Amendments for HB20-1061

House Journal, February 3
29 HB20-1061 be amended as follows, and as so amended, be referred to
30 the Committee on Appropriations with favorable
31 recommendation:
32
33 Amend printed bill, page 2, strike lines 12 through 21 and substitute:
34
35 "(50.5) "POST-EXPOSURE PROPHYLAXIS" MEANS A DRUG OR DRUG
36 COMBINATION THAT MEETS THE SAME".
37
38 Page 3, strike lines 2 through 5 and substitute:
39
40 "(50.7) "PREEXPOSURE PROPHYLAXIS" MEANS A DRUG OR DRUG
41 COMBINATION THAT MEETS THE SAME".
42
43 Page 3, line 18, strike "ADEQUATE" and substitute "ENHANCED".
44
45 Page 3, after line 20 insert:
46
47 "(III) THIS SUBSECTION (18)(e) DOES NOT APPLY TO AN
48 INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT DISPENSES A
49 MAJORITY OF PRESCRIPTION DRUGS THROUGH INTEGRATED PHARMACIES.".
50
51 Page 4, strike lines 24 through 26 and substitute:
52
53 "(e) THE PRESCRIBING AND DISPENSING OF POST-EXPOSURE
54 PROPHYLAXIS, AS DEFINED IN SECTION 12-280-125.7 (1)(d), FOR
55 NONOCCUPATIONAL EXPOSURE TO HIV INFECTION AND PREEXPOSURE
1 PROPHYLAXIS, AS DEFINED IN SECTION 12-280-125.7 (1)(e), AND THE
2 ORDERING OF LAB TESTS IN CONJUNCTION WITH PRESCRIBING OR
3 DISPENSING THE DRUGS.".
4
5 Page 5, strike lines 17 through 26 and substitute:
6
7 "(d) "POST-EXPOSURE PROPHYLAXIS" MEANS A DRUG OR DRUG
8 COMBINATION THAT MEETS THE SAME CLINICAL ELIGIBILITY
9 RECOMMENDATIONS".
10
11 Page 6, strike lines 1 through 4 and substitute:
12 "(e) "PREEXPOSURE PROPHYLAXIS" MEANS A DRUG OR DRUG
13 COMBINATION THAT MEETS THE SAME CLINICAL ELIGIBILITY".
14
15 Page 6, line 8, strike "(a)".
16
17 Page 6, strike lines 9 through 27.
18
19 Strike page 7.
20
21 Page 8, strike lines 1 through 16 and substitute "PREVENTION DRUGS TO
22 A PATIENT, A PHARMACIST MUST:
23 (a) HOLD A CURRENT LICENSE TO PRACTICE IN COLORADO;
24 (b) BE ENGAGED IN THE PRACTICE OF PHARMACY;
25 (c) HAVE EARNED A DOCTORATE OF PHARMACY DEGREE OR
26 COMPLETED AT LEAST FIVE YEARS OF EXPERIENCE AS A LICENSED
27 PHARMACIST;
28 (d) CARRY ADEQUATE PROFESSIONAL LIABILITY INSURANCE AS
29 DETERMINED BY THE BOARD; AND
30 (e) COMPLETE A TRAINING PROGRAM ACCREDITED BY THE
31 ACCREDITATION COUNCIL FOR PHARMACY EDUCATION, OR ITS SUCCESSOR
32 ENTITY, PURSUANT TO THE PROTOCOL DEVELOPED BY THE BOARD.".
33
34 Renumber succeeding subsection accordingly.
35
36 Page 8, line 17, strike "MAY" and substitute "SHALL".
37
38 Page 8, line 18, strike "SECTION." and substitute "SECTION, INCLUDING
39 RULES THAT ESTABLISH PROTOCOLS FOR PRESCRIBING AND DISPENSING
40 PREEXPOSURE PROPHYLAXIS AND POST-EXPOSURE PROPHYLAXIS.".
41
42

House Journal, February 14
40 HB20-1061 be amended as follows, and as so amended, be referred to
41 the Committee of the Whole with favorable
42 recommendation:
43
44 Amend printed bill, page 8, before line 19 insert:
45
46 "SECTION 6. Appropriation. For the 2020-21 state fiscal year,
47 $13,347 is appropriated to the department of regulatory agencies for use
48 by the division of insurance. This appropriation is from the division of
49 insurance cash fund created in section 10-1-103 (3), C.R.S., and is based
50 on an assumption that the division will require an additional 0.2 FTE. To
51 implement this act, the division may use this appropriation for personal
52 services.".
53
54 Renumber succeeding section accordingly
55
56 Page 1. line 102. strike "PATIENTS." and substitute "PATIENTS, AND, IN
1 CONNECTION THEREWITH, MAKING AN APPROPRIATION.".
2
3

