Amendments for SB24-175
Senate Journal, March 29
After consideration on the merits, the Committee recommends that SB24-175 be amended
as follows, and as so amended, be referred to the Committee on Appropriations with
favorable recommendation.
Amend printed bill, page 6, line 1, strike "INITIATIVE," and substitute
"INITIATIVE AND".
Page 6, strike lines 2 through 5 and substitute "PERINATAL QUALITY
COLLABORATIVE DEFINED IN SECTION 25-52-103 (3).".
Page 6, line 23, strike "hospital" and substitute "perinatal health quality
improvement".
Page 7, strike lines 1 through 4 and substitute "PEOPLE WHO ARE AMERICAN
INDIAN/ALASKA NATIVE ARE NEARLY THREE TIMES MORE LIKELY TO DIE
DURING PREGNANCY OR WITHIN ONE YEAR POSTPARTUM THAN THE OVERALL
POPULATION OF THOSE GIVING BIRTH IN COLORADO;
(b) BIRTHING PEOPLE WHO ARE BLACK ARE NEARLY TWO TIMES MORE
LIKELY TO DIE DURING PREGNANCY OR WITHIN ONE YEAR POSTPARTUM THAN
THE OVERALL POPULATION OF THOSE GIVING BIRTH IN COLORADO;".
Reletter succeeding paragraphs accordingly.
Page 8, lines 17 and 18, strike "LABOR AND DELIVERY OR NEONATAL" and
substitute "NONEMERGENT PERINATAL".
Page 9, line 5, after "IN" insert "RURAL AND".
Page 9, line 23, after the period add "THE PERINATAL QUALITY COLLABORATIVE
SHALL DEVELOP A DATA-SHARING AGREEMENT WITH THE DEPARTMENT TO
IDENTIFY SPECIFIC VITAL STATISTICS DATA THAT MUST BE SHARED. THE
DATA-SHARING AGREEMENT MUST ADDRESS THE CONFIDENTIALITY OF DATA TO
ENSURE THAT DATA SHARING IS PROTECTED.".
Page 9, line 26, strike "SUBMIT ANNUALLY" and substitute "NO LATER THAN
JULY 1, 2025, AND NO LATER THAN JULY 1 EACH YEAR THEREAFTER, SUBMIT".
Page 9, line 27, strike "COLLABORATIVE" and substitute "COLLABORATIVE,
EITHER DIRECTLY OR THROUGH A STATEWIDE ASSOCIATION OF HOSPITALS,".
Page 10, line 12, strike "BIRTH;" and substitute "BIRTH; AND".
Page 10, line 13, strike "PARTICIPATE" and substitute "BEGINNING DECEMBER
15, 2025, PARTICIPATE".
Page 10, line 20, strike "MORBIDITY; AND" and substitute "MORBIDITY.".
Page 10, strike lines 21 through 27.
Page 11, strike lines 1 through 9.
Page 11, line 10, strike "Hospital perinatal" and substitute "Perinatal".
Page 11, line 13, strike "WITHOUT" and substitute "AND FACILITIES THAT
PROVIDE EMERGENT LABOR AND DELIVERY OR PERINATAL CARE SERVICES THAT
DO NOT HAVE".
Page 11, line 17, after "HOSPITALS" insert "AND FACILITIES THAT PROVIDE
EMERGENT LABOR AND DELIVERY OR PERINATAL CARE SERVICES".
Page 11, line 20, after "HOSPITAL" insert "OR FACILITY".
Page 11, line 23, strike "HOSPITAL." and insert "HOSPITAL OR FACILITY.".
Page 11, line 25, after "HOSPITALS" insert "AND FACILITIES".
Page 12, line 4, after "HOSPITALS" insert "AND FACILITIES".
Page 12, line 6, strike "DEDICATED QUALITY IMPROVEMENT," and substitute
"QUALITY IMPROVEMENT, INCLUDING DEDICATED".
