HOUSE BILL 19-1172
BY REPRESENTATIVE(S) Weissman, Herod, Snyder, Soper,
Van Winkle, Arndt, Coleman, Cutter, Duran, Galindo, Gonzales-Gutierrez,
Hansen, Hooton, Jaquez Lewis, Kipp, Michaelson Jenet, Mullica, Roberts,
Singer, Titone;
also SENATOR(S) Gardner and Cooke, Foote, Lee, Rodriguez, Crowder,
Ginal, Holbert, Lundeen, Priola, Tate, Todd, Woodward.
CONCERNING AN ORGANIZATIONAL RECODIFICATION OF TITLE 12 OF THE
COLORADO REVISED STATUTES, AND, IN CONNECTION THEREWITH,
LIMITING SUBSTANTIVE CHANGES TO THOSE THAT CONFORM SIMILAR
PROVISIONS TO ACHIEVE UNIFORMITY, ELIMINATE REDUNDANCY, OR
ALLOW FOR THE CONSOLIDATION OF COMMON PROVISIONS OR THAT
ELIMINATE PROVISIONS THAT ARE ARCHAIC OR OBSOLETE.
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. In Colorado Revised Statutes, repeal and reenact,
with amended and relocated provisions, title 12 as follows:
TITLE 12
ARTICLE 1
________
Capital letters or bold & italic numbers indicate new material added to existing law; dashes
through words or numbers indicate deletions from existing law and such material is not part of
the act.
General Provisions
12-1-101. Short title. THE SHORT TITLE OF THIS TITLE 12 IS THE
"PROFESSIONS AND OCCUPATIONS ACT".
12-1-102. Scope of article. THIS ARTICLE 1 APPLIES TO EVERY
ARTICLE IN THIS TITLE 12 EXCEPT TO THE EXTENT OTHERWISE SPECIFIED IN
ANOTHER ARTICLE OF THIS TITLE 12.
12-1-103. Definitions. AS USED IN THIS TITLE 12, UNLESS THE
CONTEXT OTHERWISE REQUIRES:
(1) "DEPARTMENT" MEANS THE DEPARTMENT OF REGULATORY
AGENCIES CREATED IN SECTION 24-1-122.
(2) "EXECUTIVE DIRECTOR" MEANS THE EXECUTIVE DIRECTOR OF
THE DEPARTMENT OR THE EXECUTIVE DIRECTOR'S DESIGNEE.
(3) "PROFESSION OR OCCUPATION", "PROFESSION", OR "OCCUPATION"
MEANS AN ACTIVITY SUBJECT TO REGULATION BY A PART OR ARTICLE OF
THIS TITLE 12.
ARTICLE 10
Real Estate
PART 1
COMMON DEFINITIONS
12-10-101. Definitions. AS USED IN THIS ARTICLE 10, UNLESS THE
CONTEXT OTHERWISE REQUIRES:
(1) [Formerly 12-61-702 (7) and similar to 12-61-902
(3)] "Director" means the director of the division of real estate.
(2) [Formerly 12-61-702 (8) and similar to 12-61-902
(4)] "Division" means the division of real estate.
(3) [Formerly 12-61-101 (1.2) and similar to 12-61-401
(2.5)] "HOA" or "homeowners' association" means an association or unit
owners' association formed before, on, or after July 1, 1992, as part of a
PAGE 2-HOUSE BILL 19-1172
common interest community as defined in section 38-33.3-103. C.R.S.
PART 2
BROKERS AND SALESPERSONS
12-10-201. [Formerly 12-61-101] Definitions. As used in this part
1 2, unless the context otherwise requires:
(1) "COMMISSION" MEANS THE REAL ESTATE COMMISSION CREATED
IN SECTION 12-10-206.
(1) (2) "Employing real estate broker" or "employing broker" means
a broker who is shown in real estate commission records as employing or
engaging another broker.
(1.2) [Relocated to 12-10-101 (3)]
(1.3) (3) "Limited liability company" shall have the same meaning
as it is given in section 7-80-102 (7). C.R.S.
(1.5) (4) "Option dealer" means any person, firm, partnership,
limited liability company, association, or corporation who THAT, directly or
indirectly, takes, obtains, or uses an option to purchase, exchange, rent, or
lease real property or any interest therein with the intent or for the purpose
of buying, selling, exchanging, renting, or leasing said THE real property or
interest therein to another or others, whether or not said THE option is in that
person's or its name and whether or not title to said property passes through
the name of said THE person, firm, partnership, limited liability company,
association, or corporation in connection with the purchase, sale, exchange,
rental, or lease of said THE real property or interest therein.
(1.7) (5) "Partnership" includes, but is not limited to, a registered
limited liability partnership.
(2) (6) (a) "Real estate broker" or "broker" means any person, firm,
partnership, limited liability company, association, or corporation who
THAT, in consideration of compensation by fee, commission, salary, or
anything of value or with the intention of receiving or collecting such
compensation, engages in or offers or attempts to engage in, either directly
or indirectly, by a continuing course of conduct or by any single act or
PAGE 3-HOUSE BILL 19-1172
transaction, any of the following acts:
(I) Selling, exchanging, buying, renting, or leasing real estate, or
interest therein, or improvements affixed thereon;
(II) Offering to sell, exchange, buy, rent, or lease real estate, or
interest therein, or improvements affixed thereon;
(III) Selling or offering to sell or exchange an existing lease of real
estate, or interest therein, or improvements affixed thereon;
(IV) Negotiating the purchase, sale, or exchange of real estate, or
interest therein, or improvements affixed thereon;
(V) Listing, offering, attempting, or agreeing to list real estate, or
interest therein, or improvements affixed thereon for sale, exchange, rent,
or lease;
(VI) Auctioning or offering, attempting, or agreeing to auction real
estate, or interest therein, or improvements affixed thereon;
(VII) Buying, selling, offering to buy or sell, or otherwise dealing
in options on real estate, or interest therein, or improvements affixed
thereon, or acting as an "option dealer";
(VIII) Performing any of the foregoing acts as an employee of, or
in ON behalf of, the owner of real estate, or interest therein, or
improvements affixed thereon at a salary or for a fee, commission, or other
consideration;
(IX) Negotiating or attempting or offering to negotiate the listing,
sale, purchase, exchange, or lease of a business or business opportunity or
the goodwill thereof or any interest therein when such THE act or transaction
involves, directly or indirectly, any change in the ownership or interest in
real estate, or in a leasehold interest or estate, or in a business or business
opportunity which THAT owns an interest in real estate or in a leasehold
unless such THE act is performed by any broker-dealer licensed under the
provisions of article 51 of title 11 C.R.S., who is actually engaged generally
in the business of offering, selling, purchasing, or trading in securities or
any officer, partner, salesperson, employee, or other authorized
PAGE 4-HOUSE BILL 19-1172
representative or agent thereof; OR
(X) Soliciting a fee or valuable consideration from a prospective
tenant for furnishing information concerning the availability of real
property, including apartment housing which THAT may be leased or rented
as a private dwelling, abode, or place of residence. Any person, firm,
partnership, limited liability company, association, or corporation or any
employee or authorized agent thereof engaged in the act of soliciting a fee
or valuable consideration from any person other than a prospective tenant
for furnishing information concerning the availability of real property,
including apartment housing which THAT may be leased or rented as a
private dwelling, abode, or place of residence, is exempt from this
definition of "real estate broker" or "broker". This exemption applies only
in respect to the furnishing of information concerning the availability of real
property.
(b) "Real estate broker" OR "BROKER" does not apply to any of the
following:
(I) Any attorney-in-fact acting without compensation under a power
of attorney, duly executed by an owner of real estate, authorizing the
consummation of a real estate transaction;
(II) Any public official in the conduct of his or her official duties;
(III) Any receiver, trustee, administrator, conservator, executor, or
guardian acting under proper authorization;
(IV) Any person, firm, partnership, limited liability company, or
association acting personally or a corporation acting through its officers or
regular REGULARLY salaried employees, on behalf of that person or on its
own behalf as principal in acquiring or in negotiating to acquire any interest
in real estate;
(V) An attorney-at-law in connection with his or her representation
of clients in the practice of law;
(VI) Any person, firm, partnership, limited liability company,
association, or corporation, or any employee or authorized agent thereof,
engaged in the act of negotiating, acquiring, purchasing, assigning,
PAGE 5-HOUSE BILL 19-1172
exchanging, selling, leasing, or dealing in oil and gas or other mineral leases
or interests therein or other severed mineral or royalty interests in real
property, including easements, rights-of-way, permits, licenses, and any
other interests in real property for or on behalf of a third party, for the
purpose of, or facilities related to, intrastate and interstate pipelines for oil,
gas, and other petroleum products, flow lines, gas gathering systems, and
natural gas storage and distribution;
(VII) A natural person acting personally with respect to property
owned or leased by that person or a natural person who is a general partner
of a partnership, a manager of a limited liability company, or an owner of
twenty percent or more of such partnership or limited liability company, and
authorized to sell or lease property owned by such THE partnership or
limited liability company, except as provided in subsection (1.5)
SUBSECTION (4) of this section;
(VIII) A corporation with respect to property owned or leased by it,
acting through its officers or regular REGULARLY salaried employees, when
such THE acts are incidental and necessary in the ordinary course of the
corporation's business activities of a non-real-estate nature (but only if the
corporation is not engaged in the business of land transactions), except as
provided in subsection (1.5) SUBSECTION (4) of this section. For the
purposes of this subparagraph (VIII) SUBSECTION (6)(b)(VIII), the term
"officers or regular REGULARLY salaried employees" means persons
regularly employed who derive not less than seventy-five percent of their
compensation from the corporation in the form of salaries.
(IX) A principal officer of any corporation with respect to property
owned by it when such THE property is located within the state of Colorado
and when such THE principal officer is the owner of twenty percent or more
of the outstanding stock of such THE corporation, except as provided in
subsection (1.5) SUBSECTION (4) of this section, but this exemption does not
include any corporation selling previously occupied one-family and
two-family dwellings;
(X) A sole proprietor, corporation, partnership, or limited liability
company, acting through its officers, or partners, or through regular
REGULARLY salaried employees, with respect to property owned or leased
by such THE sole proprietor, corporation, partnership, or limited liability
company on which has been or will be erected a commercial, industrial, or
PAGE 6-HOUSE BILL 19-1172
residential building which THAT has not been previously occupied and
where the consideration paid for such THE property includes the cost of such
THE building, payable, less deposit or down payment, at the time of
conveyance of such THE property and building;
(XI) (A) A corporation, partnership, or limited liability company
acting through its officers, partners, managers, or regularly salaried
employees receiving no additional compensation therefor, or its wholly
owned subsidiary or officers, partners, managers, or regular REGULARLY
salaried employees thereof receiving no additional compensation, with
respect to property located in Colorado which THAT is owned or leased by
such THE corporation, partnership, or limited liability company and on
which has been or will be erected a shopping center, office building, or
industrial park when such shopping center, office building, or industrial
park is sold, leased, or otherwise offered for sale or lease in the ordinary
course of the business of such THE corporation, partnership, limited liability
company, or wholly owned subsidiary.
(B) For the purposes of this subparagraph (XI), SUBSECTION
(6)(b)(XI): "Shopping center" means land on which buildings are or will be
constructed which THAT are used for commercial and office purposes
around or adjacent to which off-street parking is provided; "office building"
means a building used primarily for office purposes; and "industrial park"
means land on which buildings are or will be constructed for warehouse,
research, manufacturing, processing, or fabrication purposes.
(XII) A regularly salaried employee of an owner of an apartment
building or complex who acts as an on-site manager of such an apartment
building or complex. This exemption applies only in respect to the
customary duties of an on-site manager performed for his or her employer.
(XIII) A regularly salaried employee of an owner of condominium
units who acts as an on-site manager of such units. For purposes of this
subparagraph (XIII) SUBSECTION (6)(b)(XIII) only, the term "owner"
includes a homeowners' association formed and acting pursuant to its
recorded condominium declaration and bylaws. This exemption applies only
in respect to the customary duties of an on-site manager performed for his
or her employer.
(XIV) A real estate broker licensed in another state who receives a
PAGE 7-HOUSE BILL 19-1172
share of a commission or finder's fee on a cooperative transaction from a
licensed Colorado real estate broker;
(XV) A sole proprietor, corporation, partnership, or limited liability
company, acting through its officers, partners, or regularly salaried
employees, with respect to property located in Colorado, where the
purchaser of such THE property is in the business of developing land for
residential, commercial, or industrial purposes;
(XVI) Any person, firm, partnership, limited liability company,
association, or corporation, or any employee or authorized agent thereof,
engaged in the act of negotiating, purchasing, assigning, exchanging,
selling, leasing, or acquiring rights-of-way, permits, licenses, and any other
interests in real property for, or on behalf, of a third party for the purpose
of, or facilities related to:
(A) Telecommunication lines;
(B) Wireless communication facilities;
(C) CATV;
(D) Electric generation, transmission, and distribution lines;
(E) Water diversion, collection, distribution, treatment, and storage
or use; and
(F) Transportation, so long as such THE person, firm, partnership,
limited liability company, association, or corporation, including any
employee or authorized agent thereof, does not represent any displaced
person or entity as an agent thereof in the purchase, sale, or exchange of
real estate, or an interest therein, resulting from residential or commercial
relocations required under any transportation project, regardless of the
source of public funding.
12-10-202. [Formerly 12-61-102] License required. It is unlawful
for any person, firm, partnership, limited liability company, association, or
corporation to engage in the business or capacity of real estate broker in this
state without first having obtained a license from the real estate
commission. No person shall be granted a license until such THE person
PAGE 8-HOUSE BILL 19-1172
establishes compliance with the provisions of this part 1 2 concerning
education, experience, and testing; truthfulness and honesty and otherwise
good moral character; and, in addition to any other requirements of this
section, competency to transact the business of a real estate broker in such
manner as to safeguard the interest of the public and only after satisfactory
proof of such THE qualifications, together with the application for such THE
license, is filed in the office of the commission. In determining such THE
person's character, the real estate commission shall be governed by section
24-5-101. C.R.S.
12-10-203. [Formerly 12-61-103] Application for license - rules
- definition. (1) (a) All persons desiring to become real estate brokers shall
apply to the real estate commission for a license under the provisions of this
part 1 2. Application for a license as a real estate broker shall be made to the
commission upon forms or in a manner prescribed by it THE COMMISSION.
(b) (I) Prior to submitting an application for a license pursuant to
paragraph (a) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION,
each applicant shall submit a set of fingerprints to the Colorado bureau of
investigation for the purpose of conducting a state and national
fingerprint-based criminal history record check utilizing records of the
Colorado bureau of investigation and the federal bureau of investigation.
The applicant shall pay the fee established by the Colorado bureau of
investigation for conducting the fingerprint-based criminal history record
check to the bureau. Upon completion of the criminal history record check,
the bureau shall forward the results to the real estate commission. The real
estate commission may acquire a name-based criminal history record check
for an applicant who has twice submitted to a fingerprint-based criminal
history record check and whose fingerprints are unclassifiable.
(II) For purposes of this paragraph (b) SUBSECTION (1)(b),
"applicant" means an individual, or any person designated to act as broker
for any partnership, limited liability company, or corporation pursuant to
subsection (7) (6) of this section.
(2) Every real estate broker licensed under this part 1 2 shall
maintain a place of business within this state, except as provided in section
12-61-107 12-10-208. In case a real estate broker maintains more than one
place of business within the state, the broker shall be responsible for
supervising all licensed activities originating in such THE offices.
PAGE 9-HOUSE BILL 19-1172
(3) The commission is authorized by this section to require and
procure any such proof as is necessary in reference to the truthfulness,
honesty, and good moral character of any applicant for a real estate broker's
license or, if the applicant is a partnership, limited liability company, or
corporation, of any partner, manager, director, officer, member, or
stockholder if such THE person has, either directly or indirectly, a substantial
interest in such THE applicant prior to the issuance of such THE license.
(4) (a) An applicant for a broker's license shall be at least eighteen
years of age. The applicant must furnish proof satisfactory to the
commission that the applicant has either received a degree from an
accredited degree-granting college or university with a major course of
study in real estate or has successfully completed courses of study, approved
by the commission, at any accredited college or university or any private
occupational school that has a certificate of approval from the private
occupational school division in accordance with the provisions of article 59
64 of this title 23 or that has been approved by the commission or licensed
by an official state agency of any other state as follows:
(I) Forty-eight hours of classroom instruction or equivalent
correspondent hours in real estate law and real estate practice; and
(II) Forty-eight hours of classroom instruction or equivalent
correspondent hours in understanding and preparation of Colorado real
estate contracts; and
(III) A total of seventy-two hours of instruction or equivalent
correspondence hours from the following areas of study:
(A) Trust accounts and record keeping;
(B) Real estate closings;
(C) Current legal issues; and
(D) Practical applications.
(b) An applicant for a broker's license who has been licensed as a
real estate broker in another jurisdiction shall be required to complete only
the course of study comprising the subject matter areas described in
PAGE 10-HOUSE BILL 19-1172
subparagraphs (II) and (III)(B) of paragraph (a) of this subsection (4)
SUBSECTIONS (4)(a)(II) AND (4)(a)(III)(B) OF THIS SECTION.
(c) An applicant for a broker's license who has been licensed as a
real estate salesperson in another jurisdiction shall be required to complete
only the course of study required in subparagraphs (II) and (III) of
paragraph (a) of this subsection (4) SUBSECTIONS (4)(a)(II) AND (4)(a)(III)
OF THIS SECTION.
(d) (Deleted by amendment, L. 96, p. 414, § 2, effective January 1,
1997.)
(5) (Deleted by amendment, L. 96, p. 414, § 2, effective January 1,
1997.)
(6) (5) (a) The applicant for a broker's license shall submit to and
pass an examination designated to determine the competency of the
applicant and prepared by or under the supervision of the real estate
commission or its designated contractor. The commission may contract with
an independent testing service to develop, administer, or grade
examinations or to administer licensee records. The contract may allow the
testing service to recover the costs of the examination and the costs of
administering exam and license records from the applicant. The commission
may contract separately for these functions and allow recovered costs to be
collected and retained by a single contractor for distribution to other
contractors. The commission shall have the authority to set the minimum
passing score that an applicant must receive on the examination, and said
THE score shall reflect the minimum level of competency required to be a
broker. Said THE examination shall be given at such times and places as the
commission prescribes. The examination shall include, but not be limited
to, ethics, reading, spelling, basic mathematics, principles of land
economics, appraisal, financing, a knowledge of the statutes and law of this
state relating to deeds, trust deeds, mortgages, listing contracts, contracts of
sale, bills of sale, leases, agency, brokerage, trust accounts, closings,
securities, the provisions of this part 1 2, and the rules of the commission.
The examination for a broker's license shall also include the preparation of
a real estate closing statement.
(b) An applicant for a broker's license who has held a real estate
license in another jurisdiction that administers a real estate broker's
PAGE 11-HOUSE BILL 19-1172
examination and who has been licensed for two or more years prior to
applying for a Colorado license may be issued a broker's license if the
applicant establishes that he or she possesses credentials and qualifications
that are substantively equivalent to the requirements in Colorado for
licensure by examination.
(c) In addition to all other applicable requirements, the following
provisions apply to brokers that did not hold a current and valid broker's
license on December 31, 1996:
(I) No such broker shall engage in an independent brokerage
practice without first having served actively as a real estate broker for at
least two years. The commission shall adopt rules requiring an employing
broker to ensure that a high level of supervision is exercised over such a
broker during such THE two-year period.
(II) No such broker shall employ another broker without first having
completed twenty-four clock hours of instruction, or the equivalent in
correspondence hours, as approved by the commission, in brokerage
administration.
(III) Effective January 1, 2019, a broker shall not act as an
employing broker without first demonstrating, in accordance with rules of
the commission, experience and knowledge sufficient to enable the broker
to employ and adequately supervise other brokers, as appropriate to the
broker's area of supervision. The commission's rules must set forth the
method or methods by which the broker may demonstrate such THE
experience and knowledge, either by documenting a specified number of
transactions that the broker has completed or by other methods.
(7) (6) (a) Real estate brokers' licenses may be granted to
individuals, partnerships, limited liability companies, or corporations. A
partnership, limited liability company, or corporation, in its application for
a license, shall designate a qualified, active broker to be responsible for
management and supervision of the licensed actions of the partnership,
limited liability company, or corporation and all licensees shown in the
commission's records as being in the employ of such THE entity. The
application of the partnership, limited liability company, or corporation and
the application of the broker designated by it shall be filed with the real
estate commission.
PAGE 12-HOUSE BILL 19-1172
(b) No license shall be issued to any partnership, limited liability
company, or corporation unless and until the broker so designated by the
partnership, limited liability company, or corporation submits to and passes
the examination required by this part 1 2 on behalf of the partnership,
limited liability company, or corporation. Upon such broker's THE BROKER
successfully passing the examination and upon compliance with all other
requirements of law by the partnership, limited liability company, or
corporation, as well as by the designated broker, the commission shall issue
a broker's license to the partnership, limited liability company, or
corporation, which shall bear the name of such THE designated broker, and
thereupon the broker so designated shall conduct business as a real estate
broker only through the said partnership, limited liability company, or
corporation and not for the broker's own account.
(c) If the person so designated is refused a license by the real estate
commission or ceases to be the designated broker of such THE partnership,
limited liability company, or corporation, such THE entity may designate
another person to make application for a license. If such THE person ceases
to be the designated broker of such THE partnership, limited liability
company, or corporation, the director may issue a temporary license to
prevent hardship for a period not to exceed ninety days to the licensed
person so designated. The director may extend a temporary license for one
additional period not to exceed ninety days upon proper application and a
showing of good cause; if the director refuses, no further extension of a
temporary license shall be granted except by the commission. If any broker
or employee of any such partnership, limited liability company, or
corporation, other than the one designated as provided in this section,
desires to act as a real estate broker, such THE broker or employee shall first
obtain a license as a real estate broker as provided in this section and shall
pay the regular fee therefor.
(8) (7) The broker designated to act as broker for any partnership,
limited liability company, or corporation is personally responsible for the
handling of any and all earnest money deposits or escrow or trust funds
received or disbursed by said THE partnership, limited liability company, or
corporation. In the event of any breach of duty by the said partnership,
limited liability company, or corporation as a fiduciary, any person
aggrieved or damaged by the said breach of fiduciary duty shall have a
claim for relief against such THE partnership, limited liability company, or
corporation, as well as against the designated broker, and may pursue said
PAGE 13-HOUSE BILL 19-1172
THE claim against the partnership, limited liability company, or corporation
and the designated broker personally. The said broker may be held
responsible and liable for damages based upon such THE breach of fiduciary
duty as may be recoverable against the said partnership, limited liability
company, or corporation, and any judgment so obtained may be enforced
jointly or severally against said THE broker personally and the said
partnership, limited liability company, or corporation.
(9) (8) No license for a broker registered as being in the employ of
another broker shall be issued to a partnership, a limited liability company,
or a corporation or under a fictitious name or trade name; except that a
married woman may elect to use her birth name.
(10) (9) No person shall be licensed as a real estate broker under
more than one name, and no person shall conduct or promote a real estate
brokerage business except under the name under which such THE person is
licensed.
(11) Repealed.
(12) (10) A licensed attorney shall take and pass the examination
referred to in this section after having completed twelve hours of classroom
instruction or equivalent correspondent hours in trust accounts, record
keeping, and real estate closings.
12-10-204. [Formerly 12-61-103.6] Errors and omissions
insurance required - rules. (1) Every licensee under this part 1 2, except
an inactive broker or an attorney licensee who maintains a policy of
professional malpractice insurance that provides coverage for errors and
omissions for their activities as a licensee under this part 1 2, shall maintain
errors and omissions insurance to cover all activities contemplated under
parts 1 2 to 8 6 of this article 10. The division of real estate shall make the
errors and omissions insurance available to all licensees by contracting with
an insurer for a group policy after a competitive bid process in accordance
with article 103 of title 24. C.R.S. A group policy obtained by the division
of real estate must be available to all licensees with no right on the part of
the insurer to cancel a licensee. A licensee may obtain errors and omissions
insurance independently if the coverage complies with the minimum
requirements established by the division. of real estate.
PAGE 14-HOUSE BILL 19-1172
(2) (a) If the division of real estate is unable to obtain errors and
omissions insurance coverage to insure all licensees who choose to
participate in the group program at a reasonable annual premium, as
determined by the division, of real estate, a licensee shall independently
obtain the errors and omissions insurance required by this section.
(b) The division of real estate shall solicit and consider information
and comments from interested persons when determining the
reasonableness of annual premiums.
(3) The division of real estate shall determine the terms and
conditions of coverage required under this section based on rules
promulgated by the commission. The commission shall notify each licensee
of the required terms and conditions at least thirty days before the annual
premium renewal date as determined by the commission. Each licensee
shall file a certificate of coverage showing compliance with the required
terms and conditions with the commission by the annual premium renewal
date, as determined by the division. of real estate.
(4) In addition to all other powers and duties conferred upon the
commission by this article 10, the commission shall adopt such rules as it
deems necessary or proper to carry out the provisions of this section.
(5) (Deleted by amendment, L. 2008, p. 497, § 4, effective April 17,
2008.)
12-10-205. [Formerly 12-61-104] Licenses - issuance - contents
- display. (1) The commission shall make available for each licensee a
license in such form and size as said THE commission shall prescribe and
adopt. The real estate license shall show the name of the licensee and shall
have imprinted thereon the seal, or a facsimile, of the department of
regulatory agencies and, in addition to the foregoing, shall contain such
other matter as said THE commission shall prescribe.
(2) and (3) (Deleted by amendment, L. 2001, p. 24, § 2, effective
March 9, 2001.)
12-10-206. [Formerly 12-61-105] Real estate commission -
created - compensation - immunity - subject to termination. (1) There
is hereby created a commission of five members, appointed by the governor,
PAGE 15-HOUSE BILL 19-1172
which shall administer parts 1 2 and 4 5 of this article 61 10. This
commission is known as the real estate commission also referred to in this
part 1 as the "commission", and consists of three real estate brokers who
have had not less than five years' experience in the real estate business in
Colorado, one of whom has substantial experience in property management,
and two representatives of the public at large. Members of the commission
hold office for a period of three years. Upon the death, resignation, removal,
or otherwise of any member of the commission, the governor shall appoint
a member to fill out the unexpired term. The governor may remove any
member for misconduct, neglect of duty, or incompetence.
(2) Each member of the commission shall receive the same
compensation and reimbursement of expenses as those provided for
members of boards and commissions in the division of professions and
occupations pursuant to section 24-34-102 (13), C.R.S. 12-20-103 (6).
Payment for all such per diem compensation and expenses shall be made
out of annual appropriations from the division of real estate cash fund
provided for in section 12-61-111.5 12-10-215.
(2.5) (3) Members of the commission, consultants, expert witnesses,
and complainants shall be immune from suit in any civil action based upon
any disciplinary proceedings or other official acts they performed in good
faith.
(3) (4) No real estate broker's license shall be denied, suspended, or
revoked except as determined by a majority vote of the members of the
commission.
(4) The provisions of section 24-34-104, C.R.S., concerning the
termination schedule for regulatory bodies of the state unless extended as
provided in that section, are applicable to the real estate commission created
by this section.
12-10-207. [Formerly 12-61-106] Division of real estate - creation
- director, clerks, and assistants. (1) THERE IS HEREBY CREATED WITHIN
THE DEPARTMENT THE DIVISION OF REAL ESTATE. The executive director of
the department of regulatory agencies is authorized by this section to
employ, subject to the provisions of the state personnel system laws of the
state, a director of the division, of real estate, who in turn shall employ such
attorneys, deputies, investigators, clerks, and assistants as are necessary to
PAGE 16-HOUSE BILL 19-1172
discharge the duties imposed by parts 1 2 and 4 5 of this article 61 10. The
division of real estate, which is a division in the department of regulatory
agencies, and the director of the division shall exercise their powers and
perform their duties and functions under the department of regulatory
agencies as if they were transferred to the department by a type 2 transfer.
(2) It is the duty of the director, personally, or his THE DIRECTOR'S
designee to aid in the administration and enforcement of parts 1 2 and 4 5
of this article 61 10 and in the prosecution of all persons charged with
violating any of their provisions, to conduct audits of business accounts of
licensees, to perform such duties of the commission as the commission
prescribes, and to act in behalf of the commission on such occasions and in
such circumstances as the commission directs.
12-10-208. [Formerly 12-61-107] Resident licensee - nonresident
licensee - consent to service. (1) A nonresident of the state may become
a real estate broker in this state by conforming to all the conditions of this
part 1 2; except that the nonresident broker shall not be required to maintain
a place of business within this state if that broker maintains a definite place
of business in another state.
(2) If a broker has no registered agent registered in this state, such
THE registered agent is not located under its registered agent name at its
registered agent address, or the registered agent cannot with reasonable
diligence be served, the broker may be served by registered mail or by
certified mail, return receipt requested, addressed to the entity at its
principal address. Service is perfected under this subsection (2) at the
earliest of:
(a) The date the broker receives the process, notice, or demand;
(b) The date shown on the return receipt, if signed by or on behalf
of the broker; or
(c) Five days after mailing.
(3) All such applications shall contain a certification that the broker
is authorized to act for the corporation.
12-10-209. [Formerly 12-61-108] Record of licensees -
PAGE 17-HOUSE BILL 19-1172
publications. The commission shall maintain a record of the names and
addresses of all licensees licensed under the provisions of parts 1 2 and 4
5 of this article 10, together with such other information relative to the
enforcement of said THE provisions as deemed by the commission to be
necessary. Publication of the record and of any other information circulated
in quantity outside the executive branch shall be in accordance with the
provisions of section 24-1-136. C.R.S.
12-10-210. [Formerly 12-61-108.5] Compilation and publication
of passing rates per educational institution for real estate licensure
examinations - definition - rules. (1) The commission shall have the
authority to obtain information from each educational institution authorized
to offer courses in real estate for the purpose of compiling the number of
applicants who pass the real estate licensure examination from each
educational institution. The information shall include the name of each
student who attended the institution and a statement of whether the student
completed the necessary real estate courses required for licensure. The
commission shall have access to such other information as necessary to
accomplish the purpose of this section. For the purposes of this section, an
"applicant" is a student who completed the required education requirements
and who applied for and sat for the licensure examination.
(2) The commission shall compile the information obtained in
subsection (1) of this section with applicant information retained by the
commission. Specifically, the commission shall compile whether the student
applied for the licensure examination and whether the applicant passed the
licensure examination. The commission shall create statistical data setting
forth:
(a) The name of the educational institution;
(b) The number of students who completed the necessary real estate
course required for licensure;
(c) Whether the student registered and sat for the licensure
examination; and
(d) The number of those applicants who passed the licensure
examination.
PAGE 18-HOUSE BILL 19-1172
(3) The commission shall publish this statistical data and make it
available to the public quarterly.
(4) The commission shall retain the statistical data for three years.
(5) Specific examination scores for an applicant will be kept
confidential by the commission unless the applicant authorizes release of
such THE information.
(6) The commission may promulgate rules for the administration of
this section.
12-10-211. [Formerly 12-61-109] Change of license status -
inactive - cancellation. (1) Immediate notice shall be given in a manner
acceptable to the commission by each licensee of any change of business
location or employment. A change of business address or employment
without notification to the commission shall automatically inactivate the
licensee's license.
(2) A broker who transfers to the address of another broker or a
broker applicant who desires to be employed by another broker shall inform
the commission if said THE broker is to be in the employ of the other broker.
The employing broker shall have the control and custody of the employed
broker's license. The employed broker may not act on behalf of said THE
broker or as broker for a partnership, limited liability company, or
corporation during the term of such THE employment; but this shall not
affect the employed broker's right to transfer to another employing broker
or to a location where the employed broker may conduct business as an
independent broker or as a broker acting for a partnership, limited liability
company, or corporation.
(3) In the event that any licensee is discharged by or terminates
employment with a broker, it shall be the joint duty of both such parties to
immediately notify the commission. Either party may furnish such THE
notice in a manner acceptable to the commission. The party giving notice
shall notify the other party in person or in writing of the termination of
employment.
(4) It is unlawful for any such licensee to perform any of the acts
authorized under the license in pursuance of this part 1 2, either directly or
PAGE 19-HOUSE BILL 19-1172
indirectly, on or after the date that employment has been terminated. When
any real estate broker whose employment has been terminated is employed
by another real estate broker, the commission shall, upon proper
notification, enter such THE change of employment in the records of the
commission. Not more than one employer or place of employment shall be
shown for any real estate broker for the same period of time.
12-10-212. [Formerly 12-61-110] License fees - partnership,
limited liability company, and corporation licenses - rules. (1) Fees
established pursuant to section 12-61-111.5 12-10-215 shall be charged by
and paid to the commission or the agent for the commission for the
following:
(a) and (b) (Deleted by amendment, L. 96, p. 419, § 5, effective
January 1, 1997.)
(c) (a) Each broker's examination;
(d) (b) Each broker's original application and license;
(e) (Deleted by amendment, L. 96, p. 419, § 5, effective January 1,
1997.)
(f) (c) Each renewal of a broker's license;
(g) (Deleted by amendment, L. 96, p. 419, § 5, effective January 1,
1997.)
(h) (d) Any change of name, address, or employing broker requiring
a change in commission records;
(i) (e) A new application which THAT shall be submitted when a
licensed real estate broker wishes to become the broker acting for a
partnership, a limited liability company, or a corporation.
(2) The proper fee shall accompany each application for licensure.
The fee shall not be refundable. Failure by the person taking an examination
to file the appropriate broker's application within one year of the date such
THE person passed the examination will automatically cancel the
examination, and all rights to a passing score will be terminated.
PAGE 20-HOUSE BILL 19-1172
(3) Each real estate broker's license granted to an individual shall
entitle such THE individual to perform all the acts contemplated by this part
1 2, without any further application on his OR HER part and without the
payment of any fee other than the fees specified in this section.
(4) (a) (I) The commission shall require that any person licensed
under this part 1 2, whether on an active or inactive basis, renew the license
on or before December 31 of every third year after issuance; except that an
initial license issued under this part 1 2 on or after April 23, 2018, expires
at 12 midnight on December 31 of the year in which it was issued.
(II) Renewal is conditioned upon fulfillment of the continuing
education requirements set forth in section 12-61-110.5 12-10-213. For
persons renewing or reinstating an active license, written certification
verifying completion for the previous licensing period of the continuing
education requirements set forth in section 12-61-110.5 12-10-213 must
accompany and be submitted to the commission with the application for
renewal or reinstatement. For persons who did not submit certification
verifying compliance with section 12-61-110.5 12-10-213 at the time a
license was renewed or reinstated on an inactive status, written certification
verifying completion for the previous licensing period of the continuing
education requirements set forth in that section must accompany and be
submitted with any future application to reactivate the license. The
commission may, by rule, establish procedures to facilitate such a renewal.
In the absence of any reason or condition that might warrant the refusal of
the granting of a license or the revocation thereof, the commission shall
issue a new license upon receipt by the commission of the written request
of the applicant and the appropriate fees required by this section.
Applications for renewal will be accepted thirty days prior to January 1.
(III) A person who fails to renew a license before January 1 of the
year succeeding the year of the expiration of the license may reinstate the
license as follows:
(A) If proper application is made within thirty-one days after the
date of expiration, by payment of the regular renewal fee;
(B) If proper application is made more than thirty-one days but
within one year after the date of expiration, by payment of the regular
renewal fee and payment of a reinstatement fee equal to one-half the regular
PAGE 21-HOUSE BILL 19-1172
renewal fee;
(C) If proper application is made more than one year but within
three years after the date of expiration, by payment of the regular renewal
fee and payment of a reinstatement fee equal to the regular renewal fee.
(IV) The commission may, by rule, establish procedures to facilitate
the transition of the reinstatement license periods described in subsections
(4)(a)(III)(A) to (4)(a)(III)(C) of this section from an anniversary expiration
date to a December 31 expiration date.
(a.5) Repealed.
(b) Any reinstated license shall be effective only as of the date of
reinstatement. Any person who fails to apply for reinstatement within three
years after the expiration of a license shall, without exception, be treated as
a new applicant for licensure.
(c) All reinstatement fees shall be transmitted to the state treasurer,
who shall credit same THE FEES to the division of real estate cash fund, as
established by section 12-61-111.5 12-10-215.
(5) The suspension, expiration, or revocation of a real estate broker's
license shall automatically inactivate every real estate broker's license where
the holder of such THE license is shown in the commission records to be in
the employ of the broker whose license has expired or has been suspended
or revoked pending notification to the commission by the employed licensee
of a change of employment.
(6) (Deleted by amendment, L. 91, p. 1628, § 8, effective July 1,
1991.)
12-10-213. [Formerly 12-61-110.5] Renewal of license -
continuing education requirement - rules. (1) A broker applying for
renewal of a license pursuant to section 12-61-110 (4) 12-10-212 (4) shall
include with such THE application a certified statement verifying successful
completion of real estate courses in accordance with the following schedule:
(a) and (b) Repealed.
PAGE 22-HOUSE BILL 19-1172
(c) (a) For licensees applying for renewal of a three-year license,
passage within the previous three years of the Colorado portion of the real
estate exam or completion of a minimum of twenty-four hours of credit,
twelve of which must be the credits developed by the commission pursuant
to subsection (2) of this section;
(d) (b) For licensees applying for renewal of a license that expires
less than three years after it was issued, passage within the license period
of the Colorado portion of the real estate exam or completion of a minimum
of twenty-four hours of credit, at least eight of which must be the credits
developed by the commission pursuant to subsection (2) of this section.
(2) The real estate commission shall develop twelve hours of credit
designed to assure reasonable currency of real estate knowledge by
licensees, which credits shall include an update of the current statutes and
the rules promulgated by the commission that affect the practice of real
estate. If a licensee takes a course pursuant to rule 260 250 of the Colorado
rules of civil procedure and the course concerns real property law, the
licensee shall receive credit for the course toward the fulfillment of the
licensee's continuing education requirements pursuant to this section. The
credits shall be taken from an accredited Colorado college or university; a
Colorado community college; a Colorado private occupational school
holding a certificate of approval from the state board for community
colleges and occupational education; or an educational institution or an
educational service described in section 23-64-104. Successful completion
of such THE credits shall require satisfactory passage of a written
examination or written examinations of the materials covered. The
examinations shall be audited by the commission to verify their accuracy
and the validity of the grades given. The commission shall set the standards
required for satisfactory passage of the examinations.
(3) All credits, other than the credits specified in subsection (2) of
this section, shall be acquired from educational courses approved by the
commission that contribute directly to the professional competence of a
licensee. Such THE credits may be acquired through successful completion
of instruction in one or more of the following subjects:
(a) Real estate law;
(b) Property exchanges;
PAGE 23-HOUSE BILL 19-1172
(c) Real estate contracts;
(d) Real estate finance;
(e) Real estate appraisal;
(f) Real estate closing;
(g) Real estate ethics;
(h) Condominiums and cooperatives;
(i) Real estate time-sharing;
(j) Real estate marketing principles;
(k) Real estate construction;
(l) Land development;
(m) Real estate energy concerns;
(n) Real estate geology;
(o) Water and waste management;
(p) Commercial real estate;
(q) Real estate securities and syndications;
(r) Property management;
(s) Real estate computer principles;
(t) Brokerage administration and management;
(u) Agency; and
(v) Any other subject matter as approved by the real estate
commission.
PAGE 24-HOUSE BILL 19-1172
(4) A licensee applying for renewal of a license which THAT expires
on December 31 of the year in which it was issued is not subject to the
education requirements set forth in subsection (1) of this section.
(5) The real estate commission shall promulgate rules and
regulations to implement this section.
12-10-214. [Formerly 12-61-111] Disposition of fees. All fees
collected by the real estate commission under parts 1 2 and 4 5 of this
article 10, not including administrative fees that are in the nature of an
administrative fine and fees retained by contractors pursuant to contracts
entered into in accordance with section 12-61-103 12-10-203 or 24-34-101,
C.R.S., shall be transmitted to the state treasurer, who shall credit the same
to the division of real estate cash fund. Pursuant to section 12-61-111.5
12-10-215, the general assembly shall make annual appropriations from said
THE fund for expenditures of the commission incurred in the performance
of its duties under parts 1 2 and 4 5 of this article 10. The commission may
request an appropriation specifically designated for educational and
enforcement purposes. The expenditures incurred by the commission under
parts 1 2 and 4 5 of this article 10 shall be made out of such THE
appropriations upon vouchers and warrants drawn pursuant to law.
12-10-215. [Formerly 12-61-111.5] Fee adjustments - cash fund
created. (1) This section applies to all activities of the division under parts
1, 4, 7, 9, and 10 2, 5, 6, AND 7 of this article 61 10.
(2) (a) (I) The division shall propose, as part of its annual budget
request, an adjustment in the amount of each fee that it is authorized by law
to collect under parts 1, 4, 7, 9, and 10 2, 5, 6, AND 7 of this article 61 10.
The budget request and the adjusted fees for the division must reflect direct
and indirect costs.
(II) The costs of the HOA information and resource center, created
in section 12-61-406.5 12-10-801, shall be paid from the division of real
estate cash fund created in this section. The division of real estate shall
estimate the direct and indirect costs of operating the HOA information and
resource center and shall establish the amount of the annual registration fee
to be collected under section 38-33.3-401. The amount of the registration
fee shall be sufficient to recover these costs, subject to a maximum limit of
fifty dollars.
PAGE 25-HOUSE BILL 19-1172
(b) (I) Based upon the appropriation made and subject to the
approval of the executive director, of the department of regulatory agencies,
the division of real estate shall adjust its fees so that the revenue generated
from the fees approximates its direct and indirect costs incurred in
administering the programs and activities from which the fees are derived.
The fees shall remain in effect for the fiscal year for which the budget
request applies. All fees collected by the division, not including fees
retained by contractors pursuant to contracts entered into in accordance with
section 12-61-103 12-10-203 or 24-34-101, shall be transmitted to the state
treasurer, who shall credit the same to the division of real estate cash fund,
which fund is hereby created. All money credited to the division of real
estate cash fund shall be used as provided in this section or in section
12-61-111 12-10-214 and shall not be deposited in or transferred to the
general fund of this state or any other fund.
(II) Repealed.
(c) Beginning July 1, 1979, and each July 1 thereafter, whenever
moneys MONEY appropriated to the division for its activities for the prior
fiscal year are IS unexpended, said moneys THE MONEY shall be made a part
of the appropriation to the division for the next fiscal year, and such THE
amount shall not be raised from fees collected by the division. If a
supplemental appropriation is made to the division for its activities, its fees,
when adjusted for the fiscal year next following that in which the
supplemental appropriation was made, shall be adjusted by an additional
amount which THAT is sufficient to compensate for such THE supplemental
appropriation. Funds appropriated to the division in the annual long
appropriations bill shall be designated as a cash fund and shall not exceed
the amount anticipated to be raised from fees collected by the division.
12-10-216. [Formerly 12-61-112] Records - evidence - inspection.
(1) The executive director of the department of regulatory agencies shall
adopt a seal by which all proceedings authorized under parts 1 2 and 4 5 of
this article 61 10 shall be authenticated. Copies of records and papers in the
office of the commission or department of regulatory agencies relating to
the administration of parts 1 2 and 4 5 of this article 61 10, when duly
certified and authenticated by the seal, shall be received as evidence in all
courts equally and with like effect as the originals. All records kept in the
office of the commission or department, of regulatory agencies, under
authority of parts 1 2 and 4 5 of this article 61 10, must be open to public
PAGE 26-HOUSE BILL 19-1172
inspection at such time and in such manner as may be prescribed by rules
formulated by the commission.
(2) Repealed.
(3) (2) The commission shall not be required to maintain or preserve
licensing history records of any person licensed under the provisions of this
part 1 2 for any period of time longer than seven years.
12-10-217. [Formerly 12-61-113] Investigation - revocation -
actions against licensee or applicant - definition. (1) The commission,
upon its own motion, may, and, upon the complaint in writing of any
person, shall, investigate the activities of any licensee or any person who
assumes to act in the capacity of a licensee within the state, and the
commission, after holding a hearing pursuant to section 12-61-114
12-10-219, has the power to impose an administrative fine not to exceed
two thousand five hundred dollars for each separate offense and to censure
a licensee, to place the licensee on probation and to set the terms of
probation, or to temporarily suspend a license, or permanently revoke a
license, when the licensee has performed, is performing, or is attempting to
perform any of the following acts and is guilty of:
(a) Knowingly making any misrepresentation or knowingly making
use of any false or misleading advertising;
(b) Making any promise of a character which THAT influences,
persuades, or induces another person when he OR SHE could not or did not
intend to keep such THE promise;
(c) Knowingly misrepresenting or making false promises through
agents, advertising, or otherwise;
(c.5) (d) Violating any provision of the "Colorado Consumer
Protection Act", article 1 of title 6; C.R.S.;
(d) (e) Acting for more than one party in a transaction without the
knowledge of all parties thereto;
(e) (f) Representing or attempting to represent a real estate broker
other than the licensee's employer without the express knowledge and
PAGE 27-HOUSE BILL 19-1172
consent of that employer;
(f) (g) In the case of a broker registered as in the employ of another
broker, failing to place, as soon after receipt as is practicably possible, in
the custody of that licensed broker-employer any deposit money or other
money or fund entrusted to the employee by any person dealing with the
employee as the representative of that licensed broker-employer;
(g) (h) Failing to account for or to remit, within a reasonable time,
any moneys MONEY coming into the licensee's possession that belong
BELONGS to others, whether acting as real estate brokers or otherwise, and
failing to keep records relative to said moneys THE MONEY, which records
shall contain such information as may be prescribed by the rules of the
commission relative thereto and shall be subject to audit by the commission;
(g.5) (i) Converting funds of others, diverting funds of others
without proper authorization, commingling funds of others with the broker's
own funds, or failing to keep such THE funds of others in an escrow or a
trustee account with some bank or recognized depository in this state, which
account may be any type of checking, demand, passbook, or statement
account insured by an agency of the United States government, and to so
keep records relative to the deposit which THAT contain such information
as may be prescribed by the rules and regulations of the commission relative
thereto, which records shall be subject to audit by the commission;
(h) (j) Failing to provide the purchaser and seller of real estate with
a closing statement of the transaction, containing such information as may
be prescribed by the rules and regulations of the commission or failing to
provide a signed duplicate copy of the listing contract and the contract of
sale or the preliminary agreement to sell to the parties thereto;
(i) (k) Failing to maintain possession, for future use or inspection by
an authorized representative of the commission, for a period of four years,
of the documents or records prescribed by the rules and regulations of the
commission or to produce such THE documents or records upon reasonable
request by the commission or by an authorized representative of the
commission;
(j) (l) Paying a commission or valuable consideration for performing
any of the functions of a real estate broker, as described in this part 1 2, to
PAGE 28-HOUSE BILL 19-1172
any person not licensed under this part 1 2; except that a licensed broker
may pay a finder's fee or a share of any commission on a cooperative sale
when such THE payment is made to a real estate broker licensed in another
state or country. If a country does not license real estate brokers, then the
payee must be a citizen or resident of said THE country and represent that
the payee is in the business of selling real estate in said THE country.
(k) (m) Disregarding or violating any provision of this part 1 2 or
part 8 4 of this article 10, violating any reasonable rule or regulation
promulgated by the commission in the interests of the public and in
conformance with the provisions of this part 1 2 or part 8 4 of this article
10; violating any lawful commission orders; or aiding and abetting a
violation of any rule, regulation, commission order, or provision of this part
1 2 or part 8 4 of this article 10;
(l) Repealed.
(m) (n) (I) Conviction of, entering a plea of guilty to, or entering a
plea of nolo contendere to any crime in article 3 of title 18; parts 1, 2, 3, and
4 of article 4 of title 18; part 1, 2, 3, 4, 5, 7, 8, or 9 of article 5 of title 18;
article 5.5 of title 18; parts 3, 4, 6, 7, and 8 of article 6 of title 18; parts 1,
3, 4, 5, 6, 7, and 8 of article 7 of title 18; part 3 of article 8 of title 18; article
15 of title 18; article 17 of title 18; section 18-18-404, 18-18-405,
18-18-406, 18-18-411, 18-18-412.5, 18-18-412.7, 18-18-412.8, 18-18-415,
18-18-416, 18-18-422, or 18-18-423; or any other like crime under
Colorado law, federal law, or the laws of other states. A certified copy of
the judgment of a court of competent jurisdiction of such THE conviction or
other official record indicating that such THE plea was entered shall be
conclusive evidence of such THE conviction or plea in any hearing under
this part 1 2.
(II) As used in this subsection (1)(m) (1)(n), "conviction" includes
the imposition of a deferred judgment or deferred sentence.
(m.5) (o) Violating or aiding and abetting in the violation of the
Colorado or federal fair housing laws;
(m.6) (p) Failing to immediately notify the commission in writing
of a conviction, plea, or violation pursuant to paragraph (m) or (m.5) of this
subsection (1) SUBSECTION (1)(n) OR (1)(o) OF THIS SECTION;
PAGE 29-HOUSE BILL 19-1172
(n) (q) Having demonstrated unworthiness or incompetency to act
as a real estate broker by conducting business in such a manner as to
endanger the interest of the public;
(o) (r) In the case of a broker licensee, failing to exercise reasonable
supervision over the activities of licensed employees;
(p) (s) Procuring, or attempting to procure, a real estate broker's
license or renewing, reinstating, or reactivating, or attempting to renew,
reinstate, or reactivate, a real estate broker's license by fraud,
misrepresentation, or deceit or by making a material misstatement of fact in
an application for such THE license;
(q) (t) Claiming, arranging for, or taking any secret or undisclosed
amount of compensation, commission, or profit or failing to reveal to the
licensee's principal or employer the full amount of such THE licensee's
compensation, commission, or profit in connection with any acts for which
a license is required under this part 1 2;
(r) (u) Using any provision allowing the licensee an option to
purchase in any agreement authorizing or employing such THE licensee to
sell, buy, or exchange real estate for compensation or commission, except
when such THE licensee, prior to or coincident with election to exercise such
THE option to purchase, reveals in writing to the licensee's principal or
employer the full amount of the licensee's profit and obtains the written
consent of such THE principal or employer approving the amount of such
THE profit;
(s) (I) Repealed.
(II) (v) Effective on and after August 26, 2013, fraud,
misrepresentation, deceit, or conversion of trust funds that results in the
entry of a civil judgment for damages;
(t) (w) Any other conduct, whether of the same or a different
character than specified in this subsection (1), which THAT constitutes
dishonest dealing;
(u) Repealed.
PAGE 30-HOUSE BILL 19-1172
(v) (x) Having had a real estate broker's or a subdivision developer's
license suspended or revoked in any jurisdiction, or having had any
disciplinary action taken against the broker or subdivision developer in any
other jurisdiction if the broker's or subdivision developer's action would
constitute a violation of this subsection (1). A certified copy of the order of
disciplinary action shall be prima facie evidence of such THE disciplinary
action.
(w) (y) Failing to keep records documenting proof of completion of
the continuing education requirements in accordance with section
12-61-110.5 12-10-213 for a period of four years from the date of
compliance with said THE section;
(x) (z) (I) Violating any provision of section 12-61-113.2 12-10-218.
(II) In addition to any other remedies available to the commission
pursuant to this title ARTICLE 10, after notice and a hearing pursuant to
section 24-4-105, C.R.S., the commission may assess a penalty for a
violation of section 12-61-113.2 12-10-218 or of any rule promulgated
pursuant to section 12-61-113.2 12-10-218. The penalty shall be the amount
of remuneration improperly paid and shall be transmitted to the state
treasurer and credited to the general fund.
(y) (aa) Within the last five years, having a license, registration, or
certification issued by Colorado or another state revoked or suspended for
fraud, deceit, material misrepresentation, theft, or the breach of a fiduciary
duty, and such discipline denied the person authorization to practice as:
(I) A mortgage broker or mortgage loan originator;
(II) A real estate broker or salesperson;
(III) A real estate appraiser, as defined by section 12-61-702 (11)
12-10-602 (9);
(IV) An insurance producer, as defined by section 10-2-103 (6);
C.R.S.;
(V) An attorney;
PAGE 31-HOUSE BILL 19-1172
(VI) A securities broker-dealer, as defined by section 11-51-201 (2);
C.R.S.;
(VII) A securities sales representative, as defined by section
11-51-201 (14); C.R.S.;
(VIII) An investment advisor, as defined by section 11-51-201 (9.5);
C.R.S.; or
(IX) An investment advisor representative, as defined by section
11-51-201 (9.6). C.R.S.
(1.5) (2) Every person licensed pursuant to section 12-61-101
(2)(a)(X) 12-10-201 (6)(a)(X) shall give a prospective tenant a contract or
receipt; and such THE contract or receipt shall include the address and
telephone number of the real estate commission in prominent letters and
shall state that the regulation of rental location agents is under the purview
of the real estate commission.
(2) (3) In the event a firm, partnership, limited liability company,
association, or corporation operating under the license of a broker
designated and licensed as representative of said THE firm, partnership,
limited liability company, association, or corporation is guilty of any of the
foregoing acts, the commission may suspend or revoke the right of the said
firm, partnership, limited liability company, association, or corporation to
conduct its business under the license of said THE broker, whether or not the
designated broker had personal knowledge thereof and whether or not the
commission suspends or revokes the individual license of said THE broker.
(3) (4) Upon request of the commission, when any real estate broker
is a party to any suit or proceeding, either civil or criminal, arising out of
any transaction involving the sale or exchange of any interest in real
property or out of any transaction involving a leasehold interest in the real
property and when such THE broker is involved in such THE transaction in
such capacity as a licensed broker, it shall be the duty of said THE broker to
supply to the commission a copy of the complaint, indictment, information,
or other initiating pleading and the answer filed, if any, and to advise the
commission of the disposition of the case and of the nature and amount of
any judgment, verdict, finding, or sentence that may be made, entered, or
imposed therein.
PAGE 32-HOUSE BILL 19-1172
(4) (5) This part 1 2 shall not be construed to relieve any person
from civil liability or criminal prosecution under the laws of this state.
(5) (6) Complaints of record in the office of the commission and
commission investigations, including commission investigative files, are
closed to public inspection. Stipulations and final agency orders are public
records subject to sections 24-72-203 and 24-72-204. C.R.S.
(6) (7) When a complaint or an investigation discloses an instance
of misconduct which THAT, in the opinion of the commission, does not
warrant formal action by the commission but which THAT should not be
dismissed as being without merit, the commission may send a letter of
admonition by certified mail, return receipt requested, to the licensee
against whom a complaint was made and a copy thereof to the person
making the complaint, but the letter shall advise the licensee that the
licensee has the right to request in writing, within twenty days after proven
receipt, that formal disciplinary proceedings be initiated to adjudicate the
propriety of the conduct upon which the letter of admonition is based. If
such THE request is timely made, the letter of admonition shall be deemed
vacated, and the matter shall be processed by means of formal disciplinary
proceedings.
(7) (8) All administrative fines collected pursuant to this section
shall be transmitted to the state treasurer, who shall credit the same to the
division of real estate cash fund.
(8) (9) Any application for licensure from a person whose license
has been revoked shall not be considered until the passage of one year from
the date of revocation.
(9) (10) When the division of real estate becomes aware of facts or
circumstances that fall within the jurisdiction of a criminal justice or other
law enforcement authority upon investigation of the activities of a licensee,
the division shall, in addition to the exercise of its authority under this part
1 2, refer and transmit such THE information, which may include originals
or copies of documents and materials, to one or more criminal justice or
other law enforcement authorities for investigation and prosecution as
authorized by law.
12-10-218. [Formerly 12-61-113.2] Affiliated business
PAGE 33-HOUSE BILL 19-1172
arrangements - definitions - disclosures - enforcement and penalties -
reporting - rules - investigation information shared with the division of
insurance. (1) As used in this section, unless the context otherwise
requires:
(a) "Affiliated business arrangement" means an arrangement in
which:
(I) A provider of settlement services or an associate of a provider of
settlement services has either an affiliate relationship with or a direct
beneficial ownership interest of more than one percent in another provider
of settlement services; and
(II) A provider of settlement services or the associate of a provider
directly or indirectly refers settlement service business to another provider
of settlement services or affirmatively influences the selection of another
provider of settlement services.
(b) "Associate" means a person who has one or more of the
following relationships with a person in a position to refer settlement
service business:
(I) A spouse, parent, or child of such THE person;
(II) A corporation or business entity that controls, is controlled by,
or is under common control with such THE person;
(III) An employer, officer, director, partner, franchiser, or franchisee
of such THE person, including a broker acting as an independent contractor;
or
(IV) Anyone who has an agreement, arrangement, or understanding
with such THE person, the purpose or substantial effect of which is to enable
the person in a position to refer settlement service business to benefit
financially from referrals of such THE business.
(c) "Settlement service" means any service provided in connection
with a real estate settlement including, but not limited to, the following:
(I) Title searches;
PAGE 34-HOUSE BILL 19-1172
(II) Title examinations;
(III) The provision of title certificates;
(IV) Title insurance;
(V) Services rendered by an attorney;
(VI) The preparation of title documents;
(VII) Property surveys;
(VIII) The rendering of credit reports or appraisals;
(IX) Real estate appraisal services;
(X) Home inspection services;
(XI) Services rendered by a real estate broker;
(XII) Pest and fungus inspections;
(XIII) The origination of a loan;
(XIV) The taking of a loan application;
(XV) The processing of a loan;
(XVI) Underwriting and funding of a loan;
(XVII) Escrow handling services;
(XVIII) The handling of the processing; and
(XIX) Closing of settlement.
(2) (a) An affiliated business arrangement is permitted where the
person referring business to the affiliated business arrangement receives
payment only in the form of a return on an investment and where it does not
violate the provisions of section 12-61-113 12-10-217.
PAGE 35-HOUSE BILL 19-1172
(b) If a licensee or the employing broker of a licensee is part of an
affiliated business arrangement when an offer to purchase real property is
fully executed, the licensee shall disclose to all parties to the real estate
transaction the existence of the arrangement. The disclosure shall be
written, shall be signed by all parties to the real estate transaction, and shall
comply with the federal "Real Estate Settlement Procedures Act of 1974",
as amended, 12 U.S.C. sec. 2601 et seq.
(c) A licensee shall not require the use of an affiliated business
arrangement or a particular provider of settlement services as a condition
of obtaining services from that licensee for any settlement service. For the
purposes of this paragraph (c) SUBSECTION (2)(c), "require the use" shall
have the same meaning as "required use" in 24 CFR 3500.2 (b).
(d) No licensee shall give or accept any fee, kickback, or other thing
of value pursuant to any agreement or understanding, oral or otherwise, that
business incident to or part of a settlement service involving an affiliated
business arrangement shall be referred to any provider of settlement
services.
(e) Nothing in this section shall be construed to prohibit payment of
a fee to:
(I) An attorney for services actually rendered;
(II) A title insurance company to its duly appointed agent for
services actually performed in the issuance of a policy of title insurance;
(III) A lender to its duly appointed agent for services actually
performed in the making of a loan.
(f) Nothing in this section shall be construed to prohibit payment to
any person of:
(I) A bona fide salary or compensation or other payment for goods
or facilities actually furnished or for services actually performed;
(II) A fee pursuant to cooperative brokerage and referral
arrangements or agreements between real estate brokers.
PAGE 36-HOUSE BILL 19-1172
(g) It shall not be a violation of this section for an affiliated business
arrangement:
(I) To require a buyer, borrower, or seller to pay for the services of
any attorney, credit reporting agency, or real estate appraiser chosen by the
lender to represent the lender's interest in a real estate transaction; or
(II) If an attorney or law firm represents a client in a real estate
transaction and issues or arranges for the issuance of a policy of title
insurance in the transaction directly as agent or through a separate corporate
title insurance agency that may be established by that attorney or law firm
and operated as an adjunct to his or her law practice.
(h) No person shall be liable for a violation of this section if such
THE person proves by a preponderance of the evidence that such THE
violation was not intentional and resulted from a bona fide error
notwithstanding maintenance of procedures that are reasonably adopted to
avoid such THE error.
(3) On and after July 1, 2006, a licensee shall disclose at the time the
licensee enters into or changes an affiliated business arrangement, in a form
and manner acceptable to the commission, the names of all affiliated
business arrangements to which the licensee is a party. The disclosure shall
include the physical locations of the affiliated businesses.
(4) On and after July 1, 2006, an employing broker, in a form and
manner acceptable to the commission, shall at least annually disclose the
names of all affiliated business arrangements to which the employing broker
is a party. The disclosure shall include the physical locations of the
affiliated businesses.
(5) The commission may promulgate rules concerning the creation
and conduct of an affiliated business arrangement, including, but not limited
to, rules defining what constitutes a sham affiliated business arrangement.
The commission shall adopt the rules, policies, or guidelines issued by the
United States department of housing and urban development concerning the
federal "Real Estate Settlement Procedures Act of 1974", as amended, 12
U.S.C. sec. 2601 et seq. Rules adopted by the commission shall be at least
as stringent as the federal rules and shall ensure that consumers are
adequately informed about affiliated business arrangements. The
PAGE 37-HOUSE BILL 19-1172
commission shall consult with the insurance commissioner pursuant to
section 10-11-124 (2), C.R.S., concerning rules, policies, or guidelines the
insurance commissioner adopts concerning affiliated business
arrangements. Neither the rules promulgated by the INSURANCE
commissioner nor the real estate commission may create a conflicting
regulatory burden on an affiliated business arrangement.
(6) The division OF REAL ESTATE may share information gathered
during an investigation of an affiliated business arrangement with the
division of insurance.
12-10-219. [Formerly 12-61-114] Hearing - administrative law
judge - review - rules. (1) Except as otherwise provided in this section, all
proceedings before the commission with respect to disciplinary actions and
denial of licensure under this part 1 2 and part 8 4 of this article 10 and
certifications issued under part 4 5 of this article 10 shall be conducted by
an administrative law judge pursuant to the provisions of sections 24-4-104
and 24-4-105. C.R.S.
(2) Such THE proceedings shall be held in the county where the
commission has its office or in such other place as the commission may
designate. If the licensee is an employed broker, the commission shall also
notify the broker employing the licensee by mailing, by first-class mail, a
copy of the written notice required under section 24-4-104 (3) C.R.S., to the
employing broker's last-known business address.
(3) An administrative law judge shall conduct all hearings for
denying, suspending, or revoking a license or certificate on behalf of the
commission, subject to appropriations made to the department of personnel.
Each administrative law judge shall be appointed pursuant to part 10 of
article 30 of title 24. C.R.S. The administrative law judge shall conduct the
hearing pursuant to the provisions of sections 24-4-104 and 24-4-105.
C.R.S. No license shall be denied, suspended, or revoked until the
commission has made its decision by a majority vote.
(4) The decision of the commission in any disciplinary action or
denial of licensure under this section is subject to review by the court of
appeals by appropriate proceedings under section 24-4-106 (11). In order
to effectuate the purposes of parts 1, 4, and 8 2, 4, AND 5 of this article 61
10, the commission has the power to promulgate rules pursuant to article 4
PAGE 38-HOUSE BILL 19-1172
of title 24. The commission may appear in court by its own attorney.
(5) Pursuant to said THE proceeding, the court has the right, in its
discretion, to stay the execution or effect of any final order of the
commission; but a hearing shall be held affording the parties an opportunity
to be heard for the purpose of determining whether the public health, safety,
and welfare would be endangered by staying the commission's order. If the
court determines that the order should be stayed, it shall also determine at
said THE hearing the amount of the bond and adequacy of the surety, which
bond shall be conditioned upon the faithful performance by such THE
petitioner of all obligations as a real estate broker and upon the prompt
payment of all damages arising from or caused by the delay in the taking
effect of or enforcement of the order complained of and for all costs that
may be assessed or required to be paid in connection with such THE
proceedings.
(6) In any hearing conducted by the commission in which there is
a possibility of the denial, suspension, or revocation of a license because of
the conviction of a felony or of a crime involving moral turpitude, the
commission shall be governed by the provisions of section 24-5-101. C.R.S.
12-10-220. [Formerly 12-61-114.5] Rules. All rules adopted or
amended by the commission are subject to sections 24-4-103 (8)(c) and
(8)(d) and 24-34-104 (6)(b). C.R.S.
12-10-221. [Formerly 12-61-117] Broker remuneration. It is
unlawful for a real estate broker registered in the commission office as in
the employ of another broker to accept a commission or valuable
consideration for the performance of any of the acts specified in this part 1
2 from any person except the broker's employer, who shall be a licensed real
estate broker.
12-10-222. [Formerly 12-61-118] Acts of third parties - broker's
liability. Any unlawful act or violation of any of the provisions of this part
1 2 upon the part of an employee, officer, or member of a licensed real
estate broker shall not be cause for disciplinary action against a real estate
broker, unless it appears to the satisfaction of the commission that the real
estate broker had actual knowledge of the unlawful act or violation or had
been negligent in the supervision of employees.
PAGE 39-HOUSE BILL 19-1172
12-10-223. [Formerly 12-61-119] Violations. Any natural person,
firm, partnership, limited liability company, association, or corporation
violating the provisions of this part 1 2 by acting as real estate broker in this
state without having obtained a license or by acting as real estate broker
after the broker's license has been revoked or during any period for which
said THE license may have been suspended is guilty of a misdemeanor and,
upon conviction thereof, if a natural person, shall be punished by a fine of
not more than five hundred dollars, or by imprisonment in the county jail
for not more than six months, or by both such fine and imprisonment and,
if an entity, shall be punished by a fine of not more than five thousand
dollars. A second violation, if by a natural person, shall be punishable by a
fine of not more than one thousand dollars, or by imprisonment in the
county jail for not more than six months, or by both such fine and
imprisonment.
12-10-224. [Formerly 12-61-120] Subpoena compelling
attendance of witnesses and production of records and documents. The
commission, the director, for the commission, or the administrative law
judge appointed for hearings may issue a subpoena compelling the
attendance and testimony of witnesses and the production of books, papers,
or records pursuant to an investigation or hearing of such THE commission.
Such THE subpoenas shall be served in the same manner as subpoenas
issued by district courts and shall be issued without discrimination between
public or private parties requiring the attendance of witnesses and the
production of documents at hearings. If a person fails or refuses to obey a
subpoena issued by the commission, the director, or the appointed
administrative law judge, the commission may petition the district court
having jurisdiction for issuance of a subpoena in the premises, and the court
shall, in a proper case, issue its subpoena. Any person who refuses to obey
such A subpoena shall be punished as provided in section 12-61-121
12-10-225.
12-10-225. [Formerly 12-61-121] Failure to obey subpoena -
penalty. Any person who willfully fails or neglects to appear and testify or
to produce books, papers, or records required by subpoena, duly served
upon him or her in any matter conducted under parts 1 2 and 4 5 of this
article 61 10, is guilty of a misdemeanor and, upon conviction thereof, shall
be punished by a fine of twenty-five dollars, or imprisonment in the county
jail for not more than thirty days for each such offense, or by both such fine
and imprisonment. Each day such A person so refuses or neglects constitutes
PAGE 40-HOUSE BILL 19-1172
a separate offense.
12-10-226. [Formerly 12-61-122] Powers of commission -
injunctions. The commission may apply to a court of competent
jurisdiction for an order enjoining any act or practice that constitutes a
violation of parts 1 and 4 2 AND 5 of this article 61 10, and, upon a showing
that a person is engaging or intends to engage in any such act or practice,
an injunction, restraining order, or other appropriate order shall be granted
by such THE court regardless of the existence of another remedy therefor.
Any notice, hearing, or duration of any injunction or restraining order shall
be made in accordance with the provisions of the Colorado rules of civil
procedure.
12-10-227. [Formerly 12-61-123] Repeal of part. This part 1 2 is
repealed, effective September 1, 2026. Before its THE repeal, the real estate
division, including the real estate commission, shall be reviewed IS
SCHEDULED FOR REVIEW in accordance with section 24-34-104.
PART 3
BROKERS' COMMISSIONS
12-10-301. [Formerly 12-61-201] When entitled to commission.
No real estate agent or broker is entitled to a commission for finding a
purchaser who is ready, willing, and able to complete the purchase of real
estate as proposed by the owner until the same is consummated or is
defeated by the refusal or neglect of the owner to consummate the same as
agreed upon.
12-10-302. [Formerly 12-61-202] Objections on account of title.
No real estate agent or broker is entitled to a commission when a proposed
purchaser fails or refuses to complete his OR HER contract of purchase
because of defects in the title of the owner, unless such THE owner, within
a reasonable time, has said THE defects corrected by legal proceedings or
otherwise.
12-10-303. [Formerly 12-61-203] When owner must perfect title.
The owner shall not be required to begin legal or other proceedings for the
correction of such A title until such THE agent or broker secures from the
proposed purchaser an enforceable contract in writing, binding him OR HER
to complete the purchase whenever the defects in the title are corrected.
PAGE 41-HOUSE BILL 19-1172
12-10-304. [Formerly 12-61-203.5] Referral fees - conformity
with federal law required - remedies for violation - definitions. (1) A
person licensed under parts 1 to 4 PART 2, 3, OR 5 of this article 10 shall not
pay or receive a referral fee except in accordance with the federal "Real
Estate Settlement Procedures Act of 1974", as amended, 12 U.S.C. sec.
2601 et seq., and unless reasonable cause for payment of the referral fee
exists. A reasonable cause for payment means:
(a) An actual introduction of business has been made;
(b) A contractual referral fee relationship exists; or
(c) A contractual cooperative brokerage relationship exists.
(2) (a) No person shall interfere with the brokerage relationship of
a licensee.
(b) As used in this subsection (2):
(I) "Brokerage relationship" means a relationship entered into
between a broker and a buyer, seller, landlord, or tenant under which the
broker engages in any of the acts set forth in section 12-61-101 (2)
12-10-201 (6). A brokerage relationship is not established until a written
brokerage agreement is entered into between the parties or is otherwise
established by law.
(II) "Interference "INTERFERE with the brokerage relationship"
means demanding a referral fee from a licensee without reasonable cause.
(III) "Referral fee" means any fee paid by a licensee to any person
or entity, other than a cooperative commission offered by a listing broker
to a selling broker or vice versa.
(3) Any person aggrieved by a violation of any provision of this
section may bring a civil action in a court of competent jurisdiction. The
prevailing party in any such action shall be entitled to actual damages and,
in addition, the court may award an amount up to three times the amount of
actual damages sustained as a result of any such violation plus reasonable
attorney fees.
PAGE 42-HOUSE BILL 19-1172
12-10-305. [Formerly 12-61-204] Repeal of part. This part 2 3 is
repealed, effective September 1, 2026. Before its THE repeal, this part 2 3
is scheduled for review in accordance with section 24-34-104.
PART 4
BROKERAGE RELATIONSHIPS
12-10-401. [Formerly 12-61-801] Legislative declaration. (1) The
general assembly finds, determines, and declares that the public will best be
served through a better understanding of the public's legal and working
relationships with real estate brokers and by being able to engage any such
real estate broker on terms and under conditions that the public and the real
estate broker find acceptable. This includes engaging a broker as a single
agent or transaction-broker. Individual members of the public should not be
exposed to liability for acts or omissions of real estate brokers that have not
been approved, directed, or ratified by such THE individuals. Further, the
public should be advised of the general duties, obligations, and
responsibilities of the real estate broker they engage.
(2) This part 8 4 is enacted to govern the relationships between real
estate brokers and sellers, landlords, buyers, and tenants in real estate
transactions.
12-10-402. [Formerly 12-61-802] Definitions. As used in this part
8 4, unless the context otherwise requires:
(1) "Broker" shall have the same meaning as set forth in section
12-61-101 (2) 12-10-201 (6), except as otherwise specified in this part 8 4.
(1.3) (2) "Customer" means a party to a real estate transaction with
whom the broker has no brokerage relationship because such THE party has
not engaged or employed a broker.
(1.5) (3) (a) "Designated broker" means an employing broker or
employed broker who is designated in writing by an employing broker to
serve as a single agent or transaction-broker for a seller, landlord, buyer, or
tenant in a real estate transaction.
(b) "Designated broker" does not include a real estate brokerage
firm that consists of only one licensed natural person.
PAGE 43-HOUSE BILL 19-1172
(2) (4) "Dual agent" means a broker who, with the written informed
consent of all parties to a contemplated real estate transaction, is engaged
as a limited agent for both the seller and buyer or both the landlord and
tenant.
(3) (5) "Limited agent" means an agent whose duties and obligations
to a principal are only those set forth in section 12-61-804 12-10-404 or
12-61-805 12-10-405, with any additional duties and obligations agreed to
pursuant to section 12-61-803 (5) 12-10-403 (5).
(4) (6) "Single agent" means a broker who is engaged by and
represents only one party in a real estate transaction. A single agent includes
the following:
(a) "Buyer's agent", which means a broker who is engaged by and
represents the buyer in a real estate transaction;
(b) "Landlord's agent", which means a broker who is engaged by and
represents the landlord in a leasing transaction;
(c) "Seller's agent", which means a broker who is engaged by and
represents the seller in a real estate transaction; and
(d) "Tenant's agent", which means a broker who is engaged by and
represents the tenant in a leasing transaction.
(5) (7) "Subagent" means a broker engaged to act for another broker
in performing brokerage tasks for a principal. The subagent owes the same
obligations and responsibilities to the principal as does the principal's
broker.
(6) (8) "Transaction-broker" means a broker who assists one or more
parties throughout a contemplated real estate transaction with
communication, interposition, advisement, negotiation, contract terms, and
the closing of such THE real estate transaction without being an agent or
advocate for the interests of any party to such THE transaction. Upon
agreement in writing pursuant to section 12-61-803 (2) 12-10-403 (2) or a
written disclosure pursuant to section 12-61-808 (2)(d) 12-10-408 (2)(c), a
transaction-broker may become a single agent.
PAGE 44-HOUSE BILL 19-1172
12-10-403. [Formerly 12-61-803] Relationships between brokers
and the public - definition - rules. (1) When engaged in any of the
activities enumerated in section 12-61-101 (2) 12-10-201 (6), a broker may
act in any transaction as a single agent or transaction-broker. The broker's
general duties and obligations arising from that relationship shall be
disclosed to the seller and the buyer or to the landlord and the tenant
pursuant to section 12-61-808 12-10-408.
(2) A broker shall be considered a transaction-broker unless a single
agency relationship is established through a written agreement between the
broker and the party or parties to be represented by such THE broker.
(3) A broker may work with a single party in separate transactions
pursuant to different relationships including, but not limited to, selling one
property as a seller's agent and working with that seller in buying another
property as a transaction-broker or buyer's agent, but only if the broker
complies with this part 8 4 in establishing the relationships for each
transaction.
(4) (a) A broker licensed pursuant to part 1 2 of this article 10,
whether acting as a single agent or transaction-broker, may complete
standard forms for use in a real estate transaction, including standard forms
intended to convey personal property as part of the real estate transaction,
when a broker is performing the activities enumerated or referred to in
section 12-61-101 (2) 12-10-201 (6) in the transaction.
(b) As used in this subsection (4), "standard form" means:
(I) A form promulgated by the real estate commission for current
use by brokers, also referred to in this section as a "commission-approved
form";
(II) A form drafted by a licensed Colorado attorney representing the
broker, employing broker, or brokerage firm, so long as the name of the
attorney or law firm and the name of the broker, employing broker, or
brokerage firm for whom the form is prepared are included on the form
itself;
(III) A form provided by a party to the transaction if the broker is
acting in the transaction as either a transaction-broker or as a single agent
PAGE 45-HOUSE BILL 19-1172
for the party providing the form to the broker, so long as the broker retains
written confirmation that the form was provided by a party to the
transaction;
(IV) A form prescribed by a governmental agency, a
quasi-governmental agency, or a lender regulated by state or federal law, if
use of the form is mandated by such THE agency or lender;
(V) A form issued with the written approval of the Colorado Bar
Association or its successor organization and specifically designated for use
by brokers in Colorado, so long as the form is used within any guidelines
or conditions specified by the Colorado Bar Association or successor
organization in connection with the use of the form;
(VI) A form used for disclosure purposes only, if the disclosure does
not purport to waive or create any legal rights or obligations affecting any
party to the transaction and if the form provides only information
concerning either:
(A) The real estate involved in the transaction specifically; or
(B) The geographic area in which the real estate is located generally;
(VII) A form prescribed by a title company that is providing closing
services in a transaction for which the broker is acting either as a
transaction-broker or as a single agent for a party to the transaction; or
(VIII) A letter of intent created or prepared by a broker, employing
broker, or brokerage firm, so long as the letter of intent states on its face
that it is nonbinding and creates no legal rights or obligations.
(c) A broker shall use a commission-approved form when such a
form exists and is appropriate for the transaction. A broker's use of any
standard form described in subsection (4)(b)(III) or (4)(b)(IV) of this
section must be limited to inserting transaction-specific information within
the form. In using standard forms described in subsection (4)(b)(II),
(4)(b)(V), (4)(b)(VI), (4)(b)(VII), or (4)(b)(VIII) of this section, the broker
may also advise the parties as to effects thereof, and the broker's use of
those standard forms must be appropriate for the transaction and the
circumstances in which they are used. In any transaction described in this
PAGE 46-HOUSE BILL 19-1172
subsection (4), the broker shall advise the parties that the forms have
important legal consequences and that the parties should consult legal
counsel before signing such THE forms.
(5) Nothing contained in this section shall prohibit the public from
entering into written contracts with any broker which THAT contain duties,
obligations, or responsibilities which THAT are in addition to those specified
in this part 8 4.
(6) (a) If a real estate brokerage firm has more than one licensed
natural person, the employing broker or an individual broker employed or
engaged by that employing broker shall be designated to work with the
seller, landlord, buyer, or tenant as a designated broker. The employing
broker may designate more than one of its individual brokers to work with
a seller, landlord, buyer, or tenant.
(b) The brokerage relationship established between the seller,
landlord, buyer, or tenant and a designated broker, including the duties,
obligations, and responsibilities of that relationship, shall not extend to the
employing broker nor to any other broker employed or engaged by that
employing broker who has not been so designated and shall not extend to
the firm, partnership, limited liability company, association, corporation, or
other entity that employs such THE broker.
(c) A real estate broker may have designated brokers working as
single agents for a seller or landlord and a buyer or tenant in the same real
estate transaction without creating dual agency for the employing real estate
broker, or any broker employed or engaged by that employing real estate
broker.
(d) An individual broker may be designated to work for both a seller
or landlord and a buyer or tenant in the same transaction as a
transaction-broker for both, as a single agent for the seller or landlord
treating the buyer or tenant as a customer, or as a single agent for a buyer
or tenant treating the seller or landlord as a customer, but not as a single
agent for both. The applicable designated broker relationship shall be
disclosed in writing to the seller or landlord and buyer or tenant in a timely
manner pursuant to rules promulgated by the real estate commission.
(e) A designated broker may work with a seller or landlord in one
PAGE 47-HOUSE BILL 19-1172
transaction and work with a buyer or tenant in another transaction.
(f) When a designated broker serves as a single agent pursuant to
section 12-61-804 12-10-404 or 12-61-805 12-10-405, there shall be no
imputation of knowledge to the employing or employed broker who has not
been so designated.
(g) The extent and limitations of the brokerage relationship with the
designated broker shall be disclosed to the seller, landlord, buyer, or tenant
working with that designated broker pursuant to section 12-61-808
12-10-408.
(7) No seller, buyer, landlord, or tenant shall be vicariously liable for
a broker's acts or omissions that have not been approved, directed, or
ratified by such THE seller, buyer, landlord, or tenant.
(8) Nothing in this section shall be construed to limit the employing
broker's or firm's responsibility to supervise licensees employed by such
THE broker or firm nor to shield such THE broker or firm from vicarious
liability.
12-10-404. [Formerly 12-61-804] Single agent engaged by seller
or landlord. (1) A broker engaged by a seller or landlord to act as a seller's
agent or a landlord's agent is a limited agent with the following duties and
obligations:
(a) To perform the terms of the written agreement made with the
seller or landlord;
(b) To exercise reasonable skill and care for the seller or landlord;
(c) To promote the interests of the seller or landlord with the utmost
good faith, loyalty, and fidelity, including, but not limited to:
(I) Seeking a price and terms which THAT are acceptable to the seller
or landlord; except that the broker shall not be obligated to seek additional
offers to purchase the property while the property is subject to a contract for
sale or to seek additional offers to lease the property while the property is
subject to a lease or letter of intent to lease;
PAGE 48-HOUSE BILL 19-1172
(II) Presenting all offers to and from the seller or landlord in a
timely manner regardless of whether the property is subject to a contract for
sale or a lease or letter of intent to lease;
(III) Disclosing to the seller or landlord adverse material facts
actually known by the broker;
(IV) Counseling the seller or landlord as to any material benefits or
risks of a transaction which THAT are actually known by the broker;
(V) Advising the seller or landlord to obtain expert advice as to
material matters about which the broker knows but the specifics of which
are beyond the expertise of such THE broker;
(VI) Accounting in a timely manner for all money and property
received; and
(VII) Informing the seller or landlord that such THE seller or
landlord shall not be vicariously liable for the acts of such THE seller's or
landlord's agent that are not approved, directed, or ratified by such THE
seller or landlord;
(d) To comply with all requirements of this article 10 and any rules
promulgated pursuant to this article 10; and
(e) To comply with any applicable federal, state, or local laws, rules,
regulations, or ordinances including fair housing and civil rights statutes or
regulations.
(2) The following information shall not be disclosed by a broker
acting as a seller's or landlord's agent without the informed consent of the
seller or landlord:
(a) That a seller or landlord is willing to accept less than the asking
price or lease rate for the property;
(b) What the motivating factors are for the party selling or leasing
the property;
(c) That the seller or landlord will agree to financing terms other
PAGE 49-HOUSE BILL 19-1172
than those offered;
(d) Any material information about the seller or landlord unless
disclosure is required by law or failure to disclose such THE information
would constitute fraud or dishonest dealing; or
(e) Any facts or suspicions regarding circumstances which THAT
may psychologically impact or stigmatize any real property pursuant to
section 38-35.5-101. C.R.S.
(3) (a) A broker acting as a seller's or landlord's agent owes no duty
or obligation to the buyer or tenant; except that a broker shall, subject to the
limitations of section 38-35.5-101, C.R.S., concerning psychologically
impacted property, disclose to any prospective buyer or tenant all adverse
material facts actually known by such THE broker. Such THE adverse
material facts may include but shall not be limited to adverse material facts
pertaining to the title and the physical condition of the property, any
material defects in the property, and any environmental hazards affecting
the property which THAT are required by law to be disclosed.
(b) A seller's or landlord's agent owes no duty to conduct an
independent inspection of the property for the benefit of the buyer or tenant
and owes no duty to independently verify the accuracy or completeness of
any statement made by such THE seller or landlord or any independent
inspector.
(4) A seller's or landlord's agent may show alternative properties not
owned by such THE seller or landlord to prospective buyers or tenants and
may list competing properties for sale or lease and not be deemed to have
breached any duty or obligation to such THE seller or landlord.
(5) A designated broker acting as a seller's or landlord's agent may
cooperate with other brokers but may not engage or create any subagents.
12-10-405. [Formerly 12-61-805] Single agent engaged by buyer
or tenant. (1) A broker engaged by a buyer or tenant to act as a buyer's or
tenant's agent shall be a limited agent with the following duties and
obligations:
(a) To perform the terms of the written agreement made with the
PAGE 50-HOUSE BILL 19-1172
buyer or tenant;
(b) To exercise reasonable skill and care for the buyer or tenant;
(c) To promote the interests of the buyer or tenant with the utmost
good faith, loyalty, and fidelity, including, but not limited to:
(I) Seeking a price and terms which THAT are acceptable to the
buyer or tenant; except that the broker shall not be obligated to seek other
properties while the buyer is a party to a contract to purchase property or
while the tenant is a party to a lease or letter of intent to lease;
(II) Presenting all offers to and from the buyer or tenant in a timely
manner regardless of whether the buyer is already a party to a contract to
purchase property or the tenant is already a party to a contract or a letter of
intent to lease;
(III) Disclosing to the buyer or tenant adverse material facts actually
known by the broker;
(IV) Counseling the buyer or tenant as to any material benefits or
risks of a transaction which THAT are actually known by the broker;
(V) Advising the buyer or tenant to obtain expert advice as to
material matters about which the broker knows but the specifics of which
are beyond the expertise of such THE broker;
(VI) Accounting in a timely manner for all money and property
received; and
(VII) Informing the buyer or tenant that such THE buyer or tenant
shall not be vicariously liable for the acts of such THE buyer's or tenant's
agent that are not approved, directed, or ratified by such THE buyer or
tenant;
(d) To comply with all requirements of this article 10 and any rules
promulgated pursuant to this article 10; and
(e) To comply with any applicable federal, state, or local laws, rules,
regulations, or ordinances including fair housing and civil rights statutes or
PAGE 51-HOUSE BILL 19-1172
regulations.
(2) The following information shall not be disclosed by a broker
acting as a buyer's or tenant's agent without the informed consent of the
buyer or tenant:
(a) That a buyer or tenant is willing to pay more than the purchase
price or lease rate for the property;
(b) What the motivating factors are for the party buying or leasing
the property;
(c) That the buyer or tenant will agree to financing terms other than
those offered;
(d) Any material information about the buyer or tenant unless
disclosure is required by law or failure to disclose such THE information
would constitute fraud or dishonest dealing; or
(e) Any facts or suspicions regarding circumstances which THAT
would psychologically impact or stigmatize any real property pursuant to
section 38-35.5-101. C.R.S.
(3) (a) A broker acting as a buyer's or tenant's agent owes no duty
or obligation to the seller or landlord; except that such THE broker shall
disclose to any prospective seller or landlord all adverse material facts
actually known by the broker including but not limited to adverse material
facts concerning the buyer's or tenant's financial ability to perform the terms
of the transaction and whether the buyer intends to occupy the property to
be purchased as a principal residence.
(b) A buyer's or tenant's agent owes no duty to conduct an
independent investigation of the buyer's or tenant's financial condition for
the benefit of the seller or landlord and owes no duty to independently
verify the accuracy or completeness of statements made by such THE buyer
or tenant or any independent inspector.
(4) A buyer's or tenant's agent may show properties in which the
buyer or tenant is interested to other prospective buyers or tenants without
breaching any duty or obligation to such THE buyer or tenant. Nothing in
PAGE 52-HOUSE BILL 19-1172
this section shall be construed to prohibit a buyer's or tenant's agent from
showing competing buyers or tenants the same property and from assisting
competing buyers or tenants in attempting to purchase or lease a particular
property.
(5) A broker acting as a buyer's or tenant's agent owes no duty to
conduct an independent inspection of the property for the benefit of the
buyer or tenant and owes no duty to independently verify the accuracy or
completeness of statements made by the seller, landlord, or independent
inspectors; except that nothing in this subsection (5) shall be construed to
limit the broker's duties and obligations imposed pursuant to subsection (1)
of this section.
(6) A broker acting as a buyer's or tenant's agent may cooperate with
other brokers but may not engage or create any subagents.
12-10-406. [Formerly 12-61-806] Dual agent. (1) A broker shall
not establish dual agency with any seller, landlord, buyer, or tenant.
(2) to (6) (Deleted by amendment, L. 2002, p. 1060, § 6, effective
January 1, 2003.)
12-10-407. [Formerly 12-61-807] Transaction-broker. (1) A
broker engaged as a transaction-broker is not an agent for either party.
(2) A transaction-broker shall have the following obligations and
responsibilities:
(a) To perform the terms of any written or oral agreement made with
any party to the transaction;
(b) To exercise reasonable skill and care as a transaction-broker,
including, but not limited to:
(I) Presenting all offers and counteroffers in a timely manner
regardless of whether the property is subject to a contract for sale or lease
or letter of intent;
(II) Advising the parties regarding the transaction and suggesting
that such THE parties obtain expert advice as to material matters about
PAGE 53-HOUSE BILL 19-1172
which the transaction-broker knows but the specifics of which are beyond
the expertise of such THE broker;
(III) Accounting in a timely manner for all money and property
received;
(IV) Keeping the parties fully informed regarding the transaction;
(V) Assisting the parties in complying with the terms and conditions
of any contract including closing the transaction;
(VI) Disclosing to all prospective buyers or tenants any adverse
material facts actually known by the broker including but not limited to
adverse material facts pertaining to the title, the physical condition of the
property, any defects in the property, and any environmental hazards
affecting the property required by law to be disclosed;
(VII) Disclosing to any prospective seller or landlord all adverse
material facts actually known by the broker including but not limited to
adverse material facts pertaining to the buyer's or tenant's financial ability
to perform the terms of the transaction and the buyer's intent to occupy the
property as a principal residence; and
(VIII) Informing the parties that as seller and buyer or as landlord
and tenant they shall not be vicariously liable for any acts of the
transaction-broker;
(c) To comply with all requirements of this article 10 and any rules
promulgated pursuant to this article 10; and
(d) To comply with any applicable federal, state, or local laws, rules,
regulations, or ordinances including fair housing and civil rights statutes or
regulations.
(3) The following information shall not be disclosed by a
transaction-broker without the informed consent of all parties:
(a) That a buyer or tenant is willing to pay more than the purchase
price or lease rate offered for the property;
PAGE 54-HOUSE BILL 19-1172
(b) That a seller or landlord is willing to accept less than the asking
price or lease rate for the property;
(c) What the motivating factors are for any party buying, selling, or
leasing the property;
(d) That a seller, buyer, landlord, or tenant will agree to financing
terms other than those offered;
(e) Any facts or suspicions regarding circumstances which THAT
may psychologically impact or stigmatize any real property pursuant to
section 38-35.5-101; C.R.S.; or
(f) Any material information about the other party unless disclosure
is required by law or failure to disclose such THE information would
constitute fraud or dishonest dealing.
(4) A transaction-broker has no duty to conduct an independent
inspection of the property for the benefit of the buyer or tenant and has no
duty to independently verify the accuracy or completeness of statements
made by the seller, landlord, or independent inspectors.
(5) A transaction-broker has no duty to conduct an independent
investigation of the buyer's or tenant's financial condition or to verify the
accuracy or completeness of any statement made by the buyer or tenant.
(6) A transaction-broker may do the following without breaching
any obligation or responsibility:
(a) Show alternative properties not owned by the seller or landlord
to a prospective buyer or tenant;
(b) List competing properties for sale or lease;
(c) Show properties in which the buyer or tenant is interested to
other prospective buyers or tenants; and
(d) Serve as a single agent or transaction-broker for the same or for
different parties in other real estate transactions.
PAGE 55-HOUSE BILL 19-1172
(7) There shall be no imputation of knowledge or information
between any party and the transaction-broker or among persons within an
entity engaged as a transaction-broker.
(8) A transaction-broker may cooperate with other brokers but shall
not engage or create any subagents.
12-10-408. [Formerly 12-61-808] Broker disclosures. (1) (a) Any
person, firm, partnership, limited liability company, association, or
corporation acting as a broker shall adopt a written office policy that
identifies and describes the relationships offered to the public by such THE
broker.
(b) A broker shall not be required to offer or engage in any one or
in all of the brokerage relationships enumerated in section 12-61-804,
12-61-805 12-10-404, 12-10-405, or 12-61-807 12-10-407.
(c) Written disclosures and written agreements required by
subsection (2) of this section shall contain a statement to the seller,
landlord, buyer, or tenant that different brokerage relationships are available
that include buyer agency, seller agency, or status as a transaction-broker.
Should the seller, landlord, buyer, or tenant request information or ask
questions concerning a brokerage relationship not offered by the broker
pursuant to the broker's written office policy enumerated in subsection
(1)(a) of this section, the broker shall provide to the party a written
definition of that brokerage relationship that has been promulgated by the
Colorado real estate commission.
(d) Disclosures made in accordance with this part 8 4 shall be
sufficient to disclose brokerage relationships to the public.
(2) (a) (I) Prior to engaging in any of the activities enumerated in
section 12-61-101 (2) 12-10-201 (6), a transaction-broker shall disclose in
writing to the party to be assisted that such THE broker is not acting as agent
for such THE party and that such THE broker is acting as a
transaction-broker.
(II) As part of each relationship entered into by a broker pursuant to
subparagraph (I) of this paragraph (a) SUBSECTION (2)(a)(I) OF THIS
SECTION, written disclosure shall be made which THAT shall contain a
PAGE 56-HOUSE BILL 19-1172
signature block for the buyer, seller, landlord, or tenant to acknowledge
receipt of such THE disclosure. Such THE disclosure and acknowledgment,
by itself, shall not constitute a contract with the broker. If such THE buyer,
seller, landlord, or tenant chooses not to sign the acknowledgment, the
broker shall note that fact on a copy of the disclosure and shall retain such
THE copy.
(III) If the transaction-broker undertakes any obligations or
responsibilities in addition to or different from those set forth in section
12-61-807, such 12-10-407, THE obligations or responsibilities shall be
disclosed in a writing which THAT shall be signed by the involved parties.
(b) Prior to engaging in any of the activities enumerated in section
12-61-101 (2) 12-10-201 (6), a broker intending to establish a single agency
relationship with a seller, landlord, buyer, or tenant shall enter into a written
agency agreement with the party to be represented. Such THE agreement
shall disclose the duties and responsibilities specified in section 12-61-804
12-10-404 or 12-61-805 12-10-405, as applicable. Notice of the single
agency relationship shall be furnished to any prospective party to the
proposed transaction in a timely manner.
(c) (Deleted by amendment, L. 2002, p. 1061, § 8, effective January
1, 2003.)
(d) (c) (I) Prior to engaging in any of the activities enumerated in
section 12-61-101 (2) 12-10-201 (6), a broker intending to work with a
buyer or tenant as an agent of the seller or landlord shall provide a written
disclosure to such THE buyer or tenant that shall contain the following:
(A) A statement that the broker is an agent for the seller or landlord
and is not an agent for the buyer or tenant;
(B) A list of the tasks that the agent intends to perform for the seller
or landlord with the buyer or tenant; and
(C) A statement that the buyer or tenant shall not be vicariously
liable for the acts of the agent unless the buyer or tenant approves, directs,
or ratifies such THE acts.
(II) The written disclosure required pursuant to subparagraph (I) of
PAGE 57-HOUSE BILL 19-1172
this paragraph (d) SUBSECTION (2)(c)(I) OF THIS SECTION shall contain a
signature block for the buyer or tenant to acknowledge receipt of such THE
disclosure. Such THE disclosure and acknowledgment, by itself, shall not
constitute a contract with the broker. If the buyer or tenant does not sign
such THE disclosure, the broker shall note that fact on a copy of such THE
disclosure and retain such THE copy.
(e) (Deleted by amendment, L. 2002, p. 1061, § 8, effective January
1, 2003.)
(f) (d) A broker who has already established a relationship with one
party to a proposed transaction shall advise at the earliest reasonable
opportunity any other potential parties or their agents of such THE
established relationship.
(g) (e) (I) Prior to engaging in any of the activities enumerated in
section 12-61-101 (2) 12-10-201 (6), the seller, buyer, landlord, or tenant
shall be advised in any written agreement with a broker that the brokerage
relationship exists only with the designated broker, does not extend to the
employing broker or to any other brokers employed or engaged by the
employing broker who are not so designated, and does not extend to the
brokerage company.
(II) Nothing in this paragraph (g) SUBSECTION (2)(e) shall be
construed to limit the employing broker's or firm's responsibility to
supervise licensees employed by such THE broker or firm nor to shield such
THE broker or firm from vicarious liability.
12-10-409. [Formerly 12-61-809] Duration of relationship.
(1) (a) The relationships set forth in this part 8 4 shall commence at the
time that the broker is engaged by a party and shall continue until
performance or completion of the agreement by which the broker was
engaged.
(b) If the agreement by which the broker was engaged is not
performed or completed for any reason, the relationship shall end at the
earlier of the following:
(I) Any date of expiration agreed upon by the parties;
PAGE 58-HOUSE BILL 19-1172
(II) Any termination or relinquishment of the relationship by the
parties; or
(III) One year after the date of the engagement.
(2) (a) Except as otherwise agreed to in writing and pursuant to
paragraph (b) of this subsection (2) SUBSECTION (2)(b) OF THIS SECTION, a
broker engaged as a seller's agent or buyer's agent owes no further duty or
obligation after termination or expiration of the contract or completion of
performance.
(b) Notwithstanding paragraph (a) of this subsection (2) SUBSECTION
(2)(a) OF THIS SECTION, a broker shall be responsible after termination or
expiration of the contract or completion of performance for the following:
(I) Accounting for all moneys MONEY and property related to and
received during the engagement; and
(II) Keeping confidential all information received during the course
of the engagement which THAT was made confidential by request or
instructions from the engaging party unless:
(A) The engaging party grants written consent to disclose such THE
information;
(B) Disclosure of such THE information is required by law; or
(C) The information is made public or becomes public by the words
or conduct of the engaging party or from a source other than the broker.
(3) Except as otherwise agreed to in writing, a transaction-broker
owes no further obligation or responsibility to the engaging party after
termination or expiration of the contract for performance or completion of
performance; except that such THE broker shall account for all moneys
MONEY and property related to and received during the engagement.
12-10-410. [Formerly 12-61-810] Compensation. (1) In any real
estate transaction, the broker's compensation may be paid by the seller, the
buyer, the landlord, the tenant, a third party, or by the sharing or splitting of
a commission or compensation between brokers.
PAGE 59-HOUSE BILL 19-1172
(2) Payment of compensation shall not be construed to establish an
agency relationship between the broker and the party who paid such THE
compensation.
(3) A seller or landlord may agree that a transaction-broker or single
agent may share the commission or other compensation paid by such THE
seller or landlord with another broker.
(4) A buyer or tenant may agree that a single agent or
transaction-broker may share the commission or other compensation paid
by such THE buyer or tenant with another broker.
(5) A buyer's or tenant's agent shall obtain the written approval of
such THE buyer or tenant before such THE agent may propose to the seller's
or landlord's agent that such THE buyer's or tenant's agent be compensated
by sharing compensation paid by such THE seller or landlord.
(6) Prior to entering into a brokerage or listing agreement or a
contract to buy, sell, or lease, the identity of those parties, persons, or
entities paying compensation or commissions to any broker shall be
disclosed to the parties to the transaction.
(7) A broker may be compensated by more than one party for
services in a transaction if those parties have consented in writing to such
multiple payments prior to entering into a contract to buy, sell, or lease.
12-10-411. [Formerly 12-61-811] Violations. The violation of any
provision of this part 8 4 by a broker constitutes an act pursuant to section
12-61-113 (1)(k) 12-10-217 (1)(m) for which the real estate commission
may investigate and take administrative action against any such broker
pursuant to sections 12-61-113 12-10-217 and 12-61-114 12-10-219.
PART 5
SUBDIVISIONS
12-10-501. [Formerly 12-61-401] Definitions. As used in this part
4 5, unless the context otherwise requires:
(1) "Commission" means the real estate commission established
under section 12-61-105 12-10-206.
PAGE 60-HOUSE BILL 19-1172
(2) "Developer" means any person, as defined in section 2-4-401 (8),
C.R.S., which THAT participates as owner, promoter, or sales agent in the
promotion, sale, or lease of a subdivision or any part thereof.
(2.5) "HOA" or "homeowners' association" means an association or
unit owners' association formed before, on, or after July 1, 1992, as part of
a common interest community as defined in section 38-33.3-103, C.R.S.
(3) (a) "Subdivision" means any real property divided into twenty
or more interests intended solely for residential use and offered for sale,
lease, or transfer.
(b) (I) The term "subdivision" also includes:
(A) The conversion of an existing structure into a common interest
community, AS DEFINED IN ARTICLE 33.3 OF TITLE 38, of twenty or more
residential units; as defined in article 33.3 of title 38, C.R.S.;
(B) A group of twenty or more time shares intended for residential
use; and
(C) A group of twenty or more proprietary leases in a cooperative
housing corporation, as defined DESCRIBED in article 33.5 of title 38. C.R.S.
(II) The term "subdivision" does not include:
(A) The selling of memberships in campgrounds;
(B) Bulk sales and transfers between developers;
(C) Property upon which there has been or upon which there will be
erected residential buildings that have not been previously occupied and
where the consideration paid for such THE property includes the cost of such
THE buildings;
(D) Lots which THAT, at the time of closing of a sale or occupancy
under a lease, are situated on a street or road and street or road system
improved to standards at least equal to streets and roads maintained by the
county, city, or town in which the lots are located; have a feasible plan to
provide potable water and sewage disposal; and have telephone and
PAGE 61-HOUSE BILL 19-1172
electricity facilities and systems adequate to serve the lots, which facilities
and systems are installed and in place on the lots or in a street, road, or
easement adjacent to the lots and which facilities and systems comply with
applicable state, county, municipal, or other local laws, rules, and
regulations; or any subdivision that has been or is required to be approved
after September 1, 1972, by a regional, county, or municipal planning
authority pursuant to article 28 of title 30 or article 23 of title 31; C.R.S.;
(E) Sales by public officials in the official conduct of their duties.
(4) "Time share" means a time share estate, as defined in section
38-33-110 (5), C.R.S., or a time share use, but the term does not include
group reservations made for convention purposes as a single transaction
with a hotel, motel, or condominium owner or association. For the purposes
of this subsection (4), "time share use" means a contractual or membership
right of occupancy, which THAT cannot be terminated at the will of the
owner, for life or for a term of years, to the recurrent, exclusive use or
occupancy of a lot, parcel, unit, or specific or nonspecific segment of real
property, annually or on some other periodic basis, for a period of time that
has been or will be allotted from the use or occupancy periods into which
the property has been divided.
12-10-502. [Formerly 12-61-402] Registration required.
(1) Unless exempt under the provisions of section 12-61-401 (3) 12-10-501
(3), a developer, before selling, leasing, or transferring or agreeing or
negotiating to sell, lease, or transfer, directly or indirectly, any subdivision
or any part thereof, shall register pursuant to this part 4 5.
(2) Upon approval by the commission, a developer who has applied
for registration pursuant to section 12-61-403 12-10-503 may offer
reservations in a subdivision during the pendency of such THE application
and until such THE application is granted or denied if the fees for such THE
reservations are held in trust by an independent third party and are fully
refundable.
12-10-503. [Formerly 12-61-403] Application for registration.
(1) Every person who is required to register as a developer under this part
4 5 shall submit to the commission an application which THAT contains the
information described in subsections (2) and (3) of this section. If such THE
information is not submitted, the commission may deny the application for
PAGE 62-HOUSE BILL 19-1172
registration. If a developer is currently regulated in another state that has
registration requirements substantially equivalent to the requirements of this
part 4 5 or that provide substantially comparable protection to a purchaser,
the commission may accept proof of such THE registration along with the
developer's disclosure or equivalent statement from the other state in full or
partial satisfaction of the information required by this section. In addition,
the applicant shall be under a continuing obligation to notify the
commission within ten days of any change in the information so submitted,
and a failure to do so shall be a cause for disciplinary action.
(2) (a) Registration information concerning the developer shall
include:
(I) The principal office of the applicant wherever situate;
(II) The location of the principal office and the branch offices of the
applicant in this state;
(III) Repealed.
(IV) (III) The names and residence and business addresses of all
natural persons who have a twenty-four percent or greater financial or
ultimate beneficial interest in the business of the developer, either directly
or indirectly, as principal, manager, member, partner, officer, director, or
stockholder, specifying each such person's capacity, title, and percentage of
ownership. If no natural person has a twenty-four percent or greater
financial or beneficial interest in the business of the developer, the
information required in this subparagraph (IV) SUBSECTION (2)(a)(III) shall
be submitted regarding the natural person having the largest single financial
or beneficial interest.
(V) (IV) The length of time and the locations where the applicant
has been engaged in the business of real estate sales or development;
(VI) (V) Any felony of which the applicant has been convicted
within the preceding ten years. In determining whether a certificate of
registration shall be issued to an applicant who has been convicted of a
felony within such period of time, the commission shall be governed by the
provisions of section 24-5-101. C.R.S.
PAGE 63-HOUSE BILL 19-1172
(VII) (VI) The states in which the applicant has had a license or
registration similar to the developer's registration in this state granted,
refused, suspended, or revoked or is currently the subject of an investigation
or charges that could result in refusal, suspension, or revocation;
(VIII) (VII) Whether the developer or any other person financially
interested in the business of the developer as principal, partner, officer,
director, or stockholder has engaged in any activity that would constitute a
violation of this part 4 5.
(b) If the applicant is a corporate developer, a copy of the certificate
of authority to do business in this state or a certificate of incorporation
issued by the secretary of state shall accompany the application.
(3) Registration information concerning the subdivision shall
include:
(a) The location of each subdivision from which sales are intended
to be made;
(b) The name of each subdivision and the trade, corporate, or
partnership name used by the developer;
(c) Evidence or certification that each subdivision offered for sale
or lease is registered or will be registered in accordance with state or local
requirements of the state in which each subdivision is located;
(d) Copies of documents evidencing the title or other interest in the
subdivision;
(e) If there is a blanket encumbrance upon the title of the
subdivision or any other ownership, leasehold, or contractual interest that
could defeat all possessory or ownership rights of a purchaser, a copy of the
instruments creating such THE liens, encumbrances, or interests, with dates
as to the recording, along with documentary evidence that any beneficiary,
mortgagee, or trustee of a deed of trust or any other holder of such THE
ownership, leasehold, or contractual interest will release any lot or time
share from the blanket encumbrance or has subordinated its interest in the
subdivision to the interest of any purchaser or has established any other
arrangement acceptable to the real estate commission that protects the rights
PAGE 64-HOUSE BILL 19-1172
of the purchaser;
(f) A statement that standard commission-approved forms will be
used for contracts of sale, notes, deeds, and other legal documents used to
effectuate the sale or lease of the subdivision or any part thereof, unless the
forms to be used were prepared by an attorney representing the developer;
(g) A true statement by the developer that, in any conveyance by
means of an installment contract, the purchaser shall be advised to record
the contract with the proper authorities in the jurisdiction in which the
subdivision is located. In no event shall any developer specifically prohibit
the recording of the installment contract.
(h) A true statement by the developer of the provisions for and
availability of legal access, sewage disposal, and public utilities, including
water, electricity, gas, and telephone facilities, in the subdivision offered for
sale or lease, including whether such are to be a developer or purchaser
expense;
(i) A true statement as to whether or not a survey of each lot, site,
or tract offered for sale or lease from such THE subdivision has been made
and whether survey monuments are in place;
(i.5) (j) A true statement by the developer as to whether or not a
common interest community is to be or has been created within the
subdivision and whether or not such THE common interest community is or
will be a small cooperative or small and limited expense planned
community created pursuant to section 38-33.3-116; C.R.S.;
(j) (k) A true statement by the developer concerning the existence
of any common interest community association, including whether the
developer controls funds in such THE association.
(3.5) (4) The commission may disapprove the form of the
documents submitted pursuant to paragraph (f) of subsection (3)
SUBSECTION (3)(f) of this section and may deny an application for
registration until such time as the applicant submits such THE documents in
a form that is satisfactory to the commission.
(4) Repealed.
PAGE 65-HOUSE BILL 19-1172
(5) Each registration shall be accompanied by fees established
pursuant to section 12-61-111.5 12-10-215.
12-10-504. [Formerly 12-61-404] Registration of developers.
(1) The commission shall register all applicants who meet the requirements
of this part 4 5 and provide each applicant so registered with a certificate
indicating that the developer named therein is registered in the state of
Colorado as a subdivision developer. The developer which THAT will sign
as seller or lessor in any contract of sale, lease, or deed purporting to convey
any site, tract, lot, or divided or undivided interest from a subdivision shall
secure a certificate before offering, negotiating, or agreeing to sell, lease,
or transfer before such THE sale, lease, or transfer is made. If such person
or entity is acting only as a trustee, the beneficial owner of the subdivision
shall secure a certificate. A certificate issued to a developer shall entitle all
sales agents and employees of such THE developer to act in the capacity of
a developer as agent for such THE developer. The developer shall be
responsible for all actions of such THE sales agents and employees.
(2) All certificates issued under this section shall expire on
December 31 following the date of issuance. In the absence of any reason
or condition under this part 4 5 that might warrant the denial or revocation
of a registration, a certificate shall be renewed by payment of a renewal fee
established pursuant to section 12-61-111.5 12-10-215. A registration that
has expired may be reinstated within two years after such THE expiration
upon payment of the appropriate renewal fee if the applicant meets all other
requirements of this part 4 5.
(3) All fees collected under this part 4 5 shall be deposited in
accordance with section 12-61-111 12-10-214.
(4) With regard to any subdivision for which the information
required by section 12-61-403 (3) 12-10-503 (3) has not been previously
submitted to the commission, each registered developer shall register such
THE subdivision by providing the commission with such THE information
before sale, lease, or transfer, or negotiating or agreeing to sell, lease, or
transfer, any such subdivision or any part thereof.
12-10-505. [Formerly 12-61-405] Refusal, revocation, or
suspension of registration - letter of admonition - probation. (1) The
commission may impose an administrative fine not to exceed two thousand
PAGE 66-HOUSE BILL 19-1172
five hundred dollars for each separate offense; may issue a letter of
admonition; may place a registrant on probation under its close supervision
on such terms and for such time as it deems appropriate; and may refuse,
revoke, or suspend the registration of any developer or registrant if, after an
investigation and after notice and a hearing pursuant to the provisions of
section 24-4-104, C.R.S., the commission determines that the developer or
any director, officer, or stockholder with controlling interest in the
corporation:
(a) Has used false or misleading advertising or has made a false or
misleading statement or a concealment in his OR HER application for
registration;
(b) Has misrepresented or concealed any material fact from a
purchaser of any interest in a subdivision;
(c) Has employed any device, scheme, or artifice with intent to
defraud a purchaser of any interest in a subdivision;
(d) Has been convicted of or pled guilty or nolo contendere to a
crime involving fraud, deception, false pretense, theft, misrepresentation,
false advertising, or dishonest dealing in any court;
(e) Has disposed of, concealed, diverted, converted, or otherwise
failed to account for any funds or assets of any purchaser of any interest in
a subdivision or any homeowners' association under the control of such THE
developer or director, officer, or stockholder;
(f) Has failed to comply with any stipulation or agreement made
with the commission;
(g) Has failed to comply with or has violated any provision of this
article 10, including any failure to comply with the registration requirements
of section 12-61-403 12-10-503, or any lawful rule or regulation
promulgated by the commission under this article 10;
(h) (Deleted by amendment, L. 89, p. 740, § 17, effective July 1,
1989.)
(i) (h) Has refused to honor a buyer's request to cancel a contract for
PAGE 67-HOUSE BILL 19-1172
the purchase of a time share or subdivision or part thereof if such THE
request was made within five calendar days after execution of the contract
and was made either by telegram, mail, or hand delivery. A request is
considered made if by ELECTRONIC MAIL WHEN SENT, IF BY mail when
postmarked, if by telegram when filed for telegraphic transmission, or if by
hand delivery when delivered to the seller's place of business. No developer
shall employ a contract that contains any provision waiving a buyer's right
to such a cancellation period.
(j) (i) Has committed any act that constitutes a violation of the
"Colorado Consumer Protection Act", article 1 of title 6; C.R.S.;
(k) (j) Has employed any sales agent or employee who violates the
provisions of this part 4 5;
(l) (k) Has used documents for sales or lease transactions other than
those described in section 12-61-403 (3)(f) 12-10-503 (3)(f);
(m) (l) Has failed to disclose encumbrances to prospective
purchasers or has failed to transfer clear title at the time of sale, if the
parties agreed that such THE transfer would be made at that time.
(1.5) (2) A disciplinary action relating to the business of subdivision
development taken by any other state or local jurisdiction or the federal
government shall be deemed to be prima facie evidence of grounds for
disciplinary action, including denial of registration, under this part 4 5. This
subsection (1.5) (2) shall apply only to such disciplinary actions as are
substantially similar to those set out as grounds for disciplinary action or
denial of registration under this part 4 5.
(2) (3) Any hearing held under this section shall be in accordance
with the procedures established in sections 24-4-105 and 24-4-106. C.R.S.
(2.5) (4) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the commission, does not initially warrant
formal action by the commission but which THAT should not be dismissed
as being without merit, the commission may send a letter of admonition by
certified mail, return receipt requested, to the registrant who is the subject
of the complaint or investigation and a copy thereof to any person making
such THE complaint. Such THE letter shall advise the registrant that he OR
PAGE 68-HOUSE BILL 19-1172
SHE has the right to request in writing, within twenty days after proven
receipt, that formal disciplinary proceedings be initiated against him OR HER
to adjudicate the propriety of the conduct upon which the letter of
admonition is based. If such THE request is timely made, the letter of
admonition shall be deemed vacated, and the matter shall be processed by
means of formal disciplinary proceedings.
(3) (5) All administrative fines collected pursuant to this section
shall be transmitted to the state treasurer, who shall credit the same to the
division of real estate cash fund.
12-10-506. [Formerly 12-61-406] Powers of commission -
injunction - rules. (1) The commission may apply to a court of competent
jurisdiction for an order enjoining any act or practice which THAT
constitutes a violation of this part 4 5, and, upon a showing that a person is
engaging or intends to engage in any such act or practice, an injunction,
restraining order, or other appropriate order shall be granted by such THE
court, regardless of the existence of another remedy therefor. Any notice,
hearing, or duration of any injunction or restraining order shall be made in
accordance with the provisions of the Colorado rules of civil procedure.
(1.2) (2) The commission may apply to a court of competent
jurisdiction for the appointment of receiver if it determines that such THE
appointment is necessary to protect the property or interests of purchasers
of a subdivision or part thereof.
