2019 Legislative and Issue Analyses

To view the analyses, click on "More Info" below the bill number or issue. All documents are in PDF format and require Adobe Acrobat for viewing.

Analyses are based on bills or issues at the time of their consideration by the Board of  Directors. Bills may change during the course of a legislative session. For the current status of these and other bills introduced in the Colorado legislature, visit the website for the Colorado General Assembly.

Occasionally the Board of Directors also will take a position on a ballot measure. In compliance with state election law, no analyses are prepared on ballot measures that are not of official concern to the Health District.

Questions about analyses? Contact the Health District at 970-224-5209.

2019 Legislative and Issue Analyses
Bill or Issue What it concerns HD Board Action Date Considered
HB19-1010: Freestanding Emergency Department Licensure
More Info
The bill creates a new licensure type for freestanding emergency departments, facilities that offer emergency care but are not on a hospital campus. CDPHE has the ability to waive the licensure requirements for a facility that serves or seeks to serve an underserved population within the state. The Board voted to Support HB19-1010. January 22, 2019
HB19-1038: Dental Services for Pregnant Women on Children's Basic Health Plan Plus
More Info
The bill creates a dental benefit for pregnant women that are enrolled in CHP+. The Board voted to Strongly Support HB19-1038. January 22, 2019
SB19-008: Substance Use Disorder Treatment in Criminal Justice System
More Info
The bill addresses a variety of issues surrounding substance use disorders and the criminal justice system. This includes requiring medication-assisted treatment (MAT) to be allowed in jails that receive jail-based behavioral health services (JBBS) program funding and requiring the Colorado Department of Corrections to allow incarcerated individuals that have transferred from a jail where they were receiving MAT to continue receiving that treatment. The Board voted to Strongly Support SB19-008. January 22, 2019
SB19-010: Professional Behavioral Health Services for Schools
More Info
The bill expands the current School Health Professional Grant Program to allow funding for behavioral health therapy services through the school whether that be through hiring staff, contracting with community partners, or utilizing telehealth services. The bill also provides an additional $3 million in funding for the program. The Board voted to Strongly Support SB19-010. January 22, 2019
HB19-1004: Proposal for Affordable Health Coverage Option
More Info
The bill requires the Colorado Department of Health Care Policy and Financing, Division of Insurance, and Department of Regulatory Agencies to develop and submit a proposal to the General Assembly in regards to the design, costs, benefits, and implementation of a state option for health insurance coverage. The proposal must have a detailed analysis of the state option and identify the most effective implementation based on affordability, burden to the state, ease of implementation, and likelihood of meeting outlined objectives. The Board voted to Strongly Support HB19-1004. February 12, 2019
HB19-1033: Local Governments May Regulate Nicotine Products
More Info
This bill authorizes counties to enact a resolution or ordinance that prohibits a minor from possessing or purchasing nicotine products. It also allows counties to impose regulations on nicotine products that are more stringent than state regulations, this includes prohibiting sales to young adults under the age of 21. The bill removes the prohibition on counties imposing fees, licenses, or taxes on cigarettes as a condition of receiving their share of the state cigarette tax revenues. The bill allows counties, with the consenting vote of the people, to impose a special sales tax on the sale o The Board voted to Strongly Support HB19-1033. February 12, 2019
HB19-1076: Clean Indoor Air Act Add E-Cigarettes Remove Exceptions
More Info
The bill amends the “Colorado Clean Indoor Air Act” to include of electronic smoking devices (ESDs) into the prohibitions. Additionally, the bill amends the smoke-free radius around the entryway of locations subject to the act from 15 feet to 25 feet. The bill also removes certain current exceptions to the Clean Indoor Air Act. The Board voted to Support HB19-1076. February 12, 2019
SB19-005: Import Prescription Drugs from Canada
More Info
This bill directs the Department of Health Care Policy and Financing (HCPF) to design a program to import prescription drugs from Canada to be sold to Colorado residents. The program must ensure the safety of the products and cost savings for consumers. The federal government must approve the program for implementation to occur. If approved, HCPF must create and adopt a funding mechanism to cover the program’s administrative costs. The Board voted to Strongly Support SB19-005. February 12, 2019
SB19-012: Use of Mobile Electronic Devices while Driving
More Info
This bill proposes to expand that ban to encompass all drivers regardless of age and all electronic devices. As currently amended, the bill includes fines and points on a driver’s license as punishment for using a mobile electronic device. This bill would also create an exemption for electronic devices that have a hands-free device engaged. The Board voted to Strongly Support SB19-012 but urged lawmakers to consider amendments to clarify language to allow listening to GPS devices and applications while operating a vehicle. February 26, 2019
HB19-1044: Advance Behavioral Health Orders
More Info
This bill creates a behavioral health order for scope of treatment, similar to the established advance medical orders for scope of treatment, so an adult can communicate their behavioral health history, decisions, and preferences. The Board voted to support HB19-1044, but urged lawmakers to consider amendments. (Read more at link)

