESCRIBING AND DISPENSING OF OPIOIDS; RECOGNITION OF SUBSTANCE
USE DISORDERS; REFERRAL OF PATIENTS WITH SUBSTANCE USE DISORDERS
FOR TREATMENT; AND THE USE OF THE ELECTRONIC PRESCRIPTION DRUG
MONITORING PROGRAM CREATED IN PART 4 OF ARTICLE 280 OF THIS TITLE
12.
(b) THE RULES PROMULGATED BY EACH BOARD SHALL EXEMPT A
LICENSED HEALTH CARE PROVIDER WHO:
(I) MAINTAINS A NATIONAL BOARD CERTIFICATION THAT REQUIRES
EQUIVALENT SUBSTANCE USE PREVENTION TRAINING; OR
(II) ATTESTS TO THE APPROPRIATE BOARD THAT THE HEALTH CARE
PROVIDER DOES NOT PRESCRIBE OPIOIDS.
(2) FOR THE PURPOSES OF THIS SECTION, "LICENSED HEALTH CARE
PROVIDER" INCLUDES A PHYSICIAN, PHYSICIAN ASSISTANT, PODIATRIST,
DENTIST, ADVANCED PRACTICE NURSE WITH PRESCRIPTIVE AUTHORITY,
OPTOMETRIST, AND VETERINARIAN LICENSED PURSUANT TO THIS TITLE 12.
(3) THIS SECTION IS REPEALED, EFFECTIVE SEPTEMBER 1, 2024.
BEFORE THE REPEAL, THIS SECTION IS SCHEDULED FOR REVIEW IN
ACCORDANCE WITH SECTION 24-34-104.".
Renumber succeeding sections accordingly.
Strike "sections 16 through 23" and substitute "section 11" on: Page 34,
lines 3 and 4 and 5.
As amended, ordered engrossed and placed on the calendar for third reading and final
passage.
Senate Journal, April 25
SB19-228 by Senator(s) Winter and Moreno; also Representative(s) Buentello and Singer--
Concerning measures to prevent substance abuse, and, in connection therewith, requiring
certain prescribers to complete substance use disorder training; prohibiting physicians and
physician assistants from accepting benefits for prescribing specific medications; requiring
opioid prescriptions to bear warning labels; allowing medical examiners access to the
prescription drug monitoring program; providing funding to address opioid and substance
use disorders through public health interventions in local communities; requiring state
departments to report receipt and eligibility for federal funds for HIV and hepatitis testing;
requiring the office of behavioral health in the department of human services to administer
grant programs; requiring the center for research into substance use disorder prevention,
treatment, and recovery support strategies to develop and implement a program to increase
public awareness concerning the safe use, storage, and disposal of antagonist drugs, to
conduct a needs assessment among mothers and pregnant women, and to implement a grant
program; requiring the office of behavioral health in the department of human services to
administer a child and maternal health pilot program; and making an appropriation.
A majority of those elected to the Senate having voted in the affirmative, Senator Moreno
was given permission to offer a third reading amendment.
Third Reading Amendment No. 1(L.026), by Senator Moreno.
Amend engrossed bill, page 13, strike line 20 and substitute:
"(25)(a)(XX) and (25(a)(XXI) as".
Page 13, line 24, strike "declaration - repeal." and substitute
"declaration.".
Page 13, strike lines 26 and 27.
Renumber succeeding subparagraphs accordingly.
Page 19, strike lines 9 through 11.
Strike "section 11" and substitute "sections 12 to 14" on Page 22, lines
17 and 18.