(1.5) (3) The commission shall issue or deny a certificate or
additional registration within sixty days from the date of receipt of the
application by the commission. The commission may make necessary
investigations and inspections to determine whether any developer has
violated this part 4 5 or any lawful rule or regulation promulgated by the
commission. If, after an application by a developer has been submitted
pursuant to section 12-61-403 12-10-503 or information has been submitted
pursuant to section 12-61-404 12-10-504, the commission determines that
an inspection of a subdivision is necessary, it shall complete the inspection
within sixty days from the date of filing of the application or information,
or the right of inspection is waived and the lack thereof shall not be grounds
for denial of a registration.
(1.6) (4) The commission, the director for the commission, or the
PAGE 69-HOUSE BILL 19-1172
administrative law judge appointed for a hearing may issue a subpoena
compelling the attendance and testimony of witnesses and the production
of books, papers, or records pursuant to an investigation or hearing of such
THE commission. Any such subpoena shall be served in the same manner as
for subpoenas issued by district courts.
(2) (5) The commission has the power to make any rules necessary
for the enforcement or administration of this part 4 5.
(2.5) (6) The commission shall adopt, promulgate, amend, or repeal
such rules and regulations as are necessary to:
(a) Require written disclosures to any purchasers as provided in
subsection (3) (7) of this section and to prescribe and require that
standardized forms be used by subdivision developers in connection with
the sale or lease of a subdivision or any part thereof, except as otherwise
provided in section 12-61-403 (3)(f) 12-10-503 (3)(f); and
(b) Require that developers maintain certain business records for a
period of at least seven years.
(3) (7) The commission may require any developer to make written
disclosures to purchasers in their contracts of sale or by separate written
documents if the commission finds that such THE disclosures are necessary
for the protection of such THE purchasers.
(4) (8) The commission or its designated representative may audit
the accounts of any homeowner HOMEOWNERS' association, the funds of
which are controlled by a developer.
12-10-507. [Formerly 12-61-407] Violation - penalty. Any person
who fails to register as a developer in violation of this part 4 5 commits a
class 6 felony and shall be punished as provided in section 18-1.3-401.
C.R.S. Any agreement or contract for the sale or lease of a subdivision or
part thereof shall be voidable by the purchaser and unenforceable by the
developer unless such THE developer was duly registered under the
provisions of this part 4 5 when such THE agreement or contract was made.
12-10-508. [Formerly 12-61-408] Repeal of part. This part 4 5 is
repealed, effective September 1, 2026. Before its THE repeal, this part 4 5
PAGE 70-HOUSE BILL 19-1172
is scheduled for review in accordance with section 24-34-104.
PART 6
REAL ESTATE APPRAISERS
12-10-601. [Formerly 12-61-701] Legislative declaration. The
general assembly finds, determines, and declares that sections 12-61-702
12-10-602 to 12-61-723 12-10-623 are enacted pursuant to the requirements
of the "Real Estate Appraisal Reform Amendments", Title XI of the federal
"Financial Institutions Reform, Recovery, and Enforcement Act of 1989",
as amended, 12 U.S.C. secs. 3331 to 3351. The general assembly further
finds, determines, and declares that sections 12-61-702 12-10-602 to
12-61-723 12-10-623 are intended to implement the requirements of federal
law in the least burdensome manner to real estate appraisers and appraisal
management companies. Licensed ad valorem appraisers licensed under this
article 10 are not regulated by the federal "Real Estate Appraisal Reform
Amendments", Title XI of the federal "Financial Institutions Reform,
Recovery, and Enforcement Act of 1989", as amended, 12 U.S.C. secs.
3331 to 3351.
12-10-602. [Formerly 12-61-702] Definitions. As used in this part
7 6, unless the context otherwise requires:
(1) (a) "Appraisal", "appraisal report", or "real estate appraisal"
means a written or oral analysis, opinion, or conclusion relating to the
nature, quality, value, or utility of specified interests in, or aspects of,
identified real estate that is transmitted to the client upon the completion of
an assignment. These terms include a valuation, which is an opinion of the
value of real estate, and an analysis, which is a general study of real estate
not specifically performed only to determine value; except that the terms
include a valuation completed by an appraiser employee of a county
assessor as defined in section 39-1-102 (2). C.R.S.
(b) The terms do not include an analysis, valuation, opinion,
conclusion, notation, or compilation of data by an officer, director, or
regular REGULARLY salaried employee of a financial institution or its
affiliate, made for internal use only by the financial institution or affiliate,
concerning an interest in real estate that is owned or held as collateral by the
financial institution or affiliate and that is not represented or deemed to be
an appraisal except to the financial institution, the agencies regulating the
PAGE 71-HOUSE BILL 19-1172
financial institution, and any secondary markets that purchase real estate
secured loans. An appraisal prepared by an officer, director, or regular
REGULARLY salaried employee of a financial institution who is not licensed
or certified under this part 7 6 shall contain a written notice that the preparer
is not licensed or certified as an appraiser under this part 7 6.
(c) "Appraisal", "appraisal report", or "real estate appraisal" does not
include a federally authorized "waiver valuation", as defined in 49 CFR
24.2 (a)(33), as amended.
(2) (a) "Appraisal management company" or "AMC" means, in
connection with valuing properties collateralizing mortgage loans or
mortgages incorporated into a securitization, any external third party
authorized either by a creditor in a consumer credit transaction secured by
a consumer's principal dwelling that oversees an appraiser panel or by an
underwriter of, or other principal in, the secondary mortgage markets that
oversees an appraiser panel to:
(I) Recruit, select, and train appraisers;
(II) Contract with licensed and certified appraisers to perform
appraisal assignments;
(III) Manage the process of having an appraisal performed,
including providing administrative duties such as receiving appraisal orders
and appraisal reports, submitting completed appraisal reports to creditors
and underwriters, collecting fees from creditors and underwriters for
services provided, and reimbursing appraisers for services performed; or
(IV) Review and verify the work of appraisers.
(b) "Appraisal management company" OR "AMC" does not include:
(I) A corporation, limited liability company, sole proprietorship, or
other entity that directly performs appraisal services;
(II) A corporation, limited liability company, sole proprietorship, or
other entity that does not contract with appraisers for appraisal services, but
that solely distributes orders to a client-selected panel of appraisers; and
PAGE 72-HOUSE BILL 19-1172
(III) A mortgage company, or its subsidiary, that manages a panel
of appraisers who are engaged to provide appraisal services on mortgage
loans either originated by the mortgage company or funded by the mortgage
company with its own funds.
(3) "Board" means the board of real estate appraisers created in
section 12-61-703 12-10-603.
(4) "Client" means the party or parties who engage an appraiser or
an appraisal management company for a specific assignment.
(5) Repealed.
(6) (5) "Consulting services" means services performed by an
appraiser that do not fall within the definition of an "independent appraisal"
in subsection (10) (7) of this section. "Consulting services" includes
marketing, financing and feasibility studies, valuations, analyses, and
opinions and conclusions given in connection with real estate brokerage,
mortgage banking, and counseling and advocacy in regard to property tax
assessments and appeals thereof; except that, if in rendering such THE
services the appraiser acts as a disinterested third party, the work is deemed
an independent appraisal and not a consulting service. Nothing in this
subsection (6) (5) precludes a person from acting as an expert witness in
valuation appeals.
(7) [Relocated to 12-10-101 (1)]
(8) [Relocated to 12-10-101 (2)]
(9) (6) "Financial institution" means any "bank" or "savings
association", as such THOSE terms are defined in 12 U.S.C. sec. 1813, any
state bank incorporated under title 11, C.R.S., any state or federally
chartered credit union, or any company that has direct or indirect control
over any of those entities.
(10) (7) "Independent appraisal" means an engagement for which an
appraiser is employed or retained to act as a disinterested third party in
rendering an unbiased analysis, opinion, or conclusion relating to the nature,
quality, value, or utility of specified interests in or aspects of identified real
estate.
PAGE 73-HOUSE BILL 19-1172
(10.5) (8) (a) "Panel" or "appraiser panel" means a network, list, or
roster of licensed or certified appraisers approved by an AMC to perform
appraisals as independent contractors for the AMC.
(b) Appraisers on an AMC's appraiser panel include both:
(I) Appraisers accepted by the AMC for consideration for future
appraisal assignments in covered transactions or for secondary mortgage
market participants in connection with covered transactions; and
(II) Appraisers engaged by the AMC to perform one or more
appraisals in covered transactions or for secondary mortgage market
participants in connection with covered transactions.
(c) An appraiser is an independent contractor for purposes of this
subsection (10.5) (8) if the appraiser is treated as an independent contractor
by the AMC for purposes of federal income taxation.
(11) (9) (a) "Real estate appraiser" or "appraiser" means a person
who provides an estimate of the nature, quality, value, or utility of an
interest in, or aspect of, identified real estate and includes one who
estimates value and who possesses the necessary qualifications, ability, and
experience to execute or direct the appraisal of real property.
(b) "Real estate appraiser" OR "APPRAISER" does not include:
(I) A person who conducts appraisals strictly of personal property;
(II) A person licensed as a broker pursuant to part 1 2 of this article
10 who provides an opinion of value that is not represented as an appraisal
and is not used for purposes of obtaining financing;
(III) A person licensed as a certified public accountant pursuant to
article 2 100 of this title 12, and otherwise regulated, as long as the person
does not represent his or her opinions of value for real estate as an
appraisal;
(IV) A corporation, acting through its officers or regular
REGULARLY salaried employees, when conducting a valuation of real estate
property rights owned, to be purchased, or sold by the corporation;
PAGE 74-HOUSE BILL 19-1172
(V) A person who conducts appraisals strictly of water rights or of
mineral rights;
(VI) A right-of-way acquisition agent, an appraiser who is licensed
and certified pursuant to this part 7 6, or any other individual who has
sufficient understanding of the local real estate market to be qualified to
make a waiver valuation when the agent, appraiser, or other qualified
individual is employed by or contracts with a public entity and provides an
opinion of value that is not represented as an appraisal and when, for any
purpose, the property or portion of property being valued is valued at
twenty-five thousand dollars or less, as permitted by federal law and 49
CFR 24.102 (c)(2), as amended;
(VII) An officer, director, or regular REGULARLY salaried employee
of a financial institution or its affiliate who makes, for internal use only by
the financial institution or affiliate, an analysis, evaluation, opinion,
conclusion, notation, or compilation of data with respect to an appraisal so
long as the person does not make a written adjustment of the appraisal's
conclusion as to the value of the subject real property;
(VIII) An officer, director, or regular REGULARLY salaried employee
of a financial institution or its affiliate who makes an internal analysis,
valuation, opinion, conclusion, notation, or compilation of data concerning
an interest in real estate that is owned or held as collateral by the financial
institution or its affiliate; or
(IX) A person who represents property owners as an advocate in tax
or valuation protests and appeals pursuant to title 39. C.R.S.
12-10-603. [Formerly 12-61-703] Board of real estate appraisers
- creation - compensation - immunity - legislative declaration - repeal
of part. (1) (a) There is hereby created in the division OF REAL ESTATE a
board of real estate appraisers consisting of seven members appointed by
the governor with the consent of the senate. Of the members, three shall be
licensed or certified appraisers, one of whom shall have expertise in
eminent domain matters; one shall be a county assessor in office; one shall
be an officer or employee of a commercial bank experienced in real estate
lending; one shall be an officer or employee of an appraisal management
company; and one shall be a member of the public at large not engaged in
any of the businesses represented by the other members of the board.
PAGE 75-HOUSE BILL 19-1172
(b) Members of the board shall hold office for terms of three years.
In the event of a vacancy by death, resignation, removal, or otherwise, the
governor shall appoint a member to fill the unexpired term. The governor
has the authority to remove any member for misconduct, neglect of duty, or
incompetence.
(2) (a) The board shall exercise its powers and perform its duties and
functions under the division OF REAL ESTATE as if transferred to the division
by a type 1 transfer, as defined in the "Administrative Organization Act of
1968", article 1 of title 24. C.R.S.
(b) The general assembly finds, determines, and declares that the
organization of the board under the division as a type 1 agency will provide
the autonomy necessary to avoid potential conflicts of interest between the
responsibility of the board in the regulation of real estate appraisers and the
responsibility of the division in the regulation of real estate brokers and
salespersons. The general assembly further finds, determines, and declares
that the placement of the board as a type 1 agency under the division is
consistent with the organizational structure of state government.
(3) Each member of the board shall receive the same compensation
and reimbursement of expenses as is provided for members of boards and
commissions in the division of professions and occupations pursuant to
section 24-34-102 (13), C.R.S. 12-20-103 (6). Payment for all per diem
compensation and expenses shall be made out of annual appropriations
from the division of real estate cash fund provided for in section 12-61-705
12-10-605.
(4) Members of the board, consultants, and expert witnesses are
immune from liability in any civil action based upon any disciplinary
proceedings or other official acts they performed in good faith pursuant to
this part 7 6.
(5) A majority of the board constitutes a quorum for the transaction
of all business, and actions of the board require a vote of a majority of the
members present in favor of the action taken.
(6) This part 7 6 is repealed, effective September 1, 2022. Prior to
BEFORE the repeal, the department of regulatory agencies shall review the
functions of the board of real estate appraisers as provided in THIS PART 6
PAGE 76-HOUSE BILL 19-1172
IS SCHEDULED FOR REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
12-10-604. [Formerly 12-61-704] Powers and duties of the board
- rules. (1) In addition to all other powers and duties imposed upon it by
law, the board has the following powers and duties:
(a) (I) To promulgate and amend, as necessary, rules pursuant to
article 4 of title 24 C.R.S., for the implementation and administration of this
part 7 6 and as required to comply with the federal "Real Estate Appraisal
Reform Amendments", Title XI of the federal "Financial Institutions
Reform, Recovery, and Enforcement Act of 1989", as amended, 12 U.S.C.
secs. 3331 to 3351, and with any requirements imposed by amendments to
that federal law.
(II) The board shall not establish any requirements that are more
stringent than the requirements of any applicable federal law.
(III) Licensed ad valorem appraisers are not regulated by the federal
"Real Estate Appraisal Reform Amendments", Title XI of the federal
"Financial Institutions Reform, Recovery, and Enforcement Act of 1989",
as amended, 12 U.S.C. secs. 3331 to 3351, but the board shall adopt rules
regarding minimum qualifications and standards of practice for licensed ad
valorem appraisers.
(IV) In any list or registry it maintains, the board shall identify or
separately account for any appraisal management company that oversees a
panel of more than fifteen certified or licensed appraisers in Colorado, or
more than twenty-five in all states in which it does business, within a given
year.
(b) To charge application, examination, and license and certificate
renewal fees established pursuant to section 12-61-111.5 12-10-215 from
all applicants for licensure, certification, examination, and renewal under
this part 7 6. The board shall not refund any fees received from applicants
seeking licensure, certification, examination, or renewal.
(c) Through the department of regulatory agencies and subject to
appropriations made to the department, of regulatory agencies, to employ
administrative law judges, appointed pursuant to part 10 of article 30 of title
24, C.R.S., on a full-time or part-time basis to conduct any hearings
PAGE 77-HOUSE BILL 19-1172
required by this part 7 6;
(d) To issue, deny, or refuse to renew a license or certificate
pursuant to this part 7 6;
(e) To take disciplinary actions in conformity with this part 7 6;
(f) To delegate to the director the administration and enforcement
of this part 7 6 and the authority to act on behalf of the board on occasions
and in circumstances that the board directs;
(g) (I) To develop, purchase, or contract for any examination
required for the administration of this part 7 6, to offer each examination at
least twice a year or, if demand warrants, at more frequent intervals, and to
establish a passing score for each examination that reflects a minimum level
of competency.
(II) If study materials are developed by a testing company or other
entity, the board shall make the materials available to persons desiring to
take examinations pursuant to this part 7 6. The board may charge fees for
the materials to defray any costs associated with making the materials
available.
(h) In compliance with article 4 of title 24, C.R.S., to make
investigations; subpoena persons and documents, which subpoenas may be
enforced by a court of competent jurisdiction if not obeyed; hold hearings;
and take evidence in all matters relating to the exercise of the board's power
under this part 7 6;
(i) Pursuant to sec. SECTION 1119 (b) of Title XI of the federal
"Financial Institutions Reform, Recovery, and Enforcement Act of 1989",
Pub.L. 101-73, AS AMENDED, to apply, if necessary, for a federal waiver of
the requirement relating to certification or licensing of a person to perform
appraisals and to make the necessary written determinations specified in
said THAT section for purposes of making the application;
(j) If the board has reasonable cause to believe that a person,
partnership, limited liability company, or corporation is violating this part
7 6, to enter an order requiring the individual or appraisal management
company to cease and desist the violation; and
PAGE 78-HOUSE BILL 19-1172
(k) To establish classroom education and experience requirements
for an appraiser who prepares an appraisal for a conservation easement for
which a tax credit is claimed pursuant to section 39-22-522. The
requirements must ensure that appraisers have a sufficient amount of
training and expertise to accurately prepare appraisals that comply with the
uniform standards of professional appraisal practice and any other provision
of law related to the appraisal of conservation easements for which a tax
credit is claimed. A tax credit certificate for a conservation easement shall
not be given in accordance with sections 12-61-1105 12-15-105 and
12-61-1106 12-15-106 unless the appraiser who prepared the appraisal of
the easement met all requirements established in accordance with this
subsection (1)(k) in effect at the time the appraisal certification is signed.
(2) The board shall maintain or preserve, for seven years, licensing
history records of a person licensed or certified under this part 7 6.
Complaints of record in the office of the board and board investigations,
including board investigative files, are closed to public inspection.
Stipulations and final agency orders are public record and are subject to
sections 24-72-203 and 24-72-204. C.R.S.
12-10-605. [Formerly 12-61-705] Fees, penalties, and fines
collected under part 6. All fees, penalties, and fines collected pursuant to
this part 7 6, not including fees retained by contractors pursuant to contracts
entered into in accordance with section 12-61-103, 12-61-706 12-10-203,
12-10-606, or 24-34-101, C.R.S., shall be transmitted to the state treasurer,
who shall credit the same to the division of real estate cash fund, created in
section 12-61-111.5 12-10-215.
12-10-606. [Formerly 12-61-706] Qualifications for licensing and
certification of appraisers - continuing education - definitions - rules.
(1) (a) The board shall, by rule, prescribe requirements for the initial
licensing or certification of persons under this part 7 6 to meet the
requirements of the "Real Estate Appraisal Reform Amendments", Title XI
of the federal "Financial Institutions Reform, Recovery, and Enforcement
Act of 1989", as amended, 12 U.S.C. secs. 3331 to 3351, and shall develop,
purchase, or contract for examinations to be passed by applicants. The
board shall not establish any requirements for initial licensing or
certification that are more stringent than the requirements of any applicable
federal law; except that all applicants shall pass an examination offered by
the board. If there is no applicable federal law, the board shall consider and
PAGE 79-HOUSE BILL 19-1172
may use as guidelines the most recent available criteria published by the
Appraiser Qualifications Board of the Appraisal Foundation or its successor
organization.
(b) The four levels of appraiser licensure and certification, pursuant
to paragraph (a) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION,
are defined as follows:
(I) "Certified general appraiser" means an appraiser meeting the
requirements set by the board for general certification.
(II) "Certified residential appraiser" means an appraiser meeting the
requirements set by the board for residential certification.
(III) "Licensed ad valorem appraiser" means an appraiser meeting
the requirements set by the board for ad valorem appraiser certification.
Only a county assessor, employee of a county assessor's office, or employee
of the division of property taxation in the department of local affairs may
obtain or possess an ad valorem appraiser certification. and
(IV) "Licensed appraiser" means an appraiser meeting the
requirements set by the board for a license.
(c) A county assessor or employee of a county assessor's office who
is a licensed ad valorem appraiser may not perform real estate appraisals
outside of his or her official duties.
(d) The board shall transfer persons employed in a county assessor's
office or in the division of property taxation in the department of local
affairs who are registered appraisers as of July 1, 2013, to the category of
licensed ad valorem appraiser. The board shall allow these persons, until
December 31, 2015, to meet any additional requirements imposed by the
board pursuant to section 12-61-704 (1)(a), as amended 12-10-604 (1)(a).
(2) (a) The board shall, by rule, prescribe continuing education
requirements for persons licensed or certified as certified general appraisers,
certified residential appraisers, or licensed appraisers as needed to meet the
requirements of the "Real Estate Appraisal Reform Amendments", Title XI
of the federal "Financial Institutions Reform, Recovery, and Enforcement
Act of 1989", as amended, 12 U.S.C. secs. 3331 to 3351. The board shall
PAGE 80-HOUSE BILL 19-1172
not establish any continuing education requirements that are more stringent
than the requirements of any applicable FEDERAL law; except that all
persons licensed or certified under this part 7 6 are subject to continuing
education requirements. If there is no applicable federal law, the board shall
consider and may use as guidelines the most recent available criteria
published by the Appraiser Qualifications Board of the Appraisal
Foundation or its successor organization.
(b) The board shall, by rule, prescribe continuing education
requirements for licensed ad valorem appraisers.
(3) Notwithstanding any provision of this section to the contrary, the
criteria established by the board for the licensing or certification of
appraisers pursuant to this part 7 6 shall not include membership or lack of
membership in any appraisal organization.
(4) (a) Subject to section 12-61-719 (2) 12-10-619 (2), all appraiser
employees of county assessors shall be licensed or certified as provided in
subsections (1) and (2) of this section. Obtaining and maintaining a license
or certificate under either of said subsections SUBSECTION (1) and OR (2) OF
THIS SECTION entitles an appraiser employee of a county assessor to perform
all real estate appraisals required to fulfill the person's official duties.
(b) Appraiser employees of county assessors who are employed to
appraise real property are subject to this part 7 6; except that appraiser
employees of county assessors who are employed to appraise real property
are not subject to disciplinary actions by the board on the ground that they
have performed appraisals beyond their level of competency when
appraising real estate in fulfillment of their official duties. County assessors,
if licensed or certified as provided in subsections (1) and (2) of this section,
are not subject to disciplinary actions by the board on the ground that they
have performed appraisals beyond their level of competency when
appraising real estate in fulfillment of their official duties.
(c) The county in which an appraiser employee of a county assessor
is employed shall pay all reasonable costs incurred by the appraiser
employee of the county assessor to obtain and maintain a license or
certificate pursuant to this section.
(5) The board shall not issue an appraiser's license as referenced in
PAGE 81-HOUSE BILL 19-1172
subparagraph (IV) of paragraph (b) of subsection (1) SUBSECTION (1)(b)(IV)
of this section unless the applicant has at least twelve months' appraisal
experience.
(6) (a) The board shall not issue a license or certification until the
applicant demonstrates that he or she meets the fitness standards established
by board rule and submits a set of fingerprints to the Colorado bureau of
investigation for the purpose of conducting a state and national
fingerprint-based criminal history record check utilizing records of the
Colorado bureau of investigation and the federal bureau of investigation.
Each person submitting a set of fingerprints shall pay the fee established by
the Colorado bureau of investigation for conducting the fingerprint-based
criminal history record check to the bureau. Upon completion of the
criminal history record check, the bureau shall forward the results to the
board. The board may require a name-based criminal history record check
for an applicant who has twice submitted to a fingerprint-based criminal
history record check and whose fingerprints are unclassifiable. The board
may deny an application for licensure or certification based on the outcome
of the criminal history record check and may establish criminal history
requirements more stringent than those established by any applicable federal
law. At a minimum, the board shall adopt the criminal history requirements
established by any applicable federal law.
(b) An applicant for certification as a licensed ad valorem appraiser
is not subject to the fingerprinting and criminal background check
requirements of paragraph (a) of this subsection (6) SUBSECTION (6)(a) OF
THIS SECTION.
12-10-607. [Formerly 12-61-707] Appraisal management
companies - application for license - exemptions. (1) An applicant shall
apply for a license as an appraisal management company, or as a controlling
appraiser, to the board in a manner prescribed by the board.
(2) The board may grant appraisal management company licenses
to individuals, partnerships, limited liability companies, or corporations. A
partnership, limited liability company, or corporation, in its application for
a license, shall designate a controlling appraiser who is actively certified in
a state recognized by the appraisal subcommittee of the federal financial
institutions examinations EXAMINATION council or its successor entity. The
controlling appraiser is responsible for the licensed practices of the
PAGE 82-HOUSE BILL 19-1172
partnership, limited liability company, or corporation and all persons
employed by the entity. The application of the partnership, limited liability
company, or corporation and the application of the appraiser designated by
it as the controlling appraiser shall be filed with the board. The board has
jurisdiction over the appraiser so designated and over the partnership,
limited liability company, or corporation.
(3) The board shall not issue a license to any partnership, limited
liability company, or corporation unless and until the appraiser designated
by the partnership, limited liability company, or corporation as controlling
appraiser and each individual who owns more than ten percent of the entity
demonstrates that he or she meets the fitness standards established by board
rule and submits a set of fingerprints to the Colorado bureau of
investigation for the purpose of conducting a state and national
fingerprint-based criminal history record check utilizing records of the
Colorado bureau of investigation and the federal bureau of investigation.
Each person submitting a set of fingerprints shall pay the fee established by
the Colorado bureau of investigation for conducting the fingerprint-based
criminal history record check to the bureau. Upon completion of the
criminal history record check, the bureau shall forward the results to the
board. The board may require a name-based criminal history record check
for an applicant who has twice submitted to a fingerprint-based criminal
history record check and whose fingerprints are unclassifiable. The board
may deny an application for licensure or refuse to renew a license based on
the outcome of the criminal history record check. The board may require
criminal history requirements more stringent than those established by any
applicable federal law. At a minimum, the board shall adopt the criminal
history requirements established by any applicable federal law.
(4) The board shall not issue a license to any partnership, limited
liability company, or corporation if the appraiser designated by the entity as
controlling appraiser has previously had, in any state, an appraiser
registration, license, or certificate refused, denied, cancelled, surrendered
in lieu of revocation, or revoked. A disciplinary action resulting in refusal,
denial, cancellation, surrender in lieu of revocation, or revocation relating
to a registration, license, or certification as an appraiser registered, licensed,
or certified under this part 7 6 or any related occupation in any other state,
territory, or country for disciplinary reasons is prima facie evidence of
grounds for denial of a license by the board.
PAGE 83-HOUSE BILL 19-1172
(5) The board shall not issue a license to any partnership, limited
liability company, or corporation if it is owned, in whole or in part, directly
or indirectly, by any person who has had, in any state, an appraiser license,
registration, or certificate refused, denied, cancelled, surrendered in lieu of
revocation, or revoked. A disciplinary action resulting in refusal, denial,
cancellation, surrender in lieu of revocation, or revocation relating to a
license, registration, or certification as an appraiser licensed, registered, or
certified under this part 7 6 or any related occupation in any other state,
territory, or country for disciplinary reasons is prima facie evidence of
grounds for denial of a license by the board.
(6) The board may deny an application for a license for any
partnership, limited liability company, or corporation if the partnership,
limited liability company, or corporation has previously had a license
revoked or surrendered a license in lieu of revocation. A disciplinary action
resulting in the surrender in lieu of revocation or the revocation of a license
as an appraisal management company under this part 7 6 or any related
occupation in any other state, territory, or country for disciplinary reasons
may be deemed to be prima facie evidence of grounds for denial of a license
by the board.
(7) Each appraisal management company must maintain a definite
place of business. If the appraisal management company is domiciled in
another state, the appraiser designated by the appraisal management
company as controlling appraiser is responsible for supervising all licensed
activities that occur in Colorado. All licensed actions occurring within the
state of Colorado must occur under the name under which the appraisal
management company is licensed or its trade name adopted in accordance
with Colorado law.
(8) An application that is submitted by an appraisal management
company that is:
(a) A partnership must be properly registered with the Colorado
department of revenue or properly filed with the Colorado secretary of state
and in good standing, proof of which must be included in the application.
If an assumed or trade name is to be used, it must be properly filed with the
Colorado department of revenue or filed and accepted by the Colorado
secretary of state, proof of which must be included with the application.
PAGE 84-HOUSE BILL 19-1172
(b) A limited liability company must be properly registered with the
Colorado secretary of state and in good standing, proof of which must be
included with the application. If an assumed or trade name is to be used, it
must be properly filed with the Colorado secretary of state, proof of which
must be included with the application.
(c) A corporation must be registered as a foreign corporation or
properly incorporated with the Colorado secretary of state and in good
standing, proof of which must be included with the application. If an
assumed or trade name is to be used, it must be properly filed with the
Colorado secretary of state, proof of which must be included with the
application.
(9) Financial institutions and appraisal management company
subsidiaries that are owned and controlled by the financial institution and
regulated by a federal financial institution regulatory agency are not
required to register with or be licensed by the board. This exemption
includes a panel of appraisers who are engaged to provide appraisal services
and are administered by a financial institution regulated by a federal
financial regulatory agency.
12-10-608. [Formerly 12-61-708] Errors and omissions insurance
- duties of the division - certificate of coverage - group plan made
available - rules. (1) Every licensee under this part 7 6, except an appraiser
who is employed by a state or local governmental entity or an inactive
appraiser or appraisal management company, shall maintain errors and
omissions insurance to cover all activities contemplated under this part 7 6.
The division shall make the errors and omissions insurance available to all
licensees by contracting with an insurer for a group policy after a
competitive bid process in accordance with article 103 of title 24. C.R.S. A
group policy obtained by the division must be available to all licensees with
no right on the part of the insurer to cancel any licensee. A licensee may
obtain errors and omissions insurance independently if the coverage
complies with the minimum requirements established by the division.
(2) (a) If the division is unable to obtain errors and omissions
insurance coverage to insure all licensees who choose to participate in the
group program at a reasonable annual premium, as determined by the
division, a licensee shall independently obtain the errors and omissions
insurance required by this section.
PAGE 85-HOUSE BILL 19-1172
(b) The division shall solicit and consider information and
comments from interested persons when determining the reasonableness of
annual premiums.
(3) The division shall determine the terms and conditions of
coverage required under this section based on rules promulgated by the
board. Each licensee shall be notified of the required terms and conditions
at least thirty days before the annual premium renewal date as determined
by the division. Each licensee shall file a certificate of coverage showing
compliance with the required terms and conditions with the division by the
annual premium renewal date, as determined by the division.
(4) In addition to all other powers and duties conferred upon the
board by this part 7 6, the board is authorized and directed to adopt rules it
deems necessary or proper to carry out the requirements of this section.
12-10-609. [Formerly 12-61-709] Bond required. (1) Before the
board issues a license to an applicant for an appraisal management company
license, the applicant shall post with the board a surety bond in the amount
of twenty-five thousand dollars. A licensed appraisal management company
shall maintain the required bond at all times.
(2) The surety bond shall require the surety to provide notice to the
board within thirty days if payment is made from the surety bond or if the
bond is cancelled.
12-10-610. [Formerly 12-61-710] Expiration of licenses - renewal
- penalties - fees - rules. (1) (a) All licenses or certificates expire pursuant
to a schedule established by the director and may be renewed or reinstated
pursuant to this section. Upon compliance with this section and any
applicable rules of the board regarding renewal, including the payment of
a renewal fee plus a reinstatement fee established pursuant to paragraph (b)
of this subsection (1) SUBSECTION (1)(b) OF THIS SECTION, the expired
license or certificate shall be reinstated. A real estate appraiser's license or
certificate that has not been renewed for a period greater than two years
shall not be reinstated, and the person must submit a new application for
licensure or certification.
(b) A person who fails to renew his or her license or certificate
before the applicable renewal date may have it reinstated if the person
PAGE 86-HOUSE BILL 19-1172
submits an application as prescribed by the board:
(I) Within thirty-one days after the date of expiration, by payment
of the regular renewal fee;
(II) More than thirty-one days, but within one year, after the date of
expiration, by payment of the regular renewal fee and payment of a
reinstatement fee equal to one-third of the regular renewal fee; or
(III) More than one year, but within two years, after the date of
expiration, by payment of the regular renewal fee and payment of a
reinstatement fee equal to two-thirds of the regular renewal fee.
(2) If the federal registry fee collected by the board and transmitted
to the federal financial institutions examination council is increased prior
to expiration of a license or certificate, the board shall collect the amount
of the increase in the fee from the holder of the license or certificate and
forward the amount to the council annually. The federal registry fee does
not apply to licensed ad valorem appraisers licensed under this article 10.
(3) (a) If the applicant has complied with this section and any
applicable rules of the board regarding renewal, except for the continuing
education requirements pursuant to section 12-61-706 12-10-606, the
licensee may renew the license on inactive status. An inactive license may
be activated if the licensee submits written certification of compliance with
section 12-61-706 12-10-606 for the previous licensing period. The board
may adopt rules establishing procedures to facilitate reactivation of licenses.
(b) The holder of an inactive license shall not perform a real estate
appraisal or appraisal management duties.
(c) The holder of an inactive license shall not hold himself or herself
out as having an active license pursuant to this part 7 6.
(4) At the time of renewal or reinstatement, every licensee,
certificate holder, and person or individual who owns more than ten percent
of an appraisal management company shall submit a set of fingerprints to
the Colorado bureau of investigation for the purpose of conducting a state
and national fingerprint-based criminal history record check utilizing
records of the Colorado bureau of investigation and the federal bureau of
PAGE 87-HOUSE BILL 19-1172
investigation, if the person has not previously done so for issuance of a
license or certification by the board. Each person submitting a set of
fingerprints shall pay the fee established by the Colorado bureau of
investigation for conducting the fingerprint-based criminal history record
check to the bureau. The bureau shall forward the results to the board. The
board may require a name-based criminal history record check for an
applicant who has twice submitted to a fingerprint-based criminal history
record check and whose fingerprints are unclassifiable. The board may
refuse to renew or reinstate a license or certification based on the outcome
of the criminal history record check.
12-10-611. [Formerly 12-61-711] Licensure or certification by
endorsement - temporary practice. (1) The board may issue a license or
certification to an appraiser by endorsement to engage in the occupation of
real estate appraisal to any applicant who has a license or certification in
good standing as a real estate appraiser under the laws of another
jurisdiction if:
(a) The applicant presents proof satisfactory to the board that, at the
time of application for a Colorado license or certificate by endorsement, the
applicant possesses credentials and qualifications that are substantially
equivalent to the requirements of this part 7 6; or
(b) The jurisdiction that issued the applicant a license or certificate
to engage in the occupation of real estate appraisal has a law similar to this
subsection (1) pursuant to which it licenses or certifies persons who are
licensed real estate appraisers in this state.
(2) The board may specify, by rule, what constitutes substantially
equivalent credentials and qualifications and the manner in which the board
will review credentials and qualifications of an applicant.
(3) Pursuant to section 1122 (a) of Title XI of the federal "Financial
Institutions Reform, Recovery, and Enforcement Act of 1989", Pub.L.
101-73, AS AMENDED, the board shall recognize, on a temporary basis, the
license or certification of an appraiser issued by another state if:
(a) The appraiser's business is of a temporary nature; and
(b) The appraiser applies for and is granted a temporary practice
PAGE 88-HOUSE BILL 19-1172
permit by the board.
12-10-612. [Formerly 12-61-712] Denial of license or certificate
- renewal - definition. (1) The board may determine whether an applicant
for licensure or certification possesses the necessary qualifications for
licensure or certification required by this part 7 6. The board may consider
such qualities as the applicant's fitness and prior professional licensure and
whether the applicant has been convicted of a crime. As used in this
subsection (1), "applicant" includes any individual who owns, in whole or
in part, directly or indirectly, an appraisal management company and any
appraiser designated as a controlling appraiser by a partnership, limited
liability company, or corporation acting as an appraisal management
company.
(2) If the board determines that an applicant does not possess the
applicable qualifications required by this part 7 6, or the applicant has
violated this part 7 6, rules promulgated by the board, or any board order,
the board may deny the applicant a license or certificate or deny the renewal
or reinstatement of a license or certificate pursuant to section 12-61-710
12-10-610, and, in such instance, the board shall provide the applicant with
a statement in writing setting forth the basis of the board's determination
that the applicant does not possess the qualifications or professional
competence required by this part 7 6. The applicant may request a hearing
on the determination as provided in section 24-4-104 (9). C.R.S.
12-10-613. [Formerly 12-61-713] Prohibited activities - grounds
for disciplinary actions - procedures. (1) A real estate appraiser is in
violation of this part 7 6 if the appraiser:
(a) Has been convicted of a felony or has had accepted by a court a
plea of guilty or nolo contendere to a felony if the felony is related to the
ability to act as a real property appraiser. A certified copy of the judgment
of a court of competent jurisdiction of the conviction or plea is conclusive
evidence of the conviction or plea. In considering the disciplinary action,
the board shall be governed by the provisions of section 24-5-101. C.R.S.
(b) Has violated, or attempted to violate, directly or indirectly, or
assisted in or abetted the violation of, or conspired to violate this part 7 6,
a rule promulgated pursuant to this part 7 6, or an order of the board issued
pursuant to this part 7 6;
PAGE 89-HOUSE BILL 19-1172
(c) Has accepted any fees, compensation, or other valuable
consideration to influence the outcome of an appraisal;
(d) Has used advertising that is misleading, deceptive, or false;
(e) Has used fraud or misrepresentation in obtaining a license or
certificate under this part 7 6;
(f) Has conducted an appraisal in a fraudulent manner or used
misrepresentation in any such activity;
(g) Has acted or failed to act in a manner that does not meet the
generally accepted standards of professional appraisal practice as adopted
by the board by rule. A certified copy of a malpractice judgment of a court
of competent jurisdiction is conclusive evidence of the act or omission, but
evidence of the act or omission is not limited to a malpractice judgment.
(h) Has performed appraisal services beyond his or her level of
competency;
(i) Has been subject to an adverse or disciplinary action in another
state, territory, or country relating to a license, certificate, or other
authorization to practice as an appraiser. A disciplinary action relating to a
license or certificate as an appraiser licensed or certified under this part 7
6 or any related occupation in any other state, territory, or country for
disciplinary reasons is prima facie evidence of grounds for disciplinary
action or denial of licensure or certification by the board. This paragraph (i)
SUBSECTION (1)(i) applies only to violations based upon acts or omissions
in the other state, territory, or country that are also violations of this part 7
6.
(j) Has failed to disclose in the appraisal report the fee paid to the
appraiser for a residential real property appraisal if the appraiser was
engaged by an appraisal management company to complete the assignment;
or
(k) Has engaged in conduct that would be grounds for the denial of
a license or certification under section 12-61-712 12-10-612.
(2) If an applicant, a licensee, or a certified person has violated any
PAGE 90-HOUSE BILL 19-1172
provision of this section, the board may deny or refuse to renew the license
or certificate, or, as specified in subsections (3) and (6) of this section,
revoke or suspend the license or certificate, issue a letter of admonition to
a licensee or certified person, place a licensee or certified person on
probation, or impose public censure.
(3) When a complaint or an investigation discloses an instance of
misconduct by a licensed or certified appraiser that, in the opinion of the
board, does not warrant formal action by the board but should not be
dismissed as being without merit, the board may send a letter of admonition
by certified mail to the appraiser against whom a complaint was made. The
letter shall advise the appraiser of the right to make a written request, within
twenty days after receipt of the letter of admonition, to the board to begin
formal disciplinary proceedings as provided in this section to adjudicate the
conduct or acts on which the letter was based.
(4) The board may start a proceeding for discipline of a licensee or
certified person when the board has reasonable grounds to believe that a
licensee or certified person has committed any act or failed to act pursuant
to the grounds established in subsection (1) of this section or when a request
for a hearing is timely made under subsection (3) of this section.
(5) Disciplinary proceedings shall be conducted in the manner
prescribed by the "State Administrative Procedure Act", article 4 of title 24.
C.R.S.
(6) As authorized in subsection (2) of this section, disciplinary
actions by the board may consist of the following:
(a) Revocation of a license or certificate. (I) Revocation of a
license or certificate by the board means that the licensed or certified person
shall surrender his or her license or certificate immediately to the board.
(II) Any person whose license or certificate to practice is revoked
is ineligible to apply for a license or certificate issued under this part 7 6
until more than two years have elapsed from the date of surrender of the
license or certificate. A reapplication after the two-year period is treated as
a new application.
(b) Suspension of a license or certificate. Suspension of a license
PAGE 91-HOUSE BILL 19-1172
or certificate by the board is for a period to be determined by the board.
(c) Probationary status. The board may impose probationary status
on a licensee or certified person. If the board places a licensee or certified
person on probation, the board may include conditions for continued
practice that the board deems appropriate to assure that the licensee or
certified person is otherwise qualified to practice in accordance with
generally accepted professional standards of professional appraisal practice,
as specified in board rules, including any or all of the following:
(I) A requirement that the licensee or certified person take courses
of training or education as needed to correct deficiencies found in the
hearing;
(II) A review or supervision of his or her practice as may be
necessary to determine the quality of the practice and to correct deficiencies
in the practice; and
(III) The imposition of restrictions upon the nature of his or her
appraisal practice to assure that he or she does not practice beyond the
limits of his or her capabilities.
(d) Public censure. If, after notice and hearing, the director or the
director's designee determines that the licensee or certified person has
committed any of the acts specified in this section, the board may impose
public censure.
(7) In addition to any other discipline imposed pursuant to this
section, any person who violates this part 7 6 or the rules promulgated
pursuant to this article 10 may be penalized by the board upon a finding of
a violation pursuant to article 4 of title 24 C.R.S., as follows:
(a) In the first administrative proceeding against a person, a fine of
not less than three hundred dollars but not more than five hundred dollars
per violation;
(b) In any subsequent administrative proceeding against a person for
transactions occurring after a final agency action determining that a
violation of this part 7 6 has occurred, a fine of not less than one thousand
dollars but not more than two thousand dollars.
PAGE 92-HOUSE BILL 19-1172
(8) A person participating in good faith in making a complaint or
report or participating in an investigative or administrative proceeding
before the board pursuant to this article 10 is immune from any liability,
civil or criminal, that otherwise might result by reason of the action.
(9) A licensee or certified person who has direct knowledge that a
person has violated this part 7 6 shall report his or her knowledge to the
board.
(10) The board, on its own motion or upon application at any time
after the imposition of discipline as provided in this section, may reconsider
its prior action and reinstate or restore a license or certificate, terminate
probation, or reduce the severity of its prior disciplinary action. The
decision of whether to take any further action or hold a hearing with respect
to a prior disciplinary action rests in the sole discretion of the board.
12-10-614. [Formerly 12-61-714] Appraisal management
companies - prohibited activities - grounds for disciplinary actions -
procedures - rules. (1) The board, upon its own motion, may, and upon a
complaint submitted to the board in writing by any person, shall, investigate
the activities of a licensed appraisal management company; an appraiser
designated as a controlling appraiser by a partnership, limited liability
company, or corporation acting as an appraisal management company; or
a person or AN entity that assumes to act in that capacity within the state.
The board, upon finding a violation, may impose an administrative fine not
to exceed two thousand five hundred dollars for each separate offense;
censure a licensee; place the licensee on probation and set the terms of
probation; or temporarily suspend or permanently revoke a license, when
the licensee has performed, is performing, or is attempting to perform any
of the following acts:
(a) Failing to:
(I) Exercise due diligence when hiring or engaging a real estate
appraiser to ensure that the real estate appraiser is appropriately credentialed
by the board and competent to perform the assignment; and
(II) In the case of an AMC, establish and comply with processes and
controls reasonably designed to ensure that the AMC conducts its appraisal
management services in accordance with the requirements of the federal
PAGE 93-HOUSE BILL 19-1172
"Truth in Lending Act", 15 U.S.C. sec. 1639e (a) to (i), and regulations
adopted pursuant to that act;
(b) Requiring an appraiser to indemnify the appraisal management
company against liability, damages, losses, or claims other than those
arising out of the services performed by the appraiser, including
performance or nonperformance of the appraiser's duties and obligations,
whether as a result of negligence or willful misconduct;
(c) Influencing or attempting to influence the development,
reporting, result, or review of a real estate appraisal or the engagement of
an appraiser through coercion, extortion, collusion, compensation,
inducement, intimidation, bribery, or in any other manner. This prohibition
does not prohibit an appraisal management company from requesting an
appraiser to:
(I) Consider additional, appropriate property information;
(II) Provide further detail, substantiation, or explanation for the
appraiser's value conclusion; or
(III) Correct errors in the appraisal report.
(d) Prohibiting an appraiser, in the completion of an appraisal
service, from communicating with the client, any intended users, real estate
brokers, tenants, property owners, management companies, or any other
entity that the appraiser reasonably believes has information pertinent to the
completion of an appraisal assignment; except that this paragraph (d)
SUBSECTION (1)(d) does not apply to communications between an appraiser
and an appraisal management company's client if the client has adopted an
explicit policy prohibiting such THE communication. If the client has
adopted an explicit policy prohibiting communication by the appraiser with
the client, communication by an appraiser to the client must be made in
writing and submitted to the appraisal management company.
(e) Altering or modifying a completed appraisal report without the
authoring appraiser's knowledge and written consent, and the consent of the
intended user, except to modify the format of the report solely for
transmission to the client and in a manner acceptable to the client;
PAGE 94-HOUSE BILL 19-1172
(f) Requiring an appraiser to provide to the appraisal management
company access to the appraiser's electronic signature;
(g) Failing to validate or verify that the work completed by an
appraiser who is hired or engaged by the appraisal management company
complies with state and federal regulations, including the uniform standards
of professional appraisal practice, by conducting an annual audit of a
random sample of the appraisals received within the previous year by the
appraisal management company. The board shall establish annual appraisal
review requirements by rule and shall solicit and consider information and
comments from interested persons.
(h) Failing to make payment to an appraiser within sixty days after
completion of the appraisal, unless otherwise agreed or unless the appraiser
has been notified in writing that a bona fide dispute exists regarding the
performance or quality of the appraisal;
(i) Failing to perform the terms of a written agreement with an
appraiser hired or engaged to complete an appraisal assignment;
(j) Failing to disclose to an appraiser, at the time of engagement, the
identity of the client;
(k) Using an appraisal report for a client other than the one
originally contracted with, without the original client's written consent;
(l) Failing to maintain possession of, for future use or inspection by
the board, for a period of at least five years or at least two years after final
disposition of any judicial proceeding in which a representative of the
appraisal management company provided testimony related to the
assignment, whichever period expires last, the documents or records
prescribed by the rules of the board or to produce the documents or records
upon reasonable request by the board;
(m) Having been convicted of, or entering a plea of guilty, an Alford
plea, or a plea of nolo contendere to, any misdemeanor or felony relating to
the conduct of an appraisal, theft, embezzlement, bribery, fraud,
misrepresentation, or deceit, or any other like crime under Colorado law,
federal law, or the laws of other states. A certified copy of the judgment of
a court of competent jurisdiction of the conviction or other official record
PAGE 95-HOUSE BILL 19-1172
indicating that a plea was entered is conclusive evidence of the conviction
or plea in any hearing under this part 7 6.
(n) Having been the subject of an adverse or disciplinary action in
another state, territory, or country relating to a license, registration,
certification, or other authorization to practice as an appraisal management
company. A disciplinary action relating to a registration, license, or
certificate as an appraisal management company under this part 7 6 or any
related occupation in any other state, territory, or country for disciplinary
reasons is prima facie evidence of grounds for disciplinary action or denial
of a license by the board. This paragraph (n) SUBSECTION (1)(n) applies only
to violations based upon acts or omissions in the other state, territory, or
country that would violate this part 7 6 if committed in Colorado.
(o) Violating the "Colorado Consumer Protection Act", article 1 of
title 6; C.R.S.;
(p) Procuring, or attempting to procure, an appraisal management
company license or renewing, reinstating, or reactivating, or attempting to
renew, reinstate, or reactivate, an appraisal management company license
by fraud, misrepresentation, or deceit or by making a material misstatement
of fact in an application for a license;
(q) Knowingly misrepresenting or making false promises through
agents, advertising, or otherwise;
(r) Failing to disclose to a client the fee amount paid to the appraiser
hired or engaged to complete the appraisal upon completion of the
assignment; or
(s) Disregarding, violating, or abetting, directly or indirectly, a
violation of this part 7 6, a rule promulgated by the board pursuant to this
part 7 6, or an order of the board entered pursuant to this part 7 6.
(2) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
by the board but should not be dismissed as being without merit, the board
may send a letter of admonition by certified mail, return receipt requested,
to the licensee against whom the complaint was made. The letter shall
advise the licensee of the right to make a written request, within twenty
PAGE 96-HOUSE BILL 19-1172
days after receipt of the letter of admonition, to the board to begin formal
disciplinary proceedings as provided in this section to adjudicate the
conduct or acts on which the letter was based.
(3) Disciplinary proceedings must be conducted in the manner
prescribed by the "State Administrative Procedure Act", article 4 of title 24.
C.R.S.
(4) If a partnership, limited liability company, or corporation
operating under the license of an appraiser designated and licensed as a
controlling appraiser by the partnership, limited liability company, or
corporation is guilty of any act listed in subsection (1) of this section, the
board may suspend or revoke the right of the partnership, limited liability
company, or corporation to conduct its business under the license of the
controlling appraiser, whether or not the controlling appraiser had personal
knowledge of the violation and whether or not the board suspends or
revokes the individual license of the controlling appraiser.
(5) This part 7 6 does not relieve any person from civil liability or
criminal prosecution under the laws of this state.
(6) A licensee or certified person having direct knowledge that a
person or licensed partnership, limited liability company, or corporation has
violated this part 7 6 shall report his or her knowledge to the board.
(7) The board, on its own motion or upon application, at any time
after the imposition of discipline as provided in this section, may reconsider
its prior action and reinstate or restore a license, terminate probation, or
reduce the severity of its prior disciplinary action. The decision of whether
to take any further action or hold a hearing with respect to the action rests
in the sole discretion of the board.
12-10-615. [Formerly 12-61-715] Judicial review of final board
actions and orders. Final actions and orders of the board under sections
12-61-712, 12-61-713 12-10-612, 12-10-613, and 12-61-714 12-10-614
appropriate for judicial review are subject to judicial review in the court of
appeals in accordance with section 24-4-106 (11). C.R.S.
12-10-616. [Formerly 12-61-716] Unlawful acts - penalties. (1) It
is unlawful for a person to:
PAGE 97-HOUSE BILL 19-1172
(a) Violate section 12-61-713 (1)(c), (1)(e), or (1)(f) 12-10-613
(1)(c), (1)(e), OR (1)(f) or perform a real estate appraisal without first
having obtained a license or certificate from the board pursuant to this part
7 6;
(b) Accept a fee for an independent appraisal assignment that is
contingent upon:
(I) Reporting a predetermined analysis, opinion, or conclusion; or
(II) The analysis, opinion, or conclusion reached; or
(III) The consequences resulting from the analysis, opinion, or
conclusion;
(c) Misrepresent a consulting service as an independent appraisal;
or
(d) Fail to disclose, in connection with a consulting service for
which a contingent fee is or will be paid, the fact that a contingent fee is or
will be paid.
(2) Any person who violates any provision of subsection (1) of this
section commits a class 1 misdemeanor and shall be punished as provided
in section 18-1.3-501. C.R.S. Any person who subsequently violates any
provision of subsection (1) of this section within five years after the date of
a conviction for a violation of subsection (1) of this section commits a class
5 felony and shall be punished as provided in section 18-1.3-401. C.R.S.
12-10-617. [Formerly 12-61-717] Appraisal management
company license required - violations - injunction. (1) Except as
provided in section 12-61-707 (9) 12-10-607 (9), it is unlawful for any
person, partnership, limited liability company, or corporation to engage in
the business of appraisal management in this state without first having
obtained a license from the board. The board shall not grant a license to a
person, partnership, limited liability company, or corporation until the
person, partnership, limited liability company, or corporation demonstrates
compliance with this part 7 6.
(2) The board may apply to a court of competent jurisdiction for an
PAGE 98-HOUSE BILL 19-1172
order enjoining an act or practice that constitutes a violation of this part 7
6, and, upon a showing that a person, partnership, limited liability company,
or corporation is engaging or intends to engage in an act or practice that
violates this part 7 6, the court shall grant an injunction, restraining order,
or other appropriate order, regardless of the existence of another remedy for
the violation. Any notice, hearing, or duration of an injunction or restraining
order shall be made in accordance with the Colorado rules of civil
procedure.
(3) Any person, partnership, limited liability company, or
corporation violating this part 7 6 by acting as an appraisal management
company without having obtained a license or acting as an appraisal
management company after the appraisal management company's license
has been revoked or during any period for which the license was suspended
is guilty of a misdemeanor and, upon conviction thereof:
(a) If a natural person, shall be punished by a fine of not more than
five hundred dollars, or by imprisonment in the county jail for not more
than six months, or by both such fine and imprisonment, for the first
violation and, for a second or subsequent violation, shall be punished by a
fine of not more than one thousand dollars, or by imprisonment in the
county jail for not more than six months, or by both such fine and
imprisonment; and
(b) If an entity, shall be punished by a fine of not more than five
thousand dollars.
12-10-618. [Formerly 12-61-718] Injunctive proceedings. (1) The
board may, in the name of the people of the state of Colorado, through the
attorney general of the state of Colorado, apply for an injunction in any
court of competent jurisdiction to perpetually enjoin a person or appraisal
management company from committing an act prohibited by this part 7 6.
(2) Injunctive proceedings under this section are in addition to and
not in lieu of penalties and other remedies provided in this part 7 6.
(3) When seeking an injunction under this section, the board is not
required to allege or prove either that an adequate remedy at law does not
exist or that substantial or irreparable damage would result from a continued
violation.
PAGE 99-HOUSE BILL 19-1172
12-10-619. [Formerly 12-61-719] Special provision for appraiser
employees of county assessors. (1) Except as provided in subsection (2)
of this section, unless a federal waiver is applied for and granted pursuant
to section 12-61-704 (1)(i) 12-10-604 (1)(i), a person acting as a real estate
appraiser in this state shall be licensed or certified as provided in this part
7 6. No person shall practice without a license or certificate or hold himself
or herself out to the public as a licensed or certified real estate appraiser
unless licensed or certified pursuant to this part 7 6.
(2) An appraiser employee of a county assessor who is employed to
appraise real property shall be licensed or certified as provided in this part
7 6 and shall have two years from the date of taking office or the beginning
of employment to comply with this part 7 6.
12-10-620. [Formerly 12-61-720] Duties of board under federal
law. (1) The board shall:
(a) Transmit to the appraisal subcommittee of the federal financial
institutions examinations EXAMINATION council or its successor entity, no
less than annually, a roster listing individuals and appraisal management
companies that have received a certificate or license as provided in this part
7 6;
(b) Collect and transmit, on an annual basis, to the federal financial
institutions examinations EXAMINATION council an annual registry fee, as
prescribed by the appraisal subcommittee of the federal financial
institutions examinations EXAMINATION council or its successor entity, from
the following individuals and entities:
(I) Individuals and appraisal management companies that are
licensed or certified pursuant to this part 7 6; and
(II) Appraisal management companies that operate as subsidiaries
of federally regulated financial institutions; and
(c) Conduct its business and promulgate rules in a manner consistent
with Title XI of the federal "Financial Institutions Reform, Recovery, and
Enforcement Act of 1989", as amended, Pub.L. 101-73.
(2) The board shall not collect or transmit the information required
PAGE 100-HOUSE BILL 19-1172
by this section for licensed ad valorem appraisers.
12-10-621. [Formerly 12-61-721] Business entities. (1) A
corporation, partnership, bank, savings and loan association, savings bank,
credit union, or other business entity may provide appraisal services if the
appraisal is prepared by a certified general appraiser, a certified residential
appraiser, or a licensed appraiser. An individual who is not a certified
general appraiser, a certified residential appraiser, or a licensed appraiser
may assist in the preparation of an appraisal if:
(a) The assistant is under the direct supervision of a certified or
licensed appraiser; and
(b) The final appraisal document is approved and signed by an
individual who is a certified or licensed appraiser.
12-10-622. [Formerly 12-61-722] Provisions found not to comply
with federal law null and void - severability. (1) If any provision of this
part 7 6 is found by a court of competent jurisdiction or by the appropriate
federal agency not to comply with the federal "Financial Institutions
Reform, Recovery, and Enforcement Act of 1989", as amended, Pub.L.
101-73, the provision is null and void, but the remaining provisions of this
part 7 6 are valid unless the remaining provisions alone are incomplete and
are incapable of being executed in accordance with the legislative intent of
this part 7 6.
(2) If the regulation of appraisal management companies is repealed
from Title XI of the federal "Financial Institutions Reform, Recovery, and
Enforcement Act of 1989", as amended, Pub.L. 101-73, the board's
jurisdiction over these entities is also repealed. Before the repeal, the
division shall review the regulation of appraisal management companies as
provided in section 24-34-104. C.R.S. If the board's jurisdiction is repealed,
the director shall notify the revisor of statutes of the date of the repeal.
12-10-623. [Formerly 12-61-723] Scope of article - regulated
financial institutions - de minimis exemption. (1) (a) This article 10 does
not apply to an appraisal relating to any real-estate-related transaction or
loan made or to be made by a financial institution or its affiliate if the
real-estate-related transaction or loan is excepted from appraisal regulations
established by the primary federal regulator of the financial institution and
PAGE 101-HOUSE BILL 19-1172
the appraisal is performed by:
(I) An officer, director, or regular REGULARLY salaried employee of
the financial institution or its affiliate; or
(II) A real estate broker licensed under this article 10 with whom
said THE institution or affiliate has contracted for performance of the
appraisal.
(b) The appraisal must not be represented or deemed to be an
appraisal except to the financial institution, the agencies regulating the
financial institution, and any secondary markets that purchase real estate
secured loans. The appraisal must contain a written notice that the preparer
is not licensed or certified as an appraiser under this part 7 6. Nothing in
this subsection (1) exempts a person licensed or certified as an appraiser
under this part 7 6 from regulation as provided in this part 7 6.
(2) Nothing in this article 10 limits the ability of any federal or state
regulator of a financial institution to require the financial institution to
obtain appraisals as specified by the regulator.
PART 7
MORTGAGE LOAN ORIGINATORS
12-10-701. [Formerly 12-61-901] Short title. THE SHORT TITLE OF
this part 9 shall be known and may be cited as 7 IS the "Mortgage Loan
Originator Licensing and Mortgage Company Registration Act".
12-10-702. [Formerly 12-61-902] Definitions. As used in this part
9 7, unless the context otherwise requires:
(1) "Affiliate" means a person who, directly or indirectly, through
intermediaries, controls, is controlled by, or is under the common control
of another person addressed by this part 9 7.
(1.2) (2) "Affordable housing dwelling unit" means an affordable
housing dwelling unit as defined in section 29-26-102. C.R.S.
(1.3) (3) "Board" means the board of mortgage loan originators
created in section 12-61-902.5 12-10-703.
PAGE 102-HOUSE BILL 19-1172
(1.5) (4) "Borrower" means any person who consults with or retains
a mortgage loan originator in an effort to obtain or seek advice or
information on obtaining or applying to obtain a residential mortgage loan
for himself, herself, or persons including himself or herself, regardless of
whether the person actually obtains such a loan.
(1.7) (5) "Community development organization" means any
community housing development organization or community land trust as
defined by the federal "Cranston-Gonzalez National Affordable Housing
Act" of 1990 or a community-based development organization as defined
by the federal "Housing and Community Development Act of 1974", that
is also either a private or public nonprofit organization that is exempt from
taxation under section 501 (a) of the federal "Internal Revenue Code of
1986" pursuant to section 501 (c) of the federal "Internal Revenue Code of
1986", 26 U.S.C. sec. 501 (a) and 501 (c), AS AMENDED, and that receives
funding from the United States department of housing and urban
development, Colorado division of housing, Colorado housing and finance
authority, or United States department of agriculture rural development, or
through a grantee of the United States department of housing and urban
development, purely for the purpose of community housing development
activities.
(2) (6) "Depository institution" has the same meaning as set forth
in the "Federal Deposit Insurance Act", 12 U.S.C. sec. 1813 (c), and
includes a credit union.
(3) "Director" means the director of the division of real estate.
(4) "Division" means the division of real estate.
(4.3) (7) "Dwelling" shall have the same meaning as set forth in the
federal "Truth in Lending Act", 15 U.S.C. sec. 1602 (v) (w).
(4.5) (8) "Federal banking agency" means the board of governors
of the federal reserve system, the comptroller of the currency, the director
of the office of thrift supervision, the national credit union administration,
or the federal deposit insurance corporation.
(4.6) (9) "HUD-approved housing counseling agency" means an
agency that is either a private or public nonprofit organization that is
PAGE 103-HOUSE BILL 19-1172
exempt from taxation under section 501 (a) of the federal "Internal
Revenue Code of 1986" pursuant to section 501 (c) of the federal "Internal
Revenue Code of 1986", 26 U.S.C. sec. 501 (a) and 501 (c), AS AMENDED,
and approved by the United States department of housing and urban
development, in accordance with the housing counseling program
handbook section 7610.1 and 24 CFR 214.
(4.7) (10) "Individual" means a natural person.
(4.9) (11) (a) "Loan processor or underwriter" means an individual
who performs clerical or support duties at the direction of, and subject to
supervision by, a state-licensed loan originator or a registered loan
originator.
(b) As used in this subsection (4.9) (11), "clerical or support duties"
includes duties performed after receipt of an application for a residential
mortgage loan, including:
(I) The receipt, collection, distribution, and analysis of information
commonly used for the processing or underwriting of a residential
mortgage loan; and
(II) Communicating with a borrower to obtain the information
necessary to process or underwrite a loan, to the extent that the
communication does not include offering or negotiating loan rates or terms
or counseling consumers about residential mortgage loan rates or terms.
(5) (12) "Mortgage company" means a person other than an
individual who, through employees or other individuals, takes residential
loan applications or offers or negotiates terms of a residential mortgage
loan.
(5.5) (13) "Mortgage lender" means a lender who is in the business
of making residential mortgage loans if:
(a) The lender is the payee on the promissory note evidencing the
loan; and
(b) The loan proceeds are obtained by the lender from its own funds
or from a line of credit made available to the lender from a bank or other
PAGE 104-HOUSE BILL 19-1172
entity that regularly loans money to lenders for the purpose of funding
mortgage loans.
(6) (14) (a) "Mortgage loan originator" means an individual who:
(I) Takes a residential mortgage loan application; or
(II) Offers or negotiates terms of a residential mortgage loan.
(b) "Mortgage loan originator" does not include:
(I) An individual engaged solely as a loan processor or underwriter;
(II) A person that only performs real estate brokerage or sales
activities and is licensed or registered pursuant to part 1 2 of this article 10,
unless the person is compensated by a mortgage lender or a mortgage loan
originator;
(III) A person solely involved in extensions of credit relating to
time share plans, as defined in 11 U.S.C. sec. 101 (53D);
(IV) An individual who is servicing a mortgage loan; or
(V) A person that only performs the services and activities of a
dealer, as defined in section 24-32-3302. C.R.S.
(6.3) (15) "Nationwide mortgage licensing system and registry"
means a mortgage licensing system developed pursuant to the federal
"Secure and Fair Enforcement for Mortgage Licensing Act of 2008", 12
U.S.C. sec. 5101 et seq., AS AMENDED, to track the licensing and
registration of mortgage loan originators and that is established and
maintained by:
(a) The Conference of State Bank Supervisors and the American
Association of Residential Mortgage Regulators, or their successor entities;
or
(b) The secretary of the United States department of housing and
urban development.
PAGE 105-HOUSE BILL 19-1172
(6.5) (16) "Nontraditional mortgage product" means a mortgage
product other than a thirty-year, fixed-rate mortgage.
(7) (17) "Originate a mortgage" means to act, directly or indirectly,
as a mortgage loan originator.
(7.5) (18) "Person" means a natural person, corporation, company,
limited liability company, partnership, firm, association, or other legal
entity.
(7.6) (19) "Quasi-government agency" means an agency that is
either a private or public nonprofit organization that is exempt from
taxation under section 501 (a) of the federal "Internal Revenue Code of
1986" pursuant to section 501 (c) of the federal "Internal Revenue Code of
1986", 26 U.S.C. sec. 501 (a) and 501 (c), AS AMENDED, and was created
to operate in accordance with article 4 of title 29 C.R.S., as a public
housing authority.
(7.7) (20) "Real estate brokerage activity" means an activity that
involves offering or providing real estate brokerage services to the public,
including, without limitation:
(a) Acting as a real estate agent or real estate broker for a buyer,
seller, lessor, or lessee of real property;
(b) Bringing together parties interested in the sale, purchase, lease,
rental, or exchange of real property;
(c) Negotiating, on behalf of any party, any portion of a contract
relating to the sale, purchase, lease, rental, or exchange of real property,
other than matters related to financing for the transaction;
(d) Engaging in an activity for which a person engaged in the
activity is required under applicable law to be registered or licensed as a
real estate agent or real estate broker; or
(e) Offering to engage in any activity, or act in any capacity related
to such THE activity, described in this subsection (7.7) (20).
(8) (21) "Residential mortgage loan" means a loan that is primarily
PAGE 106-HOUSE BILL 19-1172
for personal, family, or household use and that is secured by a mortgage,
deed of trust, or other equivalent, consensual security interest on a dwelling
or residential real estate upon which is constructed or intended to be
constructed a single-family dwelling or multiple-family dwelling of four or
fewer units.
(9) (22) "Residential real estate" means any real property upon
which a dwelling is or will be constructed.
(9.5) (23) "Self-help housing organization" means a private or
public nonprofit organization that is exempt from taxation under section
501 (a) of the federal "Internal Revenue Code of 1986" pursuant to section
501 (c) of the federal "Internal Revenue Code of 1986", 26 U.S.C. sec. 501
(a) and 501 (c), AS AMENDED, and that purely originates residential
mortgage loans with interest rates no greater than zero percent for
borrowers who have provided part of the labor to construct the dwelling
securing the loan or that receives funding from the United States
department of agriculture rural development section 502 mutual self-help
housing program for borrowers that have provided part of the labor to
construct the dwelling securing the loan.
(10) (24) "Servicing a mortgage loan" means collecting, receiving,
or obtaining the right to collect or receive payments on behalf of a
mortgage lender, including payments of principal, interest, escrow
amounts, and other amounts due on obligations due and owing to the
mortgage lender.
(11) (25) "State-licensed loan originator" means an individual who
is:
(a) A mortgage loan originator or engages in the activities of a
mortgage loan originator;
(b) Not an employee of a depository institution or a subsidiary that
is:
(I) Owned and controlled by a depository institution; and
(II) Regulated by a federal banking agency;
PAGE 107-HOUSE BILL 19-1172
(c) Licensed or required to be licensed pursuant to this part 9 7; and
(d) Registered as a state-licensed loan originator with, and
maintains a unique identifier through, the nationwide mortgage licensing
system and registry.
(12) (26) "Unique identifier" means a number or other identifier
assigned to a mortgage loan originator pursuant to protocols established by
the nationwide mortgage licensing system and registry.
12-10-703. [Formerly 12-61-902.5] Board of mortgage loan
originators - creation - compensation - enforcement of part after board
creation - immunity. (1) (a) There is hereby created in the division OF
REAL ESTATE a board of mortgage loan originators, consisting of five
members appointed by the governor with the consent of the senate.
(b) Of the members of the board:
(I) Three must be licensed mortgage loan originators. The general
assembly encourages the governor to appoint to at least one of these three
positions a licensed mortgage loan originator who is an employee or
exclusive agent of, or works as an independent contractor for, a
Colorado-based mortgage company.
(II) Two must be members of the public at large not engaged in
mortgage loan origination or mortgage lending.
(c) Of the members of the board appointed for terms beginning on
and after August 11, 2010, two of the members appointed as mortgage loan
originators and one of the members appointed as a member of the public at
large shall be appointed for terms of two years, and one of the members
appointed as a mortgage loan originator and one of the members appointed
as a member of the public at large shall serve for terms of four years.
Thereafter, members of the board shall hold office for a term of four years.
(d) In the event of a vacancy by death, resignation, removal, or
otherwise, the governor shall appoint a member to fill the unexpired term.
The governor has the authority to remove any member for misconduct,
neglect of duty, or incompetence.
PAGE 108-HOUSE BILL 19-1172
(2) (a) The board shall exercise its powers and perform its duties and
functions under the department of regulatory agencies as if transferred to
the department by a type 1 transfer, as such transfer is defined in the
"Administrative Organization Act of 1968", article 1 of title 24. C.R.S.
(b) Notwithstanding any other provision of this part 9 7, on and after
the creation of the board by this section, the board shall exercise all of the
rule-making, enforcement, and administrative authority of the director set
forth in this part 9 7. The board has the authority to delegate to the director
any enforcement and administrative authority under this part 9 7 that the
board deems necessary and appropriate. If the board delegates any
enforcement or administrative authority under this part 9 7 to the director,
the director shall only be entitled to exercise such authority as specifically
delegated in writing to the director by the board.
(3) Each member of the board shall receive the same compensation
and reimbursement of expenses as those provided for members of boards
and commissions in the division of professions and occupations pursuant to
section 24-34-102 (13) 12-20-103 (6). Payment for all per diem
compensation and expenses shall be made out of annual appropriations
from the division of real estate cash fund created in section 12-61-111.5
12-10-215.
(4) Members of the board, consultants, and expert witnesses shall
be immune from suit in any civil action based upon any disciplinary
proceedings or other official acts they performed in good faith pursuant to
this part 9 7.
(5) A majority of the board shall constitute a quorum for the
transaction of all business, and actions of the board shall require a vote of
a majority of the members present in favor of the action taken.
(6) (a) All rules promulgated by the director prior to August 11,
2010, shall remain in full force and effect until repealed or modified by the
board. The board shall have the authority to enforce any previously
promulgated rules of the director under this part 9 7 and any rules
promulgated by the board.
(b) Nothing in this section shall affect any action taken by the
director prior to August 11, 2010. No person who, on or before August 11,
PAGE 109-HOUSE BILL 19-1172
2010, holds a license issued under this part 9 7 shall be required to secure
an additional license under this part 9 7, but shall otherwise be subject to all
the provisions of this part 9 7. A license previously issued shall, for all
purposes, be considered a license issued by the board under this part 9 7.
12-10-704. [Formerly 12-61-903] License required - rules.
(1) (a) Unless licensed by the board and registered with the nationwide
mortgage licensing system and registry as a state-licensed loan originator,
an individual shall not originate or offer to originate a mortgage or act or
offer to act as a mortgage loan originator.
(b) On and after January 1, 2010, a licensed mortgage loan
originator shall apply for license renewal in accordance with subsection (4)
(5) of this section every calendar year as determined by the board by rule.
(c) (Deleted by amendment, L. 2009, (HB 09-1085), ch. 303, p.
1615, § 1, effective August 5, 2009.)
(1.5) (2) An independent contractor may not engage in residential
mortgage loan origination activities as a loan processor or underwriter
unless the independent contractor is a state-licensed loan originator.
(2) (3) An applicant for initial licensing as a mortgage loan
originator shall submit to the board the following:
(a) A criminal history record check in compliance with subsection
(5) (6) of this section;
(b) A disclosure of all administrative discipline taken against the
applicant concerning the categories listed in section 12-61-905 (1)(c)
12-10-711 (1)(c); and
(c) The application fee established by the board in accordance with
section 12-61-908 12-10-718.
(3) (4) (a) In addition to the requirements imposed by subsection (2)
(3) of this section, on or after August 5, 2009, each individual applicant for
initial licensing as a mortgage loan originator must have satisfactorily
completed:
PAGE 110-HOUSE BILL 19-1172
(I) At least twenty hours of education as administered and approved
by the Nationwide Multistate Licensing System and Registry or its
successor; and
(II) A written examination approved by the board. For the portion
of the examination that represents the state-specific test required in the
federal "Secure and Fair Enforcement for Mortgage Licensing Act of 2008",
12 U.S.C. sec. 5101 et seq., AS AMENDED, the board may adopt the uniform
state test administered through the Nationwide Multistate Licensing System
and Registry or its successor.
(b) The board may contract with one or more independent testing
services to develop, administer, and grade the examinations required by
paragraph (a) of this subsection (3) SUBSECTION (4)(a) OF THIS SECTION and
to maintain and administer licensee records. The contract may allow the
testing service to recover from applicants its costs incurred in connection
with these functions. The board may contract separately for these functions
and may allow the costs to be collected by a single contractor for
distribution to other contractors.
(c) The board may publish reports summarizing statistical
information prepared by the nationwide mortgage licensing system and
registry relating to mortgage loan originator examinations.
(4) (5) An applicant for license renewal shall submit to the board the
following:
(a) A disclosure of all administrative discipline taken against the
applicant concerning the categories listed in section 12-61-905 (1)(c)
12-10-711 (1)(c); and
(b) The renewal fee established by the board in accordance with
section 12-61-908 12-10-718.
(5) (6) (a) Prior to submitting an application for a license, an
applicant shall submit a set of fingerprints to the Colorado bureau of
investigation. Upon receipt of the applicant's fingerprints, the Colorado
bureau of investigation shall use the fingerprints to conduct a state and
national criminal history record check using records of the Colorado bureau
of investigation and the federal bureau of investigation. All costs arising
PAGE 111-HOUSE BILL 19-1172
from such THE criminal history record check shall be borne by the applicant
and shall be paid when the set of fingerprints is submitted. Upon completion
of the criminal history record check, the bureau shall forward the results to
the board. The board may acquire a name-based criminal history record
check for an applicant who has twice submitted to a fingerprint-based
criminal history record check and whose fingerprints are unclassifiable.
(b) If the board determines that the criminal background check
provided by the nationwide mortgage licensing system and registry is a
sufficient method of screening license applicants to protect Colorado
consumers, the board may, by rule, authorize the use of that criminal
background check instead of the criminal history record check otherwise
required by this subsection (5) (6).
(5.5) (7) (a) On and after January 1, 2010, in connection with an
application for a license as a mortgage loan originator, the applicant shall
furnish information concerning the applicant's identity to the nationwide
mortgage licensing system and registry. The applicant shall furnish, at a
minimum, the following:
(I) Fingerprints for submission to the federal bureau of investigation
and any government agency or entity authorized to receive fingerprints for
a state, national, or international criminal history record check; and
(II) Personal history and experience, in a form prescribed by the
nationwide mortgage licensing system and registry, including submission
of authorization for the nationwide mortgage licensing system and registry
to obtain:
(A) An independent credit report from the consumer reporting
agency described in the federal "Fair Credit Reporting Act", 15 U.S.C. sec.
1681a (p); and
(B) Information related to any administrative, civil, or criminal
findings by a government jurisdiction.
(b) An applicant is responsible for paying all costs arising from a
criminal history record check and shall pay such THE costs upon submission
of fingerprints.
PAGE 112-HOUSE BILL 19-1172
(c) The board may acquire a name-based criminal history record
check for an applicant who has twice submitted to a fingerprint-based
criminal history record check and whose fingerprints are unclassifiable.
(5.7) Repealed.
(6) (8) Before granting a license to an applicant, the board shall
require the applicant to post a bond as required by section 12-61-907
12-10-717.
(7) (9) The board shall issue or deny a license within sixty days
after:
(a) The applicant has submitted the requisite information to the
board and the Nationwide Multistate Licensing System and Registry,
including the completed application and any necessary supplementary
information, the application fee, and proof that the applicant has posted a
surety bond and obtained errors and omissions insurance; and
(b) The board receives the completed criminal history record check
and all other relevant information or documents necessary to reasonably
ascertain facts underlying the applicant's criminal history.
(8) (10) (a) The board may require, as a condition of license renewal
on or after January 1, 2009, continuing education of licensees for the
purpose of enhancing the professional competence and professional
responsibility of all licensees.
(b) Continuing professional education requirements shall be
determined by the board by rule; except that licensees shall be required to
complete at least eight credit hours of continuing education each year. The
board may contract with one or more independent service providers to
develop, review, or approve continuing education courses. The contract may
allow the independent service provider to recover from licensees its costs
incurred in connection with these functions. The board may contract
separately for these functions and may allow the costs to be collected by a
single contractor for distribution to other contractors.
(9) (11) (a) The board may require contractors and prospective
contractors for services under subsections (3) (4) and (8) (10) of this section
PAGE 113-HOUSE BILL 19-1172
to submit, for the board's review and approval, information regarding the
contents and materials of proposed courses and other documentation
reasonably necessary to further the purposes of this section.
(b) The board may set fees for the initial and continuing review of
courses for which credit hours will be granted. The initial filing fee for
review of materials shall not exceed five hundred dollars, and the fee for
continued review shall not exceed two hundred fifty dollars per year per
course offered.
(10) (12) The board may adopt reasonable rules to implement this
section. The board may adopt rules necessary to implement provisions
required in the federal "Secure and Fair Enforcement for Mortgage
Licensing Act of 2008", 12 U.S.C. sec. 5101 et seq., AS AMENDED, and for
participation in the nationwide mortgage licensing system and registry.
(11) (13) In order to fulfill the purposes of this part 9 7, the board
may establish relationships or contracts with the nationwide mortgage
licensing system and registry or other entities designated by the nationwide
mortgage licensing system and registry to collect and maintain records and
process transaction fees or other fees related to licensees or other persons
subject to this part 9 7.
(12) (14) The board may use the nationwide mortgage licensing
system and registry as a channeling agent for requesting information from
or distributing information to the department of justice, a government
agency, or any other source.
12-10-705. [Formerly 12-61-903.1] Registration required - rules.
(1) On or after January 1, 2011, each mortgage company shall register with
the nationwide mortgage licensing system and registry, unless exempted by
rule by the board, and shall renew such ITS registration each calendar year
based on the following criteria:
(a) (I) The mortgage company is legally operating in the state of
Colorado in accordance with standards determined and administered by the
Colorado secretary of state; and
(II) The mortgage company is not legally barred from operating in
Colorado.
PAGE 114-HOUSE BILL 19-1172
(b) Sole proprietors, general partnerships, and other mortgage
companies not otherwise required to register with the secretary of state shall
register using a trade name.
12-10-706. [Formerly 12-61-903.3] License or registration
inactivation. (1) The board may inactivate a state license or a registration
with the nationwide mortgage licensing system and registry when a licensee
has failed to:
(a) Comply with the surety bond requirements of sections 12-61-903
(6) 12-10-704 (8) and 12-61-907 12-10-717;
(b) Comply with the errors and omissions insurance requirement in
section 12-61-903.5 12-10-707 or any rule of the board that directly or
indirectly addresses errors and omissions insurance requirements;
(c) Maintain current contact information, surety bond information,
or errors and omissions insurance information as required by this part 9 7
or by any rule of the board that directly or indirectly addresses such THOSE
requirements;
(d) Respond to an investigation or examination;
(e) Comply with any of the education or testing requirements set
forth in this part 9 7 or in any rule of the board that directly or indirectly
addresses education or testing requirements; or
(f) Register with and provide all required information to the
nationwide mortgage licensing system and registry.
12-10-707. [Formerly 12-61-903.5] Errors and omissions
insurance - duties of the board - certificate of coverage - when required
- group plan made available - effect - rules. (1) Every licensee under this
part 9 7, except an inactive mortgage loan originator or an attorney licensee
who maintains a policy of professional malpractice insurance that provides
coverage for errors and omissions insurance for their activities as a licensee
under this part 9 7, shall maintain errors and omissions insurance to cover
all activities contemplated under this part 9 7. The division shall make the
errors and omissions insurance available to all licensees by contracting with
an insurer for a group policy after a competitive bid process in accordance
PAGE 115-HOUSE BILL 19-1172
with article 103 of title 24. C.R.S. A group policy obtained by the division
must be available to all licensees with no right on the part of the insurer to
cancel a licensee. A licensee may obtain errors and omissions insurance
independently if the coverage complies with the minimum requirements
established by the division.
(2) (a) If the division is unable to obtain errors and omissions
insurance coverage to insure all licensees who choose to participate in the
group program at a reasonable annual premium, as determined by the
division, a licensee shall independently obtain the errors and omissions
insurance required by this section.
(b) The division shall solicit and consider information and
comments from interested persons when determining the reasonableness of
annual premiums.
(3) The division shall determine the terms and conditions of
coverage required under this section based on rules promulgated by the
board. Each licensee shall be notified of the required terms and conditions
at least thirty days before the annual premium renewal date as determined
by the division. Each licensee shall file a certificate of coverage showing
compliance with the required terms and conditions with the division by the
annual premium renewal date, as determined by the division.
(4) In addition to all other powers and duties conferred upon the
board by this part 9 7, the board shall adopt such rules as it deems necessary
or proper to carry out this section.
12-10-708. [Formerly 12-61-903.7] License renewal. (1) In order
for a licensed mortgage loan originator to renew a license issued pursuant
to this part 9 7, the mortgage loan originator shall:
(a) Continue to meet the minimum standards for issuance of a
license pursuant to this part 9 7;
(b) Satisfy the annual continuing education requirements set forth
in section 12-61-903 (8) 12-10-704 (10) and in rules adopted by the board;
and
(c) Pay applicable license renewal fees.
PAGE 116-HOUSE BILL 19-1172
(2) If a licensed mortgage loan originator fails to satisfy the
requirements of subsection (1) of this section for license renewal, the
mortgage loan originator's license shall expire. The board shall adopt rules
to establish procedures for the reinstatement of an expired license consistent
with the standards established by the nationwide mortgage licensing system
and registry.
12-10-709. [Formerly 12-61-904] Exemptions - definition - rules.
(1) Except as otherwise provided in section 12-61-905.5 12-10-713, this
part 9 7 does not apply to the following, unless otherwise determined by the
federal bureau of consumer financial protection or the United States
department of housing and urban development:
(a) (Deleted by amendment, L. 2010, (HB 10-1141), ch. 280, p.
1289, § 10, effective August 11, 2010.)
(b) (a) With respect to a residential mortgage loan:
(I) A person, estate, or trust that provides mortgage financing for the
sale of no more than three properties in any twelve-month period to
purchasers of such THE properties, each of which is owned by such THE
person, estate, or trust and serves as security for the loan; or
(II) An individual who acts as a mortgage loan originator, without
compensation or gain to the mortgage loan originator, in providing loan
financing for not more than three residential mortgage loans in any
twelve-month period to a family member of the individual. The board shall
define "family member" by rule. For purposes of this exemption only,
"compensation or gain" excludes any interest paid under the loan financing
provided.
(c) (b) A bank and a savings association as these terms are defined
in the "Federal Deposit Insurance Act", 12 U.S.C. SEC. 1811 ET SEQ., AS
AMENDED, a subsidiary that is owned and controlled by a bank or savings
association, employees of a bank or savings association, employees of a
subsidiary that is owned and controlled by a bank or savings association,
credit unions, and employees of credit unions;
(d) (c) An attorney who renders services in the course of practice,
who is licensed in Colorado, and who is not primarily engaged in the
PAGE 117-HOUSE BILL 19-1172
business of negotiating residential mortgage loans;
(e) (Deleted by amendment, L. 2007, p. 1716, § 2, effective June 1,
2007, and p. 1734, § 6, effective January 1, 2008.)
(f) (d) A person who:
(I) Funds a residential mortgage loan that has been originated and
processed by a licensed person or by an exempt person;
(II) Does not solicit borrowers in Colorado for the purpose of
making residential mortgage loans; and
(III) Does not participate in the negotiation of residential mortgage
loans with the borrower, except for setting the terms under which a person
may buy or fund a residential mortgage loan originated by a licensed or
exempt person;
(g) (e) A loan processor or underwriter who is not an independent
contractor and who does not represent to the public that the individual can
or will perform any activities of a mortgage loan originator. As used in this
paragraph (g) SUBSECTION (1)(e), "represent to the public" means
communicating, through advertising or other means of communicating, or
providing information, including the use of business cards, stationery,
brochures, signs, rate lists, or other promotional items, that the individual
is able to provide a particular service or activity for a consumer.
(h) (f) To the extent that it is providing programs benefitting
affordable housing dwelling units, an agency of the federal government, the
Colorado government, or any of Colorado's political subdivisions or
employees of an agency of the federal government, of the Colorado
government, or of any of Colorado's political subdivisions;
(i) (g) Quasi-government agencies, HUD-approved housing
counseling agencies, or employees of quasi-government agencies or
HUD-approved housing counseling agencies;
(j) (h) Community development organizations or employees of
community development organizations;
PAGE 118-HOUSE BILL 19-1172
(k) (i) Self-help housing organizations or employees of self-help
housing organizations or volunteers acting as an agent of self-help housing
organizations;
(l) (j) A person licensed under part 1 2 of this article 10 who
represents a person, estate, or trust providing mortgage financing under
paragraph (b) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION.
(2) The exemptions in subsection (1) of this section shall not apply
to persons acting beyond the scope of such THE exemptions.
(3) The board may adopt reasonable rules modifying the exemptions
in this section in accordance with rules adopted by the federal bureau of
consumer financial protection or the United States department of housing
and urban development.
12-10-710. [Formerly 12-61-904.5] Originator's relationship to
borrower - rules. (1) A mortgage loan originator shall have a duty of good
faith and fair dealing in all communications and transactions with a
borrower. Such THE duty includes, but is not limited to:
(a) The duty to not recommend or induce the borrower to enter into
a transaction that does not have a reasonable, tangible net benefit to the
borrower, considering all of the circumstances, including the terms of a
loan, the cost of a loan, and the borrower's circumstances;
(b) The duty to make a reasonable inquiry concerning the borrower's
current and prospective income, existing debts and other obligations, and
any other relevant information and, after making such THE inquiry, to make
his or her best efforts to recommend, broker, or originate a residential
mortgage loan that takes into consideration the information submitted by the
borrower, but the mortgage loan originator shall not be deemed to violate
this section if the borrower conceals or misrepresents relevant information;
and
(c) The duty not to commit any acts, practices, or omissions in
violation of section 38-40-105. C.R.S.
(2) For purposes of implementing subsection (1) of this section, the
board may adopt rules defining what constitutes a reasonable, tangible net
PAGE 119-HOUSE BILL 19-1172
benefit to the borrower.
(3) A violation of this section constitutes a deceptive trade practice
under the "Colorado Consumer Protection Act", article 1 of title 6. C.R.S.
12-10-711. [Formerly 12-61-905] Powers and duties of the board.
(1) The board may deny an application for a license, refuse to renew, or
revoke the license of an applicant or licensee who has:
(a) Filed an application with the board containing material
misstatements of fact or omitted any disclosure required by this part 9 7;
(b) Within the last five years, been convicted of or pled guilty or
nolo contendere to a crime involving fraud, deceit, material
misrepresentation, theft, or the breach of a fiduciary duty, except as
otherwise set forth in this part 9 7;
(c) Except as otherwise set forth in this part 9 7, within the last five
years, had a license, registration, or certification issued by Colorado or
another state revoked or suspended for fraud, deceit, material
misrepresentation, theft, or the breach of a fiduciary duty, and such THE
discipline denied the person authorization to practice as:
(I) A mortgage broker or a mortgage loan originator;
(II) A real estate broker, as defined by section 12-61-101 (2)
12-10-201 (6);
(III) A real estate salesperson;
(IV) A real estate appraiser, as defined by section 12-61-702 (11)
12-10-602 (9);
(V) An insurance producer, as defined by section 10-2-103 (6);
C.R.S.;
(VI) An attorney;
(VII) A securities broker-dealer, as defined by section 11-51-201
(2); C.R.S.;
PAGE 120-HOUSE BILL 19-1172
(VIII) A securities sales representative, as defined by section
11-51-201 (14); C.R.S.;
(IX) An investment advisor, as defined by section 11-51-201 (9.5);
C.R.S.; or
(X) An investment advisor representative, as defined by section
11-51-201 (9.6); C.R.S.;
(d) Been enjoined within the immediately preceding five years under
the laws of this or any other state or of the United States from engaging in
deceptive conduct relating to the brokering of or originating a mortgage
loan;
(e) Been found to have violated the provisions of section
12-61-910.2 12-10-721;
(f) Been found to have violated the provisions of section
12-61-905.5 12-10-713;
(g) to (i) Repealed.
(j) (g) Not demonstrated financial responsibility, character, and
general fitness to command the confidence of the community and to warrant
a determination that the individual will operate honestly, fairly, and
efficiently, consistent with the purposes of this part 9 7;
(k) (h) Not completed the prelicense education requirements set
forth in section 12-61-903 12-10-704 and any applicable rules of the board;
or
(l) (i) Not passed a written examination that meets the requirements
set forth in section 12-61-903 12-10-704 and any applicable rules of the
board.
(1.5) (2) The board shall deny an application for a license, refuse to
renew, or revoke the license of an applicant or licensee who has:
(a) (I) Had a mortgage loan originator license or similar license
revoked in any jurisdiction.
PAGE 121-HOUSE BILL 19-1172
(II) If a revocation is subsequently formally nullified, the license is
not revoked for purposes of this subsection (1.5)(a) (2)(a).
(b) (I) At any time been convicted of, or pled guilty or nolo
contendere to, a felony in a domestic, foreign, or military court if the felony
involved an act of fraud, dishonesty, breach of trust, or money laundering.
(II) If the individual obtains a pardon of the conviction, the board
shall not deem the individual convicted for purposes of this subsection
(1.5)(b) (2)(b).
(c) Been convicted of, or pled guilty or nolo contendere to, a felony
within the immediately preceding seven years.
(2) (3) The board may investigate the activities of a licensee or other
person that present grounds for disciplinary action under this part 9 7 or that
violate section 12-61-910 (1) 12-10-720 (1).
(3) (4) (a) If the board has reasonable grounds to believe that a
mortgage loan originator is no longer qualified under subsection (1) of this
section, the board may summarily suspend the mortgage loan originator's
license pending a hearing to revoke the license. A summary suspension
shall conform to article 4 of title 24. C.R.S.
(b) The board shall suspend the license of a mortgage loan
originator who fails to maintain the bond required by section 12-61-907
12-10-717 until the licensee complies with such THAT section.
(4) (5) The board or an administrative law judge appointed pursuant
to part 10 of article 30 of title 24 C.R.S., shall conduct disciplinary hearings
concerning mortgage loan originators and mortgage companies. Such THE
hearings shall conform to article 4 of title 24. C.R.S.
(5) (6) (a) Except as provided in paragraph (b) of this subsection (5)
SUBSECTION (6)(b) OF THIS SECTION, an individual whose license has been
revoked shall not be eligible for licensure for two years after the effective
date of the revocation.
(b) If the board or an administrative law judge determines that an
application contained a misstatement of fact or omitted a required
PAGE 122-HOUSE BILL 19-1172
disclosure due to an unintentional error, the board shall allow the applicant
to correct the application. Upon receipt of the corrected and completed
application, the board or administrative law judge shall not bar the applicant
from being licensed on the basis of the unintentional misstatement or
omission.
(6) (7) (a) The board or an administrative law judge may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing or
investigation conducted by the board or an administrative law judge. The
board may request any information relevant to the investigation, including,
but not limited to, independent credit reports obtained from a consumer
reporting agency described in the federal "Fair Credit Reporting Act", 15
U.S.C. sec. 1681a (p).
(b) Upon failure of a witness to comply with a subpoena or process,
the district court of the county in which the subpoenaed witness resides or
conducts business may issue an order requiring the witness to appear before
the board or administrative law judge; produce the relevant papers, books,
records, documentary evidence, testimony, or materials in question; or both.
Failure to obey the order of the court may be punished as a contempt of
court. The board or an administrative law judge may apply for such AN
order.
(c) The licensee or individual who, after an investigation under this
part 9 7, is found to be in violation of a provision of this part 9 7 shall be
responsible for paying all reasonable and necessary costs of the division
arising from subpoenas or requests issued pursuant to this subsection (6)
(7), including court costs for an action brought pursuant to paragraph (b) of
this subsection (6) SUBSECTION (7)(b) OF THIS SECTION.
(7) (8) (a) If the board has reasonable cause to believe that an
individual is violating this part 9 7, including but not limited to section
12-61-910 (1) 12-10-720 (1), the board may enter an order requiring the
individual to cease and desist such THE violations.
(b) The board, upon its own motion, may, and, upon the complaint
in writing of any person, shall, investigate the activities of any licensee or
any individual who assumes to act in such capacity within the state. In
PAGE 123-HOUSE BILL 19-1172
addition to any other penalty that may be imposed pursuant to this part 9 7,
any individual violating any provision of this part 9 7 or any rules
promulgated pursuant to this article 10 may be fined upon a finding of
misconduct by the board as follows:
(I) In the first administrative proceeding, a fine not in excess of one
thousand dollars per act or occurrence;
(II) In a second or subsequent administrative proceeding, a fine not
less than one thousand dollars nor in excess of two thousand dollars per act
or occurrence.
(c) All fines collected pursuant to this subsection (7) (8) shall be
transferred to the state treasurer, who shall credit them to the division of
real estate cash fund created in section 12-61-111.5 12-10-215.
(8) (9) The board shall keep records of the individuals licensed as
mortgage loan originators and of disciplinary proceedings. The records kept
by the board shall be open to public inspection in a reasonable time and
manner determined by the board.
(9) (a) (10) The board shall maintain a system, which may include,
without limitation, a hotline or website, that gives consumers a reasonably
easy method for making complaints about a mortgage loan originator.
(b) (Deleted by amendment, L. 2009, (HB 09-1085), ch. 303, p.
1621, § 1, effective August 5, 2009.)
(10) (11) The board shall promulgate rules to allow licensed
mortgage loan originators to hire unlicensed mortgage loan originators
under temporary licenses. If an unlicensed mortgage loan originator has
initiated the application process for a license, he or she shall be assigned a
temporary license for a reasonable period until a license is approved or
denied. The licensed mortgage loan originator who employs an unlicensed
mortgage loan originator shall be held responsible under all applicable
provisions of law, including without limitation this part 9 7 and section
38-40-105, C.R.S., for the actions of the unlicensed mortgage loan
originator to whom a temporary license has been assigned under this
subsection (10) (11).
PAGE 124-HOUSE BILL 19-1172
12-10-712. [Formerly 12-61-905.1] Powers and duties of the
board over mortgage companies - fines - rules. (1) With respect to
mortgage companies, the board may deny an application for registration;
refuse to renew, suspend, or revoke the registration; enter cease-and-desist
orders; and impose fines as set forth in this section as follows:
(a) If the board has reasonable cause to believe a person is acting
without a license or registration;
(b) If the mortgage company fails to maintain possession, for future
use or inspection by an authorized representative of the board, for a period
of four years, of the documents or records prescribed by the rules of the
board or to produce such THE documents or records upon reasonable request
by the board or by an authorized representative of the board;
(c) If the mortgage company employs or contracts with individuals
who are required to be licensed pursuant to this part 9 7 and who are not
either:
(I) Licensed; or
(II) In the process of becoming licensed; or
(d) If the mortgage company directs, makes, or causes to be made,
in any manner, a false or deceptive statement or representation with regard
to the rates, points, or other financing terms or conditions for a residential
mortgage loan; engages in bait and switch advertising as that term is used
in section 6-1-105 (1)(n); C.R.S., or violates any rule of the board that
directly or indirectly addresses advertising requirements.
(2) (a) The board, upon its own motion or upon the complaint in
writing of any person, may investigate the activities of any registered
mortgage company or any mortgage company that is acting in a capacity
that requires registration pursuant to this part 9 7.
(b) The board may fine a mortgage company that has violated this
section or any rules promulgated pursuant to this section as follows:
(I) In the first administrative proceeding, a fine not in excess of one
thousand dollars per act or occurrence;
PAGE 125-HOUSE BILL 19-1172
(II) In a second or subsequent administrative proceeding, a fine not
in excess of two thousand dollars per act or occurrence.
(c) All fines collected pursuant to this section shall be transmitted
to the state treasurer, who shall credit them to the division of real estate cash
fund created in section 12-61-111.5 12-10-215.
(3) The board may adopt reasonable rules for implementing this
section.
(4) Nothing in this section automatically imputes a violation to the
mortgage company if a licensed agent or employee, or an individual agent
or employee who is required to be licensed, violates any other provision of
this part 9 7.
12-10-713. [Formerly 12-61-905.5] Disciplinary actions - grounds
- procedures - rules. (1) The board, upon its own motion, may, or upon the
complaint in writing of any person, shall, investigate the activities of any
mortgage loan originator. The board has the power to impose an
administrative fine in accordance with section 12-61-905 12-10-711, deny
a license, censure a licensee, place the licensee on probation and set the
terms of probation, order restitution, order the payment of actual damages,
or suspend or revoke a license when the board finds that the licensee or
applicant has performed, is performing, or is attempting to perform any of
the following acts:
(a) Knowingly making any misrepresentation or knowingly making
use of any false or misleading advertising;
(b) Making any promise that influences, persuades, or induces
another person to detrimentally rely on such THE promise when the licensee
could not or did not intend to keep such THE promise;
(c) Knowingly misrepresenting or making false promises through
agents, salespersons, advertising, or otherwise;
(d) Violating any provision of the "Colorado Consumer Protection
Act", article 1 of title 6, C.R.S., and, if the licensee has been assessed a civil
or criminal penalty or been subject to an injunction under said THE act, the
board shall revoke the licensee's license;
PAGE 126-HOUSE BILL 19-1172
(e) Acting for more than one party in a transaction without
disclosing any actual or potential conflict of interest or without disclosing
to all parties any fiduciary obligation or other legal obligation of the
mortgage loan originator to any party;
(f) Representing or attempting to represent a mortgage loan
originator other than the licensee's principal or employer without the
express knowledge and consent of that principal or employer;
(g) In the case of a licensee in the employ of another mortgage loan
originator, failing to place, as soon after receipt as is practicably possible,
in the custody of that licensed mortgage loan originator-employer any
deposit money or other money or fund entrusted to the employee by any
person dealing with the employee as the representative of that licensed
mortgage loan originator-employer;
(h) Failing to account for or to remit, within a reasonable time, any
moneys MONEY coming into his or her possession that belong BELONGS to
others, whether acting as a mortgage loan originator, real estate broker,
salesperson, or otherwise, and failing to keep records relative to said
moneys THE MONEY, which records shall contain such information as may
be prescribed by the rules of the board relative thereto and shall be subject
to audit by the board;
(i) Converting funds of others, diverting funds of others without
proper authorization, commingling funds of others with the licensee's own
funds, or failing to keep such THE funds of others in an escrow or a trustee
account with a bank or recognized depository in this state, which account
may be any type of checking, demand, passbook, or statement account
insured by an agency of the United States government, and to keep records
relative to the deposit that contain such information as may be prescribed
by the rules of the board relative thereto, which records shall be subject to
audit by the board;
(j) Failing to provide the parties to a residential mortgage loan
transaction with such information as may be prescribed by the rules of the
board;
(k) Unless an employee of a duly registered mortgage company,
failing to maintain possession, for future use or inspection by an authorized
PAGE 127-HOUSE BILL 19-1172
representative of the board, for a period of four years, of the documents or
records prescribed by the rules of the board or to produce such THE
documents or records upon reasonable request by the board or by an
authorized representative of the board;
(l) Paying a commission or valuable consideration for performing
any of the functions of a mortgage loan originator, as described in this part
9 7, to any person who is not licensed under this part 9 7 or is not registered
in compliance with the federal "Secure and Fair Enforcement for Mortgage
Licensing Act of 2008", 12 U.S.C. sec. 5101 et seq., AS AMENDED;
(m) Disregarding or violating any provision of this part 9 7 or any
rule adopted by the board pursuant to this part 9 7; violating any lawful
orders of the board; or aiding and abetting a violation of any rule, order of
the board, or provision of this part 9 7;
(n) Conviction of, entering a plea of guilty to, or entering a plea of
nolo contendere to any crime in article 3 of title 18, C.R.S., in parts 1 to 4
of article 4 of title 18, C.R.S., in article 5 of title 18, C.R.S., in part 3 of
article 8 of title 18, C.R.S., in article 15 of title 18, C.R.S., in article 17 of
title 18, C.R.S., or any other like crime under Colorado law, federal law, or
the laws of other states. A certified copy of the judgment of a court of
competent jurisdiction of such A conviction or other official record
indicating that such A plea was entered shall be conclusive evidence of such
THE conviction or plea in any hearing under this part 9 7.
(o) Violating or aiding and abetting in the violation of the Colorado
or federal fair housing laws;
(p) Failing to immediately notify the board in writing of a
conviction, plea, or violation pursuant to paragraph (n) or (o) of this
subsection (1) SUBSECTION (1)(n) OR (1)(o) OF THIS SECTION;
(q) Having demonstrated unworthiness or incompetency to act as a
mortgage loan originator by conducting business in such a manner as to
endanger the interest of the public;
(r) (Deleted by amendment, L. 2009, (HB 09-1085), ch. 303, p.
1625, § 1, effective August 5, 2009.)
PAGE 128-HOUSE BILL 19-1172
(s) (r) Procuring, or attempting to procure, a mortgage loan
originator's license or renewing, reinstating, or reactivating, or attempting
to renew, reinstate, or reactivate, a mortgage loan originator's license by
fraud, misrepresentation, or deceit or by making a material misstatement of
fact in an application for such THE license;
(t) (s) Claiming, arranging for, or taking any secret or undisclosed
amount of compensation, commission, or profit or failing to reveal to the
licensee's principal or employer the full amount of such THE licensee's
compensation, commission, or profit in connection with any acts for which
a license is required under this part 9 7;
(u) (t) Exercising an option to purchase in any agreement
authorizing or employing such A licensee to sell, buy, or exchange real
estate for compensation or commission except when such THE licensee,
prior to or coincident with election to exercise such THE option to purchase,
reveals in writing to the licensee's principal or employer the full amount of
the licensee's profit and obtains the written consent of such THE principal
or employer approving the amount of such THE profit;
(v) (u) Fraud, misrepresentation, deceit, or conversion of trust funds
that results in the payment of any claim pursuant to this part 9 7 or that
results in the entry of a civil judgment for damages;
(w) (v) Any other conduct, whether of the same or a different
character than specified in this subsection (1), that evinces a lack of good
faith and fair dealing;
(x) (w) Having had a mortgage loan originator's license suspended
or revoked in any jurisdiction or having had any disciplinary action taken
against the mortgage loan originator in any other jurisdiction. A certified
copy of the order of disciplinary action shall be prima facie evidence of
such THE disciplinary action.
(y) (x) Engaging in any unfair or deceptive practice toward any
person;
(z) (y) Obtaining property by fraud or misrepresentation;
(aa) (z) Soliciting or entering into a contract with a borrower that
PAGE 129-HOUSE BILL 19-1172
provides, in substance, that the mortgage loan originator may earn a fee or
commission through the mortgage loan originator's best efforts to obtain a
loan even though no loan is actually obtained for the borrower;
(bb) (aa) Soliciting, advertising, or entering into a contract for
specific interest rates, points, or other financing terms unless the terms are
actually available at the time of the solicitation, advertisement, or contract;
(cc) (bb) Failing to make a disclosure to a loan applicant or a
noninstitutional investor as required by section 12-61-914 12-10-725 and
any other applicable state or federal law;
(dd) (cc) Making, in any manner, any false or deceptive statement
or representation with regard to the rates, points, or other financing terms
or conditions for a residential mortgage loan or engaging in bait and switch
advertising;
(ee) (dd) Negligently making any false statement or knowingly and
willfully omitting a material fact in connection with any reports filed by a
mortgage loan originator or in connection with any investigation conducted
by the division;
(ff) (ee) In any advertising of residential mortgage loans or any other
applicable mortgage loan originator activities covered by the following
federal acts, failing to comply with any requirement of the "Truth in
Lending Act", 15 U.S.C. sec. 1601 and Regulation Z, 12 CFR 226 and 12
CFR 1026; the "Real Estate Settlement Procedures Act of 1974", 12 U.S.C.
sec. 2601 and Regulation X, 12 CFR 1024 et seq.; the "Equal Credit
Opportunity Act", 15 U.S.C. sec. 1691 and Regulation B, 12 CFR 202.9,
202.11, and 202.12 and 12 CFR 1002; Title V, Subtitle A of the "Financial
Services Modernization Act of 1999", also known as the
"Gramm-Leach-Bliley Act", 15 U.S.C. secs. 6801 to 6809, and the federal
trade commission's privacy rules, 16 CFR 313 and 314, mandated by the
"Gramm-Leach-Bliley Act"; the "Home Mortgage Disclosure Act of 1975",
12 U.S.C. sec. 2801 et seq. and Regulation C, home mortgage disclosure,
12 CFR 203 and 12 CFR 1003; the "Federal Trade Commission Act" of
1914, 15 U.S.C. sec. 45 (a) and 16 CFR 233; and the "Telemarketing and
Consumer Fraud and Abuse Prevention Act", 15 U.S.C. secs. 6101 to 6108,
and the federal trade commission's telemarketing sales rule, 16 CFR 310,
as amended. The board may adopt rules requiring mortgage loan originators
PAGE 130-HOUSE BILL 19-1172
to comply with other applicable state and federal statutes and regulations.
(gg) (ff) Failing to pay a third-party provider, no later than thirty
days after the recording of the loan closing documents or ninety days after
completion of the third-party service, whichever comes first, unless
otherwise agreed or unless the third-party service provider has been notified
in writing that a bona fide dispute exists regarding the performance or
quality of the third-party service; or
(hh) (gg) Collecting, charging, attempting to collect or charge, or
using or proposing any agreement purporting to collect or charge any fee
prohibited by section 12-61-914 12-10-725 or 12-61-915 12-10-726.
(2) (Deleted by amendment, L. 2009, (HB 09-1085), ch. 303, p.
1625, § 1, effective August 5, 2009.)
(3) (2) Upon request of the board, when any mortgage loan
originator is a party to any suit or proceeding, either civil or criminal,
arising out of any transaction involving a residential mortgage loan and the
mortgage loan originator participated in the transaction in his or her
capacity as a licensed mortgage loan originator, the mortgage loan
originator shall supply to the board a copy of the complaint, indictment,
information, or other initiating pleading and the answer filed, if any, and
advise the board of the disposition of the case and of the nature and amount
of any judgment, verdict, finding, or sentence that may be made, entered,
or imposed therein.
(4) (3) This part 9 7 shall not be construed to relieve any person
from civil liability or criminal prosecution under the laws of this state.
(5) (4) Complaints of record in the office of the board and board
investigations, including board investigative files, are closed to public
inspection. Stipulations and final agency orders are public record and
subject to sections 24-72-203 and 24-72-204. C.R.S.
(6) (5) When a complaint or an investigation discloses an instance
of misconduct that, in the opinion of the board, does not warrant formal
action by the board but that should not be dismissed as being without merit,
the board may send a letter of admonition by certified mail, return receipt
requested, to the licensee against whom a complaint was made and a copy
PAGE 131-HOUSE BILL 19-1172
of the letter of admonition to the person making the complaint, but the letter
shall advise the licensee that the licensee has the right to request in writing,
within twenty days after proven receipt, that formal disciplinary proceedings
be initiated to adjudicate the propriety of the conduct upon which the letter
of admonition is based. If such THE request is timely made, the letter of
admonition shall be deemed vacated, and the matter shall be processed by
means of formal disciplinary proceedings.
(7) (6) All administrative fines collected pursuant to this section
shall be transmitted to the state treasurer, who shall credit them to the
division of real estate cash fund created in section 12-61-111.5 12-10-215.
(8) (7) (a) The board shall not consider an application for licensure
from an individual whose license has been revoked until two years after the
date of revocation.
(b) If an individual's license was suspended or revoked due to
conduct that resulted in financial loss to another person, no new license
shall be granted, nor shall a suspended license be reinstated, until full
restitution has been made to the person suffering such THE financial loss.
The amount of restitution shall include interest, reasonable attorney fees,
and costs of any suit or other proceeding undertaken in an effort to recover
the loss.
(9) (8) When the board or the division becomes aware of facts or
circumstances that fall within the jurisdiction of a criminal justice or other
law enforcement authority upon investigation of the activities of a licensee,
the board or division shall, in addition to the exercise of its authority under
this part 9 7, refer and transmit such THE information, which may include
originals or copies of documents and materials, to one or more criminal
justice or other law enforcement authorities for investigation and
prosecution as authorized by law.
12-10-714. [Formerly 12-61-905.6] Hearing - administrative law
judge - review - rules. (1) Except as otherwise provided in this section, all
proceedings before the board with respect to disciplinary actions and denial
of licensure under this part 9 7, at the discretion of the board, may be
conducted by an authorized representative of the board or an administrative
law judge pursuant to sections 24-4-104 and 24-4-105. C.R.S.
PAGE 132-HOUSE BILL 19-1172
(2) Proceedings shall be held in the county where the board has its
office or in such other place as the board may designate. If the licensee is
employed by another licensed mortgage loan originator or by a real estate
broker, the board shall also notify the licensee's employer by mailing, by
first-class mail, a copy of the written notice required under section 24-4-104
(3) C.R.S., to the employer's last-known business address.
(3) The board, an authorized representative of the board, or an
administrative law judge shall conduct all hearings for denying, suspending,
or revoking a license or certificate on behalf of the board, subject to
appropriations made to the department of personnel. Each administrative
law judge shall be appointed pursuant to part 10 of article 30 of title 24.
C.R.S. The administrative law judge shall conduct the hearing in
accordance with sections 24-4-104 and 24-4-105. C.R.S. No license shall
be denied, suspended, or revoked until the board has made its decision.
(4) The decision of the board in any disciplinary action or denial of
licensure under this section is subject to judicial review by the court of
appeals. In order to effectuate the purposes of this part 9 7, the board has
the power to promulgate rules pursuant to article 4 of title 24. C.R.S.
(5) In a judicial review proceeding, the court may stay the execution
or effect of any final order of the board; but a hearing shall be held
affording the parties an opportunity to be heard for the purpose of
determining whether the public health, safety, and welfare would be
endangered by staying the board's order. If the court determines that the
order should be stayed, it shall also determine at the hearing the amount of
the bond and adequacy of the surety, which bond shall be conditioned upon
the faithful performance by such THE petitioner of all obligations as a
mortgage loan originator and upon the prompt payment of all damages
arising from or caused by the delay in the taking effect of or enforcement
of the order complained of and for all costs that may be assessed or required
to be paid in connection with such THE proceedings.
(6) In any hearing conducted by the board or an authorized
representative of the board in which there is a possibility of the denial,
suspension, or revocation of a license because of the conviction of a felony
or of a crime involving moral turpitude, the board or its authorized
representative shall be governed by section 24-5-101. C.R.S.
PAGE 133-HOUSE BILL 19-1172
12-10-715. [Formerly 12-61-905.7] Subpoena - misdemeanor.
(1) The board or the administrative law judge appointed for hearings may
issue subpoenas, as described in section 12-61-905 (6) 12-10-711 (7), which
shall be served in the same manner as subpoenas issued by district courts
and shall be issued without discrimination between public or private parties
requiring the attendance of witnesses or the production of documents at
hearings.
(2) Any person who willfully fails or neglects to appear and testify
or to produce books, papers, or records required by subpoena, duly served
upon him or her in any matter conducted under this part 9 7, is guilty of a
misdemeanor and, upon conviction thereof, shall be punished by a fine of
one hundred dollars or imprisonment in the county jail for not more than
thirty days for each such offense, or by both such fine and imprisonment.
Each day such A person so refuses or neglects constitutes a separate offense.
12-10-716. [Formerly 12-61-906] Immunity. A person participating
in good faith in the filing of a complaint or report or participating in an
investigation or hearing before the board or an administrative law judge
pursuant to this part 9 7 shall be immune from any liability, civil or
criminal, that otherwise might result by reason of such THE action.
12-10-717. [Formerly 12-61-907] Bond required - rules.
(1) Before receiving a license, an applicant shall post with the board a
surety bond in an amount prescribed by the board by rule. A licensed
mortgage loan originator shall maintain the required bond at all times. The
surety bond may be held by the individual mortgage loan originator or may
be in the name of the company by which the mortgage loan originator is
employed. The board may adopt rules to further define surety bond
requirements.
(2) The surety shall not be required to pay a person making a claim
upon the bond until a final determination of fraud, forgery, criminal
impersonation, or fraudulent representation has been made by a court with
jurisdiction.
(3) The surety bond shall require the surety to provide notice to the
board within thirty days if payment is made from the surety bond or if the
bond is cancelled.
PAGE 134-HOUSE BILL 19-1172
12-10-718. [Formerly 12-61-908] Fees. (1) The board may set the
fees for issuance and renewal of licenses and registrations under this part
9 7. The fees shall be set in amounts that offset the direct and indirect costs
of implementing this part 9 7 and section 38-40-105. The money collected
pursuant to this section shall be transferred to the state treasurer, who shall
credit it to the division of real estate cash fund created in section
12-61-111.5 12-10-215.
(2) and (3) (Deleted by amendment, L. 2017.)
12-10-719. [Formerly 12-61-909] Attorney general - district
attorney - jurisdiction. The attorney general shall have concurrent
jurisdiction with the district attorneys of this state to investigate and
prosecute allegations of criminal violations of this part 9 7.
12-10-720. [Formerly 12-61-910] Violations - injunctions.
(1) (a) Any individual violating this part 9 7 by acting as a mortgage loan
originator in this state without having obtained a license or by acting as a
mortgage loan originator after that individual's license has been revoked or
during any period for which said THE license may have been suspended is
guilty of a class 1 misdemeanor and shall be punished as provided in section
18-1.3-501; C.R.S.; except that, if the violator is not a natural person, the
violator shall be punished by a fine of not more than five thousand dollars.
(b) Each residential mortgage loan negotiated or offered to be
negotiated by an unlicensed person shall be a separate violation of this
subsection (1).
(2) (Deleted by amendment, L. 2007, p. 1742, § 11, effective
January 1, 2008.)
(3) (2) The board may request that an action be brought in the name
of the people of the state of Colorado by the attorney general or the district
attorney of the district in which the violation is alleged to have occurred to
enjoin a person from engaging in or continuing the violation or from doing
any act that furthers the violation. In such an action, an order or judgment
may be entered awarding such THE preliminary or final injunction as is
deemed proper by the court. The notice, hearing, or duration of an
injunction or restraining order shall be made in accordance with the
Colorado rules of civil procedure.
PAGE 135-HOUSE BILL 19-1172
(4) (3) A violation of this part 9 7 shall not affect the validity or
enforceability of any mortgage.
