Amendments for SB21-181

Senate Journal, April 1
After consideration on the merits, the Committee recommends that SB21-181 be amended
as follows, and as so amended, be referred to the Committee on Appropriations with
favorable recommendation.
Amend printed bill, page 6, strike lines 10 through 22 and substitute:

"(2.5) (a) ON OR BEFORE JANUARY 1, 2022, AND CONTINUING EVERY
TWO YEARS THEREAFTER, THE OFFICE SHALL CONDUCT AN ASSESSMENT AND
PUBLISH A REPORT".

Page 6, line 23, after "DISPARITIES" insert "AND INEQUITIES".

Page 6, line 23, strike "BY RACE AND ETHNICITY".

Page 6, line 25, after "DISPARITIES" insert "AND INEQUITIES".

Page 7, line 5, after "DISPARITIES" insert "AND INEQUITIES".

Page 7, strike lines 6 and 7 and substitute "AGENCY THAT HAS REPRESENTATION
ON THE COMMISSION SHALL USE THE REPORT IN THEIR PLAN AS DESCRIBED IN
SUBSECTION (2.5)(b)(I) OF THIS SECTION. IN EACH REPORT AFTER THE FIRST
PUBLISHED REPORT, THE OFFICE SHALL REPORT THE PROGRESS MADE BY THE
COMMISSION PURSUANT TO SUBSECTION (2.5)(b) OF THIS SECTION TO ADDRESS
THE SOCIAL DETERMINANTS OF HEALTH AND THE STRATEGIES USED TO ADDRESS
HEALTH DISPARITIES AND INEQUITIES.".

Page 7, after line 7 insert:
"(b) WITHIN SIX MONTHS AFTER THE PUBLICATION OF THE FIRST REPORT
REQUIRED IN SUBSECTION (2.5)(a) OF THIS SECTION:
(I) THE GOVERNOR SHALL CONVENE THE COMMISSION TO CONDUCT A
STRATEGIC PLANNING PROCESS AND DEVELOP AN EQUITY STRATEGIC PLAN, TO
RESPOND TO THE REPORT, AND TO ENSURE THAT THERE IS COORDINATION IN
EQUITY-RELATED WORK ACROSS STATE AGENCIES TO ADDRESS THE SOCIAL
DETERMINANTS OF HEALTH IN EACH AGENCY'S RESPECTIVE AREAS. THE
STRATEGIC PLANNING PROCESS MUST INCLUDE INPUT FROM COMMUNITY
STAKEHOLDERS AND POLICYMAKERS. THE OFFICE MAY COLLABORATE WITH THE
HEALTH EQUITY AND COMMUNITY GRANT PROGRAM CREATED IN SECTION
25-4-2203 TO ADDRESS ISSUES IDENTIFIED BY THE EQUITY STRATEGIC PLAN.
(II) EACH MEMBER OF THE COMMISSION THAT REPRESENTS A STATE
AGENCY SHALL DEVELOP A PLAN TO ADDRESS THE SOCIAL DETERMINANTS OF
HEALTH RELEVANT TO THAT STATE AGENCY AS THEY AFFECT HEALTH
DISPARITIES AND INEQUITIES. EACH STATE AGENCY SHALL DEDICATE UP TO
TWENTY HOURS OF STAFF TIME TO THE DEVELOPMENT AND IMPLEMENTATION
OF THE EQUITY STRATEGIC PLAN.".

Page 7, line 9, after "(2)(a)(V)," insert "(2)(a)(VI),".

Page 7, line 10, strike "and (2)(a)(XI)" and substitute "(2)(a)(XI), (2)(a)(XII),
and (2)(a)(XIII)".

Page 7, line 12, strike "TWENTY" and substitute "TWENTY-TWO".

Page 7, line 15 insert:

"(VI) The executive director of the department of health care policy and
financing, or his or her THE EXECUTIVE DIRECTOR'S designee;".

Page 7, line 23, strike "AND".

Page 7, line 25, strike "DESIGNEE." and substitute "DESIGNEE;
(XII) THE EXECUTIVE DIRECTOR OF THE DEPARTMENT OF CORRECTIONS,
OR THE EXECUTIVE DIRECTOR'S DESIGNEE; AND
(XIII) THE EXECUTIVE DIRECTOR OF THE DEPARTMENT OF HIGHER
EDUCATION, OR THE EXECUTIVE DIRECTOR'S DESIGNEE.".