The amendment was passed on the following roll call vote:
YES 32 NO 3 EXCUSED 0 ABSENT 0
Bridges Y Foote Y Marble Y Story Y
Cooke Y Gardner Y Moreno Y Tate Y
Coram Y Ginal Y Pettersen Y Todd Y
Court Y Gonzales Y Priola Y Williams A. Y
Crowder Y Hill N Rankin Y Winter Y
Danielson Y Hisey Y Rodriguez Y Woodward N
Donovan Y Holbert Y Scott Y Zenzinger Y
Fenberg Y Lee Y Smallwood Y President Y
Fields Y Lundeen N Sonnenberg Y
The question being "Shall the bill, as amended, pass?", the roll call was taken with the
following result:
YES 28 NO 7 EXCUSED 0 ABSENT 0
Bridges Y Foote Y Marble N Story Y
Cooke N Gardner Y Moreno Y Tate Y
Coram Y Ginal Y Pettersen Y Todd Y
Court Y Gonzales Y Priola Y Williams A. Y
Crowder Y Hill N Rankin Y Winter Y
Danielson Y Hisey Y Rodriguez Y Woodward Y
Donovan Y Holbert N Scott Y Zenzinger Y
Fenberg Y Lee Y Smallwood N President Y
Fields Y Lundeen N Sonnenberg N
House Journal, May 1
10 SB19-228 be amended as follows, and as so amended, be referred to
11 the Committee of the Whole with favorable
12 recommendation:
13
14 Amend reengrossed bill, page 6, strike lines 14 through 26.
15
16 Renumber succeeding sections accordingly.
17
18 Page 9, strike lines 13 through 27.
19
20 Strike pages 10 and 11.
21
22 Page 12, strike lines 1 through 14 and substitute:
23
24 "SECTION 7. In Colorado Revised Statutes, 27-80-106, add (3)
25 as follows:
26 27-80-106. Purchase of prevention and treatment services.
27 (3) (a) THERE IS CREATED IN THE OFFICE OF BEHAVIORAL HEALTH,
28 REFERRED TO IN THIS SECTION AS THE "OFFICE", THE CHARLIE HUGHES
29 AND NATHAN GAUNA OPIOID PREVENTION GRANT PROGRAM TO IMPROVE
30 YOUNG LIVES, REFERRED TO IN THIS SECTION AS THE "PROGRAM", FOR
31 PREVENTING OPIOID USE AMONG THE STATE'S YOUTH POPULATION.
32 (b) THE OFFICE SHALL, IN COORDINATION WITH THE STATE PLAN
33 FORMULATED PURSUANT TO SECTION 27-80-102, PURCHASE PREVENTION
34 SERVICES FROM ONE OR MORE COMMUNITY-BASED YOUTH DEVELOPMENT
35 ORGANIZATIONS THAT ADMINISTER EVIDENCE-BASED SUBSTANCE USE
36 PREVENTION PROGRAMS TO YOUTH AND FAMILIES. THE OFFICE SHALL
37 PRIORITIZE THE AMOUNTS OF FUNDING REQUESTED IN THEIR ENTIRETY OR
38 IN AMOUNTS SUFFICIENT TO ENSURE THAT GRANT RECIPIENTS ARE ABLE TO
39 FULLY OR SUBSTANTIALLY IMPLEMENT PROGRAMS TO FIDELITY. THE
40 OFFICE MAY USE UP TO TEN PERCENT OF THE MONEY APPROPRIATED TO
41 THE PROGRAM FOR ADMINISTRATION AND EVALUATION OF THE PROGRAM.
42 (c) THIS SUBSECTION (3) IS REPEALED, EFFECTIVE SEPTEMBER 1,
43 2020.".