12-10-721. [Formerly 12-61-910.2] Prohibited conduct -
influencing a real estate appraisal. (1) A mortgage loan originator shall
not, directly or indirectly, compensate, coerce, or intimidate an appraiser,
or attempt, directly or indirectly, to compensate, coerce, or intimidate an
appraiser, for the purpose of influencing the independent judgment of the
appraiser with respect to the value of a dwelling offered as security for
repayment of a residential mortgage loan. This prohibition shall not be
construed as prohibiting a mortgage loan originator from requesting an
appraiser to:
(a) Consider additional, appropriate property information;
(b) Provide further detail, substantiation, or explanation for the
appraiser's value conclusion; or
(c) Correct errors in the appraisal report.
12-10-722. [Formerly 12-61-910.3] Rule-making authority. The
board has the authority to promulgate rules as necessary to enable the board
to carry out the board's duties under this part 9 7.
12-10-723. [Formerly 12-61-911.5] Acts of employee - mortgage
loan originator's liability. An unlawful act or violation of this part 9 7
upon the part of an agent or employee of a licensed mortgage loan
originator shall not be cause for disciplinary action against a mortgage loan
originator unless it appears that the mortgage loan originator knew or
should have known of the unlawful act or violation or had been negligent
in the supervision of the agent or employee.
12-10-724. [Formerly 12-61-912] Dual status as real estate broker
- requirements. (1) Unless a mortgage loan originator complies with both
subsections (2) and (3) of this section, he or she shall not act as a mortgage
loan originator in any transaction in which:
(a) The mortgage loan originator acts or has acted as a real estate
broker or salesperson; or
PAGE 136-HOUSE BILL 19-1172
(b) Another person doing business under the same licensed real
estate broker acts or has acted as a real estate broker or salesperson.
(2) Before providing mortgage-related services to the borrower, a
mortgage loan originator shall make a full and fair disclosure to the
borrower, in addition to any other disclosures required by this part 9 7 or
other laws, of all material features of the loan product and all facts material
to the transaction.
(3) (a) A real estate broker or salesperson licensed under part 1 2 of
this article 10 who also acts as a mortgage loan originator shall carry on
such THE mortgage loan originator business activities and shall maintain
such THE person's mortgage loan originator business records separate and
apart from the real estate broker or sales activities conducted pursuant to
part 1 2 of this article Such 10. THE activities shall be deemed separate and
apart even if they are conducted at an office location with a common
entrance and mailing address if:
(I) Each business is clearly identified by a sign visible to the public;
(II) Each business is physically separated within the office facility;
and
(III) No deception of the public as to the separate identities of the
broker business firms results.
(b) This subsection (3) shall not require a real estate broker or
salesperson licensed under part 1 2 of this article 10 who also acts as a
mortgage loan originator to maintain a physical separation within the office
facility for the conduct of its real estate broker or sales and mortgage loan
originator activities if the board determines that maintaining such THE
physical separation would constitute an undue financial hardship upon the
mortgage loan originator and is unnecessary for the protection of the public.
12-10-725. [Formerly 12-61-914] Written disclosure of fees and
costs - contents - limits on fees - rules. (1) (a) A mortgage loan
originator's disclosures must comply with all applicable requirements of:
(I) (a) The federal "Truth in Lending Act", 15 U.S.C. secs SEC. 1601
et seq., and Regulation Z, 12 CFR 226 and 12 CFR 1026;
PAGE 137-HOUSE BILL 19-1172
(II) (b) The federal "Real Estate Settlement Procedures Act of
1974", 12 U.S.C. secs SEC. 2601 et seq., and Regulation X, 12 CFR 1024
et seq.;
(III) (c) The federal "Equal Credit Opportunity Act", 15 U.S.C. sec.
1691 and Regulation B, 12 CFR 202.9, 202.11, and 202.12 and 12 CFR
1002;
(IV) (d) Title V, Subtitle A of the federal "Financial Services
Modernization Act of 1999", also known as the "Gramm-Leach-Bliley Act",
15 U.S.C. secs. 6801 to 6809, and the federal trade commission's privacy
rules, 16 CFR 313 and 314, adopted in accordance with the federal
"Gramm-Leach-Bliley Act";
(V) (e) The federal "Home Mortgage Disclosure Act of 1975", 12
U.S.C. secs SEC. 2801 et seq., and Regulation C, 12 CFR 203 and 12 CFR
1003, pertaining to home mortgage disclosure;
(VI) (f) The "Federal Trade Commission Act" of 1914, 15 U.S.C.
sec. 45 (a), and 16 CFR 233;
(VII) (g) The federal "Telemarketing and Consumer Fraud and
Abuse Prevention Act", 15 U.S.C. secs. 6101 to 6108, and the federal trade
commission's telemarketing sales rule, 16 CFR 310.
(b) (2) The board may, by rule, require mortgage loan originators to
comply with other mortgage loan disclosure requirements contained in
applicable statutes and regulations in connection with making any
residential mortgage loan or engaging in other activity subject to this part
9 7.
(2) to (4) (Deleted by amendment, L. 2016.)
12-10-726. [Formerly 12-61-915] Fee, commission, or
compensation - when permitted - amount. (1) Except as otherwise
permitted by subsection (2) or (3) of this section, a mortgage loan originator
shall not receive a fee, commission, or compensation of any kind in
connection with the preparation or negotiation of a residential mortgage
loan unless a borrower actually obtains a loan from a lender on the terms
and conditions agreed to by the borrower and mortgage loan originator.
PAGE 138-HOUSE BILL 19-1172
(2) If the mortgage loan originator has obtained for the borrower a
written commitment from a lender for a loan on the terms and conditions
agreed to by the borrower and the mortgage loan originator, and the
borrower fails to close on the loan through no fault of the mortgage loan
originator, the mortgage loan originator may charge a fee, not to exceed
three hundred dollars, for services rendered, preparation of documents, or
transfer of documents in the borrower's file that were prepared or paid for
by the borrower if the fee is not otherwise prohibited by the federal "Truth
in Lending Act", 15 U.S.C. sec. 1601, and Regulation Z, 12 CFR 226, as
amended.
(3) A mortgage loan originator may solicit or receive fees for
third-party provider goods or services in advance. Fees for any goods or
services not provided shall be refunded to the borrower, and the mortgage
loan originator may not charge more for the goods and services than the
actual costs of the goods or services charged by the third-party provider.
12-10-727. [Formerly 12-61-916] Confidentiality. (1) Except as
otherwise provided in the federal "Secure and Fair Enforcement for
Mortgage Licensing Act of 2008", 12 U.S.C. sec. 5111, the requirements
under any federal law or law of this state regarding privacy or
confidentiality of any information or material provided to the nationwide
mortgage licensing system and registry, and any privilege arising under
federal or state law, including the rules of any federal or state court with
respect to such THE information or material, shall apply to the information
or material after it has been disclosed to the nationwide mortgage licensing
system and registry. The information or material may be shared with all
state and federal regulatory officials with mortgage industry oversight
authority without the loss of privilege or confidentiality protections
provided by federal or state law.
(2) The board may enter into agreements with other government
agencies, the Conference of State Bank Supervisors OR ITS SUCCESSOR
ORGANIZATION, the American Association of Residential Mortgage
Regulators OR ITS SUCCESSOR ORGANIZATION, or other associations
representing government agencies as established by rule.
(3) Information or material that is subject to privilege or
confidentiality pursuant to subsection (1) of this section shall not be subject
to the following:
PAGE 139-HOUSE BILL 19-1172
(a) Disclosure under a federal or state law governing the disclosure
to the public of information held by an officer or agency of the federal
government or the respective state; or
(b) Subpoena, discovery, or admission into evidence in any private
civil action or administrative process, unless with respect to a privilege held
by the nationwide mortgage licensing system and registry regarding the
information or material, the person to whom the information or material
pertains waives the privilege, in whole or in part.
12-10-728. [Formerly 12-61-917] Mortgage call reports - reports
of violations. (1) The board may require each licensee or registrant to
submit to the nationwide mortgage licensing system and registry mortgage
call reports, which shall be in the form and contain the information required
by the nationwide mortgage licensing system and registry.
(2) The board may report violations of this part 9 7, enforcement
actions, and other relevant information to the nationwide mortgage
licensing system and registry.
12-10-729. [Formerly 12-61-918] Unique identifier - clearly
displayed. Each person required to be licensed or registered shall show his
or her or the entity's unique identifier clearly on all residential mortgage
loan application forms and any other documents as specified by the board
by rule or order.
12-10-730. [Formerly 12-61-919] Repeal of part. (1) This part 9
7 is repealed, effective September 1, 2029.
(2) Prior to its BEFORE THE repeal, the department of regulatory
agencies shall review the licensing of mortgage loan originators and the
registration of mortgage companies IS SCHEDULED FOR REVIEW in
accordance with section 24-34-104. C.R.S. The department shall include in
its review of mortgage loan originators and mortgage companies an analysis
of the number and types of complaints made about mortgage loan
originators and mortgage companies and whether the licensing of mortgage
loan originators and the registration of mortgage companies correlates with
public protection from fraudulent activities in the residential mortgage loan
industry.
PAGE 140-HOUSE BILL 19-1172
PART 8
HOA INFORMATION AND
RESOURCE CENTER
12-10-801. [Formerly 12-61-406.5] HOA information and
resource center - creation - duties - rules - repeal. (1) There is hereby
created, within the division, of real estate, the HOA information and
resource center, the head of which shall be the HOA information officer.
The HOA information officer shall be appointed by the executive director
of the department of regulatory agencies pursuant to section 13 of article
XII of the state constitution.
(2) The HOA information officer shall be familiar with the
"Colorado Common Interest Ownership Act", article 33.3 of title 38,
C.R.S., also referred to in this section as the "act". No person who is or,
within the immediately preceding ten years, has been licensed by or
registered with the division of real estate or who owns stocks, bonds, or any
pecuniary interest in a corporation subject in whole or in part to regulation
by the division of real estate shall be appointed as HOA information officer.
In addition, in conducting the search for an appointee, the executive director
of the division of real estate shall place a high premium on candidates who
are balanced, independent, unbiased, and without any current financial ties
to an HOA board or board member or to any person or entity that provides
HOA management services. After being appointed, the HOA information
officer shall refrain from engaging in any conduct or relationship that would
create a conflict of interest or the appearance of a conflict of interest.
(3) (a) The HOA information officer shall act as a clearing house for
information concerning the basic rights and duties of unit owners,
declarants, and unit owners' associations under the act by:
(I) Compiling a database about registered associations, including the
name; address; e-mail address, if any; website, if any; and telephone number
of each;
(II) Coordinating and assisting in the preparation of educational and
reference materials, including materials to assist unit owners, executive
boards, board members, and association managers in understanding their
rights and responsibilities with respect to:
PAGE 141-HOUSE BILL 19-1172
(A) Open meetings;
(B) Proper use of executive sessions;
(C) Removal of executive board members;
(D) Unit owners' right to speak at meetings of the executive board;
(E) Unit owners' obligation to pay assessments and the association's
rights and responsibilities in pursuing collection of past-due amounts; and
(F) Other educational or reference materials that the HOA
information officer deems necessary or appropriate;
(III) Monitoring changes in federal and state laws relating to
common interest communities and providing information about the changes
on the division of real estate's DIVISION'S website; and
(IV) Providing information, including a "frequently asked
questions" resource, on the division of real estate's DIVISION'S website.
(b) The HOA information officer may:
(I) Employ one or more assistants as may be necessary to carry out
his or her duties; and
(II) Request certain records from associations as necessary to carry
out the HOA information officer's duties as set forth in this section.
(c) The HOA information officer shall track inquiries and
complaints and report annually to the director of the division of real estate
regarding the number and types of inquiries and complaints received.
(4) The operating expenses of the HOA information and resource
center shall be paid from the division of real estate cash fund, created in
section 12-61-111.5 12-10-215, subject to annual appropriation.
(5) The director of the division of real estate may adopt rules as
necessary to implement this section and section 38-33.3-401. C.R.S. This
subsection (5) shall not be construed to confer additional rule-making
PAGE 142-HOUSE BILL 19-1172
authority upon the director for any other purpose.
(6) This section is repealed, effective September 1, 2020. Prior to
such BEFORE THE repeal, the HOA information and resource center and the
HOA information officer's powers and duties under this section shall be
reviewed ARE SCHEDULED FOR REVIEW in accordance with section
24-34-104. C.R.S.
PART 9
PREOWNED HOUSING HOME
WARRANTY SERVICE CONTRACTS
12-10-901. [Formerly 12-61-602] Definitions. As used in this part
6 9, unless the context otherwise requires:
(1) and (2) Repealed.
(2.3) (1) "Home warranty service company", referred to in this part
6 9 as the "company", means any person who undertakes a contractual
obligation on a new or preowned home through a home warranty service
contract.
(2.5) (2) (a) "Home warranty service contract" means any contract
or agreement whereby a person undertakes for a predetermined fee, with
respect to a specified period of time, to maintain, repair, or replace any or
all of the following elements of a specified new or preowned home:
(I) Structural components, such as the roof, foundation, basement,
walls, ceilings, or floors;
(II) Utility systems, such as electrical, air conditioning, plumbing,
and heating systems, including furnaces; and
(III) Appliances, such as stoves, washers, dryers, and dishwashers.
(b) "Home warranty service contract" does not include:
(I) Any contract or agreement whereby a public utility undertakes
for a predetermined fee, with respect to a specified period of time, to repair
or replace any or all of the elements of a specified new or preowned home
PAGE 143-HOUSE BILL 19-1172
as specified in subparagraph (II) or (III) of paragraph (a) of this subsection
(2.5) SUBSECTION (2)(a)(II) OR (2)(a)(III) OF THIS SECTION; or
(II) A builder's warranty provided in connection with the sale of a
new home.
(3) "Person" includes an individual, company, corporation,
association, agent, and every other legal entity.
(4) "Preowned" means a single-family residence, residential unit in
a multiple-dwelling structure, or mobile home on a foundation that is
occupied as a residence and not owned by the builder-developer or first
occupant.
(5) and (6) Repealed.
12-10-902. [Formerly 12-61-611] Purchase of service contract not
compulsory. A company selling, offering to sell, or effecting the issuance
of a home warranty service contract under this part 6 9 shall not in any
manner require a home buyer or seller, or prospective home buyer or seller,
or person refinancing a home to purchase a home warranty service contract.
12-10-903. [Formerly 12-61-611.5] Contract requirements.
(1) Every home warranty service contract shall contain the following
information:
(a) A specific listing of all items or elements excluded from
coverage;
(b) A specific listing of all other limitations in coverage, including
the exclusion of preexisting conditions if applicable;
(c) The procedure that is required to be followed in order to obtain
repairs or replacements;
(d) A statement as to the time period, following notification to the
company, within which the requested repairs will be made or replacements
will be provided;
(e) The specific duration of the home warranty service contract,
PAGE 144-HOUSE BILL 19-1172
including an exact termination date that is not contingent upon an
unspecified future closing date or other indefinite event;
(f) A statement as to whether the home warranty service contract is
transferable;
(g) A statement that actions under a home warranty service contract
may be covered by the provisions of the "Colorado Consumer Protection
Act" or the "Unfair Practices Act", articles 1 and 2 of title 6, C.R.S., and
that a party to such a contract may have a right of civil action under those
laws, including obtaining the recourse or penalties specified in those laws.
12-10-904. [Formerly 12-61-612] Penalty for violation. Any
person who knowingly violates any provision of this part 6 9 commits a
class 2 misdemeanor and shall be punished as provided in section
18-1.3-501. C.R.S. Each instance of violation shall be considered a separate
offense.
12-10-905. [Formerly 12-61-614] Prohibitions. It is unlawful for
any lending institution to require the purchase of home warranty insurance
as a condition for granting financing for the purchase of the home.
12-10-906. [Formerly 12-61-615] Repeal of part. This part 6 9 is
repealed, effective July 1, 2020. Prior to BEFORE the repeal, this part 6 shall
be reviewed as provided for in 9 IS SCHEDULED FOR REVIEW IN ACCORDANCE
WITH section 24-34-104. C.R.S.
ARTICLE 15
Division of Conservation
12-15-101. [Formerly 12-61-1101] Legislative declaration.
(1) The general assembly finds, determines, and declares that:
(a) Colorado's conservation easement program is an important
preservation tool used to balance economic needs with natural resources
such as land and water preservation. Colorado's conservation easement tax
credit and the federal tax deduction have allowed many farmers and
ranchers the opportunity to donate their development rights to preserve a
legacy of open spaces in Colorado for wildlife, agriculture, and ranching.
PAGE 145-HOUSE BILL 19-1172
(b) Citizens throughout Colorado believe good, sound conservation
practices are important to Colorado's quality of life, agriculture, and natural
heritage;
(c) Colorado's conservation easement tax credit program was
designed to give landowners an incentive to conserve and preserve their
land in a predominantly natural, scenic, or open condition;
(d) Creating a division of conservation within the department of
regulatory agencies will keep a firewall between professional evaluation
and professional discipline, while creating a division to ensure this program
allows landowners to exercise their private property rights while protecting
taxpayers from the fraud and abuse that existed in the program prior to
2009;
(e) Establishing the division of conservation to administer the
conservation easement tax credit program will:
(I) Allow the division to continue to certify conservation easement
holders to identify fraudulent or unqualified organizations and prevent them
from holding conservation easements for which tax credits are claimed in
the state;
(II) Allow the conservation easement oversight commission to
advise the division of conservation and the department of revenue regarding
conservation easements for which a tax credit is claimed and to review
applications for conservation easement holder certification; and
(III) Ensure that the division of conservation and the department of
revenue are sharing relevant information concerning conservation easement
appraisals in order to ensure compliance with accepted appraisal practices
and other provisions of law.
12-15-102. [Formerly 12-61-1102] Division of conservation -
creation - director. (1) THERE IS HEREBY CREATED WITHIN THE
DEPARTMENT THE DIVISION OF CONSERVATION, REFERRED TO IN THIS
ARTICLE 15 AS THE "DIVISION". The executive director of the department of
regulatory agencies is authorized by this section to employ, subject to the
provisions of the state personnel system laws of the state, a director of the
division, of conservation, referred to in this part 11 as the "division", who
PAGE 146-HOUSE BILL 19-1172
in turn shall employ such deputies, clerks, and assistants as are necessary to
discharge the duties imposed by this part 11 ARTICLE 15. The division of
conservation, which is a division in the department, of regulatory agencies,
and the director of the division shall exercise their powers and perform their
duties and functions under the department of regulatory agencies as if they
were transferred to the department by a type 2 transfer.
(2) It is the duty of the director of the division, personally or his or
her designee, to aid in the administration and enforcement of this part 11
ARTICLE 15 and to administer, in consultation with the conservation
easement oversight commission, the certification of conservation easement
holders and issuance of tax credit certificates as provided in this part 11
ARTICLE 15.
12-15-103. [Formerly 12-61-1103] Conservation easement
oversight commission - created - repeal. (1) There is hereby created in
the division a conservation easement oversight commission, REFERRED TO
IN THIS ARTICLE 15 AS THE "COMMISSION". The commission shall exercise
its powers and perform its duties and functions under the division as if
transferred thereto by a type 2 transfer, as defined in the "Administrative
Organization Act of 1968", article 1 of title 24. The commission consists of
eight members as follows:
(a) One member representing the great outdoors Colorado program,
appointed by and serving as an advisory, nonvoting member at the pleasure
of the state board of the great outdoors Colorado trust fund established in
article XXVII of the state constitution;
(b) One voting member representing the department of natural
resources, appointed by and serving at the pleasure of the executive director
of the department of natural resources;
(c) One voting member representing the department of agriculture,
appointed by and serving at the pleasure of the executive director
COMMISSIONER of the department of agriculture;
(d) Three voting members appointed by the governor as follows:
(I) Two voting representatives of certified conservation easement
holders; and
PAGE 147-HOUSE BILL 19-1172
(II) A voting individual who is competent and qualified to analyze
the conservation purpose of conservation easements; and
(e) Two voting members of the general public, one appointed by the
president of the senate to serve at the pleasure of the president and one
appointed by the speaker of the house of representatives to serve at the
pleasure of the speaker. Appointments made pursuant to this subsection
(1)(e) are for three-year terms and no member shall serve more than two
consecutive terms.
(2) In making appointments to the commission, the governor shall
consult with the three members of the commission appointed pursuant to
subsections (1)(a) to (1)(c) of this section and with appropriate
organizations representing the particular interest or area of expertise that the
appointees in subsections (1)(d)(I) and (1)(d)(II) of this section represent.
Not more than two of the governor's appointees serving at the same time
shall be from the same political party. In making the initial appointments,
the governor shall appoint one member for a term of two years. All other
appointments by the governor are for terms of three years. No member shall
serve more than two consecutive terms. In the event of a vacancy by death,
resignation, removal, or otherwise, the governor shall appoint a member to
fill the unexpired term. The governor may remove any member for
misconduct, neglect of duty, or incompetence.
(3) (a) At the request of the division or the department of revenue,
the commission shall advise the division and the department of revenue
regarding conservation easements for which a state income tax credit is
claimed pursuant to section 39-22-522.
(b) The commission shall review conservation easement tax credit
certificate applications and requests for optional preliminary advisory
opinions in accordance with section 12-61-1106 12-15-106.
(4) The commission shall meet at least quarterly. The division shall
convene the meetings of the commission and provide staff support as
requested by the commission. A majority of the voting members of the
commission constitutes a quorum for the transaction of all business, and
actions of the commission require a vote of a majority of the voting
members present in favor of the action taken. The commission may delegate
to the director of the division the authority to act on behalf of the
PAGE 148-HOUSE BILL 19-1172
commission on occasions and in circumstances that the commission deems
necessary for the efficient and effective administration and execution of the
commission's responsibilities under this part 11 ARTICLE 15.
(5) The commission shall establish a conflict-of-interest policy to
ensure that any member of the commission is disqualified from performing
an act that conflicts with a private pecuniary interest of the member or from
participating in the deliberation or decision-making process for certification
for an applicant represented by the member.
(6) The commission shall advise and make recommendations to the
director of the division regarding the certification of conservation easement
holders in accordance with section 12-61-1104 12-15-104.
(7) Commission members are immune from liability in accordance
with the provisions of the "Colorado Governmental Immunity Act", article
10 of title 24.
(8) This section is repealed, effective July 1, 2019.
12-15-104. [Formerly 12-61-1104] Certification of conservation
easement holders - rules - definition - repeal. (1) The division shall, in
consultation with the commission created in section 12-61-1103 12-15-103,
establish and administer a certification program for qualified organizations
under section 170 (h) of the federal "Internal Revenue Code of 1986", as
amended, that hold conservation easements for which a tax credit is claimed
pursuant to section 39-22-522. The purposes of the program are to:
(a) Establish minimum qualifications for certifying organizations
that hold conservation easements to encourage professionalism and
stability; and
(b) Identify fraudulent or unqualified applicants, as determined
under the rules of the division, to prevent them from becoming certified by
the program.
(2) The division shall establish and accept applications for
certification. The division shall conduct a review of each application and
consider the recommendations of the commission before making a final
determination to grant or deny certification. In reviewing an application and
PAGE 149-HOUSE BILL 19-1172
in granting certification, the division and the commission may consider:
(a) The applicant's process for reviewing, selecting, and approving
a potential conservation easement;
(b) The applicant's stewardship practices and capacity, including the
ability to maintain, monitor, and defend the purposes of the easement;
(c) An audit of the applicant's financial records;
(d) The applicant's system of governance and ethics regarding
conflicts of interest and transactions with related parties as described in
section 267 (b) of the federal "Internal Revenue Code of 1986", as
amended, donors, board members, and insiders. For purposes of this
subsection (2)(d), "insiders" means board and staff members, substantial
contributors, parties related to those above, those who have an ability to
influence decisions of the organization, and those with access to
information not available to the general public.
(e) Any other information deemed relevant by the division or the
commission; and
(f) The unique circumstances of the different entities to which this
certification applies as set forth in subsection (4) of this section.
(3) At the time of submission of an application, and each year the
entity is certified pursuant to this section, the applicant shall pay the
division a fee, as prescribed by the division, to cover the costs of the
division and the commission in administering the certification program for
entities that hold conservation easements for which tax credits are claimed
pursuant to section 39-22-522. The division shall have the authority to
accept and expend gifts, grants, and donations for the purposes of this
section. The state treasurer shall credit fees, gifts, grants, and donations
collected pursuant to this subsection (3) to the conservation cash fund
created in section 12-61-1107 12-15-107. On or before each January 1, the
division shall certify to the general assembly the amount of the fee
prescribed by the division pursuant to this subsection (3).
(4) The certification program applies to:
PAGE 150-HOUSE BILL 19-1172
(a) Nonprofit entities holding easements on property with
conservation values consisting of recreation or education, protection of
environmental systems, or preservation of open space;
(b) Nonprofit entities holding easements on property for historic
preservation; and
(c) The state and any municipality, county, city and county, special
district, or other political subdivision of the state that holds an easement.
(5) The certification program shall contain a provision allowing for
the expedited or automatic certification of an entity that is currently
accredited by national land conservation organizations that are broadly
accepted by the conservation industry.
(6) The commission shall meet at least quarterly and make
recommendations to the division regarding the certification program. The
division is authorized to determine whether an applicant for certification
possesses the necessary qualifications for certification required by the rules
adopted by the division. If the division determines that an applicant does not
possess the applicable qualifications for certification or that the applicant
has violated any provision of this part 11 ARTICLE 15, the rules promulgated
by the division, or any division order, the division may deny the applicant
a certification or deny the renewal of a certification, and, in such instance,
the division shall provide the applicant with a statement in writing setting
forth the basis of the division's determination. The applicant may request a
hearing on the determination as provided in section 24-4-104 (9). The
division shall notify successful applicants in writing. An applicant that is
not certified may reapply for certification in accordance with procedures
established by the division.
(7) The division shall promulgate rules to effectuate the duties of the
commission pursuant to article 4 of title 24. Such THE rules shall
specifically address the following:
(a) Allowing for the expedited or automatic certification of an entity
that is currently accredited by national land conservation organizations that
are broadly accepted by the conservation industry;
(b) A streamlined and lower-cost process for conservation easement
PAGE 151-HOUSE BILL 19-1172
holders that do not intend to accept new donations of conservation
easements for which tax credits would be claimed that focuses on the
holder's stewardship capabilities;
(c) The fees charged pursuant to subsection (3) of this section or
section 12-61-1106 (6) 12-15-106 (6), specifically ensuring that the fees are
adequate to pay for administrative costs but not so high as to act as a
disincentive to the creation of conservation easements in the state; and
(d) The adoption of best practices, processes, and procedures used
by other entities that regularly review conservation easement transactions,
including a practice, process, or procedure deeming qualified conservation
easement appraisals approved by these entities based on their independent
reviews as credible for purposes of the conservation easement tax credit.
(8) A conservation easement tax credit certificate application may
be submitted pursuant to section 12-61-1106 12-15-106 only if the entity
has been certified in accordance with this section at the time the donation
of the easement is made. The division shall make information available to
the public concerning the date that it commences accepting applications for
entities that hold conservation easements and the requirements of this
subsection (8).
(9) The division shall maintain and update an online list, accessible
to the public, of the organizations that have applied for certification and
whether each has been certified, rejected for certification, or had its
certification revoked or suspended in accordance with this section.
(10) The division may investigate the activities of any entity that is
required to be certified pursuant to this section and to impose discipline for
noncompliance, including the suspension or revocation of a certification or
the imposition of fines. The division may promulgate rules in accordance
with article 4 of title 24 for the certification program and discipline
authorized by this section.
(11) The division may subpoena persons and documents, which
subpoenas may be enforced by a court of competent jurisdiction if not
obeyed, for purposes of conducting investigations pursuant to subsection
(10) of this section.
PAGE 152-HOUSE BILL 19-1172
(12) Nothing in this section:
(a) Affects any tax credit that was claimed pursuant to section
39-22-522 before certification was required by this section; or
(b) Requires the certification of an entity that holds a conservation
easement for which a tax credit is not claimed pursuant to section
39-22-522.
(13) This section is repealed, effective July 1, 2019.
12-15-105. [Formerly 12-61-1105] Conservation easement tax
credit certificates - rules. (1) The division shall receive tax credit
certificate applications from and issue certificates to landowners for income
tax credits for conservation easements donated on or after January 1, 2011,
in accordance with section 39-22-522 (2.5) and this part 11 ARTICLE 15.
Nothing in this section restricts or limits the authority of the division to
enforce this part 11 ARTICLE 15. The division may promulgate rules in
accordance with article 4 of title 24 for the issuance of the certificates. In
promulgating rules, the division may include provisions governing:
(a) The review of the tax credit certificate application pursuant to
this part 11 ARTICLE 15;
(b) The administration and financing of the certification process;
(c) The notification to the public regarding the aggregate amount of
tax credit certificates that have been issued and that are on the wait list
pursuant to section 39-25-522 (2.5);
(d) The notification to the landowner, the entity to which the
easement was granted, and the department of revenue regarding the tax
credit certificates issued; and
(e) Any other matters related to administering section 39-22-522
(2.5) or this part 11 ARTICLE 15.
(2) The division shall apply the amount claimed in a completed tax
credit certificate application against the annual tax credit limit in the order
that completed applications are received. The division shall apply claimed
PAGE 153-HOUSE BILL 19-1172
tax credit amounts that exceed the annual limit in any year against the limit
for the next available year and issue tax credit certificates for use in the year
in which the amount was applied to the annual limit.
(3) The division shall not issue tax credit certificates that in
aggregate exceed the limit set forth in section 39-22-522 (2.5) during a
particular calendar year.
12-15-106. [Formerly 12-61-1106] Conservation easement tax
credit certificate application process - definitions - rules. (1) For
purposes of this section:
(a) "Application" means an application for a tax credit certificate
submitted pursuant to section 12-61-1105 12-15-105 or this section.
(b) "Conservation purpose" means conservation purpose as defined
in section 170 (h) of the federal "Internal Revenue Code of 1986", as
amended, and any federal regulations promulgated in connection with such
THAT section.
(c) "Credibility" means the results are worthy of belief and are
supported by relevant evidence and logic to the degree necessary for the
intended use.
(d) "Deficiency" means noncompliance with a requirement for
obtaining a tax credit certificate that, unless such THE noncompliance is
remedied, is grounds for the denial of a tax credit certificate application
submitted pursuant to this section.
(e) "Director" means the director of the division of conservation or
his or her designee.
(f) "Landowner" means the record owner of the surface of the land
and, if applicable, owner of the water or water rights beneficially used
thereon who creates a conservation easement in gross pursuant to section
38-30.5-104.
(g) "Tax credit certificate" means the conservation easement tax
credit certificate issued pursuant to section 12-61-1105 12-15-105 and this
section.
PAGE 154-HOUSE BILL 19-1172
(2) (a) The division shall establish and administer a process by
which a landowner seeking to claim an income tax credit for any
conservation easement donation made on or after January 1, 2014, must
apply for a tax credit certificate as required by section 39-22-522 (2.5) and
(2.7). The purpose of the application process is to determine whether a
conservation easement donation for which a tax credit will be claimed:
(I) Is a contribution of a qualified real property interest to a qualified
organization to be used exclusively for a conservation purpose;
(II) Is substantiated with a qualified appraisal prepared by a
qualified appraiser in accordance with the uniform standards of professional
appraisal practice; and
(III) Complies with the requirements of this section.
(b) The landowner has the burden of proof regarding compliance
with all applicable laws, rules, and regulations.
(3) For the purpose of reviewing applications and making
determinations regarding the issuance of tax credit certificates, including
the dollar amount of the tax credit certificate to be issued:
(a) Division staff shall review each application and advise and make
recommendations to the director and the commission regarding the
application.
(b) The director has authority and responsibility to determine the
credibility of the appraisal. In determining credibility, the director shall
consider, at a minimum, compliance with the following requirements:
(I) The appraisal for a conservation easement donation for which a
tax credit is claimed pursuant to section 39-22-522 is a qualified appraisal
from a qualified appraiser, as defined in section 170 (f) of the federal
"Internal Revenue Code of 1986", as amended, and any federal regulations
promulgated in connection with such THAT section;
(II) The appraisal conforms with the uniform standards of
professional appraisal practice promulgated by the Appraisal Standards
Board of the Appraisal Foundation and any other provision of law;
PAGE 155-HOUSE BILL 19-1172
(III) The appraiser holds a valid license as a certified general
appraiser in accordance with part 7 6 of this article 61 ARTICLE 10 OF THIS
TITLE 12; and
(IV) The appraiser meets any education and experience requirements
established by the board of real estate appraisers in accordance with section
12-61-704 (1)(k) 12-10-604 (1)(k).
(c) The director has the authority and responsibility to determine
compliance with the requirements of section 12-61-1104 12-15-104.
(d) The commission has the authority and responsibility to determine
whether a conservation easement donation for which a tax credit is claimed
pursuant to section 39-22-522 is a qualified conservation contribution as
defined in section 170 (h) of the federal "Internal Revenue Code of 1986",
as amended, and any federal regulations promulgated in connection with
such THAT section.
(4) The department of revenue is not authorized to disallow a
conservation easement tax credit based on any requirements that are under
the jurisdiction of the division, the director, or the commission pursuant to
this section.
(5) A complete tax credit certificate application must be made by the
landowner to the division and must include:
(a) A copy of the final conservation easement appraisal;
(b) A copy of the recorded deed granting the conservation easement;
(c) Documentation supporting the conservation purpose of the
easement;
(d) Any other information or documentation the director or the
commission deems necessary to make a final determination regarding the
application; and
(e) The fee required pursuant to subsection (6) of this section.
(6) A landowner submitting an application for a tax credit certificate
PAGE 156-HOUSE BILL 19-1172
pursuant to this section or an application for an optional preliminary
advisory opinion pursuant to subsection (14) of this section shall pay the
division a fee as prescribed by the division. The application fee for an
optional preliminary advisory opinion may be a different dollar amount than
the application fee for a tax credit certificate. The fees must be adequate to
pay for the administrative costs of the division and the commission in
administering the requirements of this section, but not so high as to act as
a disincentive to the creation of conservation easements in the state. The
state treasurer shall credit the fees collected pursuant to this subsection (6)
to the conservation cash fund created in section 12-61-1107 12-15-107. On
or before January 1, 2014, and on or before each January 1 thereafter, the
division shall certify to the general assembly the amount of any fees
prescribed by the division pursuant to this subsection (6).
(7) (a) If, during the review of an application for a tax credit
certificate, the director or the commission identifies any potential
deficiencies, the director or commission shall document the potential
deficiencies in a letter sent to the landowner by first-class mail. The division
shall send letters documenting potential deficiencies to landowners in a
timely manner so that the number of days between the date a completed
application is received by the division and the mailing date of the division's
letter to the landowner does not exceed one hundred twenty days.
(b) The landowner has sixty days after the mailing date of the
division's letter to address the potential deficiencies identified by the
director and the commission and provide additional information or
documentation that the director or the commission deems necessary to make
a final determination regarding the application.
(c) The director and the commission have ninety days after the date
of receipt of any additional information or documentation provided by the
landowner to review the information and documentation and make a final
determination regarding the application.
(d) The deadlines prescribed by this subsection (7) may be extended
upon mutual agreement between the director and the commission and the
landowner.
(8) The director or the commission may deny an application if the
landowner:
PAGE 157-HOUSE BILL 19-1172
(a) Has not demonstrated to the satisfaction of the director or the
commission that the application complies with any requirement of this part
11 ARTICLE 15;
(b) Does not provide the information and documentation required
pursuant to this part 11 ARTICLE 15; or
(c) Fails to timely respond to any written request or notice from the
division, the director, or the commission.
(9) If the director reasonably believes that any appraisal submitted
in accordance with this section is not credible, the director, after
consultation with the commission, may request that the landowner, at the
landowner's expense, obtain either a second appraisal or a review of the
appraisal submitted with the application from an appraiser who meets the
requirements of part 7 6 of this article 61 ARTICLE 10 OF THIS TITLE 12 and
is in good standing with the board OF REAL ESTATE APPRAISERS before
making a final determination regarding the application.
(10) If the director and the commission do not identify any potential
deficiencies with an application, the director and the commission shall
approve the application, and the division shall issue a tax credit certificate
to the landowner pursuant to section 12-61-1105 12-15-105 in a timely
manner so that the number of days between the date a completed application
is received by the division and the date the tax credit certificate is issued
does not exceed one hundred twenty days. Once a tax credit certificate is
issued, the landowner may claim and use the tax credit subject to any other
applicable procedures and requirements under title 39.
(11) (a) If all potential deficiencies that have been identified are
subsequently addressed to the satisfaction of the director and the
commission, the director and the commission shall approve the application,
and the division shall issue a tax credit certificate to the landowner pursuant
to section 12-61-1105 12-15-105. Once a tax credit certificate is issued, the
landowner may claim and use the tax credit subject to any other applicable
procedures and requirements under title 39.
(b) If any potential deficiencies that have been identified are not
subsequently addressed to the satisfaction of the director and the
commission, the division shall issue a written denial of the application to
PAGE 158-HOUSE BILL 19-1172
the landowner documenting those deficiencies that were the specific basis
for the denial. The division shall date the written denial and send it by
first-class mail to the landowner at the address provided by the landowner
on the application. The director may act on behalf of the commission for
purposes of administering the process for issuing approvals and denials of
applications and for administering subsection (12) of this section.
(12) (a) The landowner may appeal to the director either the
director's or the commission's denial of an application, in writing, within
thirty days after the issuance of the denial. This written appeal constitutes
a request for an administrative hearing.
(b) If the landowner fails to appeal the denial of an application
within thirty days after the issuance of the denial, the denial becomes final,
and the division shall not issue a tax credit certificate to the landowner.
(c) Administrative hearings must be conducted in accordance with
section 24-4-105. At the discretion of the director, hearings may be
conducted by an authorized representative of the director or the commission
or an administrative law judge from the office of administrative courts in
the department of personnel. All hearings must be held in the county where
the division is located unless the director designates otherwise. The decision
of the director or the commission is subject to judicial review by the court
of appeals and is subject to the provisions of section 24-4-106.
(d) In conducting settlement discussions with a landowner, the
director and the commission may compromise on any of the deficiencies
identified in the application and supporting documentation, including the
dollar amount of the tax credit certificate to be issued. The director shall
place on file in the division a record of any compromise and the reasons for
the compromise.
(e) The director may promulgate rules pursuant to article 4 of title
24 to effectuate the purposes of this subsection (12).
(13) (a) Commencing with the 2014 calendar year, and for each
calendar year thereafter, the division shall create a report, which shall be
made available to the public, containing the following aggregate
information:
PAGE 159-HOUSE BILL 19-1172
(I) The total number of tax credit certificate applications received,
approved, and denied in accordance with this section, along with average
processing times;
(II) For applications approved in accordance with this section:
(A) The total acreage under easement summarized by the allowable
conservation purposes as defined in section 170 (h) of the federal "Internal
Revenue Code of 1986", as amended, and any federal regulations
promulgated in connection with such THAT section;
(B) The total appraised value of the easements;
(C) The total donated value of the easements; and
(D) The total dollar amount of tax credit certificates issued.
(b) The division may include additional easement-specific
information in the public report that, notwithstanding the provisions of this
part 11 ARTICLE 15 or any other law to the contrary, would otherwise be
publicly available.
(c) The director is authorized to share publicly available information
regarding conservation easements with a third-party vendor for the purpose
of developing and maintaining a registry of conservation easements in the
state with a corresponding map displaying the boundaries of each easement
in the state relative to county boundaries and other relevant mapping
information. Prior to sharing the information, the director shall consult with
the commission regarding the appropriate types of information and the
methods used for collecting the information. The department of regulatory
agencies shall annually report on the information contained in the registry
as a part of its presentation to its committee of reference at a hearing held
pursuant to section 2-7-203 (2)(a) of the "State Measurement for
Accountable, Responsive, and Transparent (SMART) Government Act".
The information to be shared shall include the following:
(I) Any deeds, contracts, or other instruments creating, assigning, or
terminating the easement, including the reception numbers on all
instruments;
PAGE 160-HOUSE BILL 19-1172
(II) The location and acreage of each easement, delineated by
county;
(III) The name of the original grantor of the easement and the name
of the original grantee of the easement;
(IV) Whether the holder of the easement is a certified organization
pursuant to section 12-61-1104 12-15-104;
(V) The conservation purposes of the easement; and
(VI) If a tax credit was issued.
(14) (a) In addition to the tax credit certificate application process
set forth in this section, a landowner may submit a proposed conservation
easement donation to the division to obtain an optional preliminary advisory
opinion regarding the transaction. The opinion may address the proposed
deed of conservation easement, appraisal, conservation purpose, or other
relevant aspect of the transaction.
(b) The division, the director, and the commission shall review the
information and documentation provided in a manner consistent with the
scope of their authority and responsibilities for reviewing tax credit
certificate applications as outlined in subsection (3) of this section and issue
either a favorable opinion or a nonfavorable opinion.
(c) The director or the commission may request that the landowner
submit additional information or documentation that the director or the
commission deems necessary to complete the review and issue an opinion.
(d) A nonfavorable opinion shall set forth any potential deficiencies
identified by the director or the commission and that fall within the scope
of the director's and the commission's review of the conservation easement
transaction. The preliminary opinion is advisory only and is not binding for
any purpose upon the division, the director, the commission, or the
department of revenue.
(15) The division may promulgate rules to effectuate the purpose,
implementation, and administration of this section pursuant to article 4 of
title 24. The authority to promulgate rules includes the authority to define
PAGE 161-HOUSE BILL 19-1172
further in rule the administrative processes and requirements, including
application processing and review time frames, for obtaining and issuing an
optional preliminary advisory opinion pursuant to subsection (14) of this
section.
(16) Notwithstanding the provisions of the "Colorado Open Records
Act", part 2 of article 72 of title 24, the division, the director, and the
commission shall deny the right of public inspection of any documentation
or other record related to information obtained as part of an individual
landowner's application for a tax credit certificate or an optional preliminary
advisory opinion pursuant to the requirements of this section, including
documentation or other records related to administrative hearings and
settlement discussions held pursuant to subsection (12) of this section. The
division, the director, and the commission may share documentation or
other records related to information obtained pursuant to this section with
the department of revenue.
(17) Nothing in this section affects any tax credit that is claimed or
used pursuant to section 39-22-522 for conservation easement donations
occurring prior to January 1, 2014.
12-15-107. [Formerly 12-61-1107 (1)] Conservation cash fund.
There is hereby created in the state treasury the conservation cash fund,
which consists of any moneys MONEY transferred pursuant to section
12-61-1104 SECTIONS 12-15-104 and 12-61-1106 12-15-106 and any gifts,
grants, and donations provided to carry out the purposes of this part 11
ARTICLE 15. All money in the fund shall be used as provided in this part 11
ARTICLE 15. Interest earned on the fund shall remain in the fund and shall
not be deposited in or transferred to the general fund or any other fund.
ARTICLE 20
Division of Professions and Occupations
PART 1
GENERAL PROVISIONS
12-20-101. Scope. THIS ARTICLE 20 APPLIES TO EVERY ARTICLE IN
THIS TITLE 12 EXCEPT ARTICLES 10 AND 15 AND EXCEPT TO THE EXTENT
OTHERWISE SPECIFIED IN THIS ARTICLE 20 OR ANOTHER PART OR ARTICLE OF
THIS TITLE 12. THE REQUIREMENTS OF THIS ARTICLE 20 ARE IN ADDITION TO
PAGE 162-HOUSE BILL 19-1172
THE REQUIREMENTS ESTABLISHED IN ANY OTHER PART OR ARTICLE OF THIS
TITLE 12.
12-20-102. Definitions. AS USED IN THIS TITLE 12, UNLESS THE
CONTEXT OTHERWISE REQUIRES:
(1) "APPLICANT" MEANS A PERSON APPLYING, PURSUANT TO A PART
OR ARTICLE OF THIS TITLE 12, FOR A NEW LICENSE, CERTIFICATION, OR
REGISTRATION OR TO RENEW, REINSTATE, OR REACTIVATE A LICENSE,
CERTIFICATION, OR REGISTRATION THAT IS AUTHORIZED PURSUANT TO THAT
PART OR ARTICLE.
(2) "BOARD" MEANS A BOARD CREATED WITHIN THE DIVISION BY A
PART OR ARTICLE OF THIS TITLE 12 THAT HAS REGULATORY AUTHORITY
CONCERNING THE PRACTICE OF A PROFESSION OR OCCUPATION REGULATED
BY THAT PART OR ARTICLE.
(3) "CERTIFICATE" OR "CERTIFICATION" MEANS A CREDENTIAL THAT
DEMONSTRATES THAT A PERSON HAS THE QUALIFICATIONS REQUIRED BY A
PART OR ARTICLE OF THIS TITLE 12 TO PRACTICE THE PROFESSION OR
OCCUPATION REGULATED BY THAT PART OR ARTICLE.
(4) "CERTIFICATE HOLDER" OR "CERTIFICANT" MEANS A PERSON
THAT HAS A VALID CERTIFICATE.
(5) "COMMISSION" MEANS A COMMISSION CREATED WITHIN THE
DIVISION BY A PART OR ARTICLE OF THIS TITLE 12 THAT HAS REGULATORY
AUTHORITY CONCERNING THE PRACTICE OF A PROFESSION OR OCCUPATION
REGULATED BY THAT PART OR ARTICLE.
(6) "DIRECTOR" MEANS THE DIRECTOR OF THE DIVISION OR THE
DIRECTOR'S DESIGNEE.
(7) "DIVISION" MEANS THE DIVISION OF PROFESSIONS AND
OCCUPATIONS CREATED IN THE DEPARTMENT PURSUANT TO SECTION
12-20-103.
(8) "LAW" MEANS THE FEDERAL AND STATE CONSTITUTIONS,
STATUTES, RULES, AND CASE LAW.
PAGE 163-HOUSE BILL 19-1172
(9) "LICENSE" MEANS A GRANT OF AUTHORITY ISSUED BY THE
DIRECTOR OR A BOARD OR COMMISSION PURSUANT TO A PART OR ARTICLE OF
THIS TITLE 12 THAT AUTHORIZES A PERSON TO ENGAGE IN A PROFESSION OR
OCCUPATION REGULATED BY THAT PART OR ARTICLE.
(10) "LICENSEE" MEANS A PERSON REGULATED BY A PART OR
ARTICLE OF THIS TITLE 12 THAT IS LICENSED PURSUANT TO THAT PART OR
ARTICLE.
(11) "REGISTER" MEANS TO RECORD THE INFORMATION REQUIRED BY
A PART OR ARTICLE OF THIS TITLE 12 IN THE FORM AND MANNER
DETERMINED BY THE REGULATOR THAT REGULATES THE PRACTICE OF A
PROFESSION OR OCCUPATION PURSUANT TO THAT PART OR ARTICLE.
"REGISTERED" AND "REGISTRATION" HAVE CORRESPONDING MEANINGS.
(12) "REGISTRANT" MEANS A PERSON THAT IS CURRENTLY
REGISTERED.
(13) "REGULATE" MEANS TO SUBJECT A PERSON TO A REQUIREMENT,
INCLUDING A REQUIREMENT TO OBTAIN A LICENSE, CERTIFICATION, OR
REGISTRATION, PURSUANT TO A PART OR ARTICLE OF THIS TITLE 12 AND
RULES ADOPTED PURSUANT TO THAT PART OR ARTICLE OF THIS TITLE 12 IN
ORDER TO PRACTICE A PROFESSION OR OCCUPATION. "REGULATION" HAS A
CORRESPONDING MEANING.
(14) "REGULATOR" MEANS, WITHIN A PARTICULAR PART OR ARTICLE
OF THIS TITLE 12, THE DIRECTOR OR A BOARD OR COMMISSION, AS
APPROPRIATE, THAT HAS REGULATORY AUTHORITY CONCERNING THE
PRACTICE OF A PROFESSION OR OCCUPATION REGULATED BY THAT PART OR
ARTICLE.
12-20-103. Division of professions and occupations - creation -
duties of division and department head - office space - per diem for
board or commission members - review of functions. (1) [Formerly
24-34-102 (1)] Division created. (a) As used in this part 1, unless the
context otherwise requires:
(I) "Department" means the department of regulatory agencies.
(II) "Director" means the director of the division of professions and
PAGE 164-HOUSE BILL 19-1172
occupations or the director's designee.
(III) "Division" means the division of professions and occupations
created in the department pursuant to this section.
(IV) "Executive director" means the executive director of the
department.
(V) "License" has the same meaning as set forth in section 24-4-102.
(VI) "Licensee" means a person who has been issued a license.
(b) There is hereby created a division of professions and occupations
in the department OF REGULATORY AGENCIES, the head of which is the
director of professions and occupations. The executive director OF THE
DEPARTMENT shall appoint the director in accordance with section 13 of
article XII of the state constitution. Except as provided in paragraph (c) of
this subsection (1) SUBSECTION (1)(b) OF THIS SECTION, the director shall
appoint other personnel as necessary for the efficient operation of the
division.
(c) (b) Subject to available appropriations, the director shall give
good-faith consideration to the recommendations of any type 1 board or
commission relating to the employment of the primary administrator to
assist the board or commission, whether the person is designated as an
executive secretary, a program administrator, or another title or position.
(2) [Formerly 24-34-102 (2)] Supervision and support. The
division has supervision and control of the type 2 examining and licensing
boards and agencies transferred to the department by ENTITIES WITHIN THE
DIVISION PURSUANT TO the "Administrative Organization Act of 1968",
ARTICLE 1 OF TITLE 24. For type 1 boards or commissions ENTITIES, the
division shall provide necessary management support.
(3) [Formerly 24-34-102 (3)] Approval of rules. The supervision
and control of, and the management support for, examining and licensing
boards, COMMISSIONS, and agencies PROGRAMS by the department OF
REGULATORY AGENCIES and the division also includes the approval or
disapproval of rules of the boards, COMMISSIONS, and agencies DIRECTOR
relating to the examination and licensure, CERTIFICATION, OR REGISTRATION
PAGE 165-HOUSE BILL 19-1172
of applicants to ensure that the rules are fair and impartial. The division
shall not license a person who has applied to, and otherwise satisfied the
requirements for, licensure by a board or agency until the applicant has paid
and the division has received all applicable fees.
(4) [Formerly 24-34-102 (4)] Staff. Subject to subsection (1) of this
section, each of the examining and licensing boards BOARD, COMMISSION,
or agencies PROGRAM may employ and pay out of moneys MONEY
appropriated to it by the general assembly only that number of employees
and subordinate officers as are certified by it and approved by the executive
director of the department of regulatory agencies to be necessary. and the
necessity for the employment of whom has been approved in writing by the
governor. All salaries to be paid such TO THE employees and subordinate
officers shall be within the appropriation made therefor by the general
assembly.
(5) Office space. (a) [Formerly 24-34-102 (5)] Each of the
examining and licensing boards or agencies BOARD, COMMISSION, AND
PROGRAM shall be provided with suitable offices in the capitol buildings
group if space is available in any of such THE buildings and, if not, then in
a suitable office building in the city and county of Denver selected by the
executive director of the department of personnel. It is lawful and proper for
two or more of such THE boards, COMMISSIONS, or agencies PROGRAMS to
be assigned space in the same office room or suite, if such THE grouping or
joint occupancy, in the opinion of the executive director of the department
of regulatory agencies, will not unreasonably interfere with the efficient
operation of any of such THE boards, COMMISSIONS, or agencies PROGRAMS
so grouped or joined.
(b) [Formerly 24-34-102 (6)] Each of the examining and licensing
boards or agencies BOARD, COMMISSION, OR PROGRAM to which office space
is provided shall pay into the general revenue fund of the state, out of the
moneys appropriated to it by the general assembly MONEY THE GENERAL
ASSEMBLY APPROPRIATES TO THE DIVISION FOR USE BY THE BOARD,
COMMISSION, OR PROGRAM, a monthly or annual charge for rental, heat,
light, telephone, collection, legal, and other state services made available to
such THE board, or agency as may be fixed by COMMISSION, OR PROGRAM.
The executive director of the department of personnel, with the approval of
the executive director of the department of regulatory agencies, such MAY
FIX THE AMOUNT OF THE charges, to be WHICH MUST not BE more than
PAGE 166-HOUSE BILL 19-1172
twenty-five percent of the moneys MONEY appropriated to it by the general
assembly TO THE DIVISION FOR USE BY A BOARD, COMMISSION, OR PROGRAM.
(6) [Formerly 24-34-102 (13)] Per diem. Notwithstanding any law
to the contrary, each member of a board or commission within the division
is entitled to receive a per diem allowance of fifty dollars for each day spent
in attendance at board OR COMMISSION meetings, hearings, or examinations
and to be reimbursed for actual and necessary expenses incurred in the
discharge of such THE MEMBER'S official duties. The per diem compensation
for board or commission members must not exceed that sum in any fiscal
year that the state personnel board approves for employees not under the
state personnel system. The general assembly shall annually appropriate
moneys MONEY from the division of professions and occupations cash fund,
CREATED IN SECTION 12-20-105 (3), for the payment of per diem
compensation and expenses. A state employee shall not receive per diem
compensation for services performed during normal working hours, when
on paid administrative leave, or when otherwise prohibited by fiscal rules
adopted by the state controller.
(7) [Formerly 24-34-102 (15)] Periodic evaluation of division
functions. The department OF REGULATORY AGENCIES shall analyze and
evaluate the division and its functions as set forth in this part 1 and in title
12. C.R.S. The department shall conduct the analysis and evaluation in
accordance with section 24-34-104 (5) and shall submit its report and
recommendations for legislation, if any, in accordance with that section.
The department shall initially analyze and evaluate the division and submit
its report by October 15, 2015, and shall analyze and evaluate the division
every ten years thereafter. This section does not require the repeal of the
division or its functions as specified in this part 1 and in title 12. C.R.S.
12-20-104. [Formerly 24-34-104.4] Excise tax on renewal fees -
report to joint budget committee - definition. (1) Notwithstanding any
provision of law to the contrary, there is imposed, and the executive director
of the department of regulatory agencies shall collect, an excise tax OF ONE
DOLLAR FOR EACH YEAR OF THE RENEWAL PERIOD upon the payment of the
following fees:
(a) and (b) (Deleted by amendment, L. 97, p. 1613, § 1, effective
July 1, 1997.)
PAGE 167-HOUSE BILL 19-1172
(c) Repealed.
(d) (Deleted by amendment, L. 97, p. 1613, § 1, effective July 1,
1997.)
(e) Within the division of professions and occupations, renewal fees
that are required to be paid by individuals for the renewal of a license,
registration, or certificate granting the individual authority or permission
from the state to continue the practice of a profession or occupation; except
that such THE excise tax shall not be imposed on the renewal fee paid by
nurse aides pursuant to section 12-38.1-109, C.R.S. The amount of the
excise tax to be collected shall be one dollar for each year of the renewal
period 12-260-111.
(2) For the purposes of this section, "renewal fees" includes all fees
for the renewal, reinstatement, and continuation of a license, registration,
or certificate for the practice of a profession or occupation in this state AS
PROVIDED IN SECTION 12-20-202 (1) AND (2). "Renewal fees" does not
include fees paid for initial licensure, registration, or certification;
application fees; examination fees; penalty late fees; duplicate license fees;
board REGULATOR action fees; verification fees; license change fees; fees
for the verification of licensure, registration, or certification status to other
states; electrical inspection permit fees; plumbing inspection fees; and fees
for certification of grades.
(2.5) Repealed.
(3) Moneys MONEY collected pursuant to subsection (1) of this
section shall be credited to the legal defense account created within the
division of professions and occupations cash fund pursuant to section
24-34-105 (2)(b) 12-20-105 (5).
(4) (a) (Deleted by amendment, L. 97, p. 1613, § 1, effective July 1,
1997.)
(b) On October 1 of each year, the executive director of the
department of regulatory agencies shall report to the joint budget committee
the amount of money credited to the legal defense account created within
the division of professions and occupations cash fund pursuant to
subsection (1) (3) of this section for the preceding fiscal year.
PAGE 168-HOUSE BILL 19-1172
12-20-105. [Formerly 24-34-105] Fee adjustments - division of
professions and occupations cash fund created - legal defense account
created - definition. (1) This section applies to all activities of the boards
and commissions in the division in the department AND ALL REGULATORS.
(2) (a) Each board and commission in the division THE DIRECTOR
shall propose, as part of its THE DIVISION'S annual budget request, an
adjustment in the amount of each fee that the board or commission EACH
REGULATOR is authorized by law to collect. The budget request and the
adjusted fees for each board or commission REGULATOR must reflect direct
and indirect costs that are appropriated in the annual general appropriation
act.
(b) (I) EXCEPT AS OTHERWISE PROVIDED IN SUBSECTION (2)(b)(II) OF
THIS SECTION, based upon the appropriation made and subject to the
approval of the executive director, each board or commission REGULATOR
shall adjust its THE fees THE REGULATOR IS AUTHORIZED BY LAW TO
COLLECT so that the revenue generated from the fees approximates its direct
and indirect costs. except that
(II) [Formerly part of (2)(b)(I)] The costs of the state board of
psychologist examiners, the state board of marriage and family therapist
examiners, the state board of licensed professional counselor examiners, the
state board of social work examiners, the state board of registered
psychotherapists, and the state board of addiction counselor examiners shall
be considered collectively in the renewal fee-setting process. Subsequent
revenue generated by the fees set by the boards plus revenues generated
pursuant to section 12-43-702.5, C.R.S., 12-245-703 shall be compared to
those collective costs to determine recovery of direct and indirect costs.
(III) [Formerly part of (2)(b)(I)] The fees SET PURSUANT TO THIS
SUBSECTION (2)(b) remain in effect for the fiscal year for which the budget
request applies.
(3) [Formerly part of (2)(b)(I)] All fees collected by each board and
commission A REGULATOR, not including any fees retained by contractors
as established pursuant to section 24-34-101 (10), shall be transmitted to the
state treasurer, who shall credit the same THEM to the division of
professions and occupations cash fund, which fund is hereby created. All
moneys MONEY credited to the division of professions and occupations cash
PAGE 169-HOUSE BILL 19-1172
fund shall be used as provided in this section and shall not be deposited in
or transferred to the general fund of this state or any other fund.
(I.5) [Formerly (2)(b)(I.5)] (4) Any fees established pursuant to
section 24-34-101 (10) or (11) may be received by a contractor and retained
as payment for the costs of examination or other services rendered pursuant
to the contract with the executive director. Fees retained by a contractor and
not collected by the state or deposited with the state treasurer shall ARE not
be subject to article 36 of this title 24.
(II) [Formerly (2)(b)(II)] (5) (a) The excise tax collected pursuant
to section 24-34-104.4 12-20-104 shall be credited to the legal defense
account, which account is hereby created within the division of professions
and occupations cash fund. The excise tax is the sole source of funding for
the account, and no other fee or any portion thereof, OF A FEE collected by
a board or commission REGULATOR and credited to the division of
professions and occupations cash fund shall be deposited in or transferred
to the account. The account shall be used to supplement revenues received
by a board or commission THE DIVISION but shall only be used for the
purpose of paying legal expenses incurred by said board or commission A
REGULATOR. Upon a determination of the need of a board or commission
REGULATOR for additional revenues for the payment of legal expenses, the
director may authorize the transfer ALLOCATION of revenues from the legal
defense account to the account of such board or commission in the division
of professions and occupations cash fund A REGULATOR FOR LEGAL
EXPENSES.
(b) [Formerly part of (2)(b)(II)] For purposes of this subparagraph
(II) SUBSECTION (5), "legal expenses" includes costs relating to the holding
of administrative hearings and charges for legal services provided by the
department of law, administrative law judge services, investigative services,
expert witnesses, and consultants.
(III) and (IV) Repealed.
(c) [Formerly (2)(c)] (6) Beginning July 1, 1979, and Each July 1,
thereafter, whenever moneys MONEY appropriated to a board or commission
THE DIVISION for its THE activities OF A REGULATOR for the prior fiscal year
are IS unexpended, said moneys THE MONEY shall be made a part of the
appropriation to such board or commission THE DIVISION for the next fiscal
PAGE 170-HOUSE BILL 19-1172
year, and such THE amount shall not be raised from fees collected by such
board or commission THE REGULATOR. If a supplemental appropriation is
made to a board or commission THE DIVISION for its THE activities OF A
REGULATOR, the fees of such board or commission THE REGULATOR, when
adjusted for the fiscal year next following that THE FISCAL YEAR in which
the supplemental appropriation was made, shall be adjusted by an additional
amount which THAT is sufficient to compensate for such THE supplemental
appropriation. Funds MONEY appropriated to a board or commission THE
DIVISION in the annual long appropriation bill shall be designated as cash
funds and shall not exceed the amount anticipated to be raised from fees
collected by such board or commission THE REGULATORS.
(3) Repealed.
PART 2
GENERAL POWERS AND DUTIES OF
DIVISION, BOARDS, AND COMMISSIONS
12-20-201. Payment of fees - condition of licensure, certification,
or registration. THE DIVISION SHALL NOT LICENSE, CERTIFY, OR REGISTER
A PERSON WHO HAS APPLIED TO, AND HAS OTHERWISE SATISFIED THE
REQUIREMENTS FOR LICENSURE, CERTIFICATION, OR REGISTRATION BY, A
REGULATOR UNTIL THE APPLICANT HAS PAID AND THE DIVISION HAS
RECEIVED ALL APPLICABLE FEES.
12-20-202. Licenses, certifications, and registrations - renewal
- reinstatement - fees - endorsement - exceptions for military personnel
- rules - consideration of criminal convictions - executive director
authority. (1) Renewal. (a) [Formerly 12-5.5-202 (2)] Licenses,
CERTIFICATIONS, AND REGISTRATIONS issued pursuant to this A PART OR
article OF THIS TITLE 12 expire pursuant to a schedule established by the
director and must be renewed or reinstated pursuant to IN ACCORDANCE
WITH THIS section. 24-34-102 (8), C.R.S. The director shall establish
renewal fees and delinquency fees for reinstatement pursuant to section
24-34-105, C.R.S. 12-20-105. If a person fails to renew his or her THE
PERSON'S license, CERTIFICATION, OR REGISTRATION pursuant to the
schedule established by the director, the license, CERTIFICATION, OR
REGISTRATION expires. A person whose license, CERTIFICATION, OR
REGISTRATION has expired is subject to the penalties set forth in this article
or in section 24-34-102 (8), C.R.S. SECTION AND ANY OTHER PENALTIES
PAGE 171-HOUSE BILL 19-1172
AUTHORIZED IN THE APPLICABLE PART OR ARTICLE OF THIS TITLE 12 THAT
REGULATES THE PERSON'S PROFESSION OR OCCUPATION.
(b) [Formerly 24-34-102 (8)(a)] Notwithstanding any provision of
the law to the contrary, the director may change the renewal date of any
license, CERTIFICATION, OR REGISTRATION issued by a licensing board or
commission REGULATOR so that approximately the same number of licenses,
CERTIFICATIONS, OR REGISTRATIONS are scheduled for renewal in each
month of the year. Where any renewal date is so changed, the fee for the
license, CERTIFICATION, OR REGISTRATION is proportionately increased or
decreased, as the case may be. A license, CERTIFICATION, OR REGISTRATION
is valid for a period of no less than one year and no longer than three years,
as determined by the director in consultation with the licensing board or
commission within the division APPLICABLE REGULATOR. A licensee,
CERTIFICATE HOLDER, OR REGISTRANT shall submit an application for
renewal to the licensing board or commission APPLICABLE REGULATOR on
forms and in the manner prescribed by the director.
(c) [Formerly 24-34-102 (7)] Notwithstanding any provision of the
law to the contrary, upon the approval and recommendation of any
examining or licensing board or commission in the division A REGULATOR,
the executive director may change the period of the validity of any license,
CERTIFICATION, OR REGISTRATION issued by the board or commission
REGULATOR for a period not to exceed three years. If the executive director
changes the period of validity of a license, CERTIFICATION, OR
REGISTRATION pursuant to this subsection (7) (1)(c), the director shall
proportionately increase or decrease the fee for the license, CERTIFICATION,
OR REGISTRATION, as the case may be, but the director shall not impose a fee
increase that would result in hardship to the licensee, CERTIFICATE HOLDER,
OR REGISTRANT.
(d) [Formerly 24-34-102 (8)(b)] The director and any licensing
board or commission A REGULATOR may prescribe renewal requirements,
which shall MUST include compliance with any continuing education OR
CONTINUING COMPETENCY requirements adopted pursuant to the director's,
licensing board's, or commission's REGULATOR'S authority.
(e) [Formerly 24-34-102 (8)(c)] The director shall allow for a grace
period for licenses, from licensing boards or commissions within the
division CERTIFICATIONS, OR REGISTRATIONS ISSUED BY A REGULATOR. A
PAGE 172-HOUSE BILL 19-1172
licensee, CERTIFICATE HOLDER, OR REGISTRANT has a sixty-day grace period
after the expiration of his or her license, CERTIFICATION, OR REGISTRATION
to renew the license, CERTIFICATION, OR REGISTRATION without the
imposition of a disciplinary sanction by the director, licensing board, or
commission REGULATOR for such THE profession for practicing on an
expired license, CERTIFICATION, OR REGISTRATION. The licensee,
CERTIFICATE HOLDER, OR REGISTRANT shall satisfy all renewal requirements
pursuant to the applicable practice act PART OR ARTICLE OF THIS TITLE 12
and shall pay a delinquency fee in an amount determined pursuant to
sections 24-34-105 12-20-105 and 24-79.5-102.
(2) [Formerly 24-34-102 (8)(d)] Reinstatement. (a) IF a licensee,
registrant, or certificate holder who does not renew his or her license,
registration, or certificate within the sixty-day grace period pursuant to
paragraph (c) of this subsection (8) shall be SUBSECTION (1)(e) OF THIS
SECTION, THE LICENSE, REGISTRATION, OR CERTIFICATE IS treated as having
an expired license, registration, or certificate, and shall be THE LICENSEE,
REGISTRANT, OR CERTIFICATE HOLDER IS ineligible to practice until such THE
license, registration, or certificate is reinstated.
(b) The director, licensing board, or commission REGULATOR shall
reinstate the expired license, certificate, or registration of any active military
personnel, including any National Guard member or reservist who is
currently on active duty for a minimum of thirty days, and any veteran who
has not been dishonorably discharged, if the military personnel or veteran
meets the requirements of this paragraph (d) SUBSECTION (2).
(c) THE REGULATOR, IN ITS DISCRETION AND PURSUANT TO ITS
AUTHORITY, MAY REINSTATE an expired license, registration, or certificate
of any other person may be reinstated at the discretion and pursuant to the
authority of the director, licensing board, or commission PERSON OTHER
THAN THE ACTIVE MILITARY PERSONNEL OR VETERANS SPECIFIED IN
SUBSECTION (2)(b) OF THIS SECTION pursuant to the following requirements:
(I) (A) THE LICENSEE, REGISTRANT, OR CERTIFICATE HOLDER
SUBMITS an application for reinstatement of the license, registration, or
certificate is submitted to the director, licensing board, or commission TO
THE REGULATOR sixty days OR MORE after the date of expiration, and the
licensee, registrant, or certificate holder complies with all requirements of
the applicable practice act PART OR ARTICLE OF THIS TITLE 12.
PAGE 173-HOUSE BILL 19-1172
(B) If the licensee, registrant, or certificate holder practiced with an
expired license, registration, or certificate, pursuant to the authority of the
director, the licensing board or commission THE REGULATOR may impose
disciplinary actions against the licensee, registrant, or certificate holder.
(II) If the license, registration, or certificate has BEEN expired for
more than two years, the person with the expired license, registration, or
certificate shall pay all applicable renewal and reinstatement fees and shall
satisfactorily demonstrate to the director, licensing board, or commission
REGULATOR that the person is competent to practice within his or her
profession. Pursuant to the authority of the director, the licensing board or
commission THE REGULATOR, as it deems appropriate, shall accept one or
more of the following as a demonstration of competency to practice:
(A) A license, registration, or certificate from another state that is
in good standing for the applicant where the applicant demonstrates active
practice;
(B) Practice for a specified time under a restricted license,
registration, or certificate;
(C) Successful completion of prescribed remedial courses ordered
by the director, licensing board, or commission REGULATOR that are within
the authority of the director, licensing board, or commission REGULATOR to
require;
(D) Successful completion of any continuing education OR
CONTINUING COMPETENCY requirements prescribed by the director,
licensing board, or commission REGULATOR that are within the authority of
the director, licensing board, or commission REGULATOR to require;
(E) Passage of an examination for licensure, registration, or
certification as approved by the director, licensing board, or commission
REGULATOR that the director, licensing board, or commission REGULATOR
has the authority to acquire REQUIRE; or
(F) Other professional standards or measures of continued
competency as determined by the director, licensing board, or commission
REGULATOR.
PAGE 174-HOUSE BILL 19-1172
(III) The director, licensing board, or commission REGULATOR may
waive the requirements for reinstatement of an expired license, registration,
or certificate by an applicant who demonstrates hardship, so long as the
director or such board or commission REGULATOR considers the protection
of the public in such THE hardship petition.
(3) [Formerly 24-34-102 (8)(e)] Endorsement. Unless otherwise
prohibited by THIS title 12, C.R.S., an applicant for certification,
registration, or licensure by endorsement may demonstrate competency in
a specific occupation or profession as determined by the director THE
REGULATOR in lieu of a requirement that the applicant has worked or
practiced in that occupation or profession for a period of time prior to the
application for endorsement.
(4) [Formerly 24-34-102 (8.5)] Military personnel. The director
and each of the examining and licensing boards A REGULATOR shall, upon
presentation of satisfactory evidence by an applicant for LICENSURE,
certification, or licensure REGISTRATION, accept education, training, or
service completed by an individual as a member of the armed forces or
reserves of the United States, the National Guard of any state, the military
reserves of any state, or the naval militia of any state toward the
qualifications to receive the license, or certification, The director and each
appropriate examining and licensing board OR REGISTRATION. EACH
REGULATOR shall promulgate rules to implement this section SUBSECTION
(4).
(5) [Formerly 24-34-102 (8.7)] Criminal convictions. Unless there
is a specific statutory disqualification that prohibits an applicant from
obtaining licensure, CERTIFICATION, OR REGISTRATION based on a criminal
conviction, if a licensing entity in title 10 or 12, C.R.S., REGULATOR
determines that an applicant for licensure, CERTIFICATION, OR REGISTRATION
has a criminal record, the licensing entity REGULATOR is governed by
section 24-5-101 for purposes of granting or denying, OR PLACING ANY
CONDITIONS ON, licensure, or placing any conditions on licensure
CERTIFICATION, OR REGISTRATION.
(6) Executive director authority. (a) [Formerly 24-34-102
(10)] Form of license, certification, or registration. The executive
director, after consultation with the examining or licensing board or
commission REGULATOR concerned, shall determine the form and content
PAGE 175-HOUSE BILL 19-1172
of any license, CERTIFICATION, OR REGISTRATION issued by any examining
or licensing board or commission in the division THE REGULATOR, including
any document evidencing renewal of a license, CERTIFICATION, OR
REGISTRATION.
(b) [Formerly 24-34-102 (11)] Review of examinations and
procedures. Notwithstanding any type 1 transfer as such transfer is defined
by the "Administrative Organization Act of 1968", article 1 of this title 24,
the executive director may review any examination or procedure for
granting a license, CERTIFICATION, OR REGISTRATION by any board or
agency in the division REGULATOR prior to the execution of such THE
examination or procedure. After such THE review, if the executive director
has reason to believe such THE examination or procedure to be IS unfair to
the applicants or unreasonable in content, the executive director shall call
on five people licensed, CERTIFIED, OR REGISTERED in such THE occupation
or profession to review the examination or procedure jointly with him THE
EXECUTIVE DIRECTOR. The executive director and such THE licensees,
CERTIFICATE HOLDERS, OR REGISTRANTS, acting jointly, may make findings
of fact and recommendations to the board or agency REGULATOR concerning
any examination or procedure. The findings of fact and recommendations
shall be ARE public documents.
(c) [Formerly 24-34-102 (12)] Employment of administrative law
judges. Notwithstanding any type 1 transfer as such transfer is defined by
the "Administrative Organization Act of 1968", article 1 of this title 24, the
executive director may employ an administrative law judge, and may
require any board in the division REGULATOR to use an administrative law
judge in lieu of a hearing by the board REGULATOR, to conduct hearings on
any matter within the jurisdiction of the examining and licensing boards and
agencies in the division REGULATOR, subject to appropriations made to the
department of personnel. Administrative law judges are appointed pursuant
to part 10 of article 30 of this title 24. An administrative law judge
employed pursuant to this subsection (12) (6)(c) shall conduct hearings in
accordance with section 24-4-105, and the administrative law judge has the
authority specified in section 24-4-105.
12-20-203. [Formerly 12-70-101] Inactive license or certification
- rights and responsibilities. (1) Persons licensed (which for purposes of
this article shall include persons referred to as certified) OR CERTIFIED to
practice any profession or occupation under this title 12 for which
PAGE 176-HOUSE BILL 19-1172
postgraduate study or attendance at educational institutions is required in
order to obtain renewal of such licenses THE LICENSE OR CERTIFICATION
may have their names transferred to an inactive licensees OR CERTIFICATE
HOLDERS category under this section. Every board REGULATOR authorized
under this title 12 to issue licenses OR CERTIFICATIONS shall maintain a list
of inactive licensees OR CERTIFICATE HOLDERS, AS APPLICABLE, and upon
written notice to such board, any such THE REGULATOR, THE licensee OR
CERTIFICATE HOLDER shall not be required to comply with any postgraduate
educational requirements so long as such THE licensee OR CERTIFICATE
HOLDER remains inactive in the profession or occupation. Each such
inactive licensee OR CERTIFICATE HOLDER shall continue to meet the normal
registration requirements imposed upon his THE LICENSEE'S OR CERTIFICATE
HOLDER'S profession or occupation.
(2) Such THE inactive status shall be noted on the face of any license
OR CERTIFICATION issued while the licensee OR CERTIFICATE HOLDER
remains inactive. Should such IF THE person wish SEEKS to resume the
practice of his THE PERSON'S profession or occupation after being placed on
an inactive list, he THE PERSON shall file a proper application therefor TO
REACTIVATE THE LICENSE OR CERTIFICATION, pay the registration
APPLICABLE renewal fee, and meet any postgraduate study or in-service
requirements which THAT the governing board REGULATOR may determine
to be applicable IN ORDER to such resumption of RESUME THE practice.
(3) Engaging in the practice of a profession or occupation while on
inactive status pursuant to this article SECTION may be grounds for
revocation.
12-20-204. Regulator's rule-making authority. (1) EXCEPT AS
SPECIFIED IN SUBSECTION (2) OF THIS SECTION, IN ADDITION TO ANY SPECIFIC
RULE-MAKING AUTHORITY THAT A REGULATOR HAS PURSUANT TO A PART OR
ARTICLE OF THIS TITLE 12, A REGULATOR MAY ADOPT RULES NECESSARY TO
ADMINISTER THE PART OR ARTICLE OF THIS TITLE 12 PURSUANT TO WHICH
THE REGULATOR HAS REGULATORY AUTHORITY.
(2) SUBSECTION (1) OF THIS SECTION DOES NOT APPLY TO THE
FOLLOWING:
(a) ARTICLE 110 OF THIS TITLE 12 CONCERNING COMBATIVE SPORTS;
PAGE 177-HOUSE BILL 19-1172
(b) ARTICLE 125 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS;
(c) ARTICLE 135 OF THIS TITLE 12 CONCERNING MORTUARIES AND
CREMATORIES; AND
(d) ARTICLE 140 OF THIS TITLE 12 CONCERNING NONTRANSPLANT
TISSUE BANKS.
PART 3
MILITARY PERSONNEL AND SPOUSES
12-20-301. [Formerly 12-71-101] Definitions. As used in this
article PART 3, unless the context otherwise requires:
(1) "Agency" means an agency of the state that regulates a
profession or occupation under this title 12.
(2) "Authority to practice" or "authorized to practice" means the
holding of a currently valid license to practice in a profession or occupation
or a currently valid certification or registration necessary to practice in a
profession or occupation if the person is licensed, certified, or registered
under this title 12 or a substantially similar law in another state.
(3) "Military spouse" means the spouse of a person who is actively
serving in the United States armed forces and who is stationed in Colorado
in accordance with military orders.
12-20-302. [Formerly 12-70-102] Active military personnel -
exemptions from licensing requirements. (1) Each board or division
except the division of real estate, that regulates persons licensed, certified,
or registered pursuant to this title 12 shall exempt licensed, certified, or
registered military personnel who have been called to federally funded
active duty for more than one hundred twenty days for the purpose of
serving in a war, emergency, or contingency from the payment of any
professional or occupational license, certification, or registration fees,
including renewal fees, and from any continuing education or professional
competency requirements pursuant to this title 12 for a renewal cycle that
falls within the period of service or within the six months following the
completion of service in the war, emergency, or contingency.
PAGE 178-HOUSE BILL 19-1172
(2) THIS SECTION APPLIES TO PERSONS LICENSED, CERTIFIED, OR
REGISTERED PURSUANT TO THIS TITLE 12 AS IT EXISTED ON AUGUST 8, 2017.
12-20-303. [Formerly 12-71-104] Continuing education -
regulated service members - rules. (1) An agency may accept, from a
person with authority to practice, continuing education, training, or service
completed as a member of the armed forces or reserves of the United States,
the National Guard of any state, the military reserves of any state, or the
naval militia of any state toward the educational qualifications to renew the
person's authority to practice.
(2) An agency may promulgate rules establishing educational
standards and procedures necessary to implement this section.
12-20-304. Military spouse - authority to practice - reciprocity
- notice. (1) [Formerly 12-71-102 (1)] Notwithstanding any other PART OR
article of this title 12, a person need not obtain authority to practice an
occupation or profession under this title 12 during the person's first year of
residence in Colorado if:
(a) The person is a military spouse who is authorized to practice that
occupation or profession in another state;
(b) Other than the person's lack of licensure, registration, or
certification in Colorado, there is no basis to disqualify the person under
this title 12; and
(c) The person consents, as a condition of practicing in Colorado,
to be subject to the jurisdiction and disciplinary authority of the appropriate
agency.
(2) [Formerly 12-71-103 (1)] If a person who is practicing in
Colorado under THIS section 12-71-102 applies for authority to continue to
practice after the first year under another A PART OR article of this title 12,
the applicant shall notify the agency receiving the application of the
following:
(a) The applicant is currently practicing in Colorado under this
article SECTION;
PAGE 179-HOUSE BILL 19-1172
(b) The date the applicant began practicing in Colorado; and
(c) The name and contact information of any person employing the
applicant to practice in Colorado.
(3) [Formerly 12-71-103 (2)] If an agency denies the application for
authority to practice under this title 12, the agency shall notify the employer
that the person was denied authority to continue to practice under this title
12.
(4) [Formerly 12-71-102 (2)] This section does not:
(a) Prevent an agency from entering into a reciprocity agreement
with the regulating authority of another state or jurisdiction if otherwise
authorized by law; AND
(b) [Formerly 12-71-102 (3)] This section does not Apply to THE
authority to practice under article 25, 28, 36, 40, or 61 120, 240, OR 275 of
this title 12.
12-20-305. [Formerly 12-71-105] Rules. The director of the
division of professions and occupations may promulgate rules reasonably
necessary to implement this article PART 3.
PART 4
DISCIPLINE, ENFORCEMENT, AND REVIEW
12-20-401. Procedures for complaints concerning licensees,
certificate holders, and registrants - executive director authority -
rules. (1) [Formerly 24-34-102 (9)] The executive director is responsible
for receiving and monitoring the disposition of complaints. The executive
director may require an investigation of a complaint concerning a person
regulated by a board or agency in the division REGULATOR in accordance
with THIS section. 24-34-103.
(2) [Formerly 24-34-103 (1)] A REGULATOR SHALL REFER all
complaints relating to persons licensed, CERTIFIED, OR REGISTERED by any
board or agency in the division of professions and occupations shall be
referred THE REGULATOR to the executive director. of the department of
regulatory agencies.
PAGE 180-HOUSE BILL 19-1172
(3) [Formerly 24-34-103 (2)] For the purpose of facilitating the
handling of complaints, the executive director shall devise simple, standard
complaint forms designed to supply the information necessary to properly
conduct an investigation of complaints. THE COMPLAINANT SHALL REDUCE
each complaint shall be reduced to writing by the complainant before any
formal action is commenced thereon BEGINS ON THE COMPLAINT. The
receipt of such THE forms shall be acknowledged on behalf of the executive
director. The complainant shall be advised in writing of the final disposition
thereof OF THE COMPLAINT.
(4) [Formerly 24-34-103 (3)] (a) The executive director may:
(I) Assign a complaint to the director of professions and occupations
or to the appropriate board of registration in the department, or may THE
APPROPRIATE REGULATOR;
(II) Assign it A COMPLAINT specially for investigation; or may
(III) Take such other action thereon ON THE COMPLAINT as appears
to him THE EXECUTIVE DIRECTOR to be warranted in the circumstances.
(b) Assignments of investigations thereof OF COMPLAINTS to others
shall be IS subject to specified time limits set by the executive director for
completion of investigations.
(5) [Formerly 24-34-103 (4)] Nothing in this section shall supersede
the provisions of SUPERSEDES sections 24-4-104 to 24-4-106 or the statutory
power to issue, suspend, revoke, or renew licenses, CERTIFICATIONS, AND
REGISTRATIONS.
(6) [Formerly 24-34-103 (5)] The executive director may
promulgate such rules, pursuant to section 24-4-103 and not inconsistent
with the requirements of this part 1 ARTICLE 20, to assist in the efficient
performance of the duties imposed by this section. The executive director
may also render advice to the general assembly, as well as to the general
public, upon the question of the proper role of the state in regulating
professions and occupations.
12-20-402. [Formerly 12-36-118 (3)(b)] Immunity. (1) THE
DIRECTOR, any member of the A board OR COMMISSION, any member of the
PAGE 181-HOUSE BILL 19-1172
board's A REGULATOR'S staff, any person acting as a witness or consultant
to the board A REGULATOR, any witness testifying in a proceeding
authorized under this part 1 BY A PART OR ARTICLE OF THIS TITLE 12
GOVERNING A PARTICULAR PROFESSION OR OCCUPATION, and any person
who lodges a complaint pursuant to this part 1 shall be A PART OR ARTICLE
OF THIS TITLE 12 GOVERNING A PARTICULAR PROFESSION OR OCCUPATION IS
immune from liability in any civil action brought against him or her THE
INDIVIDUAL for acts occurring while acting in his or her THE INDIVIDUAL'S
capacity as DIRECTOR, board OR COMMISSION member, staff, consultant, or
witness, respectively, if such THE individual:
(a) Was acting in good faith within the scope of his or her THE
INDIVIDUAL'S respective capacity;
(b) Made a reasonable effort to obtain the facts of the matter as to
which he or she THE INDIVIDUAL acted; and
(c) Acted in the reasonable belief that the action taken by him or her
THE INDIVIDUAL was warranted by the facts.
(2) Any person participating in good faith in the LODGING OR
making of a complaint or report or participating in any investigative or
administrative proceeding pursuant to this section shall be A PART OR
ARTICLE OF THIS TITLE 12 GOVERNING A PARTICULAR PROFESSION OR
OCCUPATION IS immune from any CIVIL OR CRIMINAL liability civil or
criminal, that otherwise might result by reason of such THAT MAY RESULT
FROM THAT participation; EXCEPT THAT A PERSON PARTICIPATING AS
DESCRIBED IN THIS SUBSECTION (2) UNDER ARTICLE 135 OF THIS TITLE 12
CONCERNING MORTUARIES AND CREMATORIES IS IMMUNE FROM ONLY CIVIL
LIABILITY.
(3) (a) THE IMMUNITY GRANTED BY SUBSECTION (1) OF THIS SECTION
TO A WITNESS TESTIFYING IN A PROCEEDING DOES NOT APPLY TO
PROCEEDINGS UNDER ARTICLE 310 OF THIS TITLE 12 CONCERNING SURGICAL
ASSISTANTS AND SURGICAL TECHNOLOGISTS.
(b) THE IMMUNITY GRANTED BY SUBSECTION (1) OF THIS SECTION TO
A PERSON WHO LODGES A COMPLAINT DOES NOT APPLY TO PROCEEDINGS
UNDER:
PAGE 182-HOUSE BILL 19-1172
(I) ARTICLE 130 OF THIS TITLE 12 CONCERNING LANDSCAPE
ARCHITECTS; OR
(II) ARTICLE 230 OF THIS TITLE 12 CONCERNING HEARING AID
PROVIDERS.
(4) THIS SECTION DOES NOT APPLY TO ARTICLES 125, 140, 150, AND
250 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS, NONTRANSPLANT
TISSUE BANKS, PASSENGER TRAMWAYS, AND NATUROPATHIC DOCTORS,
RESPECTIVELY.
12-20-403. Disciplinary procedures - investigations - hearings -
oaths - witness statements - subpoenas - appointment of administrative
law judge. (1) [Formerly 12-40.5-110 (7)(b)(I)] In accordance with article
4 of title 24 C.R.S., and this article, the director is authorized to AND THE
PART OR ARTICLE OF THIS TITLE 12 GOVERNING THE PARTICULAR PROFESSION
OR OCCUPATION OVER WHICH A REGULATOR HAS REGULATORY AUTHORITY,
A REGULATOR MAY investigate, hold hearings, and gather evidence in all
matters related to the exercise and performance of the REGULATOR'S powers
and duties. of the director.
(2) (a) [Formerly 12-40.5-110 (7)(b)(II)] In order to aid the director
REGULATOR in any hearing or investigation instituted pursuant to this
section, the director REGULATOR or an administrative law judge appointed
pursuant to paragraph (c) of this subsection (7) is authorized to SUBSECTION
(3) OF THIS SECTION MAY administer oaths, take affirmations of witnesses,
and issue subpoenas compelling the attendance of witnesses and the
production of all relevant records, papers, books, documentary evidence,
and materials in any hearing, investigation, accusation, or other matter
before the director REGULATOR or an administrative law judge.
(b) [Formerly 12-40.5-110 (7)(b)(III)] (I) Upon failure of any
witness, or licensee, CERTIFICATE HOLDER, OR REGISTRANT to comply with
a subpoena or process, the district court of the county in which the
subpoenaed person, or licensee, CERTIFICATE HOLDER, OR REGISTRANT
resides or conducts business, upon application by the director REGULATOR
with notice to the subpoenaed person, or licensee, CERTIFICATE HOLDER, OR
REGISTRANT, may issue to the person, or licensee, CERTIFICATE HOLDER, OR
REGISTRANT an order requiring that person, or licensee, CERTIFICATE
HOLDER, OR REGISTRANT to:
PAGE 183-HOUSE BILL 19-1172
(A) Appear before the director to REGULATOR;
(B) Produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to
(C) Give evidence touching the matter under investigation or in
question.
(II) If the person, or licensee, CERTIFICATE HOLDER, OR REGISTRANT
fails to obey the order of the court, the court may hold the person, or
licensee, CERTIFICATE HOLDER, OR REGISTRANT in contempt of court.
(c) FOR PURPOSES OF THE REGULATION OF NONTRANSPLANT TISSUE
BANKS UNDER ARTICLE 140 OF THIS TITLE 12, THE AUTHORITY GRANTED
UNDER SUBSECTION (2)(a) OF THIS SECTION DOES NOT APPLY WITH RESPECT
TO INVESTIGATIONS.
(3) [Formerly 12-40.5-110 (7)(c)] The director REGULATOR may
appoint an administrative law judge pursuant to part 10 of article 30 of title
24 C.R.S. AND, IF OTHERWISE AUTHORIZED IN THE PART OR ARTICLE OF THIS
TITLE 12 GOVERNING THE PARTICULAR PROFESSION OR OCCUPATION, MAY
EMPLOY AN ADMINISTRATIVE LAW JUDGE OR HEARING OFFICER, to conduct
hearings, take evidence, make findings, and report such THE findings to the
director REGULATOR.
12-20-404. [Formerly 12-5.5-302] Disciplinary actions - regulator
powers - disposition of fines. (1) General disciplinary authority. If the
director A REGULATOR determines that an applicant, or licensee,
CERTIFICATE HOLDER, OR REGISTRANT has committed any of the acts
specified in part 4 of this article, the director AN ACT OR ENGAGED IN
CONDUCT THAT CONSTITUTES GROUNDS FOR DISCIPLINE OR UNPROFESSIONAL
CONDUCT UNDER A PART OR ARTICLE OF THIS TITLE 12 GOVERNING THE
PARTICULAR PROFESSION OR OCCUPATION, THE REGULATOR may:
(a) Issue a letter of admonition IN ACCORDANCE WITH SUBSECTION
(4) OF THIS SECTION;
(b) (I) Place a licensee, CERTIFICATE HOLDER, OR REGISTRANT on
probation, EXCEPT AS PROVIDED IN SUBSECTION (1)(b)(II) OF THIS SECTION.
PAGE 184-HOUSE BILL 19-1172
(II) A REGULATOR IS NOT AUTHORIZED UNDER THIS SUBSECTION
(1)(b) TO IMPOSE PROBATION ON A LICENSEE, CERTIFICATE HOLDER, OR
REGISTRANT REGULATED UNDER THE FOLLOWING:
(A) ARTICLE 150 OF THIS TITLE 12 CONCERNING PASSENGER
TRAMWAYS;
(B) ARTICLE 205 OF THIS TITLE 12 CONCERNING ATHLETIC TRAINERS;
(C) ARTICLE 260 OF THIS TITLE 12 CONCERNING NURSE AIDES; OR
(D) ARTICLE 310 OF THIS TITLE 12 CONCERNING SURGICAL
ASSISTANTS AND SURGICAL TECHNOLOGISTS.
(c) (I) Impose an administrative fine, not to exceed two thousand
five hundred dollars for each separate offense; or SUBJECT TO ANY
LIMITATIONS OR REQUIREMENTS SPECIFIED IN THE PART OR ARTICLE OF THIS
TITLE 12 GOVERNING A PARTICULAR PROFESSION OR OCCUPATION AND
EXCEPT AS PROVIDED IN SUBSECTION (1)(c)(II) OF THIS SECTION.
(II) A REGULATOR IS NOT AUTHORIZED UNDER THIS SUBSECTION
(1)(c) TO IMPOSE A FINE ON A LICENSEE, CERTIFICATE HOLDER, OR
REGISTRANT REGULATED UNDER THE FOLLOWING:
(A) ARTICLE 125 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS;
(B) ARTICLE 140 OF THIS TITLE 12 CONCERNING NONTRANSPLANT
TISSUE BANKS;
(C) ARTICLE 200 OF THIS TITLE 12 CONCERNING ACUPUNCTURISTS;
(D) ARTICLE 205 OF THIS TITLE 12 CONCERNING ATHLETIC TRAINERS;
(E) ARTICLE 260 OF THIS TITLE 12 CONCERNING NURSE AIDES;
(F) ARTICLE 265 OF THIS TITLE 12 CONCERNING NURSING HOME
ADMINISTRATORS;
(G) ARTICLE 270 OF THIS TITLE 12 CONCERNING OCCUPATIONAL
THERAPISTS AND OCCUPATIONAL THERAPY ASSISTANTS;
PAGE 185-HOUSE BILL 19-1172
(H) ARTICLE 300 OF THIS TITLE 12 CONCERNING RESPIRATORY
THERAPISTS; OR
(I) ARTICLE 310 OF THIS TITLE 12 CONCERNING SURGICAL
ASSISTANTS AND SURGICAL TECHNOLOGISTS.
(d) (I) Deny, refuse to renew, revoke, or suspend the license,
CERTIFICATION, OR REGISTRATION of an applicant, or licensee, CERTIFICATE
HOLDER, OR REGISTRANT, EXCEPT AS PROVIDED IN SUBSECTION (1)(d)(II) OF
THIS SECTION.
(II) A REGULATOR IS NOT AUTHORIZED UNDER THIS SUBSECTION
(1)(d) TO REFUSE TO RENEW THE LICENSE, CERTIFICATION, OR REGISTRATION
OF A LICENSEE, CERTIFICATE HOLDER, OR REGISTRANT REGULATED UNDER
THE FOLLOWING:
(A) ARTICLE 105 OF THIS TITLE 12 CONCERNING BARBERS AND
COSMETOLOGISTS;
(B) ARTICLE 110 OF THIS TITLE 12 CONCERNING COMBATIVE SPORTS;
(C) ARTICLE 125 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS;
(D) ARTICLE 140 OF THIS TITLE 12 CONCERNING NONTRANSPLANT
TISSUE BANKS;
(E) ARTICLE 145 OF THIS TITLE 12 CONCERNING OUTFITTERS AND
GUIDES;
(F) ARTICLE 160 OF THIS TITLE 12 CONCERNING PRIVATE
INVESTIGATORS;
(G) ARTICLE 200 OF THIS TITLE 12 CONCERNING ACUPUNCTURISTS;
(H) ARTICLE 225 OF THIS TITLE 12 CONCERNING DIRECT-ENTRY
MIDWIVES;
(I) ARTICLE 240 OF THIS TITLE 12 CONCERNING MEDICAL PRACTICE;
(J) ARTICLE 250 OF THIS TITLE 12 CONCERNING NATUROPATHIC
PAGE 186-HOUSE BILL 19-1172
DOCTORS;
(K) ARTICLE 260 OF THIS TITLE 12 CONCERNING NURSE AIDES;
(L) ARTICLE 305 OF THIS TITLE 12 CONCERNING SPEECH-LANGUAGE
PATHOLOGISTS; OR
(M) ARTICLE 315 OF THIS TITLE 12 CONCERNING VETERINARIANS.
(2) Deferral precluded. (a) When a complaint or investigation
discloses an instance of misconduct that, in the opinion of the director A
REGULATOR, warrants formal action, the complaint REGULATOR shall not be
resolved RESOLVE THE COMPLAINT by a deferred settlement, action,
judgment, or prosecution.
(b) THIS SUBSECTION (2) DOES NOT APPLY TO THE FOLLOWING:
(I) ARTICLE 125 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS;
(II) ARTICLE 140 OF THIS TITLE 12 CONCERNING NONTRANSPLANT
TISSUE BANKS;
(III) ARTICLE 150 OF THIS TITLE 12 CONCERNING PASSENGER
TRAMWAYS; AND
(IV) ARTICLE 260 OF THIS TITLE 12 CONCERNING NURSE AIDES.
(3) Waiting period after revocation or surrender. (a) (I) EXCEPT
AS PROVIDED IN SUBSECTIONS (3)(a)(III) AND (3)(c) OF THIS SECTION, a
person whose license, CERTIFICATION, OR REGISTRATION to practice as a
hearing aid provider or apprentice A PROFESSION OR OCCUPATION under this
article TITLE 12 is revoked or who surrenders his or her license to avoid
discipline, is ineligible to apply for any A new license, CERTIFICATION, OR
REGISTRATION under this article THE PART OR ARTICLE OF THIS TITLE 12
THAT GOVERNS THE PARTICULAR PROFESSION OR OCCUPATION for two years
after the date of revocation or surrender of his or her OF THE license,
CERTIFICATION, OR REGISTRATION.
(II) IN ADDITION, THE WAITING PERIOD SPECIFIED IN SUBSECTION
(3)(a)(I) OF THIS SECTION APPLIES WHEN A PERSON REGULATED UNDER ANY
PAGE 187-HOUSE BILL 19-1172
OF THE FOLLOWING ARTICLES SURRENDERS A LICENSE, CERTIFICATION, OR
REGISTRATION TO AVOID DISCIPLINE:
(A) ARTICLE 105 OF THIS TITLE 12 CONCERNING BARBERS AND
COSMETOLOGISTS;
(B) ARTICLE 145 OF THIS TITLE 12 CONCERNING OUTFITTERS AND
GUIDES;
(C) ARTICLE 160 OF THIS TITLE 12 CONCERNING PRIVATE
INVESTIGATORS;
(D) ARTICLE 200 OF THIS TITLE 12 CONCERNING ACUPUNCTURISTS;
(E) ARTICLE 210 OF THIS TITLE 12 CONCERNING AUDIOLOGISTS;
(F) ARTICLE 230 OF THIS TITLE 12 CONCERNING HEARING AID
PROVIDERS;
(G) ARTICLE 235 OF THIS TITLE 12 CONCERNING MASSAGE
THERAPISTS;
(H) ARTICLE 240 OF THIS TITLE 12 CONCERNING MEDICAL PRACTICE;
(I) ARTICLE 250 OF THIS TITLE 12 CONCERNING NATUROPATHIC
DOCTORS;
(J) ARTICLE 255 OF THIS TITLE 12 CONCERNING NURSES;
(K) ARTICLE 270 OF THIS TITLE 12 CONCERNING OCCUPATIONAL
THERAPISTS AND OCCUPATIONAL THERAPY ASSISTANTS;
(L) ARTICLE 285 OF THIS TITLE 12 CONCERNING PHYSICAL
THERAPISTS AND PHYSICAL THERAPIST ASSISTANTS;
(M) ARTICLE 300 OF THIS TITLE 12 CONCERNING RESPIRATORY
THERAPISTS; AND
(N) ARTICLE 305 OF THIS TITLE 12 CONCERNING SPEECH-LANGUAGE
PATHOLOGISTS.
PAGE 188-HOUSE BILL 19-1172
(III) (A) FOR A PERSON WHOSE LICENSE AS A NURSING HOME
ADMINISTRATOR ISSUED UNDER ARTICLE 265 OF THIS TITLE 12 IS REVOKED,
THE PERSON IS INELIGIBLE TO APPLY FOR A NEW NURSING HOME
ADMINISTRATOR LICENSE UNDER THAT ARTICLE FOR ONE YEAR AFTER THE
DATE OF REVOCATION.
(B) FOR A PERSON WHOSE LICENSE, CERTIFICATION, OR
REGISTRATION AS A MENTAL HEALTH PROFESSIONAL ISSUED UNDER ARTICLE
245 OF THIS TITLE 12 IS REVOKED, OR WHO SURRENDERS THE LICENSE,
CERTIFICATION, OR REGISTRATION TO AVOID DISCIPLINE, THE PERSON IS
INELIGIBLE TO APPLY FOR A NEW LICENSE, CERTIFICATION, OR REGISTRATION
UNDER THAT ARTICLE FOR THREE YEARS AFTER THE DATE OF REVOCATION
OR SURRENDER.
(b) THIS SUBSECTION (3) APPLIES TO A PERSON ENROLLED AS AN
ENGINEER-INTERN PURSUANT TO PART 2 OF ARTICLE 120 OF THIS TITLE 12 OR
AS A LAND SURVEYOR-INTERN UNDER PART 3 OF ARTICLE 120 OF THIS TITLE
12.
(c) THIS SUBSECTION (3) DOES NOT APPLY TO THE FOLLOWING:
(I) ARTICLE 110 OF THIS TITLE 12 CONCERNING COMBATIVE SPORTS;
(II) ARTICLE 125 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS;
(III) ARTICLE 140 OF THIS TITLE 12 CONCERNING NONTRANSPLANT
TISSUE BANKS;
(IV) ARTICLE 150 OF THIS TITLE 12 CONCERNING PASSENGER
TRAMWAYS;
(V) ARTICLE 205 OF THIS TITLE 12 CONCERNING ATHLETIC TRAINERS;
(VI) ARTICLE 215 OF THIS TITLE 12 CONCERNING CHIROPRACTORS;
(VII) ARTICLE 260 OF THIS TITLE 12 CONCERNING NURSE AIDES;
(VIII) ARTICLE 295 OF THIS TITLE 12 CONCERNING PSYCHIATRIC
TECHNICIANS; AND
PAGE 189-HOUSE BILL 19-1172
(IX) ARTICLE 310 OF THIS TITLE 12 CONCERNING SURGICAL
ASSISTANTS AND SURGICAL TECHNOLOGISTS.
(4) Letter of admonition. (a) When a complaint or investigation
discloses an instance of misconduct that, in the opinion of the director A
REGULATOR, does not warrant formal action by the director REGULATOR but
that should not be dismissed as being without merit, the director
REGULATOR may issue and send a letter of admonition to the licensee,
CERTIFICATE HOLDER, OR REGISTRANT.
(b) (I) When the director A REGULATOR sends a letter of admonition
to a licensee, CERTIFICATE HOLDER, OR REGISTRANT pursuant to paragraph
(a) of this subsection (4), the director SUBSECTION (4)(a) OF THIS SECTION,
THE REGULATOR shall also advise the licensee, CERTIFICATE HOLDER, OR
REGISTRANT that he or she THE PERSON has the right to request in writing,
within twenty days after service RECEIPT of the letter, that the director
REGULATOR initiate formal disciplinary proceedings to adjudicate the
propriety of the conduct upon which the letter of admonition is based.
(II) If the licensee, makes the request for CERTIFICATE HOLDER, OR
REGISTRANT TIMELY REQUESTS adjudication, the director REGULATOR shall
vacate the letter of admonition and shall process the matter by means of
formal disciplinary proceedings.
(c) THIS SUBSECTION (4) DOES NOT APPLY TO THE FOLLOWING:
(I) ARTICLE 205 OF THIS TITLE 12 CONCERNING ATHLETIC TRAINERS;
AND
(II) ARTICLE 310 OF THIS TITLE 12 CONCERNING SURGICAL
ASSISTANTS AND SURGICAL TECHNOLOGISTS.
(5) Confidential letter of concern. (a) When a complaint or
investigation discloses an instance of conduct that does not warrant formal
action by the director A REGULATOR and, in the opinion of the director
REGULATOR, should be dismissed, but the director REGULATOR has noticed
indications of possible errant conduct by the licensee, CERTIFICATE HOLDER,
OR REGISTRANT that could lead to serious consequences if not corrected, the
director REGULATOR may OR SHALL, IN ACCORDANCE WITH THE PART OR
ARTICLE OF THIS TITLE 12 GOVERNING THE PARTICULAR PROFESSION OR
PAGE 190-HOUSE BILL 19-1172
OCCUPATION, send the licensee, CERTIFICATE HOLDER, OR REGISTRANT a
confidential letter of concern.
(b) THIS SUBSECTION (5) DOES NOT APPLY TO THE FOLLOWING:
(I) ARTICLE 125 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS;
(II) ARTICLE 140 OF THIS TITLE 12 CONCERNING NONTRANSPLANT
TISSUE BANKS;
(III) ARTICLE 150 OF THIS TITLE 12 CONCERNING PASSENGER
TRAMWAYS;
(IV) ARTICLE 205 OF THIS TITLE 12 CONCERNING ATHLETIC
TRAINERS; AND
(V) ARTICLE 310 OF THIS TITLE 12 CONCERNING SURGICAL
ASSISTANTS AND SURGICAL TECHNOLOGISTS.
(6) The director shall not enforce any provisions of this article or
rules promulgated pursuant to this article that are held unconstitutional,
invalid, or inconsistent with federal laws or regulations, including rules
promulgated by the United States food and drug administration.
(7) (6) Disposition of fines. (a) EXCEPT AS SPECIFIED IN
SUBSECTION (6)(b) OF THIS SECTION, A REGULATOR SHALL TRANSMIT all
fines collected pursuant to this section shall be transmitted A PART OR
ARTICLE OF THIS TITLE 12 to the state treasurer, who shall credit them to the
general fund.
(b) THE DISPOSITION OF FINES COLLECTED BY:
(I) THE STATE ELECTRICAL BOARD IS GOVERNED BY SECTION
12-115-122 (5)(a);
(II) THE DIRECTOR FOR VIOLATIONS OF LAWS GOVERNING THE
ACTIVITIES OF OUTFITTERS AND GUIDES IS GOVERNED BY SECTION
12-145-110 (3); AND
(III) THE STATE PLUMBING BOARD IS GOVERNED BY SECTION
PAGE 191-HOUSE BILL 19-1172
12-155-123 (4)(a).
12-20-405. [Formerly 12-5.5-303] Cease-and-desist orders.
(1) (a) If it appears to the director A REGULATOR, based upon credible
evidence as presented in a written complaint by any person, that a licensee,
CERTIFICATE HOLDER, OR REGISTRANT is acting in a manner that is a AN
IMMINENT threat to the health and safety of the public, or a person is acting
or has acted without the required license, the director CERTIFICATION, OR
REGISTRATION REQUIRED TO PRACTICE A PROFESSION OR OCCUPATION, THE
REGULATOR THAT REGULATES THE PARTICULAR PROFESSION OR OCCUPATION
may issue an order to cease and desist the activity. The order must set forth
the statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, the specific harm that threatens the health and
safety of the public, and the requirement that all unlawful acts or
unlicensed, UNCERTIFIED, OR UNREGISTERED practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1) SUBSECTION (1)(a) OF THIS
SECTION, the respondent may request a hearing on the question of whether
acts or practices in violation of this article THE PART OR ARTICLE OF THIS
TITLE 12 GOVERNING THE PARTICULAR PROFESSION OR OCCUPATION have
occurred. The hearing must be conducted pursuant to sections 24-4-104 and
24-4-105. C.R.S.
(2) (a) If it appears to the director REGULATOR, based upon credible
evidence as presented in a written complaint by any person, that a person
has violated any other portion of this article THE PART OR ARTICLE OF THIS
TITLE 12 GOVERNING THE PARTICULAR PROFESSION OR OCCUPATION, then,
in addition to any specific powers granted pursuant to this article, the
director THE PART OR ARTICLE OF THIS TITLE 12 GOVERNING THE
PARTICULAR PROFESSION OR OCCUPATION, THE REGULATOR may issue to the
person an order to show cause as to why the director REGULATOR should not
issue a final order directing the person to cease and desist from the unlawful
act or UNLICENSED, UNCERTIFIED, OR UNREGISTERED practice.
(b) The director REGULATOR shall promptly notify the person of the
issuance of the order TO SHOW CAUSE and shall include in the notice a copy
of the order, the factual and legal basis for the order, and the date set by the
director REGULATOR for a hearing on the order. The director REGULATOR
may serve the notice by personal service, by first-class United States mail,
PAGE 192-HOUSE BILL 19-1172
postage prepaid, or as may be practicable upon any person against whom
the order is issued. Personal service or proof of receipt of mailing of an
order or document pursuant to this paragraph (b) SUBSECTION (2)(b)
constitutes notice to the person of the existence and contents of the order or
document.
(c) (I) The director must REGULATOR SHALL commence the hearing
on an order to show cause no sooner than ten, and no later than forty-five,
calendar days after the date of transmission or service of the notification by
the director THE REGULATOR SENT OR SERVED NOTICE as provided in
paragraph (b) of this subsection (2). The director SUBSECTION (2)(b) OF THIS
SECTION. THE REGULATOR may continue the hearing by agreement of all
parties based upon the complexity of the matter, number of parties to the
matter, and legal issues presented in the matter, but in no event may the
director REGULATOR commence the hearing later than sixty calendar days
after the date of transmission or service of the notification. SECTIONS
24-4-104 AND 24-4-105 GOVERN THE CONDUCT OF THE HEARING HELD
UNDER THIS SUBSECTION (2)(c).
(II) If a person against whom THE REGULATOR HAS ISSUED an order
to show cause has been issued pursuant to paragraph (a) of this subsection
(2) PURSUANT TO SUBSECTION (2)(a) OF THIS SECTION does not appear at the
hearing, the director REGULATOR may present evidence that THE REGULATOR
PROPERLY SENT OR SERVED THE notification was properly sent or served
upon the person pursuant to paragraph (b) of this subsection (2)
SUBSECTION (2)(b) OF THIS SECTION and any other evidence related to the
matter as the director REGULATOR deems appropriate. The director
REGULATOR shall issue the order within ten days after the director's
REGULATOR'S determination related to reasonable attempts to notify the
respondent, and the order becomes final as to that person by operation of
law. The conduct of the hearing is governed by sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director REGULATOR reasonably finds that the person
against whom THE REGULATOR ISSUED the order to show cause was issued
is acting or has acted without the required license, CERTIFICATION, OR
REGISTRATION or has or is about to engage in acts or practices constituting
violations of this article or rules adopted under this article THE PART OR
ARTICLE OF THIS TITLE 12 GOVERNING THE PARTICULAR PROFESSION OR
OCCUPATION, the director REGULATOR may issue a final cease-and-desist
PAGE 193-HOUSE BILL 19-1172
order directing the person to cease and desist from further unlawful acts or
unlicensed, UNCERTIFIED, OR UNREGISTERED practices.
(IV) The director REGULATOR shall provide notice, in the manner set
forth in paragraph (b) of this subsection (2) SUBSECTION (2)(b) OF THIS
SECTION, of the final cease-and-desist order within ten calendar days after
the hearing conducted pursuant to this paragraph (c) SUBSECTION (2)(c) to
each person against whom THE REGULATOR HAS ISSUED the final order. has
been issued. The final order issued pursuant to subparagraph (III) of this
paragraph (c) SUBSECTION (2)(c)(III) OF THIS SECTION is effective when
issued and constitutes a final order for purposes of judicial review.
(3) The director REGULATOR may enter into a stipulation with a
person if it appears to the director REGULATOR, based upon credible
evidence presented to the director REGULATOR, that the person has engaged
in or is about to engage in:
(a) An unlicensed, UNCERTIFIED, OR UNREGISTERED act or practice;
(b) An act or practice constituting a violation of this article, a rule
promulgated pursuant to this article, THE PART OR ARTICLE OF THIS TITLE 12
GOVERNING THE PARTICULAR PROFESSION OR OCCUPATION or A RULE
ADOPTED OR an order issued pursuant to this article THOSE LAWS; or
(c) An act or practice constituting grounds for administrative
sanction pursuant to this article THE PART OR ARTICLE OF THIS TITLE 12
GOVERNING THE PARTICULAR PROFESSION OR OCCUPATION.
(4) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director REGULATOR may request the attorney general
or the district attorney for the judicial district in which the alleged violation
exists to bring, and if so requested the attorney shall bring, suit for a
temporary restraining order and for injunctive relief to prevent any further
or continued violation of the final order.
(5) A person aggrieved by the REGULATOR'S final DETERMINATION
WITH REGARD TO A cease-and-desist order may seek judicial review of the
director's determination or of the director's final order in a court of
competent jurisdiction IN ACCORDANCE WITH SECTION 12-20-408.
PAGE 194-HOUSE BILL 19-1172
(6) A person who practices or offers or attempts to practice as a
hearing aid provider or who engages in the practice of dispensing, fitting,
or dealing in hearing aids without an active hearing aid provider license
issued under this article commits a class 2 misdemeanor and shall be
punished as provided in section 18-1.3-501, C.R.S., for the first offense,
and, for the second or any subsequent offense, the person commits a class
6 felony and shall be punished as provided in section 18-1.3-401, C.R.S.
THIS SECTION DOES NOT APPLY TO ARTICLES 125, 140, AND 150 OF THIS
TITLE 12 CONCERNING FANTASY CONTESTS, NONTRANSPLANT TISSUE BANKS,
AND PASSENGER TRAMWAYS, RESPECTIVELY.
12-20-406. [Formerly 12-36-129 (6)] Injunctive relief. (1) EXCEPT
AS OTHERWISE SPECIFIED IN A PART OR ARTICLE OF THIS TITLE 12 OR
SUBSECTION (3) OF THIS SECTION:
(a) The board may A REGULATOR, in the name of the people of the
state of Colorado and through the attorney general of the state of Colorado,
MAY apply for an injunction in any court of competent jurisdiction to enjoin
any person from committing any act prohibited by this article A PART OR
ARTICLE OF THIS TITLE 12.
(b) If the board REGULATOR establishes that the defendant has been
or is committing an act prohibited by this THE PART OR article, the court
shall enter a decree perpetually enjoining the defendant from further
committing the act.
(c) An injunctive proceeding may be brought pursuant to this section
in addition to, and not in lieu of, all penalties and other remedies provided
in this THE PART OR article.
(2) (a) EXCEPT AS SPECIFIED IN SUBSECTION (2)(b) OF THIS SECTION,
WHEN SEEKING AN INJUNCTION UNDER SUBSECTION (1) OF THIS SECTION, A
REGULATOR IS NOT REQUIRED TO ALLEGE OR PROVE THE INADEQUACY OF
ANY REMEDY AT LAW OR THAT SUBSTANTIAL OR IRREPARABLE DAMAGE IS
LIKELY TO RESULT FROM A CONTINUED VIOLATION.
(b) SUBSECTION (2)(a) OF THIS SECTION DOES NOT APPLY TO THE
FOLLOWING:
(I) ARTICLE 105 OF THIS TITLE 12 CONCERNING BARBERS AND
PAGE 195-HOUSE BILL 19-1172
COSMETOLOGISTS;
(II) PART 4 OF ARTICLE 120 OF THIS TITLE 12 CONCERNING
ARCHITECTS;
(III) ARTICLE 135 OF THIS TITLE 12 CONCERNING MORTUARIES AND
CREMATORIES;
(IV) ARTICLE 150 OF THIS TITLE 12 CONCERNING PASSENGER
TRAMWAYS;
(V) ARTICLE 210 OF THIS TITLE 12 CONCERNING AUDIOLOGISTS;
(VI) ARTICLE 215 OF THIS TITLE 12 CONCERNING CHIROPRACTORS;
(VII) ARTICLE 230 OF THIS TITLE 12 CONCERNING HEARING AID
PROVIDERS;
(VIII) ARTICLE 240 OF THIS TITLE 12 CONCERNING MEDICAL
PRACTICE;
(IX) ARTICLE 255 OF THIS TITLE 12 CONCERNING NURSES;
(X) ARTICLE 260 OF THIS TITLE 12 CONCERNING NURSE AIDES;
(XI) ARTICLE 275 OF THIS TITLE 12 CONCERNING OPTOMETRISTS;
(XII) ARTICLE 280 OF THIS TITLE 12 CONCERNING PHARMACISTS,
PHARMACY BUSINESSES, AND PHARMACEUTICALS;
(XIII) ARTICLE 285 OF THIS TITLE 12 CONCERNING PHYSICAL
THERAPISTS AND PHYSICAL THERAPIST ASSISTANTS; AND
(XIV) ARTICLE 290 OF THIS TITLE 12 CONCERNING PODIATRISTS.