Health &
Human
Services


Senate Journal, April 30
After consideration on the merits, the Committee recommends that SB21-181 be amended
as follows, and as so amended, be referred to the Committee of the Whole with favorable
recommendation.
Amend printed bill, page 8, after line 18 insert:

"SECTION 8. Appropriation. For the 2021-22 state fiscal year,
$51,783 is appropriated to the department of public health and environment for
use by the office of health equity. This appropriation is from the health
disparities grant program fund created in section 24-22-117 (2)(f)(I), C.R.S.,
and is based on an assumption that the office will require an additional 0.5 FTE.
To implement this act, the office may use this appropriation for program costs.".

Renumber succeeding section accordingly.

Page 1, line 102, strike "COLORADO." and substitute "COLORADO, AND, IN
CONNECTION THEREWITH, MAKING AN APPROPRIATION.".



Senate Journal, May 4
SB21-181 by Senator(s) Fields and Coram; also Representative(s) Herod and Caraveo--Concerning
state agencies addressing health disparities in Colorado, and, in connection therewith,
making an appropriation.

Amendment No. 1, Health & Human Services Committee Amendment.
(Printed in Senate Journal, April 1, page(s) 401-402 and placed in members' bill files.)

Amendment No. 2(J.002), by Senator Coram.

Amend printed bill, page 8, after line 18 insert:

"SECTION 8. Appropriation. (1) For the 2021-22 state fiscal year,
$4,892,988 is appropriated to the department of public health and environment
for use by the office of health equity. This appropriation consists of $4,841,205
from the general fund and $51,783 from the health disparities grant program
fund created in section 24-22-117 (2)(f)(I), C.R.S. To implement this act, the
office may use this appropriation as follows:
(a) $192,988, which consists of $141,205 from the general fund and
$51,783 from the health disparities grant program fund, for program costs,
which amount is based on an assumption that the office will require an
additional 2.5 FTE; and
(b) $4,700,000 from the general fund for health disparities grants.".

Renumber succeeding section accordingly.
Page 1, line 102, strike "COLORADO." and substitute "COLORADO, AND, IN
CONNECTION THEREWITH, MAKING AN APPROPRIATION.".


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



Senate Journal, May 5
SB21-181 by Senator(s) Fields and Coram; also Representative(s) Herod and Caraveo--Concerning
state agencies addressing health disparities in Colorado, and, in connection therewith,
making an appropriation.

A majority of those elected to the Senate having voted in the affirmative, Senator Fields
was given permission to offer a third reading amendment.

Third Reading Amendment No. 1(L.006), by Senator Fields.

Amend engrossed bill, page 7, line 22, after "portion," insert "(2)(a)(IV),".

Page 7, after line 27 insert:

"(IV) The executive director of the department, or his or her THE
EXECUTIVE DIRECTOR'S designee, shall serve as an ex officio member of the
commission;".


The amendment was passed on the following roll call vote:

YES 34 NO 0 EXCUSED 1 ABSENT 0
Bridges Y Gardner Y Lee Y Simpson Y
Buckner Y Ginal Y Liston Y Smallwood E
Coleman Y Gonzales Y Lundeen Y Sonnenberg Y
Cooke Y Hansen Y Moreno Y Story Y
Coram Y Hisey Y Pettersen Y Winter Y
Danielson Y Holbert Y Priola Y Woodward Y
Donovan Y Jaquez Lewis Y Rankin Y Zenzinger Y
Fenberg Y Kirkmeyer Y Rodriguez Y President Y
Fields Y Kolker Y Scott Y

The question being "Shall the bill, as amended, pass?", the roll call was taken with the
following result:



House Journal, May 24
45 SB21-181 be amended as follows, and as so amended, be referred to
46 the Committee of the Whole with favorable
47 recommendation:
48
49 Amend reengrossed bill, page 6, line 10, strike "JANUARY" and substitute
50 "JULY".
51
52 Strike "OFFICE" and substitute "DEPARTMENT" on: Page 6, lines 11, 16,
53 and 25; and Page 7, line 12.
54
55 Page 9, line 16, strike "$4,892,988" and substitute "$4,872,818".
1 Page 9, line 18, strike "$4,841,205" and substitute "$4,821,035".
2
3 Page 9, line 22, strike "$192,988" and substitute "$172,818".
4
5 Page 9, line 22, strike "$141,205" and substitute "$121,035".
6
7 Page 9, line 25, strike "2.5 FTE;" and substitute "2.3 FTE;".
8
9

House Journal, May 25
6 Amendment No. 1, Appropriations Report, dated May 24, 2021, and
7 placed in member's bill file; Report also printed in House Journal,
8 May 24, 2021.
9
10 As amended, ordered revised and placed on the Calendar for Third
11 Reading and Final Passage.
12