Page 12, strike line 15 and substitute:
"(II) NO LATER THAN JULY 1, 2026, AND NO LATER THAN JULY 1 EACH
YEAR THEREAFTER, ISSUE A REPORT TO THE DEPARTMENT CONCERNING:
(A) CLINICAL".
Page 12, line 24, strike "MORBIDITY." and substitute "MORBIDITY;".
Page 12, after line 24 insert:
"(B) HOSPITAL PARTICIPATION IN MATERNAL AND INFANT PERINATAL
QUALITY IMPROVEMENT INITIATIVES PURSUANT TO SUBSECTION (4)(b) OF THIS
SECTION;
(C) IMPLEMENTATION OF THE FEDERAL HEALTH RESOURCES AND
SERVICES ADMINISTRATION MATERNAL AND CHILD HEALTH BUREAU'S AND
AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS' ALLIANCE FOR
INNOVATION ON MATERNAL HEALTH PATIENT SAFETY BUNDLES AND RELATED
PERFORMANCE METRICS, INCLUDING THE STATUS OF ADDRESSING DRIVERS OF
PERINATAL HEALTH DISPARITIES AND MATERNAL AND INFANT MORTALITY AND
MORBIDITY AS DESCRIBED IN SUBSECTION (4)(a) OF THIS SECTION; AND
(D) AREAS OF OPPORTUNITY FOR ONGOING IMPROVEMENT.".
Page 13, line 1, strike the second "THE" and substitute "AN AGGREGATED AND
DE-IDENTIFIED".
Page 13, after line 4 insert:
"(c) THE PERINATAL QUALITY COLLABORATIVE SHALL CONSULT WITH
A STATEWIDE ASSOCIATION OF HOSPITALS AND WITH DIVERSE HOSPITAL
LEADERSHIP TO SUPPORT ONGOING HOSPITAL ENGAGEMENT IN QUALITY
IMPROVEMENT AND TO ADVISE PRACTITIONERS IN CLINICAL SETTINGS ACROSS
THE STATE ON THE ADVANCEMENT OF BEST PRACTICES TO REDUCE MATERNAL
AND INFANT MORTALITY AND MORBIDITY.
(d) DATA SUBMITTED PURSUANT TO SUBSECTION (4)(a) OF THIS SECTION
IS CONSIDERED CONFIDENTIAL AND PROPRIETARY, CONTAINS TRADE SECRETS,
OR IS NOT A PUBLIC RECORD PURSUANT TO PART 2 OF ARTICLE 72 OF TITLE 24
AND IS ONLY REPORTABLE IN AN AGGREGATED AND DE-IDENTIFIED MANNER.".
Page 13, strike lines 5 through 14 and substitute:
"SECTION 5. In Colorado Revised Statutes, add 25.5-5-517 as
follows:
25.5-5-517. Coverage for choline dietary supplements. (1) NO
LATER THAN JULY 1, 2025, THE STATE BOARD SHALL PROMULGATE RULES TO
INCLUDE COVERAGE UNDER THE MEDICAL ASSISTANCE PROGRAM FOR
OVER-THE-COUNTER CHOLINE DIETARY SUPPLEMENTS FOR PREGNANT PERSONS.
(2) THE STATE DEPARTMENT SHALL SEEK FEDERAL APPROVAL, AS
NECESSARY, FOR THE COVERAGE DESCRIBED IN SUBSECTION (1) OF THIS
SECTION.".
Health &
Human
Services
Senate Journal, April 19
After consideration on the merits, the Committee recommends that SB24-175 be amended
as follows, and as so amended, be referred to the Committee of the Whole with favorable
recommendation and with a recommendation that it be placed on the Consent Calendar.
Amend printed bill, page 9, line 6, strike "QUALITY" and substitute "IN
IMPLEMENTING HOSPITAL QUALITY IMPROVEMENT PROGRAMS, THE PERINATAL
QUALITY COLLABORATIVE SHALL PROVIDE QUALITY" and after "SUPPORT" insert
"THAT".