(3) THIS SECTION DOES NOT APPLY TO THE FOLLOWING:
(a) ARTICLE 100 OF THIS TITLE 12 CONCERNING ACCOUNTANTS;
(b) ARTICLE 110 OF THIS TITLE 12 CONCERNING COMBATIVE SPORTS;
PAGE 196-HOUSE BILL 19-1172
(c) ARTICLE 125 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS;
(d) ARTICLE 130 OF THIS TITLE 12 CONCERNING LANDSCAPE
ARCHITECTS;
(e) ARTICLE 140 OF THIS TITLE 12 CONCERNING NONTRANSPLANT
TISSUE BANKS;
(f) ARTICLE 220 OF THIS TITLE 12 CONCERNING DENTISTS AND
DENTAL HYGIENISTS;
(g) ARTICLE 250 OF THIS TITLE 12 CONCERNING NATUROPATHIC
DOCTORS;
(h) ARTICLE 295 OF THIS TITLE 12 CONCERNING PSYCHIATRIC
TECHNICIANS; AND
(i) ARTICLE 315 OF THIS TITLE 12 CONCERNING VETERINARIANS.
12-20-407. Unauthorized practice of profession or occupation -
penalties - exclusions. (1) (a) [Formerly 12-23-119 (2)] Any person who
practices or offers or attempts to practice the profession of an electrician
without an active license issued under this article A PERSON commits a class
2 misdemeanor and shall be punished as provided in section 18-1.3-501
C.R.S., for the first offense, and, for the second or any subsequent offense,
the person commits a class 6 felony and shall be punished as provided in
section 18-1.3-401, C.R.S. IF THE PERSON:
(I) VIOLATES SECTION 12-100-112 OR 12-100-116 (1)(a);
(II) ENGAGES IN OR OFFERS OR ATTEMPTS TO ENGAGE IN THE
CONDUCT, PROMOTION, OR PERFORMANCE OF LIVE BOXING MATCHES
WITHOUT AN ACTIVE LICENSE OR PERMIT ISSUED UNDER ARTICLE 110 OF THIS
TITLE 12;
(III) ENGAGES OR OFFERS OR ATTEMPTS TO ENGAGE IN ACTIVITIES AS
AN OUTFITTER WITHOUT AN ACTIVE REGISTRATION ISSUED UNDER ARTICLE
145 OF THIS TITLE 12;
(IV) ENGAGES IN OR WORKS AT OR OFFERS OR ATTEMPTS TO ENGAGE
PAGE 197-HOUSE BILL 19-1172
IN OR WORK AT THE BUSINESS, TRADE, OR CALLING OF A RESIDENTIAL,
JOURNEYMAN, MASTER, OR APPRENTICE PLUMBER; A WATER CONDITIONING
CONTRACTOR; A WATER CONDITIONING INSTALLER; OR A WATER
CONDITIONING PRINCIPAL WITHOUT AN ACTIVE LICENSE, PERMIT, OR
REGISTRATION ISSUED UNDER ARTICLE 155 OF THIS TITLE 12; OR
(V) PRACTICES OR OFFERS OR ATTEMPTS TO PRACTICE ANY OF THE
FOLLOWING PROFESSIONS OR OCCUPATIONS WITHOUT AN ACTIVE LICENSE,
CERTIFICATION, OR REGISTRATION ISSUED UNDER THE PART OR ARTICLE OF
THIS TITLE 12 GOVERNING THE PARTICULAR PROFESSION OR OCCUPATION:
(A) BARBERING, HAIRSTYLING, ESTHETICS, MANICURING, OR
COSMETOLOGY, AS REGULATED UNDER ARTICLE 105 OF THIS TITLE 12;
(B) THE PROFESSION OF AN ELECTRICIAN, AS REGULATED UNDER
ARTICLE 115 OF THIS TITLE 12;
(C) PROFESSIONAL ENGINEERING, AS REGULATED UNDER ARTICLE
120 OF THIS TITLE 12;
(D) PROFESSIONAL LAND SURVEYING, AS REGULATED UNDER
ARTICLE 120 OF THIS TITLE 12;
(E) ARCHITECTURE, AS REGULATED UNDER ARTICLE 120 OF THIS
TITLE 12;
(F) LANDSCAPE ARCHITECTURE, AS REGULATED UNDER ARTICLE 130
OF THIS TITLE 12;
(G) ACUPUNCTURE, AS REGULATED UNDER ARTICLE 200 OF THIS
TITLE 12;
(H) AUDIOLOGY, AS REGULATED UNDER ARTICLE 210 OF THIS TITLE
12;
(I) CHIROPRACTIC, AS REGULATED UNDER ARTICLE 215 OF THIS TITLE
12;
(J) DENTISTRY OR DENTAL HYGIENE, AS REGULATED UNDER ARTICLE
220 OF THIS TITLE 12;
PAGE 198-HOUSE BILL 19-1172
(K) DIRECT-ENTRY MIDWIFERY, AS REGULATED UNDER ARTICLE 225
OF THIS TITLE 12;
(L) PRACTICE AS A HEARING AID PROVIDER OR ENGAGES IN THE
PRACTICE OF DISPENSING, FITTING, OR DEALING IN HEARING AIDS, AS
REGULATED UNDER ARTICLE 230 OF THIS TITLE 12;
(M) MEDICINE, PRACTICE AS A PHYSICIAN ASSISTANT, OR PRACTICE
AS AN ANESTHESIOLOGIST ASSISTANT, AS REGULATED UNDER ARTICLE 240
OF THIS TITLE 12;
(N) PRACTICE AS A PSYCHOLOGIST, SOCIAL WORKER, MARRIAGE AND
F A M I LY T H E R A P I S T , L IC E N S E D P R O F E S S IO NA L C O U N S E LO R ,
PSYCHOTHERAPIST, OR ADDICTION COUNSELOR, AS REGULATED UNDER
ARTICLE 245 OF THIS TITLE 12;
(O) PRACTICAL OR PROFESSIONAL NURSING, AS REGULATED UNDER
ARTICLE 255 OF THIS TITLE 12;
(P) NURSING HOME ADMINISTRATION, AS REGULATED UNDER
ARTICLE 265 OF THIS TITLE 12;
(Q) OPTOMETRY, AS REGULATED UNDER ARTICLE 275 OF THIS TITLE
12;
(R) PHARMACY, AS REGULATED UNDER ARTICLE 280 OF THIS TITLE
12;
(S) PHYSICAL THERAPY, AS REGULATED UNDER PART 1 OF ARTICLE
285 OF THIS TITLE 12;
(T) PODIATRY, AS REGULATED UNDER ARTICLE 290 OF THIS TITLE 12;
(U) PRACTICE AS A PSYCHIATRIC TECHNICIAN, AS REGULATED UNDER
ARTICLE 295 OF THIS TITLE 12;
(V) RESPIRATORY THERAPY, AS REGULATED UNDER ARTICLE 300 OF
THIS TITLE 12; OR
(W) VETERINARY MEDICINE, AS REGULATED UNDER ARTICLE 315 OF
PAGE 199-HOUSE BILL 19-1172
THIS TITLE 12.
(b) [Formerly 12-58.5-104 (2)] Any A person who conducts private
investigations or presents himself or herself as or uses the title "private
investigator", "private detective", "licensed private detective", or "licensed
private investigator" without an active license issued under this article
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501 C.R.S., for the first offense and, for the second or any
subsequent offense, commits a class 1 misdemeanor and shall be punished
as provided in section 18-1.3-501, C.R.S. IF THE PERSON ENGAGES IN ANY
OF THE FOLLOWING ACTIVITIES:
(I) CONDUCTS PRIVATE INVESTIGATIONS OR PRESENTS HIMSELF OR
HERSELF AS A, OR USES THE TITLE OF, "PRIVATE INVESTIGATOR", "PRIVATE
DETECTIVE", "LICENSED PRIVATE DETECTIVE", OR "LICENSED PRIVATE
INVESTIGATOR" WITHOUT AN ACTIVE LICENSE ISSUED UNDER ARTICLE 160
OF THIS TITLE 12;
(II) PRACTICES OR OFFERS OR ATTEMPTS TO PRACTICE ATHLETIC
TRAINING WITHOUT AN ACTIVE REGISTRATION ISSUED UNDER ARTICLE 205
OF THIS TITLE 12;
(III) PRACTICES OR OFFERS OR ATTEMPTS TO PRACTICE MASSAGE
THERAPY WITHOUT AN ACTIVE LICENSE ISSUED UNDER ARTICLE 235 OF THIS
TITLE 12 OR KNOWINGLY AIDS OR ABETS THE UNLICENSED PRACTICE OF
MASSAGE THERAPY;
(IV) PRACTICES OR OFFERS OR ATTEMPTS TO PRACTICE
OCCUPATIONAL THERAPY WITHOUT AN ACTIVE LICENSE AS REQUIRED BY AND
ISSUED UNDER ARTICLE 270 OF THIS TITLE 12 FOR OCCUPATIONAL
THERAPISTS OR OCCUPATIONAL THERAPY ASSISTANTS;
(V) PRACTICES OR OFFERS OR ATTEMPTS TO PRACTICE
SPEECH-LANGUAGE PATHOLOGY WITHOUT AN ACTIVE CERTIFICATION ISSUED
UNDER ARTICLE 305 OF THIS TITLE 12; OR
(VI) PERFORMS THE DUTIES OF A SURGICAL ASSISTANT OR SURGICAL
TECHNOLOGIST WITHOUT BEING REGISTERED UNDER ARTICLE 310 OF THIS
TITLE 12.
PAGE 200-HOUSE BILL 19-1172
(c) [Formerly 12-37.3-113] A person who practices or offers or
attempts to practice as a naturopathic doctor without an active registration
issued under this article 250 OF THIS TITLE 12 commits a class 2
misdemeanor and shall be punished as provided in section 18-1.3-501.
C.R.S.
(d) [Formerly 12-41-216] Any A person who violates section
12-41-202 12-285-202 or 12-41-203 12-285-203 without an active
certification issued under this part 2 OF ARTICLE 285 OF THIS TITLE 12 TO
PRACTICE AS A PHYSICAL THERAPIST ASSISTANT commits a class 2
misdemeanor and shall be punished as provided in section 18-1.3-501.
C.R.S.
(2) THE PENALTIES FOR:
(a) ENGAGING IN UNAUTHORIZED ACTIVITIES REGARDING
MORTUARIES AND CREMATORIES ARE GOVERNED BY SECTION 12-135-108;
(b) VIOLATING ARTICLE 140 OF THIS TITLE 12 CONCERNING
NONTRANSPLANT TISSUE BANKS ARE GOVERNED BY SECTION 12-140-108;
(c) ENGAGING IN UNAUTHORIZED ACTIVITIES REGARDING PASSENGER
TRAMWAYS ARE GOVERNED BY SECTION 12-150-108 (4); AND
(d) ENGAGING IN UNAUTHORIZED ACTIVITIES REGARDING NURSE
AIDE PRACTICE ARE GOVERNED BY SECTION 12-260-121.
12-20-408. [Formerly 12-42.5-125] Judicial review. (1) EXCEPT
AS SPECIFIED IN SUBSECTION (2) OF THIS SECTION, the court of appeals has
initial jurisdiction to review all final actions and orders OF A REGULATOR
that are subject to judicial review of the board and shall conduct the judicial
review proceedings in accordance with section 24-4-106 (11); C.R.S.
EXCEPT THAT, WITH REGARD ONLY TO CEASE-AND-DESIST ORDERS, A
DISTRICT COURT OF COMPETENT JURISDICTION HAS INITIAL JURISDICTION TO
REVIEW A FINAL ACTION OR ORDER OF A REGULATOR THAT IS SUBJECT TO
JUDICIAL REVIEW AND SHALL CONDUCT THE JUDICIAL REVIEW PROCEEDINGS
IN ACCORDANCE WITH SECTION 24-4-106 (3) FOR THE FOLLOWING:
(a) ARTICLE 115 OF THIS TITLE 12 CONCERNING ELECTRICIANS;
PAGE 201-HOUSE BILL 19-1172
(b) PART 4 OF ARTICLE 120 OF THIS TITLE 12 CONCERNING
ARCHITECTS;
(c) ARTICLE 225 OF THIS TITLE 12 CONCERNING DIRECT-ENTRY
MIDWIVES;
(d) ARTICLE 250 OF THIS TITLE 12 CONCERNING NATUROPATHIC
DOCTORS;
(e) ARTICLE 275 OF THIS TITLE 12 CONCERNING OPTOMETRISTS; AND
(f) ARTICLE 315 OF THIS TITLE 12 CONCERNING VETERINARIANS.
(2) A DISTRICT COURT OF COMPETENT JURISDICTION HAS INITIAL
JURISDICTION TO REVIEW ALL FINAL ACTIONS AND ORDERS OF A REGULATOR
THAT ARE SUBJECT TO JUDICIAL REVIEW AND SHALL CONDUCT THE JUDICIAL
REVIEW PROCEEDINGS IN ACCORDANCE WITH SECTION 24-4-106 (3) FOR THE
FOLLOWING:
(a) ARTICLE 125 OF THIS TITLE 12 CONCERNING FANTASY CONTESTS;
(b) ARTICLE 130 OF THIS TITLE 12 CONCERNING LANDSCAPE
ARCHITECTS;
(c) ARTICLE 135 OF THIS TITLE 12 CONCERNING MORTUARIES AND
CREMATORIES;
(d) ARTICLE 140 OF THIS TITLE 12 CONCERNING NONTRANSPLANT
TISSUE BANKS;
(e) ARTICLE 200 OF THIS TITLE 12 CONCERNING ACUPUNCTURISTS;
(f) ARTICLE 210 OF THIS TITLE 12 CONCERNING AUDIOLOGISTS; AND
(g) ARTICLE 230 OF THIS TITLE 12 CONCERNING HEARING AID
PROVIDERS.
ARTICLE 30
Provisions Applicable to Health Care
Professions and Occupations
PAGE 202-HOUSE BILL 19-1172
PART 1
MISCELLANEOUS PROVISIONS APPLICABLE TO
HEALTH CARE PROFESSIONS AND OCCUPATIONS
12-30-101. Scope. THIS ARTICLE 30 APPLIES TO ARTICLES 200 TO
315 OF THIS TITLE 12 EXCEPT TO THE EXTENT OTHERWISE SPECIFIED IN THIS
ARTICLE 30 OR ANOTHER PART OR ARTICLE OF THIS TITLE 12. THE
REQUIREMENTS OF THIS ARTICLE 30 ARE IN ADDITION TO THE REQUIREMENTS
ESTABLISHED IN ANY OTHER PART OR ARTICLE OF THIS TITLE 12.
12-30-102. [Formerly 24-34-110] Medical transparency act of
2010 - disclosure of information about health care licensees - fines -
rules - short title - legislative declaration - repeal. (1) THE SHORT TITLE
OF this section shall be known and may be cited as IS the "Michael Skolnik
Medical Transparency Act of 2010".
(2) (a) The general assembly hereby finds and determines that:
(I) The people of Colorado need to be fully informed about the past
practices of persons practicing a health care profession in this state in order
to make informed decisions when choosing a health care provider and
determining whether to proceed with a particular regimen of care
recommended by a health care provider;
(II) The purpose of this section is to provide transparency to the
public regarding the competency of persons engaged in the practice of
certain health care professions in this state to assist citizens in making
informed health care decisions.
(b) The general assembly further finds and declares that it is
important to make information about persons engaged in the practice of a
health care profession available to the public in a manner that is efficient,
cost-effective, and maintains the integrity of the information, and to that
end, the general assembly encourages persons to file the required
information with the division of professions and occupations electronically,
to the extent possible.
(3) (a) As used in this section, "applicant" means a person applying
for a new, active license, certification, or registration or to renew, reinstate,
or reactivate an active license, certification, or registration to practice:
PAGE 203-HOUSE BILL 19-1172
(I) Audiology pursuant to article 29.9 210 of THIS title 12; C.R.S.;
(II) As a licensed hearing aid provider pursuant to part 2 of article
5.5 230 of THIS title 12; C.R.S.;
(III) Acupuncture pursuant to article 29.5 200 of THIS title 12;
C.R.S.;
(IV) Podiatry pursuant to article 32 290 of THIS title 12; C.R.S.;
(V) Chiropractic pursuant to article 33 215 of THIS title 12; C.R.S.;
(VI) Dentistry pursuant to article 35 220 of THIS title 12; C.R.S.;
(VII) Dental hygiene pursuant to article 35 220 of THIS title 12;
C.R.S.;
(VIII) Medicine pursuant to article 36 240 of THIS title 12 C.R.S.,
or part 36 of article 60 of this title 24;
(IX) As a physician assistant or an anesthesiologist assistant
pursuant to article 36 240 of THIS title 12; C.R.S.;
(X) Direct-entry midwifery pursuant to article 37 225 of THIS title
12; C.R.S.;
(XI) Practical nursing, professional nursing, or advanced practice
nursing pursuant to article 38 255 of THIS title 12; C.R.S.;
(XII) Optometry pursuant to article 40 275 of THIS title 12; C.R.S.;
(XIII) Physical therapy pursuant to article 41 285 of THIS title 12;
(XIV) Psychology pursuant to part 3 of article 43 245 of THIS title
12; C.R.S.;
(XV) Social work pursuant to part 4 of article 43 245 of THIS title
12; C.R.S.;
(XVI) Marriage and family therapy pursuant to part 5 of article 43
PAGE 204-HOUSE BILL 19-1172
245 of THIS title 12; C.R.S.;
(XVII) Professional counseling pursuant to part 6 of article 43 245
of THIS title 12; C.R.S.;
(XVIII) Psychotherapy pursuant to part 7 of article 43 245 of THIS
title 12; C.R.S.;
(XIX) Addiction counseling pursuant to part 8 of article 43 245 of
THIS title 12; C.R.S.;
(XX) Speech-language pathology pursuant to article 43.7 305 of
THIS title 12;
(XXI) Athletic training pursuant to article 29.7 205 of THIS title 12;
C.R.S.;
(XXII) Massage therapy pursuant to article 35.5 235 of THIS title 12;
C.R.S.;
(XXIII) As a certified nurse aide pursuant to part 1 of article 38.1
260 of THIS title 12; C.R.S.;
(XXIV) Occupational therapy pursuant to article 40.5 270 of THIS
title 12; C.R.S.;
(XXV) Respiratory therapy pursuant to article 41.5 300 of THIS title
12; C.R.S.;
(XXVI) Pharmacy pursuant to article 42.5 280 of THIS title 12;
C.R.S.;
(XXVII) As a psychiatric technician pursuant to article 42 295 of
THIS title 12; C.R.S.;
(XXVIII) As a surgical assistant or surgical technologist pursuant
to article 43.2 310 of THIS title 12; C.R.S.; and
(XXIX) Naturopathic medicine pursuant to article 37.3 250 of THIS
title 12. C.R.S.
PAGE 205-HOUSE BILL 19-1172
(b) A person who is an applicant under this subsection (3) is not, by
virtue of inclusion in this section, a health care provider for purposes of any
other provision of Colorado law.
(4) When applying for a new license, certification, or registration or
to renew, reinstate, or reactivate a license, certification, or registration in
this state, each applicant shall provide the following information to the
director, of the division of professions and occupations, in a form and
manner determined by the director, as applicable to each profession:
(a) (I) The applicant's full name, including any known aliases;
(II) The applicant's current address of record and telephone number;
(III) The applicant's location of practice, if different than the address
of record;
(IV) The applicant's education and training related to his or her THE
APPLICANT'S profession;
(V) Information pertaining to any license, certification, or
registration to practice in the profession for which the applicant seeks
licensure, certification, or registration, issued or held during the
immediately preceding ten years, including the license, certification, or
registration status and year of issuance;
(VI) Any board certifications and specialties, if applicable;
(VII) Any affiliations with or clinical privileges held in hospitals or
health care facilities;
(VIII) Any health-care-related business ownership interests;
(IX) Information pertaining to the applicant's employer, if any,
including name, current address, and telephone number; and
(X) Information pertaining to any health-care-related employment
contracts or contracts establishing an independent contractor relationship
with any entities if the annual aggregate value of the contracts exceeds five
thousand dollars, as adjusted by the director during each license,
PAGE 206-HOUSE BILL 19-1172
certification, or registration renewal cycle to reflect changes in the United
States department of labor, bureau of labor statistics, consumer price index
for Denver-Aurora-Lakewood for all items and all urban consumers, or its
applicable predecessor or successor index. Nothing in this subsection
(4)(a)(X) requires an applicant to report such information regarding
contracts with insurance carriers for reimbursement of health care services
provided to patients.
(b) Any public disciplinary action taken against the applicant by the
director, the applicable state board that regulates the applicant's profession,
THE APPLICABLE REGULATOR or the board or licensing agency of any other
state or country. The applicant shall provide a copy of the action to the
director at the time the application is made.
(c) Any agreement or stipulation entered into between the applicant
and the director, the applicable state board that regulates the applicant's
profession THE REGULATOR, or the board or licensing agency of any other
state or country whereby the applicant agrees to temporarily cease or restrict
his or her THE APPLICANT'S practice, or any director or board REGULATOR'S
order restricting or suspending the applicant's license, certification, or
registration. The applicant shall provide a copy of the agreement,
stipulation, or order to the director at the time the application is made.
(d) (I) Any final action that results in an involuntary limitation or
probationary status on, or a reduction, nonrenewal, denial, revocation, or
suspension of, the applicant's medical staff membership or clinical
privileges at any hospital or health care facility occurring on or after
September 1, 1990. The applicant shall not be required to report a
precautionary or administrative suspension of medical staff membership or
clinical privileges, as defined by the director by rule, unless the applicant
resigns his or her THE APPLICANT'S medical staff membership or clinical
privileges while the precautionary or administrative suspension is pending.
To report the information required by this paragraph (d) SUBSECTION (4)(d),
the applicant shall complete a form developed by the director that requires
the applicant to report only the following information regarding the action:
(A) The name of the facility or entity that took the action;
(B) The date the action was taken;
PAGE 207-HOUSE BILL 19-1172
(C) The type of action taken, including any terms and conditions of
the action;
(D) The duration of the action; and
(E) Whether the applicant has fulfilled the terms or conditions of the
action, if applicable.
(II) Notwithstanding PART 2 OF THIS article 36.5 of title 12 30,
article 3 of title 25, C.R.S., and any provision of law to the contrary, the
form completed by the applicant pursuant to this paragraph (d) SUBSECTION
(4)(d) is a public record and is not confidential. Compliance with this
paragraph (d) SUBSECTION (4)(d) does not constitute a waiver of any
privilege or confidentiality conferred by any applicable state or federal law.
(e) Any final action of an employer that results in the applicant's loss
of employment where the grounds for termination constitute a violation of
the laws governing the applicant's practice. To report the information
required by this paragraph (e) SUBSECTION (4)(e), the applicant shall
complete a form developed by the director that requires the applicant to
report only the following information regarding the action:
(I) The name of the employer that terminated the employment; and
(II) The date the termination occurred or became effective.
(f) Any involuntary surrender of the applicant's United States drug
enforcement administration registration. The applicant shall provide a copy
of the order requiring the surrender of such THE registration to the director
at the time the application is made.
(g) Any final criminal conviction or plea arrangement resulting from
the commission or alleged commission of a felony or crime of moral
turpitude in any jurisdiction at any time after the person APPLICANT has been
issued a license, certification, or registration to practice his or her THE
APPLICANT'S health care profession in any state or country. The applicant
shall provide a copy of the final conviction or plea arrangement to the
director at the time the application is made.
(h) Any final judgment against, settlement entered into by, or
PAGE 208-HOUSE BILL 19-1172
arbitration award paid on behalf of the applicant on or after September 1,
1990, for malpractice. To report the information required by this paragraph
(h) SUBSECTION (4)(h), the applicant shall complete a form developed by the
director that requires the applicant to report only the following information
regarding the malpractice action:
(I) Whether the action was resolved by a final judgment against,
settlement entered into by, or arbitration award paid on behalf of the
applicant;
(II) The date of the judgment, settlement, or arbitration award;
(III) The location or jurisdiction in which the action occurred or was
resolved; and
(IV) The court in which the final judgment was ordered, the
mediator that aided in the settlement, if applicable, or the arbitrator that
granted the arbitration award.
(i) Any refusal by an issuer of professional liability insurance to
issue a policy to the applicant due to past claims experience. The applicant
shall provide a copy of the refusal to the director at the time the application
is made.
(5) In addition to the information required by subsection (4) of this
section, an applicant may submit information regarding awards and
recognitions he or she THE APPLICANT has received or charity care he or she
THE APPLICANT has provided. The director may remove information
regarding awards and recognitions that the director finds to be unrelated to
the applicant's profession or offensive or inappropriate.
(6) The director shall make the information specified in subsections
(4) and (5) of this section that is submitted by an applicant readily available
to the public in a manner that allows the public to search the information by
name, license number, board certification or specialty area, if applicable, or
city of the applicant's address of record. The director may satisfy this
requirement by posting and allowing the ability to search the information
on the director's website or on the website for the state regulatory board
APPLICABLE REGULATOR that oversees the applicant's practice. If the
information is made available on either website, the director shall ensure
PAGE 209-HOUSE BILL 19-1172
that the website is updated at least monthly and that the date on which the
update occurs is indicated on the website. If the information made available
pursuant to this subsection (6) is the same or substantially similar to
information the director must make available pursuant to section
12-43.2-102 (3), C.R.S. 12-310-103 (3), the director may elect to use this
database as the exclusive means for making the information required by
section 12-43.2-102 (3), C.R.S., 12-310-103 (3) publicly available.
(7) When disclosing information regarding an applicant to the
public, the director or applicable state board that regulates the applicant's
profession THE APPLICABLE REGULATOR shall include the following
statement or a similar statement that communicates the same meaning:
Some studies have shown that there is no significant
correlation between malpractice history and a [insert
applicable type of health care provider]'s competence. At the
same time, the [director or board of __________, as
applicable] [INSERT NAME OF APPLICABLE REGULATOR]
believes that consumers should have access to malpractice
information. To make the best health care decisions, you
should view this information in perspective. You could miss
an opportunity for high-quality care by selecting a health care
provider based solely on malpractice history. When
considering malpractice data, please keep in mind:
Malpractice histories tend to vary by profession and, as
applicable, by specialty. Some professions or specialties are
more likely than others to be the subject of litigation.
You should take into account how long the health care
provider has been in practice when considering malpractice
averages.
The incident causing the malpractice claim may have
happened years before a malpractice action is finally
resolved. Sometimes, it takes a long time for a malpractice
lawsuit to move through the legal system.
Some health care providers work primarily with high-risk
patients. These health care providers may have malpractice
histories that are higher than average because they specialize
in cases or patients who are at very high risk for problems.
Settlement of a claim may occur for a variety of reasons that
do not necessarily reflect negatively on the professional
PAGE 210-HOUSE BILL 19-1172
competence or conduct of the health care provider. A
payment in settlement of a malpractice action or claim should
not be construed as creating a presumption that malpractice
has occurred.
You may wish to discuss information provided by the
[director or board of __________, as applicable] [INSERT
NAME OF APPLICABLE REGULATOR], and malpractice
generally, with your health care provider.
The information posted on the [director's or board of
__________'s, as applicable] [APPLICABLE REGULATOR'S]
website was provided by applicants for a license and
applicants for renewal, reinstatement, or reactivation of a
license.
(8) (a) Except as specified in paragraph (b) of this subsection (8)
SUBSECTION (8)(b) OF THIS SECTION, an applicant, licensee, certificate
holder, or registrant shall ensure that the information required by subsection
(4) of this section is current and shall report any updated information and
provide copies of the required documentation to the director within thirty
days after the date of the action described in said subsection (4) or as
otherwise provided in the PART OR article of THIS title 12 C.R.S., that
regulates the applicant's, licensee's, certificate holder's, or registrant's
profession to ensure that the information provided to the public is as
accurate as possible.
(b) An applicant shall report updated information regarding the
applicant's employer, any health-care-related business ownership interests,
and any health-care-related employment contracts or contracts establishing
an independent contractor relationship, as required by paragraph (a) of
subsection (4) SUBSECTION (4)(a) of this section, within one year after a
change in that information.
(9) (a) The director may impose an administrative fine not to exceed
five thousand dollars against an applicant, licensee, certificate holder, or
registrant who fails to comply with this section. The director shall notify the
applicable state board that regulates the profession REGULATOR when the
director imposes a fine pursuant to this subsection (9). Any fine imposed
pursuant to this subsection (9) shall be deposited in the general fund.
(b) The imposition of an administrative fine pursuant to this
PAGE 211-HOUSE BILL 19-1172
subsection (9) shall not constitute a disciplinary action pursuant to the laws
governing the applicant's, licensee's, certificate holder's, or registrant's
practice area and shall not preclude the state regulatory board that oversees
the applicant's, licensee's, certificate holder's, or registrant's practice area
THE APPLICABLE REGULATOR from taking disciplinary action against an
applicant, licensee, certificate holder, or registrant for failure to comply
with this section. A license, certification, or registration shall not be issued,
renewed, reinstated, or reactivated if the applicant has failed to pay a fine
imposed pursuant to this subsection (9).
(c) Failure of an applicant, licensee, certificate holder, or registrant
to comply with this section constitutes unprofessional conduct or grounds
for discipline under the specific PART OR article of THIS title 12 C.R.S., that
regulates the applicant's, licensee's, certificate holder's, or registrant's
profession.
(10) Nothing in this section relieves an applicant, licensee,
certificate holder, or registrant from his or her THE obligation to report
adverse actions to the director or applicable state board that regulates the
applicant's profession THE APPLICABLE REGULATOR, as required by the
applicable laws in THIS title 12 C.R.S., regulating that profession.
(11) The director may adopt rules, as necessary, to implement this
section.
(12) This section is repealed, effective September 1, 2021. Prior to
BEFORE the repeal, the department of regulatory agencies shall review the
functions of the program under this section as provided in ARE SCHEDULED
FOR REVIEW IN ACCORDANCE WITH section 24-34-104.
12-30-103. [Formerly 12-29.1-102] Solicitation of accident
victims - waiting period - definitions. (1) Except as permitted by
subsection (2) of this section, no NEITHER A health care practitioner licensed
under articles 29.5 to 43 of this title or his or her NOR AN agent OF A HEALTH
CARE PRACTITIONER shall engage in solicitation for professional
employment concerning a personal injury unless the incident for which
employment is sought occurred more than thirty days prior to BEFORE the
solicitation.
(2) This section shall DOES not apply to any person providing
PAGE 212-HOUSE BILL 19-1172
emergency health care at the time of the incident or follow-up referrals to
physicians from the emergency health care providers.
(3) As used in this section, "solicitation" means an initial contact
initiated in person, through any form of electronic or written
communication, or by telephone, telegraph, or facsimile, any of which is
directed to a specific individual, unless said contact is requested by the
individual, a member of the individual's family, or the individual's
authorized representative. "Solicitation" does not include radio, television,
newspaper, or yellow pages advertisements.
(4) (3) Any agreement made in violation of this section is voidable
at the option of the individual suffering the personal injury or the
individual's authorized representative.
(4) AS USED IN THIS SECTION:
(a) "HEALTH CARE PRACTITIONER" MEANS:
(I) AN ACUPUNCTURIST LICENSED UNDER ARTICLE 200 OF THIS TITLE
12;
(II) AN AUDIOLOGIST LICENSED UNDER ARTICLE 210 OF THIS TITLE
12;
(III) A CHIROPRACTOR LICENSED UNDER ARTICLE 215 OF THIS TITLE
12;
(IV) A DENTIST OR DENTAL HYGIENIST LICENSED UNDER ARTICLE
220 OF THIS TITLE 12;
(V) A MASSAGE THERAPIST LICENSED UNDER ARTICLE 235 OF THIS
TITLE 12;
(VI) A PHYSICIAN, PHYSICIAN ASSISTANT, OR ANESTHESIOLOGIST
ASSISTANT LICENSED UNDER ARTICLE 240 OF THIS TITLE 12;
(VII) A PSYCHOLOGIST, SOCIAL WORKER, MARRIAGE AND FAMILY
THERAPIST, PROFESSIONAL COUNSELOR, OR ADDICTION COUNSELOR
LICENSED UNDER PART 3, 4, 5, 6, OR 8 OF ARTICLE 245 OF THIS TITLE 12;
PAGE 213-HOUSE BILL 19-1172
(VIII) A PRACTICAL OR PROFESSIONAL NURSE LICENSED UNDER
ARTICLE 255 OF THIS TITLE 12;
(IX) A NURSING HOME ADMINISTRATOR LICENSED UNDER ARTICLE
265 OF THIS TITLE 12;
(X) AN OCCUPATIONAL THERAPIST OR OCCUPATIONAL THERAPY
ASSISTANT LICENSED UNDER ARTICLE 270 OF THIS TITLE 12;
(XI) AN OPTOMETRIST LICENSED UNDER ARTICLE 275 OF THIS TITLE
12;
(XII) A PHARMACIST LICENSED UNDER ARTICLE 280 OF THIS TITLE
12;
(XIII) A PHYSICAL THERAPIST OR PHYSICAL THERAPIST ASSISTANT
LICENSED UNDER ARTICLE 285 OF THIS TITLE 12;
(XIV) A PODIATRIST LICENSED UNDER ARTICLE 290 OF THIS TITLE 12;
(XV) A PSYCHIATRIC TECHNICIAN LICENSED UNDER ARTICLE 295 OF
THIS TITLE 12; OR
(XVI) A RESPIRATORY THERAPIST LICENSED UNDER ARTICLE 300 OF
THIS TITLE 12.
(b) "SOLICITATION" MEANS AN INITIAL CONTACT INITIATED IN
PERSON, THROUGH ANY FORM OF ELECTRONIC OR WRITTEN COMMUNICATION,
OR BY TELEPHONE, TELEGRAPH, OR FACSIMILE, ANY OF WHICH IS DIRECTED
TO A SPECIFIC INDIVIDUAL, UNLESS THE CONTACT IS REQUESTED BY THE
INDIVIDUAL, A MEMBER OF THE INDIVIDUAL'S FAMILY, OR THE INDIVIDUAL'S
AUTHORIZED REPRESENTATIVE. "SOLICITATION" DOES NOT INCLUDE RADIO,
TELEVISION, NEWSPAPER, OR YELLOW PAGES ADVERTISEMENTS.
12-30-104. [Formerly 24-34-112] Health care prescriber boards
- disciplinary procedures - definitions. (1) As used in this section, unless
the context otherwise requires:
(a) "Health care prescriber board" or "board" means:
PAGE 214-HOUSE BILL 19-1172
(I) The Colorado podiatry board created in section 12-32-103
12-290-105;
(II) The Colorado dental board created in section 12-35-104
12-220-105;
(III) The Colorado medical board created in section 12-36-103
12-240-105;
(IV) The state board of nursing created in section 12-38-104
12-255-105;
(V) The state board of optometry established CREATED in section
12-40-106 12-275-107; and
(VI) The state board of veterinary medicine created in section
12-64-105 12-315-106.
(b) "Licensee" means an individual who is licensed or otherwise
regulated by a board.
(2) Except as specified in subsection (4) of this section,
notwithstanding any other provision of law in this title 24 or THIS title 12,
each health care prescriber board shall:
(a) Within fifteen days after receipt of a complaint, provide the
complainant with a written notice providing contact information for the
board and a summary of the regulatory and statutory procedures, timelines,
and complainant and respondent rights that apply to the processing and
resolution of complaints, including, if the complainant is the patient of the
licensee who is the subject of the complaint, a notice of the patient's right
to receive from the licensee a copy of his or her THE COMPLAINANT'S patient
records pursuant to sections 25-1-801 and 25-1-802;
(b) If an investigation was initiated by a complaint and the board
took public formal action regarding the alleged misconduct, provide the
complainant, within thirty days after the action, with written notice of the
action taken by the board;
(c) If a complaint is still pending after six months, notify the
PAGE 215-HOUSE BILL 19-1172
complainant that the complaint remains pending, subject to applicable
restrictions in the board's governing law; and
(d) Update its website within thirty days after suspending or
revoking a license to separately list each licensee subject to the suspension
or revocation.
(3) If patient records are potentially relevant to resolution of a
complaint against a licensee and the licensee is the custodian of the records,
the licensee shall provide the board with the patient records within thirty
days after the board requests the records.
(4) If any provision of article 4 of this title 24 or article 32, 35, 36,
38, 40, or 64 220, 240, 255, 275, 290, OR 315 of THIS title 12 is more
protective of complainants' rights or results in a more expeditious resolution
of disciplinary proceedings than a corresponding provision of this section,
that provision applies rather than the corresponding provision of this
section.
(5) Repealed.
12-30-105. [Formerly 24-34-109] Nurse-physician advisory task
force for Colorado health care - creation - duties - definition - repeal.
(1) There is hereby created, within the division, of professions and
occupations in the department of regulatory agencies, the nurse-physician
advisory task force for Colorado health care, referred to in this section as
"NPATCH". The purpose of the NPATCH is to promote public safety and
improve health care in Colorado by supporting collaboration and
communication between the practices of nursing and medicine. The
NPATCH shall:
(a) Promote patient safety and quality care;
(b) Address issues of mutual concern at the interface of the practices
of nursing and medicine;
(c) Inform public policy-making; and
(d) Make consensus recommendations to policy-making and
rule-making entities, including:
PAGE 216-HOUSE BILL 19-1172
(I) Recommendations to the state board of nursing created in section
12-38-104, C.R.S., 12-255-105 and the Colorado medical board created in
section 12-36-103, C.R.S., 12-240-105 regarding the transition to the
articulated plan model and harmonizing language for articulated plans; and
(II) Recommendations to the executive director. of the department
of regulatory agencies.
(2) (a) The NPATCH shall consist CONSISTS of twelve members
appointed as follows:
(I) One member of the state board of nursing, appointed by the
president of the board;
(II) One member of the Colorado medical board, appointed by the
president of the board;
(III) Ten members appointed by the governor as follows:
(A) Three members recommended by and representing a statewide
professional nursing organization;
(B) Three members recommended by and representing a statewide
physicians' organization;
(C) One member representing the nursing community who may or
may not be a member of a statewide professional nursing organization;
(D) One member representing the physician community who may
or may not be a member of a statewide physicians' organization; and
(E) Two members representing consumers.
(b) The members of the NPATCH shall serve on a voluntary basis
without compensation and shall serve three-year terms; except that, in order
to ensure staggered terms of office, four of the initial appointees shall serve
initial one-year terms and four of the initial appointees shall serve initial
two-year terms.
(3) (a) Except as provided in paragraph (b) of this subsection (3)
PAGE 217-HOUSE BILL 19-1172
SUBSECTION (3)(b) OF THIS SECTION, the NPATCH may develop its own
bylaws and procedures to govern its operations.
(b) A recommendation of the NPATCH requires the consensus of
the members of the task force. For purposes of this section, "consensus"
means an agreement, decision, or recommendation that all members of the
task force can actively support and that no member actively opposes.
(4) The division of professions and occupations shall staff the
NPATCH. The division's costs for administering and staffing the NPATCH
shall be funded by an increase in fees for professional and advanced
practice nursing and medical license renewal fees, as authorized in sections
12-38-108 (1)(b)(I) and 12-36-123, C.R.S. 12-240-130 AND 12-255-107
(1)(b)(I), with fifty percent of the funding derived from the physician
license renewal fees and fifty percent derived from the professional and
advanced practice nursing fees.
(5) The NPATCH shall prioritize consideration of and make
recommendations on the following topics:
(a) Facilitating a smooth transition to the articulated plan model, as
described in sections 12-38-111.6 (4.5) and 12-36-106.4, C.R.S. 12-240-108
AND 12-255-112 (4);
(b) The framework for articulated plans, including creation of
sample plans;
(c) Quality assurance mechanisms for all medication prescribers;
(d) Evidence-based guidelines;
(e) Decision support tools;
(f) Safe prescribing metrics for all medication prescribers;
(g) Methods to foster effective communication between health
professions;
(h) Health care delivery system integration and related
improvements;
PAGE 218-HOUSE BILL 19-1172
(i) Physician standards, process, and metrics to ensure appropriate
consultation, collaboration, and referral regarding advanced practice nurse
prescriptive authority; and
(j) Prescribing issues regarding providers other than physicians and
advanced practice nurses.
(6) The NPATCH shall make recommendations pursuant to this
section to the executive director. of the department of regulatory agencies.
(7) This section is repealed, effective September 1, 2020. Prior to
BEFORE the repeal, the department of regulatory agencies shall review the
functions of the NPATCH as provided in ARE SCHEDULED FOR REVIEW IN
ACCORDANCE WITH section 2-3-1203. C.R.S.
12-30-106. [Formerly 24-34-110.5] Health care work force data
collection - repeal. (1) On or before July 1, 2013, the director of the
division of professions and occupations shall implement a system to collect
health care work force data from health care professionals who are eligible
for the Colorado health service corps pursuant to part 5 of article 1.5 of title
25, C.R.S., from practical and professional nurses licensed pursuant to
article 38 255 of THIS title 12, C.R.S., and from pharmacists who are
licensed pursuant to article 22 280 of THIS title 12, C.R.S., collectively
referred to in this section as "health care professionals". Each health care
professional shall submit the data as part of the initial licensure process and
upon the renewal of his or her THE HEALTH CARE PROFESSIONAL'S license.
No NEITHER AN executive department or NOR A board IN AN EXECUTIVE
DEPARTMENT is responsible for verifying the data or disciplining a health
care professional for noncompliance with this section.
(2) The director of the division of professions and occupations shall
request each health care professional to provide data recommended by the
director of the primary care office CREATED PURSUANT TO SECTION
25-1.5-403 IN THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, in
consultation with the advisory group formed pursuant to subsection (3) of
this section. The director of the division of professions and occupations has
final approval authority regarding the form and manner of the data
collected. The data collected concerns:
(a) Each practice address of the health care professional;
PAGE 219-HOUSE BILL 19-1172
(b) The number of hours the health care professional provides direct
patient care at each practice location;
(c) Any specialties of the health care professional, if applicable;
(d) Information about each practice setting type;
(e) The health care professional's education and training related to
his or her THE HEALTH CARE PROFESSIONAL'S profession; and
(f) The year of birth of the health care professional.
(3) (a) (I) The director of the primary care office created in section
25-1.5-403, C.R.S., shall designate an advisory group composed COMPRISED
of:
(A) A representative of the department of regulatory agencies as
determined by the executive director;
(B) The director of the division of professions and occupations in
the department of regulatory agencies, or his or her THE DIRECTOR'S
designee;
(C) Representatives of the affected health care professions; and
(D) Individuals with expertise in health care work force research,
analysis, and planning.
(II) THE ADVISORY GROUP IS to be convened by a nonprofit
statewide membership organization that provides programs and services to
enhance rural health care in Colorado.
(III) The members of the advisory group shall serve without
compensation or reimbursement for actual or necessary expenses incurred
in the performance of their duties.
(IV) The advisory group shall recommend the structure of the data
elements in subsection (2) of this section. The advisory group shall
consider, but is not limited to using, the division of professions and
occupations' DIVISION'S existing data fields as a possible structure for the
PAGE 220-HOUSE BILL 19-1172
data elements recommended in this section. The director of the division of
professions and occupations has final approval authority regarding the
structure of the data elements.
(b) The director of the division of professions and occupations shall
ensure that the data provided by health care professionals is available to the
primary care office in electronic format for analysis. A member of the
public may request, in writing, unanalyzed data from the primary care
office. Data available to the public must be limited to unique records that
do not include names or other identifying information.
(c) The advisory group is repealed, effective September 1, 2022.
Before the repeal, the department of regulatory agencies shall review the
advisory group pursuant to IS SCHEDULED FOR REVIEW IN ACCORDANCE
WITH section 2-3-1203. C.R.S.
(4) (a) The director of the division of professions and occupations
is authorized to MAY seek and accept gifts, grants, or donations from private
or public sources for the purposes of this section; except that the director
may not accept a gift, grant, or donation that is subject to conditions that are
inconsistent with this section or any other law of the state. The director shall
transmit all private and public moneys MONEY received through gifts,
grants, or donations to the state treasurer, who shall credit the same MONEY
to the division of professions and occupations cash fund created in section
24-34-105 12-20-105. The moneys MONEY in the fund are IS subject to
annual appropriation by the general assembly to the director for the direct
and indirect costs associated with implementing this section.
(b) Repealed.
12-30-107. [Formerly 12-1.5-201] Mammography report - dense
breast tissue - required notice. (1) Each person who is required by 42
U.S.C. sec. 263b to provide a patient, the patient's physician, or A medical
institution with a mammography report and who has determined that the
patient has dense breast tissue, as determined by the interpreting physician
based on breast imaging reporting and data system standards promulgated
by the American College of Radiology, shall include the following notice
with the mammography report:
PAGE 221-HOUSE BILL 19-1172
Your mammogram shows that your breast tissue is dense.
Dense breast tissue is common and is not abnormal.
However, dense breast tissue can make it harder to evaluate
the results of your mammogram and may also be associated
with an increased risk of breast cancer. This information
about the results of your mammogram is given to you to raise
your awareness and to inform your conversations with your
doctor. Together, you can decide which screening options are
right for you. A report of your results was sent to your
physician.
(2) Notwithstanding any other law, this section does not create a
cause of action or create a standard of care, obligation, or duty that provides
a basis for a cause of action.
12-30-108. [Formerly 12-43-221.5] Confidential agreement to
limit practice - violation grounds for discipline. (1) (a) If a licensee,
registrant, or certificate holder has a physical illness, a physical condition,
or a behavioral or mental health disorder that renders the person unable to
practice his or her mental THE APPLICABLE health CARE profession OR
OCCUPATION with reasonable skill and with safety to PATIENTS OR clients,
the licensee, registrant, or certificate holder shall notify the board
REGULATOR that regulates his or her THE PERSON'S profession OR
OCCUPATION of the physical illness, the physical condition, or the
behavioral or mental health disorder in a manner and within a period
determined by his or her oversight board THE REGULATOR.
(b) The applicable board REGULATOR may require the licensee,
registrant, or certificate holder to submit to an examination or refer the
licensee, registrant, or certificate holder to a peer health assistance program,
if such program ONE exists, to evaluate the extent of the physical illness, the
physical condition, or the behavioral or mental health disorder and its
impact EFFECT on the licensee's, registrant's, or certificate holder's ability to
practice with reasonable skill and with safety to PATIENTS OR clients.
(2) (a) Upon determining that a licensee, registrant, or certificate
holder with a physical illness, a physical condition, or a behavioral or
mental health disorder is able to render limited services with reasonable
skill and with safety to PATIENTS OR clients, the applicable board
REGULATOR may enter into a confidential agreement with the licensee,
PAGE 222-HOUSE BILL 19-1172
registrant, or certificate holder in which the licensee, registrant, or
certificate holder agrees to limit his or her THE PERSON'S practice based on
the restrictions imposed by the physical illness, the physical condition, or
the behavioral or mental health disorder, as determined by the applicable
board REGULATOR.
(b) As part of the agreement, the licensee, registrant, or certificate
holder is subject to periodic reevaluations or monitoring as determined
appropriate by the applicable board REGULATOR. The board REGULATOR
may refer the licensee, registrant, or certificate holder to a peer assistance
health program, if one exists, for reevaluation or monitoring.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(3) By entering into an agreement with the applicable board
REGULATOR pursuant to this section, to limit his or her practice, the
licensee, registrant, or certificate holder is not engaging in activities
prohibited pursuant to section 12-43-222 THAT CONSTITUTE GROUNDS FOR
DISCIPLINE. The agreement does not constitute a restriction or discipline by
the applicable board REGULATOR. However, if the licensee, registrant, or
certificate holder fails to comply with the terms of an agreement entered
into pursuant to this section, the failure constitutes a prohibited activity
pursuant to section 12-43-222 (1)(f) GROUNDS FOR DISCIPLINE OR
UNPROFESSIONAL CONDUCT, AS APPLICABLE, and the licensee, registrant, or
certificate holder is subject to discipline in accordance with section
12-43-223 12-20-404 AND THE PART OR ARTICLE OF THIS TITLE 12 THAT
GOVERNS THE PARTICULAR PROFESSION OR OCCUPATION.
(4) (a) This section does not apply to:
(I) THE FOLLOWING HEALTH CARE PROFESSIONALS:
(A) CHIROPRACTORS REGULATED PURSUANT TO ARTICLE 215 OF THIS
TITLE 12;
(B) HEARING AID PROVIDERS REGULATED PURSUANT TO ARTICLE 230
OF THIS TITLE 12;
(C) NURSES REGULATED PURSUANT TO ARTICLE 255 OF THIS TITLE
PAGE 223-HOUSE BILL 19-1172
12;
(D) NURSE AIDES REGULATED PURSUANT TO ARTICLE 260 OF THIS
TITLE 12;
(E) NURSING HOME ADMINISTRATORS REGULATED PURSUANT TO
ARTICLE 265 OF THIS TITLE 12;
(F) PODIATRISTS REGULATED PURSUANT TO ARTICLE 290 OF THIS
TITLE 12;
(G) PSYCHIATRIC TECHNICIANS REGULATED PURSUANT TO ARTICLE
295 OF THIS TITLE 12; OR
(H) SURGICAL ASSISTANTS AND SURGICAL TECHNOLOGISTS
REGULATED PURSUANT TO ARTICLE 310 OF THIS TITLE 12; OR
(II) A licensee, registrant, or certificate holder subject to discipline
for prohibited activities as described in section 12-43-222 (1)(e) HABITUAL
OR EXCESSIVE USE OR ABUSE OF ALCOHOL BEVERAGES, A HABIT-FORMING
DRUG, OR A CONTROLLED SUBSTANCE AS DEFINED IN SECTION 18-18-102 (5).
(b) SUBSECTION (1)(a) OF THIS SECTION REGARDING NOTIFICATION
FOR CONFIDENTIAL AGREEMENTS DOES NOT APPLY TO:
(I) ARTICLE 275 OF THIS TITLE 12 CONCERNING OPTOMETRISTS;
(II) ARTICLE 315 OF THIS TITLE 12 CONCERNING VETERINARIANS.
12-30-109. [Formerly 12-36-117.6] Prescribing opioids -
limitations - definition - repeal. (1) (a) A physician or physician assistant
AN OPIOID PRESCRIBER shall not prescribe more than a seven-day supply of
an opioid to a patient who has not had an opioid prescription in the last
twelve months by that physician or physician assistant OPIOID PRESCRIBER,
and may exercise discretion to include a second fill for a seven-day supply.
The limits on initial prescribing do not apply if, in the judgment of the
physician or physician assistant OPIOID PRESCRIBER, the patient:
(I) Has chronic pain that typically lasts longer than ninety days or
past the time of normal healing, as determined by the physician or physician
PAGE 224-HOUSE BILL 19-1172
assistant OPIOID PRESCRIBER, or following transfer of care from another
physician or physician assistant OPIOID PRESCRIBER WHO PRACTICES THE
SAME PROFESSION AND who prescribed an opioid to the patient;
(II) Has been diagnosed with cancer and is experiencing
cancer-related pain;
(III) Is experiencing post-surgical pain that, because of the nature
of the procedure, is expected to last more than fourteen days; or
(IV) Is undergoing palliative care or hospice care focused on
providing the patient with relief from symptoms, pain, and stress resulting
from a serious illness in order to improve quality of life; EXCEPT THAT THIS
SUBSECTION (1)(a)(IV) APPLIES ONLY IF THE OPIOID PRESCRIBER IS A
PHYSICIAN, A PHYSICIAN ASSISTANT, OR AN ADVANCED PRACTICE NURSE.
(b) Prior to prescribing the second fill of any opioid prescription
pursuant to this section, a physician or physician assistant AN OPIOID
PRESCRIBER must comply with the requirements of section 12-42.5-404
(3.6) 12-280-404 (4). Failure to comply with section 12-42.5-404 (3.6)
12-280-404 (4) constitutes unprofessional conduct OR GROUNDS FOR
DISCIPLINE, AS APPLICABLE, under section 12-36-117 12-220-130,
12-240-121, 12-255-120, 12-275-120, 12-290-108, OR 12-315-112, AS
APPLICABLE TO THE PARTICULAR OPIOID PRESCRIBER, only if the physician
or physician assistant OPIOID PRESCRIBER repeatedly fails to comply.
(2) A physician or physician assistant AN OPIOID PRESCRIBER
licensed pursuant to this article 36 ARTICLE 220, 240, 255, 275, 290, OR 315
OF THIS TITLE 12 may prescribe opioids electronically.
(3) A violation of this section does not create a private right of
action or serve as the basis of a cause of action. A violation of this section
does not constitute negligence per se or contributory negligence per se and
does not alone establish a standard of care. Compliance with this section
does not alone establish an absolute defense to any alleged breach of the
standard of care.
(4) AS USED IN THIS SECTION, "OPIOID PRESCRIBER" MEANS:
(a) A DENTIST LICENSED PURSUANT TO ARTICLE 220 OF THIS TITLE
PAGE 225-HOUSE BILL 19-1172
12;
(b) A PHYSICIAN OR PHYSICIAN ASSISTANT LICENSED PURSUANT TO
ARTICLE 240 OF THIS TITLE 12;
(c) AN ADVANCED PRACTICE NURSE WITH PRESCRIPTIVE AUTHORITY
PURSUANT TO SECTION 12-255-112;
(d) AN OPTOMETRIST LICENSED PURSUANT TO ARTICLE 275 OF THIS
TITLE 12;
(e) A PODIATRIST LICENSED PURSUANT TO ARTICLE 290 OF THIS TITLE
12; OR
(f) A VETERINARIAN LICENSED PURSUANT TO ARTICLE 315 OF THIS
TITLE 12.
(4) (5) This section is repealed, effective September 1, 2021.
12-30-110. Prescribing or dispensing opiate antagonists -
authorized recipients - definitions. (1) (a) [Formerly 12-36-117.7 (1)] A
physician or physician assistant licensed pursuant to this article PRESCRIBER
may prescribe or dispense, directly or in accordance with standing orders
and protocols, AND A PHARMACIST MAY DISPENSE, PURSUANT TO AN ORDER
OR STANDING ORDERS AND PROTOCOLS, an opiate antagonist to:
(a) (I) An individual at risk of experiencing an opiate-related drug
overdose event;
(b) (II) A family member, friend, or other person in a position to
assist an individual at risk of experiencing an opiate-related drug overdose
event;
(c) (III) An employee or volunteer of a harm reduction organization;
or
(d) (IV) A first responder.
(b) [Formerly 12-42.5-120 (3)(d)(I)] A first responder or an
employee or volunteer of a harm reduction organization may, pursuant to
PAGE 226-HOUSE BILL 19-1172
an order or standing orders and protocols:
(A) (I) Possess an opiate antagonist;
(B) (II) Furnish an opiate antagonist to a family member, friend, or
other person who is in a position to assist an individual who is at risk of
experiencing an opiate-related drug overdose event; or
(C) (III) Administer an opiate antagonist to an individual
experiencing, or who a reasonable person would believe is experiencing, an
opiate-related drug overdose event.
(2) (a) [Formerly 12-36-117.7 (2)] A licensed physician or physician
assistant PRESCRIBER who prescribes or dispenses, OR A PHARMACIST WHO
DISPENSES, an opiate antagonist pursuant to this section is strongly
encouraged to educate persons receiving the opiate antagonist on the use of
an opiate antagonist for overdose, including instruction concerning risk
factors for overdose, recognizing an overdose, calling emergency medical
services, rescue breathing, and administering an opiate antagonist.
(b) [Formerly 12-42.5-120 (3)(d)(II)] A first responder or harm
reduction organization is strongly encouraged to educate its employees and
volunteers, as well as persons receiving an opiate antagonist from the first
responder or harm reduction organization, on the use of an opiate antagonist
for overdose, including instruction concerning risk factors for overdose,
recognizing an overdose, calling emergency medical services, rescue
breathing, and administering an opiate antagonist.
(3) [Formerly 12-36-117.7 (3)] A licensed physician or physician
assistant PRESCRIBER DESCRIBED IN SUBSECTION (7)(h)(I) OF THIS SECTION
OR PHARMACIST does not engage in unprofessional conduct pursuant to
section 12-36-117 12-240-121 OR 12-280-126, RESPECTIVELY, AND A
PRESCRIBER DESCRIBED IN SUBSECTION (7)(h)(II) OF THIS SECTION DOES NOT
ENGAGE IN CONDUCT THAT IS GROUNDS FOR DISCIPLINE PURSUANT TO
SECTION 12-255-120, if the physician or physician assistant PRESCRIBER
issues standing orders and protocols regarding opiate antagonists or
prescribes or dispenses, OR THE PHARMACIST DISPENSES, PURSUANT TO AN
ORDER OR STANDING ORDERS AND PROTOCOLS, an opiate antagonist in a
good-faith effort to assist:
PAGE 227-HOUSE BILL 19-1172
(a) An individual who is at risk of experiencing an opiate-related
drug overdose event;
(b) A family member, friend, or other person who is in a position to
assist an individual who is at risk of experiencing an opiate-related drug
overdose event; or
(c) A first responder or an employee or volunteer of a harm
reduction organization in responding to, treating, or otherwise assisting an
individual who is experiencing or is at risk of experiencing an opiate-related
drug overdose event or a friend, family member, or other person in a
position to assist an at-risk individual.
(4) (a) [Formerly 12-36-117.7 (4)] A licensed physician or physician
assistant PRESCRIBER OR PHARMACIST who prescribes or dispenses an opiate
antagonist in accordance with this section is not subject to civil liability or
criminal prosecution, as specified in sections 13-21-108.7 (4) and 18-1-712
(3), C.R.S., respectively.
(b) [Formerly 12-42.5-120 (3)(d)(III)] A first responder or an
employee or volunteer of a harm reduction organization acting in
accordance with this paragraph (d) SECTION is not subject to civil liability
or criminal prosecution, as specified in sections 13-21-108.7 (3) and
18-1-712 (2), C.R.S., respectively.
(5) [Formerly 12-36-117.7 (5)] This section does not establish a
duty or standard of care FOR PRESCRIBERS regarding the prescribing,
dispensing, or administering of an opiate antagonist.
(6) NOTHING IN THIS SECTION LIMITS OR OTHERWISE AFFECTS THE
PRESCRIPTIVE AUTHORITY OF A HEALTH CARE PROFESSIONAL LICENSED
UNDER ARTICLE 220, 275, 290, OR 315 OF THIS TITLE 12.
(7) [Formerly 12-36-117.7 (6)] As used in this section:
(a) "First responder" means:
(I) A peace officer, as defined in section 16-2.5-101; C.R.S.;
(II) A firefighter, as defined in section 29-5-203 (10); C.R.S.; or
PAGE 228-HOUSE BILL 19-1172
(III) A volunteer firefighter, as defined in section 31-30-1102 (9).
C.R.S.
(b) "Harm reduction organization" means an organization that
provides services, including medical care, counseling, homeless services,
or drug treatment, to individuals at risk of experiencing an opiate-related
drug overdose event or to the friends and family members of an at-risk
individual.
(c) "Opiate" has the same meaning as set forth in section 18-18-102
(21). C.R.S.
(d) "Opiate antagonist" means naloxone hydrochloride or any
similarly acting drug that is not a controlled substance and that is approved
by the federal food and drug administration for the treatment of a drug
overdose.
(e) "Opiate-related drug overdose event" means an acute condition,
including a decreased level of consciousness or respiratory depression, that:
(I) Results from the consumption or use of a controlled substance or
another substance with which a controlled substance was combined;
(II) A layperson would reasonably believe to be caused by an
opiate-related drug overdose event; and
(III) Requires medical assistance.
(f) "ORDER" HAS THE SAME MEANING AS SET FORTH IN SECTION
12-280-103 (31).
(g) "PHARMACIST" MEANS AN INDIVIDUAL LICENSED BY THE STATE
PURSUANT TO ARTICLE 280 OF THIS TITLE 12 TO ENGAGE IN THE PRACTICE OF
PHARMACY.
(h) "PRESCRIBER" MEANS:
(I) A PHYSICIAN OR PHYSICIAN ASSISTANT LICENSED PURSUANT TO
ARTICLE 240 OF THIS TITLE 12; OR
PAGE 229-HOUSE BILL 19-1172
(II) AN ADVANCED PRACTICE NURSE, AS DEFINED IN SECTION
12-255-104 (1), WITH PRESCRIPTIVE AUTHORITY PURSUANT TO SECTION
12-255-112.
(f) (i) "Protocol" means a specific written plan for a course of
medical treatment containing a written set of specific directions created by
a physician, group of physicians, hospital medical committee, pharmacy and
therapeutics committee, or other similar practitioners or groups of
practitioners with expertise in the use of opiate antagonists.
(g) (j) "Standing order" means a prescription order written by a
physician or physician assistant PRESCRIBER that is not specific to and does
not identify a particular patient.
PART 2
PROFESSIONAL REVIEW OF
HEALTH CARE PROVIDERS
12-30-201. [Formerly 12-36.5-101] Legislative declaration.
(1) The general assembly hereby finds, determines, and declares that the
Colorado medical board created in article 36 240 of this title 12 and the
state board of nursing created in article 38 255 of this title 12 act for the
state in their sovereign capacity to govern licensure, discipline, and
professional review of persons licensed to practice medicine, PERSONS
licensed as physician assistants, and licensed to practice nursing and granted
authority as advanced practice nurses, respectively, in this state. The general
assembly further finds, determines, and declares that:
(a) The authority to provide health care in this state is a privilege
granted by the legislative authority of the state; and
(b) It is necessary for the health, safety, and welfare of the people
of this state that the appropriate regulatory boards exercise their authority
to protect the people of this state from unauthorized practice and
unprofessional conduct by persons licensed to provide health care under
articles 36 240 and 38 255 of this title 12.
(2) The general assembly recognizes that:
(a) Many patients of persons licensed to provide health care in this
PAGE 230-HOUSE BILL 19-1172
state have restricted choices of health care providers under a variety of
circumstances and conditions;
(b) Many patients lack the knowledge, experience, or education to
properly evaluate the quality of medical or nursing practice or the
professional conduct of those PERSONS licensed to practice medicine,
PERSONS licensed to act as physician assistants, and licensed to practice
nursing and granted authority as advanced practice nurses; and
(c) It is necessary and proper that the respective regulatory boards
exercise their regulatory authority to protect the health, safety, and welfare
of the people of this state.
(3) The general assembly recognizes that, in the proper exercise of
their authority and responsibilities under this article PART 2, the Colorado
medical board and the state board of nursing must, to some extent, replace
competition with regulation, and that the replacement of competition by
regulation, particularly with regard to persons licensed under article 36 240
of this title 12 or licensed under article 38 of this title and granted authority
as TO advanced practice nurses, is related to a legitimate state interest in the
protection of the health, safety, and welfare of the people of this state.
12-30-202. [Formerly 12-36.5-102] Definitions. As used in this
article PART 2, unless the context otherwise requires:
(1) "ADVANCED PRACTICE NURSE" HAS THE SAME MEANING AS SET
FORTH IN SECTION 12-255-104 (1).
(1) (2) "Authorized entity" means a corporation, organization, or
entity that is authorized to establish a professional review committee under
section 12-36.5-104 (4) or (5) 12-30-204 (5) OR (6) or under rules of the
medical board or nursing board adopted pursuant to section 12-36.5-104 (5)
12-30-204 (6).
(2) (3) "CMS" means the federal centers for medicare and medicaid
services.
(2.5) "Division" means the division of professions and occupations
in the department of regulatory agencies.
PAGE 231-HOUSE BILL 19-1172
(3) (4) "Governing board" means a board, board of trustees,
governing board, or other body, or duly authorized subcommittee thereof,
of an authorized entity, which board or body has final authority pursuant to
the entity's written bylaws, policies, or procedures to take final action
regarding the recommendations of a professional review committee.
(4) (5) "Joint Commission" means the Joint Commission or its
successor entity.
(5) (6) "Medical board" means the Colorado medical board created
in section 12-36-103 (1) 12-240-105 (1).
(6) (7) "Professional review committee" means any committee
authorized under this article PART 2 to review and evaluate the competence,
professional conduct of, or the quality and appropriateness of patient care
provided by, any person licensed under article 36 240 of this title 12 or
licensed under article 38 of this title and granted authority as an advanced
practice nurse. "Professional review committee" includes a governing
board, a hearing panel appointed by a governing board to conduct a hearing
under section 12-36.5-104 (7)(a) 12-30-204 (8)(a), and an independent third
party designated by a governing board under section 12-36.5-104 (8)(b)
12-30-204 (9)(b).
(7) (8) (a) "Records" means any and all written, electronic, or oral
communications by any person arising from any activities of a professional
review committee, including a governing board, established by an
authorized entity under this article PART 2 or by the agent or staff thereof,
including any:
(I) Letters of reference;
(II) Complaint, response, or correspondence related to the complaint
or response;
(III) Interviews or statements, reports, memoranda, assessments, and
progress reports developed to assist in professional review activities;
(IV) Assessments and progress reports to assist in professional
review activities, including reports and assessments developed by
independent consultants in connection with professional review activities;
PAGE 232-HOUSE BILL 19-1172
and
(V) Recordings or transcripts of proceedings, minutes, formal
recommendations, decisions, exhibits, and other similar items or documents
related to professional review activities or the committee on anticompetitive
conduct and typically constituting the records of administrative proceedings.
(b) "Records" does not include any written, electronic, or oral
communications by any person that are otherwise available from a source
outside the scope of professional review activities, including medical
records and other health information.
(8) (9) "State board of nursing" or "nursing board" means the state
board of nursing created in section 12-38-104 12-255-105.
12-30-203. [Formerly 12-36.5-103] Use of professional review
committees. (1) (a) The general assembly recognizes that:
(I) The medical board and the nursing board, while assuming and
retaining ultimate authority for licensure and discipline in accordance with
articles 36 240 and 38 255 of this title 12, respectively, and in accordance
with this article PART 2, cannot practically and economically assume
responsibility over every single allegation or instance of purported deviation
from the standards of quality for the practice of medicine or nursing, from
the standards of professional conduct, or from the standards of appropriate
care; and
(II) An attempt to exercise such THIS oversight would result in
extraordinary delays in the determination of the legitimacy of the allegations
and would result in the inappropriate and unequal exercise of their authority
to license and discipline persons licensed under article 36 240 of this title
12 or licensed under article 38 of this title and granted authority as
advanced practice nurses.
(b) It is therefore the intent of the general assembly that the medical
board and the nursing board utilize and allow professional review
committees and governing boards to assist them in meeting their
responsibilities under articles 36 240 and 38 255 of this title 12,
respectively, and under this article PART 2.
PAGE 233-HOUSE BILL 19-1172
(2) All Persons licensed under article 36 240 of this title or licensed
under article 38 of this title and granted authority as 12 AND advanced
practice nurses are encouraged to serve upon professional review
committees when called to do so and to study and review in an objectively
reasonable manner the professional conduct of persons licensed under
article 36 240 of this title 12 or licensed under article 38 of this title and
granted authority as advanced practice nurses, including the competence,
professional conduct of, or the quality and appropriateness of patient care
provided by, those persons.
(3) (a) The use of professional review committees is an extension of
the authority of the medical board and nursing board. However, except as
otherwise provided in this article PART 2, nothing in this article PART 2
limits the authority of professional review committees properly constituted
under this article PART 2.
(b) Professional review committees, the members who constitute the
committees, governing boards, authorized entities, and persons who
participate directly or indirectly in professional review activities are granted
certain immunities from liability arising from actions that are within the
scope of their activities as provided in section 12-36.5-105 12-30-207.
These grants of immunity from liability are necessary to ensure that
professional review committees and governing boards can exercise their
professional knowledge and judgment.
12-30-204. [Formerly 12-36.5-104] Establishment of professional
review committees - function - rules. (1) A professional review
committee may be established pursuant to this section to review and
evaluate the competence of, the quality and appropriateness of patient care
provided by, or the professional conduct of, any person licensed under
article 36 240 of this title 12 or licensed under article 38 of this title and
granted authority as an ANY advanced practice nurse.
(2) Licensed physicians who are actively engaged in the practice of
medicine in this state must constitute a majority of the voting members of
any professional review committee established pursuant to this section for
physicians and physician assistants; except that physicians need not
constitute the majority of the voting members of a governing board
authorized by paragraph (g) of subsection (4) SUBSECTION (5)(i) of this
section or an independent third party designated by a governing board under
PAGE 234-HOUSE BILL 19-1172
paragraph (b) of subsection (8) SUBSECTION (9)(b) of this section.
(2.5) (3) A professional review committee that is reviewing the
competence of, the quality and appropriateness of patient care provided by,
or the professional conduct of, a person licensed under article 38 of this title
and granted authority as an advanced practice nurse must either:
(a) Have, as a voting member, at least one person licensed under
article 38 of this title and granted authority as an advanced practice nurse
with a scope of practice similar to that of the person who is the subject of
the review; or
(b) Engage, to perform an independent review as appropriate, an
independent person licensed under article 38 of this title and granted
authority as WHO IS an advanced practice nurse with a scope of practice
similar to that of the person who is the subject of the review. The person
conducting the independent review must be a person who was not
previously involved in the review.
(3) (4) A utilization and quality control peer review QUALITY
IMPROVEMENT organization, as defined pursuant to 42 U.S.C. sec. 1320c-1,
or any other organization performing similar review services under federal
or state law is an approved professional review committee under this article
PART 2.
(4) (5) A professional review committee established by any of the
following authorized entities is an approved professional review committee
under this article PART 2 if it operates in compliance with written bylaws,
policies, or procedures that are in compliance with this article PART 2 and
that have been approved by the authorized entity's governing board and if
it is registered with the division in accordance with section 12-36.5-104.6
12-30-206:
(a) The medical staff of a hospital licensed pursuant to part 1 of
article 3 of title 25 C.R.S., or certified pursuant to section 25-1.5-103
(1)(a)(II); C.R.S.;
(b) The medical staff of a hospital-related corporation. For the
purposes of this paragraph (b) SUBSECTION (5)(b), an entity is a
"hospital-related corporation" if the licensed or certified hospital or holding
PAGE 235-HOUSE BILL 19-1172
company of the licensed or certified hospital has ownership or control of the
entity.
(c) A society or association of physicians whose membership
includes not less than one-third of the doctors of medicine or doctors of
osteopathy licensed to practice and residing in this state, if the physician
whose services are the subject of the review is a member of the society or
association;
(c.5) (d) A society or association of advanced practice nurses
licensed and registered pursuant to article 38 of this title and residing WHO
RESIDE in this state, if the advanced practice nurse whose services are the
subject of the review is a member of the society or association;
(d) (e) A society or association of physicians licensed to practice and
residing in this state and specializing in a specific discipline of medicine,
whose society or association has been designated by the medical board as
a specialty society or association representative of physicians practicing the
specific discipline of medicine, if the physician whose services are the
subject of the review is a member of the specialty society or association;
(d.5) (f) A society or association of advanced practice nurses
licensed and registered pursuant to article 38 of this title and practicing WHO
PRACTICE in a specified nursing role and population focus, as defined by the
nursing board, which society or association has been designated by the
nursing board as the specific nursing society or association representative
of those advanced practice nurses practicing in that nursing role and
population focus, if the advanced practice nurse whose services are the
subject of the review is a member of the designated nursing society or
association;
(e) (g) An individual practice association or a preferred provider
organization consisting of persons licensed under article 36 240 of this title
12 or licensed under article 38 of this title and granted authority as OF
advanced practice nurses, or a medical group that predominantly serves
members of a health maintenance organization licensed pursuant to parts 1
and 4 of article 16 of title 10. C.R.S. A professional review committee
established pursuant to this paragraph (e) SUBSECTION (5)(g) has
jurisdiction to review only persons licensed under article 36 240 of this title
12 or licensed under article 38 of this title and granted authority as
PAGE 236-HOUSE BILL 19-1172
advanced practice nurses who ONLY IF THE PERSONS LICENSED UNDER SAID
ARTICLE OR THE ADVANCED PRACTICE NURSES are members of the
association or organization creating and authorizing that committee; except
that the professional review committee may review the care provided to a
particular patient referred by a member of the association or organization
to another person WHO IS NOT A MEMBER OF THE ASSOCIATION OR
ORGANIZATION AND IS licensed under article 36 240 of this title 12 or
licensed under article 38 of this title and granted authority as IS an advanced
practice nurse. who is not a member of the association or organization.
(f) (h) A corporation authorized PURSUANT TO ARTICLE 3 OF TITLE
10 to insure persons licensed under article 36 240 of this title 12 or licensed
under article 38 of this title and granted authority as advanced practice
nurses pursuant to article 3 of title 10, C.R.S., or any other organization
authorized to insure such persons in this state when designated by the
medical board or nursing board under subsection (5) (6) of this section;
(g) (i) The governing board of any authorized entity that has a
professional review committee established pursuant to article 36 240 or
article 38 255 of this title 12;
(h) (j) Any professional review committee established or created by
a combination or pooling of any authorized entities;
(i) (k) (I) A nonprofit corporation or association consisting of
representatives from a statewide professional society and a statewide
hospital association. The association must consist of persons licensed under
article 36 240 of this title 12 or licensed under article 38 of this title and
granted authority as advanced practice nurses, hospital administrators, and
hospital trustees, with a majority of the representatives being persons
licensed under article 36 240 of this title 12 when the subject of the
investigation is a person licensed under article 36 240 of this title 12, and
at least one of the representatives being a person licensed under article 38
of this title and granted authority as an advanced practice nurse when the
subject of the investigation is a person licensed under article 38 of this title
and granted authority as an advanced practice nurse. The association may
establish, or contract for, one or more professional review committees to
review the care by hospital staff personnel who are licensed under article 36
240 of this title 12 or licensed under article 38 of this title and granted
authority as ARE advanced practice nurses, with priority given to small rural
PAGE 237-HOUSE BILL 19-1172
hospital staffs. These professional review services must be available
statewide on a fee-for-service basis to licensed or certified hospitals at the
joint request of the governing board and the medical or nursing staff of the
hospital or at the sole request of the governing board of the hospital. If a
member being reviewed specializes in a generally recognized specialty of
medicine or nursing, at least one of the health care providers on the
professional review committee must be a person WHO IS licensed under
article 36 240 of this title 12 or licensed under article 38 of this title and
granted authority as IS an advanced practice nurse AND who practices such
specialty.
(II) For purposes of the introductory portion to this subsection (4)
(5) and this paragraph (i) SUBSECTION (5)(k), the bylaws, policies, or
procedures must be in compliance with this article PART 2 and approved by
the nonprofit corporation or association.
(j) (l) The medical or nursing staff of an ambulatory surgical center
licensed pursuant to part 1 of article 3 of title 25; C.R.S.;
(k) (m) A professional services entity organized pursuant to section
12-36-134 12-240-138;
(l) (n) A provider network that IS ORGANIZED PURSUANT TO PART 3
OF ARTICLE 18 OF TITLE 6 AND includes persons licensed under article 36
240 of this title 12 or licensed under article 38 of this title and granted
authority as advanced practice nurses; and is organized pursuant to part 3
of article 18 of title 6, C.R.S.;
(m) (o) A health system that includes two or more authorized
entities with a common governing board;
(n) (p) A trust organization established under article 70 of title 11;
C.R.S.;
(o) (q) An entity licensed pursuant to parts 1 and 4 of article 16 of
title 10; C.R.S.;
(p) (r) An accountable care organization established under the
federal "Patient Protection and Affordable Care Act", Pub.L. 111-148, AS
AMENDED, or other organization with a similar function;
PAGE 238-HOUSE BILL 19-1172
(q) (s) A hospital licensed pursuant to part 1 of article 3 of title 25
C.R.S., or certified pursuant to section 25-1.5-103 (1)(a)(II); C.R.S.; and
(r) (t) An ambulatory surgical center licensed pursuant to part 1 of
article 3 of title 25. C.R.S.
(5) (6) The medical board and the nursing board, with respect to the
licensees subject to their jurisdiction, may establish by rule procedures
necessary to authorize other health care or physician organizations or
professional societies as authorized entities that may establish professional
review committees.
(6) (7) (a) A professional review committee acting pursuant to this
part 1 2 may investigate or cause to be investigated:
(I) The qualifications and competence of any person licensed under
article 36 240 of this title 12 or licensed under article 38 of this title and
granted authority as an ANY advanced practice nurse who seeks to subject
himself or herself to the authority of any authorized entity; or
(II) The quality or appropriateness of patient care rendered by, or the
professional conduct of, any person licensed under article 36 240 of this
title 12 or licensed under article 38 of this title and granted authority as an
ANY advanced practice nurse who is subject to the authority of the
authorized entity.
(b) The professional review committee shall conduct the
investigation in conformity with written bylaws, policies, or procedures
adopted by the authorized entity's governing board.
(7) (8) The written bylaws, policies, or procedures of any
professional review committee for persons licensed under article 36 240 of
this title 12 or licensed under article 38 of this title and granted authority as
advanced practice nurses must provide for at least the following:
(a) (I) Except as provided in subparagraph (II) of this paragraph (a)
SUBSECTION (8)(a)(II) OF THIS SECTION, if the findings of any investigation
indicate that a person licensed under article 36 240 of this title 12 or
licensed under article 38 of this title and granted authority as an advanced
practice nurse and who is the subject of the investigation is lacking in
PAGE 239-HOUSE BILL 19-1172
qualifications or competency, has provided substandard or inappropriate
patient care, or has exhibited inappropriate professional conduct and the
professional review committee takes or recommends an action to adversely
affect the person's membership, affiliation, or privileges with the authorized
entity, the professional review committee shall hold a hearing to consider
the findings and recommendations unless the person waives, in writing, the
right to a hearing or is given notice of a hearing and fails to appear.
(II) If the professional review committee is submitting its findings
and recommendations to another professional review committee for review,
only one hearing is necessary prior to any appeal before the governing
board.
(b) A person who has participated in the course of an investigation
is disqualified as a member of the professional review committee that
conducts a hearing pursuant to paragraph (a) of this subsection (7)
SUBSECTION (8)(a) OF THIS SECTION, but the person may participate as a
witness in the hearing.
(c) The authorized entity shall give to the subject of any
investigation under this subsection (7) (8) reasonable notice of the hearing
and of any finding or recommendation that would adversely affect the
person's membership, affiliation, or privileges with the authorized entity,
and the subject of the investigation has a right to be present, to be
represented by legal counsel at the hearing, and to offer evidence in his or
her THE PERSON'S own behalf.
(d) After the hearing, the professional review committee that
conducted the hearing shall make any recommendations it deems necessary
to the governing board, unless otherwise provided by federal law or
regulation.
(e) The professional review committee shall give a copy of the
recommendations to the subject of the investigation, who then has the right
to appeal to the governing board to which the recommendations are made
with regard to any finding or recommendation that would adversely affect
his or her membership, affiliation, or privileges with the authorized entity.
(f) The professional review committee shall forward a copy of any
recommendations made pursuant to paragraph (d) of this subsection (7)
PAGE 240-HOUSE BILL 19-1172
SUBSECTION (8)(d) OF THIS SECTION promptly to the medical board if the
subject of the investigation is licensed under article 36 240 of this title 12,
or to the nursing board if the subject of the investigation is licensed under
article 38 of this title and granted authority as an advanced practice nurse.
(8) (9) (a) All governing boards shall adopt written bylaws, policies,
or procedures under which a person WHO IS licensed under article 36 240 of
this title 12 or licensed under article 38 of this title and granted authority as
IS an advanced practice nurse AND who is the subject of an adverse
recommendation by a professional review committee may appeal to the
governing board following a hearing in accordance with subsection (7) (8)
of this section. The bylaws, policies, or procedures must provide that the
person be given reasonable notice of his or her right to appeal and, unless
waived by the person, has the right to appear before the governing board,
to be represented by legal counsel, and to offer the argument on the record
as he or she THAT THE PERSON deems appropriate.
(b) The bylaws may provide that a committee of not fewer than three
members of the governing board may hear the appeal. Also, the bylaws may
allow for an appeal to be heard by an independent third party designated by
a governing board under this paragraph (b) SUBSECTION (9)(b).
(9) (10) All governing boards that are required to report their final
actions to the medical board or the nursing board, as appropriate, are not
otherwise relieved of their obligations by virtue of this article PART 2.
(10) (11) (a) Except as specified in paragraph (b) of this subsection
(10) SUBSECTION (11)(b) OF THIS SECTION, the records of an authorized
entity, its professional review committee, and its governing board are not
subject to subpoena or discovery and are not admissible in any civil suit.
(b) Subject to subsection (13) (14) of this section, the records are
subject to subpoena and available for use:
(I) Repealed.
(II) (I) By either party in an appeal or de novo proceeding brought
pursuant to this part 1 2;
(III) (II) By a person licensed under article 36 240 of this title 12 or
PAGE 241-HOUSE BILL 19-1172
licensed under article 38 of this title and granted authority as an advanced
practice nurse in a suit seeking judicial review of an action by the governing
board;
(IV) (III) By the Colorado department of public health and
environment in accordance with its authority to issue or continue a health
facility license or certification for an authorized entity;
(V) (IV) By CMS in accordance with its authority over federal
health care program participation by an authorized entity;
(VI) (V) By an authorized entity or governing board seeking judicial
review;
(VII) (VI) By the medical board within the scope of its authority
over licensed physicians and physician assistants; and
(VIII) (VII) By the nursing board within the scope of its authority
over advanced practice nurses.
(11) (12) (a) Except as provided in paragraph (b) of this subsection
(11) SUBSECTION (12)(b) OF THIS SECTION, the records of an authorized
entity or its professional review committee may be disclosed to:
(I) The medical board, as requested by the medical board acting
within the scope of its authority or as required or appropriate under this
article PART 2 or article 36 240 of this title 12;
(II) The nursing board, as requested by the nursing board acting
within the scope of its authority or as required or appropriate under this
article PART 2 or article 38 255 of this title 12;
(III) The Colorado department of public health and environment
acting within the scope of its health facility licensing authority or as the
agent of CMS;
(IV) CMS, in connection with the survey and certification processes
for federal health care program participation by an authorized entity; and
(V) The Joint Commission or other entity granted deeming authority
PAGE 242-HOUSE BILL 19-1172
by CMS, in connection with a survey or review for accreditation.
(b) The medical board, nursing board, and Colorado department of
public health and environment shall not make further disclosures of any
records disclosed by an authorized entity or its professional review
committee under this section.
(12) (13) The records of an authorized entity or its professional
review committee or governing board may be shared by and among
authorized entities and their professional review committees and governing
boards concerning the competence, professional conduct of, or the quality
and appropriateness of patient care provided by, a health care provider who
seeks to subject himself or herself to, or is currently subject to, the authority
of the authorized entity.
(13) (14) Responding to a subpoena or disclosing or sharing of
otherwise privileged records and information pursuant to subsection (10),
(11), or (12) (11), (12), OR (13) of this section does not constitute a waiver
of the privilege specified in paragraph (a) of subsection (10) SUBSECTION
(11)(a) of this section or a violation of the confidentiality requirements of
subsection (15) (16) of this section. Records provided to any governmental
agency, including the department of public health and environment, the
committee on anticompetitive conduct, the medical board, and the nursing
board pursuant to subsection (10) (11) or (11) (12) of this section are not
public records subject to the "Colorado Open Records Act", part 2 of article
72 of title 24. C.R.S. A person providing the records to an authorized entity
or its professional review committee or governing board, the department of
public health and environment, the committee on anticompetitive conduct,
the medical board, the nursing board, CMS, the Joint Commission, or other
governmental agency is entitled to the same immunity from liability as
provided under section 12-36.5-105 12-30-207 for the disclosure of the
records.
(14) (15) Investigations, examinations, hearings, meetings, and other
proceedings of a professional review committee or governing board
conducted pursuant to this part 1 2 are exempt from any law requiring that
proceedings be conducted publicly or that the records, including any
minutes, be open to public inspection.
(15) (16) Except as otherwise provided in subsection (10), (11), or
PAGE 243-HOUSE BILL 19-1172
(12) (11), (12), OR (13) of this section, all proceedings, recommendations,
records, and reports involving professional review committees or governing
boards are confidential.
(16) (17) A professional review committee or governing board that
is constituted and conducts its reviews and activities in accordance with this
part 1 2 is not an unlawful conspiracy in violation of section 6-4-104 or
6-4-105. C.R.S.
12-30-205. [Formerly 12-36.5-104.4] Hospital professional review
committees. (1) The quality and appropriateness of patient care rendered
by persons licensed under article 36 240 of this title licensed under article
38 of this title and granted authority as 12, advanced practice nurses, and
other licensed health care professionals so influence the total quality of
patient care that a review of care provided in a hospital is ineffective
without concomitantly reviewing the overall competence, professional
conduct of, or the quality and appropriateness of care rendered by, such
THESE persons.
(2) (a) (I) Whenever a professional review committee created
pursuant to section 12-36.5-104 12-30-204 reasonably believes that the
quality or appropriateness of care provided by other licensed health care
professionals may have adversely affected the outcome of patient care, the
professional review committee shall:
(A) Refer the matter to a hospital committee QUALITY MANAGEMENT
PROGRAM created pursuant to section 25-3-109; C.R.S.; or
(B) Consult with a representative of the other licensed health care
professional's profession.
(II) A professional review committee established pursuant to this
article PART 2 may meet and act in collaboration with a committee HOSPITAL
QUALITY MANAGEMENT PROGRAM established pursuant to section 25-3-109.
C.R.S.
(b) All matters considered in collaboration with or referred to a
committee pursuant to this subsection (2) and all records and proceedings
related thereto shall remain confidential, and the committee members,
governing board, witnesses, and complainants shall be ARE subject to the
PAGE 244-HOUSE BILL 19-1172
immunities and privileges as set forth in this article PART 2.
(3) Nothing in this section shall be IS deemed to extend the authority
or jurisdiction of the medical board to any individual not otherwise subject
to the jurisdiction of the board.
12-30-206. [Formerly 12-36.5-104.6] Governing boards to
register with division - annual reports - aggregation and publication of
data - definition - rules. (1) As used in this section, "adversely affecting"
has the same meaning as set forth in 45 CFR 60.3; except that it does not
include a precautionary suspension or any professional review action
affecting, FOR A PERIOD OF THIRTY OR FEWER DAYS, a person licensed under
article 36 240 of this title 12 or licensed under article 38 of this title and
granted authority as an advanced practice nurse. for a period of thirty days
or less.
(2) Each governing board that establishes or uses one or more
professional review committees to review the practice of persons licensed
under article 36 240 of this title 12 or licensed under article 38 of this title
and granted authority as OF advanced practice nurses shall:
(a) Register with the division in a form satisfactory to the division
on or before July 1, 2013, if the governing board has one or more existing
professional review committees, or, if the governing board first establishes
a professional review committee on or after July 1, 2013, within thirty days
after approving the written bylaws, policies, or procedures for the
professional review committee;
(b) In addition to any other state or federal reporting requirements:
(I) Report annually to the medical board, in a form satisfactory to
the medical board, the number of final professional review actions in each
of the following categories relating to individuals licensed under article 36
240 of this title 12:
(A) Adversely affecting the individual;
(B) In which an authorized entity accepted the individual's surrender
of clinical privileges, membership, or affiliation while the individual was
under investigation;
PAGE 245-HOUSE BILL 19-1172
(C) In which an authorized entity accepted the individual's surrender
of clinical privileges, membership, or affiliation in return for not conducting
an investigation; and
(D) In which the professional review committee made
recommendations regarding the individual following a hearing pursuant to
section 12-36.5-104 (7)(d). 12-30-204 (8)(d);
(II) Report annually to the nursing board, in a form satisfactory to
the nursing board, the number of final professional review actions in each
of the following categories relating to individuals licensed under article 38
of this title and granted authority as advanced practice nurses:
(A) Adversely affecting the individual;
(B) In which an authorized entity accepted the individual's surrender
of clinical privileges, membership, or affiliation while the individual was
under investigation;
(C) In which an authorized entity accepted the individual's surrender
of clinical privileges, membership, or affiliation in return for not conducting
an investigation; and
(D) In which the professional review committee made
recommendations regarding the individual following a hearing pursuant to
section 12-36.5-104 (7)(d). 12-30-204 (8)(d);
(c) (I) Report to the division, in a de-identified manner, on its
professional review activities during the immediately preceding calendar
year in a form satisfactory to the division. These reports must include
aggregate data, which is limited to the following:
(A) The number of investigations completed during the year;
(B) The number of investigations that resulted in no action;
(C) The number of investigations that resulted in written involuntary
requirements for improvement sent to the subject of the investigation by the
authorized entity; and
PAGE 246-HOUSE BILL 19-1172
(D) The number of investigations that resulted in written agreements
for improvement between the subject of the investigation and the authorized
entity.
(II) (A) The medical board and the nursing board shall forward the
reports received pursuant to sub-subparagraphs (I) and (II) SUBSECTIONS
(2)(b)(I) AND (2)(b)(II) OF THIS SECTION, respectively, of paragraph (b) of
this subsection (2) to the division in a de-identified manner.
(B) The division shall not publish any information identifying the
governing board or authorized entity making a report under paragraph (b)
of this subsection (2) or this paragraph (c) SUBSECTION (2)(b) OF THIS
SECTION OR THIS SUBSECTION (2)(c), and such THE reports and information
are not public records under the "Colorado Open Records Act", part 2 of
article 72 of title 24. C.R.S.
(III) Reports submitted pursuant to this paragraph (c) SUBSECTION
(2)(c) must include only investigations in which no final action adversely
affecting the subject of the investigation was taken or recommended.
(3) (a) The division shall publish the data provided pursuant to
paragraphs (b) and (c) of subsection (2) SUBSECTIONS (2)(b) AND (2)(c) of
this section in aggregate form and without individually identifiable
information concerning the governing board, the authorized entity, or any
person WHO WAS SUBJECT TO REVIEW AND IS licensed under article 36 240
of this title 12 or licensed under article 38 of this title and granted authority
as IS an advanced practice nurse. who was subject to review.
(b) The division shall maintain and shall publish online, through its
website, a current list of all governing boards that are registered in
accordance with this section and that otherwise are in compliance with this
article PART 2.
(4) The division shall adopt rules to implement this section and may
collect a reasonable registration fee to recover its direct and indirect costs
of administering the registration and publication systems required by this
section.
(5) For purposes of this section, an investigation occurs when the
authorized entity or its professional review committee notifies the subject
PAGE 247-HOUSE BILL 19-1172
of the investigation in writing that an investigation has commenced.
(6) The medical board and the nursing board shall not initiate an
investigation or issue a subpoena based solely on the data reported pursuant
to paragraph (c) of subsection (2) (2)(c) of this section.
(7) (a) A governing board that fails to register with the division
pursuant to paragraph (a) of subsection (2) (2)(a) of this section is not
entitled to any immunity afforded under this article PART 2 until the date
that the governing board so registers. A governing board's failure to register
does not affect any immunity, confidentiality, or privilege afforded to an
individual participating in professional review activities.
(b) A governing board's failure to report as required by this section
does not affect any immunity, confidentiality, or privilege afforded to the
governing board under this article PART 2.
12-30-207. [Formerly 12-36.5-105] Immunity from liability.
(1) A member of a professional review committee, a governing board or
any committee or third party designated by the governing board under
section 12-36.5-104 (8)(b) 12-30-204 (9)(b) and any person serving on the
staff of that committee, board, panel, or third party, a witness or consultant
before a professional review committee, and any person who files a
complaint or otherwise participates in the professional review process, is
immune from suit and liability for damages in any civil or criminal action,
including antitrust actions, brought by a person licensed under article 36
240 of this title 12 or licensed under article 38 of this title AN ADVANCED
PRACTICE NURSE who is the subject of the review by such THE professional
review committee unless, in connection with the professional review
process, the person provided false information and knew that the
information was false.
(2) The governing board and the authorized entity that has
established a professional review committee pursuant to section
12-36.5-104 12-30-204 is immune from suit and liability for damages in any
civil or criminal action, including antitrust actions, brought by a person
licensed under article 36 240 of this title 12 or licensed under article 38 of
this title AN ADVANCED PRACTICE NURSE who is the subject of the review by
such professional review committee if the professional review action was
taken within the scope of the professional review process and was taken:
PAGE 248-HOUSE BILL 19-1172
(a) In the objectively reasonable belief that the action was in the
furtherance of quality health care;
(b) After an objectively reasonable effort to obtain the facts of the
matter;
(c) In the objectively reasonable belief that the action taken was
warranted by the facts; and
(d) In accordance with procedures that, under the circumstances,
were fair to the person licensed under article 36 240 of this title 12 or
licensed under article 38 of this title and granted authority as an THE
advanced practice nurse.
12-30-208. Conformance with federal law and regulation -
legislative declaration - rules - limitations on liability - definition.
(1) [Formerly 12-36.5-201] The general assembly hereby finds, determines,
and declares that the enactment of this part 2 SECTION is necessary in order
for the state to comply with the provisions of the federal "Health Care
Quality Improvement Act of 1986", as amended, 42 U.S.C. SECS. 11101 TO
11152. It is the intent of the general assembly that the provisions of this part
2 SECTION are to be interpreted as being complementary to the OTHER
provisions of part 1 of IN this article PART 2. The provisions of this part 2
SECTION are intended to be responsive to specific requirements of the
federal "Health Care Quality Improvement Act of 1986", as amended. If the
provisions of this part 2 SECTION conflict with the OTHER provisions of part
1 of this article THIS PART 2, other than with respect to the specific
requirements of the federal "Health Care Quality Improvement Act of
1986", as amended, the OTHER provisions of part 1 of this article shall THIS
PART 2 prevail.
(2) [Formerly 12-36.5-202] The medical board and nursing board
may promulgate rules to comply with the reporting requirements of the
federal "Health Care Quality Improvement Act of 1986", as amended, 42
U.S.C. secs. 11101 through 11152, and may participate in the federal data
bank.
(3) [Formerly 12-36.5-203] (1) (a) The following persons are
immune from suit and not liable for damages in any civil action with respect
to their participation in, assistance to, or reporting of information to a
PAGE 249-HOUSE BILL 19-1172
professional review committee in connection with a professional review
action in this state, and such persons are not liable for damages in a civil
action with respect to their participation in, assistance to, or reporting of
information to a professional review committee that meets the standards of
and is in conformity with the federal "Health Care Quality Improvement Act
of 1986", as amended: 42 U.S.C. secs. 11101 through 11152:
(a) (I) An authorized entity, professional review committee, or
governing board;
(b) (II) Any person acting as a member of or staff to the authorized
entity, professional review committee, or governing board;
(c) (III) A witness, consultant, or other person who provided
information to the authorized entity, professional review committee, or
governing board; and
(d) (IV) Any person who participates with or assists the professional
review committee or governing board with respect to the professional
review activities.
(2) (a) (b) (I) Notwithstanding subsection (1) (3)(a) of this section,
nothing in this article SECTION relieves an authorized entity that is a health
care facility licensed or certified pursuant to part 1 of article 3 of title 25
C.R.S., or certified pursuant to section 25-1.5-103 C.R.S., (1)(a)(II) of
liability to an injured person or wrongful death claimant for the facility's
independent negligence in the credentialing or privileging process for a
person licensed under article 36 240 of this title 12 or licensed under article
38 of this title and granted authority as an advanced practice nurse who
provided health care services for the injured or deceased person at the
facility. For purposes of this section SUBSECTION (3), the facility's
participation in the credentialing process or the privileging process does not
constitute the corporate practice of medicine.
(b) (II) Nothing in this section SUBSECTION (3) affects the
confidentiality or privilege of any records subject to section 12-36.5-104
(10) 12-30-204 (11) or of information obtained and maintained in
accordance with a quality management program as described in section
25-3-109. C.R.S. The exceptions to confidentiality or privilege as set forth
in sections 25-3-109 (4) C.R.S., and 12-36.5-104 (10) 12-30-204 (11) apply.
PAGE 250-HOUSE BILL 19-1172
(c) (III) This subsection (2), as amended, (3)(b) applies to actions
filed on or after July 1, 2012.
(3) (c) For the purposes of this section SUBSECTION (3), unless the
context otherwise requires,
(a) "professional review action" means an action or recommendation
of a professional review committee that is taken or made in the conduct of
professional review activity and that is based on the quality and
appropriateness of patient care provided by, or the competence or
professional conduct of, an individual person licensed under article 36 240
of this title 12 or licensed under article 38 of this title and granted authority
as an advanced practice nurse, which action affects or may affect adversely
the person's clinical privileges of or membership in an authorized entity.
"Professional review action" includes a formal decision by the professional
review committee not to take an action or make a recommendation as
provided in this paragraph (a) SUBSECTION (3)(c) and also includes
professional review activities relating to a professional review action. An
action is not based upon the competence or professional conduct of a person
if the action is primarily based on:
(I) The person's association or lack of association with a
professional society or association;
(II) The person's fees or his or her advertising or engaging in other
competitive acts intended to solicit or retain business;
(III) The person's association with, supervision of, delegation of
authority to, support for, training of, or participation in a private group
practice with a member or members of a particular class of health care
practitioners or professionals;
(IV) The person's participation in prepaid group health plans,
salaried employment, or any other manner of delivering health services
whether on a fee-for-service basis or other basis;
(V) Any other matter that does not relate to the quality and
appropriateness of patient care provided by, or the competence or
professional conduct of, a person licensed under article 36 240 of this title
12 or licensed under article 38 of this title and granted authority as an
PAGE 251-HOUSE BILL 19-1172
advanced practice nurse.
(b) (Deleted by amendment, L. 2012.)
12-30-209. [Formerly 12-36.5-107] Repeal of part. This article
PART 2 is repealed, effective September 1, 2019. Prior to such BEFORE THE
repeal, the department of regulatory agencies shall review the functions of
professional review committees and the committee on anticompetitive
conduct ARE SCHEDULED FOR REVIEW in accordance with section 24-34-104.
C.R.S.
BUSINESS PROFESSIONS AND OCCUPATIONS
ARTICLE 100
Accountants
12-100-101. [Formerly 12-2-101] Legislative declaration. (1) It
is declared to be in the interest of the citizens of the state of Colorado and
a proper exercise of the police power of the state of Colorado to provide for
the licensing and registration of certified public accountants, to ensure that
persons who hold themselves out as possessing professional qualifications
as certified public accountants are, in fact, qualified to render accounting
services of a professional nature, and to provide for regulation of certified
public accountants employed, serving clients, or doing business in Colorado
and the maintenance of high standards of professional conduct by those so
licensed and registered as certified public accountants. Because of the
customary reliance by the public upon audited financial statements and
upon financial information presented with the opinion or certificate of
persons purporting to possess expert knowledge in accounting or auditing,
it is further declared to be in the interest of such THE citizens to limit and
restrict, under the circumstances set forth in this article 100, the issuance of
opinions or certificates relating to accounting or financial statements which
THAT utilize or contain wording indicating that the author has expert
knowledge in accounting or auditing or which THAT purport to express an
independent auditor's opinion as to financial position, financial results of
operations, changes in financial position, reliability of financial information,
or compliance with conditions established by law or contract to persons so
licensed or registered PURSUANT TO THIS ARTICLE 100.
(2) It is declared that the state board of accountancy may invoke
PAGE 252-HOUSE BILL 19-1172
discipline proactively with regard to certified public accountants employed,
serving clients, or doing business in Colorado when required for the
protection of the public health, safety, and welfare of the citizens of this
state.
12-100-102. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
100.
12-100-103. [Formerly 12-2-102] Definitions. As used in this
article 100, unless the context otherwise requires:
(1) "Accredited college or university" means either:
(a) A college or university which THAT is accredited by one of the
following regional accrediting agencies:
(I) The Middle States Association of Colleges and Schools;
(II) The North Central Association of Colleges and Schools;
(III) The New England Association of Schools and Colleges;
(IV) The Northwest Association of Schools and Colleges;
(V) The Southern Association of Colleges and Schools;
(VI) The Western Association of Schools and Colleges; or
(b) A college or university which THAT meets academic standards
substantially equivalent to the standards of the agencies specified in
paragraph (a) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION. The
board shall establish by rule what constitutes substantially equivalent
academic standards.
(1.5) (2) "Board" means the state board of accountancy CREATED IN
SECTION 12-100-104.
(2) (3) "Foreign corporation" means a corporation organized under
the laws of another state which THAT meets the requirements of section
PAGE 253-HOUSE BILL 19-1172
12-2-117 (7) 12-100-114 (11).
(2.5) (4) "Foreign limited liability company" means a limited
liability company organized under the laws of another state which THAT
meets the requirements of section 12-2-117 (7) 12-100-114 (11).
(2.7) (5) "Limited liability company" means a limited liability
company organized for the sole purpose of providing professional services
to the public customarily performed by certified public accountants and
includes foreign limited liability companies.
(2.9) (6) "Peer review" means a study, appraisal, or review by an
independent certified public accountant of one or more aspects of the
professional work of another certified public accountant or of a registered
partnership, corporation, or limited liability company that issues attest or
compilation reports.
(3) (7) "Person" includes individuals, partnerships, professional
corporations, and limited liability companies.
(4) (8) "Professional corporation" means a corporation organized for
the sole purpose of providing professional services to the public customarily
performed by certified public accountants and includes foreign
corporations.
(5) (9) "State" means any state, territory, or insular possession of the
United States and the District of Columbia.
12-100-104. [Formerly 12-2-103] State board of accountancy -
subject to termination. (1) The state board of accountancy shall consist
IS HEREBY CREATED AND CONSISTS of seven members appointed by the
governor. Each member of the board shall be a citizen of the United States
and a resident of this state. Five members of the board shall be holders of
valid certified public accountant certificates issued under the laws of this
state, a majority of whom are engaged in active practice as certified public
accountants. Two members of the board shall be members of the public who
do not hold a certified public accountant certificate. Members shall be
appointed for terms of four years each. Any vacancy occurring during a
term shall be filled by appointment by the governor for the unexpired term.
Upon the expiration of a member's term of office, such THE member shall
PAGE 254-HOUSE BILL 19-1172
continue to serve until a successor is appointed. In no event shall a member
of the board serve more than two consecutive terms. The governor shall
remove from the board any member whose certificate has become void or
has been revoked or suspended and may remove any member of the board
for neglect of duty, misconduct, or incompetence.
(2) A majority of the board shall constitute a quorum for the
transaction of business.
(3) In any proceeding in court, civil or criminal, arising out of or
founded upon any provision of this article 100, a copy of the records of the
board certified as correct by the board shall be admissible in evidence as
being the records of the board.
(4) Repealed.
(5) The provisions of section 24-34-104, C.R.S., concerning the
termination schedule for regulatory bodies of the state unless extended as
provided in that section, are applicable to the state board of accountancy
created by this section.
(6) (a) Any member of the board, any member of the board's staff,
any person acting as a witness or consultant to the board, any witness
testifying in a proceeding authorized under this article, and any person who
lodges a complaint pursuant to this article shall be immune from liability in
any civil action brought against him or her for acts occurring while acting
in his or her capacity as board member, staff, consultant, or witness,
respectively, if such individual was acting in good faith within the scope of
his or her respective capacity, made a reasonable effort to obtain the facts
of the matter as to which he or she acted, and acted in the reasonable belief
that the action taken by him or her was warranted by the facts. Any person
participating in good faith in lodging a complaint or participating in any
investigative or administrative proceeding pursuant to this article shall be
immune from any civil or criminal liability that may result from such
participation.
(b) (4) The disclosure of reports or working papers subpoenaed by
the board or any person or group authorized by the board to conduct an
investigation into audit or review attest activities of a certified public
accountant or certified public accounting firm pursuant to section 13-90-107
PAGE 255-HOUSE BILL 19-1172
(1)(f)(III) or (1)(f)(IV) C.R.S., which THAT is not in good faith shall subject
the member of the board, person, or group to civil liability for damages to
be determined by a court of competent jurisdiction.
12-100-105. [Formerly 12-2-104] Powers and duties of board.
(1) The board has the power and duty to:
(a) Elect annually from among its members a chair and prescribe the
duties of such office;
(b) Make such rules and regulations, not inconsistent with the laws
of this state, as may be necessary for the orderly conduct of its affairs and
for the administration of this article, pursuant to the provisions of article 4
of title 24 C.R.S. AND SECTION 12-20-204;
(c) Make appropriate rules of professional conduct in order to
establish and maintain a high standard of integrity in the profession of
public accounting. Any rule of professional conduct applies with equal
force to all persons holding certificates under this article 100. No rule of
professional conduct shall be promulgated which THAT will work to the
disadvantage of one group and in favor of another. Every person practicing
as a certified public accountant in the state shall be governed and controlled
by such THE rules. All rules of professional conduct shall be promulgated
pursuant to the provisions of article 4 of title 24. C.R.S.
(d) to (f) Repealed.
(g) (d) Prescribe forms for and receive applications for certificates
and grant certificates, including contracting with people to receive and
review the applications as the agent of the board;
(h) (e) Give examinations to applicants and, as necessary, contract
for assistance in administering the examination;
(i) (f) Deny the issuance or renewal of, suspend for a specified
period, or revoke a certificate; issue a letter of admonition to or place on
probation or fine TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN
SECTION 12-20-404 AGAINST any person who, while holding a certificate,
violates this article 100; issue confidential letters of concern UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5); issue cease-and-desist
PAGE 256-HOUSE BILL 19-1172
orders UNDER THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE
PROCEDURES SPECIFIED IN SECTION 12-20-405; or impose other conditions
and limitations;
(j) (g) Keep a record of all certificates, suspensions, and revocations
and of its THE BOARD'S own proceedings;
(k) (h) Administer this article 100 and exercise and perform any
other powers and duties granted or directed by the general assembly;
(l) (i) Collect all fees prescribed by this article 100.
(m) Repealed.
(2) Publications of the board circulated in quantity outside the
executive branch shall be issued in accordance with the provisions of
section 24-1-136. C.R.S.
12-100-106. [Formerly 12-2-106] Fees. (1) A fee authorized to be
established pursuant to section 24-34-105, C.R.S., 12-20-105 shall be paid
for each application made to the board, whether it is an application for
examination or reexamination or for issuance, renewal, reactivation, or
reinstatement of a certificate of certified public accountant, an application
for registration with the board as a public accounting firm, or any other
application requiring formal action or consideration by the board. The fee
required shall not be returnable irrespective of the action taken by the board.
(2) A fee authorized to be established pursuant to section 24-34-105,
C.R.S., 12-20-105 shall be paid for each examination in which the candidate
is examined in the subjects prescribed by the board.
(3) Any person making application for a certificate of certified
public accountant under section 12-2-113 12-100-111 shall pay a fee
authorized to be established pursuant to section 24-34-105, C.R.S.,
12-20-105 in addition to the fee required in subsection (1) of this section.
(4) (Deleted by amendment, L. 2010, (HB 10-1236), ch. 146, p. 502,
§ 17, effective July 1, 2010.)
(5) (4) Nothing in this section shall be construed to authorize the
PAGE 257-HOUSE BILL 19-1172
board to impose any notice, fee, or other submission requirement on a
certified public accountant or registered public accountant from another
state or a foreign partnership, corporation, limited partnership, limited
liability limited partnership, or limited liability company, that is practicing
accountancy in this state pursuant to section 12-2-121 (2) 12-100-117 (2).
12-100-107. [Formerly 12-2-108] Certificate of certified public
accountant - issuance - renewal - reinstatement - rules. (1) The board
shall grant a certificate of certified public accountant to any applicant who:
(a) Meets the requirements of section 12-2-113 12-100-111;
(b) Satisfies the board of the applicant's continued competence; or
(c) (I) Passes a written examination pursuant to section 12-2-111
12-100-109; and
(II) Meets the requirements of section 12-2-109 12-100-108.
(2) Repealed.
(3) (2) All certificates shall expire pursuant to a schedule established
by the director of the division of professions and occupations within the
department of regulatory agencies and shall be renewed or reinstated
pursuant to section 24-34-102 (8), C.R.S. The director of the division of
professions and occupations within the department of regulatory agencies
may establish renewal fees and delinquency fees for reinstatement pursuant
to section 24-34-105, C.R.S. If a person fails to renew his or her
certification pursuant to the schedule established by the director of the
division of professions and occupations, such certificate shall expire ISSUED
PURSUANT TO THIS ARTICLE 100 ARE SUBJECT TO THE RENEWAL,
EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED
IN SECTION 12-20-202 (1) AND (2). Any person whose certificate has expired
shall be subject to the penalties provided in this article 100 or section
24-34-102 (8), C.R.S. 12-20-202 (1).
(4) and (5) (Deleted by amendment, L. 2004, p. 1793, § 2, effective
August 4, 2004.)
(6) (3) Any person who practices certified public accounting after
PAGE 258-HOUSE BILL 19-1172
the expiration of his or her certificate shall be practicing in violation of this
article 100. The board may refuse to reactivate or reinstate any expired
certificate for conduct that constitutes a violation of this article 100.
(7) (4) Effective on the first renewal period established by the board
after May 31, 2011, the board shall not renew the certificate of a holder who
issues attest or compilation reports unless the certificate holder performs
public accounting within a partnership, professional corporation, or limited
liability company or the certificate holder has undergone a peer review
conducted according to rules promulgated by the board that meet the
standards for performing and reporting on a peer review of the American
Institute of Certified Public Accountants or an equivalent standard.
12-100-108. [Formerly 12-2-109] Educational and experience
requirements - rules.
(1) Repealed.
(2) (1) On and after July 1, 2015, a person meets the educational and
experience requirements necessary to be issued a certificate of certified
public accountant if the applicant:
(a) (I) Has a baccalaureate or higher degree conferred by an
accredited college or university with an accounting program approved by
the board or has a baccalaureate with a nonaccounting concentration
supplemented by what the board determines to be the equivalent of an
accounting concentration, including related courses in other areas of
business administration; and
(II) Has completed at least one hundred fifty semester hours of
college education approved by the board;
(b) Has successfully completed a course of study concerning the
subject of professional ethics approved by the board and passed a written
examination concerning such THE subject prepared and given by
educational institutions or professional organizations deemed qualified by
the board to administer the examination; and
(c) Has one year's experience that:
PAGE 259-HOUSE BILL 19-1172
(I) Meets the requirements set by the board by rule;
(II) Is in any type of service or advice involving the use of
accounting, attest, compilation, management advisory, financial advisory,
tax, or consulting skills, which may be gained through employment in
government, industry, academia, or public practice; and
(III) Is verified by an actively licensed certified public accountant
who meets the requirements set by the board by rule.
(3) Repealed.
12-100-109. [Formerly 12-2-111] Examinations - reexaminations
- rules. (1) The board shall provide licensure examinations as often as
necessary to provide candidates a reasonable opportunity to take the
examination. Examinations shall adequately test a candidate's knowledge
of accounting, auditing, and any other related subject the board deems
relevant and necessary. Any additional examination subject shall be
designated by the board by rule. The board shall set the passing score for an
examination at a level to adequately reflect the minimum level of
competency necessary for the practice of accountancy.
(2) The board shall establish by rule the standards for granting
conditional examination credit for candidates who pass one or more but not
all of the sections of the examination.
(3) The board may use the standard examinations and advisory
grading service promulgated by the American Institute of Certified Public
Accountants, which examination shall be deemed prima facie to meet the
requirements of this section.
(4) A candidate for a certificate of certified public accountant who
meets the educational requirements set by the board by rule is entitled to
take an examination.
(5) Any candidate who has passed any or all sections of an
examination in another state shall be credited for passing such THE sections
if the sections passed are determined by the board to be equivalent to
sections of the examination offered in this state and if the testing
requirements in the other state are substantially the same as in this state.
PAGE 260-HOUSE BILL 19-1172
(6) If a candidate fails an examination or fails to pass in all subjects
as provided in subsection (5) of this section, the board may require the
candidate to take additional study before taking another examination.
(7) Repealed.
(8) (Deleted by amendment, L. 93, p. 349, § 1, effective April 12,
1993.)
12-100-110. [Formerly 12-2-112] Approval of schools. (1) The
board shall approve the accounting program of the schools that meet the
following requirements:
(a) The school has a curriculum designed to give the candidate
proficiency in those subjects in which the candidate must pass an
examination to be licensed.
(b) Such THE school shall have adequate equipment and resources,
including suitable facilities for practical instruction and shall maintain an
adequate professional library. It shall provide a sufficient number of
full-time salaried instructors with satisfactory professional training. It shall
provide a satisfactory major in accountancy and allied subjects. It shall
require for admission the satisfactory completion of an approved four-year
secondary school course of study or the equivalent.
(2) If any applicant is a graduate from a school which THAT has not
at the time of the filing of the application been approved by the board, the
board may make an investigation to determine whether or not the school
did, at the time of said THE applicant's attendance, meet the requirements set
forth in subsection (1) of this section. If the board finds that such THE
school did, at that time, meet the requirements set forth in said THAT
subsection, (1), the board may approve said THE school as of the time of the
applicant's graduation therefrom FROM THE SCHOOL.
(3) The board may, after a hearing, withdraw its approval of any
school which THAT fails to meet the requirements of the law and the
standards of the board. The board shall give notice to the school complained
against and shall hold a hearing on the complaint within a reasonable time
after notice is given.
PAGE 261-HOUSE BILL 19-1172
(4) Before disapproving any school for which approval is sought,
the board shall give notice to the school of its contemplated action and shall
hold a hearing within a reasonable time after notice is given, affording such
THE school an opportunity to be heard.