44
45 Page 13, line 6, strike "FOUR" and substitute "THREE".
46
47 Page 13, line 14, strike "GENERAL FUND" and substitute "MARIJUANA TAX
48 CASH FUND CREATED IN SECTION 39-28.8-501 (1)".
49
50 Page 13, line 20, strike "and (25)(a)(XXI)".
51
52 Page 13, strike lines 26 and 27.
53
54 Page 14, strike line 1.
55
1 Page 14, line 3, strike "(XXI)" and substitute "(XX)".
2
3 Page 14, after line 7 insert:
4
5 "SECTION 10. In Colorado Revised Statutes, add 27-80-119 as
6 follows:
7 27-80-119. Perinatal substance use data linkage project -
8 center for research into substance use disorder prevention,
9 treatment, and recovery support strategies - report. (1) THE CENTER
10 FOR RESEARCH INTO SUBSTANCE USE DISORDER PREVENTION, TREATMENT,
11 AND RECOVERY SUPPORT STRATEGIES ESTABLISHED IN SECTION 27-80-118,
12 REFERRED TO IN THIS SECTION AS THE "CENTER", IN PARTNERSHIP WITH AN
13 INSTITUTION OF HIGHER EDUCATION AND THE STATE SUBSTANCE ABUSE
14 TREND AND RESPONSE TASK FORCE ESTABLISHED IN SECTION 18-18.5-103,
15 MAY CONDUCT A STATEWIDE PERINATAL SUBSTANCE USE DATA LINKAGE
16 PROJECT THAT USES ONGOING COLLECTION, ANALYSIS, INTERPRETATION,
17 AND DISSEMINATION OF DATA FOR THE PLANNING, IMPLEMENTATION, AND
18 EVALUATION OF PUBLIC HEALTH ACTIONS TO IMPROVE OUTCOMES FOR
19 FAMILIES IMPACTED BY SUBSTANCE USE DURING PREGNANCY. THE DATA
20 LINKAGE PROJECT MAY CONSIDER STATE-ADMINISTERED DATA SOURCES
21 THAT INCLUDE:
22 (a) HEALTH CARE UTILIZATION BY PREGNANT AND POSTPARTUM
23 WOMEN WITH SUBSTANCE USE DISORDERS AND THEIR INFANTS;
24 (b) HUMAN SERVICE AND PUBLIC HEALTH PROGRAM UTILIZATION
25 BY PREGNANT AND POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDERS
26 AND THEIR INFANTS;
27 (c) HEALTH CARE, HUMAN SERVICE, AND PUBLIC HEALTH PROGRAM
28 OUTCOMES AMONG PREGNANT AND POSTPARTUM WOMEN WITH
29 SUBSTANCE USE DISORDERS AND THEIR INFANTS; AND
30 (d) COSTS ASSOCIATED WITH HEALTH CARE, HUMAN SERVICE, AND
31 PUBLIC HEALTH PROGRAM PROVISION FOR PREGNANT AND POSTPARTUM
32 WOMEN WITH SUBSTANCE USE DISORDERS AND THEIR INFANTS.
33 (2) THE DATA LINKAGE PROJECT SHALL USE VITAL RECORDS TO
34 ESTABLISH MATERNAL AND INFANT DYADS BEGINNING AT THE BIRTH
35 HOSPITALIZATION AND RETROSPECTIVELY LINK THE PRENATAL PERIOD
36 AND PROSPECTIVELY LINK THE FIRST YEAR POSTPARTUM.
37 (3) THE GOVERNOR'S OFFICE OF INFORMATION TECHNOLOGY WILL
38 OBTAIN DATA AND PERFORM SECURE LINKAGE AND ANONYMIZATION ON
39 BEHALF OF THE STATE.
40 (4) ON OR BEFORE JANUARY 1, 2021, THE CENTER SHALL REPORT
41 PROGRESS ON THE DATA LINKAGE PROJECT AND THE RESULTS, IF
42 AVAILABLE, TO THE HEALTH AND INSURANCE COMMITTEE AND THE PUBLIC
43 HEALTH CARE AND HUMAN SERVICES COMMITTEE OF THE HOUSE OF
44 REPRESENTATIVES AND THE HEALTH AND HUMAN SERVICES COMMITTEE
45 OF THE SENATE OR THEIR SUCCESSOR COMMITTEES.".
46
47 Renumber succeeding sections accordingly.
48
49 Page 14, lines 20 and 21, strike "PROVIDE GENERAL FUND MONEY TO".
50
51 Page 15, line 16, strike "THREE" and substitute "TWO".
52
53 Page 15, line 19, strike "SIX" and substitute "FOUR".
54
55 Page 17, line 15, strike "GENERAL FUND" and substitute "MARIJUANA TAX
1 CASH FUND CREATED IN SECTION 39-28.8-501 (1)".
2
3 Page 17, line 27, strike "GENERAL FUND." and substitute "MARIJUANA TAX
4 CASH FUND CREATED IN SECTION 39-28.8-501 (1).".
5
6 Page 20, strike lines 17 through 27 and substitute:
7
8 "SECTION 15. Appropriation.