Page 10, line 16, strike "COLLABORATIVE," and substitute "COLLABORATIVE
PURSUANT TO SUBSECTION (3) OF THIS SECTION,".
Page 12, strike line 10 and substitute "(a) THE DEPARTMENT SHALL CONTRACT
WITH THE PERINATAL QUALITY".
Page 12, line 11, strike "SHALL:" and substitute "TO:".
Page 13, before line 15 insert:
"SECTION 6. Appropriation. (1) For the 2024-25 state fiscal year,
$1,328,652 is appropriated to the department of public health and environment
for use by the prevention services division. This appropriation is from the
general fund and is based on an assumption that the division will require an
additional 0.9 FTE. To implement this act, the division may use this
appropriation for maternal and child health related to community health.".
Renumber succeeding section accordingly.
Page 1, line 101, strike "OUTCOMES." and substitute "OUTCOMES, AND, IN
CONNECTION THEREWITH, MAKING AN APPROPRIATION.".
Appro-
priations
House Journal, April 30
24 SB24-175 be amended as follows, and as so amended, be referred to
25 the Committee on Appropriations with favorable
26 recommendation:
27
28 Amend reengrossed bill, page 3, after line 5 insert:
29 "(A) "BILLING GUIDANCE" MEANS GUIDANCE FROM THE
30 DEPARTMENT OF HEALTH CARE POLICY AND FINANCING CONCERNING
31 COVERAGE AND BILLING FOR DOULA SERVICES AFTER CONSIDERATION OF
32 THE FINDINGS AND RECOMMENDATIONS FOR DOULA SERVICES RESULTING
33 FROM THE STAKEHOLDER PROCESS REQUIRED PURSUANT TO SECTION
34 25.5-4-506.".
35
36 Reletter succeeding sub-subparagraphs accordingly.
37
38 Page 3, strike lines 14 through 24 and substitute:
39 "(II) IN THE LARGE GROUP MARKET, MATERNITY COVERAGE
40 PURSUANT TO THIS SUBSECTION (3) MUST INCLUDE COVERAGE FOR DOULA
41 SERVICES, TO THE EXTENT PRACTICABLE, FOR THE SAME SCOPE AND
42 DURATION OF COVERAGE THAT IS INCLUDED IN THE DEPARTMENT OF
43 HEALTH CARE".
44
45 Page 3, strike line 27 and substitute "THE MEDICAL ASSISTANCE PROGRAM.
46 THE BENEFIT MAY INCLUDE THE SAME QUALIFICATIONS FOR".
47
48 Page 4, strike lines 1 through 3.
49
50 Page 4, line 5, strike "REPORT" and substitute "BILLING GUIDANCE".
51
52 Page 4, after line 6 insert:
53 "(III) EXCEPT AS PROVIDED IN SUBSECTION (3)(e)(VI) OF THIS
54 SECTION, IN THE INDIVIDUAL AND SMALL GROUP MARKETS, MATERNITY
1 COVERAGE PURSUANT TO THIS SUBSECTION (3) MUST INCLUDE COVERAGE
2 FOR DOULA SERVICES IF THE SERVICES ARE WITHIN THE DOULA'S AREA OF
3 PROFESSIONAL COMPETENCE AND THE DOULA SERVICES ARE:
4 (A) CURRENTLY REIMBURSED WHEN RENDERED BY ANY OTHER
5 HEALTH-CARE PROVIDERS; OR
6 (B) COVERED AS PART OF THE MATERNITY ESSENTIAL HEALTH
7 BENEFIT.".
8
9 Page 5, after line 18 insert:
10 "(VII) THE COMMISSIONER MAY PROMULGATE RULES AS
11 NECESSARY TO IMPLEMENT THIS SUBSECTION (3).".
12
13 Page 5, lines 25 and 26, strike "LABOR AND DELIVERY OR NEONATAL" and
14 substitute "NONEMERGENT PERINATAL".
15
16