12-100-111. [Formerly 12-2-113] Issuance of certificate by
reciprocity or by passing examination of another state. (1) The board,
in its discretion, may waive the examination of persons qualified under this
subsection (1) and may issue a certificate of certified public accountant to:
(a) Any person who is the holder of a certificate of certified public
accountant issued after examination under the laws of another state and who
possesses the qualifications prescribed in section 12-2-108 12-100-107 for
an applicant applying for a certificate as of the time of the issuance of the
certificate by such THE other state or possesses substantially equivalent
qualifications;
(b) A person who has passed an examination under the laws of
another state and who possesses the qualifications prescribed in section
12-2-108 12-100-107 at the time the person applies for a certificate in this
state or possesses substantially equivalent qualifications; or
(c) Any person who is the holder of a certificate, license, or degree
in a foreign country which THAT constitutes a recognized qualification for
the practice of public accounting in such THE country, which is comparable
to that of a certified public accountant in this state, and which is in full force
and effect.
12-100-112. [Formerly 12-2-115] Use of the title "certified public
accountant". (1) (a) A person who has received from the board and holds
an active certificate of certified public accountant shall be styled and known
as a certified public accountant and may also use the abbreviation "C.P.A."
(b) A partnership, professional corporation, or limited liability
company of certified public accountants that is registered under this article
100 may use the words "certified public accountants" or the abbreviation
"C.P.A.s" in connection with its partnership, professional corporation, or
limited liability company name.
(2) A person authorized to use the title "certified public accountant"
PAGE 262-HOUSE BILL 19-1172
or the abbreviation "C.P.A." shall provide to any client residing in or
headquartered in Colorado, during the course of an engagement, an address
and telephone number for the certified public accountant's firm or, in the
case of a sole practitioner, the address and telephone number of the sole
practitioner.
(3) (a) Except as authorized in subsection (4) of this section, a
person shall not assume or use the title or designation "certified public
accountant", the abbreviation "C.P.A.", or any other title, designation,
words, letters, abbreviation, sign, card, or device tending to indicate that
such THE person is a certified public accountant unless the person holds a
certificate as a certified public accountant issued under this article 100 or
under the laws of any other state. A person who is inactive pursuant to
section 12-2-122.5 12-100-119 may use the title "inactive certified public
accountant" or "inactive C.P.A."
(b) Except as authorized by subsection (1) or (4) of this section, an
individual, partnership, professional corporation, or limited liability
company shall not assume or use any title or designation using the word
"certified", "registered", "chartered", "enrolled", "licensed", "independent",
or "approved" in conjunction with the word accountant or auditor or any
abbreviation thereof or any title, designation, or abbreviation likely to be
confused with "certified public accountant" or the abbreviation "C.P.A.",
including the terms "chartered accountant" and "certified accountant" and
the abbreviation "C.A."
(c) Except as authorized in subsection (4) of this section, a
partnership, professional corporation, or limited liability company shall not
assume or use the title or designation "certified public accountants", the
abbreviation "C.P.A.s", or any other title, designation, words, letters,
abbreviation, sign, card, or device tending to indicate that such THE
partnership, professional corporation, or limited liability company is
composed of certified public accountants unless such THE partnership,
professional corporation, or limited liability company is registered as a
partnership, professional corporation, or limited liability company of
certified public accountants under this article 100 or the laws of any other
state.
(4) (a) A certified public accountant from another state or
jurisdiction of the United States who is practicing in this state pursuant to
PAGE 263-HOUSE BILL 19-1172
section 12-2-121 12-100-117 may use the title "certified public accountant",
the abbreviation "C.P.A.", or any other title, designation, words, letters,
abbreviation, sign, card, or device tending to indicate that the person is a
certified public accountant.
(b) A foreign partnership, corporation, limited partnership, limited
liability limited partnership, or limited liability company that is practicing
in this state pursuant to section 12-2-121 12-100-117 may use the title or
designation "certified public accountants", the abbreviation "C.P.A.s", or
any other title, designation, words, letters, abbreviation, sign, card, or
device tending to indicate that the partnership, corporation, or limited
liability company is composed of certified public accountants.
12-100-113. [Formerly 12-2-115.5] Retired certified public
accountant. (1) Any person who has received from the board and holds a
certificate of certified public accountant, including an expired certificate of
certified public accountant that remains subject to renewal, reactivation, or
reinstatement, may apply to the board for retired status. The board may
grant such RETIRED status by issuing a retired status certificate of certified
public accountant to any person who meets established conditions
prescribed by the board.
(2) Any person issued a retired status certificate of certified public
accountant may be styled and known as a "retired certified public
accountant" or "retired C.P.A."
(3) During such THE time as a certified public accountant remains
in a retired status, such THE person shall not perform those acts set forth in
section 12-2-120 (6)(a) 12-100-116 (1)(a) and (6)(b) (1)(b). The board shall
retain jurisdiction over retired status certified public accountants.
12-100-114. [Formerly 12-2-117] Partnerships, professional
corporations, and limited liability companies composed of certified
public accountants - registration - rules - definitions. (1) Except as
provided in section 12-2-121 (2) 12-100-117 (2), a partnership, professional
corporation, or limited liability company engaged in this state in the practice
of public accounting as certified public accountants shall register with the
board as a partnership, professional corporation, or limited liability
company of certified public accountants and must meet the following
requirements; and, as used in this article 100, "partnership" includes a
PAGE 264-HOUSE BILL 19-1172
registered limited partnership, limited liability partnership, limited liability
limited partnership, foreign limited partnership, foreign limited liability
partnership, and foreign limited liability limited partnership:
(a) At least one partner, shareholder, or member who shall also be
a director or manager thereof must be a certified public accountant or
registered firm of this state in good standing.
(b) (I) A simple majority of the ownership of a certified public
accounting firm doing business as a public accounting firm in Colorado, in
terms of financial interests and voting rights of all partners, officers,
shareholders, members, or managers, shall be licensed certified public
accountants in good standing in this state or another state.
(II) (Deleted by amendment, L. 2005, p. 240, § 1, effective July 1,
2005.)
(c) Any other partner, shareholder, or member thereof may, but need
not, be a certified public accountant of some state, in good standing, or A
registered firm in this state who at all times owns such THE person's
partnership interest, corporate share, or membership interest in such THE
person's own right.
(d) Repealed.
(e) (d) Each resident manager in charge of an office of the
partnership, professional corporation, or limited liability company in this
state must be a certified public accountant of this state in good standing.
(f) (Deleted by amendment, L. 94, p. 1082, § 1, effective May 4,
1994.)
(2) (a) (I) Application for such registration shall be made upon the
affidavit of a partner of such THE partnership, of a shareholder of such THE
professional corporation, or of a member of such THE limited liability
company who is a certified public accountant of this state in good standing
and shall provide:
(A) The names and addresses of the persons who are practicing
public accounting for the partnership, professional corporation, or limited
PAGE 265-HOUSE BILL 19-1172
liability company;
(B) The names and addresses of the persons who are not certified
public accountants, but who are partners of a partnership, shareholders of
a professional corporation, or members of a limited liability company;
(C) Disclosure of all of the states in which the partnership,
professional corporation, or limited liability company is licensed, registered,
or permitted to practice. The application shall also disclose all of the states
in which licensure, registration, or permission to practice has been denied,
suspended, or revoked.
(D) Any other information the board may reasonably request; and
(E) A registration fee, the amount of which shall be set by the board,
to cover the board's administrative costs.
(II) Each member of the partnership, professional corporation, or
limited liability company may receive a copy of the application.
(III) The partner, shareholder, or member designated by the firm
shall notify the board in writing within thirty days after any change in the
partnership, professional corporation, or limited liability company,
including:
(A) Identities and numbers of partners, shareholders, members,
managers, or officers; and
(B) Location of places of business of the partnership, professional
corporation, or limited liability company.
(IV) The board may suspend or revoke THE registration of or impose
any other discipline the board sees fit to administer to a partnership,
professional corporation, or limited liability company that fails to notify the
board of any changes outlined in subparagraph (III) of this paragraph (a)
SUBSECTION (2)(a)(III) OF THIS SECTION.
(b) The board shall in each case determine whether the applicant is
eligible for registration.
PAGE 266-HOUSE BILL 19-1172
(2.2) (3) Each firm registration expires pursuant to a schedule
established by the director of the division of professions and occupations
within the department of regulatory agencies. The registrant shall renew or
reinstate the registration. The director of the division of professions and
occupations within the department of regulatory agencies may establish
renewal fees and delinquency fees for reinstatement pursuant to section
24-34-105, C.R.S. If a firm fails to renew its registration pursuant to the
schedule established by the director of the division of professions and
occupations, the registration shall expire ISSUED PURSUANT TO THIS ARTICLE
100 IS SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
A firm whose registration has expired shall be subject to the penalties
provided in this article 100 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
(2.5) (4) As used in subsections (3) and (3.5) SUBSECTION (5) of this
section, "employee" includes a member of a limited liability company and
a partner in a limited partnership, limited liability partnership, or limited
liability limited partnership or foreign limited partnership, limited liability
partnership, or limited liability limited partnership.
(3) (5) The corporation must be in compliance with the "Colorado
Business Corporation Act", articles 101 to 117 of title 7, C.R.S., and, to the
extent applicable under section 7-117-103, C.R.S., with the "Colorado
Corporation Code", articles 1 to 10 of title 7, C.R.S., as said THOSE articles
existed prior to their repeal on July 1, 1994. The limited liability company
must be in compliance with the "Colorado Limited Liability Company Act",
article 80 of title 7. C.R.S. The organizing documents of any partnership,
the articles of incorporation of any such corporation, or the articles of
organization of any such limited liability company shall contain provisions
complying with the following requirements:
(a) The partnership, corporation, or limited liability company shall
be organized solely for the purpose of practicing accountancy and such
other activities as may from time to time be specifically found by the board
to be activities suitable and proper to be performed by certified public
accountants only through or under the supervision of at least one person
who holds a certificate to practice public accounting as a certified public
accountant.
(b) Each partner who is personally engaged within this state in the
PAGE 267-HOUSE BILL 19-1172
practice of public accounting shall be a certified public accountant of this
state in good standing, and each partner not personally engaged within this
state in the practice of public accounting may, but need not, be a certified
public accountant of some state in good standing. The president of any such
corporation shall be a shareholder and a director, and one or more of such
THE directors shall be certified public accountants of this state in good
standing. The manager or managers of any such limited liability company
shall be a member or members and one or more of such THE managers shall
be certified public accountants of this state in good standing. Lay directors
and officers and managers shall not exercise any authority whatsoever over
professional matters.
(c) All partners, shareholders of the corporation, or members of the
limited liability company shall be jointly and severally liable for all acts,
errors, and omissions of the employees of the partnership, corporation, or
limited liability company except during periods of time when the
partnership, corporation, or limited liability company maintains in good
standing professional liability insurance, or designated or segregated
moneys MONEY in lieu of such THE professional liability insurance, which
THAT meets the standards set forth in subparagraphs (I) to (V) of this
paragraph (c) SUBSECTIONS (5)(c)(I) TO (5)(c)(V) OF THIS SECTION:
(I) The insurance shall insure the partnership, corporation, or limited
liability company against liability imposed upon the partnership,
corporation, or limited liability company by law for damages resulting from
any claim made against the partnership, corporation, or limited liability
company arising out of acts, errors, and omissions committed in the
performance of professional services for others by those employees of the
partnership, corporation, or limited liability company who hold certificates
to practice public accounting as certified public accountants.
(II) Such THE policies shall insure the partnership, corporation, or
limited liability company against liability imposed upon it by law for
damages arising out of the acts, errors, and omissions of all other
employees.
(III) The insurance shall be in an amount for each claim of at least
fifty thousand dollars multiplied by the number of certified public
accountants employed by or members of the partnership, corporation, or
limited liability company within this state, and the policy may provide for
PAGE 268-HOUSE BILL 19-1172
an aggregate top limit of liability per year for all claims of one hundred fifty
thousand dollars also multiplied by the number of certified public
accountants employed by or members of the partnership, corporation, or
limited liability company within this state; except that no firm shall be
required to carry insurance in excess of three hundred thousand dollars for
each claim with an aggregate top limit of liability for all claims during the
year of one million dollars and except that the board, in the public interest,
may adopt regulations RULES increasing the minimum amounts of insurance
coverage required by this subsection (3) (5). A policy of insurance obtained
in accordance with this subparagraph (III) SUBSECTION (5)(c)(III) may be
issued on a claims-made or occurrence basis.
(IV) (A) The policy may provide that it does not apply to: Any
dishonest, fraudulent, criminal, or malicious act or omission of the insured
partnership, corporation, or limited liability company or any partner,
stockholder, member, or employee thereof; the conduct of any business
enterprise in which the insured partnership, corporation, or limited liability
company under this article 100 is not permitted to engage but which
nevertheless may be owned by the insured partnership, corporation, or
limited liability company or in which the insured partnership, corporation,
or limited liability company may be a partner or which may be controlled,
operated, or managed by the insured partnership, corporation, or limited
liability company in its own or in a fiduciary capacity including the
ownership, maintenance, or use of any property in connection therewith;
and bodily injury to, or sickness, disease, or death of, any person, or to
injury to or destruction of any tangible property, including the loss of use
thereof.
(B) The policy may be of a type reasonably available in the
commercial insurance market and may contain reasonable provisions with
respect to policy periods, territory, claims, conditions, exclusions, and other
usual matters.
(C) The policy may provide for a deductible, or self-insured retained
amount, and may provide for the payment of defense or other costs out of
the stated limits of the policy, in either or both cases, all partners,
shareholders of the corporation, or members of the limited liability company
shall be jointly and severally liable for all acts, errors, and omissions of the
employees of the partnership, corporation, or limited liability company to
the extent of the amount of such THE deductible or retained self-insurance,
PAGE 269-HOUSE BILL 19-1172
and the amount, if any, by which the payment of defense costs reduces the
insurance remaining available for the payment of claims below the
minimum limit of insurance required by this paragraph (c) SUBSECTION
(5)(c).
(V) A partnership, corporation, or limited liability company may
maintain, in lieu of the insurance specified in subparagraph (III) of this
paragraph (c), moneys SUBSECTION (5)(c)(III) OF THIS SECTION, MONEY
specifically designated and segregated as security for the payment of
liabilities imposed by law against the partnership, corporation, or limited
liability company, or its partners, shareholders, or members, arising out of
claims of the type specified in subparagraphs (I) and (II) of this paragraph
(c) SUBSECTIONS (5)(c)(I) AND (5)(c)(II) OF THIS SECTION, in the amount of
at least fifty thousand dollars multiplied by the number of certified public
accountants employed by or members of the partnership, corporation, or
limited liability company within this state; except that such THE amount is
not required to exceed one million dollars and except that the board, in the
public interest, may adopt rules increasing the minimum amount of
designated and segregated moneys MONEY required by this subparagraph
(V) SUBSECTION (5)(c)(V). The partnership, corporation, or limited liability
company remains in compliance with this section notwithstanding amounts
paid from the designated or segregated moneys MONEY in any one calendar
year in settling or discharging such THE claims, so long as the amount of the
designated and segregated moneys MONEY is increased to at least the
minimum required amount as of the first business day of the next calendar
year. A partnership, corporation, or limited liability company is in
compliance with this subparagraph (V) SUBSECTION (5)(c)(V) if it maintains
moneys MONEY in the required amount in trust or in bank escrow in the
form of cash, bank certificates of deposit, or United States treasury
obligations, or maintains in effect bank unconditional, irrevocable letters of
credit in the required amount or insurance or surety company bonds in the
required amount. Such moneys THE MONEY or equivalency shall be
maintained in or issued by a qualified United States financial institution as
defined by section 10-1-102 (17). C.R.S.
(d) A partnership name shall be ended by words or abbreviations
permitted pursuant to the law under which the partnership is organized. The
corporate name shall be ended by the word "Corporation" or "Incorporated"
or by the words "Professional Corporation" or by the abbreviations "Corp.",
"Inc.", or "P.C." The name of any limited liability company shall be ended
PAGE 270-HOUSE BILL 19-1172
by the words "Limited Liability Company" or the abbreviation "LLC" or the
word limited may be abbreviated as "Ltd.", and the word company may be
abbreviated as "Co." An assumed or trade name may be used if it is not
misleading and clearly indicates that the firm is engaged in providing
accounting services.
(3.5) (6) No limited liability company, limited liability partnership,
limited partnership, or limited liability limited partnership, or foreign
limited partnership, limited liability partnership, or limited liability limited
partnership engaged in the practice of public accounting in this state and in
one or more other jurisdictions shall be required to include a provision in
its articles of organization or organizing documents as otherwise required
by subsection (3) (5) of this section, but shall be subject, with respect to the
practice of public accounting within this state, to the requirements of
paragraphs (a), (b), (c), and (d) of subsection (3) SUBSECTIONS (5)(a) TO
(5)(d) of this section.
(3.7) (7) Effective on the first renewal period established by the
board after May 31, 2011, The board shall not renew the registration of a
firm that issues attest or compilation reports unless the registered
partnership, professional corporation, or limited liability company has
undergone a peer review conducted according to rules promulgated by the
board that meet the standards for performing and reporting on a peer review
of the American Institute of Certified Public Accountants or an equivalent
standard.
(4) (8) The partnership, corporation, or limited liability company
may exercise the powers and privileges conferred upon partnerships,
corporations, and limited liability companies by the laws of Colorado in
furtherance of and subject to its partnership, corporate, or limited liability
company purposes and may invest its funds in a manner not incompatible
with the practice of public accounting as certified public accountants. Any
stock purchased by the corporation, or membership interest purchased by
the limited liability company or partnership interest purchased by the
partnership, may be made out of capital as well as surplus without regard
to the impairment of the partnership capital, corporation capital, or limited
liability company capital.
(5) (9) The partnership, corporation, or limited liability company
shall do nothing in this state which THAT, if done by a person who holds a
PAGE 271-HOUSE BILL 19-1172
certificate as a certified public accountant within this state and employed by
it, would violate the provisions of this article 100. Any violation by the
partnership, corporation, or limited liability company of this article 100
shall be grounds for the board, IN ACCORDANCE WITH SECTION 12-20-404,
to deny, revoke, suspend, or refuse to renew its THE registration, or the
board may fine, issue a confidential letter of concern to, issue a letter of
admonition to, or place on probation the registrant.
(6) (10) Nothing in this section shall diminish or change the
obligation of each person who holds a certificate of certified public
accountant employed by the partnership, corporation, or limited liability
company within this state to conduct such THE person's practice in
accordance with the provisions of this article 100. Any person who holds
a certificate to practice public accounting as a certified public accountant
who, by act or omission, causes the partnership, corporation, or limited
liability company to act or fail to act in a way which THAT violates this
article 100 is personally responsible for such THE act or omission and
subject to discipline therefor.
(7) (11) Foreign partnerships, corporations, limited partnerships,
limited liability limited partnerships, or limited liability companies may
engage in the practice of public accounting in this state as certified public
accountants so long as their organizing documents, articles of incorporation,
or articles of organization provide that such THE partnership, corporation,
limited partnership, limited liability limited partnership, or limited liability
company is organized solely for the purpose of practicing accountancy and
such other activities as may from time to time be specifically found by the
board to be activities suitable and proper to be performed by certified public
accountants and comply with and meet the requirements of subsection (3)
(5) of this section.
(8) (12) Except as provided in this section, partnerships,
professional corporations, and limited liability companies shall not practice
public accounting as certified public accountants.
(9) (13) Nothing in this section shall modify the accountant-client
privilege specified in section 13-90-107 (1)(f). C.R.S.
(10) (14) When any law of this state or any rule or regulation of any
agency or other authority established under the constitution or laws of this
PAGE 272-HOUSE BILL 19-1172
state requires or authorizes any audit, financial report, or statement to be
made, approved, or certified by a certified public accountant, such THE
audit, report, or statement may be made, approved, or certified by a
partnership, professional corporation, or limited liability company registered
in this state.
12-100-115. [Formerly 12-2-119] Continuing education - rules.
(1) to (4) Repealed.
(5) (1) As a condition of renewing, reactivating, or reinstating a
certificate of certified public accountant, every applicant shall comply with
continuing education requirements adopted by the board.
(6) (2) The board shall promulgate rules and regulations governing
the following:
(a) The basic requirements for continuing education; except that the
board shall not require continuing education of more than eighty hours
every two years;
(b) A delineation of qualifying programs;
(c) A system of control and reporting.
(7) (3) In exercising its power under subsection (6) (2) of this
section, the board shall, as a basis for a high standard of practice by
certified public accountants, establish requirements which THAT will assure
reasonable currency of knowledge. The requirements shall assure that a
variety of alternative means of compliance with continuing education
requirements are available to certificate holders and shall take cognizance
of specialized areas of practice.
(8) (4) The board shall make exceptions from continuing education
requirements for holders of certificates who are not engaged in public
practice or who cannot continue their education for reasons of health,
military service, or other good cause. If such THE holders of certificates
return to the practice of public accounting, the holders of certificates shall
meet such THE continuing education requirements as the board may
determine.
PAGE 273-HOUSE BILL 19-1172
(9) (5) The board shall determine in each case whether a holder of
certificate of certified public accountant has complied with continuing
education requirements adopted by the board.
12-100-116. [Formerly 12-2-120] Unlawful acts - definition.
(1) and (2) (Deleted by amendment, L. 2010, (HB 10-1236), ch. 146,
p. 500, § 12, effective July 1, 2010.)
(3) and (4) Repealed.
(5) (Deleted by amendment, L. 2010, (HB 10-1236), ch. 146, p. 500,
§ 12, effective July 1, 2010.)
(6) (1) (a) (I) No person, partnership, professional corporation, or
limited liability company shall issue, author, or publish any opinion or
certificate relating to any accounting or financial statement if such THE
opinion or certificate utilizes any title or designation, the use of which is
prohibited by law.
(II) No person, partnership, professional corporation, or limited
liability company shall, without an active certificate of certified public
accountant or a valid registration:
(A) As an independent auditor, make or conduct an investigation,
examination, or audit of the financial statements or supporting records of
any person, organization, or corporation, to determine the accuracy or
fairness with which they present the financial position, changes in financial
position, or financial results of operations of such THE person, organization,
or corporation;
(B) Attest or express an opinion, as an independent auditor, as to the
financial position, changes in financial position, or financial results of the
operation of any person, organization, or corporation, or as to the accuracy
or reliability of any financial information contained in any such accounting
or financial statement.
(III) The requirement in subparagraph (II) of this paragraph (a)
SUBSECTION (1)(a)(II) OF THIS SECTION that a person, partnership,
professional corporation, or limited liability company have an active
PAGE 274-HOUSE BILL 19-1172
certificate of certified public accountant or a valid registration issued by the
board shall not apply to a certified public accountant from another state or
a foreign partnership, professional corporation, or limited liability company
practicing accountancy in this state pursuant to section 12-2-121 (2)
12-100-117 (2).
(b) The provisions of paragraph (a) of this subsection (6)
SUBSECTION (1)(a) OF THIS SECTION shall not prohibit any officer or
employee of a corporation, partner or employee of a partnership, member
or employee of a limited liability company, or individual or employee of an
individual from:
(I) Making or conducting such THE investigation, examination, or
audit; or
(II) Issuing or authoring an assessment or certificate utilizing any
wording designating the position, title, or office that the person holds
concerning the financial affairs of such THE corporation, partnership,
limited liability company, or individual.
(c) The provisions of paragraph (a) of this subsection (6)
SUBSECTION (1)(a) OF THIS SECTION shall not prohibit any act of a public
official or public employee in the performance of his OR HER duties as such
or affect the qualifications of any person to testify as a witness before any
court or administrative agency of the state of Colorado who is determined
to be qualified by such THE court or agency.
(d) The term "independent auditor" as used in this section shall
mean any person or corporation engaged or employed to make or conduct
an audit of the financial statements or supporting records of any person,
organization, or corporation, to determine, on the basis of such THE audit,
the accuracy or fairness with which they present the financial position,
changes in financial position, or financial results of operations of such THE
person, organization, or corporation, other than an officer, employee, or
partner of the person, organization, or corporation under audit.
(e) The provisions of paragraph (a) of this subsection (6)
SUBSECTION (1)(a) OF THIS SECTION shall not prohibit the performance, by
persons other than certified public accountants, of other services involving
the use of accounting skills, including the preparation of tax returns and the
PAGE 275-HOUSE BILL 19-1172
preparation of financial statements without the expression of opinions or
assurances thereon.
(7) and (8) Repealed.
(9) (2) Nothing in this section shall be construed to prohibit any
person from preparing or assisting in the preparation of any report or tax
return to any agency of the federal, state, or local government or other
political subdivision if such THE preparation or assistance is otherwise
permissible under law or under the regulations of such THE agency or from
affixing the signature of the person or firm so preparing or assisting in the
preparation of any such THE report or return to said THE report or return.
(10) and (11) Repealed.
12-100-117. [Formerly 12-2-121] Exceptions - acts not prohibited
- rules. (1) Nothing in this article 100 shall prohibit any person WHO IS not
a certified public accountant from serving as an employee of or an assistant
to a certified public accountant holding an active certificate or serving as an
employee or assistant of a validly registered partnership, professional
corporation, or limited liability company composed of certified public
accountants. Such THE employee or assistant shall not issue any accounting
or financial statement over his OR HER name.
(2) (a) Nothing in this article 100 shall prohibit a certified public
accountant whose principal place of business is located in another state or
jurisdiction of the United States from practicing in this state on professional
business, as defined by rules promulgated by the board. Such THE practice
shall be conducted in conformity with rules promulgated by the board.
Notwithstanding the requirements of section 12-2-117 12-100-114, a
foreign partnership, corporation, limited partnership, limited liability limited
partnership, or limited liability company may engage in the practice of
accountancy in this state without registering with the board.
(b) Nothing in this article 100 shall prohibit
(I) an accountant who holds a certificate, degree, or license in a
foreign country, constituting a recognized qualification for the practice of
public accounting in such THE country, from practicing in this state on
professional business incident to his or her regular practice outside this
PAGE 276-HOUSE BILL 19-1172
state, as defined by the board. Such THE practice shall be conducted in
conformity with rules promulgated by the board.
(II) and (III) Repealed.
(c) A certified public accountant from another state or jurisdiction
of the United States who is practicing in this state pursuant to this
subsection (2) and the firm that employs the certified public accountant
simultaneously consent, as a condition of practicing in this state:
(I) To be subject to the jurisdiction of and disciplinary authority of
the board;
(II) To comply with the requirements of this subsection (2) and rules
promulgated by the board pursuant to this subsection (2);
(III) That, if the certified public accountant's certificate, license, or
registration issued by the state in which the certified public accountant's
principal place of business is located is no longer valid, the certified public
accountant will cease to offer or render professional services in this state,
either individually or on behalf of a firm; and
(IV) To appoint the state board or entity that issued a certificate,
license, or registration to the certified public accountant as the agent for
service of process in any action or proceeding brought by the board against
the certified public accountant.
(d) The board may recover its reasonable costs incurred as part of
its investigative, administrative, and disciplinary proceedings against a
certified public accountant from another state or jurisdiction of the United
States or from a foreign country if the board:
(I) Enters a final order against the certified public accountant,
finding that the certified public accountant violated a provision of this
article 100, a rule adopted by the board, or an order of the board with which
the certified public accountant is obligated to comply and the board has the
authority to enforce; or
(II) Enters into a consent or settlement agreement in which the board
finds, or the certified public accountant admits or does not contest, that he
PAGE 277-HOUSE BILL 19-1172
or she violated a provision of this article 100, a rule adopted by the board,
or an order of the board with which the certified public accountant is
obligated to comply and the board has the authority to enforce.
12-100-118. [Formerly 12-2-122] Single act evidence of practice.
Any person who displays, utters, or causes to be displayed or uttered a card,
sign, advertisement, or other printed, engraved, or written instrument or
device bearing such THE person's name in conjunction with the words
"certified public accountant", the abbreviation "C.P.A.", or any title,
designation, or abbreviation prohibited by section 12-2-115 12-100-112
may be presumed in any action brought under section 12-2-126 12-100-124
to have held himself or herself out to be a certified public accountant
holding an active certificate of certified public accountant pursuant to
section 12-2-108 12-100-107. In any legal action brought under this article
100, evidence of the commission of a single act prohibited by this article
100 is sufficient to justify an injunction.
12-100-119. [Formerly 12-2-122.5] Inactive certificant. (1) The
holder of a certificate of certified public accountant, upon written notice by
first-class mail to the board, shall have his or her name transferred to an
inactive list and shall not be required to comply with the continuing
education requirements for certificate renewal pursuant to section 12-2-119
12-100-115 so long as he or she remains inactive. Each inactive certificant
shall register in the same manner as active certificate holders and pay a fee
pursuant to section 12-2-108 (3) 12-20-202 (1). At such time as an inactive
certificant wishes to resume the practice of public accounting as a certified
public accountant, he or she shall file an application therefor, meet any
education requirements imposed by the board, and pay a fee as established
by the director. of the division of professions and occupations within the
department of regulatory agencies.
(2) During such time as a certified public accountant remains in an
inactive status, the certified public accountant shall not perform those acts
restricted to active certified public accountants pursuant to section 12-2-120
(6)(a) 12-100-116 (1)(a). The board shall retain jurisdiction over inactive
certified public accountants for the purposes of disciplinary action pursuant
to section 12-2-123 12-100-120.
12-100-120. [Formerly 12-2-123] Grounds for disciplinary action
- administrative penalties. (1) After notice and hearing as provided in
PAGE 278-HOUSE BILL 19-1172
section 12-2-125 12-100-123, the board may deny the issuance of, refuse to
renew, revoke, or suspend any certificate of a certified public accountant
issued under this article 2 or any prior law of this state or may fine, issue a
letter of admonition to, or place on probation the holder of any certificate
TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN SECTION
12-20-404 and impose other conditions or limitations for any of the
following causes:
(a) Fraud or deceit in obtaining or in attempting to obtain a
certificate as a certified public accountant or in obtaining registration under
this article 100;
(b) Fraud or negligence in the practice of public accounting in
Colorado or any other state or in the filing of or failure to file the certified
public accountant's own income tax returns;
(c) Violation of any provision of this article 100 OR AN APPLICABLE
PROVISION OF ARTICLE 20 OF THIS TITLE 12, of any final rule or regulation
promulgated by the board, or of any valid agency order;
(d) Violation of a rule of professional conduct promulgated by the
board under the authority granted by this article 100;
(e) Conviction of a felony OR OF A CRIME, AN ELEMENT OF WHICH IS
DISHONESTY OR FRAUD, under the laws of any state or of the United States.
and, For the purposes of this paragraph (e) SUBSECTION (1)(e), a plea of
guilty or a plea of nolo contendere accepted by the court shall be considered
as a conviction.
(f) Conviction of any crime, an element of which is dishonesty or
fraud, under the laws of any state or of the United States, and, for the
purposes of this paragraph (f), a plea of guilty or a plea of nolo contendere
accepted by the court shall be considered as a conviction;
(g) (f) Discipline taken against the person's authority to practice as
a certified public accountant or a public accountant in any jurisdiction;
(h) (g) Discipline taken against the person's right to practice before
any state or federal agency or agency outside the United States or the public
company accounting oversight board, created by the federal
PAGE 279-HOUSE BILL 19-1172
"Sarbanes-Oxley Act of 2002", 15 U.S.C. sec. 7201 et seq., AS AMENDED,
for improper conduct or willful violation of the rules or regulations of such
THE state or federal agency or the public company accounting oversight
board;
(i) Repealed.
(j) (h) Providing public accounting services to the public for a fee
without an active certificate of certified public accountant or a valid
registration or acting as a member, partner, or shareholder of a partnership
or professional corporation registered pursuant to section 12-2-117
12-100-114;
(k) and (l) Repealed.
(m) (i) Failure to comply with the requirements for continuing
education as prescribed by the board;
(n) (j) An act or omission which THAT fails to meet generally
accepted accounting principles or generally accepted auditing standards in
the profession;
(o) (k) Use of false, misleading, or deceptive advertising;
(p) (l) An alcohol use disorder, as defined in section 27-81-102, or
a substance use disorder, as defined in section 27-82-102, or an excessive
use of a habit-forming drug, controlled substance, as defined in section
18-18-102 (5), or alcoholic ALCOHOL beverage that renders the certified
public accountant unfit to practice public accounting;
(q) (m) Failure to retain records of the work performed for each
client for a period of five years;
(r) (n) Failure of a partnership, professional corporation, or limited
liability company to register with the board pursuant to section 12-2-117
12-100-114 and to renew the registration as prescribed by the board.
(2) In considering the conviction of crimes, as provided in
paragraphs (e) and (f) of subsection (1) SUBSECTION (1)(e) of this section,
the board shall be governed by the provisions of section SECTIONS
PAGE 280-HOUSE BILL 19-1172
12-20-202 (5) AND 24-5-101. C.R.S.
(3) (Deleted by amendment, L. 2010, (HB 10-1236), ch. 146, p. 497,
§ 9, effective July 1, 2010.)
(4) No certificant whose certificate is revoked shall be allowed to
apply for reinstatement of such certificate earlier than two years after the
effective date of the revocation.
(5) (a) (3) In addition to any other penalty that may be imposed
pursuant to this section, any person violating this article 100 or any rules
promulgated pursuant to this article 100 may be fined upon a finding of
misconduct by the board as follows, either:
(I) (a) In a proceeding against a certificant, a fine not in excess of
five thousand dollars per violation; or
(II) (b) In a proceeding against a registrant, a fine not in excess of
ten thousand dollars per violation.
(b) All fines collected pursuant to this subsection (5) shall be
transferred to the state treasurer, who shall credit such moneys to the
general fund.
12-100-121. [Formerly 12-2-123.5] Response to board
communication. A certificant shall, at the request of the board, respond to
communications from the board within thirty days after the mailing of any
communication.
12-100-122. [Formerly 12-2-124] Revocation or suspension of
partnership, professional corporation, or limited liability company
registration. (1) After notice and hearing as provided in section 12-2-125
12-100-123, the board shall revoke the registration of a partnership,
professional corporation, or limited liability company if, at the time of such
THE hearing, the partnership, professional corporation, or limited liability
company does not have all the qualifications prescribed by the section of
this article 100 under which it qualified for registration.
(2) After notice and hearing as provided in section 12-2-125
12-100-123, the board may deny, revoke, suspend, or refuse to renew the
PAGE 281-HOUSE BILL 19-1172
registration of a partnership, professional corporation, or limited liability
company or the board may fine, issue a letter of admonition to, or place on
probation TAKE DISCIPLINARY OR OTHER ACTION AGAINST a registrant AS
AUTHORIZED BY SECTION 12-20-404 for any of the causes enumerated in
section 12-2-123 12-100-120 or for the following additional causes:
(a) The revocation, suspension, or refusal to renew the certificate of
any partner, shareholder, or member;
(b) The cancellation, revocation, suspension, or refusal to renew the
authority of the partnership or any partner thereof to practice public
accounting in any other jurisdiction;
(c) The cancellation, revocation, suspension, or refusal to renew the
authority of the professional corporation, limited liability company, or
foreign corporation or limited liability company or any shareholder or
member thereof to practice public accounting by any other state or federal
jurisdiction, or jurisdiction outside the United States or the public company
accounting oversight board, created by the federal "Sarbanes-Oxley Act of
2002", 15 U.S.C. sec. 7201 et seq., AS AMENDED.
12-100-123. [Formerly 12-2-125] Hearings before board - notice
- procedure - review. (1) (a) The board may initiate proceedings under this
article 100, either on its own motion or on the complaint of any person.
(b) The board, through the department, of regulatory agencies, may
employ administrative law judges on a full-time or part-time basis to
conduct hearings as provided by this article 100 or on any matter within the
board's jurisdiction upon such conditions and terms as the board may
determine.
(2) Except as otherwise provided in this article 100, all proceedings
before the board with respect to the denial, suspension, or revocation of
certificates or registrations issued under this article 100 shall be conducted
pursuant to the provisions of sections 12-20-403, 24-4-104, and 24-4-105.
C.R.S.
(3) If, after having been served with the notice of hearing as
provided for in this section, the accused fails to appear at the hearing and
defend, the board may proceed to hear evidence against the accused and
PAGE 282-HOUSE BILL 19-1172
may enter such order as is justified by the evidence, which order shall be
final unless the accused petitions for a review thereof as provided in this
section. Within thirty days after the date of any order, upon a showing of
good cause for failing to appear and defend, the board may reopen the
proceedings and may permit the accused to submit evidence in his or her
behalf.
(4) The board or an administrative law judge shall have the power
to administer oaths, take affirmations of witnesses, and issue subpoenas to
compel the attendance of witnesses and the production of all relevant
papers, books, records, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter coming before the board. The
board may appoint an administrative law judge pursuant to part 10 of article
30 of title 24, C.R.S., to take evidence and to make findings and report them
to the board.
(4.5) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(5) (4) At all hearings, the attorney general of this state or one of the
attorney general's designated assistants shall appear and represent the board.
(6) (5) The decision of the board shall be by majority vote thereof.
12-100-124. [Formerly 12-2-126] Investigations - findings - board
actions - confidentiality of complaints. (1) (a) (I) The board, on its own
motion based on reasonable grounds or on the signed, written complaint of
any person, may investigate any person who has engaged, is engaging, or
threatens to engage in any act or practice that constitutes a violation of any
provision of this article The board or any member thereof may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing, investigation,
PAGE 283-HOUSE BILL 19-1172
accusation, or other matter coming before the board. The board may appoint
an administrative law judge pursuant to part 10 of article 30 of title 24,
C.R.S., to take evidence and to make findings and report them to the board
100. ACTIONS UNDER THIS SECTION ARE GOVERNED BY SECTION 12-20-403.
(II) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(b) (I) (2) (a) Complaints of record that are dismissed by the board
and the results of investigation of such THE complaints shall be closed to
public inspection.
(II) (b) Upon completing an investigation, the board shall make one
of the following findings:
(A) (I) The complaint is without merit and no further action need be
taken.
(B) (II) There is no reasonable cause to warrant further action.
(C) (III) The investigation discloses an instance of conduct that does
not warrant formal action and should be dismissed, but the investigation
discloses indications of possible errant conduct that could lead to serious
consequences if not corrected. If this finding is made, the board shall send
a confidential letter of concern to the licensee or registrant IN ACCORDANCE
WITH SECTION 12-20-404 (5).
(D) (IV) The investigation discloses an instance of conduct that does
not warrant formal action but should not be dismissed as being without
merit. If this finding is made, the board may send a letter of admonition IN
ACCORDANCE WITH SECTION 12-20-404 (4) to the licensee or registrant by
certified mail.
PAGE 284-HOUSE BILL 19-1172
(E) (V) The investigation discloses facts that warrant further
proceedings by formal complaint. If this finding is made, the board shall
refer the complaint to the attorney general for preparation and filing of a
formal complaint.
(III) (A) When a letter of admonition is sent to a licensee or
registrant, the board shall include in the letter a notice that the licensee or
registrant has the right to request in writing, within twenty days after receipt
of the letter, that formal disciplinary proceedings be initiated to adjudicate
the propriety of the conduct upon which the letter of admonition is based.
(B) If the request for adjudication is timely made, the letter of
admonition is vacated and the board shall proceed by means of formal
disciplinary proceedings.
(IV) (c) The board shall conduct all proceedings pursuant to this
subsection (1) OF THIS SECTION AND THIS SUBSECTION (2) expeditiously and
informally so that no licensee or registrant is subjected to unfair and unjust
charges and that no complainant is deprived of the right to a timely, fair,
and proper investigation of a complaint.
(c) (3) Complaints of record that are not dismissed by the board and
are the results of investigations of such THE complaints shall be closed to
public inspection and any meeting concerning such THE complaints shall be
closed to the public during the investigatory period and until a stipulated
agreement is reached between the applicant or certificate holder and the
board or until notice of hearing and charges are filed and served on an
applicant or certificate holder. Except for confidential books of account,
financial records, advice, reports, or working papers provided by the client,
the certified public accountant, or the certified public accounting firm, the
board's records and papers shall be subject to the provisions of sections
24-72-203 and 24-72-204 C.R.S., regarding public records and
confidentiality.
(2) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a certificate holder or
registered firm is acting in a manner that is an imminent threat to the health,
safety, and welfare of the public or a person is acting or has acted without
the required certificate or registration, the board may issue an order to cease
and desist such activity. The order shall set forth the statutes and rules
PAGE 285-HOUSE BILL 19-1172
alleged to have been violated, the facts alleged to have constituted the
violation, and the requirement that all unlawful acts or uncertified or
unregistered practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (2), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(3) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or uncertified
practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (3) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (3) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (3). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (3) does not appear at the
hearing, the board may present evidence that notification was properly sent
PAGE 286-HOUSE BILL 19-1172
or served upon such person pursuant to paragraph (b) of this subsection (3)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
certificate or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
uncertified practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (3), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(4) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any uncertified act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the board may enter into a
stipulation with such person.
(5) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(6) A person aggrieved by the final cease-and-desist order may seek
judicial review of the board's determination or of the board's final order as
PAGE 287-HOUSE BILL 19-1172
provided in section 12-2-127.
(7) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
12-100-125. [Formerly 12-2-127] Judicial review. (1) Any person
aggrieved by any SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF A final
action or order of the board. and affected thereby is entitled to a review
thereof by the court of appeals by appropriate proceedings under section
24-4-106 (11), C.R.S.
(2) For the purposes of review, the residence of the board shall be
the city and county of Denver.
12-100-126. [Formerly 12-2-128] Reconsideration and review of
action of board. The board, on its own motion or upon application, at any
time after the imposition of any discipline as provided in section 12-2-123
(1) 12-100-120 (1), may reconsider its prior action and reinstate or restore
such THE license or terminate probation or reduce the severity of its prior
disciplinary action. The taking of any such further action, or the holding of
a hearing with respect thereto, shall rest in the sole discretion of the board.
12-100-127. [Formerly 12-2-129] Unauthorized practice -
penalties. Any person who violates section 12-2-115 12-100-112 or
12-2-120 (6)(a) commits a class 2 misdemeanor and shall be punished as
provided in section 18-1.3-501, C.R.S., for the first offense, and, for the
second or any subsequent offense, the person commits a class 6 felony and
shall be punished as provided in section 18-1.3-401, C.R.S. 12-100-116
(1)(a) IS SUBJECT TO PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-100-128. [Formerly 12-2-130] Ownership of accountant's
working papers. All statements, records, schedules, working papers, and
memoranda made by a certified public accountant incident to or in the
course of professional service to a client by the certified public accountant,
except financial statements submitted by a certified public accountant to a
client and books and records prepared for the use of the client, shall be and
remain the property of the certified public accountant in the absence of an
express agreement to the contrary between the certified public accountant
PAGE 288-HOUSE BILL 19-1172
and the client.
12-100-129. [Formerly 12-2-130.5] Ownership of state auditor's
working papers. Except for reports submitted to the legislative audit
committee and books and records prepared for use by such committee, all
statements, records, schedules, working papers, and memoranda prepared
by a certified public accountant in the employ of the state auditor's office,
in the course of professional service to the legislative audit committee, shall
be and remain the property of the state auditor's office and shall be kept
confidential unless a majority of the members of the legislative audit
committee vote to open such documents.
12-100-130. [Formerly 12-2-132] Repeal of article. (1) This article
100 is repealed, effective July 1, 2019.
(2) Prior to such BEFORE THE repeal, the state board of accountancy
shall be reviewed as provided in IS SCHEDULED FOR REVIEW IN ACCORDANCE
WITH section 24-34-104. C.R.S.
ARTICLE 105
Barbers and Cosmetologists
12-105-101. [Formerly 12-8-101] Short title. THE SHORT TITLE OF
this article shall be known and may be cited as 105 IS the "Barber and
Cosmetologist Act".
12-105-102. [Formerly 12-8-102] Legislative declaration. The
purpose of this article 105 is to protect the public's health, safety, and
welfare with respect to the professional practice of barbers, hairstylists,
cosmetologists, estheticians, and nail technicians, and, therefore, testing
procedures and disciplinary actions are of the highest priority. Access of
qualified professionals to these professions shall not be unduly restricted.
The director of the division of professions and occupations in the
department of regulatory agencies is hereby directed to enforce this article
105 to accomplish the purposes set forth in this section.
12-105-103. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
105.
PAGE 289-HOUSE BILL 19-1172
12-105-104. [Formerly 12-8-103] Definitions. As used in this
article 8 105, unless the context otherwise requires:
(1) "Barber" means a person who engages in any of the practices of
barbering.
(2) "Barbering" means any one or combination of the following
practices when done upon the upper part of the human body for cosmetic
purposes and not for the treatment of disease or physical or mental ailments
and when done for payment either directly or indirectly or when done
without payment for the public generally: Shaving or trimming the beard;
cutting the hair; giving facial or scalp massage or treatment with oils,
creams, or lotions, or other chemical preparations, either by hand or with
mechanical appliances; dyeing the hair or applying hair tonic; applying
cosmetic preparations, antiseptics, powders, oils, clays, or lotions to the
scalp, face, neck, or shoulders.
(3) "Barber school" means an establishment operated by a person for
the purpose of teaching barbering that is certified by the private
occupational school division or the Colorado community college system, or
is an accredited technical school that teaches barbering.
(4) "Barbershop" or "beauty salon" means a fixed establishment,
temporary location, or place in which one or more persons engage in the
practice of barbering or cosmetology. The term "temporary location"
includes a motor home as defined in section 42-1-102 (57). C.R.S.
(5) "Beauty school" means an establishment operated by a person
for the purpose of teaching cosmetologists, estheticians, hairstylists, and
nail technicians that is certified by the private occupational school division
or the Colorado community college system, or is an accredited technical
school that teaches cosmetology.
(6) Repealed.
(7) (Deleted by amendment, L. 2005, p. 560, § 2, effective July 1,
2005.)
(8) (6) "Cosmetologist" means a person who engages in any of the
practices of cosmetology.
PAGE 290-HOUSE BILL 19-1172
(9) (7) "Cosmetology" means any one act or practice, or any
combination of acts or practices, not for the treatment of disease, physical
illness, or a behavioral, mental health, or substance use disorder, when done
for payment either directly or indirectly or when done without payment for
the public generally, usually performed by and included in or known as the
profession of beauty culturists, beauty operators, beauticians, estheticians,
cosmetologists, or hairdressers or of any other person, partnership,
corporation, or other legal entity holding itself out as practicing
cosmetology by whatever designation and within the meaning of this article
8 105. In particular, "cosmetology" includes, but is not limited to, any one
or a combination of the following acts or practices: Arranging, dressing,
curling, waving, cleansing, cutting, singeing, bleaching, coloring, or similar
work upon the hair of a person by any means and, with hands or a
mechanical or electrical apparatus or appliance or by the use of cosmetic or
chemical preparations; manicuring or pedicuring the nails of a person;
giving facials, applying makeup, giving skin care, or applying eyelashes
involving physical contact with a person; beautifying the face, neck, arms,
bust, or torso of the human body by use of cosmetic preparations,
antiseptics, tonics, lotions, or creams; massaging, cleaning, or stimulating
the face, neck, arms, bust, or torso of the human body with the use of
antiseptics, tonics, lotions, or creams; removing superfluous hair from the
body of a person by the use of depilatories or waxing or by the use of
tweezers; and the trimming of the beard.
(9.3) "Director" means the director of the division of professions
and occupations in the department of regulatory agencies.
(9.4) (8) "Esthetician" means any person who engages in any one or
more of the following practices not for the treatment of disease or physical
ailments:
(a) Giving facials, applying makeup, giving skin care, or applying
eyelashes, involving physical contact, to any person;
(b) Beautifying the face, neck, arms, bust, or torso of the human
body by the use of cosmetic preparations, antiseptics, tonics, lotions, or
creams;
(c) Massaging, cleaning, or stimulating the face, neck, arms, bust,
or torso of the human body by means of the hands, devices, apparatus, or
PAGE 291-HOUSE BILL 19-1172
appliances with the use of cosmetic preparations, antiseptics, tonics, lotions,
or creams;
(d) Removing superfluous hair from the body of any person by the
use of depilatories or waxing or by the use of tweezers.
(9.5) Repealed.
(9.7) (9) "Hairstyling" means providing one or more of the
following hair care services not for the treatment of disease or physical or
mental ailments upon the upper part of the human body for cosmetic
purposes for payment either directly or indirectly, or when done without
payment for the public generally:
(a) Cleansing, massaging, or stimulating the scalp with oils, creams,
lotions, or other cosmetic or chemical preparations, using the hands or with
manual, mechanical, or electrical implements or appliances;
(b) Applying cosmetic or chemical preparations, antiseptics,
powders, oils, clays, or lotions to the scalp;
(c) Cutting, arranging, applying hair extensions to, or styling the hair
by any means using the hands or with manual, mechanical, or electrical
implements or appliances;
(d) Cleansing, coloring, lightening, waving, or straightening the hair
with cosmetic or chemical preparations, using manual, mechanical, or
electrical implements or appliances;
(e) Trimming the beard.
(9.8) (10) "Hairstylist" means a person who engages in any of the
practices of hairstyling.
(10) Repealed.
(10.5) (11) "Manicuring" means any one act or practice, or
combination of acts or practices, not for the treatment of disease or physical
or mental ailments, when done for direct or indirect payment or when done
without payment for the public generally. "Manicuring" includes, but is not
PAGE 292-HOUSE BILL 19-1172
limited to, the filing, buffing, polishing, cleansing, extending, protecting,
wrapping, covering, building, pushing, or trimming of nails or any other
similar work upon the nails of a person by any means, including the
softening of the hands, arms, ankles, or feet of a person by use of hands, a
mechanical or electrical apparatus or appliance, cosmetic or chemical
preparations, antiseptics, lotions, or creams or by massaging, cleansing,
stimulating, manipulating, or exercising the arms, hands, feet, or ankles of
a person. Manicuring also includes waxing or the use of depilatories on the
leg up to the knee and the waxing or the use of depilatories on the arm up
to the elbow.
(11) (12) "Nail technician" means a person who engages in the
limited practices of cosmetology known as manicuring. Unless otherwise
licensed under this article 105, a nail technician shall not engage in the
practice of cosmetology, except manicuring.
(11.5) (13) "Natural hair braiding" means a service that results in
tension on hair strands or roots by twisting, wrapping, weaving, extending,
locking, or braiding by hand or with a mechanical device, as long as the
service does not include hair cutting or the application of dyes, reactive
chemicals, or other preparations to alter the color of the hair or to straighten,
curl, or alter the structure of the hair.
(12) (14) "Owner" includes any person who has a financial interest
in a barbershop or beauty salon or any other place of business entitling such
THE person to participate in the promotion, management, or proceeds
thereof. It does not include a person whose connection with the barbershop,
beauty salon, or other place of business entitles such THE person only to
reasonable salary or wages for services actually rendered. The owner of a
place of business is the person responsible for registering such THE place of
business with the director.
(13) (15) "Place of business" means a fixed establishment,
temporary location, or place, including any mobile barber shop or beauty
salon, in which one or more persons engage in the practice of barbering,
hairstyling, or cosmetology or practice as a nail technician or an esthetician.
The term "temporary location" includes a motor home as defined in section
42-1-102 (57). C.R.S.
12-105-105. [Formerly 12-8-107] Books and records - report -
PAGE 293-HOUSE BILL 19-1172
publications. (1) The director shall keep a record of proceedings. The
director shall keep a register of applicants for licenses showing the name
and address of each applicant and whether such applicant was granted or
refused a license. The director shall keep a register of places of business
showing each owner's name and the address of each such place of business.
The books and records of the director shall be prima facie evidence of
matters contained therein and shall constitute public records.
(2) Repealed.
(3) (2) Publications of the director circulated in quantity outside the
executive branch shall be issued in accordance with the provisions of
section 24-1-136. C.R.S.
12-105-106. [Formerly 12-8-108] Powers and duties of the
director - advisory committee. (1) The director has the following powers
and duties:
(a) To promulgate in accordance with article 4 of title 24, C.R.S.,
such rules and regulations as are necessary for the administration of this
article RULES IN ACCORDANCE WITH SECTION 12-20-204;
(b) To revoke or suspend a license or registration pursuant to section
12-8-114.5, or to deny, fine, place on probation, TAKE DISCIPLINARY OR
OTHER ACTION AS AUTHORIZED IN SECTION 12-20-404 or limit the scope of
practice of an applicant, licensee, or registrant, upon proof of a violation of
this article 105 or the rules promulgated pursuant to this article 105;
(c) To prescribe, with the approval of the department of public
health and environment, such safety and sanitary rules as the director may
deem necessary to protect the health and safety of the public;
(d) To supervise and regulate the industries of barbering, hairstyling,
and cosmetology and the practices of estheticians and nail technicians of
this state in accordance with this article 105, but nothing contained in this
article 105 shall be construed to abrogate the status, force, or operation of
any provisions of any public health law of this state or any local health
ordinance or regulation;
(e) To establish criteria for applicant eligibility for examination and
PAGE 294-HOUSE BILL 19-1172
to establish procedures for the registration of places of business;
(f) (I) To investigate, IN ACCORDANCE WITH SECTION 12-20-403,
upon his or her THE DIRECTOR'S own initiative or upon receiving a
complaint, all suspected or alleged violations of this article 105, unless the
director or his or her designee determines that a complaint or alleged
violation is without merit, and to enter premises in which violations are
alleged to have occurred during business hours;
(II) The director or an administrative law judge shall have the power
to administer oaths, take affirmations of witnesses, and issue subpoenas to
compel the attendance of witnesses and the production of all relevant
papers, books, records, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter coming before the director
pursuant to this article. The director may appoint an administrative law
judge pursuant to part 10 of article 30 of title 24, C.R.S., to take evidence
and to make findings and report them to the director.
(III) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(g) By and through the attorney general of this state, To apply, to a
court of competent jurisdiction IN ACCORDANCE WITH SECTION 12-20-406,
for an order enjoining any act or practice which THAT constitutes a violation
of this article 105. Upon a showing to the satisfaction of the court that a
person is engaging or intends to engage in any such act or practice, an
injunction, temporary restraining order, or other appropriate order shall be
granted by such court, regardless of the existence of another remedy
therefor. The requirements for notice, hearing, duration of any injunction
or temporary restraining order issued pursuant to this paragraph (g), or other
similar matter shall be in accordance with the Colorado rules of civil
procedure.
PAGE 295-HOUSE BILL 19-1172
(h) (I) To send letters of admonition When a complaint or
investigation discloses an instance of misconduct that, in the opinion of the
director, does not warrant formal action by the director but that should not
be dismissed as being without merit, a letter of admonition may be issued
and sent to the licensee or registrant. UNDER THE CIRCUMSTANCES SPECIFIED
IN AND IN ACCORDANCE WITH SECTION 12-20-404 (4);
(II) When a letter of admonition is sent by the director to a licensee
or registrant, the licensee or registrant shall be advised that he or she has the
right to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(III) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(i) To issue cease-and-desist orders pursuant to UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
section 12-8-127.5 12-20-405;
(j) To issue confidential letters of concern When a complaint or
investigation discloses an instance of conduct that does not warrant formal
action by the director and, in the opinion of the director, the complaint
should be dismissed, but the director has noticed indications of possible
errant conduct by the licensee or registrant that could lead to serious
consequences if not corrected, a confidential letter of concern may be issued
and sent to the licensee or registrant UNDER THE CIRCUMSTANCES SPECIFIED
IN SECTION 12-20-404 (5).
(2) (a) The director shall appoint a six-member advisory committee
to assist in the performance of the director's duties. The advisory committee
consists of at least three licensees who have expertise in the area under
review; one owner or operator of a school that provides training for
licensees in the industry and is licensed by the private occupational school
division; a representative from a Colorado licensed school that provides
training for licensees in the industry; and a member of the public. Members
of the advisory committee shall not be compensated for their services but
shall be reimbursed for actual and necessary expenses incurred in the
performance of their duties under this article 105. The advisory committee
PAGE 296-HOUSE BILL 19-1172
shall meet at least once per year and prior to the adoption of rules, and at the
request of the director.
(b) (Deleted by amendment, L. 2015.)
12-105-107. [Formerly 12-8-110] Examinations. (1) For the
benefit of applicants, the director shall hold examinations as often as
necessary, subject to appropriation constraints.
(2) The respective examinations of applicants for licenses to practice
barbering, hairstyling, or cosmetology under this article 105 shall be
conducted under rules prescribed by the director and shall include practical
demonstrations, written tests in reference to the practices to which a license
is applied, and such related studies or subjects as the director may determine
necessary for the proper and efficient performance of such THE practices,
and such THE examinations shall not be confined to any specific system or
method. The practical demonstrations shall be conducted under conditions
that are as similar to actual operating conditions as possible. The director
is authorized to rent adequate facilities in which to hold such THE
examinations.
(3) The examinations must be consistent with the practical and
theoretical requirements of the practices of barbering, hairstyling, or
cosmetology or providing nail technician or esthetician services as provided
by this article 105, and the director shall review, revise, and update the
examinations periodically on a reasonable basis in consultation with the
advisory committee created pursuant to section 12-8-108 12-105-106.
Examinations must be graded promptly, and the results of the examinations
must be made available to the applicants promptly. The examination must
emphasize health and safety issues.
(4) The director shall offer a separate and complete testing station
and facility for each applicant, and no oral examination shall be given in
connection with practical demonstrations.
(5) No person is permitted to examine applicants in any of the
practical portions for barbers, hairstylists, cosmetologists, estheticians, or
nail technicians in which the person has not had practical experience and
received a license as provided in this article 105.
PAGE 297-HOUSE BILL 19-1172
(6) Repealed.
12-105-108. [Formerly 12-8-111] Application - form. (1) Each
applicant for examination shall file with the director or the director's
designee, a written application in such THE form as the director may require
to set forth the qualifications of the applicant and shall submit satisfactory
proof of the required age and education.
(2) Each applicant for registration shall file with the director or the
director's designee, a written application in such THE form as the director
may require pursuant to section 12-8-114.5 12-105-112.
(3) Repealed.
(4) A person who has had a license revoked or has surrendered a
license in lieu of discipline may not submit an application for licensure until
two years after the date that the license was revoked or surrendered.
12-105-109. [Formerly 12-8-112] Results of examinations. The
results of examinations and the qualifications of applicants for admission
to such THE examinations or for licenses shall be determined by the director
or by such person as the director shall designate.
12-105-110. [Formerly 12-8-113] When the director admits
applicant. If the director finds that the applicant meets the qualifications of
sections 12-8-111 12-105-108 and 12-8-114 12-105-111 and has submitted
any other credentials required by the director for admission to the
examination and has paid the required fee, the director shall admit such THE
applicant to examination.
12-105-111. [Formerly 12-8-114] Qualifications of applicants -
requirements - rules. (1) An applicant for any license provided in this
article 105 or for examination shall be at least sixteen years of age.
(2) An applicant for examination shall furnish proof of graduation
from a barber school or beauty school approved by the private occupational
school division pursuant to article 64 of title 23; approved by the state board
for community colleges and occupational education pursuant to article 60
of title 23; or, if the school is located in another state or country, approved
by the governmental agency responsible for approving such THE schools in
PAGE 298-HOUSE BILL 19-1172
that state or country. The applicant shall also furnish proof that the applicant
has successfully completed educational requirements equal to those set by
the director. If the applicant has graduated from a school located outside
Colorado, the applicant shall furnish proof that the applicant has
successfully completed educational requirements substantially equal to
those set by the director.
(3) The director shall promulgate rules to implement this section, but
shall not require an applicant for examination to furnish proof of training
of more than the number of hours of course completion in the subject area
in which the applicant seeks licensure as follows:
(a) FOR A COSMETOLOGIST:
(I) Fifty credits, as defined by:
(A) Institutional accreditation requirements;
(B) The Colorado commission on higher education full-time
equivalent clock-to-credit hour requirements; or
(C) The department of education accreditation requirements; or
(II) One thousand five hundred contact hours; for a cosmetologist;
(b) FOR A BARBER:
(I) Fifty credits, as defined by:
(A) Institutional accreditation requirements;
(B) The Colorado commission on higher education full-time
equivalent clock-to-credit hour requirements; or
(C) The department of education accreditation requirements; or
(II) One thousand five hundred contact hours; for a barber;
(c) Six hundred contact hours for an esthetician;
PAGE 299-HOUSE BILL 19-1172
(d) Six hundred contact hours for a nail technician;
(e) One thousand two hundred contact hours for a hairstylist.
(4) Every person desiring to obtain a license to practice the
occupation of a barber, cosmetologist, esthetician, hairstylist, or nail
technician in this state shall apply and pay to the director an examination
fee. The director shall issue a license to applicants who successfully pass
the examination and who qualify upon the payment of the required fee.
(5) Notwithstanding any law to the contrary, no examinations for a
hairstylist license and no hairstylist licenses shall be issued until on or after
January 15, 2001.
12-105-112. [Formerly 12-8-114.5] Registration for places of
business. (1) Each owner of a place of business shall register with the
director. The director shall maintain a registry of the places of business. The
director is authorized to establish and collect a fee that is based on the
director's actual costs associated with the maintenance of the registry.
(2) If an applicant for registration has paid the required fee and
complied with the requirements of this article 105, the director shall issue
the registration. The registration must be conspicuously displayed in the
place of business.
(3) It is unlawful for a place of business to offer barbering,
cosmetology, hairstyling, or esthetician or nail technician services in this
state unless the place of business is registered with the director.
12-105-113. [Formerly 12-8-115] Renewal and reinstatement of
license. All licenses shall expire pursuant to a schedule established by the
director and shall be renewed or reinstated pursuant to section 24-34-102
(8), C.R.S. The director may establish renewal fees and delinquency fees for
reinstatement pursuant to section 24-34-105, C.R.S. If a person fails to
renew his or her license pursuant to the schedule established by the director
of the division of professions and occupations, such license shall expire
ISSUED PURSUANT TO THIS ARTICLE 105 ARE SUBJECT TO THE RENEWAL,
EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED
IN SECTION 12-20-202 (1) AND (2). Any person whose license has expired
shall be subject to the penalties provided in this article 105 or section
PAGE 300-HOUSE BILL 19-1172
24-34-102 (8), C.R.S. 12-20-202 (1).
12-105-114. [Formerly 12-8-116] Fees. (1) Fees shall be as
established pursuant to section 24-34-105, C.R.S. 12-20-105 AND SHALL
NOT BE REFUNDED.
(2) No fees shall be refunded.
(3) The executive director of the department of regulatory agencies
shall determine the length of time for licensing periods and for license
renewal periods, not to exceed three years.
(4) All fees for examinations, registrations, and licenses must be
paid in advance, except as otherwise provided in this article.
(5) The director shall collect all fees and transmit the fees to the
state treasurer, who shall credit the moneys pursuant to section 24-34-105,
C.R.S. The general assembly shall make annual appropriations pursuant to
section 24-34-105, C.R.S., for expenditures of the director incurred in the
performance of his or her duties pursuant to this article, which expenditures
must be made by vouchers and warrants drawn pursuant to law.
12-105-115. [Formerly 12-8-118] Licensure by endorsement -
rules. (1) The director shall issue a license by endorsement to engage in the
practice of barbering, cosmetology, hairstyling, manicuring, or esthetician
services in this state to an individual who possesses an active license in
good standing to practice in that profession in another state or territory of
the United States or in a foreign country if the applicant presents proof that
is satisfactory to the director, that the applicant:
(a) Possesses a valid license from another state or jurisdiction that
is substantially equivalent to the requirements in Colorado for licensure and
meets all other requirements for licensure pursuant to this article 105. The
director may specify by rule what shall constitute substantially equivalent
licensure and qualifications. and
(b) Has paid the prescribed licensure fees.
12-105-116. [Formerly 12-8-119] Issuance of license - display. If
an applicant for examination to practice barbering, hairstyling, or
PAGE 301-HOUSE BILL 19-1172
cosmetology or to provide esthetician or nail technician services passes the
examination and has paid the required fee and complies with the
requirements of this article 105, the director shall issue a license to that
effect. The license is evidence that the person to whom it is issued is
entitled to engage in the practices, occupation, or occupations stipulated in
the license. The license must be conspicuously displayed in the licensee's
principal office or place of business or employment.
12-105-117. [Formerly 12-8-120] License required. It is unlawful
for any person to engage in, or attempt to engage in, the occupation of
barbering, hairstyling, or cosmetology or to provide esthetician or nail
technician services in this state unless the person first obtains a license as
provided in this article 105.
12-105-118. [Formerly 12-8-121] Exemptions. (1) Nothing in this
article 105 prohibits services by:
(a) A person who is acting within the scope of practice for which he
or she is licensed, registered, or certified;
(b) Licensed or unlicensed volunteers in the performance of
charitable services for washing and setting the hair of:
(I) Patients confined to hospitals or nursing, convalescent, or
boarding homes;
(II) Persons confined to their homes by reason of age, physical or
mental infirmity, or physical disability;
(c) A student of a barbering, hairstyling, or cosmetology school or
of esthetician or nail technician services who has received more than twenty
percent of the hours of instruction required in section 12-8-114 (3)
12-105-111 (3) and who is rendering services at the school under
supervision of a licensee within the school setting;
(d) A person who provides the service of natural hair braiding.
(2) and (3) Repealed.
(4) (2) Lectures and demonstrations on beauty culture, hairdressing,
PAGE 302-HOUSE BILL 19-1172
and the use of beauty preparations performed without compensation do not
constitute the practice of cosmetology, and nothing in this article 105
prevents the giving of lectures to and demonstrations on any person. The
application of beauty products for the exclusive purpose of recommending,
demonstrating, or selling the products does not constitute the practice of
cosmetology.
12-105-119. [Formerly 12-8-122] Director may employ aid -
compensation. The director may employ any person licensed pursuant to
this article 105 for the purpose of conducting examinations. The person
must not be connected with any school teaching barbering, hairstyling, or
cosmetology or esthetician or nail technician students. Any person
employed by the director may receive compensation for services for each
day employed in the actual discharge of the person's official duties and
actual and necessary expenses incurred, to be set by the director upon the
approval of the executive director. of the department of regulatory agencies.
12-105-120. [Formerly 12-8-123] Inspections. Upon written
complaint, inspections under section 12-8-108 (1)(f) 12-105-106 (1)(f) of
barbershops, beauty salons, places of business, and booths rented therein
operated by independent licensees may be conducted by the director, or the
director may contract for such THE inspections. The director shall maintain
detailed records of all complaints and responses to such THE complaints.
12-105-121. [Formerly 12-8-127] Unauthorized practice -
penalties - fines. (1) Any person who practices or offers or attempts to
practice barbering, hairstyling, esthetics, manicuring, or cosmetology
without an active license issued under this article commits a class 2
misdemeanor and shall be punished as provided in section 18-1.3-501,
C.R.S., for the first offense, and, for the second or any subsequent offense,
the person commits a class 6 felony and shall be punished as provided in
section 18-1.3-401, C.R.S. 105 IS SUBJECT TO PENALTIES PURSUANT TO
SECTION 12-20-407 (1)(a).
(2) In addition to any other penalty, any person who violates the
provisions of this article 105 or the rules and regulations of the director
promulgated under this article 105 may be penalized FINED by the director
upon a finding of a violation, pursuant to article 4 of title 24, C.R.S., as
follows:
PAGE 303-HOUSE BILL 19-1172
(a) In the first administrative proceeding against any person, a fine
of not less than one hundred dollars but not more than five hundred dollars
per day per violation;
(b) In any subsequent administrative proceeding against any person
for transactions occurring after a final agency action determining that a
violation of this article 105 has occurred, a fine of not less than one
thousand dollars but not more than two thousand dollars per day per
violation.
(3) Repealed.
(4) All fines collected pursuant to this article shall be transferred to
the state treasurer, who shall credit such moneys to the general fund.
12-105-122. [Formerly 12-8-128] Enforcement. It is the duty of the
district attorneys of each judicial district of this state and the attorney
general of this state to prosecute all persons charged with the violation of
any of the provisions of this article 105. It is the duty of the director to aid
said THE attorneys in the enforcement of this article 105.
12-105-123. [Formerly12-8-129] Investigations. The practice and
procedure of the director with respect to any investigation by the director
authorized by this article 105 shall be in accordance with rules and
regulations promulgated by the director, which rules and regulations shall
provide for, but need not be limited to, investigation powers, including the
right to enter the premises of any place of business registered or subject to
registration under this article 105 at any time said THE business is open or
has members of the public present on the premises.
12-105-124. [Formerly 12-8-131] Disciplinary proceedings -
administrative law judges - judicial review. (1) The director may,
through the department, of regulatory agencies, employ administrative law
judges to conduct hearings as provided by this section or on any matter
within the director's jurisdiction upon such conditions and terms as the
director may determine.
(2) A proceeding for discipline of a licensee or registrant shall be
commenced when the director has reasonable grounds to believe that a
licensee or registrant has committed acts that may violate the provisions of
PAGE 304-HOUSE BILL 19-1172
this article 105. The grounds may be established by an investigation begun
by the director on the director's own motion or by an investigation pursuant
to a written complaint. SECTION 12-20-403 AND ARTICLE 4 OF TITLE 24
GOVERN PROCEEDINGS UNDER THIS SECTION.
(3) Notice of the commencement of disciplinary proceedings
pursuant to this section shall be given to the licensee, registrant, or applicant
in the manner prescribed by section 24-4-105, C.R.S.
(4) (3) Any hearing on the revocation or suspension of a license, or
on the denial of an application for a new license, or for renewal of a
previously issued license shall be conducted by an administrative law judge.
and such administrative law judge shall be vested with all powers and
authority prescribed by article 4 of title 24, C.R.S.
(5) The administrative law judge shall make an initial decision,
which shall include a statement of findings and conclusions upon all the
material issues of fact and law presented by the record and the appropriate
order, sanction, or relief. In the absence of an appeal to the director or a
review upon motion of the director within thirty days after service of the
initial decision of the administrative law judge, the initial decision shall
become the decision of the director.
(6) Review by the director of the initial decision of the
administrative law judge upon appeal or upon the director's own motion
shall be conducted in accordance with section 24-4-105, C.R.S. The
findings of fact made by the administrative law judge shall not be set aside
by the director on review unless such findings are contrary to the weight of
the evidence. The director may remand the matter to the administrative law
judge for such further proceedings as the director may direct, or the director
may affirm, set aside, or modify the order, sanction, or relief entered, in
conformity with the facts and the law. Each decision shall be served as
prescribed by section 24-4-105, C.R.S.
(7) (4) Final action by the director may be judicially reviewed The
court of appeals shall have initial jurisdiction to review all final actions and
orders that are subject to judicial review. Such proceedings shall be
conducted in accordance with section 24-4-106 (11), C.R.S. IN
ACCORDANCE WITH SECTION 12-20-408.
PAGE 305-HOUSE BILL 19-1172
(8) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
12-105-125. [Formerly 12-8-132] Grounds for discipline. (1) The
director may deny, revoke, suspend, or make probationary any license or
registration issued under the director's authority pursuant to this article
TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN SECTION
12-20-404 upon proof that the licensee:
(a) Has been convicted of or has entered a plea of nolo contendere
to a felony. In considering the conviction of or such THE plea to any such
crime, the director shall be governed by the provisions of section SECTIONS
12-20-202 (5) AND 24-5-101. C.R.S.
(b) Made any misstatement on his or her application for licensure to
practice as a barber, hairstylist, cosmetologist, esthetician, or nail technician
or attempted to obtain a license to practice by fraud, deception, or
misrepresentation;
(c) Committed an act or failed to perform an act necessary to meet
the generally accepted standards to practice a profession licensed under this
article 105, which shall include performing services outside of the person's
area of training, experience, or competence;
(d) Excessively or habitually uses or abuses alcohol or controlled
substances;
(e) Has violated any of the provisions of this article 105, AN
APPLICABLE PROVISION OF ARTICLE 20 OF THIS TITLE 12, or any valid order
of the director;
(f) Is guilty of unprofessional or dishonest conduct;
(g) Advertises by means of false or deceptive statement;
(h) Fails to display the license as provided in section 12-8-119
12-105-116;
PAGE 306-HOUSE BILL 19-1172
(i) Fails to comply with the rules promulgated by the director as
provided in PURSUANT TO section 12-8-108 (1)(a) 12-105-106 (1)(a);
(j) Is guilty of willful misrepresentation;
(k) Fails to disclose to the director within forty-five days a
conviction for a felony or any crime that is related to the practice as a
barber, cosmetologist, esthetician, hairstylist, or nail technician;
(l) Aids or abets the unlicensed practice of barbering, hairstyling, or
cosmetology or the unlicensed provision of esthetician or nail technician
services; or
(m) Fails to timely respond to a complaint sent by the director
pursuant to section 12-8-131 12-105-124.
12-105-126. [Formerly 12-8-133] Repeal of article. This article
105 is repealed, effective September 1, 2026. Prior to such BEFORE THE
repeal, the functions of the director and the advisory committee created in
section 12-8-108 shall be reviewed as provided for 12-105-106 ARE
SCHEDULED FOR REVIEW in ACCORDANCE WITH section 24-34-104. C.R.S.
ARTICLE 110
Combative Sports
12-110-101. [Formerly 12-10-101] Short title. THE SHORT TITLE OF
this article shall be known and may be cited as 110 IS the "Colorado
Professional Boxing Safety Act".
12-110-102. [Formerly 12-10-102] Legislative declaration.
(1) The general assembly hereby finds, determines, and declares that the
federal "Professional Boxing Safety Act of 1996", 15 U.S.C. SEC. 6301 ET
SEQ., AS AMENDED, requires the state of Colorado to establish a state boxing
commission. Because there is no state boxing commission, any professional
boxing match held in Colorado has to be supervised by another state's
boxing commission, using safety guidelines and procedures implemented
by that state.
(2) The general assembly further finds and declares that it is in the
best interests of the residents of Colorado, professional boxing participants,
PAGE 307-HOUSE BILL 19-1172
and the future of the sport of boxing in Colorado that the conduct of the
sport be subject to an effective and efficient system of strict control
designed by the general assembly. Such THE system shall, at a minimum:
(a) Protect the safety of the participants; and
(b) Promote the public trust and confidence in the conduct of
professional boxing.
(3) To further public confidence and trust, this article 110 and rules
promulgated pursuant to this article 110 shall regulate all persons, practices,
and associations that relate to the operation of live professional boxing
events, performances, or contests held in Colorado.
12-110-103. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
110.
12-110-104. [Formerly 12-10-103] Definitions. As used in this
article 10 110, unless the context otherwise requires:
(1) "Boxer" means an individual who participates in a boxing match.
(2) "Boxing" means fighting, striking, forcing an opponent to
submit, or disabling an opponent, including the disciplines of kickboxing,
mixed martial arts, and martial arts.
(3) "Commission" means the Colorado combative sports
commission created in section 12-10-105 12-110-106.
(4) "Contest" means a match in which the participants strive
earnestly to win.
(5) "Department" means the department of regulatory agencies.
(6) "Director", "director of the division", or "director of the division
of professions and occupations" means the director of the division of
professions and occupations within the department or his or her designee.
(6.5) "Division" means the division of professions and occupations
PAGE 308-HOUSE BILL 19-1172
within the department.
(7) (5) "Exhibition" means a match in which the participants display
their boxing skills and techniques without striving earnestly to win.
(8) (Deleted by amendment, L. 2010, (HB 10-1245), ch. 131, p. 432,
§ 5, effective July 1, 2010.)
(9) (6) "Kickboxing" means engaging in martial arts fighting
techniques using the hands and feet, the object of which is to win by a
decision, knockout, or technical knockout.
(9.5) (7) "Martial arts" means any of several arts of combat or
self-defense that are widely practiced as sport.
(10) (8) "Match" means a professional boxing contest or exhibition,
the object of which is to win by a decision, knockout, or technical knockout,
and includes an event, engagement, sparring or practice session, show, or
program where the public is admitted and there is intended to be physical
contact. "Match" does not include a training or practice session when no
admission is charged.
(10.5) (9) "Mixed martial arts" means the combined techniques of
boxing and martial arts disciplines such as grappling, kicking, and striking,
including the use of full, unrestrained physical force.
(11) (10) "Office" means the office of combative sports created in
section 12-10-104 12-110-105.
(11.5) (11) "Office director" means the director of the office. of
combative sports created in section 12-10-104.
(12) "Participant" means a person who engages in a match as a
boxing contestant.
(13) "Physician" means an individual licensed to practice medicine
pursuant to article 36 240 of this title 12.
(13.5) (14) "Place of training" means a facility where alcohol
beverages are not permitted, an admission fee is not charged for
PAGE 309-HOUSE BILL 19-1172
nonstudents, instructors of particular disciplines train students in the art of
boxing, and students pay a fee to be enrolled in classes and receive
instruction.
(14) (15) "Professional" means a participant who has received or
competed for a purse or any other thing of value for participating in a
match.
(15) (16) (a) "Toughperson fighting" means:
(I) A physical contest, match, tournament, exhibition, or bout, or any
activity that involves physical contact between two or more individuals
engaging in combative skills using the hands, feet, or body, whether or not
prizes or purses are awarded at the event or promised in future events or
spectator admission fees are charged or received; and
(II) A contest, match, tournament, exhibition, bout, or activity, as
described in subsection (15)(a)(I) (16)(a)(I) of this section, that is not
recognized by and not sanctioned by any state, regional, or national boxing
sanctioning authority that is recognized by the director.
(b) "Toughperson fighting" does not mean:
(I) Activities occurring under a martial arts instructor at a place of
training or other types of instructor-student or student-student contact
occurring under the supervision of an instructor at a place of training; or
(II) A sanctioned boxing event approved by the commission.
12-110-105. [Formerly 12-10-104] Office of combative sports -
creation. There is hereby created, within the division, of professions and
occupations in the department of regulatory agencies, the office of
combative sports. The office of combative sports and the Colorado
combative sports commission, created in section 12-10-105 12-110-106,
shall exercise their respective powers and perform their respective duties
and functions as specified in this article 10 110 under the department of
regulatory agencies as if the powers, duties, and functions were transferred
to the department by a type 2 transfer, as such transfer is defined in the
"Administrative Organization Act of 1968", article 1 of title 24.
PAGE 310-HOUSE BILL 19-1172
12-110-106. [Formerly 12-10-105] Colorado combative sports
commission - creation. (1) There is hereby created, within the office of
combative sports, the Colorado combative sports commission. The
commission shall regulate matches in Colorado.
(2) (a) The commission consists of five voting members and two
nonvoting advisory members. All members must be residents of Colorado,
be of good character, and not have been convicted of any felony or
match-related offense, notwithstanding section 24-5-101, and be appointed
as follows:
(I) The governor shall appoint three voting members.
(II) The president of the senate shall appoint one voting member.
(III) The speaker of the house of representatives shall appoint one
voting member.
(IV) (A) Two nonvoting advisory members who are licensed
physicians shall be appointed, one by the speaker of the house of
representatives and one by the president of the senate.
(B) The two nonvoting advisory members shall advise the
commission on matters concerning the health and physical condition of
boxers and health issues relating to the conduct of matches. The nonvoting
members may prepare and submit to the commission for its consideration
and approval any rules that in their judgment will safeguard the physical
welfare of the participants engaged in boxing.
(b) Members' terms are four years.
(c) The commission shall designate by majority vote which member
is to serve as chair. Any member may be removed from office by the person
making the appointment for misfeasance, malfeasance, willful neglect of
duty, or other cause.
(d) Members shall serve until their successors are appointed and
have been qualified. Any vacancy in the membership of the commission
shall be filled in the same manner as the original appointment. A vacancy
in the membership of the commission other than by expiration of term shall
PAGE 311-HOUSE BILL 19-1172
be filled for the remainder of the unexpired term only.
(3) Meetings of the commission shall be held at least annually and
shall be called by the chair or by any two members of the commission and
shall be open to the public. Any three voting members shall constitute a
quorum at any meeting. Action may be taken and motions and resolutions
may be adopted at any meeting at which a quorum exists by the affirmative
vote of a majority of the voting members present. Members may participate
in a regular or special meeting by, or conduct the meeting through the use
of, any means of communication by which all members participating may
simultaneously hear one another at all times during the meeting. A member
participating in a meeting by this means is deemed to be present in person
at the meeting.
12-110-107. [Formerly 12-10-106] General powers and duties of
the commission - rules. (1) In addition to any other powers specifically
granted to the commission in this article 10 110, the commission shall issue
rules as necessary for the regulation of the conduct, promotion, and
performance of live boxing matches in this state. The rules must be
consistent with this article 10 110, the federal "Professional Boxing Safety
Act of 1996", 15 U.S.C. sec. 6301 et seq., AS AMENDED, and any other
applicable federal law. The commission's rules must include:
(a) Requirements for issuance of licenses and permits for boxers,
seconds, inspectors, promoters, judges, and referees;
(b) Regulation of ticket sales;
(c) Physical requirements for participants, including classification
by weight and skill;
(d) Provisions for supervision of contests and exhibitions by referees
and licensed physicians;
(e) Requirements for insurance covering participants and bonding
of promoters;
(f) Guidelines for compensation of licensees;
(g) Guidelines for contracts and financial arrangements between
PAGE 312-HOUSE BILL 19-1172
promoters and participants;
(h) Prohibition of dishonest, unethical, and injurious practices;
(i) Guidelines for reports of fraud;
(j) Responsibilities of participants;
(k) Regulation of facilities; and
(l) Procedures to:
(I) Allow the director to deny or suspend a participant license for a
nondisciplinary reason, such as a medical or administrative reason,
including the following reasons listed in the federal "Professional Boxing
Safety Act of 1996", 15 U.S.C. sec. 6301 et seq. AS AMENDED:
(A) A recent knockout or series of consecutive losses;
(B) An injury;
(C) A required medical procedure; or
(D) A physician's denial of certification;
(II) Authorize the director to lift a license denial or suspension
imposed for a nondisciplinary reason if the participant or a representative
of the participant sufficiently demonstrates:
(A) That the participant's medical or physical condition has
improved to a degree that the nondisciplinary license denial or suspension
is no longer warranted; or
(B) That the nondisciplinary license denial or suspension was never
warranted; and
(III) Allow the director to report a nondisciplinary participant
license suspension to a national record keeper approved by the director.
(2) No member shall receive compensation for serving on the
PAGE 313-HOUSE BILL 19-1172
commission; however, a member may be reimbursed for expenses incurred
in the performance of such services.
(3) to (5) (Deleted by amendment, L. 2010, (HB 10-1245), ch. 131,
p. 434, § 7, effective July 1, 2010.)
12-110-108. [Formerly 12-10-106.3] License required. No person
shall participate, officiate, judge, referee, promote, or second a professional
boxing arts contest unless the person is licensed pursuant to this article 110.
12-110-109. [Formerly 12-10-106.5] Renewal and reinstatement
of licenses - fees. All licenses shall expire pursuant to a schedule
established by the director of the division of professions and occupations
within the department of regulatory agencies and shall be renewed or
reinstated pursuant to section 24-34-102 (8), C.R.S. The director of the
division of professions and occupations within the department of regulatory
agencies may establish renewal fees and delinquency fees for reinstatement
pursuant to section 24-34-105, C.R.S. If a person fails to renew his or her
license pursuant to the schedule established by the director of the division
of professions and occupations, such license shall expire ISSUED PURSUANT
TO THIS ARTICLE 110 ARE SUBJECT TO THE RENEWAL, EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION
12-20-202 (1) AND (2). Any person whose license has expired shall be
subject to the penalties provided in this article 110 or section 24-34-102 (8),
C.R.S. 12-20-202 (1).
12-110-110. [Formerly 12-10-107] Office director - appointment
- qualification - powers and duties - director of division's powers and
duties. (1) The office director is appointed by, and serves under the
supervision of, the director of the division.
(2) The office director must:
(a) Be of good character and not have been convicted of any felony
or match-related offense, notwithstanding section 24-5-101; and
(b) Not be engaged in any other profession or occupation that could
present a conflict of interest with the duties of office director.
(3) (a) In addition to the duties imposed upon the office director
PAGE 314-HOUSE BILL 19-1172
elsewhere in this article 10 110, the office director shall, in accordance with
this article 10 110 and the rules of the commission:
(I) Direct and supervise the administrative and technical activities
of the commission;
(II) Supervise and administer the operation of matches; and
(III) As deemed necessary by the director of the division, advise and
make recommendations to the director of the division with regard to the
director of the division's functions.
(b) In addition to the duties imposed upon the director of the
division elsewhere in this article 10 110, the director of the division shall:
(I) Attend meetings of the commission or appoint a designee to
attend in the director's DIRECTOR OF THE DIVISION'S place;
(II) Advise and recommend to the commission rules and other
procedures as the director OF THE DIVISION deems necessary and advisable
to improve the conduct of boxing;
(III) Furnish any documents of the commission that may be required
by the state auditor in the performance of audits performed in conformance
with part 1 of article 3 of title 2; and
(IV) Enforce this article 10 110 and investigate allegations of
activity that might violate this article 10 110.
12-110-111. [Formerly 12-10-107.1] Grounds for discipline.
(1) The director may deny, suspend, revoke, place on probation, or issue a
letter of admonition TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED
IN SECTION 12-20-404 against a license or an application for a license if the
applicant or licensee:
(a) Violates any order of the commission or the director, or any
provision of this article 110, AN APPLICABLE PROVISION OF ARTICLE 20 OF
THIS TITLE 12, or the rules established under this article 110;
(b) Fails to meet the requirements of this article 110 or the rules of
PAGE 315-HOUSE BILL 19-1172
the commission;
(c) Is convicted of or has entered a plea of nolo contendere or guilty
to a felony; except that the director shall be governed by the provisions of
section 24-5-101 C.R.S., in considering such THE conviction or plea;
(d) Has an alcohol use disorder, as defined in section 27-81-102, or
a substance use disorder, as defined in section 27-82-102, or is an excessive
or a habitual user or abuser of alcohol or habit-forming drugs or is a
habitual user of a controlled substance, as defined in section 18-18-102 (5),
if the use, disorder, or dependency is a danger to other licensees;
(e) Has incurred disciplinary action related to professional boxing
in another jurisdiction. Evidence of disciplinary action is prima facie
evidence for denial of a license or other disciplinary action if the violation
would be grounds for disciplinary action in this state.
(f) Provides false information in any application or attempts to
obtain a license by fraud, deception, misrepresentation, or concealment;
(g) Is guilty of conduct, or is incompetent or negligent in a manner,
that:
(I) Is detrimental to a contest or exhibition of boxing, including
unsportsmanlike conduct engaged in before, during, or after a contest or
exhibition of boxing; or
(II) Results in injury, or creates an unreasonable risk of harm, to a
person; or
(h) Fails to comply with a limitation, restriction, or condition that
the director or any other state or national regulatory authority responsible
for regulating boxing places on the licensee or applicant.
(2) (a) Any proceeding to deny, suspend, revoke, or place on
probation a license shall be conducted pursuant to sections 12-20-403,
24-4-104, and 24-4-105. C.R.S.
(b) Upon completing an investigation IN ACCORDANCE WITH
SECTION 12-20-403, the director shall make one of the following findings:
PAGE 316-HOUSE BILL 19-1172
(I) The complaint is without merit and no further action need be
taken.
(II) There is no reasonable cause to warrant further action.
(III) The investigation discloses an instance of conduct that does not
warrant formal action and should be dismissed, but the director notices
indications of possible errant conduct that could lead to serious
consequences if not corrected. If this finding is made, the director shall send
a confidential letter of concern to the licensee IN ACCORDANCE WITH
SECTION 12-20-404 (5).
(IV) The investigation discloses an instance of conduct that does not
warrant formal action but should not be dismissed as being without merit.
If this finding is made, the director may send a letter of admonition to the
licensee IN ACCORDANCE WITH SECTION 12-20-404 (4) by certified mail.
(V) The investigation discloses facts that warrant further
proceedings by formal complaint. If this finding is made, the director shall
refer the complaint to the attorney general for preparation and filing of a
formal complaint.
(c) (I) The director shall send a letter of admonition by first-class
mail to a licensee and shall include in the letter a notice that the licensee has
the right to request in writing, within twenty days after receipt of the letter,
that formal disciplinary proceedings be initiated to adjudicate the propriety
of the conduct upon which the letter of admonition is based.
(II) If the request for adjudication is timely made, the letter of
admonition is vacated and the director shall proceed by means of formal
disciplinary proceedings.
(d) (Deleted by amendment, L. 2010, (HB 10-1245), ch. 131, p. 435,
§ 10, effective July 1, 2010.)
(e) (c) The director shall conduct all proceedings pursuant to this
subsection (2) expeditiously and informally so that no licensee is subjected
to unfair and unjust charges and that no complainant is deprived of the right
to a timely, fair, and proper investigation of a complaint.
PAGE 317-HOUSE BILL 19-1172
(3) (a) The director or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the
director pursuant to this article. The director may appoint an administrative
law judge pursuant to part 10 of article 30 of title 24, C.R.S., to take
evidence and to make findings and report them to the commission or the
director.
(b) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the director with
notice to the subpoenaed person or licensee, may issue to the person or
licensee an order requiring that person or licensee to appear before the
director; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence touching the matter
under investigation or in question. Failure to obey the order of the court
may be punished by the court as a contempt of court.
(4) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(5) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public or
a person is acting or has acted without the required license, the director may
issue an order to cease and desist such activity. The order shall set forth the
statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (5), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
PAGE 318-HOUSE BILL 19-1172
(6) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the director may issue to such person an
order to show cause as to why the director should not issue a final order
directing such person to cease and desist from the unlawful act or
unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (6) shall be promptly notified
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (6) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (6). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (6) does not appear at the
hearing, the director may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(6) and such other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
PAGE 319-HOUSE BILL 19-1172
required license or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (6), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(7) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the director may enter into
a stipulation with such person.
(8) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(3) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
12-110-112. [Formerly 12-10-107.5] Toughperson fighting
prohibited. (1) Toughperson fighting is prohibited in the state of Colorado.
No person or entity shall promote, advertise, conduct, or compete or
participate in toughperson fighting. No license or permit shall be issued for
toughperson fighting or for any contests or exhibitions of a similar nature.
(2) Any violation of this section is a class 1 misdemeanor and shall
be punished as provided in section 18-1.3-501. C.R.S.
PAGE 320-HOUSE BILL 19-1172
12-110-113. [Formerly 12-10-108] Immunity. Any member of the
commission; the director; IN ADDITION TO THE PERSONS SPECIFIED IN
SECTION 12-20-402, the office director; the commission's staff; the director's
staff; the office director's staff; any person acting as a witness or consultant
to the commission, director, or office director; any witness testifying in a
proceeding authorized under this article 10 110; and any person who lodges
a complaint pursuant to this article 10 is immune from liability in any civil
action brought against him or her for acts occurring while acting in his or
her capacity as commission member, director, office director, staff,
consultant, or witness, respectively, if the individual was acting in good
faith within the scope of his or her respective capacity, made a reasonable
effort to obtain the facts of the matter as to which he or she acted, and acted
in the reasonable belief that the action taken by him or her was warranted
by the facts. Any person participating in good faith in lodging a complaint
or participating in any investigative or administrative proceeding pursuant
to this article 10 is immune from any civil or criminal liability that may
result from such participation 110 IS GRANTED THE SAME IMMUNITY, AND IS
SUBJECT TO THE SAME CONDITIONS FOR IMMUNITY, AS SPECIFIED IN SECTION
12-20-402.
12-110-114. [Formerly 12-10-109] Fees. (1) The director of the
division shall establish and collect nonrefundable license fees and may
establish and collect surcharges and other moneys MONEY as the director of
the division deems necessary; except that such THE fees and surcharges
shall not exceed the amount necessary to implement this article 110.
(2) Moneys collected under this article other than civil penalties
shall be transmitted to the state treasurer, who shall credit the same to the
division of professions and occupations cash fund created in section
24-34-105, C.R.S., and the general assembly shall make annual
appropriations pursuant to said section for expenditures of the office
incurred in the performance of its duties under this article. Such
expenditures shall be made from such appropriations upon vouchers and
warrants drawn pursuant to law. Civil penalties collected under this article
shall be transferred to the state treasurer and credited to the general fund.
12-110-115. [Formerly 12-10-110] Violations. (1) Fines. The
director may issue an order against any person who willfully violates this
article 110, after providing prior notice and an opportunity for a hearing
pursuant to section 24-4-105. C.R.S. The director may impose a civil
PAGE 321-HOUSE BILL 19-1172
penalty FINE in an amount up to five thousand dollars for a single violation
or twenty-five thousand dollars for multiple violations in a proceeding or
a series of related proceedings.
(2) Criminal penalties. Any person who engages in or offers or
attempts to engage in the conduct, promotion, or performance of live boxing
matches without an active license or permit issued under this article
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and, for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 110 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(3) Injunction. Whenever it appears to the director that a person has
engaged or is about to engage in an act or practice that violates this article
110 or a rule or order issued under this article 110, the director may bring
an action to enjoin the acts or practices and to enforce compliance with this
article 110 or any rule or order.
(4) Enforcement. The commission and director may assist local law
enforcement agencies in their investigations of violations of this article 110
and may initiate and carry out such investigations in coordination with local
law enforcement agencies.
(5) Judicial review. SECTION 12-20-408 GOVERNS final director
actions and orders appropriate for judicial review. may be judicially
reviewed in the court of appeals in accordance with section 24-4-106 (11),
C.R.S.
12-110-116. [Formerly 12-10-111] Repeal of article. This article
10 110 is repealed, effective September 1, 2026. Before its THE repeal, the
department of regulatory agencies shall review the office and the
commission ARE SCHEDULE FOR REVIEW in accordance with section
24-34-104.
ARTICLE 115
Electricians
12-115-101. [Formerly 12-23-100.2] Legislative declaration. The
general assembly hereby declares that the state electrical board shall be
PAGE 322-HOUSE BILL 19-1172
specifically involved in the testing and licensing of electricians and shall
provide for inspections of electrical installations where local inspection
authorities are not providing such THE service to the standards required by
this article 115.
12-115-102. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
115.
12-115-103. [Formerly 12-23-101] Definitions. As used in this
article 115, unless the context otherwise requires:
(1) "Apprentice" means a person who is required to be registered as
such under section 12-23-110.5 (3)(a) 12-115-115 (3)(a), who is in
compliance with the provisions of this article 115, and who is working at
the trade in the employment of a registered electrical contractor and is under
the direct supervision of a licensed master electrician, journeyman
electrician, or residential wireman.
(1.2) (2) "Board" means the state electrical board CREATED IN
SECTION 12-115-104.
(1.3) (3) "Electric light, heat, and power" means the standard types
of electricity that are supplied by an electric utility, regardless of whether
the source is an electric utility or the inverter output circuit of a photovoltaic
system or a similar circuit from another type of renewable energy system,
and used and consumed in a real estate improvement or real estate fixture.
(1.5) (4) "Electrical contractor" means any person, firm,
copartnership, corporation, association, or combination thereof who THAT
undertakes or offers to undertake for another the planning, laying out,
supervising, and installing or the making of additions, alterations, and
repairs in the installation of wiring apparatus and equipment for electric
light, heat, and power. A licensed professional engineer who plans or
designs electrical installation shall not be classed as an electrical contractor.
(1.7) (5) "Electrical work" means wiring for, installing, and
repairing electrical apparatus and equipment for electric light, heat, and
power.
PAGE 323-HOUSE BILL 19-1172
(2) (6) "Journeyman electrician" means a person having the
necessary qualifications, training, experience, and technical knowledge to
wire for, install, and repair electrical apparatus and equipment for electric
light, heat, and power, and for other purposes, in accordance with standard
rules governing such THE work.
(3) (7) "Master electrician" means a person having the necessary
qualifications, training, experience, and technical knowledge to properly
plan, lay out, and supervise the installation and repair of wiring apparatus
and equipment for electric light, heat, and power, and for other purposes,
in accordance with standard rules governing such THE work, such as the
national electrical code.
(3.2) (8) "National electrical code" means the code for the safe
installation of electrical wiring and equipment, as amended, published by
the National Fire Protection Association and approved by the American
National Standards Institute, or successor organizations.
(3.5) (9) "Permanent state highway tunnel facilities" means all
permanent state highway tunnels, shafts, ventilation systems, and structures
and includes all structures, materials, and equipment appurtenant to such
THE facilities. Said THE term includes all electrical equipment, materials,
and systems to be constructed, furnished, and installed as part of the final
construction features specified by the applicable contract plans and
specifications or by the national electrical code. For the purposes of this
article 115 and article 20 of title 34, C.R.S., such PERMANENT state highway
tunnel facilities shall be deemed to be mines during the construction of such
THE facilities.
(3.7) (10) "Qualified state institution of higher education" means:
(a) One of the state institutions of higher education established
under, specified in, and located upon the campuses described in sections
23-20-101 (1)(a) and 23-31-101, C.R.S., limited to the buildings owned or
leased by those institutions on said THE campuses;
(b) The institution whose campus is established under and specified
in section 23-20-101 (1)(b), C.R.S., but limited to the buildings located in
Denver at 1380 Lawrence street, 1250 Fourteenth street, and 1475
Lawrence street; and
PAGE 324-HOUSE BILL 19-1172
(c) The institution whose campus is established under and specified
in section 23-20-101 (1)(d), C.R.S., but limited to current and future
buildings owned, leased, or built on land owned on or before January 1,
2015, by the university of Colorado on the campus described in section
23-20-101 (1)(d). C.R.S.
(4) (11) "Residential wireman" means a person having the necessary
qualifications, training, experience, and technical knowledge to wire for,
and install, electrical apparatus and equipment for wiring one-, two-, three-,
and four-family dwellings.
(5) Repealed.
12-115-104. [Formerly 12-23-102] State electrical board.
(1) There is hereby established a state electrical board, which shall consist
of THE FOLLOWING nine members appointed by the governor, with the
consent of the senate, who shall be residents of the state of Colorado:
(a) Two members shall be electrical contractors who have masters'
licenses;
(b) Two members shall be master or journeymen electricians who
are not electrical contractors;
(c) One member shall be a representative of private, municipal, or
cooperative electric utilities rendering electric service to the ultimate public;
(d) One member shall be a building official from a political
subdivision of the state performing electrical inspections;
(e) One member shall be a general contractor actively engaged in the
building industry; and
(f) Two members shall be appointed from the public at large.
(2) All members of the board shall serve for three-year terms and all
appointees shall be limited to two full terms each. Any vacancy occurring
in the membership of the board shall be filled by the governor by
appointment for the unexpired term of the member. The governor may
remove any member of the board for misconduct, incompetence, or neglect
PAGE 325-HOUSE BILL 19-1172
of duty.
12-115-105. [Formerly 12-23-102.5] Repeal of article. This article
115 is repealed, effective July 1, 2019. Prior to such BEFORE THE repeal, the
state electrical board, including provisions relating to qualified state
institutions of higher education, shall be reviewed as provided for in IS
SCHEDULED FOR REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
12-115-106. [Formerly 12-23-103] Board under department of
regulatory agencies. The state electrical board and its powers, duties, and
functions are transferred, effective July 1, 1978, by a type 1 transfer, as
such transfer is defined in the "Administrative Organization Act of 1968",
article 1 of title 24, C.R.S., to the department of regulatory agencies and
allocated to the division. of professions and occupations.
12-115-107. [Formerly 12-23-104] Board powers and duties -
rules - definition. (1) (a) The board, annually in the month of July, shall
elect from its membership a chair and vice-chair. The board shall meet at
least annually and at such other times as it deems necessary.
(b) A majority of the board shall constitute a quorum for the
transaction of all business.
(2) In addition to all other powers and duties conferred or imposed
upon the board by this article 115, the board is authorized to:
(a) Adopt, and from time to time revise, such rules and regulations
not inconsistent with the law as may be necessary to enable it to carry into
effect the provisions of this article RULES PURSUANT TO SECTION 12-20-204.
In adopting such THE rules, and regulations, the board shall be governed
when appropriate by the standards in the most current edition of the national
electrical code or by any modifications to such THE standards made by the
board after a hearing is held pursuant to the provisions of article 4 of title
24. C.R.S. These standards are adopted as the minimum standards
governing the planning, laying out, and installing or the making of
additions, alterations, and repairs in the installation of wiring apparatus and
equipment for electric light, heat, and power in this state. A copy of such
THE code shall be kept in the office of the board and open to public
inspection. Nothing contained in this section prohibits any city, town,
county, city and county, or qualified state institution of higher education
PAGE 326-HOUSE BILL 19-1172
from making and enforcing any such standards that are more stringent than
the minimum standards adopted by the board, and any city, town, county,
city and county, or qualified state institution of higher education that adopts
such more stringent standards shall furnish a copy thereof to the board. The
standards adopted by the board shall be prima facie evidence of minimum
approved methods of construction for safety to life and property. The
affirmative vote of two-thirds of all appointed members of the board is
required to set any standards that are different from those set forth in the
national electrical code. If requested in writing, the board shall send a copy
of newly adopted standards and rules and regulations to any interested party
at least thirty days before the implementation and enforcement of such THE
standards or rules. and regulations. Such THE copies may be furnished for
a fee established pursuant to section 24-34-105, C.R.S. 12-20-105.
(b) Repealed.
(c) (b) Register apprentices and register and renew the registration
of qualified electrical contractors and examine, license, and renew licenses
of journeymen electricians, master electricians, and residential wiremen as
provided in this article 115;
(d) (I) Administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board.
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings and
report them to the board.
(II) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the commission or director; to produce the relevant papers, books,
records, documentary evidence, or materials if so ordered; or to give
evidence touching the matter under investigation or in question. Failure to
obey the order of the court may be punished by the court as a contempt of
court.
PAGE 327-HOUSE BILL 19-1172
(e) (c) Cause the prosecution and enjoinder, in any court of
competent jurisdiction IN ACCORDANCE WITH SECTION 12-20-406, of all
persons violating this article 115 and incur necessary expenses therefor;
When seeking an injunction, the board shall not be required to prove that an
adequate remedy at law does not exist or that substantial or irreparable
damages would result if an injunction is not granted.
(f) (d) Inspect and approve or disapprove the installation of
electrical wiring, renewable energy systems, apparatus, or equipment for
electric light, heat, and power according to the minimum standards in the
national electrical code or as prescribed in this article 115. With respect to:
(I) An inverter-based hydroelectric energy facility generating one
hundred kilowatts or less, regardless of whether the facility is connected to
utility or other distribution lines, an inspector shall inspect a hydroelectric
energy installation in accordance with the minimum standards set forth in
the edition of the national electrical code in effect on May 29, 2015;
however, if a microhydro assembly manufactured for the purpose of
generating electricity in a microhydro system uses an inverter that is listed
and identified for interconnection service, the inspector shall deem the
system's equipment compliant with section 705.4 of the edition of the
national electrical code in effect on May 29, 2015. For purposes of this
paragraph (f) SUBSECTION (2)(d), a "microhydro system" means a
hydroelectric generation system that generates one hundred kilowatts or
less.
(II) An induction-based hydroelectric energy facility generating one
hundred kilowatts or less, regardless of whether the facility is connected to
utility or other distribution lines, the installation of a hydroelectric energy
turbine, induction generator, and control panel shall be certified:
(A) To a listing standard by a field evaluation body or nationally
recognized testing laboratory; or
(B) By a professional engineer, by means of signing and stamping
documentation of the project, as required in a form and manner determined
by the board, indicating that the installation meets design criteria set forth
in the Institute of Electrical and Electronics Engineers' (IEEE) standard for
interconnecting distributed resources with electric power systems.
PAGE 328-HOUSE BILL 19-1172
(f.3) (e) Apply any hydroelectric energy provisions of an updated
national electrical code, notwithstanding any provision in paragraph (f)
SUBSECTION (2)(d) OF THIS SECTION to the contrary, if the national electrical
code is updated to address hydroelectric energy specifically;
(f.5) (f) Regulate a licensed master electrician, journeyman
electrician, or residential wireman who, acting within his or her scope of
competence, supervises a solar photovoltaic installation pursuant to section
40-2-128; C.R.S.;
(g) Review and approve or disapprove requests for exceptions to the
national electrical code in unique construction situations where a strict
interpretation of the code would result in unreasonable operational
conditions or unreasonable economic burdens, as long as public safety is not
compromised;
(h) Conduct INVESTIGATIONS AND hearings AND GATHER EVIDENCE
in accordance with the provisions of section SECTIONS 12-20-403 AND
24-4-105; C.R.S.; except that the board may appoint an administrative law
judge pursuant to part 10 of article 30 of title 24, C.R.S., to conduct such
hearings;
(i) Repealed.
(j) (i) Enter into reciprocal licensing agreements with the electrical
board, or its equivalent, of another state or states where the qualifications
for electrical licensing are substantially equivalent to licensure requirements
in Colorado;
(k) (j) Find, upon holding a hearing, that an incorporated town or
city, county, city and county, or qualified state institution of higher
education fails to meet the minimum requirements of this article 115 if the
local inspection authority, including a qualified state institution of higher
education, has failed to adopt or adhere to the minimum standards required
by this article 115 within twelve months after the board has adopted the
standards by rule pursuant to this subsection (2);
(l) (k) Issue an order to cease and desist from issuing permits or
performing inspections under this article 115 to an incorporated town or
city, county, city and county, or qualified state institution of higher
PAGE 329-HOUSE BILL 19-1172
education upon finding that the public entity or qualified state institution of
higher education fails to meet the minimum requirements of this article 115
pursuant to paragraph (k) of this subsection (2) SUBSECTION (2)(j) OF THIS
SECTION;
(m) (l) Apply to a court to enjoin an incorporated town or city,
county, city and county, or qualified state institution of higher education
from violating an order issued pursuant to paragraph (l) of this subsection
(2) SUBSECTION (2)(k) OF THIS SECTION.
12-115-108. [Formerly 12-23-104.5] Program director. The
director of the division of professions and occupations may appoint a
program director pursuant to section 13 of article XII of the state
constitution to work with the board in carrying out its duties under this
article 115.
12-115-109. [Formerly 12-23-105] Electrician must have license
- control and supervision. (1) No person shall engage in or work at the
business, trade, or calling of a journeyman electrician, master electrician,
or residential wireman in this state until the person has received a license
from the division of professions and occupations upon written notice from
the board or the program director, acting as the agent thereof, or a
temporary permit from the board, the program director, or agent of the
director.
(2) A residential wireman shall not perform electrical work of a type
which THAT is beyond the authorization of the license held.
12-115-110. [Formerly 12-23-106] License requirements - rules
- continuing education. (1) Master electrician. (a) An applicant for a
master electrician's license shall furnish written evidence that:
(I) The applicant is a graduate electrical engineer of an accredited
college or university and has one year of practical electrical experience in
the construction industry;
(II) The applicant is a graduate of an electrical trade school or
community college and has at least four years of practical experience in
electrical work; or
PAGE 330-HOUSE BILL 19-1172
(III) The applicant has had at least one year of practical experience
in planning, laying out, supervising, and installing wiring, apparatus, or
equipment for electric light, heat, and power beyond the practical
experience requirements for the journeyman's license.
(b) Each applicant for a license as a master electrician shall file an
application on forms prepared and furnished by the board, together with the
application fee provided in section 12-23-112 (1) 12-115-117 (1). The board
shall notify each applicant that the evidence submitted with the application
is sufficient to qualify the applicant to take the written examination or that
the evidence is insufficient and the application is rejected. In the event that
the application is rejected, the board shall set forth the reasons for the
rejection in the notice to the applicant.
(2) Journeyman electrician. (a) An applicant for a journeyman
electrician's license shall furnish written evidence that the applicant has had
the following:
(I) At least four years' apprenticeship in the electrical trade or four
years' practical experience in wiring for, installing, and repairing electrical
apparatus and equipment for electric light, heat, and power;
(II) At least two of the applicant's years' experience required by
subparagraph (I) of this paragraph (a) SUBSECTION (2)(a)(I) OF THIS SECTION
has been in commercial, industrial, or substantially similar work; and
(III) Effective January 1, 2011, during the last four years of training,
apprenticeship, or practical experience in wiring for, installing, and
repairing electrical apparatus and equipment for electric light, heat, and
power, at least two hundred eighty-eight hours of training in safety, the
national electrical code and its applications, and any other training required
by the board that is provided by an accredited college or university, an
established industry training program, or any other provider whose training
is conducted in compliance with rules promulgated by the board, in
collaboration with established industry training programs and industry
representatives.
(b) Any AN applicant for such license shall be permitted to
substitute for required practical experience evidence of academic training
or practical experience in the electrical field, which shall be credited as
PAGE 331-HOUSE BILL 19-1172
follows:
(I) If the applicant is a graduate electrical engineer of an accredited
college or university or the graduate of a community college or trade school
program approved by the board, the applicant shall receive one year of work
experience credit.
(II) If the applicant has academic training, including military
training, that does not qualify under subparagraph (I) of this paragraph (b)
SUBSECTION (2)(b)(I) OF THIS SECTION, the board shall provide work
experience credit for such THE training or for substantially similar training
established by rule.
(c) Any application for a license and notice to the applicant shall be
made and given as provided for in the case of a master electrician's license.
(3) Residential wireman. (a) An applicant for a residential
wireman's license shall furnish written evidence that the applicant has at
least two years of accredited training or two years of practical experience
in wiring one-, two-, three-, and four-family dwellings.
(b) Any AN applicant for such license shall be permitted to
substitute for required practical experience evidence of academic training
in the electrical field, which shall be credited as follows:
(I) If the applicant is a graduate electrical engineer of an accredited
college or university or the graduate of a community college or trade school
program approved by the board, the applicant shall receive one year of work
experience credit.
(II) If the applicant has academic training, including military
training, which THAT is not sufficient to qualify under subparagraph (I) of
this paragraph (b) SUBSECTION (3)(b)(I) OF THIS SECTION, the board shall
provide work experience credit for such THE training according to a uniform
ratio established by rule.
(c) Any residential wireman's license issued under this section shall
be clearly marked as such across its face.
(4) (a) The board shall provide for licensing examinations. Any
PAGE 332-HOUSE BILL 19-1172
examination that is given for master electricians, journeymen electricians,
and residential wiremen shall be subject to board approval. The board, or
its designee, shall conduct and grade the examination and shall set the
passing score to reflect a minimum level of competency. If it is determined
that the applicant has passed the examination, the division, of professions
and occupations, upon written notice from the board or the program
director, acting as an agent thereof, and upon payment by the applicant of
the fee provided in section 12-23-112 12-115-117, shall issue to the
applicant a license that authorizes him or her to engage in the business,
trade, or calling of a master electrician, journeyman electrician, or
residential wireman.
(b) All license and registration expiration and renewal schedules
shall be in accord with the provisions of section 24-34-102, C.R.S.
12-20-202. Fees in regard to such renewals shall be those set forth in
section 12-23-112 12-115-117.
(c) Licenses shall be renewed or reinstated pursuant to a schedule
established by the director of the division of professions and occupations
within the department of regulatory agencies and shall be renewed or
reinstated pursuant to section 24-34-102 (8), C.R.S. The director of the
division of professions and occupations within the department of regulatory
agencies may establish renewal fees and delinquency fees for reinstatement
pursuant to section 24-34-105, C.R.S. If a person fails to renew his or her
license pursuant to the schedule established by the director of the division
of professions and occupations, such license shall expire ISSUED PURSUANT
TO THIS ARTICLE 115 ARE SUBJECT TO THE RENEWAL, EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION
12-20-202 (1) AND (2). Any person whose license has expired shall be
subject to the penalties provided in this article 115 or section 24-34-102 (8),
C.R.S. 12-20-202 (1).
(d) (I) Repealed.
(II) (I) (A) Except as otherwise provided in subsection (4)(d)(II)(B)
(4)(d)(I)(B) of this section, on or after January 1, 2018, the department shall
not renew or reinstate a license unless the applicant has completed
twenty-four hours of continuing education since the date of issuance of the
applicant's initial license or, if the applicant's license was renewed or
reinstated, the most recent renewal or reinstatement.
PAGE 333-HOUSE BILL 19-1172
(B) Subsection (4)(d)(II)(A) (4)(d)(I)(A) of this section does not
apply to the first renewal or reinstatement of a license for which, as a
condition of issuance, the applicant successfully completed a licensing
examination pursuant to subsection (4)(a) of this section.
(III) (II) On or before April 1, 2017, the board, in collaboration with
established industry training programs and industry representatives, shall
adopt rules establishing continuing education requirements and standards,
which requirements and standards must include course work related to the
national electrical code, including core competencies as determined by the
board. A renewal or reinstatement license applicant shall furnish or cause
to be furnished to the board, in a form and manner required by the board,
documentation to demonstrate compliance with this subparagraph (III)
SUBSECTION (4)(d)(II) and rules promulgated pursuant to this subparagraph
(III) SUBSECTION (4)(d)(II). To ensure consumer protection, the board's
rules may include audit standards for licensee compliance with continuing
education requirements and requirements pertaining to the testing of
licensees by the continuing education vendor.
(5) (a) No person, firm, copartnership, association, or combination
thereof shall engage in the business of an electrical contractor without
having first registered with the board. The board shall register such THE
contractor upon payment of the fee as provided in section 12-23-112
12-115-117, presentation of evidence that the applicant has complied with
the applicable workers' compensation and unemployment compensation
laws of this state, and satisfaction of the requirements of paragraph (b) or
(c) of this subsection (5) SUBSECTION (5)(b) OR (5)(c) OF THIS SECTION.
(b) If either the owner or the part owner of any firm, copartnership,
corporation, association, or combination thereof has been issued a master
electrician's license by the division of professions and occupations and is in
charge of the supervision of all electrical work performed by such THE
contractor, upon written notice from the board or the program director,
acting as the agent thereof, the division shall promptly, upon payment of the
fee as provided in section 12-23-112 12-115-117, register such THE licensee
as an electrical contractor.
(c) If any person, firm, copartnership, corporation, association, or
combination thereof engages in the business of an electrical contractor and
does not comply with paragraph (b) of this subsection (5) SUBSECTION
PAGE 334-HOUSE BILL 19-1172
(5)(b) OF THIS SECTION, it shall employ at least one licensed master
electrician, who shall be in charge of the supervision of all electrical work
performed by such THE contractor.