More Info
February 26, 2019
HB19-1160: Mental Health Facility Pilot Program
More Info
This bill creates a three-year pilot program to provide residential care, treatment, and services to individuals that have both physical and mental health conditions. The Board voted to support the concept of the bill, but urged lawmakers to consider amendments. (Read more at link)

More Info
February 26, 2019
HB19-1169: Mental Health Involuntary Transportation Holds
More Info
This bill adds language that clarifies that the authority of the specified professionals to hold an individual remains in effect until the evaluation at the receiving facility is complete and a determination has been made concerning the continued evaluation and treatment of the individual. The Board voted to Strongly Support HB19-1169 but urged lawmakers to consider an amendment to add language about requiring the receiving facility to conduct an evaluation within a reasonable amount of time. February 26, 2019
Zero Suicide Funding
More Info
This proposal would dedicate an additional $861,000 to the Office of Suicide Prevention (OSP) to implement grants for additional sites to implement Zero Suicide across the state. The additional funding will help OSP adapt the framework to other systems such as criminal justice, the faith community, schools, and higher education institutions. In addition to training community mental health centers statewide, the funding would allow OSP to expand to hospitals and primary care settings. The Board voted to Support the dedication of state funds to expand the Zero Suicide framework. February 26, 2019
HB19-1174: Out-of-Network Health Care Services
More Info
The bill requires health insurance carriers, health providers, and facilities to provide patients covered by health insurance plans with information concerning the provision of services by out-of-network providers in the cases where a person gets emergency care at an out-of-network facility or they receive either emergency or covered nonemergency care from an out-of-network provider at an in-network facility. In these situations, the bill mandates that the carrier shall reimburse the out-of-network provider or facility the greater of outlined reimbursement rates. The Board voted to Support HB19-1174. February 26, 2019
SB19-134: Out-of-Network Health Care Disclosures and Charges
More Info
The bill addresses the provision of services by out-of-network providers in the cases where a person gets emergency care at an out-of-network facility or they receive either emergency or covered nonemergency care from an out-of-network provider at an in-network facility. The bill outlines the process for reimbursement in these situations. The Board voted to take a neutral position on SB19-134. February 26, 2019
SB19-073: Statewide System of Advance Medical Directives
More Info
This bill has the Colorado Department of Public Health and Environment (CDPHE) create a statewide electronic system to be administered by a health information network to act as a repository for qualified providers and individuals to access and store advance directives. The Board voted to Strongly Support SB19-073 but urged lawmakers to consider amendment. (Read more at link)

More Info
February 26, 2019
SB19-139: More Colorado Road And Community Safety Act Offices
More Info
The bill increases the number of offices that provide licenses and identification cards to eligible undocumented immigrants. There are significant public health and safety benefits of providing Colorado’s undocumented immigrants with a form of identification and the ability to drive legally. The Board voted to Support SB19-139. March 12, 2019
HB19-1131: Prescription Drug Cost Education
More Info
The bill requires if prescription drug manufacturers and their representatives are providing information to providers, they must also provide them with the wholesale acquisition cost (WAC) of that drug as well as the WAC of three generics within the same therapeutic class. No position was taken on this bill, HB19-1131. March 12, 2019
HB19-1120: Youth Mental Health Education And Suicide Prevention
More Info
The bill lowers the mental health consent age for outpatient care from 15 to 12. The bill also creates a resource bank for suicide prevention and youth mental health materials. No position was taken on this bill, HB19-1120. March 12, 2019
HB19-1009: Substance Use Disorder Recovery
More Info
This bill expands an existing housing voucher program within the Department of Local Affairs to include individuals with a substance use disorder and those in certain circumstances. Operating recovery residences would be required to be accredited by Colorado Association of Recovery Residences, with certain exceptions. The bill also creates the “opioid crisis recovery funds advisory committee” in order to advise and collaborate on the uses of any funds received from opioid-related litigation. The Board voted to Support HB19-1009. March 12, 2019