House Journal, March 4
45 Amendment No. 1, Appropriations Report, dated February 14, 2020, and
46 placed in member's bill file; Report also printed in House Journal,
47 February 14, 2020.
48
49 Amendment No. 2, Public Health Care & Human Services Report, dated
50 January 31, 2020, and placed in member's bill file; Report also printed in
51 House Journal, February 3, 2020.
52
53 Amendment No. 3, by Representative A. Valdez.
54
55 Amend the Public Health Care and Human Services Committee Report,
1 dated January 31, 2020, page 2, line 29, strike "PROPHYLAXIS."." and
2 substitute "PROPHYLAXIS.
3 (5) (a) ON OR BEFORE SIX MONTHS AFTER THE EFFECTIVE DATE OF
4 THIS SECTION, THE STATE BOARD OF PHARMACY, THE COLORADO MEDICAL
5 BOARD, AND THE STATE BOARD OF NURSING SHALL, IN COLLABORATION
6 WITH THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, AND AS
7 DESCRIBED IN SECTION 12-280-601 (1)(b), DEVELOP STATEWIDE DRUG
8 THERAPY PROTOCOLS FOR PHARMACISTS TO PRESCRIBE AND DISPENSE HIV
9 INFECTION PREVENTION DRUGS.
10 (b) IF THE STATE BOARD OF PHARMACY, THE COLORADO MEDICAL
11 BOARD, AND THE STATE BOARD OF NURSING ARE NOT ABLE TO AGREE IN
12 THE TIME PERIOD REQUIRED BY SUBSECTION (5)(a) OF THIS SECTION TO
13 STATEWIDE DRUG THERAPY PROTOCOLS FOR PHARMACISTS TO PRESCRIBE
14 AND DISPENSE HIV INFECTION PREVENTION DRUGS, THE STATE BOARD OF
15 PHARMACY SHALL COLLABORATE WITH THE DEPARTMENT OF PUBLIC
16 HEALTH AND ENVIRONMENT TO DEVELOP AND IMPLEMENT STATEWIDE
17 DRUG THERAPY PROTOCOLS BY JANUARY 1, 2021.
18 (c) IN DEVELOPING THE STATEWIDE DRUG THERAPY PROTOCOLS,
19 THE APPLICABLE BOARDS AND THE DEPARTMENT OF PUBLIC HEALTH AND
20 ENVIRONMENT SHALL CONSIDER PHYSICIAN REFERRALS; LAB TESTING,
21 INCLUDING PREEXPOSURE AND POST-EXPOSURE PRESCRIBING TESTS, AND
22 APPROPRIATE REFERRALS PURSUANT TO CDC GUIDELINES; COUNSELING
23 PURSUANT TO CDC GUIDELINES; AND PATIENT FOLLOW-UP CARE AND
24 COUNSELING.
25 SECTION 6. In Colorado Revised Statutes, add 25-1-130 as
26 follows:
27 25-1-130. Standing order - post-exposure prophylaxis -
28 definition. (1) ON OR BEFORE JUNE 1, 2020, AND UNTIL A STATEWIDE
29 DRUG THERAPY PROTOCOL IS IMPLEMENTED PURSUANT TO SECTION
30 12-280-125.7, THE DEPARTMENT SHALL IMPLEMENT AND MAINTAIN A
31 STANDING ORDER FOR POST-EXPOSURE PROPHYLAXIS SO THAT
32 PHARMACISTS MAY PRESCRIBE AND DISPENSE POST-EXPOSURE
33 PROPHYLAXIS PURSUANT TO SECTION 12-280-125.7.
34 (2) AS USED IN THIS SECTION "POST-EXPOSURE PROPHYLAXIS" HAS
35 THE SAME MEANING AS SET FORTH IN SECTION 12-280-125.7.
36
37 Renumber succeeding section accordingly.".".
38
39 Amendment No. 4, by Representative A. Valdez.
40
41 Amend the Public Health Care and Human Services Committee Report,
42 dated January 31, 2020, page 1, after line 6 insert:
43
44 "Page 3 of the printed bill, line 15, strike "THE" and substitute "A
45 CARRIER SHALL REIMBURSE A PHARMACIST EMPLOYED BY AN IN-NETWORK
46 PHARMACY FOR PRESCRIBING AND DISPENSING HIV INFECTION
47 PREVENTION DRUGS TO A COVERED PERSON. A".".
48
49 Page 1 of the report, line 13, strike "THE" and substitute "PURSUANT TO
50 A STANDING ORDER OR TO A STATEWIDE DRUG THERAPY PROTOCOL
51 DEVELOPED PURSUANT TO SECTION 12-280-125.7, THE".
52
53 Page 2 of the report, after line 9 insert:
54
55 "Page 6 of the bill, after line 5 insert:
1 "(f) "PRESCRIBER" MEANS:
2 (I) A PHYSICIAN OR PHYSICIAN ASSISTANT LICENSED PURSUANT TO
3 ARTICLE 240 OF THIS TITLE 12; OR
4 (II) AN ADVANCED PRACTICE NURSE, AS DEFINED IN SECTION
5 12-255-104 (1), WITH PRESCRIPTIVE AUTHORITY PURSUANT TO SECTION
6 12-255-112.
7 (g) "STANDING ORDER" MEANS A PRESCRIPTION ORDER WRITTEN
8 BY A PRESCRIBER THAT IS NOT SPECIFIC TO AND DOES NOT IDENTIFY A
9 PARTICULAR PATIENT.".
10
11 Page 6 of the bill, line 7, strike "THIS SECTION." and substitute "A
12 STANDING ORDER PURSUANT TO SECTION 25-1-130 OR A STATEWIDE DRUG
13 THERAPY PROTOCOL DEVELOPED PURSUANT TO SUBSECTION (5) OF THIS
14 SECTION.".".
15
16 As amended, ordered engrossed and placed on the Calendar for Third
17 Reading and Final Passage.

Senate Journal, June 5
HB20-1061 by Representative(s) Valdez A. and Herod; also Senator(s) Moreno and Priola--Concerning
pharmacists' ability to provide HIV infection prevention medications to patients, and, in
connection therewith, making an appropriation.

Amendment No. 1(L.009), by Senator Priola.

Amend reengrossed bill, page 3, strike lines 1 through 5 and substitute
"rules. (18) Preventive health care services. (e) (I) A CARRIER SHALL
REIMBURSE A PHARMACIST EMPLOYED BY".

Page 3, line 9, after "DRUGS" insert "TO A COVERED PERSON".

Page 3, line 13, strike "(III)" and substitute "(II)".

Page 7, line 22, strike "JUNE" and substitute "AUGUST".


As amended, ordered revised and placed on the calendar for third reading and final
passage.