(d) No holder of a master's license shall be named as the master
electrician, under paragraphs (b) and (c) of this subsection (5) SUBSECTION
(5)(b) OR (5)(c) OF THIS SECTION, for more than one contractor, and a master
name shall be actively engaged in a full-time capacity with that contracting
company. The qualifying master license holder shall be required to notify
the board within fifteen days after his or her termination as a qualifying
master license holder. The master license holder is responsible for all
electrical work performed by the electrical contracting company. Failure to
comply with a notification may lead to discipline of the master license
holder as provided in section 12-23-118 12-115-122.
12-115-111. [Formerly 12-23-106.5] Credit for experience not
subject to supervision of a licensed electrician. For all applicants seeking
work experience credit toward licensure, the board shall give credit for
electrical work that is not required to be performed by or under the
supervision of a licensed electrician if the applicant can show that the
particular experience received or the supervision under which the work has
been performed is adequate.
12-115-112. [Formerly 12-23-107] Unauthorized use of title. No
person, firm, partnership, corporation, or association shall advertise in any
manner or use the title or designation of "master electrician", "journeyman
electrician", or "residential wireman" unless qualified and licensed under
this article 115.
12-115-113. [Formerly 12-23-109] License by endorsement or
reciprocity - rules. (1) The board shall issue an electrical license by
endorsement in this state to any person who is licensed to practice in
another jurisdiction if such THE person presents proof satisfactory to the
board that, at the time of application for a Colorado license by endorsement,
the person possesses credentials and qualifications that are substantially
equivalent to requirements in Colorado for licensure.
(2) The board shall issue an electrical license by reciprocity where
a reciprocal agreement for an equivalent license exists, pursuant to section
12-23-104 (2)(j) 12-115-107 (2)(i), between the board and the electrical
PAGE 335-HOUSE BILL 19-1172
board, or its equivalent, of the state or states where the applicant is licensed.
The board shall strive to reduce barriers for Colorado licensees to be
licensed by endorsement or through reciprocity in other states.
(3) The board may specify by rule what shall constitute substantially
equivalent credentials and qualifications.
12-115-114. [Formerly 12-23-110] Temporary permits. The board
or the program director or the director's agent, as provided in the rules
promulgated by the board, shall issue temporary permits to engage in the
work of a master electrician in cases where an electrical contractor no
longer has the services of any master electrician as required under this
article 115 and shall issue temporary permits to engage in the work of a
journeyman electrician or residential wireman to any applicant who
furnishes evidence satisfactory to the board that the applicant has the
required experience to qualify for the examination provided in this article
115 and who pays the fee provided in section 12-23-112 12-115-117 for
such THE permits. In addition, and in a similar manner, the board or the
program director or the director's agent shall issue temporary permits to any
applicant who furnishes evidence satisfactory to the board that the applicant
qualifies for a master electrician's license and who pays the required fee.
Temporary permits shall continue in effect for no more than thirty days after
issuance and may be revoked by the board at any time.
12-115-115. [Formerly 12-23-110.5] Apprentices - supervision -
registration - discipline. (1) Any person may work as an apprentice but
shall not do any electrical wiring for the installation of electrical apparatus
or equipment for light, heat, or power except under the supervision of a
licensed electrician. The degree of supervision required shall be no more
than one licensed electrician to supervise no more than three apprentices at
the job site.
(2) Any electrical contractor, journeyman electrician, master
electrician, or residential wireman who is the employer or supervisor of any
electrical apprentice working at the trade shall be responsible for the work
performed by such THE apprentice. The board may take disciplinary action
against any such THE contractor, or any such electrician, or residential
wireman under the provisions of section 12-23-118 12-115-122 for any
improper work performed by an electrical apprentice working at the trade
during the time of his OR HER employment while under the supervision of
PAGE 336-HOUSE BILL 19-1172
such THE person. The registration of such THE apprentice may also be
subject to disciplinary action under the provisions of section 12-23-118
12-115-122.
(3) (a) Upon employing an electrical apprentice to work at the trade,
the electrical contractor, within thirty days after such THE initial
employment, shall register such THE apprentice with the board. The
employer shall also notify the board within thirty days after the termination
of such THE employment.
(b) Such THE apprentice shall be under the supervision of either a
licensed electrician or a residential wireman as set forth in subsection (1) of
this section.
12-115-116. [Formerly 12-23-111] Exemptions - definition.
(1) Employees of public service corporations, rural electrification
associations, or municipal utilities generating, distributing, or selling
electrical energy for light, heat, or power or for operating street railway
systems, or telephone or telegraph systems, or their corporate affiliates and
their employees or employees of railroad corporations, or lawfully permitted
or franchised cable television companies and their employees shall not be
required to hold licenses while doing electrical work for such THOSE
purposes.
(2) Nothing in this article 115 shall be construed to require any
individual to hold a license before doing electrical work on his or her own
property or residence if all such electrical work, except for maintenance or
repair of existing facilities, is inspected as provided in this article 115; if,
however, the property or residence is intended for sale or resale by a person
engaged in the business of constructing or remodeling such THE facilities
or structures or is rental property that is occupied or is to be occupied by
tenants for lodging, either transient or permanent, or is generally open to the
public, the owner shall be responsible for, and the property shall be subject
to, all of the provisions of this article 115 pertaining to inspection and
licensing, unless specifically exempted therein.
(3) Nothing in this article 115 shall be construed to require any
regular employee of any firm or corporation to hold a license before doing
any electrical work on the property of such THE firm or corporation, whether
or not such THE property is owned, leased, or rented: If the firm or
PAGE 337-HOUSE BILL 19-1172
corporation employing any employee performing such THE work has all
such electrical work installed in conformity with the minimum standards as
set forth in this article 115 and all such work is subject to inspection by the
board or its inspectors by request in writing in accordance with subsection
(14) (11) of this section; and if the property of any such firm or corporation
is not generally open to the public. No license for such THE firm or
corporation, nor inspection by the board or its inspectors, nor the payment
of any fees thereon shall be required, with the exception of inspection by the
board or its inspectors when performed by written request. Nothing
contained in this article 115 shall be construed to require any license, any
inspection by the board or its inspectors, or the payment of any fees for any
electrical work performed for maintenance, repair, or alteration of existing
facilities, which shall be exempt as provided in this section.
(4) If the property of any person, firm, or corporation is rental
property or is developed for sale, lease, or rental, or is occupied or is to be
occupied by tenants for lodging, either transient or permanent, or is
generally open to the public, then such THE property of any such person,
firm, or corporation shall be subject to all the provisions of this article 115
pertaining to inspection and licensing, except for the maintenance, repair,
or alteration of existing facilities, which shall be exempt as provided in this
section.
(5) Nothing in this article 115 shall be construed to cover the
installation, maintenance, repair, or alteration of vertical transportation or
passenger conveyors, elevators, escalators, moving walks, dumbwaiters,
stage lifts, man lifts, or appurtenances thereto beyond the terminals of the
controllers. Furthermore, elevator contractors or constructors performing
any installation, maintenance, repair, or alteration under this exemption, or
their employees, shall not be covered by the licensing requirements of this
article 115.
(6) (a) Nothing in this article 115 shall be construed to require an
individual to hold a license before doing any maintenance or repair of
existing facilities on his or her own property or residence, nor to require
inspection by the board or its inspectors, nor to pay any fees connected
therewith.
(b) Nothing in this article 115 shall be construed to require any firm
or corporation or its regular employees to be required to hold a license
PAGE 338-HOUSE BILL 19-1172
before doing maintenance or repair of existing facilities on the property of
said THE firm or corporation, whether or not the property is generally open
to the public; nor shall inspection by the board or its inspectors or the
payment of any fees connected therewith be required.
(c) For the purposes of this subsection (6), "maintenance or repair
of existing facilities" means to preserve or keep in good repair lawfully
installed facilities by repairing or replacing components with new
components that serve the same purpose.
(7) to (9) Repealed.
(10) (7) An individual, firm, copartnership, or corporation may
engage in business as an electrical contractor without an electrician's license
if all electrical work performed by such THE individual, firm, copartnership,
or corporation is under the direction and control of a licensed master
electrician.
(11) (8) Any person who plugs in any electrical appliance where AN
approved electrical outlet is already installed shall not be considered an
installer.
(12) (9) No provision of this article 115 shall in any manner
interfere with, hamper, preclude, or prohibit any vendor of any electrical
appliance from selling, delivering, and connecting any electrical appliance,
if the connection of said THE appliance does not necessitate the installation
of electrical wiring of the structure where said THE appliance is connected.
(13) (10) The provisions of this article 115 shall not be applicable
to the installation or laying of metal or plastic electrical conduits in bridge
or highway projects where such THE conduits must be laid according to
specifications complying with applicable electrical codes.
(13.5) Repealed.
(14) (11) Nothing in this article 115 shall be construed to exempt
any electrical work from inspection under the provisions of this article 115
except that which is specifically exempted in this article 115, and nothing
in this article 115 shall be construed to exempt any electrical work from
inspection by the board or its inspectors upon order of the board or from any
PAGE 339-HOUSE BILL 19-1172
required corrections connected therewith. However, no fees or charges may
be charged for any such inspection except as set forth in this article 115,
unless request for inspection has been made to the board or its inspectors in
writing, in which case, unless otherwise covered in this article 115, the
actual expenses of the board and its inspectors of the inspection involved
shall be charged by and be paid to the board. The board is directed to make
available and mail minimum standards pertaining to specific electrical
installations on request and to charge a fee for the same, such THE fee not
to exceed the actual cost involved, and in no case more than one dollar.
Requests for copies of the national electrical code shall be filled when
available, costs thereof not to exceed the actual cost to the board.
(15) (12) Inasmuch as electrical licensing and the examination of
persons performing electrical work is a matter of statewide concern, THE
examination, certification, licensing, or registration of electrical contractors,
master electricians, journeymen electricians, residential wiremen, or
apprentices who are licensed, registered, or certified under this article 115
shall not be required by any city, town, county, city and county, or qualified
state institution of higher education; however, any such local governmental
authority or qualified state institution of higher education may impose
reasonable registration requirements on any electrical contractor as a
condition of performing services within the jurisdiction of such THE
authority or within buildings owned or leased or on land owned by such THE
qualified state institution of higher education. No fee shall be charged for
such THE registration.
(16) (13) The provisions of this article 115 shall not be applicable
to any surface or subsurface operation or property used in, around, or in
conjunction with any mine which THAT is inspected pursuant to the "Federal
Mine Safety and Health Amendments Act of 1977", Pub.L. 95-164, AS
AMENDED, except permanent state highway tunnel facilities, which shall
conform to standards based on the national electrical code. Nothing
contained in this subsection (16) (13) shall prohibit the department of
transportation from adopting more stringent standards or requirements than
those provided by the minimum standards specified in the national electrical
code, and the department of transportation shall furnish a copy of such THE
more stringent standards to the board.
(17) (14) (a) The permit and inspection provisions of this article 115
shall not apply to:
PAGE 340-HOUSE BILL 19-1172
(I) Installations under the exclusive control of electric utilities for
the purpose of communication or metering or for the generation, control,
transformation, transmission, or distribution of electric energy, whether
such THE installations are located in buildings used exclusively for utilities
for such THOSE purposes or located outdoors on property owned or leased
by the utility or on public highways, streets, or roads or outdoors by virtue
of established rights on private property; or
(II) Load control devices for electrical hot water heaters that are
owned, leased, or otherwise under the control of, and are operated by, an
electric utility, and are on the load side of the single-family residential
meter, if such THE equipment was installed by a registered electrical
contractor. The contractor will notify appropriate local authorities that the
work has been completed in order that an inspection may be made at the
expense of the utility company. The applicable permit fee imposed by the
local authorities shall not exceed ten dollars.
(b) This subsection (17) (14) does not exempt any premises wiring
on buildings, structures, or other premises not owned by or under the
exclusive control of the utility nor wiring in buildings used by the utility for
purposes other than those listed in this subsection (17) (14), such as office
buildings, garages, warehouses, machine shops, and recreation buildings.
This subsection (17) (14) exempts all of the facilities, buildings, and the like
inside the security fence of a generating station, substation, control center,
or communication facility.
(18) (15) Nothing in this article 115 shall be construed to:
(a) Cover the installation, maintenance, repair, or alteration of
security systems of fifty volts or less, lawn sprinkler systems, environmental
controls, or remote radio-controlled systems beyond the terminals of the
controllers. Furthermore, the contractors performing any installation,
maintenance, repair, or alteration under this exemption, or their employees,
shall not be covered by the licensing requirements of this article 115.
(19) (b) Nothing in this article shall be construed to Cover the
installation, maintenance, repair, or alteration of electronic computer data
processing equipment and systems beyond the terminals of the controllers.
Furthermore, the contractors performing any installation, maintenance,
repair, or alteration under this exemption, or their employees, shall not be
PAGE 341-HOUSE BILL 19-1172
covered by the licensing requirements of this article 115.
(20) (c) Nothing in this article shall be construed to Cover the
installation, maintenance, repair, or alteration of communications systems,
including telephone and telegraph systems not exempted as utilities in
subsection (1) of this section, radio and television receiving and
transmitting equipment and stations, and antenna systems other than
community antenna television systems beyond the terminals of the
controllers. Furthermore, the contractors performing any installation,
maintenance, repair, or alteration under this exemption, or their employees,
shall not be covered by the licensing requirements of this article 115.
(21) (d) Nothing in this article shall be construed to Cover the
installation, maintenance, repair, or alteration of electric signs, cranes,
hoists, electroplating, industrial machinery, and irrigation machinery beyond
the terminals of the controllers. Furthermore, the contractors performing
any installation, maintenance, repair, or alteration under this exemption, or
their employees, shall not be covered by the licensing requirements of this
article 115.
(22) (e) Nothing in this article shall be construed to Cover the
installation, maintenance, repair, or alteration of equipment and wiring for
sound recording and reproduction systems, centralized distribution of sound
systems, public address and speech-input systems, or electronic organs
beyond the terminals of the controllers. Furthermore, the contractors
performing any installation, maintenance, repair, or alteration under this
exemption, or their employees, shall not be covered by the licensing
requirements of this article 115.
(23) (f) Nothing in this article shall be construed to Require either
that employees of the federal government who perform electrical work on
federal property shall be required to be licensed before doing electrical
work on such THE property or that the electrical work performed on such
THE property shall be regulated pursuant to this article 115;
(24) (g) Nothing in this article shall be construed to Require
licensing that covers the installation, maintenance, repair, or alteration of
fire alarm systems operating at fifty volts or less. Furthermore, the
contractors performing any installation, maintenance, repair, or alteration
under this exemption, or their employees, shall not be covered by the
PAGE 342-HOUSE BILL 19-1172
licensing requirements of this article 115 but shall be subject to all
provisions of this article 115 pertaining to inspections and permitting.
12-115-117. [Formerly 12-23-112] Fees. (1) As established
pursuant to section 24-34-105, C.R.S. 12-20-105, fees shall be charged by
the state electrical board for the following:
(a) Master electrician's license or permit;
(b) Renewal of master electrician's license;
(c) Journeyman electrician's license or permit;
(d) Renewal of journeyman electrician's license;
(e) Examination for master electrician;
(f) Examination for journeyman electrician;
(g) Electrical contractor registration;
(h) Renewal of electrical contractor registration;
(i) Residential wireman's license or permit;
(j) Renewal of residential wireman's license;
(k) Examination for residential wireman;
(l) Apprentice registration.
(m) (Deleted by amendment, L. 2010, (HB 10-1225), ch. 198, p.
865, § 16, effective July 1, 2010.)
12-115-118. [Formerly 12-23-114] Publications.
(1) Repealed.
(2) Publications of the board circulated in quantity outside the
executive branch shall be issued in accordance with the provisions of
PAGE 343-HOUSE BILL 19-1172
section 24-1-136. C.R.S.
12-115-119. [Formerly 12-23-115] Inspectors - qualifications -
repeal. (1) (a) (I) The director of the division of professions and
occupations is hereby authorized to appoint or employ, with the power of
removal, competent persons licensed under this article 23 115 as
journeymen or master electricians as state electrical inspectors. The division
director is also authorized to appoint or employ, with the power of removal,
for the purpose of inspecting one-, two-, three-, or four-family dwellings,
competent persons with the following qualifications:
(A) Persons who have passed the written residential wireman's
examination described in section 12-23-106 12-115-110; or
(B) Persons employed by any city, town, county, or city and county
on or before January 1, 2019, who have been certified as residential
electrical inspectors by a national certification authority approved by the
board and who have furnished satisfactory evidence of at least two years'
practical experience in the electrical inspection of residential dwellings.
This subsection (1)(a)(I)(B) is repealed, effective January 1, 2023.
(II) Such THE inspectors may be employed either on a full-time or
on a part-time basis as the circumstances in each case shall warrant; except
that the division director OF THE DIVISION may contract with any electrical
inspector regularly engaged as such and certify him OR HER to make
inspections in a designated area at such compensation as shall be fixed by
the division director. State electrical inspectors have the right of ingress and
egress to and from all public and private premises during reasonable
working hours where this law applies for the purpose of making electrical
inspections or otherwise determining compliance with the provisions of this
article 115. In order to avoid conflicts of interest, a state electrical inspector
hired under this section shall not inspect any electrical work in which such
THE inspector has any financial or other personal interest and shall not be
engaged in the electrical business by contracting, supplying material, or
performing electrical work as defined in this article 115.
(b) Any employee of a private, municipal, or cooperative electric
utility rendering service to the ultimate public shall be prohibited from
employment as an electrical inspector only when in the performance of any
electrical work as defined in this article 115. Electrical inspectors
PAGE 344-HOUSE BILL 19-1172
performing electrical inspections who are employed by any city, town,
county, city and county, or qualified state institution of higher education
shall possess the same qualifications required of state electrical inspectors
under this section; shall be registered with the board prior to the assumption
of their duties; shall not inspect any electrical work in which such THE
inspector has any financial or other personal interest; and shall not be
engaged, within the jurisdiction employing such THE inspector, in the
electrical business by contracting, supplying material, or performing
electrical work as defined in this article 115. Additionally, electrical
inspectors performing electrical inspections who are employed by a
qualified state institution of higher education shall possess an active
journeyman or master electrician license. A supervisor overseeing the work
of an electrical inspector who is employed by a qualified state institution of
higher education shall not direct such THE electrical inspector to violate any
provision of this article 115. An electrical inspector employed by a qualified
state institution of higher education shall not be coerced by a supervisor
when filing a complaint with the board or when such THE electrical
inspector disapproves an electrical installation that violates the provisions
of this article 115.
(c) Nothing in this article 115 shall be construed to limit any
inspector from qualifying as an inspector in other construction specialties.
(2) Repealed.
(3) (2) State electrical inspectors appointed or employed pursuant
to subsection (1) of this section may:
(a) Conduct inspections and investigations pursuant to section
12-23-118 (4) 12-115-122 (2) on behalf of the program director;
(b) Provide service of process for a citation served pursuant to
section 12-23-118 (6)(b) 12-115-122 (4)(b) in compliance with rule 4 of the
Colorado rules of civil procedure.
12-115-120. [Formerly 12-23-116] Inspection - application -
standard - rules. (1) (a) An individual required to have electrical
inspection under this article 115 shall apply to the board for an electrical
permit, except where an incorporated town or city, county, city and county,
or qualified state institution of higher education has a building department
PAGE 345-HOUSE BILL 19-1172
that meets the minimum standards of this article 115 and that processes
applications for building permits and inspections, in which case the
individual shall apply to such THE building department. A qualified state
institution of higher education with a building department that meets or
exceeds the minimum standards adopted by the board under this article 115
shall process applications for permits and inspections only from the
institution and from contractors working for the benefit of the institution
and shall conduct inspections only of work performed for the benefit of the
institution. Each inspection must include a contemporaneous review to
ensure that the requirements of this article 115, and specifically section
12-23-110.5 12-115-115, have been met.
(b) Upon final inspection and approval by the state electrical
inspector, notice shall be issued by the board to the utility, and the office of
the board shall retain one copy of the record of approval.
(c) A utility shall not provide service to any person required to have
electrical inspection under this article 115 without proof of final approval
as provided in paragraph (b) of this subsection (1) SUBSECTION (1)(b) OF
THIS SECTION; except that service shall be provided in those situations
determined by the local electrical inspection authority, or by the board,
whichever has jurisdiction, to be emergency situations for a maximum
period of seven days or until the inspection has been made.
(2) (a) The owner of an electrical installation in any new
construction, other than manufactured units certified by the division of
housing pursuant to section 24-32-3311, C.R.S., or remodeling or repair of
an existing construction, except in any incorporated town or city, county,
city and county, or qualified state institution of higher education having its
own electrical code and inspection program equal to the minimum standards
as are provided in this article 115, shall have the electrical portion of the
installation, remodeling, or repair inspected by a state electrical inspector.
A qualified state institution of higher education with a building department
that meets or exceeds the minimum standards adopted by the board under
this article 115 shall process applications for permits and inspections only
from the institution and from contractors working for the benefit of the
institution and shall conduct inspections only of work performed for the
benefit of the institution.
(b) A state electrical inspector shall inspect any new construction,
PAGE 346-HOUSE BILL 19-1172
remodeling, or repair subject to this subsection (2) within three working
days after the receipt of the application for inspection. Prior to the
commencement of any electrical installation, the person making the
installation shall apply for an electrical permit and pay the required permit
fee.
(c) A manufactured home, mobile home, or movable structure owner
shall have the electrical installation for the manufactured home, mobile
home, or movable structure inspected prior to obtaining electric service.
(3) A state electrical inspector shall inspect the work performed,
and, if such THE work meets the minimum standards set forth in the national
electrical code referred to in section 12-23-104 (2)(a) 12-115-107 (2)(a), a
certificate of approval shall be issued by the inspector. If such THE
installation is disapproved, written notice thereof together with the reasons
for such THE disapproval shall be given by the inspector to the applicant. If
such THE installation is hazardous to life or property, the inspector
disapproving it may order the electrical service thereto discontinued until
such THE installation is rendered safe and shall send a copy of the notice of
disapproval and order for discontinuance of service to the supplier of
electricity. The applicant may appeal such THE disapproval to the board and
shall be granted a hearing by the board within seven days after notice of
appeal is filed with the board. After removal of the cause of such THE
disapproval, the applicant shall make application for reinspection in the
same manner as for the original inspection and pay the required reinspection
fee.
(4) The person or inspector making an application, certificate of
approval, or notice of disapproval shall include the name of the property
owner, if known; the location and a brief description of the installation; the
name of the electrical contractor and state registration number; the state
electrical inspector; and the fee charged for the permit. The notice of
disapproval and corrective actions to be taken shall be submitted to the
board, and a copy of the notice shall be submitted to the electrical contractor
within two working days after the date of inspection. The inspector shall
post a copy of the notice at the installation site. The board shall furnish the
forms. A copy of each application, certificate, and notice made or issued
shall be filed with the board.
(5) Nothing in this section shall be construed to require any utility
PAGE 347-HOUSE BILL 19-1172
as defined in this article 115 to collect or enforce collection or in any way
handle the payment of any fee connected with such THE application.
(6) (a) All inspection permits issued by the board shall be valid for
a period of twelve months, and the board shall cancel the permit and remove
it from its files at the end of the twelve-month period, except in the
following circumstances:
(I) If an applicant makes a showing at the time of application for a
permit that the electrical work is substantial and is likely to take longer than
twelve months, the board may issue a permit to be valid for a period longer
than twelve months, but not exceeding three years.
(II) If the applicant notifies the board prior to the expiration of the
twelve-month period of extenuating circumstances, as determined by the
board, during the twelve-month period, the board may extend the validity
of the permit for a period not to exceed six months.
(b) If an inspection is requested by an applicant after a permit has
expired or has been cancelled, a new permit must be applied for and granted
before an inspection is performed.
(7) Notwithstanding the fact that any incorporated town or city, any
county, or any city and county in which a public school is located or is to be
located has its own electrical code and inspection authority, any electrical
installation in any new construction or remodeling or repair of a public
school shall be inspected by a state electrical inspector.
(8) (a) In the event that any incorporated town or city, county, city
and county, or qualified state institution of higher education intends to
commence or cease performing electrical inspections in its respective
jurisdiction or, in the case of a qualified state institution of higher
education, for buildings owned, leased, or on its land, such THE public entity
or institution shall commence or cease the same only as of July 1 of any
year, and written notice of such THE intent must be given to the board on or
before October 1 of the preceding calendar year. If such THE notice is not
given and the use of state electrical inspectors is required within such THE
notice requirement, the respective local government or qualified state
institution of higher education of the respective jurisdiction or building
requiring such THE inspections shall reimburse the state electrical board for
PAGE 348-HOUSE BILL 19-1172
any expenses incurred in performing such THE inspections, in addition to
transmitting the required permit fees.
(b) Repealed.
(9) (a) A person claiming to be aggrieved by the failure of a state
electrical inspector to inspect property after proper application or by notice
of disapproval without setting forth the reasons for rejecting the inspection
may request the program director to review the actions of the state electrical
inspector or the manner of the inspection. The request may be made by an
authorized representative and shall be in writing.
(b) Upon the filing of such a request, the program director shall
cause a copy to be served upon the state electrical inspector complained of,
together with an order requiring the inspector to answer the allegations of
said THE request within a time fixed by the program director.
(c) If the request is not granted within ten days after it is filed, it
may be treated as rejected. Any person aggrieved by the action of the
program director in refusing the review requested or in failing or refusing
to grant all or part of the relief requested may file a written complaint and
request for a hearing with the board, specifying the grounds relied upon.
(d) Any hearing before the board shall be held pursuant to the
provisions of section 24-4-105. C.R.S.
(10) An inspector performing an inspection for the state, an
incorporated town or city, a county, a city and county, or a qualified state
institution of higher education may verify compliance with this article 115;
however, for each project, inspections performed by the state, an
incorporated town or city, a county, a city and county, or a qualified state
institution of higher education must include a contemporaneous review to
ensure that the specific requirements of sections 12-23-105 12-115-109 and
12-23-110.5 12-115-115 have been met. A contemporaneous review may
include a full or partial review of the electricians and apprentices working
on a job site being inspected. To ensure that enforcement is consistent,
timely, and efficient, each entity, including the state, as described in this
subsection (10), shall develop standard procedures to advise its inspectors
how to conduct a contemporaneous review. Each entity's standard
procedures need not require a contemporaneous review for each and every
PAGE 349-HOUSE BILL 19-1172
inspection of a project, but the procedures must preserve an inspector's
ability to verify compliance with sections 12-23-105 12-115-109 and
12-23-110.5 12-115-115 at any time. Each entity, including the state, shall
post its current procedures regarding contemporaneous reviews in a
prominent location on its public website. An inspector may file a complaint
with the board for any violation of this article 115.
12-115-121. [Formerly 12-23-117] Inspection fees. (1) As
established pursuant to section 24-34-105, C.R.S. 12-20-105, inspection
fees shall be charged by the board and shall be set and categorized based
upon the actual expense of inspecting each type of electrical installation.
(2) Because electrical inspections are matters of statewide concern,
the maximum fees, established annually, chargeable for electrical
inspections by any city, town, county, city and county, or qualified state
institution of higher education shall not be more than fifteen percent above
those provided for in this section, and no such local government or qualified
state institution of higher education shall impose or collect any other fee or
charge related to electrical inspections or permits. A qualified state
institution of higher education may choose not to require fees as part of the
permitting process. A documented permitting and inspection system must
be instituted by each qualified state institution of higher education as a
tracking system that is available to the board for the purpose of
investigating any alleged violation of this article 115. The permitting and
inspection system must include information specifying the project, the name
of the inspector, the date of the inspection, the job-site address, the scope
of the project, the type of the inspection, the result of the inspection, the
reason and applicable code sections for partially passed or failed
inspections, and the names of the contractors on the project who are subject
to inspection.
(3) If an application is not filed in advance of the commencement
of an installation, the inspection fee shall be twice the amount of the
inspection fee set by the board pursuant to subsection (1) of this section.
12-115-122. [Formerly 12-23-118] Violations - citations -
settlement agreements - hearings - fines - rules. (1) The board may deny,
suspend, revoke, refuse to renew, or issue a letter of admonition TAKE
DISCIPLINARY OR OTHER ACTION AS AUTHORIZED BY SECTION 12-20-404 in
regard to any license or registration issued or applied for under the
PAGE 350-HOUSE BILL 19-1172
provisions of this article may place a licensee or registrant on probation,
115 or may issue a citation to a licensee, registrant, or applicant for
licensure for any of the following reasons:
(a) Violation of or aiding or abetting in the violation of any of the
provisions of this article 115 OR AN APPLICABLE PROVISION OF ARTICLE 20
OF THIS TITLE 12;
(b) Violation of the rules and regulations or orders promulgated by
the board in conformity with the provisions of this article 115 or aiding or
abetting in such THE violation;
(c) Failure or refusal to remove within a reasonable time the cause
of the disapproval of any electrical installation as reported on the notice of
disapproval, but such A reasonable time shall include time for appeal to and
a hearing before the board;
(d) Failure or refusal to maintain or adhere to the minimum
standards set forth in rules and regulations adopted by the board pursuant
to section 12-23-104 (2)(a) 12-115-107 (2)(a);
(e) Any cause for which the issuance of the license could have been
refused had it then existed and been known to the board;
(f) Commitment of one or more acts or omissions that do not meet
generally accepted standards of electrical practice;
(g) Conviction of or acceptance of a plea of guilty or nolo
contendere by a court to a felony. In considering the disciplinary action, the
board shall be governed by the provisions of section SECTIONS 12-20-202
(5) AND 24-5-101. C.R.S.
(h) Advertising by any licensee or registrant which THAT is false or
misleading;
(i) Deception, misrepresentation, or fraud in obtaining or attempting
to obtain a license;
(j) Failure of a master electrician who is charged with supervising
all electrical work performed by a contractor pursuant to section 12-23-106
PAGE 351-HOUSE BILL 19-1172
(5)(c) 12-115-110 (5)(c) to adequately supervise such THE work or failure
of any licensee to adequately supervise an apprentice who is working at the
trade pursuant to section 12-23-110.5 12-115-115;
(k) Employment of any person required by this article 115 to be
licensed or registered or to obtain a permit who has not obtained such THE
license, registration, or permit;
(l) Disciplinary action against an electrician's license or registration
in another jurisdiction. Evidence of such THE disciplinary action shall be
prima facie evidence for denial of licensure or registration or other
disciplinary action if the violation would be grounds for such disciplinary
action in this state.
(m) Providing false information to the board during an investigation
with the intent to deceive or mislead the board;
(n) Practicing as a residential wireman, journeyman, master,
contractor, or apprentice during a period when the licensee's license or the
registrant's registration has been suspended or revoked;
(o) Selling or fraudulently obtaining or furnishing a license to
practice as a residential wireman, journeyman, or master or aiding or
abetting therein;
(p) In conjunction with any construction or building project
requiring the services of any person regulated by this article 115, willfully
disregarding or violating:
(I) Any building or construction law of this state or any of its
political subdivisions;
(II) Any safety or labor law;
(III) Any health law;
(IV) Any workers' compensation insurance law;
(V) Any state or federal law governing withholdings from employee
income, including but not limited to income taxes, unemployment taxes, or
PAGE 352-HOUSE BILL 19-1172
social security taxes; or
(VI) Any reporting, notification, or filing law of this state or the
federal government.
(2) and (3) (Deleted by amendment, L. 94, p. 36, § 3, effective July
1, 1994.)
(4) (2) (a) If, pursuant to an inspection or investigation by a state
electrical inspector, the board concludes that any licensee, registrant, or
applicant for licensure has violated any provision of subsection (1) of this
section and that disciplinary action is appropriate, the program director or
the program director's designee may issue a citation in accordance with
subsection (6) (4) of this section to such THE licensee, registrant, or
applicant.
(b) (I) The licensee, registrant, or applicant to whom a citation has
been issued may make a request to negotiate a stipulated settlement
agreement with the program director or the program director's designee, if
such THE request is made in writing within ten working days after issuance
of the citation that is the subject of the settlement agreement.
(II) All stipulated settlement agreements shall be conducted pursuant
to rules adopted by the board pursuant to section 12-23-104 (2)(a)
12-115-107 (2)(a). The board shall adopt a rule to allow any licensee,
registrant, or applicant unable, in good faith, to settle with the program
director to request an administrative hearing pursuant to paragraph (c) of
this subsection (4) SUBSECTION (2)(c) OF THIS SECTION.
(III) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(c) (I) The licensee, registrant, or applicant to whom a citation has
been issued may request an administrative hearing to determine the
propriety of such THE citation if such THE request is made in writing within
ten working days after issuance of the citation that is the subject of the
hearing or within a reasonable period after negotiations for a stipulated
settlement agreement pursuant to paragraph (b) of this subsection (4)
PAGE 353-HOUSE BILL 19-1172
SUBSECTION (2)(b) OF THIS SECTION have been deemed futile by the
program director.
(II) For good cause the board may extend the period of time in
which a person who has been cited may request a hearing.
(III) All hearings conducted pursuant to subparagraph (I) of this
paragraph (c) SUBSECTION (2)(c)(I) OF THIS SECTION shall be conducted in
compliance with section 24-4-105. C.R.S.
(d) Any action taken by the board pursuant to this section shall be
deemed final after the period of time extended to the licensee, registrant, or
applicant to contest such THE action pursuant to this subsection (4) (2) has
expired.
(5) (3) (a) The board shall adopt a schedule of fines pursuant to
paragraph (b) of this subsection (5) SUBSECTION (3)(b) OF THIS SECTION as
penalties for violating subsection (1) of this section. Such THE fines shall
be assessed in conjunction with the issuance of a citation, pursuant to a
stipulated settlement agreement, or following an administrative hearing.
Such THE schedule shall be adopted by rule in accordance with section
12-23-104 (2)(a) 12-115-107 (2)(a).
(b) In developing the schedule of fines, the board shall:
(I) Provide that a first offense may carry a fine of up to one thousand
dollars;
(II) Provide that a second offense may carry a fine of up to two
thousand dollars;
(III) Provide that any subsequent offense may carry a fine of up to
two thousand dollars for each day that subsection (1) of this section is
violated;
(IV) Consider how the violation impacts the public, including any
health and safety considerations;
(V) Consider whether to provide for a range of fines for any
particular violation or type of violation; and
PAGE 354-HOUSE BILL 19-1172
(VI) Provide uniformity in the fine schedule.
(c) Repealed.
(6) (4) (a) (I) Any citation issued pursuant to this section shall be in
writing, shall adequately describe the nature of the violation, and shall
reference the statutory or regulatory provision or order alleged to have been
violated.
(II) Any citation issued pursuant to this section shall clearly state
whether a fine is imposed, the amount of such THE fine, and that payment
for such fine must be remitted within the time specified in such THE citation
if such citation is not contested pursuant to subsection (4) (2) of this section.
(III) Any citation issued pursuant to this section shall clearly set
forth how such THE citation may be contested pursuant to subsection (4) (2)
of this section, including any time limitations.
(b) A citation or copy of a citation issued pursuant to this section
may be served by certified mail or in person by a state electrical inspector
or the program director's designee upon a person or the person's agent in
accordance with rule 4 of the Colorado rules of civil procedure.
(c) If the recipient fails to give written notice to the board that the
recipient intends to contest such THE citation or to negotiate a stipulated
settlement agreement within ten working days after service of a citation by
the board, such THE citation shall be deemed a final order of the board.
(d) (I) The board may suspend or revoke a license or registration or
may refuse to renew any license or registration issued or may place on
probation any licensee or registrant TAKE DISCIPLINARY ACTION AS
SPECIFIED IN SECTION 12-20-404 (1)(b) OR (1)(d) if the licensee or registrant
fails to comply with the requirements set forth in a citation deemed final
pursuant to paragraph (c) of this subsection (6) SUBSECTION (4)(c) OF THIS
SECTION.
(II) Upon completing an investigation, the board shall make one of
the following findings:
(A) The complaint is without merit and no further action need be
PAGE 355-HOUSE BILL 19-1172
taken.
(B) There is no reasonable cause to warrant further action.
(C) The investigation discloses an instance of conduct that does not
warrant formal action and should be dismissed, but the investigation also
discloses indications of possible errant conduct that could lead to serious
consequences if not corrected. If this finding is made, the board shall send
a confidential letter of concern to the licensee or registrant IN ACCORDANCE
WITH SECTION 12-20-404 (5).
(D) The investigation discloses an instance of conduct that does not
warrant formal action but should not be dismissed as being without merit.
If this finding is made, the board may send a letter of admonition to the
licensee or registrant by certified mail IN ACCORDANCE WITH SECTION
12-20-404 (4).
(E) The investigation discloses facts that warrant further
proceedings by formal complaint. If this finding is made, the board shall
refer the complaint to the attorney general for preparation and filing of a
formal complaint.
(III) (A) When a letter of admonition is sent by certified mail to a
licensee or registrant, the board shall include in the letter a notice that the
licensee or registrant has the right to request in writing, within twenty days
after receipt of the letter, that formal disciplinary proceedings be initiated
to adjudicate the propriety of the conduct upon which the letter of
admonition is based.
(B) If the request for adjudication is timely made, the letter of
admonition is vacated and the board shall proceed by means of formal
disciplinary proceedings.
(IV) (Deleted by amendment, L. 2010, (HB 10-1225), ch. 198, p.
866, § 18, effective July 1, 2010.)
(V) (III) The board shall conduct all proceedings pursuant to this
subsection (6) (4) expeditiously and informally so that no licensee or
registrant is subjected to unfair and unjust charges and that no complainant
is deprived of the right to a timely, fair, and proper investigation of a
PAGE 356-HOUSE BILL 19-1172
complaint.
(e) The failure of an applicant for licensure to comply with a citation
deemed final pursuant to paragraph (c) of this subsection (6) SUBSECTION
(4)(c) OF THIS SECTION is grounds for denial of a license.
(f) No citation may be issued under this section unless the citation
is issued within the six-month period following the occurrence of the
violation.
(7) (5) (a) Any fine collected pursuant to this section shall be
transmitted to the state treasurer, who shall credit one-half of the amount of
any such THE fine to the general fund, and one-half of the amount of any
such THE fine shall be shared with the appropriate city, town, county, or city
and county, which amounts shall be transmitted to any such THE entity on
an annual basis.
(b) Any fine assessed in a citation or an administrative hearing or
any amount due pursuant to a stipulated settlement agreement that is not
paid may be collected by the program director through a collection agency
or in an action in the district court of the county in which the person against
whom the fine is imposed resides or in the county in which the office of the
program director is located.
(c) The attorney general shall provide legal assistance and advice to
the program director in any action to collect an unpaid fine.
(d) In any action brought to enforce this subsection (7) (5),
reasonable attorney fees and costs shall be awarded.
(8) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public or
a person is acting or has acted without the required license, the board may
issue an order to cease and desist such activity. The order shall set forth the
statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
PAGE 357-HOUSE BILL 19-1172
pursuant to paragraph (a) of this subsection (8), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(9) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (9) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (9) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (9). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (9) does not appear at the
hearing, the board may present evidence that notification was properly sent
or served upon such person pursuant to paragraph (b) of this subsection (9)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
PAGE 358-HOUSE BILL 19-1172
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (9), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(10) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the board may enter into a
stipulation with such person.
(11) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(12) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
order in a court of competent jurisdiction.
(6) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
PAGE 359-HOUSE BILL 19-1172
12-115-123. [Similar to 12-23-119 (2)]Unauthorized practice -
penalties. ANY PERSON WHO PRACTICES OR OFFERS OR ATTEMPTS TO
PRACTICE THE PROFESSION OF AN ELECTRICIAN WITHOUT AN ACTIVE LICENSE
ISSUED UNDER THIS ARTICLE 115 IS SUBJECT TO PENALTIES PURSUANT TO
SECTION 12-20-407 (1)(a).
12-115-124. [Formerly 12-23-120] Judicial review. The court of
appeals shall have initial jurisdiction to review SECTION 12-20-408
GOVERNS JUDICIAL REVIEW OF all final actions and orders of the board. that
are subject to judicial review. Such proceedings shall be conducted in
accordance with section 24-4-106 (11), C.R.S.
ARTICLE 120
Engineers, Surveyors, and Architects
PART 1
GENERAL PROVISIONS
12-120-101. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
120.
12-120-102. Definitions. AS USED IN THIS ARTICLE 120, UNLESS THE
CONTEXT OTHERWISE REQUIRES:
(1) [Formerly 12-25-102 (1) and similar to 12-25-202 (1.5) and
12-25-302 (2)] "Board" means the state board of licensure for architects,
professional engineers, and professional land surveyors, created in section
12-25-106 12-120-103.
(2) [Formerly 12-25-202 (12)] "Surveyor quorum of the board"
means not less than the three professional land surveyor members of the
board and one of the nonengineering, non-land surveyor members of the
board.
12-120-103. State board of licensure for architects, professional
engineers, and professional land surveyors - creation - composition -
appointment of members - terms - meetings - program director and
staff - subject to termination - repeal of article. (1) [Formerly 12-25-106
(1)] Board creation. A state board of licensure for architects, professional
PAGE 360-HOUSE BILL 19-1172
engineers, and professional land surveyors is hereby created, the duty of
which shall be to administer the provisions of this article Duties of the
board shall include those provided in sections 12-25-107, 12-25-207, and
12-25-307 120, INCLUDING THE DUTIES AND POWERS SPECIFIED IN SECTION
12-120-104.
(2) [Formerly 12-25-106 (2)] Sunset. (a) The provisions of section
24-34-104, C.R.S., concerning the termination schedule for regulatory
bodies of the state, unless extended as provided in that section, are
applicable to the board created by this section.
(b) This article 120 is repealed, effective September 1, 2024.
BEFORE THE REPEAL, THIS ARTICLE 120 IS SCHEDULED FOR REVIEW IN
ACCORDANCE WITH SECTION 24-34-104.
(3) [Formerly 12-25-106 (3)] Board composition. The board shall
consist of thirteen members. Four members shall be professional engineers,
with no more than two of the four engaged in the same discipline of
engineering service or practice; three members shall be practicing
professional land surveyors; three members shall be practicing licensed
architects; and three members shall be citizens of the United States and
residents of this state for at least one year who have not practiced
architecture, engineering, or land surveying.
(4) (a) [Formerly 12-25-106 (4)] Professional engineer members.
Each professional engineer member of the board shall be a citizen of the
United States and a resident of this state for at least one year and shall have
been licensed as a professional engineer and practicing as such for at least
five years. Professional land surveyor members of the board shall have the
qualifications outlined in section 12-25-206.
(b) Professional land surveyor members. (I) [Formerly 12-25-206
(1)] A professional land surveyor who is a member of the board shall be a
citizen of the United States and a resident of Colorado for at least one year.
(II) [Formerly 12-25-206 (2)] A professional land surveyor who is
designated as a land surveyor member of the board shall have been licensed
as a land surveyor for at least five years.
(III) [Formerly 12-25-206 (3)] NOTWITHSTANDING SUBSECTION (6)
PAGE 361-HOUSE BILL 19-1172
OF THIS SECTION, the board shall have a surveyor quorum of the board. as
defined in section 12-25-202 (12). The surveyor quorum shall advise the
board concerning issues relating to land surveyors. THE SURVEYOR QUORUM
OF THE BOARD SHALL ELECT OR APPOINT ANNUALLY A CHAIR, A VICE-CHAIR,
AND A SECRETARY.
(c) [Formerly 12-25-306 (1)] Architect members. To be eligible
for membership on the board, an architect shall be:
(a) (I) A United States citizen and a resident of Colorado for at least
one year; and
(b) (II) A licensed architect in the state of Colorado and have
practiced architecture for at least three years prior to their THE appointment.
(5) [Formerly 12-25-106 (5)] Governor appointments.
(a) Appointments to the board shall be made by the governor and shall be
made to provide for staggering of terms of members so that not more than
three members' terms expire each year. Thereafter appointments shall be for
terms of four years. Each board member shall hold office until the
expiration of the term for which such THE member is appointed or until a
successor has been duly appointed and qualified. Appointees shall be
limited to two full terms. The governor may remove any member of the
board for misconduct, incompetence, or neglect of duty.
(b) Appointments of professional land surveyor members.
(I) [Formerly 12-25-206 (4)] The governor, in making appointments of
professional land surveyors to the board, shall endeavor to select the highest
qualified members of the profession willing to serve on the board.
Staggered appointments shall be made so that not more than one
PROFESSIONAL LAND SURVEYOR member's term expires in any one year, and
thereafter appointments shall be for terms of four years each. Appointees
shall be limited to two full terms each. Each board member shall hold office
until the expiration of the term for which such member is appointed or until
a successor has been duly appointed.
(II) [Formerly 12-25-206 (5)] In the event of a professional land
surveyor vacancy on the board due to resignation, death, or any cause
resulting in an unexpired term, the governor shall fill such THE vacancy
promptly to allow the surveyor quorum of the board to function.
PAGE 362-HOUSE BILL 19-1172
(c) Appointments of architect members. (I) [Formerly 12-25-306
(2)] The governor, in making appointments of architects to the board, shall
endeavor to select the most highly qualified members of the profession
willing to serve on the board. Staggered appointments shall be made so that
not more than one member's term expires in any one year, and thereafter
appointments shall be for terms of four years each. Appointees shall be
limited to two full terms each. Except as otherwise provided in subsection
(3) or (4) of this section, each board member shall hold office until the
expiration of the term for which such member is appointed or until a
successor has been duly appointed, whichever occurs first.
(II) [Formerly 12-25-306 (3)] In the event of an architecture
vacancy on the board due to resignation, death, or any cause resulting in an
unexpired term, the governor shall fill such vacancy promptly.
(d) [Formerly 12-25-106 (6)] Certificate of appointment. Each
appointee shall receive a certificate of his appointment from the governor.
(6) [Formerly 12-25-107 (1)(i)] THE BOARD SHALL hold at least six
regular meetings each year. Special meetings shall be held at such times as
the bylaws of the board may provide. The board shall elect annually a chair,
a vice-chair, and a secretary. A quorum of the board shall consist of not less
than seven members.
(7) [Formerly 12-25-106 (7)] The director of the division of
professions and occupations shall appoint a program director for the board
and such other personnel as are deemed necessary for the board to perform
its statutory duties, pursuant to section 13 of article XII of the state
constitution.
12-120-104. [Formerly 12-25-107 and similar to 12-25-207 and
12-25-307] Powers and duties of the board and division. (1) General
powers and duties. In order to carry into effect the provisions of this part
1 ARTICLE 120, the board shall:
(a) Adopt and promulgate, under the provisions of section 24-4-103,
C.R.S., such rules and regulations as it may deem necessary or proper to
carry out the provisions of this article RULES PURSUANT TO SECTION
12-20-204;
PAGE 363-HOUSE BILL 19-1172
(b) IN ADDITION TO RULES ADOPTED PURSUANT TO SECTION
12-20-204, adopt:
(I) RULES FOR DISCIPLINING LICENSED ARCHITECTS; AND
(II) Rules of professional conduct for professional engineers,
PROFESSIONAL LAND SURVEYORS, AND ARCHITECTS under the provisions of
section 24-4-103. C.R.S., which THE rules OF PROFESSIONAL CONDUCT FOR
PROFESSIONAL ENGINEERS shall be published, AND such publication shall
constitute due notice to all professional engineers.
(c) Keep a record of its proceedings and of all applications FOR
LICENSING UNDER THIS ARTICLE 120. The application record for each
applicant shall include:
(I) Name, age, and residence of the applicant;
(II) Date of application;
(III) Place of business of the applicant;
(IV) Education of the applicant;
(V) (A) FOR AN APPLICANT FOR AN ENGINEERING LICENSE, THE
APPLICANT'S engineering experience; of the applicant;
(B) FOR AN APPLICANT FOR A LAND SURVEYOR LICENSE, THE
APPLICANT'S SURVEYING AND OTHER APPLICABLE EXPERIENCE;
(C) FOR AN APPLICANT FOR AN ARCHITECT LICENSE, THE
APPLICANT'S ARCHITECTURE AND OTHER APPLICABLE EXPERIENCE;
(VI) FOR LAND SURVEYOR AND ARCHITECT APPLICANTS, THE TYPE
OF EXAMINATION REQUIRED;
(VI) (VII) Date and type of action taken by the board; AND
(VII) (VIII) Such other information as may be deemed necessary by
the board.
PAGE 364-HOUSE BILL 19-1172
(d) (Deleted by amendment, L. 2004, p. 1294, § 12, effective May
28, 2004.)
(e) (I) (Deleted by amendment, L. 2003, p. 1305, § 1, effective April
22, 2003.)
(II) (d) Make available through printed or electronic means the
following:
(A) (Deleted by amendment, L. 2004, p. 1294, § 12, effective May
28, 2004.)
(B) (I) Statutes administered by the board FOR EACH OF THE
PROFESSIONS REGULATED UNDER THIS ARTICLE 120;
(C) (II) A list of the names and addresses of record of all
CURRENTLY LICENSED professional engineers, PROFESSIONAL LAND
SURVEYORS, AND ARCHITECTS;
(D) (Deleted by amendment, L. 2003, p. 1305, § 1, effective April
22, 2003.)
(E) (III) Rules of the board;
(F) (IV) Such other pertinent information as the board deems
necessary; AND
(G) (V) The rules of professional conduct adopted pursuant to
paragraph (b) of this subsection (1) SUBSECTION (1)(b)(II) OF THIS SECTION;
AND
(e) ADOPT AND HAVE AN OFFICIAL SEAL.
(2) Board powers and duties regarding professional engineers.
FOR PURPOSES OF ADMINISTERING PART 2 OF THIS ARTICLE 120 PERTAINING
TO THE REGULATION OF PROFESSIONAL ENGINEERS, THE BOARD SHALL:
(f) [Formerly (1)(f)] (a) Provide information to the public regarding
the requirements for compliance with this part 1 2 OF THIS ARTICLE 120;
PAGE 365-HOUSE BILL 19-1172
(g) [Formerly (1)(g)] (b) Provide for examinations OF
PROFESSIONAL ENGINEER LICENSE APPLICANTS in the "fundamentals of
engineering" and the "principles and practice of engineering". Examinations
shall be given as often as practicable. The board shall ensure that the
passing score for any examination is set to measure the level of minimum
competency. An applicant who fails to pass the prescribed examination may
be reexamined.
(h) Adopt and have an official seal;
(i) [Relocated to 12-120-103 (6)]
(j) [Formerly (1)(j)] (c) Participate in the affairs of the National
Council of Examiners for Engineering and Surveying and send a minimum
of one delegate to the national meeting annually.
(3) Board powers and duties regarding professional land
surveyors. FOR PURPOSES OF ADMINISTERING PART 3 OF THIS ARTICLE 120
PERTAINING TO THE REGULATION OF PROFESSIONAL LAND SURVEYORS, THE
BOARD SHALL:
(a) REQUIRE EACH APPLICANT FOR PROFESSIONAL LAND SURVEYOR
LICENSING TO DEMONSTRATE COMPETENCE BY MEANS OF EXAMINATION AND
EDUCATION AND MAY REQUIRE WORK EXAMPLES AS IT DEEMS NECESSARY
AND SUFFICIENT FOR LICENSING; AND
(b) PROVIDE FOR AND ADMINISTER EXAMINATIONS TO APPLICANTS
FOR PROFESSIONAL LAND SURVEYOR LICENSING TO BE GIVEN AS OFTEN AS
PRACTICABLE. EXAMINATIONS MUST BE IDENTIFIED ONLY BY NUMBERS AND
ANONYMOUSLY GRADED. AFTER REVIEWING AND APPROVING THE
EXAMINATION RESULTS, THE BOARD SHALL RECORD AND COMMUNICATE
EACH EXAMINEE'S EXAMINATION RESULTS TO THE EXAMINEE. THE BOARD
SHALL ENSURE THAT THE PASSING SCORE ON SURVEYING EXAMINATIONS IS
SET TO MEASURE THE LEVEL OF MINIMUM COMPETENCY. THE BOARD SHALL
PUBLISH AND MAKE AVAILABLE TO INTERESTED APPLICANTS A LIST OF THE
SUBJECTS INCLUDED IN THE SURVEYING EXAMINATIONS THAT ARE
DEVELOPED BY THE BOARD, WHICH SUBJECTS MUST BE CONSISTENT WITH
AND RELATED TO THE VARIOUS ASPECTS OF SURVEYING.
(4) Board powers and duties regarding architects. FOR PURPOSES
PAGE 366-HOUSE BILL 19-1172
OF ADMINISTERING PART 4 OF THIS ARTICLE 120 PERTAINING TO THE
REGULATION OF ARCHITECTS, THE BOARD IS AUTHORIZED TO:
(a) EXAMINE AND LICENSE DULY QUALIFIED APPLICANTS FOR
ARCHITECT LICENSURE, AND RENEW THE LICENSES OF DULY QUALIFIED
ARCHITECTS;
(b) CONDUCT HEARINGS UPON COMPLAINTS CONCERNING THE
CONDUCT OF ARCHITECTS;
(c) CAUSE THE PROSECUTION OF ALL PERSONS VIOLATING PART 4 OF
THIS ARTICLE 120 BY THE DISTRICT ATTORNEY OR BY THE ATTORNEY
GENERAL PURSUANT TO SECTION 12-20-405 (4); AND
(d) REQUIRE EVERY LICENSED ARCHITECT TO HAVE A STAMP AS
PRESCRIBED BY THE BOARD.
(2) (5) Division to employ investigators. The division of
professions and occupations in the department of regulatory agencies may
employ at least one investigator qualified to investigate complaints relative
to the provisions of this part 1 PART 2 OF THIS ARTICLE 120 AND AT LEAST
ONE INVESTIGATOR TO INVESTIGATE COMPLAINTS RELATIVE TO THE
PROVISIONS OF PART 3 OF THIS ARTICLE 120.
12-120-105. Prior actions. (1) [Formerly 12-25-119 (1) and
similar to 12-25-219 (1)] The board shall take over, assume, and continue
all actions and requirements regarding engineers from its predecessor, the
state board of registration for professional engineers and land surveyors.
There shall be no legal discontinuity, and previously licensed engineers AND
LAND SURVEYORS shall continue their licensure as professional engineers,
PROFESSIONAL LAND SURVEYORS, AND ARCHITECTS, RESPECTIVELY.
(2) [Formerly 12-25-119 (2) and similar to 12-25-219 (2)] The
name change from the state board of licensure for professional engineers
and professional land surveyors to the state board of licensure for architects,
professional engineers, and professional land surveyors shall not be
construed to change the entity. There shall be no legal discontinuity, and
previously licensed engineers AND LAND SURVEYORS shall continue their
licensure as professional engineers OR LAND SURVEYORS, AS APPLICABLE,
and any obligations of the board or of persons to the board shall not be
PAGE 367-HOUSE BILL 19-1172
affected by the name change.
(3) [Formerly 12-25-319] Any person holding a valid license to
practice architecture in Colorado before July 1, 2006, shall be licensed
under this part 3 4 OF THIS ARTICLE 120. All official actions of the state
board of examiners of architects made or taken before July 1, 2006, are
expressly ratified.
PART 2
ENGINEERS
12-120-201. [Formerly 12-25-101] General provisions. In order to
safeguard life, health, and property and to promote the public welfare, the
practice of engineering is declared to be subject to regulation in the public
interest. It shall be deemed that the right to engage in the practice of
engineering is a privilege granted by the state through the state board of
licensure for architects, professional engineers, and professional land
surveyors, created in section 12-25-106 12-120-103; that the profession
involves personal skill and presupposes a period of intensive preparation,
internship, due examination, and admission; and that a professional
engineer's license is solely such THE professional engineer's own and is
nontransferable.
12-120-202. [Formerly 12-25-102] Definitions. As used in this part
1 2, unless the context otherwise requires:
(1) [Relocated to 12-120-102 (1)]
(2) (1) "Certificate" means the media issued by the board to
evidence licensing of a professional engineer.
(3) (2) "Engineer" means a person who, by reason of intensive
preparation in the use of mathematics, chemistry, physics, and engineering
sciences, including the principles and methods of engineering analysis and
design, is qualified to perform engineering work as defined in this part 1 2.
(4) (3) "Engineering" means analysis or design work requiring
intensive preparation and experience in the use of mathematics, chemistry,
and physics and the engineering sciences.
PAGE 368-HOUSE BILL 19-1172
(5) (4) "Engineering experience", in addition to the practice of
engineering, as defined in subsection (10) of this section, may include:
(a) Up to four years of undergraduate engineering study, as
approved by the board, in mathematics, basic science, engineering science,
engineering design, and engineering practice;
(b) Up to two years of graduate engineering study as approved by
the board if the study results in the award of an advanced degree;
(c) Teaching at the instructor level, or at a higher level, of courses
in engineering science, design, or engineering practice at a college or
university offering an engineering curriculum of four or more years which
THAT is approved by the board or at a college offering courses transferable
to a board-approved college. This experience must result from a full-time
position in teaching or teaching and research.
(d) Engineering research, including that performed by a teacher at
the instructor level or at a higher level. The research done by the teacher
must be part of his THE TEACHER'S assigned duties in a full-time position in
teaching and research.
(6) (5) "Engineer-intern" means a person who has complied with the
requirements of sections 12-25-111 and 12-25-112 12-120-210 AND
12-120-211 and is duly enrolled as an "engineer-intern".
(7) (Deleted by amendment, L. 2004, p. 1293, § 8, effective May 28,
2004.)
(8) "License" means the formal legal permission to practice
engineering granted by the board.
(9) Repealed.
(10) (6) (a) "Practice of engineering" means the performance for
others of any professional service or creative work requiring engineering
education, training, and experience and the application of special
knowledge of the mathematical and engineering sciences to such
professional services or creative work, including consultation, investigation,
evaluation, planning, design, and the observation of construction to evaluate
PAGE 369-HOUSE BILL 19-1172
compliance with plans and specifications in connection with the utilization
of the forces, energies, and materials of nature in the development,
production, and functioning of engineering processes, apparatus, machines,
equipment, facilities, structures, buildings, works, or utilities, or any
combination or aggregations thereof, employed in or devoted to public or
private enterprise or uses.
(b) An individual practices or offers to practice "professional
engineering" within the meaning and intent of this section if the individual,
by oral claim, sign, advertisement, letterhead, card, or in any other way,
represents himself or herself to be a professional engineer, through the use
of any other means implies that the individual is licensed under this part 1
2, or performs engineering services.
(11) (7) "Professional engineer" means an engineer duly licensed
pursuant to this part 1 2.
(12) and (13) (Deleted by amendment, L. 2004, p. 1293, § 8,
effective May 28, 2004.)
(14) (8) "Responsible charge" means personal responsibility for the
control and direction of engineering work within a professional engineer's
scope of competence. Experience may only be classified as "responsible
charge" if the engineer is licensed pursuant to this part 1 2, unless the work
involves an activity exempted pursuant to section 12-25-103 12-120-203.
12-120-203. [Formerly 12-25-103] Exemptions. (1) This part 1 2
does not affect any of the following:
(a) Individuals who normally operate and maintain machinery or
equipment;
(b) Individuals who perform engineering services for themselves;
(c) Partnerships, professional associations, joint stock companies,
limited liability companies, or corporations, or the employees of any such
organizations, who perform engineering services for themselves or their
affiliates;
(d) Individuals who perform engineering services under the
PAGE 370-HOUSE BILL 19-1172
responsible charge of a professional engineer;
(e) Work of a strictly agricultural nature which THAT is not required
to be of public record;
(f) Professional land surveying as defined in section 12-25-202 (6)
12-120-302 (5);
(g) Individuals who are employed by and perform engineering
services solely for a county, city and county, or municipality;
(h) (Deleted by amendment, L. 94, p. 1482, § 3, effective July 1,
1994.)
(i) (h) Individuals who are employed by and perform engineering
services solely for the federal government;
(j) (i) Individuals who practice architecture as defined in section
12-25-302 (6) 12-120-402 (5);
(k) (j) Utilities or their employees or contractors when performing
services for another utility during times of natural disasters or emergency
situations; or
(l) (k) Individuals who practice landscape architecture as defined in
section 12-45-103 (8) 12-130-104 (6).
12-120-204. [Formerly 12-25-104] Forms of organizations
permitted to practice. A partnership, corporation, limited liability
company, joint stock association, or other entity is not eligible for licensure
under this part 1 2. An entity may practice or offer to practice engineering
in Colorado only if the individual in responsible charge of the entity's
engineering activities performed in Colorado is a professional engineer
licensed in Colorado. All engineering documents, plats, and reports issued
by or for the entity in connection with engineering work performed in this
state must bear the seal and signature of the Colorado-licensed professional
engineer who is in responsible charge of and directly responsible for the
engineering work.
12-120-205. [Formerly 12-25-105] Unlawful practice - penalties
PAGE 371-HOUSE BILL 19-1172
- enforcement. (1) It is unlawful for any individual to hold himself or
herself out to the public as a professional engineer unless such THE
individual has complied with the provisions contained in this part 1 2.
(2) It is unlawful for any individual, partnership, professional
association, joint stock company, limited liability company, or corporation
to practice, or offer to practice, engineering in this state unless the
individual in responsible charge has complied with the provisions of this
part 1 2.
(3) Unless licensed or exempted pursuant to this part 1 2, it is
unlawful for any individual, partnership, professional association, joint
stock company, limited liability company, or corporation to use any of the
following titles: Civil engineer, structural engineer, chemical engineer,
petroleum engineer, mining engineer, mechanical engineer, or electrical
engineer. In addition, unless licensed pursuant to this part 1 2, it is unlawful
for any individual, partnership, professional association, joint stock
company, limited liability company, or corporation to use the words
"engineer", "engineered", or "engineering" in any offer to the public to
perform the services set forth in section 12-25-102 (10) 12-120-202 (6).
Nothing in this subsection (3) shall prohibit the general use of the words
"engineer", "engineered", and "engineering" so long as such words are not
being used in an offer to the public to perform the services set forth in
section 12-25-102 (10) 12-120-202 (6).
(4) Repealed.
(5) (4) It is unlawful for any individual to use in any manner a
certificate or certificate number which THAT has not been issued to such
THE individual by the board.
(6) (5) The practice of professional engineering in violation of any
of the provisions of this part 1 2 shall be either:
(a) Restrained by injunction in an action brought by the attorney
general or by the district attorney of the proper district in the county in
which the violation occurs IN ACCORDANCE WITH SECTION 12-20-406; or
(b) (I) Ceased by order of the board pursuant to section 12-25-109
(8.2) to (8.9) 12-20-405.
PAGE 372-HOUSE BILL 19-1172
(II) (Deleted by amendment, L. 2006, p. 782, § 16, effective July 1,
2006.)
(7) (6) Any person who practices or offers or attempts to practice
professional engineering without an active license issued under this part 1
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and, for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 2 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(8) Repealed.
(9) (7) After finding that an individual, partnership, professional
association, joint stock company, limited liability company, or corporation
has unlawfully engaged in the practice of engineering, the board may jointly
and severally assess a fine against such THE unlawfully engaged party in an
amount not less than fifty dollars and not more than five thousand dollars
for each violation proven by the board. Any moneys collected as an
administrative fine pursuant to this subsection (9) shall be transmitted to the
state treasurer, who shall credit such moneys to the general fund.
(10) (8) An individual practicing professional engineering who is
not licensed or exempt shall not collect compensation of any kind for such
THE practice, and, if compensation has been paid, the compensation shall be
refunded in full.
12-120-206. [Formerly 12-25-108] Disciplinary actions - grounds
for discipline. (1) The board has the power to deny, suspend, revoke, or
refuse to renew the license and certificate of licensure or enrollment of MAY
TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED BY SECTION
12-20-404 AGAINST, OR limit the scope of practice of, or place on probation,
any professional engineer or engineer-intern for:
(a) Engaging in fraud, misrepresentation, or deceit in obtaining or
attempting to obtain a license or enrollment;
(b) Failing to meet the generally accepted standards of engineering
practice whether through act or omission;
PAGE 373-HOUSE BILL 19-1172
(c) A felony that is related to the ability to practice engineering;
except that the board shall be governed by the provisions of section
SECTIONS 12-20-202 (5) AND 24-5-101 C.R.S., in considering such THE
conviction or plea. A certified copy of the judgment of a court of competent
jurisdiction of such THE conviction or plea shall be presumptive evidence
of such THE conviction or plea for the purposes of any hearing under this
part 1 2. A plea of nolo contendere, or its equivalent, accepted by the court
shall be considered as a conviction.
(d) (Deleted by amendment, L. 88, p. 504, § 4, effective July 1,
1988.)
(e) (d) Violating, or aiding or abetting in the violation of, the
provisions of this part 1 2 OR AN APPLICABLE PROVISION OF ARTICLE 20 OF
THIS TITLE 12, any rule or regulation adopted by the board in conformance
with the provisions of this part 1 OF THIS ARTICLE 120 OR THIS PART 2, or
any order of the board issued in conformance with the provisions of this
part 1 2;
(f) (e) Using false, deceptive, or misleading advertising;
(g) (f) Performing services beyond one's competency, training, or
education;
(h) (g) Failing to report to the board any professional engineer
known to have violated any provision of this part 1 2 or any board order or
rule;
(i) (h) Habitual or excessive use or abuse of alcohol, controlled
substances, or any habit-forming drug;
(j) (i) Using any schedule I controlled substance, as set forth in
section 18-18-203; C.R.S.;
(k) (j) Failing to report to the board any malpractice claim against
such THE professional engineer or any partnership, corporation, limited
liability company, or joint stock association of which such THE professional
engineer is a member, that is settled or in which judgment is rendered,
within sixty days of AFTER the effective date of such THE settlement or
judgment, if such THE claim concerned engineering services performed or
PAGE 374-HOUSE BILL 19-1172
supervised by such THE engineer;
(l) (k) Failing to pay any fine assessed pursuant to this article PART
2;
(m) (l) Violating any law or regulation governing the practice of
engineering in another state or jurisdiction. A plea of nolo contendere or its
equivalent accepted by the board of another state or jurisdiction may be
considered to be the same as a finding of guilty for purposes of any hearing
under this part 1 2.
(n) (m) Using in any manner an expired, suspended, or revoked
license, certificate, or seal, practicing or offering to practice when not
qualified, or falsely claiming that the individual is licensed.
(2) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
by the board but that should not be dismissed as being without merit, The
board may issue and send a letter of admonition by first-class mail to the A
professional engineer or engineer-intern at his or her last-known address
UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH
SECTION 12-20-404 (4).
(b) When the board sends a letter of admonition to a professional
engineer or engineer-intern, the board shall advise the professional engineer
or engineer-intern that he or she has the right to request in writing, within
twenty days after receipt of the letter, that formal disciplinary proceedings
be initiated to adjudicate the propriety of the conduct upon which the letter
of admonition is based.
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(3) (Deleted by amendment, L. 94, p. 1486, § 8, effective July 1,
1994.)
(4) (a) (3) In addition to any other penalty that may be imposed
pursuant to this article 120, the board may fine any professional engineer
violating any provision of this article 120 or any rule promulgated pursuant
PAGE 375-HOUSE BILL 19-1172
to this article 120 OR SECTION 12-20-204 not less than fifty dollars and not
more than five thousand dollars for each violation proven by the board.
(b) All fines collected pursuant to this subsection (4) shall be
credited to the general fund.
(5) (4) The board may issue a letter of concern to a professional
engineer or an engineer-intern based on any of the grounds specified in
subsection (1) of this section without conducting a hearing as specified in
section 12-25-109 (4) 12-120-207 when an instance of potentially
unsatisfactory conduct comes to the board's attention but, in the board's
judgment, does not warrant formal action by the board. Letters of concern
shall be confidential and shall not be disclosed to members of the public or
in any court action unless the board is a party.
12-120-207. [Formerly 12-25-109] Disciplinary proceedings -
injunctive relief procedure. (1) SECTION 12-20-403 APPLIES TO
INVESTIGATIONS AND HEARINGS UNDER THIS SECTION.
(1) (2) The board upon its own motion may, and upon the receipt of
a signed complaint in writing from any person shall, investigate the
activities of any professional engineer, engineer-intern, or other person who
presents grounds for disciplinary action as specified in this part 1 2.
(2) Repealed.
(3) All charges, unless dismissed by the board, shall be referred to
an administrative hearing by the board within five years after the date on
which they were filed.
(4) Disciplinary hearings shall be conducted by the board or by an
administrative law judge appointed pursuant to part 10 of article 30 of title
24, C.R.S., and shall be held in the manner prescribed in article 4 of title 24,
C.R.S.
(5) and (6) Repealed.
(7) (a) The board or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
PAGE 376-HOUSE BILL 19-1172
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board
pursuant to this part 1.
(b) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(8) (4) (a) The board is authorized to apply for injunctive relief in
the manner provided by the Colorado rules of civil procedure, ACCORDANCE
WITH SECTION 12-20-406 to enforce the provisions of this part 1 2 or to
restrain any violation thereof. In such proceedings, it shall not be necessary
to allege or prove either that an adequate remedy at law does not exist or
that substantial or irreparable damage would result from the continued
violation thereof. The members of the board, its staff, and the attorney
general shall not be held personally liable in any such proceeding.
(b) (I) If the board has reason to believe that any individual has
engaged in, or is engaging in, any act or practice which THAT constitutes a
violation of any provision of this article PART 2, the board may initiate
proceedings to determine if such a violation has occurred. Hearings shall be
conducted in accordance with the provisions of article 4 of title 24, C.R.S.
(II) (Deleted by amendment, L. 2006, p. 782, § 17, effective July 1,
2006.)
(c) In any action brought pursuant to this subsection (8) (4),
evidence of the commission of a single act prohibited by this article 120
shall be sufficient to justify the issuance of an injunction or a
cease-and-desist order.
(8.2) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public or
PAGE 377-HOUSE BILL 19-1172
a person is acting or has acted without the required license, the board may
issue an order to cease and desist such activity. The order shall set forth the
statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (8.2), the respondent may
request a hearing on the question of whether acts or practices in violation
of this part 1 have occurred. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(8.4) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this part 1, then, in addition to any specific powers
granted pursuant to this part 1, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (8.4) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (8.4) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (8.4). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (8.4) does not appear at
PAGE 378-HOUSE BILL 19-1172
the hearing, the board may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(8.4) and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or has or is about to engage in acts or practices constituting
violations of this part 1, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
unlicensed practice.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (8.4), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of paragraph (c) of this
subsection (8.4) shall be effective when issued and shall be a final order for
purposes of judicial review.
(8.5) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this part 1, any rule promulgated pursuant to this part 1, any order issued
pursuant to this part 1, or any act or practice constituting grounds for
administrative sanction pursuant to this part 1, the board may enter into a
stipulation with such person.
(8.7) If any person fails to comply with a final cease-and-desist
order or a stipulation, the board may request the attorney general or the
district attorney for the judicial district in which the alleged violation exists
to bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(8.9) A person aggrieved by the final cease-and-desist order may
PAGE 379-HOUSE BILL 19-1172
seek judicial review of the board's determination or of the board's final
order as provided in subsection (10) of this section.
(9) Repealed.
(5) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
(10) (6) The court of appeals shall have initial jurisdiction to review
SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF all final actions and
orders OF THE BOARD that are subject to judicial review. of the board. Such
proceedings shall be conducted in accordance with section 24-4-106 (11),
C.R.S.
(11) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(12) (7) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, THE BOARD MAY SEND a confidential
letter of concern may be issued and sent to the TO A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
12-120-208. [Formerly 12-25-109.5] Reconsideration and review
of board action. The board, on its own motion or upon application, at any
time after the imposition of any discipline as provided in section 12-25-109
12-120-207, may reconsider its prior action and reinstate or restore such
THE license or terminate probation or reduce the severity of its prior
disciplinary action. The taking of any such further action, or the holding of
a hearing with respect thereto, shall rest in the sole discretion of the board.
12-120-209. [Formerly 12-25-110] Application for license.
(1) The board shall prescribe and furnish the means by which a person may
apply for licensure. All applications must be made under oath and
accompanied by the appropriate fee. Each application must contain a
PAGE 380-HOUSE BILL 19-1172
statement indicating whether the applicant has ever been convicted of a
felony in this or any other state, or has ever had a license to practice
engineering revoked or suspended in this or any other state. Applications
that are not complete are defective and may not be accepted by the board.
The board shall take no action on defective applications, except to give
notice to the applicant of defects. The board shall retain all fees submitted
with applications, whether or not the applications are acted upon.
(2) No new application shall be required of any individual requiring
reexamination by the board, and any such THE individual shall be notified
when the next examination will be held.
(3) When considering applications, personal interviews may be
required by the board only if the application fails to demonstrate that the
applicant possesses the minimum qualifications necessary to qualify to take
the written examination.
(4) Whenever the board is reviewing or considering the conviction
of a crime, it shall be governed by the provisions of section SECTIONS
12-20-202 (5) AND 24-5-101. C.R.S.
(5) No individual whose license or enrollment has been revoked
shall be allowed to reapply for licensure or enrollment earlier than two years
after the effective date of the revocation.
12-120-210. [Formerly 12-25-111] Eligibility for engineer-intern.
To be eligible for enrollment as an engineer-intern, an applicant shall
provide documentation of such THE applicant's technical competence.
12-120-211. [Formerly 12-25-112] Qualifications for
engineer-intern. (1) (a) An applicant may qualify for enrollment as an
engineer-intern by endorsement if such THE applicant is enrolled in good
standing in another jurisdiction requiring qualifications substantially
equivalent to those currently required of applicants under this part 1 2 or if,
at the time of initial enrollment in such THE OTHER jurisdiction, such THE
applicant met the requirements for enrollment then in existence under
Colorado law.
(b) Upon completion of the application and approval by the board,
the applicant shall be enrolled as an engineer-intern if the applicant is
PAGE 381-HOUSE BILL 19-1172
otherwise qualified pursuant to section 12-25-111 12-120-210.
(2) (a) An applicant may qualify for enrollment as an engineer-intern
by graduation and examination if such THE applicant passes the
fundamentals of engineering examination.
(b) In order to be admitted to the examination pursuant to paragraph
(a) of this subsection (2) SUBSECTION (2)(a) OF THIS SECTION, the applicant
must:
(I) Have graduated from a board-approved engineering or
engineering technology curriculum of four or more years; or
(II) Have senior status in a board-approved engineering or
engineering technology curriculum of four or more years.
(c) Upon passing the examination and the submission of official
transcripts verifying graduation or impending graduation, the applicant shall
be enrolled as an engineer-intern if the applicant is otherwise qualified
pursuant to section 12-25-111 12-120-210.
(3) (a) An applicant may qualify for enrollment as an engineer-intern
by graduation, experience, and examination if such THE applicant passes the
fundamentals of engineering examination and possesses a total of six years
of progressive engineering experience, of which educational study may be
a part.
(b) In order to be admitted to the examination pursuant to paragraph
(a) of this subsection (3) SUBSECTION (3)(a) OF THIS SECTION, the applicant
must:
(I) (Deleted by amendment, L. 2004, p. 1295, § 13, effective May
28, 2004.)
(II) (A) (I) Have graduated from an engineering curriculum of four
or more years not approved by the board or from a related science
curriculum of four or more years; and
(B) (II) Have four years of progressive engineering experience, of
which educational study may be a part.
PAGE 382-HOUSE BILL 19-1172
(c) Upon passing the examination and the submission of evidence
of experience satisfactory to the board, the applicant shall be enrolled as an
engineer-intern if the applicant is otherwise qualified pursuant to section
12-25-111 12-120-210.
(4) (a) An applicant may qualify for enrollment as an engineer-intern
by experience and examination if such THE applicant passes the
fundamentals of engineering examination.
(b) In order to be admitted to the examination pursuant to paragraph
(a) of this subsection (4) SUBSECTION (4)(a) OF THIS SECTION, the applicant
must:
(I) Have graduated from high school or its equivalent; and
(II) Have six years of progressive engineering experience, of which
educational study may be a part.
(c) Upon passing the examination and the submission of evidence
of experience satisfactory to the board, the applicant shall be enrolled as an
engineer-intern if the applicant is otherwise qualified pursuant to section
12-25-111 12-120-210.
12-120-212. [Formerly 12-25-113] Eligibility for professional
engineer. To be eligible for licensing as a professional engineer, an
applicant shall provide documentation of such THE applicant's technical
competence.
12-120-213. [Formerly 12-25-114] Qualifications for professional
engineer. (1) (a) An applicant may qualify for licensing as a professional
engineer by endorsement if such THE applicant is licensed in good standing
in another jurisdiction requiring qualifications substantially equivalent to
those currently required of applicants under this part 1 2 or if, at the time of
initial licensure in such THE OTHER jurisdiction, such THE applicant met the
requirements for licensure then in existence under Colorado law.
(b) Upon completion of the application and approval by the board,
the applicant shall be licensed as a professional engineer if the applicant is
otherwise qualified pursuant to section 12-25-113 12-120-212.
PAGE 383-HOUSE BILL 19-1172
(2) (a) An applicant may qualify for licensing as a professional
engineer by graduation, experience, and examination if such THE applicant
passes the principles and practice of engineering examination.
(b) In order to be admitted to the examination pursuant to paragraph
(a) of this subsection (2) SUBSECTION (2)(a) OF THIS SECTION, the applicant
must:
(I) (A) Have graduated from a board-approved engineering
curriculum of four or more years; and
(B) Have eight years of progressive engineering experience, of
which educational study may be a part; and
(C) Have been enrolled as an engineer-intern in this state; or
(II) (A) Have graduated from a board-approved engineering
technology curriculum of four or more years; and
(B) Have ten years of progressive engineering experience, of which
educational study may be a part; and
(C) Have been enrolled as an engineer-intern in this state; or
(III) (A) Have graduated from an engineering curriculum of four or
more years not approved by the board or from a related science curriculum
of four or more years; and
(B) Have ten years of progressive engineering experience, of which
educational study may be a part; and
(C) Have been enrolled as an engineer-intern in this state; or
(IV) (A) Have graduated from an engineering curriculum of four or
more years or from a related science curriculum of four or more years; and
(B) Have twenty years of progressive engineering experience, of
which educational study may be a part.
(c) Upon passing the examination and the submission of evidence
PAGE 384-HOUSE BILL 19-1172
of experience satisfactory to the board, the applicant shall be licensed as a
professional engineer if the applicant is otherwise qualified pursuant to
section 12-25-113 12-120-212.
(3) (a) An applicant may qualify for licensing as a professional
engineer by experience and examination if such THE applicant passes the
principles and practice of engineering examination.
(b) In order to be admitted to the examination pursuant to paragraph
(a) of this subsection (3) SUBSECTION (3)(a) OF THIS SECTION, the applicant
must:
(I) Have twelve years of progressive engineering experience, of
which educational study may be a part; and
(II) Have been enrolled as an engineer-intern in this state.
(c) Upon passing the examination and the submission of evidence
of experience satisfactory to the board, the applicant shall be licensed as a
professional engineer if the applicant is otherwise qualified pursuant to
section 12-25-113 12-120-212.
(4) (a) A professional engineer who has been duly licensed to
practice engineering in this state and who is over sixty-five years of age,
upon application, may be classified as a retired professional engineer.
Individuals who are so classified shall lose their licensure, and shall not
practice engineering, and shall pay a fee to retain retired professional
engineer status.
(b) (I) A retired professional engineer shall be reinstated to the
status of a professional engineer upon payment of the renewal fee. No other
fee shall be assessed against such THE retired professional engineer as a
penalty.
(II) For any professional engineer who has been retired for two or
more years, the board may require reexamination unless the board is
satisfied of such THE retired professional engineer's continued competence.
12-120-214. [Formerly 12-25-115] Licenses. (1) The board, upon
acceptance of an applicant who has demonstrated competence in
PAGE 385-HOUSE BILL 19-1172
professional engineering and upon receipt of payment of the required fee,
shall license and issue a unique license number to said THE applicant.
(2) The board, upon acceptance of a qualified engineer-intern and
upon receipt of payment of the required fee, shall enroll the applicant.
(3) A license may be issued at any time but shall expire in
conformance with AND IS SUBJECT TO THE RENEWAL, EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN section
24-34-102 (8), C.R.S. A license shall be renewed at the time of such
expiration 12-20-202 (1) AND (2).
(4) Licenses shall be renewed or reinstated pursuant to a schedule
established by the director of the division of professions and occupations
within the department of regulatory agencies and shall be renewed or
reinstated pursuant to section 24-34-102 (8), C.R.S. The director of the
division of professions and occupations within the department of regulatory
agencies may establish renewal fees and delinquency fees for reinstatement
pursuant to section 24-34-105, C.R.S. If a person fails to renew his or her
license pursuant to the schedule established by the director of the division
of professions and occupations, such license shall expire. Any person whose
license has expired shall be subject to the penalties provided in this article
or section 24-34-102 (8), C.R.S. PART 2 OR SECTION 12-20-202 (1).
(5) and (6) Repealed.
(7) (5) A professional engineer shall give notice to the board, in
writing, of any change of address within thirty days after the change.
12-120-215. [Formerly 12-25-116] Fees - disposition. (1) Pursuant
to section 24-34-105, C.R.S. 12-20-105, the board shall charge and collect
fees for the following:
(a) With respect to professional engineers:
(I) Renewal of a license;
(II) Replacement of a physical certificate of licensure, if requested
by the licensee;
PAGE 386-HOUSE BILL 19-1172
(III) Application for licensure by endorsement;
(IV) Application for the principles and practice of engineering
examination;
(V) Issuance of a physical certificate of licensure, if requested by the
licensee;
(VI) Late renewal of a license;
(VII) Reexamination for the principles and practice of engineering
examination;
(VIII) Renewal REINSTATEMENT of an expired license;
(IX) Listing as a retired professional engineer;
(b) With respect to engineer-interns:
(I) (Deleted by amendment, L. 2004, p. 1296, § 17, effective May
28, 2004.)
(II) (Deleted by amendment, L. 94, p. 1493, § 16, effective July 1,
1994.)
(III) (I) Application for the fundamentals of engineering
examination;
(IV) (II) Reexamination for the fundamentals of engineering
examination;
(V) (III) Application for enrollment by endorsement.
(2) All moneys collected by the board shall be transmitted to the
state treasurer, who shall credit the same pursuant to section 24-34-105,
C.R.S., and the general assembly shall make annual appropriations pursuant
to said section for expenditures of the board required to perform its duties
under this part 1, which expenditures shall be made from such
appropriations upon vouchers and warrants drawn pursuant to law. The
division shall employ, subject to section 13 of article XII of the state
PAGE 387-HOUSE BILL 19-1172
constitution, such clerical or other assistants as are necessary for the proper
performance of its work.
(3) and (4) Repealed.
12-120-216. [Formerly 12-25-117] Professional engineer's seal -
rules. (1) Upon receiving a license from the board, a professional engineer
may obtain a crimp type seal, a rubber stamp type seal, or an electronic type
seal of a design approved by the board. The seal must contain the licensed
professional engineer's name and license number and the designation
"Colorado licensed professional engineer". Colorado professional engineers
licensed before July 1, 2004, may continue to use their prior existing seals.
(2) Repealed.
(3) (2) A professional engineer shall use a seal and signature only
when the work to which the seal is applied was prepared under the
engineer's responsible charge.
(4) (Deleted by amendment, L. 94, p. 1493, § 17, effective July 1,
1994.)
(5) (3) The board shall adopt rules governing use of the seal and the
retention, use, and distribution of sealed documents and copies thereof.
PART 3
LAND SURVEYORS
12-120-301. [Formerly 12-25-201] General provisions. In order to
safeguard life, health, and property and to promote the public welfare, the
practice of professional land surveying in Colorado is hereby declared to be
subject to regulation. It shall be unlawful for any individual to practice
professional land surveying in Colorado or to use in connection with such
THE individual's name, or to otherwise assume, or to advertise any title or
description tending to convey the impression that such THE individual is a
professional land surveyor, unless such THE individual has been duly
licensed or is exempted under the provisions of this part 2 3. The practice
of professional land surveying shall be deemed a privilege granted by the
state of Colorado based on the qualifications of the individual as evidenced
by such THE individual's licensing.
PAGE 388-HOUSE BILL 19-1172
12-120-302. [Formerly 12-25-202] Definitions. As used in this part
2 3, unless the context otherwise requires:
(1) "Basic control for engineering projects" means survey markers
set on or in the vicinity of a construction project to enable all components
of the project to be built in compliance with plans and specifications with
respect to the project location, orientation, elevation, and relationship to
property, easement, or right-of-way boundaries.
(1.5) "Board" means the state board of licensure for architects,
professional engineers, and professional land surveyors, created by section
12-25-106.
(2) (Deleted by amendment, L. 2004, p. 1297, § 20, effective May
28, 2004.)
(3) (2) "Certificate" means the media issued by the board to
evidence licensing or enrollment.
(3.3) (3) "Geodetic surveying" means the performance of surveys in
which measure or account is taken of the shape, size, and gravitational
forces of the earth to determine or predetermine the horizontal or vertical
positions of points, monuments, or stations for use in the practice of
professional land surveying or for stating the geodetic position of control
points, monuments, or stations by using a coordinate system or derivative
thereof recognized by the national geodetic survey.
(3.5) (4) "Land surveyor-intern" means an individual enrolled by the
board after demonstrating such THE individual's competency, as required by
section 12-25-212 12-120-311.
(4) "License" means the formal legal permission to practice land
surveying granted by the board.
(5) Repealed.
(6) (5) (a) "Professional land surveying" means the application of
special knowledge of principles of mathematics, methods of measurement,
and law for the determination and preservation of land boundaries.
"Professional land surveying" specifically includes:
PAGE 389-HOUSE BILL 19-1172
(I) Restoration and rehabilitation of corners and boundaries in the
United States public land survey system;
(II) Obtaining and evaluating boundary evidence;
(III) Determination of the areas and elevations of land parcels;
(IV) Subdivision of land parcels into smaller parcels and layout of
alignment and grades for streets or roads to serve such THE smaller parcels;
(V) Measuring and platting underground mine workings;
(VI) Preparation of the boundary control portions of geographic
information systems and land information systems except as allowed
otherwise by section 38-51-109.3; C.R.S.;
(VII) Establishment, restoration, and rehabilitation of land survey
monuments and bench marks;
(VIII) Preparation of land survey plats, condominium plats,
monument records, property descriptions that result from the practice of
professional land surveying, and survey reports;
(IX) Surveying, monumenting, and platting of easements and
rights-of-way;
(X) Geodetic surveying;
(X.5) (XI) Basic control for engineering projects; and
(XI) (XII) Any other activities incidental to and necessary for the
adequate performance of the services described in this paragraph (a)
SUBSECTION (5)(a).
(b) An individual practices or offers to practice "professional land
surveying" within the meaning and intent of this part 2 3 if the individual
engages therein or, by oral claim, sign, letterhead, or card or in any other
way holds himself or herself out to be a professional land surveyor or as
being able to perform any professional land surveying service or if the
individual performs any professional land surveying service or work.
PAGE 390-HOUSE BILL 19-1172
(c) Professional land surveying may include other types of
surveying.
(7) (6) "Professional land surveyor" means an individual who
practices professional land surveying and who is currently licensed with the
board after demonstrating competency to practice, as required by section
12-25-214 12-120-313.
(8) and (9) (Deleted by amendment, L. 2004, p. 1297, § 20, effective
May 28, 2004.)
(10) (7) "Responsible charge" means personal responsibility for the
control and direction of professional land surveying work.
(11) (Deleted by amendment, L. 94, p. 1495, § 20, effective July 1,
1994.)
(12) [Relocated to 12-120-102 (2)]
12-120-303. [Formerly 12-25-203] Exemptions. (1) This part 2 3
shall not be construed to prevent or to affect:
(a) The work of an employee or subordinate of a professional land
surveyor if such THE work is performed under the responsible charge of the
professional land surveyor;
(b) The practice of employees of the federal government duly
authorized under 43 U.S.C. sec. 772 and 43 CFR 9180.0-3, while engaged
in the practice of surveying within the course of their federal employment
in the state of Colorado; or
(c) The rights of any other legally recognized profession.
12-120-304. [Formerly 12-25-204] Forms of organizations
permitted to practice. (1) A partnership, corporation, limited liability
company, joint stock association, or other entity is not eligible for licensure
under this part 2 3.
(2) An entity may practice or offer to practice land surveying in this
state only if the individual in responsible charge of the entity's land
PAGE 391-HOUSE BILL 19-1172
surveying activities in this state is a professional land surveyor. All
professional land surveying documents, plats, and reports issued by or for
the entity must bear the seal and signature of the professional land surveyor
who is in responsible charge of and directly responsible for the land
surveying work.
12-120-305. [Formerly 12-25-205] Unlawful practice - penalties
- enforcement. (1) It is unlawful for any individual to practice or offer to
practice professional land surveying in Colorado without being licensed in
accordance with the provisions of this part 2 3, or for any individual or
entity to use or employ the words "land surveyor", "land surveying", or
"professional land surveyor" or words of similar meaning or any
modification or derivative except as authorized in this part 2 3.
(2) It is unlawful for any individual, partnership, professional
association, joint stock company, limited liability company, or corporation
to practice, or offer to practice, land surveying in this state unless the
individual in responsible charge has complied with the provisions of this
part 2 3.
(3) Repealed.
(3.5) (3) The practice of professional land surveying in violation of
any of the provisions of this part 2 3 shall be either:
(a) Restrained by injunction in an action brought by the attorney
general or by the district attorney of the proper district in the county in
which the violation occurs IN ACCORDANCE WITH SECTION 12-20-406; or
(b) (I) Ceased by order of the board pursuant to section 12-25-209
(8.2) to (8.9) 12-20-405.
(II) (Deleted by amendment, L. 2006, p. 784, § 18, effective July 1,
2006.)
(4) Any person who practices or offers or attempts to practice
professional land surveying without an active license issued under this part
2 commits a class 2 misdemeanor and shall be punished as provided in
section 18-1.3-501, C.R.S., for the first offense, and, for the second or any
subsequent offense, the person commits a class 6 felony and shall be
PAGE 392-HOUSE BILL 19-1172
punished as provided in section 18-1.3-401, C.R.S. 3 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(5) It is the duty of all duly constituted officers of the law of
Colorado, or any political subdivision thereof, to enforce the provisions of
this part 2 3 and to prosecute any person violating this part 2 3.
(6) The attorney general or the attorney general's assistant shall act
as legal advisor to the board and render such timely legal assistance as may
be necessary in carrying out the provisions of this part 2 3. With the
concurrence of the attorney general, the board may employ counsel and
assistance necessary to aid in the enforcement of this part 2 3, and the
compensation and expenses therefor shall be paid from the funds of the
board.
(7) Any individual practicing professional land surveying, as defined
in this part 2 3, who is not licensed or exempt shall not collect
compensation of any kind for such THE practice, and, if compensation has
been paid, such THE compensation shall be refunded in full.
(8) After finding that an individual has unlawfully engaged in the
practice of professional land surveying, the board may assess a fine against
such THE unlawfully engaged individual in an amount not less than fifty
dollars and not more than five thousand dollars for each violation proven
by the board. Any moneys collected as an administrative fine pursuant to
this subsection (8) shall be transmitted to the state treasurer, who shall
credit such moneys to the general fund.
12-120-306. [Formerly 12-25-208] Disciplinary actions - grounds
for discipline. (1) The board has the power to deny, suspend, revoke, or
refuse to renew the license of, or place on probation MAY TAKE
DISCIPLINARY OR OTHER ACTION AS AUTHORIZED BY SECTION 12-20-404,
limit the scope of practice of, or require additional training of any
professional land surveyor or land surveyor-intern for:
(a) Engaging in fraud, misrepresentation, or deceit in obtaining or
attempting to obtain a license or enrollment;
(b) Failing to meet the generally accepted standards of the practice
of land surveying through act or omission;
PAGE 393-HOUSE BILL 19-1172
(c) A felony that is related to the ability to practice land surveying.
A certified copy of the judgment of a court of competent jurisdiction of
such THE conviction or plea shall be presumptive evidence of such THE
conviction or plea for the purposes of any hearing under this part 2 3. A
plea of nolo contendere, or its equivalent, accepted by the court shall be
considered as a conviction.
(d) (Deleted by amendment, L. 88, p. 510, § 18, effective July 1,
1988.)
(e) (d) Violating, attempting to violate, or aiding or abetting the
violation or attempted violation of:
(I) Any provision of this part 2 3, AN APPLICABLE PROVISION OF
ARTICLE 20 OF THIS TITLE 12, or ANY PROVISION OF article 50, 51, 52, or 53
of title 38; C.R.S.;
(II) Any rule adopted by the board in conformance with the
provisions of this part 2 PART 1 OF THIS ARTICLE 120 OR THIS PART 3; or
(III) Any order of the board issued in conformance with the
provisions of this part 2 3;
(f) (e) Using false, deceptive, or misleading advertising;
(g) (f) Performing services beyond one's competency, training, or
education;
(h) (g) Failing to report to the board any professional land surveyor
known to have violated any provision of this part 2 3 or any board order or
rule;
(i) (h) Habitual or excessive use or abuse of alcohol, controlled
substances, or any habit-forming drug;
(j) (i) Using any schedule I controlled substance, as set forth in
section 18-18-203; C.R.S.;
(k) (j) Failing to report to the board any malpractice claim against
such THE professional land surveyor or any partnership, limited liability
PAGE 394-HOUSE BILL 19-1172
company, corporation, or joint stock association of which such THE
professional land surveyor is a member, which claim is settled or in which
judgment is rendered, within sixty days after the effective date of such THE
settlement or judgment, if such THE claim concerned surveying services
performed or supervised by such THE land surveyor;
(l) (k) Failing to pay any fine assessed pursuant to this article PART
3;
(m) (l) Violating any law or regulation governing the practice of
professional land surveying in another state or jurisdiction. A plea of nolo
contendere or its equivalent accepted by the board of another state or
jurisdiction may be considered to be the same as a finding of guilty for
purposes of any hearing under this part 2 3.
(n) (m) Attempting to use an expired, revoked, suspended, or
nonexistent license, practicing or offering to practice when not qualified, or
falsely claiming that the individual is licensed; or
(o) (n) Using in any manner a license, license number, or certificate
that has not been issued to the individual by the board.
(2) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
by the board but that should not be dismissed as being without merit, The
board may issue and send a letter of admonition by first-class mail to the A
professional land surveyor or land surveyor-intern at his or her last-known
address UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE
WITH SECTION 12-20-404 (4).
(b) When the board sends a letter of admonition to a professional
land surveyor or land surveyor-intern, the board shall advise the
professional land surveyor or land surveyor-intern that he or she has the
right to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
PAGE 395-HOUSE BILL 19-1172
(3) (Deleted by amendment, L. 94, p. 1499, § 26, effective July 1,
1994.)
(4) (a) (3) In addition to any other penalty that may be imposed
pursuant to this section, the board may fine any professional land surveyor
violating any provision of this article 120 or any rule promulgated pursuant
to this article 120 not less than fifty dollars and not more than five thousand
dollars for each violation proven by the board.
(b) All fines collected pursuant to this subsection (4) shall be
credited to the general fund.
(5) (4) The board may issue a letter of concern IN ACCORDANCE
WITH SECTION 12-20-404 (5) to a professional land surveyor or land
surveyor-intern based on any of the grounds specified in subsection (1) of
this section without conducting a hearing as specified in section 12-25-209
(4) 12-120-307 when an instance of potentially unsatisfactory conduct
comes to the board's attention but, in the board's judgment, does not warrant
formal action by the board. Letters of concern shall be confidential and shall
not be disclosed to members of the public or in any court action unless the
board is a party.
12-120-307. [Formerly 12-25-209] Disciplinary proceedings -
injunctive relief procedure. (1) SECTION 12-20-403 APPLIES TO
INVESTIGATIONS AND HEARINGS UNDER THIS SECTION.
(1) (2) The board upon its own motion may, and upon the receipt of
a signed complaint in writing from any person shall, investigate the
activities of any professional land surveyor, land surveyor-intern, or other
person who presents grounds for disciplinary action as specified in this part
2 3.
(2) Repealed.
(3) All charges, unless dismissed by the board, shall be referred to
administrative hearing by the board within five years after the date on which
said charges were filed.
(4) Disciplinary hearings shall be conducted by the board or by an
administrative law judge appointed pursuant to part 10 of article 30 of title
PAGE 396-HOUSE BILL 19-1172
24, C.R.S., and shall be held in the manner prescribed in article 4 of title 24,
C.R.S.
(5) and (6) Repealed.
(7) (a) The board or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board
pursuant to this part 2.
(b) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(8) (4) (a) The board is authorized to apply for injunctive relief in
the manner provided by the Colorado rules of civil procedure, ACCORDANCE
WITH SECTION 12-20-406 to enforce the provisions of this part 2 3, or to
restrain any violation thereof. In such proceedings, it shall not be necessary
to allege or prove either that an adequate remedy at law does not exist or
that substantial or irreparable damage would result from the continued
violation thereof. The members of the board, its staff, and the attorney
general shall not be held personally liable in any such proceeding.
(b) (I) If the board has reason to believe that any individual has
engaged in, or is engaging in, any act or practice which THAT constitutes a
violation of any provision of this article 120, the board may initiate
proceedings to determine if such a violation has occurred. Hearings shall be
conducted in accordance with the provisions of article 4 of title 24, C.R.S.
(II) (Deleted by amendment, L. 2006, p. 785, § 19, effective July 1,
2006.)
PAGE 397-HOUSE BILL 19-1172
(c) In any action brought pursuant to this subsection (8) (4),
evidence of the commission of a single act prohibited by this article 120
shall be sufficient to justify the issuance of an injunction or a
cease-and-desist order.
(8.2) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public or
a person is acting or has acted without the required license, the board may
issue an order to cease and desist such activity. The order shall set forth the
statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (8.2), the respondent may
request a hearing on the question of whether acts or practices in violation
of this part 2 have occurred. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(8.4) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this part 2, then, in addition to any specific powers
granted pursuant to this part 2, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (8.4) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (8.4) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
PAGE 398-HOUSE BILL 19-1172
paragraph (b) of this subsection (8.4). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (8.4) does not appear at
the hearing, the board may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(8.4) and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or has or is about to engage in acts or practices constituting
violations of this part 2, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (8.4), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(8.5) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this part 2, any rule promulgated pursuant to this part 2, any order issued
pursuant to this part 2, or any act or practice constituting grounds for
administrative sanction pursuant to this part 2, the board may enter into a
stipulation with such person.
PAGE 399-HOUSE BILL 19-1172
(8.7) If any person fails to comply with a final cease-and-desist
order or a stipulation, the board may request the attorney general or the
district attorney for the judicial district in which the alleged violation exists
to bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(8.9) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
order as provided in subsection (10) of this section.
(9) Repealed.
(5) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
(10) (6) The court of appeals shall have initial jurisdiction to review
SECTION 12-40-408 GOVERNS JUDICIAL REVIEW OF all final actions and
orders OF THE BOARD that are subject to judicial review. of the board. Such
proceedings shall be conducted in accordance with section 24-4-106 (11),
C.R.S.
(11) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(12) (7) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, THE BOARD MAY SEND a confidential
letter of concern may be issued and sent to the TO A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
12-120-308. [Formerly 12-25-209.5] Reconsideration and review
of board actions. The board, on its own motion or upon application, at any
time after the imposition of any discipline as provided in section 12-25-209
12-120-307, may reconsider its prior action and reinstate or restore such
PAGE 400-HOUSE BILL 19-1172
THE license or terminate probation or reduce the severity of its prior
disciplinary action. The taking of any such further action, or the holding of
a hearing with respect thereto, shall rest in the sole discretion of the board.
The professional land surveyor or land surveyor-intern in any action before
the board shall have the right to appeal any decision of the board to a court
of competent jurisdiction.
12-120-309. [Formerly 12-25-210] Application for licensing.
(1) Each application for licensing shall be in a form specified by the board
and shall contain statements made under oath showing the applicant's
education and showing a detailed summary of the applicant's surveying
experience. Each application must contain a statement indicating whether
the applicant has ever been convicted of a felony in this or in any other
state, or has ever had a surveyor's license revoked, suspended, or not
renewed, or has been reprimanded or fined relative to surveying in this or
any other state. Applications that are not complete are defective, and the
board shall take no action on defective applications except to give notice to
the applicant of the defects. A nonrefundable application fee in an amount
set by the board shall accompany each application.
(2) No new application shall be required of an individual requiring
reexamination by the board, and such THE individual shall be notified when
the next examination will be held.
(3) Whenever the board is reviewing or considering the conviction
of a crime, it shall be governed by the provisions of section 24-5-101,
C.R.S. SECTIONS 12-20-202 (5) AND 24-5-101.
(4) No individual whose license or enrollment has been revoked
shall be allowed to reapply for licensure or enrollment earlier than two years
after the effective date of the revocation.
12-120-310. [Formerly 12-25-211] Eligibility for land
surveyor-intern. To be eligible for enrollment as a land surveyor-intern, an
applicant shall provide documentation of the applicant's technical
competence.
12-120-311. [Formerly 12-25-212] Qualifications for land
surveyor-interns. (1) (a) An applicant may qualify for enrollment as a land
surveyor-intern by endorsement if the applicant is enrolled in good standing
PAGE 401-HOUSE BILL 19-1172
in another jurisdiction requiring qualifications substantially equivalent to
those currently required of applicants under this part 2 3 or if, at the time of
initial enrollment in such THE OTHER jurisdiction, the applicant met the
requirements for enrollment then in existence under Colorado law.
(b) Upon completion of the application and approval by the board,
the applicant shall be enrolled as a land surveyor-intern if the applicant is
otherwise qualified pursuant to section 12-25-211 12-120-310.
(2) (a) An applicant may qualify for enrollment as a land
surveyor-intern by graduation and examination if the applicant passes the
fundamentals of surveying examination.
(b) In order to be admitted to the examination pursuant to paragraph
(a) of this subsection (2) SUBSECTION (2)(a) OF THIS SECTION, the applicant
must have satisfied either of the following requirements:
(I) The applicant graduated from a board-approved surveying or
surveying technology curriculum that is at least four years.
(II) The applicant has senior status in a board-approved surveying
or surveying technology curriculum that is at least four years.
(c) Upon passing the examination and upon submission of official
transcripts to the board verifying graduation or impending graduation, the
applicant shall be enrolled as a land surveyor-intern if the applicant is
otherwise qualified pursuant to section 12-25-211 12-120-310.
(3) (a) An applicant may qualify for enrollment as a land
surveyor-intern by education, experience, and examination if such THE
applicant passes the fundamentals of surveying examination.
(b) In order to be admitted to the examination pursuant to paragraph
(a) of this subsection (3) SUBSECTION (3)(a) OF THIS SECTION, the applicant
must:
(I) (A) Have graduated from high school or the equivalent; and
(B) Have a cumulative record of four years or more of progressive
land surveying experience, of which a maximum of one year of educational
PAGE 402-HOUSE BILL 19-1172
credit may be substituted; or
(II) (A) Have graduated from a board-approved two-year surveying
curriculum; and
(B) Have a cumulative record of two years or more of progressive
land surveying experience.
(c) Upon passing the examination and the submission of evidence
of experience satisfactory to the board, the applicant shall be enrolled as a
land surveyor-intern if the applicant is otherwise qualified pursuant to
section 12-25-211 12-120-310.
12-120-312. [Formerly 12-25-213] Eligibility for professional
land surveyor. To be eligible for licensing as a professional land surveyor,
an applicant shall provide documentation of technical competence.
12-120-313. [Formerly 12-25-214] Qualifications for professional
land surveyor - repeal. (1) (a) An applicant may qualify for licensing as
a professional land surveyor by endorsement and examination if such THE
applicant passes the required examination or examinations pertaining to
Colorado law.
(b) In order to be admitted to the examination pursuant to paragraph
(a) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION, the applicant
shall be licensed in good standing in another jurisdiction requiring
qualifications substantially equivalent to those currently required of
applicants under this part 2 3 or, at the time of initial licensure in such THE
OTHER jurisdiction, have met the requirements for licensure then in
existence under Colorado law.
(c) Upon passing the examination, the applicant shall be licensed as
a professional land surveyor if the applicant is otherwise qualified pursuant
to section 12-25-213 12-120-312.
(2) (a) An applicant may qualify for licensing as a professional land
surveyor by education, experience, and examination if such THE applicant
passes the principle and practice of surveying examination and the
examination pertaining to Colorado law.
PAGE 403-HOUSE BILL 19-1172
(b) To be admitted to an examination pursuant to paragraph (a) of
this subsection (2) SUBSECTION (2)(a) OF THIS SECTION, the applicant shall
meet the requirements stated in at least one of the following:
(I) (A) Have graduated from a board-approved surveying curriculum
of four or more years; and
(B) Have two years of progressive land surveying experience under
the supervision of a professional land surveyor or an exempted federal
employee defined in section 12-25-203 (1)(b) 12-120-303 (1)(b); and
(C) Have been enrolled as a land surveyor-intern in this state; or
(D) Repealed.
(II) (A) Have graduated from a nonboard-approved surveying
curriculum of four or more years; and
(B) Have four years of progressive land surveying experience of
which at least two must be under the supervision of a professional land
surveyor or an exempted federal employee as defined in section 12-25-203
(1)(b) 12-120-303 (1)(b); and
(C) Have been enrolled as a land surveyor-intern in this state; or
(D) Repealed.
(III) (A) Have graduated from a board-approved two-year surveying
curriculum or from a four-year engineering curriculum that included
surveying course work as specified by the board by rule; and
(B) Have six years of progressive land surveying experience of
which four years shall have been under the supervision of a professional
land surveyor or an exempt federal employee as defined under 12-25-203
(1)(b) SECTION 12-120-303 (1)(b); and
(C) Have been enrolled as a land surveyor-intern in this state; or
(IV) (A) Have obtained a bachelor's degree in a nonsurveying
curriculum;
PAGE 404-HOUSE BILL 19-1172
(B) Have completed surveying and other related course work, as
specified by the board by rule;
(C) Have six years of progressive land surveying experience, of
which four years shall have been under the supervision of a professional
land surveyor or an exempted federal employee as defined in section
12-25-203 12-120-303 (1)(b); and
(D) Have been enrolled as a land surveyor-intern in this state.
(c) Upon passing the examinations and the submission of evidence
of experience satisfactory to the board, the applicant shall be licensed as a
professional land surveyor if such THE applicant is otherwise qualified
pursuant to section 12-25-213 12-120-312.
(3) The board may allow an applicant to substitute for one year of
experience the satisfactory completion of one academic year in a curriculum
approved by the board. The substitution of education for experience shall
not exceed three years.
(4) (a) An applicant may qualify for licensure as a professional land
surveyor by experience and examination if such THE applicant passes the
principles and practice of land surveying examination and the examination
pertaining to Colorado law.
(b) In order to be admitted to an examination pursuant to paragraph
(a) of this subsection (4) SUBSECTION (4)(a) OF THIS SECTION, the applicant
shall:
(I) Have graduated from high school or its equivalent;
(II) Have ten years of progressive land surveying experience of
which at least six years must have been under the supervision of a
professional land surveyor or an exempted federal employee as defined in
section 12-25-203 (1)(b) 12-120-303 (1)(b); and
(III) Have been enrolled as a land surveyor-intern in this state.
(c) Upon passage of the examination pursuant to paragraph (a) of
this subsection (4) SUBSECTION (4)(a) OF THIS SECTION, the applicant shall
PAGE 405-HOUSE BILL 19-1172
be licensed as a professional land surveyor if such THE applicant is
otherwise qualified pursuant to section 12-25-213 12-120-312.
(d) The board may allow an applicant to substitute for one year of
experience the satisfactory completion of one academic year in a curriculum
approved by the board. The substitution of education for experience shall
not exceed three years.
(e) This subsection (4) is repealed, effective July 1, 2020.
(5) (a) A professional land surveyor who has been duly licensed to
practice professional land surveying in this state and who is over sixty-five
years of age, upon application, may be classified as a retired professional
land surveyor. Individuals who are so classified shall lose their licensure,
shall not practice professional land surveying, and shall pay a fee to retain
retired professional land surveyor status.
(b) (I) A retired professional land surveyor shall be reinstated to the
status of a professional land surveyor upon payment of the renewal fee. No
other fee shall be assessed against such THE retired professional land
surveyor as a penalty.
(II) For any professional land surveyor who has been retired for two
or more years, the board may require reexamination unless the board is
satisfied of the retired professional land surveyor's continued competence.
(6) (Deleted by amendment, L. 2004, p. 1302, § 30, effective May
28, 2004.)
12-120-314. [Formerly 12-25-215] Licenses. (1) The board, upon
acceptance of an applicant who has demonstrated competence in
professional land surveying and upon receipt of payment of the required fee,
shall license and issue a unique license number to the applicant.
(2) The board, upon acceptance of a qualified land surveyor-intern
and upon receipt of payment of the required fee, shall enroll the qualified
land surveyor-intern.
(3) A license may be issued at any time but shall expire in
conformance with AND IS SUBJECT TO THE RENEWAL, EXPIRATION,
PAGE 406-HOUSE BILL 19-1172
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN section
24-34-102, C.R.S. A license shall be renewed at the time of such expiration
12-20-202 (1) AND (2).
(4) All licenses shall be renewed or reinstated pursuant to a schedule
established by the director of the division of professions and occupations
within the department of regulatory agencies and shall be renewed or
reinstated pursuant to section 24-34-102 (8), C.R.S. The director of the
division of professions and occupations within the department of regulatory
agencies may establish renewal fees and delinquency fees for reinstatement
pursuant to section 24-34-105, C.R.S. If a person fails to renew his or her
license pursuant to the schedule established by the director of the division
of professions and occupations, the license shall expire. Any person whose
license has expired is subject to the penalties provided in this article or
section 24-34-102 (8), C.R.S. PART 3 OR SECTION 12-20-202 (1).
(5) Repealed.
(6) (5) A professional land surveyor shall give notice to the board,
in writing, of any change of address within thirty days after the change.
12-120-315. [Formerly 12-25-216] Fees - disposition. (1) Pursuant
to section 24-34-105, C.R.S. 12-20-105, the board shall charge and collect
fees for the following:
(a) With respect to professional land surveyors:
(I) Renewal of a license;
(II) Replacement of a paper certificate or renewal card, if requested
by the licensee;
(III) Application for licensure by endorsement and examination;
(IV) Application for the principles and practice of surveying
examination or the legal aspects of surveying examination;
(V) Issuance of a paper certificate of licensure, if requested by the
licensee;
PAGE 407-HOUSE BILL 19-1172
(VI) Late renewal of a license;
(VII) Reexamination for the principles and practice of surveying
examination or the legal aspects of surveying examination;
(VIII) Renewal REINSTATEMENT of an expired license;
(IX) Listing as a retired professional land surveyor;
(b) With respect to land surveyor-interns:
(I) (Deleted by amendment, L. 2004, p. 1303, § 32, effective May
28, 2004.)
(II) (Deleted by amendment, L. 94, p. 1506, § 34, effective July 1,
1994.)
(III) (I) Application for the fundamentals of surveying examination;
(IV) (II) Reexamination for the fundamentals of surveying
examination;
(V) (III) Application for enrollment as a land surveyor-intern by
endorsement.
(2) All moneys collected by the board in administering this part 2
shall be transmitted to the state treasurer, who shall credit the same pursuant
to section 24-34-105, C.R.S., and the general assembly shall make annual
appropriations pursuant to said section for expenditures required for the
administration of this part 2, which expenditures shall be made from such
appropriations upon vouchers and warrants drawn pursuant to law. The
division shall employ, subject to section 13 of article XII of the state
constitution, such clerical or other assistants as are necessary for the
performance of its duties.
(3) Repealed.
12-120-316. [Formerly 12-25-217] Professional land surveyor's
seal - rules. (1) Upon receiving a license from the board, a professional
land surveyor may obtain a crimp type seal, a rubber stamp type seal, or an
PAGE 408-HOUSE BILL 19-1172
electronic type seal of a design approved by the board. The seal must
contain the licensed professional land surveyor's name and license number
and the designation "Colorado licensed professional land surveyor".
Colorado land surveyors licensed before July 1, 2004, may continue to use
their prior existing seals.
(2) All documents, plats, and reports resulting from the practice of
land surveying shall be identified with and bear the seal or exact copy
thereof, signature, and date of signature of the land surveyor in responsible
charge.
(3) A professional land surveyor shall use a seal and signature only
when the work to which the seal is applied was prepared under the
professional land surveyor's responsible charge.
(4) The board shall adopt rules governing use of the seal and the
retention, use, and distribution of sealed documents and copies thereof.
PART 4
ARCHITECTS
12-120-401. [Formerly 12-25-301] General provisions. The
regulatory authority established by this part 3 4 is necessary to safeguard the
life, health, property, and public welfare of the people of this state and to
protect them against unauthorized, unqualified, and improper practice of
architecture.
12-120-402. [Formerly 12-25-302] Definitions. As used in this part
3 4, unless the context otherwise requires:
(1) "Architect" means a person licensed under this part 3 4 and
entitled thereby to conduct a practice of architecture in the state of
Colorado.
(2) "Board" means the state board of licensure for architects,
professional engineers, and professional land surveyors, created in section
12-25-106.
(3) (2) "Buildings" means buildings of any type for public or private
use, including the structural, mechanical, and electrical systems, utility
PAGE 409-HOUSE BILL 19-1172
services, and other facilities required for said THE buildings.
(4) (3) "Drawings" means the original documents produced to
describe a project. Such THE original documents may be produced by
computer-assisted design and drafting software, commonly known as
"CADD", or other means.
(5) (4) "Dwellings" means private residences intended for
permanent occupancy by one or more families but does not include
apartment houses, lodging houses, hotels, or motels.
(6) (5) (a) The "Practice of architecture" means providing any of the
following services in connection with the design, construction, enlargement,
or alteration of a building or group of buildings and the space within and the
site surrounding those buildings, which have as their principal purpose
human occupancy or habitation:
(I) Predesign;
(II) Programming;
(III) Planning;
(IV) Providing designs, drawings, specifications, and other technical
submissions;
(V) Administering construction contracts; and
(VI) Coordinating any elements of technical submissions prepared
by others.
