Amendments for SB20-007

Senate Journal, January 31
After consideration on the merits, the Committee recommends that SB20-007 be amended
as follows, and as so amended, be referred to the Committee on Appropriations with
favorable recommendation.

Amend printed bill, page 4, line 9, strike "2020," and substitute "2021,".

Page 4, line 10, strike "TWO" and substitute "THREE".

Page 5, line 7, strike "2020" and substitute "2021".

Page 5, line 19, after the period add "FOR THE 2021-22 STATE FISCAL
YEAR, AND FOR EACH STATE FISCAL YEAR THEREAFTER IN WHICH A
COMMUNITY ASSESSMENT IS PERFORMED PURSUANT TO THIS SECTION, THE
GENERAL ASSEMBLY SHALL APPROPRIATE MONEY FOR MANAGED SERVICE
ORGANIZATIONS TO CONTRACT FOR THE COMMUNITY ASSESSMENT.".

Page 6, line 22, strike "2021," and substitute "2022,".

Page 6, line 23, strike "TWO" and substitute "THREE".

Page 7, line 4, strike "2021," and substitute "2022," and strike "TWO" and
substitute "THREE".

Page 8, strike lines 3 and 4 and substitute "THE REPORT. THE
COMMUNICATION PLAN MUST INCLUDE THE PROCESS FOR".

Page 8, line 5, strike the second "THE" and substitute
"NOTWITHSTANDING THE PROVISIONS OF SECTION 24-1-136 (11)(a)(I),
THE
Page 17, line 27, strike "AN" and substitute "AT LEAST ONE".

Page 19, before line 2 insert:
"SECTION 19. In Colorado Revised Statutes, amend 25.5-5-509
as follows:
25.5-5-509. Substance use disorder - prescription drugs -
medication-assisted treatment - definition. (1) AS USED IN THIS
SECTION, "FDA" MEANS THE FOOD AND DRUG ADMINISTRATION IN THE
UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES.
(2) Notwithstanding any provisions of this part 5 to the contrary,
for the treatment of a substance use disorder, in promulgating rules, and
subject to any necessary federal authorization, the state board shall
authorize reimbursement for at least one federal food and drug
administration-approved FDA-approved ready-to-use opioid overdose
reversal drug without prior authorization.
(3) NO LATER THAN AUGUST 1, 2020, THE STATE BOARD'S RULES
SHALL:
(a) NOT IMPOSE ANY PRIOR AUTHORIZATION REQUIREMENTS ON
ANY PRESCRIPTION MEDICATION APPROVED BY THE FDA FOR THE
TREATMENT OF SUBSTANCE USE DISORDERS;
(b) NOT IMPOSE ANY STEP THERAPY REQUIREMENTS AS A
PREREQUISITE TO AUTHORIZING COVERAGE FOR A PRESCRIPTION
MEDICATION APPROVED BY THE FDA FOR THE TREATMENT OF SUBSTANCE
USE DISORDERS; AND
(c) NOT EXCLUDE COVERAGE FOR ANY PRESCRIPTION MEDICATION
APPROVED BY THE FDA FOR THE TREATMENT OF SUBSTANCE USE
DISORDERS AND ANY ASSOCIATED COUNSELING OR WRAPAROUND
SERVICES SOLELY ON THE GROUNDS THAT THE MEDICATIONS AND
SERVICES WERE COURT ORDERED.".

Renumber succeeding sections accordingly.


Health &
Human
Services

Senate Journal, March 13
After consideration on the merits, the Committee recommends that SB20-007 be amended
as follows, and as so amended, be referred to the Committee of the Whole with favorable
recommendation.

Amend printed bill, page 63, after line 25 insert:

"SECTION 66. Appropriation. (1) For the 2020-21 state fiscal
year, $1,155,684 is appropriated to the department of human services for
use by the office of behavioral health. This appropriation consists of
$655,684 from the general fund and $500,000 from the marijuana tax
cash fund created in section 39-28.8-501 (1), C.R.S. To implement this
act, the office may use this appropriation as follows:
(a) $131,544 from the general fund for personal services related
to community behavioral health administration, which amount is based
on an assumption that the office will require an additional 1.8 FTE;
(b) $24,140 from the general fund for operating expenses related
to community behavioral health administration;
(c) $750,000, which consists of $500,000 from the general fund
and $250,000 from the marijuana tax cash fund, for treatment and
detoxification programs; and
(d) $250,000 from the marijuana tax cash fund for increasing
access to effective substance use disorder services.
(2) For the 2020-21 state fiscal year, $1,000,000 is appropriated
to the department of public health and environment for use by the
prevention services division. This appropriation is from the marijuana tax
cash fund created in section 39-28.8-501 (1), C.R.S., and is based on an
assumption that the division will require an additional 1.0 FTE. To
implement this act, the division may use this appropriation for the
primary care office.
(3) For the 2020-21 state fiscal year, $170,313 is appropriated to
the department of health care policy and financing. This appropriation
consists of $116,189 from the general fund, which is subject to the "(M)"
notation as defined in the annual general appropriation act for the same
fiscal year, and $54,124 from the healthcare affordability and
sustainability fee cash fund created in section 25.5-4-402.4 (5)(a), C.R.S.
To implement this act, the department may use this appropriation for
behavioral health fee-for-service payments.
(4) For the 2020-21 state fiscal year, the general assembly
anticipates that the department of health care policy and financing will
receive $350,014 in federal funds for behavioral health fee-for-service
payments to implement this act. The appropriation in subsection (3) of
this section is based on the assumption that the department will receive
this amount of federal funds.
(5) For the 2020-21 state fiscal year, $22,372 is appropriated to
the department of regulatory agencies for use by the division of
insurance. This appropriation is from the division of insurance cash fund
created in section 10-1-103 (3), C.R.S., and is based on an assumption
that the division will require an additional 0.3 FTE. To implement this
act, the division may use this appropriation for personal services.".