9 (1) For the 2019-20 state fiscal year, $1,192,367 is appropriated
10 to the department of human services for use by the office of behavioral
11 health. This appropriation is from the marijuana tax cash fund created in
12 section 39-28.8-501 (1), C.R.S. To implement this act, the office may use
13 this appropriation as follows:
14 (a) $692,367 for the maternal and child health pilot program,
15 which amount is based on an assumption that the office will require an
16 additional 1.6 FTE; and
17 (b) $500,000 for the Charlie Hughes and Nathan Guana opioid
18 prevention grant program to improve young lives, which amount is based
19 on an assumption that the office will require an additional 0.5 FTE.
20 (2) For the 2019-20 state fiscal year, $1,100,000 is appropriated
21 to the department of higher education for use by the regents of the
22 university of Colorado. This appropriation is from the marijuana tax cash
23 fund created in section 39-28.8-501 (1), C.R.S. To implement this act, the
24 regents may use this appropriation for allocation to the center for research
25 into substance use disorder prevention, treatment, and recovery support
26 strategies.
27 (3) For the 2019-20 state fiscal year, $2,000,000 is appropriated
28 to the department of public health and environment. This appropriation
29 is from the marijuana tax cash fund created in section 39-28.8-501 (1),
30 C.R.S. To implement this act, the office may use this appropriation as
31 follows:
32 (a) $71,852 for use by the prevention services division for
33 administration, which amount is based on an assumption that the division
34 will require an additional 0.9 FTE;
35 (b) $1,564,148 for distributions to local public health agencies;
36 and
37 (c) $364,000 for personal services related to health statistics and
38 vital records.".
39
40 Strike page 21.
41
42 Page 22, strike lines 1 through 11.
43
44 Page 22, line 13, strike "14" and substitute "15".
45
46 Page 22, line 14, strike "14" and substitute "15".
47
48 Page 1, line 112, strike "REQUIRING".
49
50 Page 1, strike line 113.
51
52 Page 2, strike line 101.
53
54 Page 2, strike lines 106 through 111 and substitute "STORAGE, AND
55 DISPOSAL OF ANTAGONIST DRUGS; AND MAKING AN APPROPRIATION.".
House Journal, May 1
34 Amendment No. 1, Appropriations Report, dated May 1, 2019, and placed
35 in member's bill file; Report also printed in House Journal, May 1, 2019.
36
37 Amendment No. 2, by Representative(s) Singer.
38
39 Amend the Appropriations Committee Report, dated May, 2019, page 1,
40 strike line 1 and substitute:
41
42 "Amend reengrossed bill, page 6, strike lines 14 through 26 and
43 substitute:
44 "SECTION 6. In Colorado Revised Statutes, 19-3.5-105, amend
45 (1)(f); and add (1)(k) as follows:
46 19-3.5-105. Powers and duties of the board. (1) The board has
47 the following powers and duties:
48 (f) To expend moneys THE MONEY of the trust fund for the
49 establishment, promotion, and maintenance of primary and secondary
50 prevention programs, including pilot programs, AND for programs to
51 prevent, and reduce, the occurrence of AND RESEARCH prenatal drug
52 SUBSTANCE exposure, and for operational expenses of the board;
53 (k) TO CONDUCT RESEARCH CONCERNING THE INCIDENCE OF
54 PRENATAL SUBSTANCE EXPOSURE OR RELATED NEWBORN AND FAMILY
55 HEALTH AND HUMAN SERVICES OUTCOMES AS RELATED TO THE DEFINITION
1 OF "ABUSE" IN SECTION 19-1-103. ON OR BEFORE JANUARY 2021, THE
2 DEPARTMENT OF HUMAN SERVICES SHALL REPORT THE OUTCOMES OF THE
3 RESEARCH TO THE PUBLIC HEALTH CARE AND HUMAN SERVICES
4 COMMITTEE AND THE HEALTH AND INSURANCE COMMITTEE OF THE HOUSE
5 OF REPRESENTATIVES AND THE HEALTH AND HUMAN SERVICES COMMITTEE
6 OF THE SENATE, OR THEIR SUCCESSOR COMMITTEES.".".
7
8 Page 1 of the report, line 6, strike "7." and substitute "8.".
9
10 Page 2 of the report, line 15, strike "10." and substitute "11.".
11
12 Page 3 of the report, line 32, strike "12 to14" and substitute "14 to 16".
13
14 Page 3 of the report, line 32, strike "12 to 14" and substitute "14 to 16".
15
16 Amendment No. 3, by Representative(s) Buentello.
17
18 Amend reengrossed bill, page 5, after line 3 insert:
19 "(3) SUBSECTION (2) OF THIS SECTION DOES NOT REQUIRE A
20 CARRIER TO CONTRACT WITH A PHARMACY OR PHARMACIST WILLING TO
21 ABIDE BY THE TERMS AND CONDITIONS FOR PARTICIPATION ESTABLISHED
22 BY THE HEALTH BENEFIT PLAN OR CARRIER.".
23
24 Amendment No. 4, by Representative(s) Singer.
25
26 Amend reengrossed bill, page 5, after line 14 insert:
27 "SECTION 3. In Colorado Revised Statutes, 12-38-111.6, add
28 (13) as follows:
29 12-38-111.6. Prescriptive authority - advanced practice nurses
30 - limits on opioid prescriptions - financial benefit for prescribing
31 prohibited - repeal. (13) AN ADVANCED PRACTICE NURSE SHALL NOT
32 ACCEPT ANY DIRECT OR INDIRECT BENEFIT FROM A PHARMACEUTICAL
33 MANUFACTURER OR PHARMACEUTICAL REPRESENTATIVE FOR PRESCRIBING
34 A SPECIFIC MEDICATION TO A PATIENT. FOR THE PURPOSES OF THIS
35 SECTION, A DIRECT OR INDIRECT BENEFIT DOES NOT INCLUDE A BENEFIT
36 OFFERED TO AN ADVANCED PRACTICE NURSE REGARDLESS OF WHETHER
37 THE SPECIFIC MEDICATION IS BEING PRESCRIBED.".
38
39 Renumber succeeding sections accordingly.
40
41 Page 19, after line 17 insert:
42
43 "SECTION 15. In Colorado Revised Statutes, 12-255-112, add
44 as relocated by House Bill 19-1172 (12) as follows:
45 12-255-112. Prescriptive authority - advanced practice nurses
46 - limits on opioid prescriptions - rules - financial benefit for
47 prescribing prohibited - repeal. (12) AN ADVANCED PRACTICE NURSE
48 SHALL NOT ACCEPT ANY DIRECT OR INDIRECT BENEFIT FROM A
49 P H A R M A C E U T IC A L M A N U F A C T U R E R O R P H A R M A C E U T IC A L
50 REPRESENTATIVE FOR PRESCRIBING A SPECIFIC MEDICATION TO A PATIENT.
51 FOR THE PURPOSES OF THIS SECTION, A DIRECT OR INDIRECT BENEFIT DOES
52 NOT INCLUDE A BENEFIT OFFERED TO AN ADVANCED PRACTICE NURSE
53 REGARDLESS OF WHETHER THE SPECIFIC MEDICATION IS BEING
54 PRESCRIBED.".
55
1 Renumber succeeding sections accordingly.
2
3 Page 22, line 13, strike "12 to 14" and substitute "13 to 17".
4
5 Page 22, line 14, strike "12 to 14" and substitute "13 to 17".
6
7 As amended, ordered revised and placed on the Calendar for Third
8 Reading and Final Passage.
House Journal, May 2
26 Amend revised bill, page 6, strike lines 25 through 27 and substitute:
27
28 "SECTION 6. In Colorado Revised Statutes, add 19-1-129 as
29 follows:
30 19-1-129. Department - research authorized - prenatal
31 substance exposure - newborn and family outcomes - report. (1) THE
32 DEPARTMENT MAY CONDUCT RESEARCH AS RELATED TO THE DEFINITION
33 OF "ABUSE" IN SECTION 19-1-103 CONCERNING THE INCIDENCE OF
34 PRENATAL SUBSTANCE EXPOSURE AND RELATED NEWBORN AND FAMILY
35 HEALTH AND HUMAN SERVICES OUTCOMES AS THE RESULT OF A MOTHER'S
36 LAWFUL AND UNLAWFUL INTAKE OF CONTROLLED SUBSTANCES.
37 (2) BEGINNING IN JANUARY 2021 AND EVERY TWO YEARS
38 THEREAFTER, THE DEPARTMENT SHALL REPORT THE OUTCOMES OF ANY
39 RESEARCH CONDUCTED PURSUANT TO SUBSECTION (1) OF THIS SECTION TO
40 THE JOINT HEALTH COMMITTEES OF THE GENERAL ASSEMBLY AS PART OF
41 ITS "STATE MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND
42 TRANSPARENT (SMART) GOVERNMENT ACT" PRESENTATION REQUIRED
43 BY SECTION 2-7-203.".
44
45 Page 7, strike lines 1 through 15.
46
47 Page 22, line 2, strike "13 to 17" and substitute "14 to 18".
48
49 Page 22, line 3, strike "13 to 17" and substitute "14 to 18".
50
51 Page 1, line 104, strike "PHYSICIANS AND PHYSICIAN ASSISTANTS" and
52 substitute "PRESCRIBERS".
53
54 Page 1, line 107, after "EXAMINERS" insert "AND CORONERS".
55
1 Page 1, line 108, after "PROGRAM;" insert "AUTHORIZING THE
2 DEPARTMENT OF HUMAN SERVICES TO CONDUCT SUBSTANCE USE
3 RESEARCH;".
4
5 The amendment was declared passed by the following roll call vote:
6
7 YES 46 NO 17 EXCUSED 2 ABSENT
8 Arndt Y Exum E Landgraf N Saine N
9 Baisley N Froelich Y Larson Y Sandridge N
10 Beckman N Galindo Y Lewis E Singer Y
11 Benavidez Y Garnett Y Liston N Sirota Y
12 Bird Y Geitner N Lontine Y Snyder Y
13 Bockenfeld N Gonzales-Gutierrez Y McCluskie Y Soper N
14 Buck N Gray Y McKean N Sullivan Y
15 Buckner Y Hansen Y McLachlan Y Tipper Y
16 Buentello Y Herod Y Melton Y Titone Y
17 Caraveo Y Hooton Y Michaelson Jenet Y Valdez A. Y
18 Carver N Humphrey N Mullica Y Valdez D. Y
19 Catlin Y Jackson Y Neville Y Van Y
20 Coleman Y Jaquez Lewis Y Pelton Y Weissman Y
21 Cutter Y Kennedy Y Ransom N Will N
22 Duran Y Kipp Y Rich N Williams N
23 Esgar Y Kraft-Tharp Y Roberts Y Wilson Y
24 Speaker Y
25
26 The question being, "Shall the bill, as amended, pass?".
27 A roll call vote was taken. As shown by the following recorded vote, a
28 majority of those elected to the House voted in the affirmative, and the
29 bill, as amended, was declared passed.
30
31 YES 43 NO 20 EXCUSED 2 ABSENT
32 Arndt Y Exum E Landgraf N Saine N
33 Baisley N Froelich Y Larson N Sandridge Y
34 Beckman N Galindo Y Lewis E Singer Y
35 Benavidez Y Garnett Y Liston N Sirota Y
36 Bird Y Geitner N Lontine Y Snyder Y
37 Bockenfeld N Gonzales-Gutierrez Y McCluskie Y Soper N
38 Buck N Gray Y McKean N Sullivan Y
39 Buckner Y Hansen Y McLachlan Y Tipper Y
40 Buentello Y Herod Y Melton Y Titone Y
41 Caraveo Y Hooton Y Michaelson Jenet Y Valdez A. Y
42 Carver N Humphrey N Mullica Y Valdez D. Y
43 Catlin N Jackson Y Neville N Van Y
44 Coleman Y Jaquez Lewis Y Pelton N Weissman Y
45 Cutter Y Kennedy Y Ransom N Will N
46 Duran Y Kipp Y Rich N Williams N
47 Esgar Y Kraft-Tharp Y Roberts Y Wilson Y
48 Speaker Y
49 Co-sponsor(s) added: Representative(s) Arndt, Bird, Buckner, Caraveo, Cutter,
50 Duran, Esgar, Froelich, Galindo, Garnett, Gonzales-Gutierrez, Gray, Hansen,
51 Herod, Hooton, Jackson, Jaquez Lewis, Kennedy, Kipp, Lontine, McCluskie,
52 McLachlan, Melton, Michaelson Jenet, Mullica, Sandridge, Sirota, Snyder,
53 Tipper, Titone, Valdez A., Valdez D., Speaker
54