(b) An architect's professional services, unless performed pursuant
to the exemptions set forth in section 12-25-303 12-120-403 by a person
who is not an architect, may include any or all of the following:
(I) Investigations, evaluations, schematic and preliminary studies,
designs, working drawings, and specifications for construction, or for one
or more buildings, and for the space within and surrounding the buildings
or structures;
PAGE 410-HOUSE BILL 19-1172
(II) Coordination of the work of technical and special consultants;
(III) Compliance with generally applicable codes and regulations
and assistance in the governmental review process;
(IV) Technical assistance in the preparation of bid documents and
agreements between clients and contractors;
(V) Contract administration; and
(VI) Construction observation.
(c) An individual practices or offers to practice architecture within
the meaning and intent of this subsection (6) (5) if the individual, by oral
claim, sign, advertisement, letterhead, card, or in any other way, represents
himself or herself to be an architect, implies that he or she is licensed under
this part 3 4, or performs or offers to perform a service listed in paragraph
(b) of this subsection (6) SUBSECTION (5)(b) OF THIS SECTION.
(7) (6) "Responsible control" means that amount of control over and
detailed knowledge of the content of plans, designs, drawings,
specifications, and reports during their preparation as is ordinarily exercised
by a licensed architect applying the required standard of care.
12-120-403. [Formerly 12-25-303] Exemptions - definitions.
(1) Nothing in this part 3 4 shall prevent any person, firm, corporation, or
association from preparing plans and specifications for, designing,
planning, or administering the construction contracts for construction,
alterations, remodeling, additions to, or repair of, any of the following:
(a) One-, two-, three-, and four-family dwellings, including
accessory buildings commonly associated with such THOSE dwellings;
(b) Garages, industrial buildings, offices, farm buildings, and
buildings for the marketing, storage, or processing of farm products, and
warehouses, that do not exceed one story in height, exclusive of a one-story
basement, and, under applicable building codes, are not designed for
occupancy by more than ten persons;
(c) Additions, alterations, or repairs to the buildings referred to in
PAGE 411-HOUSE BILL 19-1172
paragraphs (a) and (b) of this subsection (1) SUBSECTIONS (1)(a) AND (1)(b)
OF THIS SECTION that do not cause the completed buildings to exceed the
applicable limitations set forth in this subsection (1);
(d) Nonstructural alterations of any nature to any building if such
THE alterations do not affect the life safety of the occupants of the building.
(2) Nothing in this part 3 4 shall prevent, prohibit, or limit any
municipality or county of this state, home rule or otherwise, from adopting
such building codes as may, in the reasonable exercise of the police power
of said governmental unit, be necessary for the protection of the inhabitants
of said THE municipality or county.
(3) Nothing in this part 3 4 shall be construed as curtailing or
extending the rights of any other profession or craft, including the practice
of landscape architecture by landscape architects pursuant to article 45 130
of this title 12.
(4) Nothing in this part 3 4 shall be construed as prohibiting the
practice of architecture by any employee of the United States government
or any bureau, division, or agency thereof while in the discharge of his or
her official duties.
(5) Nothing in this part 3 4 shall be construed to prevent the
independent employment of a licensed professional engineer practicing
pursuant to part 1 2 of this article 120.
(6) (a) Except as provided in paragraph (b) of this subsection (6)
SUBSECTION (6)(b) OF THIS SECTION, nothing in this part 3 4 shall be
construed to prevent an interior designer from preparing interior design
documents and specifications for interior finishes and nonstructural
elements within and surrounding interior spaces of a building or structure
of any size, height, and occupancy and filing such THE documents and
specifications for the purpose of obtaining approval for a building permit
as provided by law from the appropriate city, city and county, or regional
building authority, which may approve or reject any such THE filing in the
same manner as for other professions.
(b) Interior designers shall not be engaged in the construction of the
structural frame system supporting a building; mechanical, plumbing,
PAGE 412-HOUSE BILL 19-1172
heating, air conditioning, ventilation, or electrical vertical transportation
systems; fire-rated vertical shafts in any multi-story structure; fire-related
protection of structural elements; smoke evacuation and
compartmentalization; emergency sprinkler systems; emergency alarm
systems; or any other alteration affecting the life safety of the occupants of
a building. Any interior designer shall, as a condition of filing interior
design documents and specifications for the purpose of obtaining approval
for a building permit, provide to the responsible building official of the
jurisdiction a current copy of the interior designer's professional liability
insurance coverage that is in force. No interior designer shall be subject to
any of the restrictions set forth in paragraphs (b) and (d) of subsection (1)
SUBSECTIONS (1)(b) AND (1)(d) of this section.
(c) As used in this subsection (6), "interior designer" means a person
who:
(I) Engages in:
(A) Consultation, study, design analysis, drawing, space planning,
and specification for nonstructural or nonseismic interior construction with
due concern for the life safety of the occupants of the building;
(B) Preparing and submitting interior design documents for the
purpose of obtaining approval for a building permit as provided by law for
nonstructural or nonseismic interior construction, materials, finishes, space
planning, furnishings, fixtures, equipment, lighting, and reflected ceiling
plans;
(C) Designing for fabrication nonstructural elements within and
surrounding interior spaces of buildings; or
(D) The administration of design construction and contract
documents, as the clients' agent, relating to the functions described in
sub-subparagraphs (A) to (C) of this subparagraph (I) SUBSECTIONS
(6)(c)(I)(A) TO (6)(c)(I)(C) OF THIS SECTION, and collaboration with
specialty consultants and licensed practitioners in other areas of technical
expertise; and
(II) Possesses written documentation that he or she:
PAGE 413-HOUSE BILL 19-1172
(A) Has graduated with a degree in interior design from a college or
university offering such AN INTERIOR DESIGN program consisting of four or
more years of study and has completed two years of interior design
experience; or
(B) Has graduated with a degree in interior design from a college or
university offering such AN INTERIOR DESIGN program consisting of two or
more years of study and has completed four years of interior design
experience; and
(C) Has met the education and experience requirements of, and has
subsequently passed, the qualification examination promulgated by the
national Council for Interior Design Qualification or its successor
organization.
(d) As used in this subsection (6), "nonstructural or nonseismic"
includes interior elements or components that are not load-bearing or that
do not assist in the seismic design and do not require design computations
for a building's structure. Common nonstructural or nonseismic elements or
components include, but are not limited to, ceiling and partition systems that
employ normal and typical bracing conventions and are not part of the
structural integrity of the building.
(7) Nothing in this article 120 shall prohibit a person who is licensed
to practice architecture in another jurisdiction of the United States from
soliciting work in Colorado. The person shall not perform the practice of
architecture in this state without first having obtained a license from the
board or having associated with an architect licensed in this state who is
associated with the project at all stages of the project.
12-120-404. [Formerly 12-25-304] Forms of organizations
permitted to practice - requirements. (1) Except as otherwise provided
in this section, no firm, partnership, entity, or group of persons shall be
licensed to practice architecture; except that a partnership, entity, or group
of persons may use the term "architects" in its business name if a majority
of the individual officers and directors or members or partners are either
licensed architects under this part 3 4 or persons who qualify for a license
by endorsement under section 12-25-314 (3) 12-120-413 (3).
(2) The practice of architecture by the following entities is
PAGE 414-HOUSE BILL 19-1172
permitted, subject to subsection (3) of this section:
(a) A corporation that complies with the "Colorado Business
Corporation Act", articles 101 to 117 of title 7; C.R.S.;
(b) A limited liability company that complies with the "Colorado
Limited Liability Company Act", article 80 of title 7; C.R.S.;
(c) A registered limited liability partnership that has registered in
accordance with section 7-60-144 C.R.S., or qualified in accordance with
section 7-64-1002. C.R.S.
(3) An entity listed in subsection (2) of this section may practice
architecture, but only if:
(a) The practice of architecture by such THE entity is under the direct
supervision of an architect, licensed in the state of Colorado, who is an
officer of the corporation, a member of the limited liability company, or a
partner in the registered limited liability partnership;
(b) Such THE architect remains individually responsible to the board
and the public for his or her professional acts and conduct; and
(c) All architectural plans, designs, drawings, specifications, or
reports that are involved in such THE practice, issued by or for such THE
entity, bear the seal and signature of an architect in responsible control of,
and directly responsible for, such THE architectural work when issued.
(4) (a) Nothing in this part 3 4 shall be construed as prohibiting the
formation of a corporation, limited liability company, registered limited
liability partnership, joint venture, partnership, or association consisting of
one or several architects or corporations meeting the requirements of
subsection (3) of this section and one or several professional engineers, all
duly licensed under the respective provisions of the applicable laws of this
state.
(b) It is lawful for such an entity DESCRIBED IN SUBSECTION (4)(a)
OF THIS SECTION to use in its title the words "architects and engineers".
(c) No identifying media used by any member of such THE entity
PAGE 415-HOUSE BILL 19-1172
shall mislead the public as to the fact that such THE member is licensed as
an architect or as a professional engineer.
12-120-405. [Formerly 12-25-305] Unauthorized practice -
penalties - enforcement. (1) Unless exempted under section 12-25-303 (7)
12-120-403 (7), any person who practices or offers or attempts to practice
architecture without an active license issued under this part 3 commits a
class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and, for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 4 IS SUBJECT TO
PENALTIES AS SPECIFIED IN SECTION 12-20-407 (1)(a).
(a) to (c) Repealed.
(1.5) and (2) Repealed.
(2.5) (2) (a) It is unlawful for any individual to hold himself or
herself out to the public as an architect unless the individual has complied
with this part 3 4.
(b) It is unlawful for any person to practice, or offer to practice,
architecture in this state unless the individual in responsible control has
complied with this part 3 4.
(c) (I) Unless licensed pursuant to this part 3 4, it is unlawful for any
person to:
(A) Use any of the following titles: "Architect", "architects",
"architecture", "architectural", or "licensed architect"; In addition, unless
licensed pursuant to this part 3, it is unlawful for any person to OR
(B) Use the words "architect", "architects", "architecture",
"architectural", or "licensed architect" in any offer to the public to perform
the services set forth in section 12-25-302 (6) 12-120-402 (5).
(II) Nothing in this subsection (2.5) (2) prohibits the general use of
the words "architect", "architecture", or "architectural", including the
specific use of the term "architectural intern", by an individual who is
working under the supervision of an architect and is in the process of
PAGE 416-HOUSE BILL 19-1172
completing required practice hours in preparation for the architect licensing
examination, so long as those words are not being used in an offer to the
public to perform the services set forth in section 12-25-302 (6) 12-120-402
(5).
(3) The attorney general or the attorney general's assistant shall act
as legal advisor to the board and render such timely legal assistance as may
be necessary in carrying out this part 3 4. With the concurrence of the
attorney general, the board may employ counsel and assistance necessary
to aid in the enforcement of this part 3 4, and the compensation and
expenses therefor shall be paid from the funds of the board.
(4) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public or
a person is acting or has acted without the required license, the board may
issue an order to cease and desist such activity. The order shall set forth the
statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (4), the licensee or person
alleged to have acted without a license may request a hearing on the
question of whether acts or practices in violation of this part 3 have
occurred. Such hearing shall be conducted pursuant to sections 24-4-104
and 24-4-105, C.R.S.
(5) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other provision of this part 3, then, in addition to any specific powers
granted pursuant to this part 3, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (5) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
PAGE 417-HOUSE BILL 19-1172
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (5) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (5). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (5) does not appear at the
hearing, the board may present evidence that notification was properly sent
or served upon such person pursuant to paragraph (b) of this subsection (5)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify such person, and the
order shall become final as to that person by operation of law. Such hearing
shall be conducted pursuant to sections 24-4-104 and 24-4-105, C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or has or is about to engage in acts or practices constituting
violations of this part 3, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (5), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(6) If it appears to the board, based upon credible evidence
PAGE 418-HOUSE BILL 19-1172
presented to the board, that a person has engaged in or is about to engage
in an unlicensed act or practice, any act or practice constituting a violation
of this part 3, any rule promulgated pursuant to this part 3, any order issued
pursuant to this part 3, or any act or practice constituting grounds for
administrative sanction pursuant to this part 3, the board may enter into a
stipulation with such person.
(7) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(8) A person aggrieved by the final cease-and-desist order may seek
judicial review of the board's determination or of the board's final order in
a court of competent jurisdiction.
(4) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
(9) (5) After finding that a person has unlawfully engaged in the
practice of architecture, the board may jointly and severally assess against
the person a fine of not less than fifty dollars and not more than five
thousand dollars for each violation proven by the board. The board shall
transmit the moneys collected pursuant to this subsection (9) to the state
treasurer, who shall credit them to the general fund.
(10) (6) An individual practicing architecture who is not licensed or
exempt from licensure shall not collect compensation of any kind for such
THE practice, and, if compensation has been paid, the individual shall refund
the compensation in full.
12-120-406. [Formerly 12-25-308] Disciplinary actions - grounds
for discipline. (1) The board may deny, suspend, revoke, or refuse to
renew the license of, place on probation TAKE DISCIPLINARY OR OTHER
ACTION AS AUTHORIZED BY SECTION 12-20-404 AGAINST, or limit the scope
of practice of, a licensee for the following:
PAGE 419-HOUSE BILL 19-1172
(a) Fraud, misrepresentation, deceit, or material misstatement of fact
in procuring or attempting to procure a license;
(b) Any act or omission that fails to meet the generally accepted
standards of the practice of architecture, as evidenced by conduct that
endangers life, health, property, or the public welfare;
(c) Conviction of, or pleading guilty or nolo contendere to, a felony
in Colorado concerning the practice of architecture or an equivalent crime
outside Colorado. A certified copy of the judgment of a court of competent
jurisdiction of such THE conviction or plea shall be presumptive evidence
of such THE conviction or plea in any hearing under this part 3 4. The board
shall be governed by section SECTIONS 12-20-202 (5) AND 24-5-101 C.R.S.,
in considering such THE conviction or plea.
(d) Affixing a seal or allowing a seal to be affixed to any document
of which the architect was neither the author nor in responsible control of
preparation;
(e) Violation of, or aiding or abetting in the violation of, this part 3
or 4, AN APPLICABLE PROVISION OF ARTICLE 20 OF THIS TITLE 12, any rule
promulgated by the board in conformance with this part 3 PART 1 OF THIS
ARTICLE 120 OR THIS PART 4, or any order of the board issued in
conformance with this part 3 4;
(f) Use of false, deceptive, or misleading advertising;
(g) Performing services beyond one's competency, training, or
education;
(h) Failure to render adequate professional control of persons
practicing architecture under the responsible control of a licensed architect;
(i) Habitual or excessive use or abuse of alcohol, controlled
substances, or any habit-forming drug;
(j) Any use of a schedule I controlled substance, as defined in
section 18-18-203; C.R.S.;
(k) Violation of the notification requirements in section 12-25-312
PAGE 420-HOUSE BILL 19-1172
12-120-411;
(l) Failure to pay a fine assessed under this part 3 4;
(m) Failure to report to the board any architect known to have
violated any provision of this article 120 or any board order or rule; or
regulation;
(n) Fraud or deceit in the practice of architecture;
(o) Repealed.
(p) (o) Making or offering to make any gift (other than a gift of
nominal value such as reasonable entertainment or hospitality), donation,
payment, or other valuable consideration to influence a prospective or
existing client or employer regarding the employment of the architect;
except that nothing in this paragraph (p) SUBSECTION (1)(o) shall restrict an
employer's ability to reward an employee for work obtained or performed;
(q) (p) Selling or fraudulently obtaining or furnishing a license or
renewal of a license to practice architecture;
(r) (q) Engaging in conduct that is intended or reasonably might be
expected to mislead the public into believing that the person is an architect;
or
(s) (r) Engaging in the practice of an architect as a corporation or
partnership or group of persons, unless such THE entity meets the
requirements of section 12-25-304 12-120-404.
(2) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
by the board but that should not be dismissed as being without merit, The
board may issue and send a letter of admonition by first-class mail to the A
licensee at the licensee's last-known address UNDER THE CIRCUMSTANCES
SPECIFIED IN AND IN ACCORDANCE WITH SECTION 12-20-404 (4).
(b) When the board sends a letter of admonition to a licensee, the
board shall advise the licensee that he or she has the right to request in
writing, within twenty days after receipt of the letter, that formal
PAGE 421-HOUSE BILL 19-1172
disciplinary proceedings be initiated to adjudicate the propriety of the
conduct upon which the letter of admonition is based.
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(d) (3) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, THE BOARD MAY SEND a confidential
letter of concern may be issued and sent to the TO A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(3) (4) Any disciplinary action in another state or jurisdiction on
grounds substantially similar to those that would constitute a violation under
this part 3 4 shall be prima facie evidence of grounds for disciplinary action,
including denial of licensure, under this section.
(4) (a) (5) In addition to the penalties provided for in subsection (2)
of this section, any person violating any provision of this part 3 4 or any
standards or rules promulgated pursuant to this part 3 4 may be punished by
a fine of not less than fifty dollars and not more than five thousand dollars
upon a finding of misconduct by the board, made pursuant to article 4 of
title 24. C.R.S.
(b) All fines collected pursuant to this section shall be transferred
to the state treasurer, who shall credit such moneys to the general fund.
(5) (6) If, as a result of a proceeding held pursuant to article 4 of
title 24, C.R.S., the board determines that a person licensed to practice
architecture pursuant to this part 3 4 has acted in such a manner as to be
subject to disciplinary action, the board may, in lieu of or in addition to
other forms of disciplinary action that may be authorized by this section,
require a licensee to take courses of training or education relating to his or
her profession. The board shall determine the conditions that may be
imposed on such THE licensee, including, but not limited to, the type and
number of hours of training or education. All training or education courses
are subject to approval by the board, and the licensee shall be required to
PAGE 422-HOUSE BILL 19-1172
furnish satisfactory proof of completion of any such THE training or
education.
12-120-407. [Formerly 12-25-309] Disciplinary proceedings -
injunctions. (1) SECTION 12-20-403 APPLIES TO INVESTIGATIONS AND
HEARINGS UNDER THIS SECTION.
(1) (2) The board upon its own motion may, and upon the receipt of
a signed complaint in writing from any person shall, investigate the
activities of any licensee or other person that present grounds for
disciplinary action as specified in this part 3 4.
(2) Disciplinary hearings shall be conducted by the board or by an
administrative law judge appointed pursuant to part 10 of article 30 of title
24, C.R.S., and shall be held in the manner prescribed in article 4 of title 24,
C.R.S.
(3) (a) The board or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board.
(b) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director of the division of professions and occupations within the
department of regulatory agencies with notice to the subpoenaed person or
licensee, may issue to the person or licensee an order requiring that person
or licensee to appear before the board or director; to produce the relevant
papers, books, records, documentary evidence, or materials if so ordered;
or to give evidence touching the matter under investigation or in question.
Failure to obey the order of the court may be punished by the court as a
contempt of court.
(4) (3) The board may in the name of the people of the state of
Colorado, through the attorney general of the state of Colorado, apply for
an injunction in any court of competent jurisdiction IN ACCORDANCE WITH
SECTION 12-20-406, BUT ONLY to enjoin any person from committing any
act declared to be a misdemeanor by this part 3 4. In order to obtain such
PAGE 423-HOUSE BILL 19-1172
injunction, the board need not prove irreparable injury.
(5) (4) The court of appeals shall have initial jurisdiction to review
SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF all final actions and
orders of the board that are subject to judicial review. Such proceedings
shall be conducted in accordance with section 24-4-106 (11), C.R.S.
(6) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
12-120-408. [Formerly 12-25-309.5] Reconsideration and review
of board actions. The board, on its own motion or upon application, at any
time after the imposition of any discipline as provided in this section PART
4, may reconsider its prior action and reinstate or restore such THE license
or terminate probation or reduce the severity of its prior disciplinary action.
The taking of any such further action, or the holding of a hearing with
respect thereto, shall rest in the sole discretion of the board.
12-120-409. [Formerly 12-25-310] Application for licensing.
(1) An applicant shall submit an application that includes evidence of
education and practical experience as required by section 12-25-314
12-120-413 and the rules of the board. The application shall also include a
statement that the applicant has never been denied licensure as an architect
or been disciplined with regard to the practice of architecture or practiced
architecture in violation of the law. If the board determines that an applicant
has committed any of the acts specified as grounds for discipline under
section 12-25-308 (1) 12-120-406 (1), it may deny an application for
examination or licensure. The board shall notify the applicant if it
determines that the application is incomplete or otherwise defective and
shall specify the grounds for the determination.
(2) When the board is reviewing or considering conviction of a
crime, it shall be governed by section SECTIONS 12-20-202 (5) AND
24-5-101. C.R.S.
(3) A licensee whose license is revoked may reapply for licensure,
but the board shall not consider the application until two years after the
effective date of the revocation.
PAGE 424-HOUSE BILL 19-1172
12-120-410. [Formerly 12-25-311] Professional liability -
insurance. (1) The shareholders, members, or partners of an entity that
practices architecture are liable for the acts, errors, and omissions of the
employees, members, and partners of the entity except when the entity
maintains a qualifying policy of professional liability insurance as set forth
in subsection (2) of this section.
(2) (a) A qualifying policy of professional liability insurance shall
meet the following minimum standards:
(I) The policy insures the entity against liability imposed upon it by
law for damages arising out of the negligent acts, errors, and omissions of
all professional and nonprofessional employees, members, and partners; and
(II) The insurance is in a policy amount of at least seventy-five
thousand dollars multiplied by the total number of architects and engineers
in or employed by the entity, up to a maximum of five hundred thousand
dollars.
(b) In addition, the policy may include:
(I) A provision that it shall not apply to the following:
(A) A dishonest, fraudulent, criminal, or malicious act or omission
of the insured entity or any stockholder, employee, member, or partner;
(B) The conduct of a business enterprise that is not the practice of
architecture by the insured entity;
(C) The conduct of a business enterprise in which the insured entity
may be a partner or that may be controlled, operated, or managed by the
insured entity in its own or in a fiduciary capacity, including, but not limited
to, the ownership, maintenance, or use of property;
(D) Bodily injury, sickness, disease, or death of a person; or
(E) Damage to, or destruction of, tangible property owned by the
insured entity;
(II) Any other reasonable provisions with respect to policy periods,
PAGE 425-HOUSE BILL 19-1172
territory, claims, conditions, and ministerial matters.
12-120-411. [Formerly 12-25-312] Notification to board. Each
architect shall report to the board any malpractice claim against the
architect, or against any entity of which the architect is a member, that is
settled or in which judgment is rendered, within sixty days after the
effective date of the settlement or judgment, if the claim concerned the
practice of architecture performed or supervised by the architect; except that
a licensee is not required to report any claim that was dismissed by a court
of law.
12-120-412. [Formerly 12-25-313] Eligibility for architect. To be
eligible for licensing as an architect, an applicant shall provide
documentation of technical competence.
12-120-413. [Formerly 12-25-314] Qualifications for architect
licensure. (1) The board shall set minimum educational and experience
requirements for applicants within the following guidelines:
(a) The board may require:
(I) No more than three years of practical experience under the direct
supervision of a licensed architect or an architect exempt under the
provisions of section 12-25-303 (4) 12-120-403 (4) and either:
(A) A professional degree from a program accredited by the
National Architectural Accrediting Board or its successor; or
(B) Substantially equivalent education or experience approved by
the board, with the board requiring no more than five years of such THE
education and experience; or
(II) No more than ten years of practical experience under the direct
supervision of a licensed architect or an architect exempt under the
provisions of section 12-25-303 (4) 12-120-403 (4); or
(III) A combination of such practical experience and education,
which combination shall not exceed ten years.
(b) Up to one year of the required experience may be in on-site
PAGE 426-HOUSE BILL 19-1172
building construction operations, physical analyses of existing buildings, or
teaching or research in a program accredited by the National Architectural
accreditation ACCREDITING Board or its successor.
(c) Full credit shall be given for education obtained in four-year
baccalaureate programs in architecture or environmental design.
(2) (a) An applicant shall pass an examination or examinations
developed or adopted by the board. The board shall ensure that the passing
score for any examination is set to measure the level of minimum
competency.
(b) The examination shall be given at least twice a year. The board
shall designate a time and location for examinations and shall notify
applicants of this time and location in a timely fashion and, as necessary,
may contract for assistance in administering the examination.
(3) An applicant for licensure by endorsement must hold a license
in good standing in a jurisdiction requiring qualifications substantially
equivalent to those currently required for licensure by examination as
provided in section 12-25-310 (1) 12-120-409 (1) and subsections (1) and
(2) of this section and shall submit an application as prescribed by the
board. The board shall provide procedures for an applicant to apply directly
to the board. The board may also provide an alternative application
procedure so that an applicant may, at his or her option, instead apply to a
national clearinghouse designated by the board. The national clearinghouse
shall then forward the application to the board.
12-120-414. [Formerly 12-25-314.5] Retired architects -
classification - fees. (1) An architect who has been duly licensed and is
over sixty-five years of age may apply to the board for classification as a
retired architect. Retired architects shall not practice architecture and shall
pay a fee established by the board to be listed with and retain retired
architect status. A person classified as a retired architect may hold himself
or herself out as a retired architect.
(2) A retired architect shall be reinstated to the status of an architect
upon payment of the renewal fee established pursuant to section 24-34-105,
C.R.S. SECTIONS 12-20-105 AND 12-20-202 (1). The board shall not assess
any additional fees.
PAGE 427-HOUSE BILL 19-1172
(3) The board may require reexamination of a retired architect who
has been retired for two or more years and is seeking reinstatement pursuant
to subsection (2) of this section unless the board is satisfied with the retired
architect's competence to practice, as required by section 24-34-102
(8)(d)(II), C.R.S. 12-20-202 (2)(c)(II).
12-120-415. [Formerly 12-25-315] Licenses. (1) The board shall
issue a license whenever an applicant for a license to practice architecture
in Colorado successfully qualifies for such THE license as provided in this
part 3 4.
(2) An architect may renew a license by paying to the board the
license renewal fee established pursuant to section 24-34-105, C.R.S.
12-20-105, and the board shall then renew the license. A LICENSE ISSUED
PURSUANT TO THIS PART 4 IS SUBJECT TO THE RENEWAL, EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION
12-20-202 (1) AND (2).
(3) The license of any architect shall be renewed or reinstated
pursuant to a schedule established by the director of the division of
professions and occupations within the department of regulatory agencies
and shall be renewed or reinstated pursuant to section 24-34-102 (8), C.R.S.
The director of the division of professions and occupations within the
department of regulatory agencies may establish renewal fees and
delinquency fees for reinstatement pursuant to section 24-34-105, C.R.S. If
a person fails to renew his or her license pursuant to the schedule
established by the director of the division of professions and occupations,
such license shall expire. Any person whose license has expired shall be
subject to the penalties provided in this part 3 4 or section 24-34-102 (8),
C.R.S. 12-20-202 (1).
(4) An architect shall give notice to the board, in a manner
prescribed by the board, of any change of address within thirty days after
the change.
12-120-416. [Formerly 12-25-315.5] Continuing education - rules.
(1) No later than December 31, 2008, The board shall adopt rules
establishing requirements for continuing education that an architect shall
complete in order to renew a license to practice architecture in Colorado. on
or after July 1, 2009. The rules shall require the architect to participate in
PAGE 428-HOUSE BILL 19-1172
a process or procedure that demonstrates whether the architect retained the
material presented in the continuing education program or course.
(2) and (3) Repealed.
12-120-417. [Formerly 12-25-317] Architect's seal - rules.
(1) Upon receiving a license from the board, an architect may obtain a
crimp type seal, a rubber stamp type seal, or an electronic type seal in a
design approved by the board. The seal must contain the architect's name
and license number and the designation "Colorado licensed architect".
Architects licensed before July 1, 2013, may continue to use their existing
seals.
(2) An architect shall use his or her seal, signature, and the date of
signature only when the work to which the seal is applied was prepared
under the architect's responsible control.
(3) The board shall adopt rules governing use of the seal and the
retention, use, and distribution of sealed documents and copies thereof.
ARTICLE 125
Fantasy Contests
12-125-101. [Formerly 12-15.5-101] Short title. The short title of
this article 125 is the "Fantasy Contests Act".
12-125-102. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
125.
12-125-103. [Formerly 12-15.5-102] Definitions. As used in this
article 125, unless the context otherwise requires:
(1) "Confidential information" means information related to the play
of a fantasy contest by fantasy contest players obtained as a result of or by
virtue of a person's employment.
(2) "Director" means the director of the division of professions and
occupations within the department of regulatory agencies or his or her
designee.
PAGE 429-HOUSE BILL 19-1172
(3) (2) "Entry fee" means cash or cash equivalents that are required
to be paid by a fantasy contest player to a fantasy contest operator in order
to participate in a fantasy contest.
(4) (3) "Fantasy contest" means a fantasy or simulated game or
contest in which:
(a) The value of all prizes and awards offered to winning
participants is established and made known to the participants in advance
of the contest;
(b) All winning outcomes reflect the relative knowledge and skill of
the participants and are determined predominantly by accumulated
statistical results of the performance of athletes in fully completed sporting
events; except that a sporting event that has been called or suspended due
to weather or any other natural or unforseen event is considered fully
completed; and
(c) Winning outcomes are not based on randomized or historical
events or on the score, point spread, or any performance of any single actual
sports team or combination of such THE teams or solely on any single
performance of an individual athlete in any single actual sporting event.
(5) (4) "Fantasy contest operator" means a person or entity that
offers fantasy contests with an entry fee for a cash prize to members of the
public.
(6) (5) "Fantasy contest player" means a person who participates in
a fantasy contest with an entry fee offered by a fantasy contest operator.
(7) (6) "Small fantasy contest operator" means a fantasy contest
operator that has no more than seven thousand five hundred fantasy contest
players in Colorado with active accounts who participate in fantasy contests
with an entry fee.
12-125-104. [Formerly 12-15.5-103] Rules - procedures. (1) The
director shall promulgate reasonable rules for the identification, licensing,
and fingerprinting of applicants for licensure.
(2) The director may administer oaths, take affirmations of
PAGE 430-HOUSE BILL 19-1172
witnesses, and issue subpoenas to compel the attendance of witnesses and
the production of all relevant papers, books, records, documentary evidence,
and materials in FOR PURPOSES OF any hearing, investigation, accusation,
or other matter coming before the director pursuant to this article The
director may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings 125,
SECTION 12-20-403 (2) AND (3) APPLY.
12-125-105. [Formerly 12-15.5-104] Registration. (1) On and after
July 1, 2017, an entity shall not operate as a small fantasy contest operator
unless the entity is registered with the director. On and after July 1, 2017,
an individual who is not operating through an entity shall not operate as a
small fantasy contest operator unless the individual is registered with the
director.
(2) A small fantasy contest operator is subject to all of the
provisions of this article 125; except that:
(a) A small fantasy contest operator need only be registered, not
licensed, in order to offer fantasy contests for a fee; a small fantasy contest
operator is not subject to the requirements of section 12-15.5-106 (2)
12-125-107 (2) regarding an annual audit; and a small fantasy operator is
subject to section 12-15.5-105 (3) 12-125-106 (3); and
(b) The director shall:
(I) Establish a registration process for small fantasy contest
operators; and
(II) Not initiate an investigation of a potential violation of this
article 125 by a small fantasy contest operator except upon the filing of a
complaint with the director that the director reasonably believes warrants
investigation.
12-125-106. [Formerly 12-15.5-105] Licensing. (1) (a) On and
after July 1, 2017, an entity shall not operate as a fantasy contest operator
unless the entity is licensed by the director. On and after July 1, 2017, an
individual who is not operating through an entity shall not operate as a
fantasy contest operator unless the individual is licensed as a fantasy contest
operator by the director.
PAGE 431-HOUSE BILL 19-1172
(b) An applicant for licensure must pay license, renewal, and
reinstatement fees established by the director consistent with section
24-34-105, C.R.S., 12-20-105 and other authorities. The fees must be
sufficient to cover the division's direct and indirect costs in administering
this article. A licensee must renew the license in accordance with a schedule
established by the director pursuant to section 24-34-102 (8), C.R.S. If a
licensee fails to renew the license pursuant to the schedule established by
the director, the license expires and the entity shall not practice under this
article until the reinstatement fees are paid and the director reinstates the
license A LICENSE ISSUED PURSUANT TO THIS ARTICLE 125 IS SUBJECT TO
THE RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). A person that
continues to practice once a license has expired is subject to the penalties
provided in this article 125 and section 24-34-102 (8), C.R.S. 12-20-202
(1).
(2) Applications for licensure as a fantasy contest operator must:
(a) Be verified by the oath or affirmation of such THE person or
persons as the director may prescribe;
(b) Be made to the director on forms prepared and furnished by the
director; and
(c) Set forth such information as the director may require to enable
the director to determine whether an applicant meets the requirements for
licensure under this article 125. The information must include:
(I) The name and address of the applicant;
(II) If a partnership, the names and addresses of all of the partners,
and if a corporation, association, or other organization, the names and
addresses of the president, vice president, secretary, and managing officer,
together with all other information deemed necessary by the director; and
(III) A designation of the responsible party who is the agent for the
licensee for all communications with the director.
(3) (a) An applicant may not be eligible for licensure or registration
as a fantasy contest operator or licensure renewal if the applicant or any of
PAGE 432-HOUSE BILL 19-1172
its officers, directors, or general partners has been convicted of or has
entered a plea of nolo contendere or guilty to a felony.
(b) The director is governed by section 24-5-101 C.R.S., in
considering the conviction or plea of nolo contendere to a felony for any
individual subject to a criminal history record check pursuant to subsection
(4) of this section.
(4) With the submission of an application for a license granted
pursuant to this section, each applicant and its officers, directors, and
general partners shall submit a complete set of his or her fingerprints to the
Colorado bureau of investigation for the purpose of conducting
fingerprint-based criminal history record checks. The Colorado bureau of
investigation shall forward the fingerprints to the federal bureau of
investigation for the purpose of conducting fingerprint-based criminal
history record checks. The director may acquire a name-based criminal
history record check for a person who has twice submitted to a
fingerprint-based criminal history record check and whose fingerprints are
unclassifiable. A person who has previously submitted fingerprints for state
or local licensing purposes may request the use of the fingerprints on file.
The director shall use the information resulting from the fingerprint-based
criminal history record check to investigate and determine whether an
applicant is qualified to hold a license pursuant to this section. The director
may verify the information an applicant is required to submit. The applicant
shall pay the costs associated with the fingerprint-based criminal history
record check to the Colorado bureau of investigation.
(5) A fantasy contest operator shall not conduct, operate, or offer a
fantasy contest that:
(a) Utilizes:
(I) Video or mechanical reels or symbols or any other depictions of
slot machines, poker, blackjack, craps, or roulette; or
(II) Any device that qualifies as or replicates games that constitute
limited gaming under section 9 of article XVIII of the Colorado
constitution; or
(b) Includes a university, college, high school, or youth sporting
PAGE 433-HOUSE BILL 19-1172
event.
12-125-107. [Formerly 12-15.5-106] Consumer protections. (1) A
fantasy contest operator, including a small fantasy contest operator, shall
implement commercially reasonable procedures for fantasy contests with an
entry fee, which procedures are designed to:
(a) Prevent employees of the fantasy contest operator, including a
small fantasy contest operator, and relatives living in the same household
as such THE employees, from competing in any fantasy contests offered by
any fantasy contest operator in which the operator offers a cash prize;
(b) Prevent sharing of confidential information that could affect
such THE fantasy contest play with third parties until the information is
made publicly available;
(c) Verify that a fantasy contest player in such a fantasy contest is
eighteen years of age or older;
(d) Ensure that individuals who participate or officiate in a game or
contest that is the subject of such a fantasy contest will be restricted from
entering such a fantasy contest that is determined, in whole or in part, on the
accumulated statistical results of a team of individuals in the game or
contest in which they are a player or official;
(e) Allow individuals to restrict themselves from entering such a
fantasy contest upon request and provide reasonable steps to prevent the
person from entering such THE fantasy contests offered by the fantasy
contest operator, including a small fantasy contest operator;
(f) Disclose the number of entries that a fantasy contest player may
submit to each such fantasy contest, provide reasonable steps to prevent
players from submitting more than the allowable number, and, in any
contest involving at least one hundred one entries, not allow a player to
submit more than the lesser of three percent of all entries or one hundred
fifty entries;
(g) Segregate fantasy contest player funds from operational funds
and maintain a reserve in the form of cash, cash equivalents, an irrevocable
letter of credit, a bond, or a combination thereof, in the amount of the
PAGE 434-HOUSE BILL 19-1172
deposits made to the accounts of fantasy contest players for the benefit and
protection of the funds held in such THE accounts;
(h) Distinguish highly experienced players and beginner players and
ensure that highly experienced players are conspicuously identified as such
to all players;
(i) Prohibit the use of scripts in fantasy contests that give a player
an unfair advantage over other players and make all authorized scripts
readily available to all fantasy contest players;
(j) Clearly and conspicuously disclose all rules that govern its
contests, including the material terms of each promotional offer at the time
the offer is advertised; and
(k) Use technologically reasonable measures to limit each fantasy
contest player to one active account with that operator.
(2) A fantasy contest operator offering fantasy contests in this state
shall:
(a) Contract with a third party to annually perform an independent
audit, consistent with the standards established by the Public Company
Accounting Oversight Board, to ensure compliance with this article 125;
and
(b) Submit the results of the audit to the director.
12-125-108. [Formerly 12-15.5-107] Duty to maintain records.
Each fantasy contest operator shall keep daily records of its operations and
shall maintain the records for at least three years. The records must
sufficiently detail all financial transactions to determine compliance with
the requirements of this article 125 and must be available for audit and
inspection by the director during the fantasy contest operator's regular
business hours.
12-125-109. [Formerly 12-15.5-108] Authorization to conduct
fantasy contests. (1) Fantasy contests are authorized and may be
conducted by a fantasy contest operator at a licensed gaming establishment,
as that term is defined in section 44-30-103 (18). A gaming retailer, as that
PAGE 435-HOUSE BILL 19-1172
term is defined in section 44-30-103 (27), may conduct fantasy contests if
the gaming retailer is licensed as a fantasy contest operator.
(2) Fantasy contests are authorized and may be conducted by a
fantasy contest operator at a licensed facility at which pari-mutuel wagering,
as that term is defined in section 44-32-102 (18), may occur. An operator
of a class B track, as that term is defined in section 44-32-102 (3), may
conduct fantasy contests if the operator is licensed as a fantasy contest
operator.
(3) A fantasy contest conducted in compliance with this article 125
does not violate article 10 or 10.5 of title 18. C.R.S.
12-125-110. [Formerly 12-15.5-109] Grounds for discipline.
(1) The director may deny, suspend, or revoke a license or registration or
place on probation or issue a letter of admonition to TAKE DISCIPLINARY
ACTION AS AUTHORIZED IN SECTION 12-20-404 AGAINST a licensee or
registrant if the fantasy contest operator, including a small fantasy contest
operator:
(a) Violates any order of the director, or any provision of this article
125, AN APPLICABLE PROVISION OF ARTICLE 20 OF THIS TITLE 12, or the rules
established under this article 125;
(b) Fails to meet the requirements for licensure under this article
125; or
(c) Uses fraud, misrepresentation, or deceit in applying for or
attempting to apply for licensure or registration or otherwise in operating or
offering to operate a fantasy contest.
(2) If it appears to the director, based upon credible evidence as
presented in a written complaint, that a person is operating or offering to
operate a fantasy contest without having obtained a registration or license,
the director may issue an order to cease and desist the activity. The director
shall set forth in the order the statutes and rules alleged to have been
violated, the facts alleged to have constituted the violation, and the
requirement that all unauthorized practices immediately cease. Within ten
days after service of the order to cease and desist pursuant to this subsection
(2), the person may request a hearing on the question of whether acts or
PAGE 436-HOUSE BILL 19-1172
practices in violation of this article 125 have occurred. The hearing shall be
conducted pursuant to section 24-4-105. C.R.S.
12-125-111. [Formerly 12-15.5-110] Civil fines. In addition to any
other remedy provided by law, a fantasy contest operator, or an employee
or agent thereof, who violates this article 125 is subject to a civil fine of not
more than one thousand dollars for each such violation, which the state
treasurer shall credit to the general fund. The director may file a civil action
to collect the fine.
12-125-112. [Formerly 12-15.5-111] Applicability. This article 125
applies to conduct occurring on or after July 1, 2017.
12-125-113. [Formerly 12-15.5-112] Repeal of article. This article
125 is repealed, effective September 1, 2020. Before its THE repeal, this
article 125 is scheduled for review in accordance with section 24-34-104.
C.R.S.
ARTICLE 130
Landscape Architects
12-130-101. [Formerly 12-45-101] Short title. THE SHORT TITLE OF
this article shall be known and may be cited as 130 IS the "Landscape
Architects Professional Licensing Act".
12-130-102. [Formerly 12-45-102] Legislative declaration. The
general assembly hereby finds and declares that the regulatory authority
established in this article 130 is necessary to safeguard the health, safety,
and welfare of the people of Colorado by preventing the improper design
of public domain landscape infrastructure by unauthorized, unqualified, and
incompetent persons.
12-130-103. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
130.
12-130-104. [Formerly 12-45-103] Definitions. As used in this
article 130, unless the context otherwise requires:
(1) "Board" or "state board" means the state board of landscape
PAGE 437-HOUSE BILL 19-1172
architects, created in section 12-45-105 12-130-106.
(2) "Director" means the director of the division of professions and
occupations in the department of regulatory agencies.
(3) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(4) (2) "Habit-forming drug" means a drug or medicine required to
be labeled under section 25-5-415 C.R.S., or the "Federal Food, Drug, and
Cosmetic Act", 21 U.S.C. sec. 301 et seq., as a habit-forming drug.
(5) (3) "Infrastructure" means elements of the public domain that
support developments such as roads, streets, parks, plazas, and other places
that are not privately owned and managed.
(6) (4) "Landscape architect" means a person who engages in the
practice of landscape architecture.
(7) (5) "Planning" "PLAN" means preparing TO PREPARE layouts and
schemes for land areas, infrastructure systems, facilities, or objects
"Planning" AND includes technical documentation.
(8) (6) (a) "Practice of landscape architecture" means:
(I) The application of landscape architectural higher education,
training, and experience as well as required mathematical, physical, and
social science skills to consult, evaluate, plan, and design projects and
improvements principally directed at the functional and aesthetic uses of
land;
(II) Collaboration with architects and engineers during the design of
public infrastructure projects such as roads, bridges, buildings, and other
structures, concerning the functional and aesthetic requirements of the area
and project site; or
(III) Assistance in the preparation and administration of construction
documents, contracts, and contract offers related to site landscape
improvements.
PAGE 438-HOUSE BILL 19-1172
(b) "Practice of landscape architecture" does not include acts
exempted by section 12-45-118 12-130-117.
(9) (7) "Substantial gift" means a gift, donation, or other
consideration sufficient to influence a person to act in a specific manner.
The term does not include a gift of nominal value such as reasonable
entertainment or hospitality or an employer's reward to an employee for
work performed.
(10) (8) "Supervision" means the actions taken by a landscape
architect in directing, personally reviewing, correcting, or approving the
work performed by an employee or subcontractor of the landscape architect.
12-130-105. [Formerly 12-45-104] License required. On and after
January 1, 2008, a person shall not practice landscape architecture or
represent himself or herself as a landscape architect unless the person has
a license issued by the board. A person licensed by the board is entitled to
use the stamp specified in section 12-45-117 12-130-116, which shall
constitute a professional credential attesting to the minimum competence of
the landscape architect.
12-130-106. [Formerly 12-45-105] Board - composition -
appointments - terms. (1) There is hereby created in the division the
Colorado state board of landscape architects. The board shall consist of five
members who shall have the following qualifications:
(a) Three members shall:
(I) Be licensed landscape architects in Colorado; or persons who are
eligible to be licensed in Colorado as landscape architects at the time of the
formation of the board;
(II) Have at least three years of experience in the practice of
landscape architecture; and
(III) Be residents of the state of Colorado;
(b) (I) Two members shall:
(A) Not be licensed landscape architects nor practice landscape
PAGE 439-HOUSE BILL 19-1172
architecture in any jurisdiction;
(B) Not have a current or prior significant personal or financial
interest in the practice of landscape architecture; and
(C) Be residents of the state of Colorado.
(II) Of the two members appointed pursuant to this paragraph (b)
SUBSECTION (1)(b), one member shall be a building or landscape contractor
in Colorado.
(2) Appointments to the board shall be made by the governor and
shall be made to provide for staggering of terms of members so that not
more than two members' terms expire each year. Thereafter appointments
shall be for terms of four years. Each board member shall hold office until
the expiration of the term for which the member is appointed or until a
successor has been duly appointed and qualified. Appointees shall be
limited to two full terms. The governor may remove a member of the board
for misconduct, incompetence, neglect of duty, or an act that would justify
the revocation of the board member's license to practice landscape
architecture, if applicable.
(3) The board shall meet on or before August 30 of each year and
elect from its members a chair and vice-chair. The board shall meet at such
other times as it deems necessary, but not less than twice a year.
12-130-107. [Formerly 12-45-107] Powers and duties of board -
rules. (1) The board shall have the following powers and duties:
(a) To promulgate rules necessary to effectuate this article
PURSUANT TO SECTION 12-20-204;
(b) To examine license applicants for qualifications;
(c) To review special cases as authorized in this article 130;
(d) To grant the licenses of duly qualified applicants to practice
landscape architecture in accordance with this article 130;
(e) (I) To administer oaths, take affirmations of witnesses, and issue
PAGE 440-HOUSE BILL 19-1172
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board.
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to perform the functions of this paragraph (e)
and to take evidence and to make findings and report them to the board.
(II) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(f) (e) To adopt and use a seal;
(g) (f) To conduct hearings in accordance with section SECTIONS
12-20-403 AND 24-4-105 C.R.S., upon complaints concerning the conduct
of landscape architects; except that the board may appoint an administrative
law judge pursuant to part 10 of article 30 of title 24, C.R.S., to conduct
such hearings;
(h) (g) To refer for prosecution by the district attorney or the
attorney general persons violating this article 130;
(i) (h) To require a licensed landscape architect to have a stamp as
prescribed by the board; and
(j) (i) To deny the issuance or renewal of, suspend for a specified
period, or revoke a license; issue a letter of admonition to TAKE
DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN SECTION 12-20-404
AGAINST or censure or place on probation any person who, while holding
a landscape architect license, violates any provision of this article issue
confidential letters of concern 130; issue cease-and-desist orders UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405; or impose other conditions or limitations on a licensee.
PAGE 441-HOUSE BILL 19-1172
12-130-108. [Formerly 12-45-109] Records. (1) The board shall
keep a record of its proceedings, a register of all applications for licensing,
and other information deemed necessary by the board.
(2) The records of the board shall be public records pursuant to
article 72 of title 24. C.R.S. Copies of records and papers of the board or the
department of regulatory agencies concerning the administration of this
article 130, when certified and authenticated by seal, shall be received by
a court in the same manner as original documents.
12-130-109. [Formerly 12-45-110] Licensure - application -
qualifications - rules. (1) Application. (a) An application for licensure
shall include evidence of the education and practical experience required by
this section and the rules of the board.
(b) A person applying for licensure under this article 130 shall
disclose whether he or she has been denied licensure or disciplined as a
landscape architect or practiced landscape architecture in violation of this
article 130. If an applicant has violated this article 130, the board may deny
an application for licensure. When determining whether a person has
violated this article 130, section 24-5-101 C.R.S., shall govern the board's
actions.
(c) Applicants may seek licensure in one of the following manners:
(I) Licensure by examination as described in subsection (3) of this
section;
(II) Licensure by endorsement as described in subsection (4) of this
section; or
(III) Licensure by prior practice as described in subsection (5) of this
section.
(2) Education and experience. The board shall set minimum
educational and experience requirements for licensure by examination,
subject to the following guidelines:
(a) The board may require either:
PAGE 442-HOUSE BILL 19-1172
(I) (A) Practical experience for a specified period, not to exceed
three years, or education or experience determined by the board to be
substantially equivalent; and
(B) A professional degree from a program accredited by the
Landscape Architectural Accreditation Board, or any successor
organization, or education or experience determined by the board to be
substantially equivalent; or
(II) Practical experience for a specified period, not to exceed ten
years, under the direct supervision of a licensed landscape architect or a
landscape architect with an equivalent level of competence as defined by
rules of the board; or
(III) A combination of such practical experience and education, not
to exceed ten years.
(b) One year of the experience required by this subsection (2) may
be practical field experience in construction techniques, teaching, or
research in a program accredited by the Landscape Architectural
Accreditation Board or an equivalent successor organization.
(c) Subject to review and approval by the board pursuant to rules,
a graduate of an unaccredited program of landscape architecture or a related
field shall be eligible to substitute education for the practical experience
required by the board pursuant to this subsection (2).
(d) (I) Prior to licensure, an applicant by examination shall pass an
examination developed or adopted by the board that measures the minimum
level of competence necessary to be a licensed landscape architect. The
board shall designate and notify applicants of the time and location for
examinations. The board may engage a private contractor to administer the
examinations.
(II) The board may adopt the examinations, recommended grading
procedures, and educational and practical experience requirements and
equivalents of the Council of Landscape Architectural Registration Boards
or a successor organization if such THE examinations, procedures, and
requirements and equivalents do not conflict with the requirements of this
article 130.
PAGE 443-HOUSE BILL 19-1172
(3) Licensure by examination. (a) Before being licensed pursuant
to this subsection (3), an applicant for licensure by examination shall pass
an examination developed or adopted by the board to measure the minimum
level of competence.
(b) The board shall designate a time and location for examinations
and shall notify applicants of this time and location in a timely manner. The
board may contract for assistance in administering the examinations.
(c) The board may adopt the examinations, recommended grading
procedures, and educational and practical experience requirements of the
Council of Landscape Architectural Registration Boards or any substantially
equivalent successor organization if such THE examinations, procedures,
and requirements do not conflict with the requirements of this article 130.
(4) Licensure by endorsement. (a) An applicant for licensure by
endorsement shall file an application as prescribed by the board and shall
hold a current valid license or registration in a jurisdiction requiring
qualifications substantially equivalent to those required for licensure by
subsections (2) and (3) of this section.
(b) The board shall provide procedures for an applicant to apply
directly to the board for a license by endorsement. A certified record from
the Council of Landscape Architectural Registration Boards, or its
successor organization, shall qualify a candidate to submit an application to
the board for licensure by endorsement.
(c) The board may develop or adopt a supplementary examination
to measure the minimum competence of applicants for licensure by
endorsement. The supplementary examination shall be administered at the
discretion of the board when an applicant for licensure by endorsement has
otherwise failed to sufficiently demonstrate minimum competence.
(5) Licensure by prior practice. (a) The board shall adopt rules
authorizing the issuance of a license to qualified candidates who practiced
landscape architecture before January 1, 2008.
(b) The following evidence, as verified by the board, shall be
acceptable as proof that a candidate is qualified for licensure by prior
practice:
PAGE 444-HOUSE BILL 19-1172
(I) (A) A diploma or certificate of graduation from a landscape
architecture degree program accredited by the Landscape architecture
ARCHITECTURAL Accreditation Board or its successor organization; and
(B) Evidence of at least six years of practical experience in the
practice of landscape architecture sufficient to satisfy the board that the
applicant has minimum competence in the practice of landscape
architecture; or
(II) Evidence that the applicant has at least ten years of practical
experience in the practice of landscape architecture sufficient to satisfy the
board that the applicant has minimum competence in the practice of
landscape architecture.
(c) All experience required to qualify for licensure by prior practice
shall be obtained before January 1, 2008; except that one year of required
experience for licensure by prior practice may accrue after January 1, 2008.
(d) The board may develop or adopt a supplementary examination
to measure the minimum competence of applicants for licensure by prior
practice. The supplementary examination shall be administered at the
discretion of the board when an applicant for licensure by prior practice has
otherwise failed to sufficiently demonstrate minimum competence.
(6) Issuance of license. Upon application and satisfaction of the
requirements of this section, the board shall issue a license to practice
landscape architecture. The board is not required to issue a license if the
applicant is subject to discipline pursuant to this article 130.
(7) Lapse of application. If an applicant fails to meet the licensing
requirements within three years after filing an application, the application
shall be void. The board may authorize an applicant for licensure by
examination to reattempt the examination without limitation and may
exempt an applicant from this subsection (7) so long as the applicant
reattempts the examination within thirty-one months after the last
examination.
(8) Renewal and reinstatement. All licenses shall expire pursuant
to a schedule established by the director. Licenses shall be renewed or
reinstated pursuant to section 24-34-102 (8), C.R.S. The director may
PAGE 445-HOUSE BILL 19-1172
establish renewal fees and delinquency fees for reinstatement pursuant to
section 24-34-105, C.R.S. If a person fails to renew his or her license
pursuant to the schedule established by the director, the license shall expire
ISSUED PURSUANT TO THIS ARTICLE 130 ARE SUBJECT TO THE RENEWAL,
EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED
IN SECTION 12-20-202 (1) AND (2). Any person whose license has expired
shall be subject to penalties provided in this article 130 or in section
24-34-102 (8), C.R.S. All fees collected under this article shall be deposited
in accordance with section 12-45-111 12-20-202 (1).
12-130-110. [Formerly 12-45-111] Fees. The director shall establish
a schedule of reasonable fees for applications, licenses, renewal of licenses,
inactive status, and late fees. The fees shall be set, collected, and credited
pursuant to section 24-34-105, C.R.S. 12-20-105.
12-130-111. [Formerly 12-45-112] Professional liability -
insurance. (1) The shareholders, members, or partners of an entity that
practices landscape architecture are liable for the acts, errors, and omissions
of the employees, members, and partners of the entity, except when the
entity maintains a qualifying policy of professional liability insurance as set
forth in subsection (2) of this section.
(2) (a) A qualifying policy of professional liability insurance shall
meet the following minimum standards:
(I) The policy shall insure the entity against liability imposed upon
it by law for damages arising out of the negligent acts, errors, and omissions
of all professional and nonprofessional employees, members, and partners;
and
(II) The insurance shall be in a policy amount of at least seventy-five
thousand dollars multiplied by the total number of landscape architects in
or employed by the entity, up to a maximum of five hundred thousand
dollars.
(b) In addition, the policy may include:
(I) A provision stating that the policy shall not apply to the
following:
PAGE 446-HOUSE BILL 19-1172
(A) A dishonest, fraudulent, criminal, or malicious act or omission
of the insured entity or of any stockholder, employee, member, or partner
of the insured entity;
(B) The conduct of a business enterprise that is not the practice of
landscape architecture by the insured entity;
(C) The conduct of a business enterprise in which the insured entity
may be a partner or that may be controlled, operated, or managed by the
insured entity in its own or in a fiduciary capacity, including, but not limited
to, the ownership, maintenance, or use of property;
(D) Bodily injury, sickness, disease, or death of a person; or
(E) Damage to, or destruction of, tangible property owned by the
insured entity;
(II) Any other reasonable provisions with respect to policy periods,
territory, claims, conditions, and ministerial matters.
12-130-112. [Formerly 12-45-113] Grounds for disciplinary
action. (1) The board shall investigate the activities of a licensee or other
person upon its own motion or upon the receipt of a written, signed
complaint alleging grounds for disciplinary action under this article 130.
(2) Grounds for disciplinary action shall include:
(a) Fraud or a material misstatement of fact made in procuring or
attempting to procure a license;
(b) An act or omission that fails to meet the generally accepted
standards of the practice of landscape architecture and that endangers life,
health, property, or the public welfare;
(c) Fraud or deceit in the practice of landscape architecture;
(d) Affixing a seal or authorizing a seal to be affixed to a document
if such THE act misleads another into incorrectly believing that a licensed
landscape architect was the document's author or was responsible for its
preparation;
PAGE 447-HOUSE BILL 19-1172
(e) Violation of or aiding or abetting in the violation of this article
130, AN APPLICABLE PROVISION OF ARTICLE 20 OF THIS TITLE 12, a rule
promulgated by the board under SECTION 12-20-204 OR this article 130, or
an order of the board issued under this article 130;
(f) Being convicted of or pleading nolo contendere to a felony in
Colorado or to any crime outside Colorado that would constitute a felony
in Colorado, if the felony or other crime concerns the practice of landscape
architecture. A certified copy of the judgment of a court of competent
jurisdiction of a conviction or plea shall be presumptive evidence of the
conviction or plea in any hearing under this article 130. The board shall be
governed by section SECTIONS 12-20-202 (5) AND 24-5-101 C.R.S., when
considering the conviction or plea.
(g) Use of false, deceptive, or misleading advertising;
(h) Habitual or excessive use or abuse of alcohol or a habit-forming
drug or habitual use of a controlled substance, as defined in section
18-18-102 (5), C.R.S., or other drug having similar effects, when the use or
abuse renders the landscape architect unfit to engage in the practice of
landscape architecture;
(i) Use of a schedule I controlled substance, as defined in section
18-18-203; C.R.S.;
(j) Failure to report to the board a landscape architect known to have
violated this article 130 or any board order or rule. Potential violations of
this paragraph (j) SUBSECTION (2)(j) include knowledge of an action or
arbitration in which claims regarding the life and safety of the users of a site
are alleged.
(k) Making or offering a substantial gift to influence a prospective
or existing client or employer to use or refrain from using a specific
landscape architect;
(l) Failure to exercise adequate professional supervision of persons
assisting in the practice of landscape architecture under a licensed landscape
architect;
(m) Performing services beyond the competence, training, or
PAGE 448-HOUSE BILL 19-1172
education of a landscape architect;
(n) Selling, fraudulently obtaining, or fraudulently furnishing a
license or renewal of a license to practice landscape architecture;
(o) Practicing landscape architecture or advertising, representing, or
holding oneself out as a licensed landscape architect or using the title
"landscape architect" or "licensed landscape architect" unless the person is
licensed pursuant to this article 130; or
(p) Otherwise violating any provision of this article 130.
(3) A disciplinary action in another state or jurisdiction taken on
grounds that would constitute a violation under this article 130 shall be
prima facie evidence of grounds for disciplinary action under this section.
12-130-113. [Formerly 12-45-114] Disciplinary actions by board
- procedures. (1) The board may deny, refuse to renew, suspend, or revoke
any license, may place a licensee on probation TAKE DISCIPLINARY OR
OTHER ACTION AS AUTHORIZED IN SECTION 12-20-404, may place conditions
or limitations on the A license, or may impose a censure or fine if, after
notice and hearing, the board determines that the A licensee has committed
any of the acts specified in section 12-45-113 12-130-112.
(2) (a) When a complaint or investigation discloses an instance of
misconduct that, in the board's opinion, does not warrant formal action but
that should not be dismissed as being without merit, The board may issue
and send to the A licensee, by certified mail, a written letter of admonition
UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH
SECTION 12-20-404 (4).
(b) When a letter of admonition is sent by the board, the licensee
shall be advised that he or she has the right to request, within twenty days
after receipt of the letter, that formal disciplinary proceedings be initiated
to adjudicate the propriety of the conduct upon which the letter of
admonition is based.
(c) Upon receipt of a timely request for adjudication pursuant to
paragraph (b) of this subsection (2), the board shall void the letter of
admonition and shall institute formal disciplinary proceedings to address the
PAGE 449-HOUSE BILL 19-1172
matter.
(3) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, THE BOARD MAY SEND a confidential
letter of concern may be issued to the TO A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5). The confidential letter
of concern and notice of the issuance of the letter shall be sent to the
licensee by certified mail. Issuance of a confidential letter of concern shall
not be construed to be discipline.
(4) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(5) (4) If the board determines that a person licensed to practice
landscape architecture pursuant to this article 130 is subject to disciplinary
action under this section, the board may, in lieu of or in addition to other
discipline, require a licensee to take courses of professional training or
education. The board shall determine the educational conditions to be
imposed on the licensee, including, but not limited to, the type and number
of hours of training or education. All training or education courses are
subject to approval by the board, and the licensee shall furnish proof of
satisfactory completion of the training or education.
(6) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public,
or a person is acting or has acted without the required license, the board
may issue an order to cease and desist such activity. The order shall set forth
the statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed or unregistered practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (6), the respondent may request
a hearing on the question of whether acts or practices in violation of this
PAGE 450-HOUSE BILL 19-1172
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(7) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
the person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (7) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom the order is issued. Personal service or
mailing of an order or document pursuant to this subsection (7) shall
constitute notice of the order and hearing to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (7). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (7) does not appear at the
hearing, the board may present evidence that notification was properly sent
or served upon such person pursuant to paragraph (b) of this subsection (7)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
PAGE 451-HOUSE BILL 19-1172
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license, or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued,
directing the person to cease and desist from further unlawful acts or
unlicensed practice.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (7), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(8) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the board may enter into a
stipulation with such person.
(9) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(10) (5) Any disciplinary action taken by the board and judicial
review of such action shall be in accordance with the provisions of SECTION
12-20-403 AND article 4 of title 24. C.R.S., and the hearing and opportunity
for review shall be conducted pursuant to said article by the board or an
administrative law judge at the board's discretion.
(11) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
order as provided in section 12-45-116.
PAGE 452-HOUSE BILL 19-1172
(12) (a) (6) In addition to the penalties provided for in this section,
and in lieu of revoking a license upon a finding of misconduct by the board,
a person who violates this article 130 or rules promulgated pursuant to
SECTION 12-20-204 OR this article 130 may be punished by a fine not to
exceed five thousand dollars.
(b) A fine collected pursuant to this subsection (12) shall be
transmitted to the state treasurer, who shall credit the same to the general
fund.
(13) Except as provided in subsection (14) of this section, a license
that is revoked shall not be reinstated within two years after the effective
date of the revocation.
(14) (7) On its own motion or upon application after the imposition
of discipline, the board may reconsider its prior action and reinstate a
license, terminate suspension or probation, or reduce the severity of its prior
disciplinary action.
12-130-114. [Formerly 12-45-115] Unauthorized practice -
penalties. (1) Any person who practices or offers or attempts to practice
landscape architecture without an active license issued under this article
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and, for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 130 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(2) A violation of this section may be prosecuted by the district
attorney of the judicial district in which the offense was committed or by the
attorney general of the state of Colorado in the name of the people of the
state of Colorado. In such action, the court may issue an order, enter
judgment, or issue a preliminary or final injunction.
12-130-115. [Formerly 12-45-116] Judicial review. A person
aggrieved by SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF a final
action or order of the board. may seek judicial review pursuant to section
24-4-106, C.R.S.
12-130-116. [Formerly 12-45-117] Landscape architect's stamp
PAGE 453-HOUSE BILL 19-1172
- rules. (1) A licensed landscape architect shall obtain a stamp of a design
authorized by the board. The stamp shall bear the name, date of licensing,
and license number of the landscape architect, together with the legend
"Colorado - Licensed Landscape Architect".
(2) A landscape architect's records and documents shall be prepared,
recorded, and retained in the following manner:
(a) The stamp, signature of the landscape architect whose name
appears on the stamp, and date of the landscape architect's signature shall
be placed on reproductions of drawings to establish a record set of contract
documents.
(b) The record set shall be prominently identified and shall be for
the permanent record of the landscape architect, the project owner, and the
regulatory authorities who have jurisdiction over the project.
(c) The stamp and the date the document is stamped shall be placed
on the cover, title page, and table of contents of specifications and on each
reproduction of drawings prepared under the direct supervision of the
landscape architect.
(d) Subsequently issued addenda, revisions, clarifications, or other
modifications shall be properly identified and dated for the record set.
(e) Where consultant drawings and specifications are incorporated
into the record set, their origin shall be clearly identified and dated to
distinguish them from stamped documents.
(f) Except as required for compliance with a federal contract, the
landscape architect shall not stamp reproductions or copies that are
transferred from the landscape architect's possession or supervision.
(g) A record set shall be retained by the landscape architect for a
minimum of three years after beneficial occupancy or beneficial use of the
project.
(h) One original document may be stamped, signed, and dated as
required for federal government contracts.
PAGE 454-HOUSE BILL 19-1172
(3) The board, by rule, may authorize the use of an electronic stamp,
an electronic seal, and recording of electronic records in a manner
substantially equivalent to the requirements of subsections (1) and (2) of
this section.
12-130-117. [Formerly 12-45-118] Exemptions. (1) The following
shall be exempt from the provisions of this article 130:
(a) The practice of architecture by licensed architects pursuant to
part 3 4 of article 25 120 of this title 12;
(b) The practice of professional engineering by registered
professional engineers pursuant to part 1 2 of article 25 120 of this title 12;
(c) The practice of professional land surveying by licensed land
surveyors pursuant to part 2 3 of article 25 120 of this title 12;
(d) Residential landscape design, consisting of landscape design
services for single- and multi-family residential properties of four or fewer
units not including common areas;
(e) The design of irrigation systems by professionals qualified by
appropriate experience or certification; and
(f) Landscape installation and construction services, including, but
not limited to, all contracting services not within the scope of the practice
of landscape architecture.
(2) Nothing in this article 130 shall prohibit or limit a municipality
or county of this state, in the reasonable exercise of its police power, from
adopting codes that may be necessary for the protection of the inhabitants
of the municipality or county.
(3) Nothing in this article 130 shall be construed to limit or extend
the rights of another profession or craft.
(4) Nothing in this article 130 shall be construed to prohibit the
practice of landscape architecture by any employee of the United States
government or any bureau, division, or agency of the United States while
discharging his or her official duties.
PAGE 455-HOUSE BILL 19-1172
12-130-118. [Formerly 12-45-119] Architecture, engineering, and
surveying. Nothing in this article 130 shall be construed to authorize a
landscape architect to engage in the practice of architecture, as defined in
part 3 4 of article 25 120 of this title 12, the practice of engineering, as
defined in part 1 2 of article 25 120 of this title 12, or professional land
surveying, as defined in part 2 3 of article 25 120 of this title 12.
12-130-119. [Formerly 12-45-120] Repeal of article. This article
45 130 is repealed, effective September 1, 2028. Before its THE repeal, the
licensing of landscape architects by the board is scheduled for review in
accordance with section 24-34-104.
ARTICLE 135
Mortuaries and Crematories
PART 1
MORTUARY SCIENCE CODE
12-135-101. [Formerly 12-54-101] Short title. THE SHORT TITLE OF
this article shall be known and may be cited as 135 IS the "Mortuary Science
Code".
12-135-102. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
135.
12-135-103. [Formerly 12-54-102] Definitions. As used in this
article 135, unless the context otherwise requires:
(1) "Alternative container" means a nonmetal receptacle or
enclosure, without ornamentation or a fixed interior lining, that is designed
for the encasement of human remains and is made of fiberboard, pressed
wood, composition materials, or other similar materials.
(2) "Casket" means a rigid container that is designed for the
encasement of human remains and is ornamented and lined with fabric.
(3) "Cremated remains" or "cremains" means all human remains
recovered after cremation, including pulverization, that leaves only bone
fragments that have been reduced to unidentifiable dimensions.
PAGE 456-HOUSE BILL 19-1172
(4) "Cremation" or "cremate" means the reduction of human remains
to essential elements, the processing of the remains, and the placement of
the processed remains in a cremated remains container.
(4.3) (5) "Cremation chamber" means the enclosed space inside of
which human remains are cremated.
(4.5) (6) "Cremation container" means a container in which the
human remains are transported to the crematory and intended to be placed
in the cremation chamber.
(4.7) (7) "Cremationist" means a person who cremates or prepares
for cremation human remains.
(5) (8) "Crematory" means a building, facility, establishment, or
structure where human remains are cremated.
(5.3) (9) "Custodian" means the person with possession and control
of human remains.
(5.5) (10) "Designee" means an individual designated by a funeral
establishment registered in accordance with section 12-54-110 12-135-110
or 12-54-303 12-135-303.
(5.7) "Director" means the director of the division of professions
and occupations or the director's designee.
(6) "Division" means the division of professions and occupations
created in section 24-34-102, C.R.S.
(7) (11) "Embalm" or "embalming" means the disinfection and
temporary preservation of human remains by chemically treating the body
to reduce the presence and growth of organisms, to retard organic
decomposition, or to attempt restoration of the physical appearance.
(8) (12) "Embalmer" means any person who embalms, or prepares
for embalming, human remains for compensation.
(9) (13) "Final disposition" means the disposition of human remains
by entombment, burial, cremation, or removal from the state.
PAGE 457-HOUSE BILL 19-1172
(10) (14) "Funeral", "funeral service", or "funeral ceremony" means
a service or rite commemorating the deceased and at which service or rite
the body of the deceased is present.
(11) (15) "Funeral director" means a person who, for compensation:
(a) Arranges, directs, or supervises funerals, memorial services, or
graveside services; or
(b) Prepares human remains for final disposition by means other
than embalming.
(12) (16) "Funeral establishment", "funeral home", or "mortuary"
means:
(a) An establishment that holds, cares for, or prepares human
remains prior to final disposition, including a crematory or embalming
room; except that this paragraph (a) SUBSECTION (16)(a) does not apply to
establishments in which individuals regularly die;
(b) An establishment that holds itself out to the general public as
providing funeral goods and services;
(c) Facilities used to hold, care for, or prepare human remains prior
to final disposition; except that this paragraph (c) SUBSECTION (16)(c) does
not apply to facilities in which individuals regularly die; or
(d) An establishment that provides funeral or memorial services to
the public for compensation.
(13) (17) "Funeral goods" means goods that are sold or offered for
sale directly to the public for use in connection with funeral or cremation
services.
(14) (18) "Funeral services" means:
(a) Preparation of human remains for final disposition; except that
this paragraph (a) SUBSECTION (18)(a) does not apply to cremation;
(b) Arrangement, supervision, or conduct of the funeral ceremony
PAGE 458-HOUSE BILL 19-1172
or the final disposition of human remains; or
(c) Transportation of human remains to or from a funeral
establishment.
(14.2) (19) "Human remains" means the physical remains of a dead
human.
(14.5) (20) "Implanted device" means a mechanical device that may
explode or cause damage to crematory equipment.
(15) (21) "Memorial service" means a service or rite
commemorating the deceased and at which service or rite the body of the
deceased is not present.
(16) (22) "Mortuary science practitioner" means a person who, for
compensation, does the following or offers to do the following:
(a) Embalms or cremates human remains;
(b) Arranges, directs, or supervises funerals, memorial services, or
graveside services; or
(c) Prepares human remains for final disposition.
(17) (23) "Next of kin" means a family member or members of the
deceased who, under Colorado law, have legal authority over the disposition
of human remains.
(17.5) (24) "Ossuary" means a receptacle used for the communal
placement of cremated remains, without using an urn or other container, in
which cremated remains are commingled with other cremated remains.
(18) (25) "Preneed contract" means a preneed contract as defined in
section 10-15-102 (13). C.R.S.
(19) (26) "Preparation of the body" means embalming, washing,
disinfecting, shaving, dressing, restoring, casketing, positioning, caring for
the hair of or applying cosmetics to human remains.
PAGE 459-HOUSE BILL 19-1172
(20) (27) "Processing" means the removal of foreign objects from
cremated remains and the reduction of such THE remains by mechanical
means to granules appropriate for final disposition.
12-135-104. [Formerly 12-54-103] Funeral establishment -
subcontractor. (1) A funeral establishment shall have the appropriate
equipment and personnel to adequately provide the funeral services it
contracts to provide and shall provide written notice to the consumer
specifying any subcontractors or agents routinely handling or caring for
human remains. To comply, the notice must be given when the consumer
inquires about the goods or services the funeral establishment provides and
must include the names and addresses of the subcontractors, agents, or other
providers; except that, if the inquiry is over the telephone, the written notice
must be provided when the customer finalizes the arrangements for goods
or services with the funeral establishment.
(2) A funeral establishment shall retain all documents and records
concerning the final disposition of human remains for at least seven years
after the disposition.
12-135-105. [Formerly 12-54-104] Unlawful acts. (1) It is
unlawful:
(a) To disinfect or preserve or to make final disposition of human
remains with knowledge sufficient to arouse a reasonable suspicion of a
crime in connection with the cause of death of the deceased until the
permission of the coroner, deputy coroner, or district attorney, if there is no
coroner, has been first obtained;
(b) To discriminate because of race, creed, color, religion, disability,
sex, sexual orientation, marital status, national origin, or ancestry in the
provision of funeral services;
(c) For any public officer or employee or any other person having
a professional relationship with the decedent to approve or cause the final
disposition of human remains in violation of this article 135;
(d) For a person in the business of paying for or providing death
benefits, funerals, funeral ceremonies, final dispositions, or preneed
contracts to pay or provide benefits in a manner that deprives the next of kin
PAGE 460-HOUSE BILL 19-1172
or legal representative of the right to use those payments or benefits at a
funeral establishment of his or her choice;
(e) For a funeral director, mortuary science practitioner, embalmer,
funeral establishment, or facility in which people regularly die or such THE
person's or facility's agent to engage in a business practice that interferes
with the freedom of choice of the general public to choose a funeral
director, mortuary science practitioner, embalmer, or funeral establishment;
(f) For a county coroner to violate section 30-10-619; C.R.S.;
(g) To transport or otherwise transfer by common carrier human
remains unless:
(I) A funeral director, mortuary science practitioner, or embalmer
has embalmed or hermetically sealed the body for transportation and
complies with applicable common carrier law; or
(II) The transport or transfer is to a funeral establishment, funeral
director, or embalmer within the state of Colorado;
(h) To advertise as holding a degree, a certificate of registration, a
professional license, or a professional certification issued by a state,
political subdivision, or agency unless the person holds such THE degree,
registration, license, or certification and it is current and valid at the time of
advertisement;
(i) For a funeral director, mortuary science practitioner, or embalmer
to admit or permit any person to visit the embalming, cremation, or
preparation room during the time a body is being embalmed, cremated, or
prepared for final disposition, unless the person:
(I) Is a funeral director, mortuary science practitioner, cremationist,
or embalmer;
(II) Is an authorized employee of a funeral establishment;
(III) Has the written consent of the next of kin of such THE deceased
person or of a person having legal authority to give such permission in the
absence of any next of kin;
PAGE 461-HOUSE BILL 19-1172
(IV) Enters by order of a court of competent jurisdiction or IS a
peace officer level I, Ia, II, III, or IIIa AS DESCRIBED IN ARTICLE 2.5 OF TITLE
16;
(V) Is a student enrolled in a mortuary science program;
(VI) Is a registered or licensed nurse with a medical reason to be
present;
(VII) Is a licensed physician or surgeon with a medical reason to be
present;
(VIII) Is a technician representing a procurement organization as
defined in section 15-19-202 for purposes of an anatomical gift; or
(IX) Is the director or the director's designee;
(j) To refuse to properly and promptly release human remains or
cremated remains to the custody of the person who has the legal right to
effect such THE release whether or not any costs have been paid;
(k) To tell a person that a casket is required when the expressed
wish is for immediate cremation;
(l) To embalm or cremate human remains without obtaining
permission from the person with the right of final disposition unless
otherwise required by section 12-54-105 12-135-106;
(m) To prohibit, hinder, or restrict or to attempt to prohibit, hinder,
or restrict the following:
(I) The offering or advertising of immediate cremation, advance
funeral arrangements, or low-cost funerals;
(II) Arrangements between memorial societies and funeral industry
members; or
(III) A funeral service industry member from disclosing accurate
information concerning funeral merchandise and services;
PAGE 462-HOUSE BILL 19-1172
(n) To engage in willfully dishonest conduct or commit negligence
in the practice of embalming, funeral directing, or providing for final
disposition that defrauds or causes injury or is likely to defraud or cause
injury;
(o) To fail to include in a contract for funeral services the following
statement: "INQUIRIES REGARDING YOUR FUNERAL AGREEMENT
MAY BE DIRECTED TO THE DEPARTMENT OF REGULATORY
AGENCIES", along with the current address or telephone number of the
department; of regulatory agencies;
(p) For a person owning an indirect interest with more than
ten-percent ownership in a funeral establishment or for a person owning a
direct interest in a funeral establishment to own an indirect interest with
more than ten-percent ownership in a nontransplant tissue bank, as defined
in section 12-54.5-101 (5) 12-140-102 (3), or to own a direct interest in a
nontransplant tissue bank.
(2) For purposes of this section only, "next of kin" shall not include
any person who is arrested on suspicion of having committed, is charged
with, or has been convicted of, any felony offense specified in part 1 of
article 3 of title 18 C.R.S., involving the death of the deceased person. If
charges are not brought, charges are brought but dismissed, or the person
charged is acquitted of the alleged crime before final disposition of the
deceased person's body, this subsection (2) shall not apply.
12-135-106. [Formerly 12-54-105] Care of bodies required -
public health. A funeral establishment shall embalm, refrigerate, cremate,
bury, or entomb human remains within twenty-four hours after taking
custody of the remains.
12-135-107. [Formerly 12-54-106] Consumer protection. (1) A
funeral establishment whose services are purchased shall make every
reasonable attempt to fulfill the expressed needs and desires of the person
with the right of final disposition, and shall make a full disclosure of all its
available services and merchandise to the arrangers prior to selection of the
casket.
(2) Before a person selects the funeral, the funeral establishment
shall provide a written itemized list of the prices of all available
PAGE 463-HOUSE BILL 19-1172
merchandise and individual services at that funeral establishment. Full
disclosure shall also be made in the case of a memorial service and as to use
of funeral merchandise and facilities. In no event shall such THE person be
required to purchase services or products contained on the itemized list that
are not desired for the funeral unless such THE services or goods are
required by law.
(3) Any statements of legal or practical requirements shall be
complete and accurate, including the conditions under which embalming is
required or advisable. Representations as to the use or necessity of a casket
or alternative container in connection with a funeral or alternatives for final
disposition shall be truthful and shall disclose all pertinent information.
(4) When quoting funeral prices, either orally, by use of a disclosure
statement, or by a final bill, the funeral establishment shall only list those
items as cash advances or accommodation items that are paid for or could
be paid for by the next of kin in the same amount that is paid by the funeral
home.
12-135-108. [Formerly 12-54-107] Violations and penalties. Any
person who violates this part 1 or part 3 of this article 135 is guilty of a
misdemeanor and, upon conviction, shall be punished by a fine of not more
than five thousand dollars or by imprisonment in the county jail for not
more than twenty-four months or by both such fine and imprisonment.
12-135-109. [Formerly 12-54-108] Exceptions - safe harbor.
(1) This part 1 shall not apply to, or in any way interfere with, the duties of
the following persons:
(a) An officer of a public institution;
(b) An officer of a medical college, county medical society,
anatomical association, or college of embalming; or
(c) A person acting under the authority of part 2 of article 34 of this
title PART 3 OF ARTICLE 19 OF TITLE 15.
(2) (a) This part 1 shall not apply to, nor in any way interfere with,
any custom or rite of any religious sect in the burial of its dead, and the
members and followers of the religious sect may continue to provide
PAGE 464-HOUSE BILL 19-1172
memorial services for, care for, prepare, and bury the bodies of deceased
members of the religious sect, free from any term or condition, or any
provision of this part 1, and are not subject to this part 1, so long as the
human remains are refrigerated, frozen, embalmed, interred, or cremated
within seven days after death.
(b) If human remains are refrigerated or embalmed pursuant to
paragraph (a) of this subsection (2) SUBSECTION (2)(a) OF THIS SECTION, the
body must be interred, frozen, or cremated within thirty days after death
unless the coroner authorizes otherwise in writing. The coroner shall not
permit an exception to this paragraph (b) SUBSECTION (2)(b) unless the
applicant can demonstrate a legitimate delay caused by unforeseen
uncontrollable circumstances or by a criminal investigation.
(c) Notwithstanding this subsection (2), upon the receipt of evidence
that the human remains likely contained a serious contagious disease, the
state department of public health and environment, the state board of health,
or a local department of health may issue an order overruling this subsection
(2).
(3) A person who sells or offers to sell caskets, urns, or other funeral
goods, but does not provide funeral services, shall not be subject to this
article 135.
(4) If a funeral director, mortuary science practitioner, or embalmer
has acted in good faith, the funeral director, mortuary science practitioner,
or embalmer may rely on a signed statement from a person with the right of
final disposition under section 15-19-106 C.R.S., that:
(a) The person knows of no document expressing the deceased's
wishes for final disposition that qualifies to direct the final disposition
under section 15-19-104; C.R.S.;
(b) The person has made a reasonable effort under section
15-19-106 C.R.S., to contact each person with the right of final disposition
and to learn his or her wishes; and
(c) The person knows of no objections to the final disposition.
(5) (a) (I) A funeral establishment, funeral director, or mortuary
PAGE 465-HOUSE BILL 19-1172
science practitioner may dispose of cremated remains at the expense of the
person with the right of final disposition one hundred eighty days after
cremation if the person was given clear prior notice of this paragraph (a)
SUBSECTION (5)(a) and a reasonable opportunity to collect the cremated
remains, the exact location of the final disposition and the costs associated
with the final disposition are recorded, and the recovery of the cremated
remains is possible. Recovery of costs is limited to a reasonable amount of
the costs actually expended by the funeral establishment, funeral director,
or mortuary science practitioner.
(II) A funeral establishment, funeral director, or mortuary science
practitioner may comply with this paragraph (a) SUBSECTION (5)(a) by
transferring the cremated remains and the records showing the funeral
establishment and the deceased's name, date of birth, and next of kin for
final disposition to a facility or place normally used for final disposition if
the new custodian can comply with this paragraph (a) SUBSECTION (5)(a).
(III) If cremated remains are not claimed by the person with the right
of final disposition within three years after cremation, a funeral
establishment, funeral director, or mortuary science practitioner may
dispose of the remains in an unrecoverable manner by placing the remains
in an ossuary or by scattering the remains in a dedicated cemetery,
scattering garden, or consecrated ground used exclusively for these
purposes.
(IV) The custodian is not liable for the loss or destruction of records
required to be kept by this paragraph (a) SUBSECTION (5)(a) if the loss or
destruction was not caused by the custodian's negligence.
(b) If the person was cremated prior to July 1, 2003, and the funeral
director or mortuary science practitioner reasonably attempts to notify the
person with the right of final disposition of the provisions of this subsection
(5), the cremated remains may be disposed of in accordance with this
subsection (5) notwithstanding a failure to provide the notice of the
provisions of this subsection (5) to the person with the right of final
disposition prior to disposing of the remains.
12-135-110. [Formerly 12-54-110] Registration required.
(1) Unless practicing at a registered funeral establishment pursuant to this
section, a person shall not practice as, or offer the services of, a mortuary
PAGE 466-HOUSE BILL 19-1172
science practitioner, funeral director, or embalmer, nor shall the funeral
establishment sell or offer to sell funeral goods and services to the public.
(2) (a) Each funeral establishment shall register with the director
using forms as determined by the director. The registration shall include the
following:
(I) The specific location of the funeral establishment;
(II) The full name and address of the designee appointed pursuant
to subsection (3) of this section;
(III) The date the funeral establishment began doing business; and
(IV) A list of each of the following services provided at each funeral
establishment location:
(A) Refrigerating or holding human remains;
(B) Embalming human remains;
(C) Transporting human remains to or from the funeral
establishment or the place of final disposition;
(D) Providing funeral goods or services to the public; and
(E) Selling preneed contracts.
(b) Each funeral establishment registration shall be renewed,
according to a schedule established by the director IN ACCORDANCE WITH
SECTION 12-20-202 (1), in a form as determined by the director.
(c) If, after initial registration, the funeral establishment provides a
service listed in subparagraph (IV) of paragraph (a) of this subsection (2)
SUBSECTION (2)(a)(IV) OF THIS SECTION that was not included in the initial
registration, the funeral establishment shall submit an amended registration
within thirty days after beginning to provide the new service.
(d) If, after initial registration, the funeral establishment appoints a
new designee, the funeral establishment shall submit an amended
PAGE 467-HOUSE BILL 19-1172
registration within thirty days after appointing the designee.
(e) The director may establish registration fees, renewal fees, and
delinquency fees for reinstatement pursuant to section 24-34-105, C.R.S. If
a funeral establishment fails to renew the registration in accordance with the
schedule established by the director, the registration shall expire
REGISTRATIONS ISSUED PURSUANT TO THIS PART 1 ARE SUBJECT TO THE
EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED
IN SECTION 12-20-202 (1) AND (2).
(3) Each funeral establishment shall appoint an individual as the
designee of the funeral establishment. A designee shall:
(a) Be at least eighteen years of age;
(b) Have at least two years' experience working for a funeral
establishment;
(c) Be employed by the registered funeral establishment that the
designee represents;
(d) Have the authority within the funeral establishment's
organization to require that personnel comply with this article 135; and
(e) Not be designated for more than one funeral establishment unless
the additional establishment is operated under common ownership and
management and no funeral establishment is more than sixty miles from
another establishment held under the same ownership conditions.
(4) The designee shall require each person employed at the funeral
establishment to demonstrate evidence of compliance with section
12-54-111 12-135-111. The designee shall retain the records of such THE
evidence OF COMPLIANCE so long as the person is employed at the funeral
establishment.
(5) This section shall not require the registration of a nonprofit
organization that only provides education or support to an individual who
intends to provide for final disposition of human remains.
12-135-111. [Formerly 12-54-111] Title protection. (1) A person
PAGE 468-HOUSE BILL 19-1172
shall not advertise, represent, or hold oneself HIMSELF OR HERSELF out as or
use the title of a "mortuary science practitioner" unless the person:
(a) Has at least two thousand hours practicing or interning as a
mortuary science practitioner, including, without limitation, experience in
cremation and embalming;
(b) Has graduated with a certificate, diploma, or degree in mortuary
science from:
(I) A program accredited by the American Board of Funeral Service
Education or its successor, if the successor is approved by the director, and
the program is part of a school of higher education; or
(II) A school of higher education accredited by the American Board
of Funeral Service Education or its successor, if the successor is approved
by the director; and
(c) Has taken the mortuary science test, known as the national board
examination, administered by the International Conference of Funeral
Service Examining Boards or its successor, if the successor is approved by
the director, and received a passing score.
(2) A person shall not advertise, represent, or hold oneself out as or
use the title of a "funeral director" unless the applicant:
(a) Has at least two thousand hours practicing or interning as a
funeral director; and
(b) Has directed at least fifty funerals or graveside services.
(3) A person shall not advertise, represent, or hold oneself out as or
use the title of an "embalmer" unless the applicant:
(a) Has at least four thousand hours practicing or interning as an
embalmer; and
(b) Has embalmed at least fifty human remains.
(4) For purposes of this section, intern or practice hours from
PAGE 469-HOUSE BILL 19-1172
Colorado or any other state shall meet the standards set by this section.
12-135-112. [Formerly 12-54-112] Standards of practice -
embalming - transporting. (1) A funeral establishment that performs
embalming shall:
(a) Maintain a sanitary preparation room with sanitary flooring,
drainage, and ventilation;
(b) Employ universal biological hazard precautions;
(c) Employ reasonable care to minimize the risk of transmitting
communicable diseases from human remains;
(d) Be equipped with instruments and supplies necessary to protect
the health and safety of the public and employees of the funeral
establishment; and
(e) Transport human remains in a safe and sanitary manner.
(2) A funeral establishment that transports human remains shall:
(a) Use a motor vehicle that is appropriate for the transportation of
human remains; and
(b) Transport human remains in a safe and sanitary manner.
(3) A funeral establishment shall remove any implanted device in
human remains before transporting the body to a crematory.
12-135-113. [Formerly 12-54-113] Custody and responsibility -
rules. (1) A funeral establishment shall not, through its managers,
employees, contractors, or agents, take custody of human remains without
an attestation of positive identification on a form promulgated by the
director by rule by:
(a) The next of kin;
(b) The county coroner or the county coroner's designee; or
PAGE 470-HOUSE BILL 19-1172
(c) An authorized person at the care facility where the deceased
died.
(2) A funeral establishment is responsible for identifying and
tracking human remains from the time it takes custody of human remains
until the:
(a) Final disposition has occurred or the remains are returned to the
person who has the right of final disposition;
(b) Human remains are released in accordance with the instructions
given by the person who has the right of final disposition; or
(c) Remains are released to another funeral establishment,
crematory, repository, or entity as authorized by the person who has the
right of final disposition.
(3) The director shall adopt rules implementing this section that:
(a) Establish what constitutes custody;
(b) Define "care facility", "repository", and "entity";
(c) Establish who is authorized to identify human remains at a care
facility for a funeral establishment; and
(d) Prescribe the minimum standards for the positive identification
and chain of custody of human remains. A funeral establishment may use
the establishment's own procedures if the procedures meet or exceed the
minimum standards of the rule promulgated by the director.
PART 2
ASSESSMENT OF MORTUARIES
12-135-201. [Formerly 12-54-201] Mortuaries in cemeteries not
exempt. No person, firm, association, partnership, or corporation engaged
in the ownership, operation, or management of a cemetery or mausoleum
in this state which THAT is exempt from payment of general property taxes,
shall, either directly or indirectly, own, manage, conduct, or operate a
funeral home or mortuary in such THE cemetery or mausoleum, or adjacent
PAGE 471-HOUSE BILL 19-1172
thereto and in connection therewith, unless said THE cemetery or
mausoleum and funeral home or mortuary is listed for assessment purposes.
The attorney general, county attorney, or any interested party may maintain
injunction proceedings to prevent any violation of this section.
PART 3
CREMATION
12-135-301. [Formerly 12-54-301] Unlawful acts. (1) It is
unlawful for a crematory:
(a) To discriminate because of race, creed, color, religion, sex,
marital status, sexual orientation, or national origin in the provision of
funeral services;
(b) To approve or cause the final disposition of human remains in
violation of this article 135;
(c) To engage in a business practice that interferes with the freedom
of choice of the general public to choose a funeral director, mortuary
science practitioner, cremationist, embalmer, or funeral establishment;
(d) To advertise as holding a degree, a certificate of registration, a
professional license, or a professional certification issued by a state,
political subdivision, or agency unless the person holds such THE degree,
registration, license, or certification and it is current and valid at the time of
advertisement;
(e) To admit or permit any person to visit the crematory or
preparation room during the time a body is being cremated or prepared for
final disposition unless the person:
(I) Is a funeral director, mortuary science practitioner, or
cremationist;
(II) Is an authorized employee of a crematory;
(III) Has the written consent of the next of kin of the deceased
person or of a person having legal authority to give consent in the absence
of any next of kin;
PAGE 472-HOUSE BILL 19-1172
(IV) Enters by order of a court of competent jurisdiction or IS a
peace officer level I, Ia, II, III, or IIIa AS DESCRIBED IN ARTICLE 2.5 OF TITLE
16;
(V) Is a student or intern enrolled in a mortuary science program;
(VI) Is a registered or licensed nurse with a medical reason to be
present;
(VII) Is a licensed physician or surgeon with a medical reason to be
present;
(VIII) Is a technician representing a procurement organization as
defined in section 15-19-202 for purposes of an anatomical gift; or
(IX) Is the director or the director's designee;
(f) To refuse to properly and promptly release human remains to the
custody of the person who has the legal right to effect the release, whether
or not any costs have been paid, unless there is a good-faith dispute over
who controls the right of final disposition;
(g) To cremate human remains without obtaining permission from
the person with the right of final disposition;
(h) To prohibit, hinder, or restrict, or attempt to prohibit, hinder, or
restrict, the following:
(I) The offering or advertising of immediate cremation, advance
funeral arrangements, low-cost funerals, or low-cost cremations;
(II) Arrangements between memorial societies and funeral industry
members; or
(III) A funeral service industry member from disclosing accurate
information concerning funeral merchandise and services;
(i) To cremate human remains in a facility unless the facility is
registered pursuant to section 12-54-303 12-135-303;
PAGE 473-HOUSE BILL 19-1172
(j) To refuse to accept human remains that are not in a casket or to
require human remains to be placed in a casket at any time;
(k) To allow a crematory operator to perform services beyond an
operator's competency, training, or education;
(l) To engage in willfully dishonest conduct or commit negligence
in the practice of cremation or providing for final disposition that defrauds
or causes injury or is likely to defraud or cause injury.
(2) For purposes of this section only, "next of kin" shall not include
any person who is arrested on suspicion of having committed, is charged
with, or has been convicted of, any felony offense specified in part 1 of
article 3 of title 18 C.R.S., involving the death of the deceased person. This
subsection (2) shall not apply if charges are not brought, charges are
brought but dismissed, or the person charged is acquitted of the alleged
crime before final disposition of the deceased person's body.
(3) It is unlawful for a person owning an indirect interest with more
than ten-percent ownership in a crematory or for a person owning a direct
interest in a crematory to own an indirect interest with more than
ten-percent ownership in a nontransplant tissue bank, as defined in section
12-54.5-101 (5) 12-140-102 (3), or to own a direct interest in a
nontransplant tissue bank.
12-135-302. [Formerly 12-54-302] Exceptions - safe harbor.
(1) If a crematory has acted in good faith, the crematory may rely on a
signed statement from a person with the right of final disposition under
section 15-19-106 C.R.S., that:
(a) The person knows of no document expressing the deceased
person's wishes for final disposition that qualifies to direct the final
disposition under section 15-19-104; C.R.S.;
(b) The person has made a reasonable effort under section
15-19-106 C.R.S., to contact each person with the right of final disposition
and to learn his or her wishes; and
(c) The person knows of no objections to the final disposition.
PAGE 474-HOUSE BILL 19-1172
(2) (a) (I) A crematory may dispose of cremains at the expense of
the person with the right of final disposition one hundred eighty days after
cremation if the person was given clear prior notice of this paragraph (a)
SUBSECTION (2)(a) and a reasonable opportunity to collect the cremains; the
exact location of the final disposition and the costs associated with the final
disposition are recorded; and the recovery of the cremains is possible.
Recovery of costs is limited to a reasonable amount of the costs actually
expended by the crematory.
(II) A crematory may comply with this paragraph (a) SUBSECTION
(2)(a) by transferring the cremated remains and the records showing the
funeral establishment and the deceased's name, date of birth, and next of kin
for final disposition to a facility or place normally used for final disposition
if the new custodian can comply with this paragraph (a) SUBSECTION (2)(a).
(III) If cremated remains are not claimed by the person with the right
of final disposition within three years after cremation, a crematory may
dispose of the remains in an unrecoverable manner by placing the remains
in an ossuary or by scattering the remains in a dedicated cemetery,
scattering garden, or consecrated ground used exclusively for these
purposes.
(IV) The custodian is not liable for the loss or destruction of records
required to be kept by this paragraph (a) SUBSECTION (2)(a) if the loss or
destruction was not caused by the custodian's negligence.
(b) If the deceased was cremated prior to July 1, 2003, and the
crematory reasonably attempts to notify the person with the right of final
disposition of the provisions of this subsection (2), the remains may be
disposed of in accordance with this subsection (2), notwithstanding a failure
to provide the notice of the provisions of this subsection (2) to the person
with the right of final disposition prior to disposing of the remains.
(3) (a) This part 3 shall not apply to, nor interfere with, any custom
or rite of a religious sect in the final disposition of its dead, and the
members and followers of the religious sect may continue to provide
memorial services for, care for, prepare, and cremate the bodies of deceased
members of the religious sect if the human remains are refrigerated, frozen,
or cremated within seven days after death.
PAGE 475-HOUSE BILL 19-1172
(b) If human remains are refrigerated pursuant to paragraph (a) of
this subsection (3) SUBSECTION (3)(a) OF THIS SECTION, the body must be
cremated within thirty days after death unless the coroner authorizes
otherwise in writing. The coroner shall not permit an exception to this
paragraph (b) SUBSECTION (3)(b) unless the applicant can demonstrate a
legitimate delay caused by unforeseen, uncontrollable circumstances or by
a criminal investigation.
12-135-303. [Formerly 12-54-303] Registration required.
(1) Unless practicing at a registered crematory under this section and
except as provided in section 12-54.5-104 (3) 12-140-105 (3), a person shall
not practice as, or offer the services of, a cremationist, nor shall the
crematory sell or offer to sell funeral goods and services to the public.
(2) (a) Each crematory shall register with the director using forms
as determined by the director. The registration shall include the following:
(I) The specific location of the crematory;
(II) The full name and address of the designee appointed pursuant
to subsection (3) of this section;
(III) The date the crematory began doing business; and
(IV) A list of each of the following services provided at each
crematory location:
(A) Refrigerating or holding human remains;
(B) Transporting human remains to or from the crematory or the
place of final disposition;
(C) Providing funeral goods or services to the public;
(D) Cremating human remains; and
(E) Selling preneed contracts.
(b) Each crematory registration shall be renewed, according to a
schedule established by the director, in a form as determined by the director.
PAGE 476-HOUSE BILL 19-1172
(c) If, after initial registration, the crematory provides a service
listed in subparagraph (IV) of paragraph (a) of this subsection (2)
SUBSECTION (2)(a)(IV) OF THIS SECTION that was not included in the initial
registration, the crematory shall submit an amended registration within
thirty days after beginning to provide the new service.
(d) If, after initial registration, the crematory appoints a new
designee, the crematory shall submit an amended registration within thirty
days after appointing the designee.
(e) The director may establish registration fees, renewal fees, and
delinquency fees for reinstatement pursuant to section 24-34-105, C.R.S. If
a crematory fails to renew the registration in accordance with the schedule
established by the director, the registration shall expire REGISTRATIONS
ISSUED PURSUANT TO THIS PART 3 ARE SUBJECT TO THE EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION
12-20-202 (1) AND (2).
(3) Each crematory shall appoint an individual as the designee of the
crematory. A designee shall:
(a) Be at least eighteen years of age;
(b) Have at least two years' experience working for a crematory;
(c) Be employed by the registered crematory that the designee
represents;
(d) Have the authority within the crematory's organization to require
that personnel comply with this article 135; and
(e) Not be designated for more than one crematory unless the
additional establishment is operated under common ownership and
management and no crematory is more than sixty miles from another
establishment held under the same ownership conditions.
(4) The designee shall require each person employed at the
crematory to demonstrate evidence of compliance with section 12-54-304
12-135-304. The designee shall retain the records of such THE evidence OF
COMPLIANCE so long as the person is employed at the crematory.
PAGE 477-HOUSE BILL 19-1172
(5) This section shall not require the registration of a nonprofit
organization that only provides education or support to an individual who
intends to provide for final disposition of human remains.
12-135-304. [Formerly 12-54-304] Title protection. A person shall
not advertise, represent, or hold oneself out as or use the title of a
"cremationist" unless the applicant has at least five hundred hours practicing
or interning as a cremationist and has cremated at least fifty human remains.
12-135-305. [Formerly 12-54-305] Records and receipts. (1) The
crematory shall furnish to a person who delivers human remains to the
crematory a receipt, which shall be signed by both the crematory's
representative and the person who delivers the human remains. The
crematory shall retain a copy of the receipt in its records pursuant to
subsection (3) of this section. The receipt shall include the following:
(a) The date and time of the delivery;
(b) The type of casket or alternative container that was delivered;
(c) The name of the person who delivered the human remains;
(d) The name of any business with which the person delivering the
human remains is affiliated;
(e) The name of the person who received the human remains on
behalf of the crematory; and
(f) The name of the decedent.
(2) Upon release of cremains, the crematory shall furnish to the
person who receives the cremains a receipt, signed by both the crematory's
representative and the person who receives the cremains. The crematory
shall retain a copy of the receipt in its records pursuant to subsection (1) of
this section. The receipt shall include the following:
(a) The date and time of the release;
(b) The name of the person to whom the cremains were released;
PAGE 478-HOUSE BILL 19-1172
(c) The name of the person who released the cremains on behalf of
the crematory; and
(d) The name of the decedent.
(3) A crematory shall maintain, for at least five years and available
at the registered location, a permanent record of each cremation occurring
at the facility and copies of the receipts required by this section.
12-135-306. [Formerly 12-54-306] Limited liability. A crematory
shall not be liable for any valuables delivered to the crematory if the
crematory exercised reasonable care in handling and protecting the
valuables.
12-135-307. [Formerly 12-54-307] Standards of practice -
cremating. (1) A crematory shall:
(a) Maintain a retort or crematory chamber that is operated at all
times in a safe and sanitary manner;
(b) Employ reasonable care to minimize the risk of transmitting
communicable diseases from human remains;
(c) Be equipped with instruments and supplies necessary to protect
the health and safety of the public and employees of the crematory; and
(d) Transport human remains in a safe and sanitary manner.
(2) (a) A crematory shall not cremate human remains unless the
crematory has obtained a statement containing the following from a funeral
establishment, funeral director, mortuary science practitioner, or the person
with the right of final disposition:
(I) The identity of the decedent;
(II) The date of death;
(III) Authorization to cremate the human remains;
(IV) The name of the person authorizing cremation and an affidavit
PAGE 479-HOUSE BILL 19-1172
or other document in compliance with article 19 of title 15 C.R.S., that the
authorization complies with article 19 of title 15; C.R.S.;
(V) A statement that the human remains do not contain an implanted
device;
(VI) The name of the person authorized to receive the cremains;
(VII) A list of items delivered to the crematory along with the
human remains;
(VIII) A statement as to whether the next of kin has made
arrangements for a viewing or service before cremation and the date and
time of any viewing or service;
(IX) A copy of the disposition permit; and
(X) A signature of a representative of any funeral establishment or
the next of kin making arrangements for cremation that the representative
has no actual knowledge that contradicts any information required by this
paragraph (a) SUBSECTION (2)(a).
(b) A person who signs the statement required by paragraph (a) of
this subsection (2) SUBSECTION (2)(a) OF THIS SECTION shall warrant the
truthfulness of the facts contained therein. A person who signs the statement
with actual knowledge to the contrary shall be civilly liable.
(3) (a) The crematory shall hold human remains in a cremation
container and shall not remove the remains.
(b) The crematory shall cremate the human remains in a cremation
container.
(c) A cremation container must:
(I) Be composed of materials suitable for cremation;
(II) Be able to be closed in order to provide a complete covering for
the human remains;
PAGE 480-HOUSE BILL 19-1172
(III) Be resistant to leaking or spilling;
(IV) Be rigid enough to handle with ease;
(V) Provide reasonable protection for the health and safety of
crematory employees; and
(VI) Be used exclusively for the cremation of human remains.
(4) A crematory shall not cremate the human remains of more than
one person within the same cremation chamber or otherwise commingle the
cremains of multiple human remains unless the next of kin has signed a
written authorization. No crematory is civilly liable for commingling the
cremains of human remains if the next of kin has signed the written
authorization.
(5) (a) A crematory shall use a tag to identify human remains and
cremains. The tag must be verified, removed, and placed near the cremation
chamber control panel prior to cremation. The tag must remain next to the
cremation chamber until the cremation is complete.
(b) After cremation is complete, all of the cremains and reasonable
recoverable residue shall be removed from the cremation chamber and
processed as necessary. Anything other than the cremains shall be disposed
of unless the next of kin authorizes otherwise.
(c) The processed cremains shall be placed in a temporary container
or urn. Any cremains that do not fit within such THE enclosure shall be
placed in a separate temporary container or urn. Each container shall be
marked with the decedent's identity and the name of the crematory. If a
temporary container is used, the crematory shall disclose that the temporary
container should not be used for permanent storage.
(d) If cremated remains are shipped, the crematory shall use a
method that employs an internal tracking system and obtains a signed
receipt from the person accepting delivery.
(6) Cremains shall not be commingled with other cremains in final
disposition or scattering without written authorization from the next of kin
unless the disposition or scattering occurs within a dedicated cemetery or
PAGE 481-HOUSE BILL 19-1172
consecrated grounds used exclusively for such THOSE purposes.
(7) (a) A crematory shall not cremate human remains containing an
implanted device. If the funeral establishment that had control of the human
remains failed to ensure that a device was removed, the funeral
establishment is responsible for removing the device.
(b) If the person authorizing cremation fails to inform the crematory
of the presence of an implanted device, the person shall be solely liable for
any resulting damage to the crematory.
12-135-308. [Formerly 12-54-308] Custody and responsibility -
rules. (1) A crematory shall not, through its managers, employees,
contractors, or agents, take custody of human remains without an attestation
of positive identification on a form promulgated by the director by rule by:
(a) The next of kin;
(b) The county coroner or the county coroner's designee; or
(c) An authorized person at the care facility where the deceased
died.
(2) A crematory is responsible for identifying and tracking human
remains from the time it takes custody of human remains until the:
(a) Final disposition has occurred or the remains are returned to the
person who has the right of final disposition;
(b) Human remains are released in accordance with the instructions
given by the person who has the right of final disposition; or
(c) Remains are released to a funeral establishment, another
crematory, repository, or entity as authorized by the person who has the
right of final disposition.
(3) The director shall adopt rules implementing this section that:
(a) Establish what constitutes custody;
PAGE 482-HOUSE BILL 19-1172
(b) Define "care facility", "repository", and "entity";
(c) Establish who is authorized to identify human remains at a care
facility for a funeral establishment; and
(d) Prescribe the minimum standards for the positive identification
and chain of custody of human remains. A crematory may use the
crematory's own procedures if the procedures meet or exceed the minimum
standards of the rule promulgated by the director.
PART 4
ADMINISTRATION
12-135-401. [Formerly 12-54-401] Powers and duties of the
director - rules. (1) The director may deny, suspend, refuse to renew, OR
REVOKE A REGISTRATION PURSUANT TO SECTION 12-20-404 (1)(d); issue
AND SEND, BY CERTIFIED MAIL, a letter of admonition or TO A FUNERAL
ESTABLISHMENT OR CREMATORY UNDER THE CIRCUMSTANCES SPECIFIED IN
AND IN ACCORDANCE WITH SECTION 12-20-404 (4); ISSUE A confidential
letter of concern to revoke A FUNERAL ESTABLISHMENT OR CREMATORY
UNDER THE CIRCUMSTANCE SPECIFIED IN SECTION 12-20-404 (5); place A
REGISTERED FUNERAL ESTABLISHMENT OR CREMATORY on probation
PURSUANT TO SECTION 12-20-404 (1)(b); or limit the scope of practice of the
registration of a funeral establishment or crematory under this article 135
that has:
(a) Filed an application with the director containing material
misstatements of fact or has omitted any disclosure required by this article
135;
(b) Had a registration issued by Colorado, or an equivalent license,
registration, or certification issued by another state, to practice mortuary
science or to embalm or cremate human remains revoked; or
(c) Violated this article 135, AN APPLICABLE PROVISION OF ARTICLE
20 OF THIS TITLE 12, or any rule of the director adopted under this article
135.
(2) (a) The director may deny or revoke a registration if the funeral
establishment, crematory, or the designee thereof has been convicted of a
PAGE 483-HOUSE BILL 19-1172
felony related to another activity regulated under this article 135 or a felony
of moral turpitude. The director shall promptly notify the funeral
establishment or crematory of such THE revocation.
(b) A crematory or funeral establishment whose registration has
been revoked shall not be eligible for a registration for two years after the
effective date of the revocation.
(3) The director may investigate the activities of a funeral
establishment or crematory upon his or her own initiative or upon receipt
of a complaint or a suspected or alleged violation of this article 135.
SECTION 12-20-403 APPLIES TO INVESTIGATIONS, HEARINGS, AND OTHER
PROCEEDINGS UNDER THIS SECTION.
(4) The director or an administrative law judge appointed pursuant
to part 10 of article 30 of title 24, C.R.S., shall conduct disciplinary
hearings concerning a registration issued under this article. Such hearings
shall conform to article 4 of title 24, C.R.S.
(5) (a) The director or an administrative law judge may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing or
investigation conducted by the director or an administrative law judge.
(b) Upon failure of a witness to comply with a subpoena or service
of process, the district court of the county in which the subpoenaed witness
resides or conducts business may issue an order requiring the witness to
appear before the director or administrative law judge and produce the
relevant papers, books, records, documentary evidence, testimony, or
materials in question. Failure to obey the order of the court may be punished
as a contempt of court. The director or an administrative law judge may
apply for such order.
(6) (4) The director shall keep records of registrations and
disciplinary proceedings. The records kept by the director shall be open to
public inspection in a reasonable time and manner determined by the
director.
(7) (5) When the director or administrative law judge deems it
PAGE 484-HOUSE BILL 19-1172
appropriate and useful, the director or administrative law judge may consult
with or obtain a written opinion from an appropriate professional
organization or association of businesses who offer services requiring
registration under this article 135 for the purpose of investigating possible
violations or weighing the appropriate standard of care to be applied to
specific events or the facts in a hearing being held under this article 135.
(8) (6) (a) The director may promulgate reasonable rules necessary
to implement this section, sections 12-54-110, 12-54-111, 12-54-303, and
12-54-304 12-135-110, 12-135-111, 12-135-303, AND 12-135-304, and this
part 4.
(b) Before promulgating rules, the director shall seek input and
advice from a person, or any state professional organization of persons,
offering services that require registration pursuant to this article 135.
(c) Before promulgating rules, the director may seek input and
advice from a consumer representative who advocates for consumers
affected by this article 135.
12-135-402. [Formerly 12-54-402] Fees. (1) The director shall
establish and collect the fees for a registration issued under this article 135
pursuant to section 24-34-105, C.R.S. 12-20-105.
(2) All fees collected by the director shall be transmitted to the state
treasurer, who shall credit the same pursuant to section 24-34-105, C.R.S.,
and the general assembly shall make annual appropriations for expenditures
of the director required to perform his or her duties under this article, which
expenditures shall be made from such appropriations upon vouchers and
warrants drawn pursuant to law. The division shall employ, subject to
section 13 of article XII of the state constitution, such clerical or other
assistants as are necessary for the proper performance of its work.
12-135-403. [Formerly 12-54-406] Cease-and-desist orders -
procedure. (1) (a) If it appears to the director, based upon credible
evidence as presented in a written complaint, that a person is acting in a
manner that creates an imminent threat to the health and safety of the
public, or a person is acting or has acted without the required registration,
the director may issue an order to cease and desist such activity. The order
shall set forth the statutes and rules alleged to have been violated, the facts
PAGE 485-HOUSE BILL 19-1172
alleged to have constituted the violation, and the requirement that all
unlawful acts or unauthorized practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1), the respondent may request
a hearing on the question of whether the alleged acts or practices have
occurred. Such hearing shall be conducted pursuant to sections 24-4-104
and 24-4-105, C.R.S.
(2) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint, that a person has violated this article or
rules promulgated under this article, then, in addition to any specific powers
granted pursuant to this article, the director may issue to such person an
order to show cause as to why the director should not issue a final order
directing such person to cease and desist from such violations.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (2) shall be promptly notified
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (2) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (2). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (2) does not appear at the
hearing, the director may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(2) and such other evidence related to the matter as the director deems
PAGE 486-HOUSE BILL 19-1172
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required registration or has engaged in acts or practices constituting
violations of this article or rules promulgated under this article, a final
cease-and-desist order may be issued, directing such person to cease and
desist from further violations.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (2), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order shall be effective when issued and shall be a final order for
purposes of judicial review.
(3) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged in an act or practice
constituting a violation of this article, a rule promulgated pursuant to this
article, an order issued pursuant to this article, or an act or practice
constituting grounds for administrative sanction pursuant to this article, the
director may enter into a stipulation with the person.
(4) If a person fails to comply with a final cease-and-desist order or
a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(5) A person aggrieved by the final cease-and-desist order may seek
judicial review of the director's determination or of the director's final order.
THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
PAGE 487-HOUSE BILL 19-1172
12-135-404. [Formerly 12-54-407] Civil penalty - fines. (1) On
motion of the director, the court may impose a civil penalty of not more
than one thousand dollars for a violation of this article 135 or a rule
promulgated under this article The penalty shall be transmitted to the state
treasurer and credited to the general fund 135.
(2) In addition to any other penalty that may be imposed pursuant to
this section, a funeral establishment or crematory violating this article 135
or a rule promulgated pursuant to this article 135 may be fined no less than
one hundred dollars and no more than five thousand dollars for each
violation proven by the director. All fines collected pursuant to this
subsection (2) shall be transferred to the state treasurer, who shall credit
such moneys to the general fund.
12-135-405. [Formerly 12-54-408] Enforcement - injunctions.
(1) The director may forward to a district attorney or a state or federal law
enforcement agency any information concerning possible violations of
statute or rule under this article 135 committed by any person or complaints
filed against a funeral director, mortuary science practitioner, cremationist,
or embalmer.
(2) The director may request that an action be brought in the name
of the people of the state of Colorado by the attorney general or the district
attorney of the district in which the violation is alleged to have occurred to
enjoin a person from engaging in or continuing the violation or from doing
any act that furthers the violation. In such an action, an order or judgment
may be entered awarding such preliminary or final injunction as is deemed
proper by the court SEEK INJUNCTIVE RELIEF IN AN ACTION BROUGHT BY THE
ATTORNEY GENERAL OR BY THE DISTRICT ATTORNEY IN ACCORDANCE WITH
SECTION 12-20-406. The notice, hearing, or duration of an injunction or
restraining order shall be made in accordance with the Colorado rules of
civil procedure.
12-135-406. [Formerly 12-54-410] Repeal. Sections 12-54-110,
12-54-111, 12-54-303, and 12-54-304 12-135-110, 12-135-111,
12-135-303, AND 12-135-304 and this part 4 are repealed, effective July 1,
2024. Prior to such BEFORE THE repeal, the regulation of persons registered
to practice cremation and mortuary science shall be reviewed pursuant to IS
SCHEDULED FOR REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
PAGE 488-HOUSE BILL 19-1172
ARTICLE 140
Nontransplant Tissue Banks
12-140-101. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
140.
12-140-102. [Formerly 12-54.5-101] Definitions. As used in this
article 54.5 140, unless the context otherwise requires:
(1) "Designee" means an individual designated by a nontransplant
tissue bank registered in accordance with section 12-54.5-102 12-140-103.
(2) "Director" means the director of the division or the director's
designee.
(3) "Division" means the division of professions and occupations
created in section 24-34-102.
(4) (2) "Human remains" means all or any portion of the physical
remains of a dead human who was born alive.