Renumber succeeding section accordingly.

Page 1, line 101, strike "DISORDERS." and substitute "DISORDERS, AND,
IN CONNECTION THEREWITH, MAKING AN APPROPRIATION.".


Appro-
priations


Senate Journal, June 5
SB20-007 by Senator(s) Pettersen and Winter, Donovan, Priola; also Representative(s) Buentello and
Wilson, Herod, Kennedy--Concerning treatment for substance use disorders.

Amendment No. 1(L.008), by Senator Pettersen.

Amend printed bill, page 4, strike lines 2 through 10.

Strike pages 5 through 8.

Page 9, strike lines 1 through 6.

Renumber succeeding sections accordingly.

Page 10, strike lines 6 through 27.

Page 11, strike lines 1 through 18.

Renumber succeeding sections accordingly.

Page 12, strike lines 3 through 27.

Page 13, strike lines 1 through 6.

Renumber succeeding sections accordingly.

Page 15, strike lines 22 through 27.

Page 16, strike lines 1 through 14.
Renumber succeeding sections accordingly.

Page 17, strike lines 5 through 8 and substitute:
"(b) THE NUMBER OF PRESCRIPTIONS FILLED BY ENROLLEES FOR
MEDICATION-ASSISTED TREATMENT FOR SUBSTANCE USE DISORDERS; AND
(c) THE CARRIER'S EFFORTS TO ENSURE SUFFICIENT CAPACITY FOR
AND ACCESS TO MEDICATION-ASSISTED TREATMENT FOR SUBSTANCE USE
DISORDERS.".

Page 17, line 27, strike "AN" and substitute "AT LEAST ONE".

Page 18, strike lines 4 through 27.

Page 19, strike line 1.

Renumber succeeding sections accordingly.

Page 52, strike lines 20 through 27.

Page 53, strike lines 1 and 2.

Renumber succeeding sections accordingly.

Page 63, after line 25 insert:
"SECTION 58. Appropriation. For the 2020-21 state fiscal year,
$22,372 is appropriated to the department of regulatory agencies for use
by the division of insurance. This appropriation is from the division of
insurance cash fund created in section 10-1-103 (3), C.R.S., and is based
on an assumption that the division will require an additional 0.3 FTE. To
implement this act, the division may use this appropriation for personal
services.
SECTION 59. Applicability. Section 1 of this act applies to
health benefits plans issued or renewed on or after January 1, 2022.".

Renumber succeeding section accordingly.

Page 1, line 101, strike "DISORDERS." and substitute "DISORDERS, AND,
IN CONNECTION THEREWITH, MAKING AN APPROPRIATION.".

Amendment No. 2(L.012), by Senator Winter.

Amend printed bill, page 11, strike lines 19 through 27.

Page 12, strike lines 1 and 2.

Renumber succeeding sections accordingly.

Page 18, strike lines 1 through 3 and substitute "SECTION 12-30-110
(7)(d).".

Amendment No. 3(L.011), by Senator Smallwood.

Amend printed bill, page 34, after line 13 insert:

"(7) ANY LAW ENFORCEMENT OFFICER, EMERGENCY SERVICE
PERSONNEL, PHYSICIAN, SPOUSE, GUARDIAN, OR RELATIVE OF ANY PERSON
TO BE COMMITTED; ANY TREATMENT FACILITY ADMINISTRATOR OR THE
ADMINISTRATOR'S DESIGNEE; OR ANY OTHER EMPLOYEE OR PERSON
ACTING ON BEHALF OF AN APPROVED TREATMENT FACILITY,
PARTICIPATING IN OR CARRYING OUT THE EMERGENCY COMMITMENT AND
TREATMENT AS DESCRIBED IN THIS SECTION, WHETHER ACTING
INDIVIDUALLY OR IN HIS OR HER OFFICIAL CAPACITY, IS NOT CRIMINALLY
OR CIVILLY LIABLE THEREFOR.".

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


House Journal, June 10
4 SB20-007 be amended as follows, and as so amended, be referred to
5 the Committee on Appropriations with favorable
6 recommendation:
7
8 Amend reengrossed bill, page 5, line 11, strike "CONDITIONS"; EXCEPT
9 THAT" and substitute "CONDITIONS", OR IN ACCORDANCE WITH ANOTHER
10 N A T I O N A L L Y R E C O G N I Z E D A N D E V I D E N C E - B A S E D
11 SUBSTANCE-USE-DISORDER-SPECIFIC CRITERIA.".
12
13 Page 5, line 12, strike "THE" and substitute "THE".
14
15 Page 5, lines 14 and 15, strike "AN ALTERNATE" and substitute
16 "ANOTHER".
17
18 Page 25, line 19, strike "AND" and substitute "OR".
19
20