(5) (3) (a) "Nontransplant tissue bank" means a person that, for any
purpose other than transplantation into a living human being, recovers,
transports, distributes, screens, stores, and arranges for the storage and
distribution of human remains.
(b) "Nontransplant tissue bank" does not include:
(I) An eye bank, an organ procurement organization, or a tissue
bank, as those terms are defined in section 15-19-202 (10), (16), and (31),
respectively;
(II) A funeral establishment registered in accordance with section
12-54-110 12-135-110; or
(III) A crematory registered in accordance with section 12-54-303
12-135-303.
12-140-103. [Formerly 12-54.5-102] Registration required -
PAGE 489-HOUSE BILL 19-1172
repeal. (1) (a) By July 1, 2019, each nontransplant tissue bank shall
register with the director in the form and manner determined by the director.
The registration must include:
(I) The specific address of the nontransplant tissue bank;
(II) The full name and address of the designee appointed in
accordance with subsection (2)(a) of this section;
(III) The date the nontransplant tissue bank began doing business;
(IV) The type of services provided by the nontransplant tissue bank;
and
(V) A description of the nontransplant tissue bank's premises and
equipment.
(b) Each nontransplant tissue bank registration is subject to THE
renewal, pursuant to a schedule established by the director in accordance
with section 24-34-102 (8) and in the form and manner determined by the
director EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS
SPECIFIED IN SECTION 12-20-202 (1) AND (2).
(c) In accordance with section 24-34-105, the director may adjust
the registration fee set under subsection (3) of this section and establish
renewal fees and delinquency fees for reinstatement. If a nontransplant
tissue bank fails to renew the registration in accordance with the schedule
established by the director, the registration expires.
(2) (a) Each nontransplant tissue bank shall appoint an individual as
the designee of the nontransplant tissue bank. A designee must:
(I) Be at least eighteen years of age;
(II) Have at least two years of experience working for a
nontransplant tissue bank;
(III) Be employed by the registered nontransplant tissue bank that
the designee represents;
PAGE 490-HOUSE BILL 19-1172
(IV) Have the authority within the nontransplant tissue bank's
organization to require that personnel comply with this article 54.5 140; and
(V) Not be designated for more than one nontransplant tissue bank
unless each additional nontransplant tissue bank is operated under common
ownership and management and unless each additional nontransplant tissue
bank is sixty miles or less from all other nontransplant tissue banks held
under the same common ownership.
(b) If, after initial registration, the nontransplant tissue bank
appoints a new designee in accordance with subsection (2)(a) of this
section, the nontransplant tissue bank shall notify the director within thirty
days after appointing the designee.
(3) To register, a person must pay the fee set by the director. The
director shall set the registration fee to offset the division's direct and
indirect costs of implementing this article 54.5. The director shall transmit
the fee to the state treasurer, who shall credit it to the division of
professions and occupations cash fund created in section 24-34-105
PURSUANT TO SECTION 12-20-105.
(4) This section is repealed, effective September 1, 2024. Before its
THE repeal, this section is scheduled for review in accordance with section
24-34-104.
12-140-104. [Formerly 12-54.5-103] Records and receipts. (1) A
nontransplant tissue bank shall furnish to a person who delivers human
remains to the nontransplant tissue bank a receipt, which must be signed by
both the nontransplant tissue bank and the person who delivers the human
remains. The nontransplant tissue bank shall retain a copy of the receipt in
its records in accordance with subsection (2) of this section. The receipt
must include the following:
(a) The date and time of the delivery;
(b) The name of the person who delivered the human remains;
(c) The name of the decedent;
(d) The name of any businesses with which the person delivering the
PAGE 491-HOUSE BILL 19-1172
human remains is affiliated; and
(e) The name of the person who received the human remains on
behalf of the nontransplant tissue bank.
(2) A nontransplant tissue bank shall maintain for at least three years
at its registered location the following records:
(a) The donor's full name and address;
(b) The date of donation;
(c) Documentation of the decedent's informed consent or the consent
of the person authorized by law to consent on behalf of the donor to the
donation;
(d) A description of the human remains to be donated for scientific
or educational purposes;
(e) Decedent medical history, including any of the following if used
by the nontransplant tissue bank: Autopsy reports, donation questionnaires,
and other donor or decedent solicitation materials; and
(f) Tracking documentation of the transport of and delivery of
human remains.
(3) A nontransplant tissue bank shall keep complete and accurate
records and make the records open for inspection by the director.
12-140-105. [Formerly 12-54.5-104] Standards of practice. (1) A
nontransplant tissue bank shall:
(a) Handle human remains in a safe and sanitary manner;
(b) Be equipped with instruments and supplies necessary to protect
the health and safety of the public and employees of the nontransplant tissue
bank; and
(c) Affix identification to all human remains delivered to the
nontransplant tissue bank and provide tracking paperwork to match the
PAGE 492-HOUSE BILL 19-1172
identification.
(2) A nontransplant tissue bank shall not commingle unidentified or
unharvested human remains prior to transfer to a crematory or funeral
establishment, as those terms are defined in section 12-54-102 (5) and (12)
12-135-103 (8) AND (16), respectively.
(3) An incinerator that is used for the disposal of human remains and
that is operated by a registered nontransplant tissue bank need not be
registered under part 3 of article 54 135 of this title 12. The incinerator may
commingle tissue from medical or educational research from multiple
decedents.
12-140-106. [Formerly 12-54.5-105] Disclosure. (1) A
nontransplant tissue bank shall disclose, in clear and unambiguous terms,
the following information to the donor or to the person authorized by law
to consent to donation:
(a) That the donated human remains may be distributed, in whole or
in part, by the nontransplant tissue bank;
(b) That the donated human remains may be returned, in whole or
in part, to the nontransplant tissue bank; and
(c) That the nontransplant tissue bank will be compensated for
distribution of the human remains.
12-140-107. [Formerly 12-54.5-106] Discipline. (1) The director
may deny, suspend, revoke, or place on probation a nontransplant tissue
bank or issue a letter of admonition to an applicant for or holder of a
nontransplant tissue bank registration TAKE DISCIPLINARY OR OTHER ACTION
AS AUTHORIZED IN SECTION 12-20-404 if the nontransplant tissue bank or
applicant:
(a) Violates an order of the director, this article 54.5 140, AN
APPLICABLE PROVISION OF ARTICLE 20 OF THIS TITLE 12, or the rules
established under this article 54.5 140;
(b) Makes a material misstatement or omission in the registration or
the application for a registration;
PAGE 493-HOUSE BILL 19-1172
(c) Violates federal law, Colorado law, or an ordinance or resolution
of a political subdivision of Colorado in the operation of the nontransplant
tissue bank; or
(d) Has incurred disciplinary action related to the administration of
a nontransplant tissue bank in another jurisdiction. Evidence of this
disciplinary action is prima facie evidence for denial of registration or other
disciplinary action if the violation would be grounds for disciplinary action
in this state.
(2) To be valid, a proceeding to deny, suspend, revoke, or place on
probation a registration must be conducted in accordance with sections
24-4-104 and 24-4-105. The director may use an administrative law judge
employed by the office of administrative courts in the department of
personnel to conduct a hearing SECTION 12-20-403 GOVERNS PROCEEDINGS
UNDER THIS SECTION.
12-140-108. [Formerly 12-54.5-107] Violations and penalties. A
person who violates this article 54.5 140 is guilty of a misdemeanor and,
upon conviction, shall be punished by a fine of not more than five thousand
dollars, imprisonment in the county jail for not more than eighteen months,
or both the fine and imprisonment.
ARTICLE 145
Outfitters and Guides
12-145-101. [Formerly 12-55.5-101] Legislative declaration. It is
the intent of the general assembly to promote and encourage residents and
nonresidents alike to participate in the enjoyment and use of the mountains,
rivers, and streams of Colorado and the state's fish and game and, to that
end, in the exercise of the police power of this state for the purpose of
safeguarding the health, safety, welfare, and freedom from injury or danger
of such THE residents and nonresidents, to register and regulate those
persons who, for compensation, provide equipment or personal services to
such THE residents and nonresidents for the purpose of hunting and fishing.
It is neither the intent of the general assembly to interfere in any way with
the business of livestock operations or to prevent livestock owners from
loaning or leasing buildings or animals to persons, nor is it intended to
prevent said THE owner from accompanying a person or persons on land
that such THE person owns, nor is it the intent of the general assembly to
PAGE 494-HOUSE BILL 19-1172
interfere in any way with the general public's ability to enjoy the
recreational value of Colorado's mountains, rivers, and streams when the
services of commercial outfitters are not utilized nor to interfere with the
right of the United States to manage the public lands under its control.
12-145-102. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
145.
12-145-103. [Formerly 12-55.5-102] Definitions. As used in this
article 145, unless the context otherwise requires:
(1) "Compensation" means making, or attempting to make, a profit,
salary, or increase in business or financial standing, or supporting any part
of other programs or activities, to include receiving fees, charges, dues,
service swaps, or something which THAT is not strictly a sharing of actual
expenses incurred from amounts received from or for outfitting services
rendered or to be rendered.
(1.5) (2) "Consultant" means a person who is hired by the director
to assist in any investigation initiated under this article 145 or any member
of an advisory committee appointed pursuant to section 12-55.5-111
12-145-114.
(2) "Director" means the director of the division of professions and
occupations in the department of regulatory agencies.
(3) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(3.5) (3) "Entity" means an entity authorized by Colorado law to
conduct business, including, but not limited to, a corporation, partnership,
limited liability partnership, or limited liability company.
(4) "Guide" means any individual who:
(a) Accompanies an outfitter's client to assist the client in the taking
or attempted taking of wildlife; and
(b) Either:
PAGE 495-HOUSE BILL 19-1172
(I) Is employed for compensation by an outfitter; or
(II) Has independently contracted with an outfitter.
(5) "Outfitter" means a person soliciting to provide or providing, for
compensation, outfitting services for the purpose of hunting or fishing on
land that the person does not own.
(5.5) (6) "Outfitting services" means providing transportation of
individuals, equipment, supplies, or wildlife by means of vehicle, vessel, or
pack animal, facilities including but not limited to tents, cabins, camp gear,
food, or similar supplies, equipment, or accommodations, and guiding,
leading, packing, protecting, supervising, instructing, or training persons or
groups of persons in the take or attempted take of wildlife.
(6) (7) "Peace officer" means a peace officer as described in section
16-2.5-101. C.R.S.
(7) (Deleted by amendment, L. 2004, p. 340, § 14, effective July 1,
2004.)
(8) "Person" means an individual or entity.
12-145-104. [Formerly 12-55.5-102.5] Applicability. (1) This
article 145 does not apply to a person who only authorizes a person to hunt,
fish, or take wildlife on property the person owns, rents, or leases, including
providing the authorization for compensation.
(2) This article 145 does not require a person to register as an
outfitter if the person only rents motor vehicles, livestock, or equipment.
12-145-105. [Formerly 12-55.5-103] Registration required - fees.
(1) A person shall not engage in activities as an outfitter, advertise in any
publication as an outfitter, or represent himself, herself, or itself as an
outfitter unless the person first obtains a registration from the division and
unless the registration is in full force and effect and in the person's
immediate possession. A person shall not continue to act as an outfitter if
the person's registration has been suspended or revoked or has expired.
(2) An applicant for registration as an outfitter shall follow the
PAGE 496-HOUSE BILL 19-1172
procedures provided in section 12-55.5-105 12-145-108 and any other
procedures required by the director. All applicants shall pay a
nonrefundable registration fee to be determined by the director which fee
shall be adequate to cover the direct and indirect expenses incurred for
implementation of the provisions of this article. Such registration shall be
renewable pursuant to the provisions of this article and upon payment of
said fee IN ACCORDANCE WITH SECTION 12-20-105 (2).
12-145-106. [Formerly 12-55.5-103.5] Guide qualifications.
(1) An individual who works as a guide must be eighteen years of age or
older and hold either a valid first aid or first aid instructor's card issued by
the American Red Cross or evidence of equivalent training as approved by
the director. An individual who violates this subsection (1) is guilty of a
misdemeanor and shall be punished by a fine of one hundred dollars.
(2) It is a violation of this article 145 for an individual whose
outfitter registration has been revoked or suspended to work as a guide.
12-145-107. [Formerly 12-55.5-104] Powers and duties of the
director. (1) In addition to all other powers and duties conferred or
imposed upon the director by this article 145 or by any other law, the
director:
(a) May promulgate rules under section 24-4-103, C.R.S., PURSUANT
TO SECTION 12-20-204 to govern the registration of outfitters and to carry
out the purposes of this article 145;
(b) (I) May administer oaths, take affirmations of witnesses, and
issue subpoenas to compel the attendance of witnesses and the production
of all relevant papers, books, records, documentary evidence, and materials
in any hearing, investigation, accusation, or other matter coming before the
director. The director may appoint an administrative law judge pursuant to
part 10 of article 30 of title 24, C.R.S., to perform the functions of this
subparagraph (I) and to take evidence and to make findings and report them
to the director.
(II) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
registrant resides or conducts business, upon application by the director
with notice to the subpoenaed person or registrant, may issue to the person
PAGE 497-HOUSE BILL 19-1172
or registrant an order requiring that person or registrant to appear before the
director; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence relevant to the
matter under investigation or in question. Failure to obey the order of the
court may be punished by the court as a contempt of court.
(c) (b) Is authorized to MAY apply for injunctive relief in the manner
provided by the Colorado rules of civil procedure, IN ACCORDANCE WITH
SECTION 12-20-406 to enforce the provisions of this article 145 or to restrain
any violation thereof. In such proceedings, it shall not be necessary to allege
or prove either that an adequate remedy at law does not exist or that
substantial or irreparable damage would result from the continued violation
thereof.
12-145-108. [Formerly 12-55.5-105] Issuance of registration -
violations. (1) Except as otherwise provided in this article 145, the director
shall issue an initial or renewed registration as an outfitter to an individual
who pays the required fee and furnishes evidence satisfactory to the director
that the individual:
(a) Is eighteen years of age or older;
(b) Holds a valid first aid card or first aid instructor's card issued by
the American Red Cross or evidence of equivalent training;
(c) Possesses minimum liability insurance coverage in the amount
of fifty thousand dollars for bodily injury to one individual in a single
accident and one hundred thousand dollars for bodily injury to all
individuals in a single accident;
(d) Has submitted to the director a surety bond in the minimum sum
of ten thousand dollars, executed by the applicant as principal and by a
surety company qualified and authorized to do business in this state as
surety. The bond must be conditioned upon compliance with this article 145
and with the rules promulgated under this article 145.
(e) Repealed.
(f) (e) Has, or will have before providing outfitting services, all the
required permits or written permission on the land where the outfitter
PAGE 498-HOUSE BILL 19-1172
provides outfitting services.
(2) and (3) (Deleted by amendment, L. 93, p. 1490, § 3, effective
July 1, 1993.)
(4) (2) An individual or entity may register as an outfitter. An
application for registration of an entity shall include the names of all
officers, directors, members, partners, owners of at least ten percent of the
entity, and other persons who have managing or controlling authority in the
entity. The entity shall designate on the application for outfitter registration
one of its officers, directors, members, partners, or other controlling or
managing individuals to be the responsible party and agent for the entity for
all communications with the division. If the entity changes its responsible
party and agent, it shall notify the division within ten working days after the
name change and provide contact information for the new responsible party
and agent. If such THE responsible party and agent does not provide guide
services, he or she shall not be required to comply with paragraph (b) of
subsection (1) SUBSECTION (1)(b) of this section.
(5) (3) (a) Renewals and reinstatement of a registration are made
under a schedule established by the director, and registrations must be
renewed or reinstated in accordance with section 24-34-102 (8), C.R.S.
REGISTRATIONS ISSUED PURSUANT TO THIS ARTICLE 145 ARE SUBJECT TO
THE RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
(b) The director may establish renewal fees and delinquency fees for
reinstatement in accordance with section 24-34-105, C.R.S.
(c) If a person fails to renew a registration in accordance with the
schedule established by the director, the registration expires.
(d) (b) A person whose registration has expired and who offers or
provides outfitter services is subject to the penalties provided in this article
145 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
12-145-109. [Formerly 12-55.5-106] Disciplinary actions -
grounds for discipline. (1) The director may deny, suspend, revoke, or
place on probation an outfitter's registration or issue a letter of admonition
to an applicant for or holder of an outfitter's registration TAKE DISCIPLINARY
PAGE 499-HOUSE BILL 19-1172
OR OTHER ACTION AS AUTHORIZED IN SECTION 12-20-404 if the AN applicant
FOR or A holder OF AN OUTFITTER'S REGISTRATION:
(a) Violates any order of the division or the director, or any
provision of this article 145, AN APPLICABLE PROVISION OF ARTICLE 20 OF
THIS TITLE 12, or the rules established under this article 145;
(b) Fails to meet the requirements of section 12-55.5-105
12-145-108 or uses fraud, misrepresentation, or deceit in applying for or
attempting to apply for registration;
(c) Violates any local, state, or federal law or regulation concerning
public land management, wildlife, health, or cruelty to animals, including,
but not limited to, section 33-6-113; C.R.S.;
(d) Is convicted of or has entered a plea of nolo contendere or guilty
to a felony; except that the director shall be governed by the provisions of
section SECTIONS 12-20-202 (5) AND 24-5-101 C.R.S., in considering such
THE conviction or plea;
(e) Uses false, deceptive, or misleading advertising;
(f) Misrepresents his OR HER services, facilities, or equipment to a
client or prospective client;
(g) Uses alcohol or any controlled substance, as defined in section
18-18-102 (5), C.R.S., to the extent that the use places the user or other
persons at risk while providing outfitting services or is a habitual user of
alcohol or a controlled substance, as defined in section 18-18-102 (5),
C.R.S., to the extent that the use places the user or other persons at risk
while providing outfitting services;
(h) Has incurred disciplinary action related to the practice of
outfitting in another jurisdiction. Evidence of such disciplinary action shall
be prima facie evidence for denial of registration or other disciplinary action
if the violation would be grounds for such disciplinary action in this state.
(i) Has been convicted of second or third degree criminal trespass
pursuant to section 18-4-503 or 18-4-504; C.R.S.; except that the director
shall be governed by the provisions of section SECTIONS 12-20-202 (5) AND
PAGE 500-HOUSE BILL 19-1172
24-5-101 C.R.S., in considering such THE conviction;
(j) Hires an individual as a guide who fails to meet the requirements
of section 12-55.5-103.5 12-145-106, unless such THE hiring is a result of
an emergency situation, as defined by rules promulgated by the director, in
which case the outfitter may hire a guide who does not possess a valid
first-aid card or first aid instructor's card;
(k) Serves or consumes alcohol while engaged in the activities of an
outfitter, if the applicant or holder is under twenty-one years of age;
(l) Violates section 18-4-503 or 18-4-504, C.R.S., resulting in two
or more second or third degree criminal trespass convictions within any
three- to five-year period while acting as an outfitter or guide; or
(m) Fails to respond to a complaint against the registered outfitter.
(2) To be valid, a proceeding to deny, suspend, revoke, or place on
probation a registration UNDER THIS SECTION must be conducted in
accordance with sections 12-20-403, 24-4-104, and 24-4-105. C.R.S. The
director may use an administrative law judge employed by the office of
administrative courts in the department of personnel to conduct hearings.
(3) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the director, does not warrant formal
action by the director but that should not be dismissed as being without
merit, The director may issue and send a letter of admonition to the A
registrant UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE
WITH SECTION 12-20-404 (4).
(b) When a letter of admonition is sent by the director to a registrant,
the letter must advise the registrant that the registrant has the right to
request in writing, within twenty days after receipt of the letter, that formal
disciplinary proceedings be initiated to adjudicate the propriety of the
conduct upon which the letter of admonition is based.
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
PAGE 501-HOUSE BILL 19-1172
(3.5) (4) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the director and, in the
opinion of the director, should be dismissed, but the director has noticed
possible errant conduct by the registrant that could lead to serious
consequences if not corrected, The director may send the A registrant a
confidential letter of concern UNDER THE CIRCUMSTANCES SPECIFIED IN
SECTION 12-20-404 (5).
(4) (5) Notwithstanding any other provision of this article 145, the
director may deny an initial application for registration if:
(a) The applicant is an individual who was previously listed as
participating in an entity pursuant to section 12-55.5-105 (4) 12-145-108
(2), and such THE entity was subjected to discipline under this article 145;
(b) The applicant is an entity, the entity lists an individual as
participating in the entity pursuant to section 12-55.5-105 (4) 12-145-108
(2), and that individual was previously listed as a participating person in an
entity that was subjected to discipline under this article 145; or
(c) The applicant is an entity, the entity lists an individual as a
participating person pursuant to section 12-55.5-105 (4) 12-145-108 (2),
and that individual was previously subjected to discipline under this article
145.
(4.5) (6) The director may discipline an applicant or registrant under
this section for the acts of a person who:
(a) Is acting on behalf of the applicant or registrant; and
(b) (I) Is an officer, director, member, or partner of, or owner of at
least a ten-percent interest in, the applicant or registrant;
(II) Has managing or controlling authority of the applicant or
registrant; or
(III) Is an employee, contractor, or authorized booking agent of the
applicant or registrant.
(5) When a complaint or an investigation discloses an instance of
PAGE 502-HOUSE BILL 19-1172
misconduct that, in the opinion of the director, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(6) If a person's registration is revoked under this section or
surrendered in lieu of discipline, the person is ineligible to submit a new
application for registration or register for two years after the date the
registration is revoked.
12-145-110. [Formerly 12-55.5-107] Penalties - distribution of
fines. (1) IN ADDITION TO THE DISCIPLINARY OR OTHER ACTIONS
AUTHORIZED UNDER SECTIONS 12-20-404 AND 12-145-109, THE DIRECTOR
MAY IMPOSE AN ADMINISTRATIVE FINE ON any person who violates the
provisions of this article 145 or the rules of the director promulgated under
this article may be penalized by the director 145, upon a finding of a
violation subject to article 4 of title 24, C.R.S., as follows:
(a) In the first administrative proceeding against any person, a fine
of not less than one hundred dollars but not more than five hundred dollars
per violation;
(b) In any subsequent administrative proceeding against any person
for transactions occurring after a final agency action determining that a
violation of this article 145 has occurred, a fine of not less than one
thousand dollars but not more than two thousand dollars per violation;
(c) In an administrative proceeding against a person for a violation
of section 12-55.5-103 (1) 12-145-105 (1), a fine of not less than one
thousand dollars but not more than five thousand dollars per violation.
(1.5) Repealed.
(2) In addition to the penalties provided in subsection (1) of this
section, the director, upon a finding of a violation, may deny, suspend,
revoke, or place on probation an outfitter's registration or take other
disciplinary action as provided in section 12-55.5-106 (3).
(3) (2) A person who engages in activities as an outfitter shall
maintain all applicable documents, records, and other items, for the current
year and the preceding four years at the address listed on the registration,
PAGE 503-HOUSE BILL 19-1172
required to be maintained by this article 145 or by the rules of the director
when requested to do so by the director or a peace officer. A registrant who
refuses to permit the inspection of documents, records, or items is guilty of
a misdemeanor and shall be punished by a fine of one hundred dollars.
(4) (Deleted by amendment, L. 93, p. 1491, § 5, effective July 1,
1993.)
(5) (3) All fines collected pursuant to this article 145 shall be
distributed as follows:
(a) Fifty percent divided by the court between any federal, state, or
local law enforcement agency assisting with an investigation;
(b) Fifty percent to the division for the cost of administering this
article 145.
12-145-111. [Formerly 12-55.5-108] Cease-and-desist orders -
unauthorized practice - penalties. (1) (a) If it appears to the director,
based upon credible evidence as presented in a written complaint by any
person, that a registrant is acting in a manner that is an imminent threat to
the health and safety of the public, or a person is acting or has acted without
the required registration, the director may issue an order to cease and desist
such activity. The order shall set forth the statutes and rules alleged to have
been violated, the facts alleged to have constituted the violation, and the
requirement that all unlawful acts or unregistered practices immediately
cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(2) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the director may issue to such person an
order to show cause as to why the director should not issue a final order
directing such person to cease and desist from the unlawful act or
PAGE 504-HOUSE BILL 19-1172
unregistered practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (2) shall be promptly notified
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (2) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (2). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (2) does not appear at the
hearing, the director may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(2) and such other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required registration, or has or is about to engage in acts or practices
constituting violations of this article, a final cease-and-desist order may be
issued, directing such person to cease and desist from further unlawful acts
or unregistered practices.
(IV) The director shall provide notice, in the manner set forth in
PAGE 505-HOUSE BILL 19-1172
paragraph (b) of this subsection (2), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom such order has been issued. The
final order issued pursuant to subparagraph (III) of this paragraph (c) shall
be effective when issued and shall be a final order for purposes of judicial
review.
(3) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged in or is about to engage
in any unregistered act or practice, any act or practice constituting a
violation of this article, any rule promulgated pursuant to this article, any
order issued pursuant to this article, or any act or practice constituting
grounds for administrative sanction pursuant to this article, the director may
enter into a stipulation with such person.
(4) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(5) A person aggrieved by the final cease-and-desist order may seek
judicial review of the director's determination or of the director's final order
as provided in section 12-55.5-115.
(1) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
(6) (2) Any person who engages or offers or attempts to engage in
activities as an outfitter without an active registration issued under this
article commits a class 2 misdemeanor and shall be punished as provided
in section 18-1.3-501, C.R.S., for the first offense, and for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 145 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-145-112. [Formerly 12-55.5-109] Contracts for outfitting
services - writing required. (1) Prior to engaging in any activity as an
PAGE 506-HOUSE BILL 19-1172
outfitter, an outfitter shall provide a written contract to the client signed by
both the outfitter and the client, stating at least the following terms:
(a) Type of services to be provided;
(b) Dates of service;
(c) Transportation arrangements;
(d) Costs of the services;
(e) Ratio of clients to guides; and
(f) The outfitter's policy regarding cancellation of the contract and
refund of any deposit.
(2) No action may be maintained by an outfitter for breach of a
contract or agreement to provide outfitting services or for the recovery of
compensation for services rendered under such THE contract or agreement
if the outfitter has failed to comply with the provisions of this article 145.
(3) Any written contract provided in accordance with this section
must also contain a written statement that pursuant to section 12-55.5-105
(1)(c) and (1)(d) 12-145-108 (1)(c) AND (1)(d), outfitters are bonded and
required to possess the minimum level of liability insurance and that the
activities of outfitters are regulated by the director.
12-145-113. [Formerly 12-55.5-110] Other remedies - contracts
void - public nuisance - seizure of equipment. (1) Every agreement or
contract for the services of an outfitter shall be void and unenforceable by
the outfitter unless such THE outfitter is duly registered with the division
under the provisions of this article 145 when such THE services are
contracted for and performed.
(2) Every motor vehicle, trailer, vessel, firearm, weapon, trap,
equipment, livestock, or other personal property used in outfitting services
in violation of the provisions of this article 145 is declared to be a class 2
public nuisance. Unless in conflict with the specific provisions of this
section, the provisions of article 13 of title 16 C.R.S., shall apply to any
action taken pursuant to this section.
PAGE 507-HOUSE BILL 19-1172
(3) (a) Any personal property subject to seizure under this section
which THAT is seized as a part of or incident to a criminal proceeding for
violation of this article 145 and for which disposition is not provided by
another statute of this state shall be disposed of as provided in this section.
(b) The court may order the property sold in the manner provided for
sales on execution.
(c) The proceeds of such THE sale shall be applied as follows:
(I) To the fees and costs of removal and sale;
(II) To the payment of any costs the state has incurred from such
THE action; and
(III) The balance, if any, to the office of the district attorney who has
brought such THE action.
12-145-114. [Formerly 12-55.5-111] Advisory committee. The
director shall appoint an advisory committee to make recommendations
concerning outfitters, which committee shall serve at the request and
pleasure of the director. The members of the advisory committee shall
receive no compensation but shall be reimbursed for actual and necessary
expenses incurred in the performance of their duties under this article 145.
12-145-115. [Formerly 12-55.5-113] Enforcement. Every peace
officer as defined in section 12-55.5-102 (6), is hereby authorized to assist
the director in the enforcement of the provisions of this article 145 and the
rules and regulations prescribed by the director.
12-145-116. [Formerly 12-55.5-115] Judicial review. The court of
appeals shall have initial jurisdiction to review SECTION 12-20-408
GOVERNS JUDICIAL REVIEW OF all final actions and orders. that are subject
to judicial review. Such proceedings shall be conducted in accordance with
section 24-4-106 (11), C.R.S.
12-145-117. [Formerly 12-55.5-116.5] Notice - hunting and
fishing license. The division and the division of parks and wildlife shall
develop a system to provide a written notice with each hunting or fishing
license, at the time of issuance, stating that it is illegal to provide outfitting
PAGE 508-HOUSE BILL 19-1172
services in Colorado without registering with the division.
12-145-118. [Formerly 12-55.5-117] Repeal of article - review of
functions. Unless continued by the general assembly, This article 145 is
repealed, effective September 1, 2025. and those BEFORE THE REPEAL, THE
powers, duties, and functions of the division specified in this article are
abolished. The provisions of 145 ARE SCHEDULED FOR REVIEW IN
ACCORDANCE WITH section 24-34-104. (2) to (8), C.R.S., concerning a
wind-up period, an analysis and evaluation, public hearings, and claims by
or against an agency apply to the powers, duties, and functions of the
division specified in this article.
ARTICLE 150
Passenger Tramways
12-150-101. [Formerly 25-5-701] Legislative declaration. In order
to assist in safeguarding life, health, property, and the welfare of this state,
it is the policy of the state of Colorado to establish a board empowered to
prevent unnecessary mechanical hazards in the operation of passenger
tramways and to assure that reasonable design and construction are used for,
that accepted safety devices and sufficient personnel are provided for, and
that periodic inspections and adjustments are made which THAT are deemed
essential to the safe operation of, passenger tramways.
12-150-102. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
150.
12-150-103. [Formerly 25-5-702] Definitions. As used in this part
7 ARTICLE 150, unless the context otherwise requires:
(1) "Area operator" means a person who owns, manages, or directs
the operation and maintenance of a passenger tramway. "Area operator"
may apply to the state or any political subdivision or instrumentality thereof.
(1.5) (2) "Board" means the passenger tramway safety board created
by section 25-5-703 12-150-104.
(1.7) "Commercial recreational area" means an entity using
passenger tramways to provide recreational opportunities to the public for
PAGE 509-HOUSE BILL 19-1172
a fee.
(2) (3) "Industry" means the activities of all those persons in this
state who own, manage, or direct the operation of passenger tramways.
(3) (4) "License" means the formal, legal, written permission of the
board to operate a passenger tramway.
(4) (5) "Passenger tramway" means a device used to transport
passengers uphill on skis, or in cars on tracks, or suspended in the air by the
use of steel cables, chains, or belts, or by ropes, and usually supported by
trestles or towers with one or more spans. "Passenger tramway" includes,
but is not limited to, the following devices:
(a) Fixed-grip lifts. "Fixed-grip lift" means an aerial lift on which
carriers remain attached to a haul rope. The tramway system may be either
continuously or intermittently circulating, and may be either monocable or
bicable.
(b) Detachable-grip lifts. "Detachable-grip lift" means an aerial lift
on which carriers alternately attach to and detach from a moving haul rope.
The tramway system may be monocable or bicable.
(c) Funiculars. "Funicular" means a device in which a passenger car
running on steel or wooden tracks is attached to and propelled by a steel
cable, and any similar devices.
(d) Chair lifts. "Chair lift" means a type of transportation on which
passengers are carried on chairs suspended in the air and attached to a
moving cable, chain, or link belt supported by trestles or towers with one or
more spans, and any similar devices.
(e) Surface lifts. "Surface lift" means a J-bar, T-bar, or platter pull
and any similar types of devices or means of transportation which THAT pull
skiers riding on skis by means of an attachment to a main overhead cable
supported by trestles or towers with one or more spans.
(f) Rope tows. "Rope tow" means a type of transportation which
THAT pulls the skier riding on skis as the skier grasps the rope manually,
and any similar devices.
PAGE 510-HOUSE BILL 19-1172
(g) Portable aerial tramway devices. "Portable aerial tramway
device" means any device designed for temporary use and operation,
without permanent foundations, in changing or variable locations, with a
capacity of less than five persons, which THAT transports equipment or
personnel, and is not used or intended to be used by the general public.
(h) Portable tramway devices. "Portable tramway device" means any
device designed to be used and operated as a rope tow or surface lift
without permanent foundations and intended for temporary use in changing
or variable locations, when used within the boundary of a recognized ski
area.
(i) Private residence tramways. "Private residence tramway" means
a device installed at a private residence or installed in multiple dwellings as
a means of access to a private residence in such multiple dwelling buildings,
so long as the tramway is so installed that it is not accessible to the general
public or to other occupants of the building.
(j) Reversible aerial tramways. "Reversible aerial tramway" means
a device on which passengers are transported in cable-supported carriers
and are not in contact with the ground or snow surface, and in which the
carriers reciprocate between terminals.
(k) Conveyors. "Conveyor" means a type of transportation by which
skiers, or passengers on recreational devices, are transported uphill on top
of a flexible, moving element such as a belt or a series of rollers.
(4.5) (6) "Program administrator" means the person who manages
the board's offices on a day-to-day basis and works with the supervisory
tramway engineer and the board in implementing the policies, decisions,
and orders of the board.
(5) (7) "Qualified tramway design engineer" or "qualified tramway
construction engineer" means an engineer licensed by the state board of
licensure for architects, professional engineers, and professional land
surveyors pursuant to part 1 2 of article 25 120 of THIS title 12 C.R.S., to
practice professional engineering in this state.
(6) (8) "Staff" means the program administrator, the supervisory
tramway engineer, and their clerical staff.
PAGE 511-HOUSE BILL 19-1172
(7) (9) "Supervisory tramway engineer" means the tramway engineer
who works with the program administrator and the board in implementing
the policies, decisions, and orders of the board.
12-150-104. [Formerly 25-5-703] Passenger tramway safety
board - composition. (1) There is hereby created a passenger tramway
safety board of six appointive members and one member designated by the
United States forest service. The appointive members shall be appointed by
the governor from persons representing the following interests: Two
members to represent the industry or area operators; two members to
represent the public at large; one member who is a licensed professional
engineer not employed by a ski area or related industry; and one member
familiar with or experienced in the tramway industry who may represent the
passenger tramway manufacturing or design industry or an area operator.
No person shall be so appointed or designated except those who, by reason
of knowledge or experience, shall be deemed to be qualified. Such THE
knowledge or experience shall be either from active and relevant
involvement in the design, manufacture, or operation of passenger
tramways or as a result of extensive and relevant involvement in related
activities. The governor, in making such appointments, shall consider
recommendations made to him or her by the membership of the particular
interest from which the appointments are to be made.
(2) Each of the appointed members shall be appointed for a term of
four years and until a successor is appointed and qualified, and no board
member shall serve more than two consecutive four-year terms. A former
board member may be reappointed to the board after having vacated the
board for one four-year term. Vacancies on the board, for either an
unexpired term or for a new term, shall be filled through prompt
appointment by the governor. The member of the board designated by the
United States forest service shall serve for such period as such THE federal
agency shall determine and shall serve without compensation or
reimbursement of expenses.
(3) The governor may remove any member of the board for
misconduct, incompetence, or neglect of duty.
(4) Board members appointed by the governor shall have been
residents of this state for at least three years.
PAGE 512-HOUSE BILL 19-1172
(5) No member of the board who has any form of conflict of interest
or the potential thereof shall participate in consideration of the deliberations
on matters to which such THE conflict may relate. such Conflicts may
include, but are not limited to, a member of the board having acted in any
consulting relationship or being directly or indirectly involved in the
operation of the tramway in question.
(6) A majority of the board shall constitute a quorum. When
necessary, the board may conduct business telephonically during a public
meeting for purposes of obtaining a quorum, facilitating the participation
of members in remote locations, or both.
(7) The provisions of section 24-34-104, C.R.S., concerning the
termination schedule for regulatory bodies of the state unless extended as
provided in that section, are applicable to the passenger tramway safety
board created by this section.
12-150-105. [Formerly 25-5-704] Powers and duties of board.
(1) The board has the following powers and duties in addition to those
otherwise described by this part 7 ARTICLE 150:
(a) To promulgate amend, and repeal such rules as may be necessary
and proper to carry out the provisions of this article. In adopting such rules
PURSUANT TO SECTION 12-20-204. The board may use as general guidelines
the standards contained in the "American National Standard for Passenger
Ropeways - Aerial Tramways and Aerial Lifts, Surface Lifts, Tows, and
Conveyors - Safety Requirements", as adopted by the American National
Standards Institute, incorporated, as amended from time to time. Such THE
rules shall not be discriminatory in their application to area operators, and
procedures of the board with respect thereto shall be as provided in section
24-4-103 C.R.S., with respect to rule-making.
(b) To investigate matters relating to the exercise and performance
of the powers and duties of the board;
(c) To receive complaints concerning violations of this part 7
ARTICLE 150;
(d) To conduct meetings, hold hearings, and take evidence in all
matters relating to the exercise and performance of the powers and duties
PAGE 513-HOUSE BILL 19-1172
of the board, subpoena witnesses, administer oaths, and compel the
testimony of witnesses and the production of books, papers, and records
relevant to the subject inquiry IN ACCORDANCE WITH SECTION 12-20-403.
The program administrator may issue subpoenas IN ACCORDANCE WITH
SECTION 12-20-403 (2) on behalf of the board at the board's direction. If any
person refuses to obey any subpoena so issued, the board may petition the
district court, setting forth the facts, and thereupon the court in a proper
case shall issue its subpoena. The board may appoint an administrative law
judge pursuant to part 10 of article 30 of title 24, C.R.S., to take evidence
and to make findings and report them to the board. The board may elect to
hear the matter itself with the assistance of an administrative law judge,
who shall rule on the evidence and otherwise conduct the hearing in
accordance with the "State Administrative Procedure Act", article 4 of title
24, C.R.S.
(e) To discipline area operators in accordance with this part 7
ARTICLE 150;
(f) To approve and renew licenses in accordance with this part 7
ARTICLE 150;
(g) To elect officers;
(h) To establish standing or temporary technical and safety
committees composed of persons with expertise in tramway-related fields
to review, as the board deems necessary, the design, construction,
maintenance, and operation of passenger tramways and to make
recommendations to the board concerning their findings. Committees
established pursuant to this paragraph (h) SUBSECTION (1)(h) shall meet as
deemed necessary by the board or the supervisory tramway engineer.
(i) To collect fees, established pursuant to section 24-34-105, C.R.S.
12-20-105, for any application for a new construction or major
modification, for any application for licensing, and for inspection and
accident investigations;
(j) To cause the prosecution and enjoinder, IN ACCORDANCE WITH
SECTION 12-20-406, of all persons violating such THE provisions OF THIS
ARTICLE 150 and to incur the necessary expenses thereof;
PAGE 514-HOUSE BILL 19-1172
(k) To delegate duties to the program administrator;
(l) To keep records of its proceedings and of all applications.
12-150-106. [Formerly 25-5-705] Responsibilities of area
operators. The primary responsibility for design, construction,
maintenance, operation, and inspection rests with the area operators of
passenger tramway devices.
12-150-107. [Formerly 25-5-706] Disciplinary action -
administrative sanctions - grounds. (1) Disciplinary action of the board
pursuant to this section shall be taken in accordance with the "State
Administrative Procedure Act", article 4 of title 24, C.R.S. AND SECTION
12-20-403.
(2) Disciplinary action of the board may be imposed as an
alternative to or in conjunction with the issuance of orders or the pursuit of
other remedies provided by section 25-5-707 12-150-108 or 25-5-716
12-150-116, and may consist of any of the following:
(a) Denial, suspension, revocation, or refusal to renew the license
of any passenger tramway ACTION AS AUTHORIZED IN SECTION 12-20-404.
The board may summarily suspend a license pursuant to the authority
granted by this part 7 ARTICLE 150 or article 4 of title 24. C.R.S.
(b) (I) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
by the board but that should not be dismissed as being without merit,
issuance and Sending of a letter of admonition, by certified mail, to the AN
area operator UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN
ACCORDANCE WITH SECTION 12-20-404 (4);
(II) When a letter of admonition is sent by the board, by certified
mail, to an area operator such area operator shall be advised that he or she
has the right to request in writing, within twenty days after receipt of the
letter, that formal disciplinary proceedings be initiated to adjudicate the
propriety of the conduct upon which the letter of admonition is based.
(III) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
PAGE 515-HOUSE BILL 19-1172
means of formal disciplinary proceedings.
(c) Assessment of a fine, not to exceed ten thousand dollars per act
or omission or, in the case of acts or omissions found to be willful, fifty
thousand dollars per act or omission, against any area operator;
(d) Imposition of reasonable conditions upon the continued licensing
of a passenger tramway or upon the suspension of further disciplinary
action against an area operator.
(3) The board may take disciplinary action for any of the following
acts or omissions:
(a) Any violation of the provisions of this part 7 ARTICLE 150, AN
APPLICABLE PROVISION OF ARTICLE 20 OF THIS TITLE 12, or of any rule or
regulation of the board promulgated pursuant to section 25-5-704
12-150-105 when the act or omission upon which the violation is based was
known to, or reasonably should have been known to, the area operator;
(b) Violation of any order of the board issued pursuant to provisions
of this part 7 ARTICLE 150;
(c) Failure to report any incident or accident to the board as required
by any provision of this part 7 ARTICLE 150 or any rule or regulation of the
board promulgated pursuant to section 25-5-704 12-150-105 when the
incident or accident was known to, or reasonably should have been known
to, the area operator;
(d) Willful or wanton misconduct in the operation or maintenance
of a passenger tramway;
(e) Operation of a passenger tramway while a condition exists in the
design, construction, operation, or maintenance of the passenger tramway
which THAT endangers the public health, safety, or welfare, which condition
was known, or reasonably should have been known, by the area operator;
(f) Operation of a passenger tramway by an operator whose license
has been suspended;
(g) Failure to comply with an order issued under section 25-5-707
PAGE 516-HOUSE BILL 19-1172
12-150-108 or 25-5-716 12-150-116.
12-150-108. [Formerly 25-5-707] Orders - enforcement. (1) If,
after investigation, the board finds that a violation of any of its rules or
regulations exists or that there is a condition in passenger tramway design,
construction, operation, or maintenance endangering the safety of the
public, it shall forthwith issue its written order setting forth its findings and
the corrective action to be taken and fixing a reasonable time for
compliance therewith. Such THE order shall be served upon the area
operator involved in accordance with the Colorado rules of civil procedure
or the "State Administrative Procedure Act", article 4 of title 24, C.R.S., and
shall become final unless the area operator applies to the board for a hearing
in the manner provided in section 24-4-105. C.R.S.
(2) If any area operator fails to comply with a lawful order of the
board issued under this section within the time fixed thereby, the board may
take further action as permitted by sections 25-5-706 12-150-107 and
25-5-716 12-150-116 and may commence an action seeking injunctive relief
in the district court of the judicial district in which the relevant passenger
tramway is located IN ACCORDANCE WITH SECTION 12-20-406.
(3) Any person who violates an order issued pursuant to this section
shall be subject to a civil penalty of not more than five thousand dollars for
each day during which such THE violation occurs.
(4) Any area operator who operates a passenger tramway which
THAT has not been licensed by the board or the license of which has been
suspended, or who fails to comply with an order issued under this section
or section 25-5-716 12-150-116, commits a class 3 misdemeanor and shall
be punished as provided in section 18-1.3-501. C.R.S. Fines collected
pursuant to this section shall be deposited in the general fund of the state.
12-150-109. [Formerly 25-5-708] Disciplinary proceedings.
(1) The board may investigate all matters which THAT present grounds for
disciplinary action as specified in this part 7 ARTICLE 150.
(2) Disciplinary hearings shall be conducted by the board or by an
administrative law judge in accordance with section 25-5-704 (1)(d)
SECTIONS 12-20-403 AND 12-150-105 (1)(d).
PAGE 517-HOUSE BILL 19-1172
(3) Any person aggrieved by SECTION 12-20-408 GOVERNS JUDICIAL
REVIEW OF a final action or order of the board. may appeal such action to
the Colorado court of appeals in accordance with section 24-4-106 (11),
C.R.S.
12-150-110. [Formerly 25-5-709] Passenger tramway licensing
required. (1) The state, through the board, shall license all passenger
tramways, unless specifically exempted by law; establish reasonable
standards of design and operational practices; and cause to be made such
inspections as may be necessary in carrying out the provisions of this
section.
(2) A passenger tramway shall not be operated in this state unless it
has been licensed by the board. No new passenger tramway shall be initially
licensed in this state unless its design and construction have been certified
to this state as complying with the rules and regulations of the board
promulgated pursuant to section 25-5-704. Such 12-150-105. THE
certification shall be made by a qualified tramway design engineer or a
qualified tramway construction engineer, whichever the case requires.
(3) The board shall have no jurisdiction over the construction of a
new private residence tramway or over any modifications to an existing
private residence tramway when such THE tramway is not used, or intended
to be used, by the general public.
(4) The board shall have no jurisdiction over a portable aerial
tramway device.
(5) The board shall have no jurisdiction over a portable tramway
device when such THE tramway device is not used, or intended to be used,
by the general public.
12-150-111. [Formerly 25-5-710] Application for new
construction or major modification. Any new construction of a passenger
tramway or any major modification to an existing installation shall not be
initiated unless an application for such THE construction or major
modification has been made to the board and a permit therefor has been
issued by the board.
12-150-112. [Formerly 25-5-711] Application for licensing. Each
PAGE 518-HOUSE BILL 19-1172
year, every area operator of a passenger tramway shall apply to the board,
in such THE form as the board shall designate, for licensing of the passenger
tramways which such THAT THE area operator owns or manages or the
operation of which such THE area operator directs. The application shall
contain such information as the board may reasonably require in order for
it to determine whether the passenger tramway sought to be licensed by
such THE area operator complies with the intent of this part 7 ARTICLE 150
as specified in section 25-5-701 12-150-101 and the rules and regulations
promulgated by the board pursuant to section 25-5-704 12-150-105.
12-150-113. [Formerly 25-5-712] Licensing of passenger
tramways. (1) The board shall issue to the applying area operator without
delay licensing certificates for each passenger tramway owned, managed,
or the operation of which is directed by such THE area operator when the
board is satisfied:
(a) That the facts stated in the application are sufficient to enable the
board to fulfill its duties under this part 7 ARTICLE 150; and
(b) That each such passenger tramway sought to be licensed has
been inspected by an inspector designated by the board according to
procedures established by the board and that such THE inspection disclosed
no unreasonable safety hazard and no violations of the provisions of this
part 7 ARTICLE 150 or the rules and regulations of the board promulgated
pursuant to section 25-5-704 12-150-105.
(2) In order to satisfy itself that the conditions described in
subsection (1) of this section have been fulfilled, the board may cause to be
made such inspections described in section 25-5-715 12-150-115 as it may
reasonably deem necessary.
(3) Repealed.
(4) (3) Licenses shall expire on dates established by the board.
(5) (4) Each area operator shall cause the licensing certificate, or a
copy thereof, for each passenger tramway thus licensed to be displayed
prominently at the place where passengers are loaded thereon.
12-150-114. [Formerly 25-5-713] Licensing and certification fees.
PAGE 519-HOUSE BILL 19-1172
The application for new construction or major modification and the
application for licensing shall be accompanied by a fee established pursuant
to section 24-34-105, C.R.S. 12-20-105.
12-150-115. [Formerly 25-5-715] Inspections and investigations
- costs - reports. (1) The board may cause to be made such inspection of
the design, construction, operation, and maintenance of passenger tramways
as the board may reasonably require.
(2) Such THE inspections shall include, at a minimum, two
inspections per year or per two thousand hours of operation, whichever
occurs first, of each passenger tramway, one of which inspections shall be
during the high use season, and shall be unannounced, and shall be carried
out under contract by independent contractors selected by the board or by
the supervisory tramway engineer. Additional inspections may be required
by the board if the area operator does not, in the opinion of the board, make
reasonable efforts to correct any deficiencies identified in any prior
inspection or if the board otherwise deems such additional inspections
necessary. The board shall provide in its rules and regulations that no
facility shall be shut down for the purposes of a regular inspection during
normal operating hours unless sufficient daylight is not available for the
inspection.
(3) The board may employ independent contractors to make such
THE inspections for reasonable fees plus expenses. The expenses incurred
by the board in connection with the conduct of inspections provided for in
this part 7 ARTICLE 150 shall be paid in the first instance by the board, but
each area operator of the passenger tramway which THAT was the subject
of such THE inspection shall, upon notification by the board of the amount
due, reimburse the board for any charges made by such personnel for such
THE services and for the actual expenses of each inspection.
(4) The board may cause an investigation to be made in response to
an accident or incident involving a passenger tramway as the board may
reasonably require. The board may employ independent contractors to make
such THE investigations for reasonable fees plus expenses. The expenses
incurred by the board in connection with the conduct of investigations
provided for in this part 7 ARTICLE 150 shall be paid in the first instance by
the board, and thereafter one or more area operators may be billed for work
performed pursuant to subsection (3) of this section.
PAGE 520-HOUSE BILL 19-1172
(5) If, as the result of an inspection, it is found that a violation of the
board's rules and regulations exists, or a condition in passenger tramway
design, construction, operation, or maintenance exists, endangering the
safety of the public, an immediate report shall be made to the board for
appropriate investigation and order.
12-150-116. [Formerly 25-5-716] Emergency shutdown. When
facts are presented tending to show that an unreasonable hazard exists in the
continued operation of a passenger tramway, after such THE verification of
said THE facts as is practical under the circumstances and consistent with
the public safety, the board, any member thereof, or the supervisory
tramway engineer may, by an emergency order, require the area operator of
said THE tramway forthwith to cease using the same for the transportation
of passengers. Such THE emergency order shall be in writing and signed by
a member of the board or the supervisory tramway engineer, and notice
thereof may be served by the supervisory tramway engineer, any member
of the board, or as provided by the Colorado rules of civil procedure or the
"State Administrative Procedure Act", article 4 of title 24. C.R.S. Such THE
service shall be made upon the area operator or the area operator's agent
immediately in control of said THE tramway. Such THE emergency
shutdown shall be effective for a period not to exceed seventy-two hours
from the time of service. The board shall conduct an investigation into the
facts of the case and shall take such action under this part 7 ARTICLE 150 as
may be appropriate.
12-150-117. [Formerly 25-5-717] Provisions in lieu of others. The
provisions for regulation, registration, and licensing of passenger tramways
and the area operators thereof under this part 7 ARTICLE 150 shall be in lieu
of all other regulations RULES or registration or licensing requirements, and
passenger tramways shall not be construed to be common carriers within the
meaning of the laws of this state.
12-150-118. Governmental immunity. (1) [Formerly
25-5-718] The board, any member of the board, any person on the staff of
the board, any technical advisor appointed by the board, any member of an
advisory committee appointed by the board, and any independent contractor
hired to perform or acting as a state tramway inspector on behalf of the
board with whom the board contracts for assistance shall be provided all
protections of governmental immunity provided to public employees by
article 10 of title 24, C.R.S., including but not limited to the payment of
PAGE 521-HOUSE BILL 19-1172
judgments and settlements, the provision of legal defense, and the payment
of costs incurred in court actions. These protections shall be provided to the
board, board members, staff, technical advisors, committee members, and
independent contractors hired to perform or acting as a state tramway
inspector on behalf of the board only with regard to actions brought because
of acts or omissions committed by such persons in the course of official
board duties.
(2) [Formerly 25-5-719] The provisions of SUBSECTION (1) OF THIS
section 25-5-718 shall be construed as a specific exception to the general
exclusion of independent contractors hired to perform or acting as a state
tramway inspector on behalf of the board from the protections of
governmental immunity provided in article 10 of title 24. C.R.S.
12-150-119. [Formerly 25-5-720] Confidentiality of reports and
other materials. (1) Reports of investigations conducted by an area
operator or by a private contractor on an area operator's behalf and filed
with the board or the board's staff shall be presumed to be privileged
information exempt from public inspection under section 24-72-204
(3)(a)(IV), C.R.S., except as may be ordered by a court of competent
jurisdiction.
(2) Except as otherwise provided in subsection (1) of this section,
all information in the possession of the board's staff and all final reports to
the board shall be open to public inspection in accordance with part 2 of
article 72 of title 24. C.R.S.
12-150-120. [Formerly 25-5-721] Repeal of article. (1) This part
7 ARTICLE 150 is repealed, effective July 1, 2019.
(2) Prior to such BEFORE THE repeal, the passenger tramway safety
board shall be reviewed as provided for in IS SCHEDULED FOR REVIEW IN
ACCORDANCE WITH section 24-34-104. C.R.S.
ARTICLE 155
Plumbers
12-155-101. [Formerly 12-58-101] Legislative declaration.
(1) The general assembly hereby finds that:
PAGE 522-HOUSE BILL 19-1172
(a) Improper plumbing can adversely affect the health of the public
and that faulty plumbing is potentially lethal and can cause widespread
disease and an epidemic of disastrous consequences;
(b) To protect the health of the public, it is essential that plumbing
be installed by persons who have proven their knowledge of the sciences of
pneumatics and hydraulics and their skill in installing plumbing.
(2) Consistent with its duty to safeguard the health of the people of
this state, the general assembly hereby declares that individuals who plan,
install, alter, extend, repair, and maintain plumbing systems should be
individuals of proven skill. To provide standards of skill for those in the
plumbing trade and to authoritatively establish what shall be good plumbing
practice, the general assembly hereby provides for the licensing of plumbers
and for the promulgation of a model plumbing code of standards by the
examining board of plumbers STATE PLUMBING BOARD, and this article 155
is therefore declared to be essential to the public interest.
(3) The general assembly encourages the examining board of
plumbers STATE PLUMBING BOARD to adopt and incorporate by reference
appendix C of the "International Plumbing Code" (I.P.C.), 2009 edition,
promulgated by the International Code Council, first printing (January
2009), or the graywater provisions within a newer edition of the I.P.C.,
whether the provisions are contained in appendix C or elsewhere.
12-155-102. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
155.
12-155-103. [Formerly 12-58-102] Definitions. As used in this
article 155, unless the context otherwise requires:
(1) "Board" means the state plumbing board CREATED IN SECTION
12-155-104.
(1.5) (2) "Gas piping" means any arrangement of piping used to
convey fuel gas, supplied by one meter, and each arrangement of gas piping
serving a building, structure, or premises, whether individually metered or
not. "Gas piping" or "gas piping system" does not include the installation
of gas appliances where existing service connections are already installed,
PAGE 523-HOUSE BILL 19-1172
nor does such THE term include the installations, alterations, or maintenance
of gas utilities owned by a public utility certified pursuant to article 5 of title
40 C.R.S., or a public utility owned or acquired by a city or town pursuant
to article 32 of title 31. C.R.S.
(2) (3) "Journeyman plumber" means any person, other than a
master plumber, residential plumber, or plumber's apprentice, who engages
in or works at the actual installation, alteration, repair, and renovation of
plumbing in accordance with the standards AND rules and regulations
established by the board.
(3) (4) "Master plumber" means a person who has the necessary
qualifications, training, experience, and technical knowledge to properly
plan, lay out, and install and repair plumbing apparatus and equipment
including the supervision of such in accordance with the standards AND
rules and regulations established by the board.
(4) (5) "Colorado plumbing code" or "the code" means a code
established by the board that consists of standards for plumbing installation,
plumbing materials, conservation, medical gas, sanitary drainage systems,
and solar plumbing that could directly affect the potable water supply.
(4.1) (6) "Colorado fuel gas code" means a code adopted by rule by
OF the board for the inspection of plumbing fuel gas pipe installations.
(4.5) (7) (a) "Conservation" means efficiency measures that meet
national guidelines and standards and are tested and approved by a
nationally recognized testing laboratory, including:
(I) Water-efficient devices and fixtures; and
(II) The use of locally produced materials, when practicable, to
reduce transportation impacts.
(b) When conservation conflicts with safety, the board shall give
primary consideration to safety.
(c) Nothing in this subsection (4.5) (7) affects the board's authority
to establish the Colorado plumbing code as specified in section 12-58-104.5
12-155-106.
PAGE 524-HOUSE BILL 19-1172
(5) (8) (a) "Plumbing" includes the following items located within
the building or extending five feet from the building foundation, excluding
any service line extending from the first joint to the property line: All
potable water supply and distribution pipes and piping; all plumbing
fixtures and traps; all drainage and vent pipes; all water conditioning
appliances connected to the potable water system; all building drains,
including their respective joints and connections, devices, receptacles, and
appurtenances; all multipurpose residential fire sprinkler systems in one-
and two-family dwellings and townhouses that are part of the potable water
supply; and all medical gas and vacuum systems in health care facilities.
(b) Notwithstanding paragraph (a) of this subsection (5) SUBSECTION
(8)(a) OF THIS SECTION, the following is not included within the definition
of "plumbing":
(I) Installations, extensions, improvements, remodeling, additions,
and alterations in water and sewer systems owned or acquired by counties
pursuant to article 20 of title 30, C.R.S., cities and towns pursuant to article
35 of title 31, C.R.S., or water and sanitation districts pursuant to article 1
or article 4 of title 32; C.R.S.; or
(II) Installations, extensions, improvements, remodeling, additions,
and alterations performed by contractors employed by counties, cities,
towns, or water and sewer districts which THAT connect to the plumbing
system within a property line; or
(III) Performance, location, construction, alteration, installation, and
use of on-site wastewater treatment systems pursuant to article 10 of title 25
C.R.S., which THAT are located within a property line.
(6) (9) "Plumbing apprentice" means any person, other than a
master, journeyman, or residential plumber, who, as his OR HER principal
occupation, is engaged in learning and assisting in the installation of
plumbing.
(7) (10) "Plumbing contractor" means any person, firm, partnership,
corporation, association, or other organization that undertakes or offers to
undertake for another the planning, laying out, supervising, installing, or
making of additions, alterations, and repairs in the installation of plumbing.
In order to act as a plumbing contractor, the person, firm, partnership,
PAGE 525-HOUSE BILL 19-1172
corporation, association, or other organization must either be or employ
full-time a master plumber. "Plumbing contractor" does not include a water
conditioning contractor, a water conditioning installer, or a water
conditioning principal.
(8) (11) "Potable water" means water which THAT is safe for
drinking, culinary, and domestic purposes and which THAT meets the
requirements of the department of PUBLIC health AND ENVIRONMENT.
(8.5) (12) "Qualified state institution of higher education" means:
(a) One of the state institutions of higher education established
under, specified in, and located upon the campuses described in sections
23-20-101 (1)(a) and 23-31-101, C.R.S., limited to the buildings owned or
leased by those institutions on said THOSE campuses;
(b) The institution whose campus is established under and specified
in section 23-20-101 (1)(b), C.R.S., but limited to the buildings located in
Denver at 1380 Lawrence street, 1250 Fourteenth street, and 1475
Lawrence street; and
(c) The institution whose campus is established under and specified
in section 23-20-101 (1)(d), C.R.S., but limited to current and future
buildings owned or leased or built on land owned on or before January 1,
2015, by the university of Colorado on the campus described in section
23-20-101 (1)(d). C.R.S.
(9) (13) "Residential plumber" means any person, other than a
master or journeyman plumber or plumbing apprentice, who has the
necessary qualifications, training, experience, and technical knowledge, as
specified by the board, to install plumbing and equipment in one-, two-,
three-, and four-family dwellings, which DWELLINGS shall not extend more
than two stories aboveground.
(10) (14) (a) "Water conditioning contractor" means a person that:
(I) Undertakes or offers to undertake for another the planning,
laying out, supervising, installing, or making of additions, alterations, or
repairs in the installation of water conditioning appliances in one-, two-,
three-, or four-family dwellings, which DWELLINGS must not extend more
PAGE 526-HOUSE BILL 19-1172
than two stories aboveground; and
(II) Is required to be registered pursuant to section 12-58-105 (4)
12-155-108 (4).
(b) "Water conditioning contractor" does not include a plumbing
contractor.
(11) (15) (a) "Water conditioning installer" means a person that:
(I) Has the necessary qualifications, training, experience, and
technical knowledge to properly plan, lay out, and install water conditioning
appliances in one-, two-, three-, and four-family dwellings, which
DWELLINGS must not extend more than two stories aboveground, in
accordance with the standards and rules established by the board;
(II) Is certified by a national water conditioning association
recognized by the board, with the type of certification specified by the
board; and
(III) Is required to be registered pursuant to section 12-58-105 (5)
12-155-108 (5).
(b) "Water conditioning installer" does not include a licensed
plumber.
(12) (16) (a) "Water conditioning principal" means a person that:
(I) Has the necessary qualifications, training, experience, and
technical knowledge to properly plan, lay out, and install water conditioning
appliances in one-, two-, three-, and four-family dwellings, which
DWELLINGS must not extend more than two stories aboveground, including
the supervision of such THE work in accordance with the standards and rules
established by the board;
(II) Is certified by a national water conditioning association
recognized by the board, with the type of certification specified by the
board; and
(III) Is required to be registered pursuant to section 12-58-105 (6)
PAGE 527-HOUSE BILL 19-1172
12-155-108 (6).
(b) "Water conditioning principal" does not include a licensed
plumber.
12-155-104. [Formerly 12-58-103] State plumbing board - repeal
of article. (1) There is hereby established within the division of professions
and occupations of the department of regulatory agencies the state plumbing
board. The board shall exercise its powers and perform its duties and
functions in the department of regulatory agencies as if it were transferred
to the department by a type 1 transfer, as such transfer is defined in the
"Administrative Organization Act of 1968", article 1 of title 24. C.R.S.
(2) (a) The board shall consist of seven appointed members as
follows: One a journeyman plumber; one a master plumber; two engaged
in the construction of residential or commercial buildings as plumbing
contractors; one engaged in the construction of residential or commercial
buildings as a general contractor; one a member or employee of a local
government agency conducting plumbing inspections; and one appointed
from the public at large. A representative of the department of public health
and environment shall serve as an ex officio nonvoting member. At least
one member shall be a resident of the western slope of the state, defined as
that western part of the state separated from the eastern part of the state by
the continental divide.
(b) A majority of the board shall constitute a quorum for the
transaction of all business.
(3) (a) The governor, with power of removal, shall appoint the
members of the board, subject to confirmation by the senate. Board
members are appointed for four-year terms. Any vacancy occurring in the
membership of the board shall be filled by the governor by appointment for
the unexpired term of such THE member.
(b) The governor may remove any member of the board for
misconduct, incompetence, or neglect of duty.
(4) No major political party shall be represented on the board by
more than one member more than the other major political party.
PAGE 528-HOUSE BILL 19-1172
(5) This article 155 is repealed, effective September 1, 2024. Prior
to such BEFORE THE repeal, the state plumbing board, including provisions
related to qualified state institutions of higher education, shall be reviewed
as provided for in IS SCHEDULED FOR REVIEW IN ACCORDANCE WITH section
24-34-104. C.R.S.
12-155-105. [Formerly 12-58-104] Powers of board - fees - rules.
(1) In addition to all other powers and duties conferred or imposed upon
the board by this article 58 155, the board is authorized and empowered to:
(a) Elect its own officers and prescribe their duties;
(b) Conduct examinations as required by this article 155;
(c) Grant the licenses of duly qualified applicants for residential
plumbers, journeymen plumbers, and master plumbers as provided in this
article 155 and pursuant to the provisions of article 4 of title 24; C.R.S.;
(c.5) (d) Establish fees for the issuance of a new registration and for
each renewal of registration, pursuant to section 24-34-105, C.R.S.
12-20-105;
(d) (e) Promulgate, adopt, amend, and repeal such rules not
inconsistent with the laws of this state, as may be necessary for the orderly
conduct of its affairs and for the administration of this article, pursuant to
the provisions of article 4 of title 24, C.R.S. PURSUANT TO SECTION
12-20-204;
(e) (f) In accordance with article 4 of title 24, C.R.S., prescribe,
enforce, amend, and repeal rules governing the plumbing systems of all
buildings in this state;
(e.5) (g) Promulgate rules governing the installation and inspection
of toilet and urinal systems and structures for which reclaimed domestic
wastewater is used pursuant to section 25-8-205.8 (2)(c)(IV);
(f) (h) Employ plumbers licensed under this article 155 as
journeyman or master plumbers as state plumbing inspectors and charge
fees for making inspections of plumbing work covered by the Colorado
plumbing code in those areas where the local jurisdiction does not conduct
PAGE 529-HOUSE BILL 19-1172
inspections and issue permits;
(g) (I) Administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board.
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to perform the functions of this paragraph (g)
and to take evidence and to make findings and report them to the board.
(II) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(h) (i) Conduct INVESTIGATIONS AND hearings AND GATHER
EVIDENCE in accordance with the provisions of section SECTIONS 12-20-403
AND 24-4-105; C.R.S.; except that the board may appoint an administrative
law judge pursuant to part 10 of article 30 of title 24, C.R.S., to conduct
such hearings;
(i) (j) Cause the enjoinder, in any court of competent jurisdiction IN
ACCORDANCE WITH SECTION 12-20-406, of all persons violating this article
When seeking an injunction, the board shall not be required to prove that an
adequate remedy at law does not exist or that substantial or irreparable
damages would result if an injunction is not granted 155;
(j) (k) Inspect gas piping installations pursuant to the provisions of
section 12-58-114.5 12-155-120;
(k) Repealed.
(l) Find, upon holding a hearing, that an incorporated town or city,
county, city and county, or qualified state institution of higher education
fails to meet the minimum requirements of this article 155 if a local
PAGE 530-HOUSE BILL 19-1172
inspection authority or qualified state institution of higher education has
failed to adhere to the minimum standards required by this article 155
within twelve months after the board has adopted the standards by rule
pursuant to this subsection (1);
(m) Issue an order to cease and desist from issuing permits or
performing inspections under this article 155 to an incorporated town or
city, county, city and county, or qualified state institution of higher
education upon finding that the public entity or qualified state institution of
higher education fails to meet the minimum requirements of this article 155
under this subsection (1);
(n) Apply to a court to enjoin an incorporated town or city, county,
city and county, or qualified state institution of higher education from
violating an order issued pursuant to paragraph (m) of this subsection (1)
SUBSECTION (1)(m) OF THIS SECTION.
(2) Notwithstanding any other provisions to the contrary, the board
may, with regard to manufactured housing which THAT is subject to part 7
of article 32 of title 24: C.R.S.:
(a) Promulgate, adopt, amend, and repeal such rules and regulations
pursuant to the provisions of article 4 of title 24 C.R.S., as may be necessary
for the inspection of manufactured housing water and sewer hookups;
(b) Employ inspectors and charge fees for making inspections of
manufactured housing water and sewer hookups.
12-155-106. [Formerly 12-58-104.5] Colorado plumbing code -
amendments - variances - Colorado fuel gas code. (1) In accordance
with article 4 of title 24, C.R.S., the board shall establish a Colorado
plumbing code, as defined in section 12-58-102 (4). Such 12-155-103 (5).
THE code shall represent the minimum standards for installation, alteration,
and repair of plumbing equipment and systems throughout the state.
(2) Local governments are permitted to amend the code for their
jurisdictions as long as such THE amendments are at least equal to the
minimum requirements set forth in the Colorado plumbing code.
(3) If petitioned, the board shall annually hold public hearings to
PAGE 531-HOUSE BILL 19-1172
consider amendments to the Colorado plumbing code.
(4) The board is authorized to review and approve or disapprove
requests for exceptions to the code in unique construction situations where
a strict interpretation of the code would result in unreasonable operational
conditions or unreasonable economic burdens as long as public safety is not
compromised.
(5) The board shall adopt a Colorado fuel gas code for the gas
piping installations inspection requirement of section 12-58-104 (1)(j)
12-155-105 (1)(k).
12-155-107. [Formerly 12-58-104.6] Program administrator. The
director of the division of professions and occupations may appoint a
program administrator pursuant to section 13 of article XII of the state
constitution to work with the board in carrying out its duties under this
article 155.
12-155-108. [Formerly 12-58-105] Plumber must have license -
registration - control and supervision - rules. (1) (a) A person shall not
engage in or work at the business, trade, or calling of a residential,
journeyman, or master plumber in this state until he or she has received a
license from the division, of professions and occupations, upon written
notice from the board or its authorized agent, or a temporary permit from
the board or its authorized agent; except that a person may practice as a
water conditioning contractor if the person is registered pursuant to
subsection (4) of this section, as a water conditioning installer if the person
is registered pursuant to subsection (5) of this section, or as a water
conditioning principal if the person is registered pursuant to subsection (6)
of this section.
(b) Nothing in this section limits the ability of a licensed residential,
journeyman, or master plumber, a plumbing apprentice, or a registered
plumbing contractor to practice within his or her respective area as
authorized by this article 155 with regard to water conditioning appliances.
(2) (a) All plumbing apprentices working for plumbing contractors
pursuant to this article 155 and all apprentices working under the
supervision of any licensed plumber pursuant to section 12-58-117
12-155-124 shall, within thirty days after the date of initial employment, be
PAGE 532-HOUSE BILL 19-1172
registered with the board.
(b) The employer of a plumbing apprentice shall be responsible for
such THE apprentice's registration with the board.
(c) No apprentice shall be registered until payment of a registration
or registration renewal fee, as determined by the board, has been made.
(3) No person, firm, partnership, corporation, or association shall
operate as a plumbing contractor until such THE contractor has obtained
registration from the board. The board shall register a plumbing contractor
upon payment of the fee as provided in section 12-58-104 12-155-105 and
presentation of evidence that the applicant has complied with the applicable
workers' compensation and unemployment compensation laws of this state.
In order to act as a plumbing contractor, the person, firm, partnership,
corporation, association, or other organization must either be, or employ
full-time, a master plumber, who shall be in charge of the supervision of all
plumbing work performed by such THE contractor. A master plumber shall
be responsible for no more than one plumbing contractor at a time. The
master plumber shall be required to notify the board within fifteen days
after his or her termination as a master plumber for that plumbing
contractor. The master plumber is responsible for all plumbing work
performed by the plumbing contractor. Failure to comply with a notification
may lead to suspension or revocation of the master plumber license as
provided in section 12-58-110 12-155-113.
(4) Except as specified in paragraph (b) of subsection (1)
SUBSECTION (1)(b) of this section, effective April 1, 2016, a person shall not
operate as a water conditioning contractor unless the person:
(a) Is currently registered with the board pursuant to this subsection
(4) as specified in rules promulgated and forms adopted by the board. The
board shall register a water conditioning contractor upon payment of the fee
as provided in section 12-58-104 12-155-105 and presentation of evidence
that the applicant has complied with the applicable workers' compensation
and unemployment compensation laws of this state.
(b) Is, or employs full-time, a water conditioning principal, who
shall be responsible for all water conditioning appliance work performed by
the contractor.
PAGE 533-HOUSE BILL 19-1172
(5) Except as specified in paragraph (b) of subsection (1)
SUBSECTION (1)(b) of this section, effective April 1, 2016, a person shall not
engage in or work at the business, trade, or calling of a water conditioning
installer unless the person is currently registered with the board pursuant to
this subsection (5) as specified in rules promulgated and forms adopted by
the board. The board shall register a water conditioning installer upon
payment of the fee as provided in section 12-58-104 12-155-105 and
submission of proof that the applicant is certified by a national water
conditioning association recognized by the board, with the type of
certification as specified by the board.
(6) (a) Except as specified in paragraph (b) of subsection (1)
SUBSECTION (1)(b) of this section, effective April 1, 2016, a person shall not
engage in or work at the business, trade, or calling of a water conditioning
principal unless the person is currently registered with the board pursuant
to this subsection (6) as specified in rules promulgated and forms adopted
by the board. The board shall register a water conditioning principal upon
payment of the fee as provided in section 12-58-104 12-155-105 and
submission of proof that the applicant is certified by a national water
conditioning association recognized by the board, with the type of
certification as specified by the board.
(b) A water conditioning principal shall be responsible for no more
than one water conditioning contractor at a time. The water conditioning
principal shall notify the board within fifteen days after his or her
termination as a water conditioning principal for a water conditioning
contractor. Failure to provide the notice may lead to suspension or
revocation of the water conditioning principal's registration as provided in
section 12-58-110 12-155-113.
12-155-109. Unauthorized advertising - use of title.
(1) [Formerly 12-58-106 (1)] A person shall not advertise in any manner
or use the title or designation of "master plumber", "journeyman plumber",
or "residential plumber" unless the person is qualified and licensed under
this article 155.
(2) [Formerly 12-58-106 (2)] A person shall not advertise in any
manner that the person is a water conditioning contractor, water
conditioning installer, or a water conditioning principal unless the person
is registered as such pursuant to this article 155.
PAGE 534-HOUSE BILL 19-1172
(3) [Formerly 12-58-106.5] No person shall advertise in any manner
that such THE person is a plumbing contractor or use the title or designation
of "plumbing contractor" unless such THE person meets the definition of
plumbing contractor set out in section 12-58-102 (7) 12-155-103 (10).
12-155-110. [Formerly 12-58-107] License issuance - examination
- rules. (1) (a) The board shall issue licenses to persons who have, by
examination and experience, shown themselves competent and qualified to
engage in the business, trade, or calling of a residential plumber,
journeyman plumber, or master plumber. The board shall establish the
minimum level of experience required for an applicant to receive a
residential, journeyman, or master plumber's license. The maximum
experience the board may require for an applicant to qualify to test for a
residential plumber's license is three thousand four hundred hours of
practical experience. The maximum experience the board may require for
an applicant to qualify to test for a journeyman plumber's license is six
thousand eight hundred hours of practical experience. The maximum
experience the board may require for an applicant to test for a master
plumber's license is eight thousand five hundred hours of practical
experience.
(b) Any applicant for such THE license shall be permitted to
substitute for required practical experience evidence of academic training
in the plumbing field, which TRAINING shall be credited as follows:
(I) If he THE APPLICANT is a graduate of a community college or
trade school plumbing program approved by the board, he OR SHE shall
receive one year of work experience credit.
(II) If he THE APPLICANT has academic training, including military
training, in the plumbing field which THAT is not sufficient to qualify under
subparagraph (I) of this paragraph (b) SUBSECTION (1)(b)(I) OF THIS
SECTION, the board shall provide work experience credit for such THE
training according to a uniform ratio established by rule. and regulation.
(c) No license shall be issued until the applicant has paid a license
fee set by the board pursuant to section 24-34-105, C.R.S. 12-20-105.
(2) An applicant for a license under this section shall file an
application on forms prepared and furnished by the board, together with the
PAGE 535-HOUSE BILL 19-1172
examination fee. The time and place of examination shall be designated in
advance by the board, and examinations shall be held at least four times
each calendar year and at such other times as, in the opinion of the board,
the number of applicants warrants.
(3) The contents of the examinations provided for in this section
shall be determined by the board. The examination shall be administered by
the board or its authorized agent pursuant to rules prescribed by the board.
Each examination shall be designed and given in such a manner as to fairly
test the applicant's knowledge of plumbing and rules and regulations
governing plumbing. Examinations may include written tests and applied
tests of the practices which THAT the license will qualify the applicant to
perform and such related studies or subjects as the board may determine are
necessary for the proper and efficient performance of such THE practices.
Such THE examinations shall be consistent with current practical and
theoretical requirements of the practice of plumbing and shall be reviewed,
revised, and updated on an annual basis by the board. The board shall
ensure that the examination passing grade reflects a minimum level of
competency.
12-155-111. [Formerly 12-58-107.5] Credit for experience
received outside of Colorado. For all applicants seeking work experience
credit toward licensure for plumbing work experience received outside of
Colorado, the board shall give credit for such work experience if the
applicant can show to the satisfaction of the board that the particular
experience is adequate to comply with the requirements of this article 155.
12-155-112. [Formerly 12-58-108] License renewal - fees -
reinstatement. (1) All license and registration renewal and renewal fees
shall be in accordance with sections 24-34-102 12-20-105 and 24-34-105,
C.R.S. 12-20-202 (1).
(2) Any license or registration that has lapsed is deemed to have
expired. Prior to reinstatement, the board is authorized to require the
licensee to demonstrate competency. Licenses and registrations shall be
renewed or reinstated pursuant to a schedule established by the director of
the division of professions and occupations within the department of
regulatory agencies and pursuant to section 24-34-102 (8), C.R.S. The
director of the division of professions and occupations within the
department of regulatory agencies may establish renewal fees and
PAGE 536-HOUSE BILL 19-1172
delinquency fees for reinstatement pursuant to section 24-34-105, C.R.S. If
a person fails to renew his or her license or registration pursuant to the
schedule established by the director of the division of professions and
occupations, the license or registration shall expire LICENSES AND
REGISTRATIONS ISSUED PURSUANT TO THIS ARTICLE 155 ARE SUBJECT TO THE
RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). Any person whose
license or registration has expired is subject to the penalties provided in this
article 155 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
12-155-113. [Formerly 12-58-110] Disciplinary action by board
- procedures - cease-and-desist orders. (1) The board may deny, suspend,
revoke, or refuse to renew any license or registration issued or applied for
under the provisions of this article 58 or place a licensee or a registrant on
probation TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED BY
SECTION 12-20-404 for any of the following reasons:
(a) Violation of any of the provisions of this article 155 OR AN
APPLICABLE PROVISION OF ARTICLE 20 OF THIS TITLE 12;
(b) Violation of the rules and regulations or orders promulgated by
the board in conformity with the provisions of this article 155 or aiding or
abetting in such violation;
(c) Failure or refusal to remove within a reasonable time the cause
for disapproval of any plumbing installation as reported on the notice of
disapproval, but such reasonable time shall include time for appeal to and
a hearing before the board;
(d) Any cause for which the issuance of the license could have been
refused had it then existed and been known to the board;
(e) Commitment of any act or omission that does not meet generally
accepted standards of plumbing practice;
(f) Conviction of or acceptance of a plea of guilty or nolo
contendere by a court to a felony. In considering the disciplinary action, the
board shall be governed by the provisions of section SECTIONS 12-20-202
(5) AND 24-5-101. C.R.S.
PAGE 537-HOUSE BILL 19-1172
(g) Advertising by any licensee or registrant which THAT is false or
misleading;
(h) Deception, misrepresentation, or fraud in obtaining or attempting
to obtain a license;
(i) Failure of any such licensee to adequately supervise an apprentice
who is working at the trade pursuant to section 12-58-117 12-155-124;
(j) Failure of any licensee to report to the board:
(I) Known violations of this article 155;
(II) Civil judgments and settlements which THAT arose from such
THE licensee's work performance;
(k) Employment of any person required by this article 155 to be
licensed or to obtain a permit who has not obtained such THE license or
permit;
(l) An alcohol use disorder, as defined in section 27-81-102, or a
substance use disorder, as defined in section 27-82-102, or excessive use of
any habit-forming drug, any controlled substance, as defined in section
18-18-102 (5), or any alcoholic beverage;
(m) Any use of a schedule I controlled substance, as defined in
section 18-18-203; C.R.S.;
(n) Disciplinary action against a license or registration in another
jurisdiction. Evidence of such THE disciplinary action is prima facie
evidence for denial of licensure or registration or other disciplinary action
if the violation would be grounds for such disciplinary action in this state.
(o) Practicing as a water conditioning contractor, water conditioning
installer, water conditioning principal, or a residential, journeyman, or
master plumber during a period when the person's license or registration has
been suspended or revoked;
(p) Selling or fraudulently obtaining or furnishing a license or
registration to practice as a residential, journeyman, or master plumber,
PAGE 538-HOUSE BILL 19-1172
water conditioning contractor, water conditioning installer, water
conditioning principal, or plumbing contractor or aiding or abetting in such
THE activity;
(q) In connection with a construction or building project requiring
the services of a person regulated by this article 155, willfully disregarding
or violating:
(I) Any building or construction law of this state or any of its
political subdivisions;
(II) Any safety or labor law;
(III) Any health law;
(IV) Any workers' compensation insurance law;
(V) Any state or federal law governing withholdings from employee
income, including, but not limited to, income taxes, unemployment taxes,
or social security taxes; or
(VI) Any reporting, notification, or filing law of this state or the
federal government.
(2) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
by the board but that should not be dismissed as being without merit, THE
BOARD MAY ISSUE AND SEND a letter of admonition may be issued and sent,
by certified mail to the A licensee UNDER THE CIRCUMSTANCES SPECIFIED IN
AND IN ACCORDANCE WITH SECTION 12-20-404 (4).
(b) When a letter of admonition is sent by the board, by certified
mail, to a licensee, such licensee shall be advised that he or she has the right
to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
PAGE 539-HOUSE BILL 19-1172
(2.5) (3) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee or registrant that could
lead to serious consequences if not corrected, THE BOARD MAY ISSUE AND
SEND a confidential letter of concern may be issued and sent to the TO A
licensee or registrant UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION
12-20-404 (5).
(3) (4) Any disciplinary action taken by the board and judicial
review of such action shall be in accordance with the provisions of SECTION
12-20-403 AND article 4 of title 24. C.R.S., and the hearing and opportunity
for review shall be conducted pursuant to said article by the board or an
administrative law judge at the board's discretion.
(4) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(5) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee or registrant
is acting in a manner that is an imminent threat to the health and safety of
the public, or a person is acting or has acted without the required license or
registration, the board may issue an order to cease and desist such activity.
The order shall set forth the statutes and rules alleged to have been violated,
the facts alleged to have constituted the violation, and the requirement that
all unlawful acts or unlicensed or unregistered practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (5), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(6) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
PAGE 540-HOUSE BILL 19-1172
such person to cease and desist from the unlawful act or unlicensed or
unregistered practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (6) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (6) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (6). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (6) does not appear at the
hearing, the board may present evidence that notification was properly sent
or served upon such person pursuant to paragraph (b) of this subsection (6)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or registration, or has or is about to engage in acts or practices
constituting violations of this article, a final cease-and-desist order may be
issued, directing such person to cease and desist from further unlawful acts
or unlicensed or unregistered practices.
PAGE 541-HOUSE BILL 19-1172
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (6), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(7) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed or unregistered act or practice, any act or practice
constituting a violation of this article, any rule promulgated pursuant to this
article, any order issued pursuant to this article, or any act or practice
constituting grounds for administrative sanction pursuant to this article, the
board may enter into a stipulation with such person.
(8) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(9) A person aggrieved by the final cease-and-desist order may seek
judicial review of the board's determination or of the board's final order as
provided in section 12-58-110.4.
(5) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-155-114. [Formerly 12-58-110.2] Reconsideration and review
of board action. The board, on its own motion or upon application, at any
time after the imposition of any discipline as provided for in section
12-58-110 12-155-113, may reconsider its prior action and reinstate or
restore such THE license or terminate probation or reduce the severity of its
prior disciplinary action. The taking of any such further action or the
holding of a hearing with respect thereto shall rest in the sole discretion of
the board.
PAGE 542-HOUSE BILL 19-1172
12-155-115. [Formerly 12-58-110.4] Judicial review. The court of
appeals shall have initial jurisdiction to review SECTION 12-20-408
GOVERNS JUDICIAL REVIEW OF all final actions and orders OF THE BOARD
that are subject to judicial review. of the board. Such proceedings shall be
conducted in accordance with section 24-4-106 (11), C.R.S.
12-155-116. [Formerly 12-58-111] License by endorsement -
rules. The board may issue a plumber's license by endorsement in this state
to any person who is licensed to practice in another jurisdiction if such THE
person presents proof satisfactory to the board that, at the time of
application for a Colorado license by endorsement, the person possesses
credentials and qualifications which THAT are substantially equivalent to
requirements in Colorado for licensure by examination. The board may
specify by rule and regulation what shall constitute substantially equivalent
credentials and qualifications and may further require a waiting period of
six months after the issuance of a license in another state before issuing a
license in Colorado.
12-155-117. [Formerly 12-58-112] Temporary permits - rules.
(1) The board or its authorized agent may issue a temporary permit to
engage in the work of a journeyman plumber or a residential plumber to any
applicant who has furnished satisfactory evidence to the board that he OR
SHE has the required experience to qualify for the examination, as provided
in the rules and regulations promulgated by the board, and who has applied
for an examination to entitle him OR HER to such THE license.
(2) Such THE permits shall be issued only upon payment of a fee
established by the board and may be revoked by the board at any time.
(3) Any permit issued pursuant to this section shall expire no later
than thirty days after the date of the examination for which the applicant has
applied or upon written notice by the board of the results of the
examination, whichever date is earlier. No permit shall be issued pursuant
to this section to any person who has twice previously failed an examination
or who has received two temporary permits.
(4) Notwithstanding the requirements set forth in section 12-58-107
(1) 12-155-108 (3), a temporary master permit may be issued to an existing
plumbing contractor who has lost the services of his OR HER master plumber
for completion of a current project underway as long as he OR SHE has a
PAGE 543-HOUSE BILL 19-1172
journeyman plumber in his OR HER full-time employ. This THE PERMIT shall
only be valid until the next regularly scheduled examination.
12-155-118. [Formerly 12-58-113] Exemptions. (1) Any person
selling or dealing in plumbing materials or supplies, but not engaged in the
installation, alteration, repairing, or removal of plumbing, shall not be
required to employ or have a licensed plumber in charge.
(2) Nothing in this article 155 shall be construed to require any
individual to hold a license to perform plumbing work on his OR HER own
property or residence, nor shall it prevent a person from employing an
individual on either a full- or a part-time basis to do routine repair,
maintenance, and replacement of sinks, faucets, drains, showers, tubs,
toilets, and domestic appliances and equipment equipped with backflow
preventers; except that, if such property or residence is intended for sale or
resale by a person engaged in the business of constructing or remodeling
such THE facilities or structures or is rental property which THAT is occupied
or is to be occupied by tenants for lodging, either transient or permanent, or
is a commercial or industrial building, the owner shall be responsible for
and the property shall be subject to all of the provisions of this article 155
pertaining to licensing, unless specifically exempted therein.
(3) Nothing in this article 155 shall be construed to apply to the
manufacture of housing which THAT is subject to the provisions of part 7 of
article 32 of title 24 C.R.S., or the installation of individual residential or
temporary construction units of manufactured housing water and sewer
hookups inspected pursuant to section 12-58-104 12-155-105.
(4) Persons who are engaged in the business of inspecting, testing,
and repairing backflow prevention devices shall be exempt from licensure
under this article 155, except when such THE persons engage in the
installation and removal of such THE devices.
(5) Nothing in this article 155 shall be construed to require either
that employees of the federal government who perform plumbing work on
federal property shall be required to be licensed before doing plumbing
work on such THE property or that the plumbing work performed on such
THE property shall be regulated pursuant to this article 155.
(6) (a) Nothing in this article 155 requires a plumbing license,
PAGE 544-HOUSE BILL 19-1172
registration, or permit to perform:
(I) The installation, extension, alteration, or maintenance, including
the related water piping and the indirect waste piping, of domestic
appliances equipped with backflow preventers, including lawn sprinkling
systems; residential ice makers, humidifiers, electrostatic filter washers, or
water heating appliances; building heating appliances and systems; fire
protection systems except for multipurpose residential fire sprinkler systems
in one- and two-family dwellings and townhouses that are part of the
potable water supply; air conditioning installations; process and industrial
equipment and piping systems; or indirect drainage systems not a part of a
sanitary sewer system; or
(II) The repair and replacement of garbage disposal units and
dishwashers directly connected to the sanitary sewer system, including the
necessary replacement of all tail pipes and traps, or the repair, maintenance,
and replacement of sinks, faucets, drains, showers, tubs, and toilets.
(b) Notwithstanding paragraph (a) of this subsection (6) SUBSECTION
(6)(a) OF THIS SECTION, "plumbing" does not include:
(I) Installations, extensions, improvements, remodeling, additions,
and alterations in water and sewer systems owned or acquired by counties
pursuant to article 20 of title 30, C.R.S., cities and towns pursuant to article
35 of title 31, C.R.S., or water and sanitation districts pursuant to article 1
or article 4 of title 32; C.R.S.;
(II) Installations, extensions, improvements, remodeling, additions,
and alterations performed by contractors employed by counties, cities,
towns, or water and sewer districts that connect to the plumbing system
within a property line; or
(III) Performance, location, construction, alteration, installation, and
use of on-site wastewater treatment systems pursuant to article 10 of title 25
C.R.S., which THAT are located within a property line.
12-155-119. [Formerly 12-58-114.2] Plumbing inspectors -
qualifications. (1) The director of the division of professions and
occupations is authorized to appoint or employ competent persons licensed
under this article 155 as journeyman or master plumbers as state plumbing
PAGE 545-HOUSE BILL 19-1172
inspectors.
(2) Such THE inspectors may be employed either on a full-time or
on a part-time basis as the circumstances in each case warrant. State
plumbing inspectors have the right of ingress and egress to and from all
public and private premises during reasonable working hours where this
article 155 applies for the purpose of making plumbing inspections or
otherwise determining compliance with the provisions of this article 155.
(3) (a) Beginning July 1, 2014, persons licensed under this article
155 or who are certified as residential plumbing inspectors by a nationally
recognized model code organization are authorized to inspect residential
plumbing. Any newly hired inspectors not licensed under this article 155 or
certified by a nationally recognized model code organization have one year
from the date of hire to acquire the necessary license or certification or meet
the hiring requirements of the hiring authority, whichever is more stringent.
(b) Beginning July 1, 2014, persons licensed under this article 155
or who are certified as commercial plumbing inspectors by a nationally
recognized model code organization are authorized to inspect commercial
plumbing. Any newly hired inspectors not licensed under this article 155 or
certified by a nationally recognized model code organization have one year
from the date of hire to acquire the necessary license or certification or meet
the hiring requirements of the hiring authority, whichever is more stringent.
(4) (a) Plumbing inspectors performing inspections who are
employed by a qualified state institution of higher education shall be
certified as commercial plumbing inspectors by a nationally recognized
model code organization and possess a valid journeyman or master plumber
license issued by the state. In addition, such THE plumbing inspectors shall
possess the same qualifications required of state plumbing inspectors under
this article 155, shall be registered with the board prior to the assumption
of their duties, shall not inspect any plumbing work in which the inspector
has any financial or other personal interest, and shall not be engaged in the
plumbing business by contracting, supplying material, or performing
plumbing work as defined in this article 155. In addition, any such A
plumbing inspector inspecting a medical gas installation shall hold the
national inspection certification ASSE 6020 or recognized equivalent.
(b) As part of their duties, plumbing inspectors performing
PAGE 546-HOUSE BILL 19-1172
inspections who are employed by a qualified state institution of higher
education have the authority to verify the plumbing licenses or
apprenticeship registration cards issued by the state for those people
performing the plumbing work on a project.
12-155-120. [Formerly 12-58-114.5] Inspection - application -
standards. (1) Any plumbing or gas piping installation in any new
construction or remodeling or repair, other than manufactured units
inspected in accordance with the provisions of part 7 of article 32 of title
24, C.R.S., except for such THE new construction or remodeling or repair
in any incorporated town or city, county, city and county, or in a building
owned or leased or on land owned by a qualified state institution of higher
education where such THE local entity or qualified state institution of higher
education conducts inspections and issues permits, must be inspected by a
state plumbing inspector. A state plumbing inspector shall inspect any new
construction, remodeling, or repair subject to the provisions of this
subsection (1) within three working days after the receipt of the application
for inspection. Prior to the commencement of any such plumbing or gas
piping installation, the person making such THE installation shall apply for
a permit and pay the required fee. Every mobile home or movable structure
owner shall have the plumbing and gas piping hookup for such THE mobile
home or movable structure inspected prior to obtaining new or different
plumbing or gas service. A qualified state institution of higher education
with a building department that meets or exceeds the minimum standards
adopted by the board under this article 155 shall process applications for
permits and inspections only from the institution and from contractors
working for the benefit of the institution, and shall conduct inspections only
of work performed for the benefit of the institution. Each inspection must
include a contemporaneous review to ensure that the requirements of
section 12-58-105 12-155-108 have been met. A qualified state institution
of higher education shall enforce standards that are at least as stringent as
any minimum standards adopted by the board.
(2) A state plumbing inspector shall inspect the work performed,
and, if such THE work meets the minimum standards set forth in the
Colorado plumbing code referred to in section 12-58-104.5 12-155-106, a
certificate of approval shall be issued by the inspector. If such THE
installation is disapproved, written notice thereof together with the reasons
for such THE disapproval shall be given by the inspector to the applicant. If
such THE installation is hazardous to life or property, the inspector
PAGE 547-HOUSE BILL 19-1172
disapproving it may order the plumbing or gas service thereto discontinued
until such THE installation is rendered safe. The applicant may appeal such
THE disapproval to the board and shall be granted a hearing by the board
within seven days after notice of appeal is filed with the board. After
removal of the cause of such THE disapproval, the applicant shall make
application for reinspection in the same manner as for the original
inspection and pay the required reinspection fee.
(3) (a) All inspection permits issued by the board are valid for a
period of twelve months. The board shall close a permit and mark its status
as "expired" at the end of the twelve-month renewal period, except in the
following circumstances:
(I) If an applicant makes a showing at the time of application for a
permit that the plumbing or gas piping work is substantial and is likely to
take longer than twelve months, the board may issue a permit to be valid for
a period longer than twelve months, but not exceeding three years.
(II) If the applicant notifies the board prior to the expiration of the
twelve-month period of extenuating circumstances, as determined by the
board, during the twelve-month period, the board may extend the validity
of the permit for a period not to exceed six months.
(b) If an inspection is requested by an applicant after a permit has
expired or has been cancelled, a new permit must be applied for and granted
before an inspection is performed.
(4) Each application, certificate of approval, and notice of
disapproval shall contain the name of the property owner, if known, the
location and a brief description of the installation, the name of the general
contractor if any, the name of the plumbing contractor or licensed plumber
and state license number in the case of any plumbing installation, the name
of the installer in the case of any liquefied petroleum gas piping installation,
the state plumbing inspector, and the inspection fee charged for the
inspection. The original of a notice of disapproval and written reasons for
disapproval and corrective actions to be taken shall be mailed to the board,
and a copy of such THE notice shall be mailed to the plumbing contractor in
the case of any plumbing installation or the installer in the case of any
liquefied petroleum gas piping installation, within two working days after
the date of inspection, and a copy of the notice shall be posted at the
PAGE 548-HOUSE BILL 19-1172
installation site. Such THE forms shall be furnished by the board, and a copy
of each application, certificate, and notice made or issued shall be filed with
the board.
(5) Notwithstanding the fact that any incorporated town or city, any
county, or any city and county in which a public school is located or is to be
located has its own plumbing code and inspection authority, any plumbing
or gas piping installation in any new construction or remodeling or repair
of a public school shall be inspected by a state plumbing inspector.
(6) If an incorporated town or city, county, city and county, or
qualified state institution of higher education intends to commence or cease
performing plumbing or gas piping inspections in its respective jurisdiction,
or for its buildings owned or leased or on its land, written notice of such
intent must be given to the board.
(7) (a) Any person claiming to be aggrieved by the failure of a state
plumbing inspector to inspect his OR HER property after proper application
or by notice of disapproval without setting forth the reasons for denying the
inspection permit may request the program administrator to review the
actions of the plumbing inspector or the manner of the inspection. Such THE
request may be made by his THE PERSON'S authorized representative and
shall be in writing.
(b) Upon the filing of such a THE request, the program administrator
shall cause a copy thereof to be served upon the state plumbing inspector
complained of, together with an order requiring such THE inspector to
answer the allegations of said THE request within a time fixed by the
program administrator.
(c) If the request is not granted within ten days after it is filed, it
may be treated as rejected. Any person aggrieved by the action of the
program administrator in refusing the review requested or in failing or
refusing to grant all or part of the relief requested may file a written
complaint and request for a hearing with the board, specifying the grounds
relied upon.
(d) Any hearing before the board shall be held pursuant to the
provisions of section 24-4-105. C.R.S.
PAGE 549-HOUSE BILL 19-1172
(8) (a) If an incorporated town or city, county, city and county, or
qualified state institution of higher education intends to commence or cease
performing plumbing inspections in its jurisdiction or for the buildings
owned or leased by or on land of a qualified state institution of higher
education, it shall commence or cease the same only as of July 1 of any
year, and written notice of such intent must be given to the board on or
before October 1 of the preceding calendar year. If such notice is not given
and the use of state plumbing inspectors is required within the respective
jurisdiction or building affected by the notice requirement, the respective
local government or qualified state institution of higher education of the
respective jurisdiction or building requiring such inspections shall
reimburse the board for any expenses incurred in performing such
inspections, in addition to transmitting the required permit fees.
(b) Repealed.
(9) A qualified state institution of higher education may choose not
to require fees as part of the permitting process. A documented permitting
and inspection system must be instituted by each qualified state institution
of higher education as a tracking system that is available to the board for the
purpose of investigating any alleged violation of this article 155. The
permitting and inspection system must include information specifying the
project, the name of the inspector, the date of the inspection, the job site
address, the scope of the project, the type of the inspection, the result of the
inspection, the reason and applicable code sections for partially passed or
failed inspections, and the names of the contractors on the project who are
subject to inspection.
12-155-121. [Formerly 12-58-115] Municipal and county
regulations. (1) Any city, town, county, or city and county of this state may
provide for the licensing of plumbing contractors or water conditioning
contractors. Contractors who obtain local licensing must also register with
the board in accordance with section 12-58-105 12-155-108.
(2) A local government agency shall not promulgate rules or
regulations or provide for licenses that would preclude the holder of a valid
license or registration issued under this article 155 from practicing the
holder's trade.
12-155-122. [Formerly 12-58-116] Unauthorized practice -
PAGE 550-HOUSE BILL 19-1172
penalties.
(1) Repealed.
(2) (1) Any person who engages in or works at or offers or attempts
to engage in or work at the business, trade, or calling of a residential,
journeyman, master, or apprentice plumber without an active license,
permit, or registration issued under this article commits a class 2
misdemeanor and shall be punished as provided in section 18-1.3-501,
C.R.S., for the first offense, and for the second or any subsequent offense,
the person commits a class 6 felony and shall be punished as provided in
section 18-1.3-401, C.R.S. 155 IS SUBJECT TO PENALTIES PURSUANT TO
SECTION 12-20-407 (1)(a).
(3) (2) Effective April 1, 2016, a person who engages in or works
at or offers or attempts to engage in or work at the business, trade, or calling
of a water conditioning contractor, water conditioning installer, or water
conditioning principal without an active registration issued under this article
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 155 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a); except that nothing in
this subsection (3) (2) limits the ability of a licensed residential,
journeyman, or master plumber, a plumbing apprentice, or a registered
plumbing contractor to practice within his or her respective area as
authorized by this article 155 with regard to water conditioning appliances.
12-155-123. [Formerly 12-58-116.5] Violation - fines - rules.
(1) (a) If the board concludes that any licensee, registrant, or applicant for
licensure has violated any provision of section 12-58-110 12-155-113 and
that disciplinary action is appropriate, the program administrator or the
program administrator's designee may issue a citation in accordance with
subsection (2.5) (3) of this section to such THE licensee, registrant, or
applicant.
(b) (I) The licensee, registrant, or applicant to whom a citation has
been issued may make a request to negotiate a stipulated settlement
agreement with the program administrator or the program administrator's
designee, if such THE request is made in writing within ten working days
PAGE 551-HOUSE BILL 19-1172
after issuance of the citation which THAT is the subject of the settlement
agreement.
(II) All stipulated settlement agreements shall be conducted pursuant
to rules adopted by the board pursuant to section 12-58-104 (1)(d)
12-155-105 (1)(e). The board shall adopt a rule to allow any licensee,
registrant, or applicant unable, in good faith, to settle with the program
administrator to request an administrative hearing pursuant to paragraph (c)
of this subsection (1) SUBSECTION (1)(c) OF THIS SECTION.
(III) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(c) (I) The licensee, registrant, or applicant to whom a citation has
been issued may request an administrative hearing to determine the
propriety of such THE citation if such THE request is made in writing within
ten working days after issuance of the citation which THAT is the subject of
the hearing or within a reasonable period after negotiations for a stipulated
settlement agreement pursuant to paragraph (b) of this subsection (1)
SUBSECTION (1)(b) OF THIS SECTION have been deemed futile by the
program administrator.
(II) For good cause the board may extend the period of time in
which a person who has been cited may request a hearing.
(III) All hearings conducted pursuant to subparagraph (I) of this
paragraph (c) SUBSECTION (1)(c)(I) OF THIS SECTION shall be conducted in
compliance with section 24-4-105.C.R.S.
(d) Any action taken by the board pursuant to this section shall be
deemed final after the period of time extended to the licensee, registrant, or
applicant to contest such THE action pursuant to this subsection (1) has
expired.
(2) (a) The board shall adopt a schedule of fines pursuant to
paragraph (b) of this subsection (2) SUBSECTION (2)(b) OF THIS SECTION as
penalties for violating section 12-58-110. Such 12-155-113. THE fines shall
be assessed in conjunction with the issuance of a citation, pursuant to a
PAGE 552-HOUSE BILL 19-1172
stipulated settlement agreement, or following an administrative hearing.
Such schedule shall be adopted by rule in accordance with section
12-58-104 (1)(d) 12-155-105 (1)(e).
(b) In developing the schedule of fines, the board shall:
(I) Provide that a first offense may carry a fine of up to one thousand
dollars;
(II) Provide that a second offense may carry a fine of up to two
thousand dollars;
(III) Provide that any subsequent offense may carry a fine of up to
two thousand dollars for each day that any provision of section 12-58-110
12-155-113 is violated;
(IV) Consider how the violation impacts the public, including any
health and safety considerations;
(V) Consider whether to provide for a range of fines for any
particular violation or type of violation; and
(VI) Provide uniformity in the fine schedule.
(2.5) (3) (a) (I) Any citation issued pursuant to this section shall be
in writing, shall adequately describe the nature of the violation, and shall
reference the statutory or regulatory provision or order alleged to have been
violated.
(II) Any citation issued pursuant to this section shall clearly state
whether a fine is imposed, the amount of such THE fine, and that payment
for such THE fine must be remitted within the time specified in such THE
citation if such THE citation is not contested pursuant to subsection (1) of
this section.
(III) Any citation issued pursuant to this section shall clearly set
forth how such THE citation may be contested pursuant to subsection (1) of
this section, including any time limitations.
(b) A citation or copy of a citation issued pursuant to this section
PAGE 553-HOUSE BILL 19-1172
may be served by certified mail or in person by a program administrator or
the administrator's designee upon a person or the person's agent in
accordance with C.R.C.P. 4 RULE 4 OF THE COLORADO RULES OF CIVIL
PROCEDURE.
(c) If the recipient fails to give written notice to the board that the
recipient intends to contest such THE citation or to negotiate a stipulated
settlement agreement within ten working days after service of a citation by
the board, such THE citation shall be deemed a final order of the board.
(d) The board may suspend or revoke a license or registration or
may refuse to renew any license or registration issued or may place on
probation any licensee or registrant TAKE DISCIPLINARY ACTION AS
SPECIFIED IN SECTION 12-20-404 (1)(b) OR (1)(d) if the licensee or registrant
fails to comply with the requirements set forth in a citation deemed final
pursuant to paragraph (c) of this subsection (2.5) SUBSECTION (3)(c) OF THIS
SECTION.
(e) The failure of an applicant for licensure to comply with a citation
deemed final pursuant to paragraph (c) of this subsection (2.5) SUBSECTION
(3)(c) OF THIS SECTION is grounds for denial of a license.
(f) No citation may be issued under this section unless the citation
is issued within the six-month period following the occurrence of the
violation.
(3) All fines shall be imposed in accordance with the provisions of
section 24-4-105, C.R.S.
(4) (a) Any fine collected pursuant to this section shall be
transmitted to the state treasurer, who shall credit one-half of the amount of
any such THE fine to the general fund, and one-half of the amount of any
such THE fine shall be shared with the appropriate city, town, county, or city
and county, which amounts shall be transmitted to any such THE entity on
an annual basis.
(b) Any fine assessed in a citation or an administrative hearing or
any amount due pursuant to a stipulated settlement agreement that is not
paid may be collected by the program administrator through a collection
agency or in an action in the district court of the county in which the person
PAGE 554-HOUSE BILL 19-1172
against whom the fine is imposed resides or in the county in which the
office of the program administrator is located.
(c) The attorney general shall provide legal assistance and advice to
the program administrator in any action to collect an unpaid fine.
(d) In any action brought to enforce this subsection (4), reasonable
attorney fees and costs shall be awarded.
12-155-124. [Formerly 12-58-117] Apprentices. (1) Any person
may work as a plumbing apprentice for a registered plumbing contractor but
shall not do any plumbing work for which a license is required pursuant to
this article 155 except under the supervision of a licensed plumber.
Supervision requires that a licensed plumber supervise apprentices at the
job site. One licensed journeyman plumber, master plumber, or residential
plumber shall not supervise more than three apprentice plumbers at the
same job site.
(2) Any master, journeyman, or residential plumber who is the
supervisor of any plumbing apprentice shall be responsible for the work
performed by such THE apprentice. The license of any plumber may be
revoked, suspended, or denied under the provisions of section 12-58-110
12-155-113 for any improper work performed by a plumbing apprentice
while under the supervision of such THE licensee.
ARTICLE 160
Private Investigators
12-160-101. [Formerly 12-58.5-101] Short title. THE SHORT TITLE
OF this article shall be known and may be cited as 160 IS the "Private
Investigators Licensure Act".
12-160-102. [Formerly 12-58.5-102] Legislative declaration.
(1) The general assembly hereby finds and declares that:
(a) Private investigators often perform investigations of a sensitive
nature, delving into matters impacting personal privacy;
(b) While most private investigators perform investigations in an
ethical and professional manner, lack of mandatory regulation of private
PAGE 555-HOUSE BILL 19-1172
investigators in this state permits any person, regardless of his or her
criminal history or knowledge of laws impacting private investigations, to
present himself or herself to the public as a private investigator and perform
private investigations for others;
(c) Imposing mandatory regulation on private investigators
conducting private investigations in this state is necessary to protect
consumers by ensuring private investigators have the appropriate
knowledge and ability to perform investigations in an ethical and
professional manner;
(d) Balancing consumer protection with the interests of private
businesses and individuals desiring to engage in the private investigation
profession is likewise important;
(e) It is in the interests of consumers and private investigators for the
state to develop the appropriate level of regulation of private investigators
that protects consumers without creating unnecessary barriers to entry into
the profession.
(2) The general assembly therefore finds that in order to protect the
citizens of the state and to ensure that needless requirements are not
imposed that restrict access into the profession, it is important to create the
licensure program established in this article 160 to require private
investigators to obtain a state-issued license to conduct private
investigations in this state.
(3) The general assembly further finds that:
(a) The number of private investigators licensed under the "Private
Investigators Voluntary Licensure Act", enacted by House Bill 11-1195 in
2011, which allows private investigators the option to obtain a state-issued
license, is insufficient to justify continuing the voluntary program;
(b) The voluntary licensure program is currently operating at a loss
as the license fees based on the number of licensees are inadequate to fully
fund the program, and increasing the fees to a level that would sustain the
program results in unaffordable fees, and consequently, fewer and fewer
private investigators are participating in the voluntary program;
PAGE 556-HOUSE BILL 19-1172
(c) While the voluntary program is unsustainable, it is important to
protect consumers by establishing minimum standards for and requirements
for licensure of private investigators;
(d) By repealing the voluntary program and replacing it with a
mandatory licensure program, the intent is to continue regulating private
investigators operating in this state to ensure private investigators are
engaging in the profession in an ethical manner and have the appropriate
knowledge and ability to perform investigations;
(e) As the mandatory program will regulate the same types of
professionals who could have chosen to be regulated under the voluntary
program, it is appropriate that private investigators licensed under the
mandatory program share in the repayment of the deficit that resulted from
the voluntary program; and
(f) To avoid cost-prohibitive license fees, it is the intent of the
general assembly for the division to spread the repayment of the deficit
generated by the voluntary program over the life of the new mandatory
program, which is scheduled to repeal on September 1, 2020.
12-160-103. Applicability of common provisions. ARTICLES 1 AND
20 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS ARTICLE
160.
12-160-104. [Formerly 12-58.5-103] Definitions. As used in this
article 160, unless the context otherwise requires:
(1) "Applicant" means a private investigator who applies for an
initial or renewal license pursuant to this article.
(2) "Director" means the director of the division or the director's
designee.
(3) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(4) (1) "Licensee" means a private investigator licensed by the
director pursuant to this article 160 as a level I or level II private
investigator.
PAGE 557-HOUSE BILL 19-1172
(5) (2) "Private investigation" means undertaking an investigation
for the purpose of obtaining information for others pertaining to:
(a) A crime, wrongful act, or threat against the United States or any
state or territory of the United States;
(b) The identity, reputation, character, habits, conduct, business
occupation, honesty, integrity, credibility, knowledge, trustworthiness,
efficiency, loyalty, activity, movements, whereabouts, affiliations,
associations, or transactions of a person, group of persons, or organization;
(c) The credibility of witnesses or other persons;
(d) The whereabouts of missing persons;
(e) The determination of the owners of abandoned property;
(f) The causes and origin of, or responsibility for, libel, slander, a
loss, an accident, damage, or an injury to a person or to real or personal
property;
(g) The business of securing evidence to be used before an
investigatory committee, board of award or arbitration, administrative body,
or officer or in the preparation for or in a civil or criminal trial;
(h) The business of locating persons who have become delinquent
in their lawful debts, when the private investigator locating the debtor is
hired by an individual or collection agency;
(i) The location or recovery of lost or stolen property;
(j) The affiliation, connection, or relationship of any person, firm,
or corporation with any organization, society, or association or with any
official, representative, or member of an organization, society, or
association;
(k) The conduct, honesty, efficiency, loyalty, or activities of
employees, persons seeking employment, agents, contractors, or
subcontractors; or
PAGE 558-HOUSE BILL 19-1172
(l) The identity of persons suspected of crimes or misdemeanors.
(6) (3) "Private investigator" or "private detective" means a natural
person who, for a fee, reward, compensation, or other consideration,
engages in business or accepts employment to conduct private
investigations.
12-160-105. [Formerly 12-58.5-104] Licensure - title protection
- unauthorized practice - penalty. (1) (a) By June 1, 2015, a private
investigator conducting private investigations in this state is required to
meet the qualifications set forth in section 12-58.5-106 12-160-107 and to
obtain a license from the director.
(b) Only a private investigator who obtains a license pursuant to
section 12-58.5-106 12-160-107 may present himself or herself as or use the
title of a "licensed private investigator", "private investigator", "licensed
private detective", or "private detective".
(c) Repealed.
(2) [Relocated to 12-20-407 (1)(b)]
ANY PERSON WHO CONDUCTS PRIVATE INVESTIGATIONS OR PRESENTS
HIMSELF OR HERSELF AS OR USES THE TITLE "PRIVATE INVESTIGATOR",
"PRIVATE DETECTIVE", "LICENSED PRIVATE DETECTIVE", OR "LICENSED
PRIVATE INVESTIGATOR" WITHOUT AN ACTIVE LICENSE ISSUED UNDER THIS
ARTICLE 160 IS SUBJECT TO PENALTIES PURSUANT TO SECTION 12-20-407
(1)(b).
12-160-106. [Formerly 12-58.5-105] Exemptions. (1) This article
58.5 160 does not apply to:
(a) A collection agency or consumer reporting agency, as defined in
section 5-16-103 (3) and (6), respectively;
(b) A person conducting an investigation on the person's own behalf,
or an employee of an employer conducting an internal investigation on
behalf of his or her employer;
(c) An attorney licensed to practice law in this state, an employee of
PAGE 559-HOUSE BILL 19-1172
a licensed attorney, or a person under contract to perform paralegal services
for a licensed attorney;
(d) A certified peace officer of a law enforcement agency operating
in his or her official capacity;
(e) (I) A certified public accountant certified or authorized to
provide accounting services in the state pursuant to article 2 100 of this title
12;
(II) An employee of a certified public accountant;
(III) An employee or affiliate of an accounting firm registered
pursuant to section 12-2-117 12-100-114; or
(IV) A person who conducts forensic accounting, fraud
investigations, or other related analysis of financial transactions based on
information that is either publicly available or provided by clients or other
third parties and who is:
(A) An accountant or public accountant who is not regulated by the
state;
(B) A certified fraud examiner; or
(C) An employee or independent contractor under the guidance of
an accountant, public accountant, or certified fraud examiner;
(f) A person who aggregates public records and charges a fee for
accessing the aggregated public records data;
(g) A person employed by an insurance company who is conducting
A claims adjustment or claims investigation for the purposes of an insurance
claim;
(h) An investigator employed or contracted by a public or
governmental agency;
(i) A journalist or genealogist;
PAGE 560-HOUSE BILL 19-1172
(j) A person serving process within the state, performing his or her
duties in compliance with the Colorado or federal rules of civil procedure
or in accordance with applicable foreign state court rules or laws pertaining
to service of foreign process within this state, or performing any task
associated with effecting service of process, all of which includes inquiries
related to effecting proper service of process and resulting supporting
proofs, declarations, affidavits of service, or declarations or affidavits of
due diligence to support alternative methods of service of process; except
that a process server who performs private investigations outside the efforts
to effect service of process is not exempt from the licensing requirements
of this article 160 and must obtain a license under this article 160 in order
to lawfully perform those private investigations;
(k) A person attempting to recover a fugitive when that person
furnished bail and is licensed under article 2 or 23 of title 10 or is acting
pursuant to a contract with or at the request of a person who furnished bail;
(l) An owner, employee, or independent contractor of an agency
conducting an investigation to determine the origin and cause of a fire or
explosion;
(m) An owner, employee, or independent contractor of an agency
conducting an investigation for cause analysis or failure analysis where the
investigation is conducted by an engineer licensed pursuant to part 1 2 of
article 25 120 of this title 12 acting within his or her area of expertise and
within the scope of the practice of engineering; or
(n) Any other person licensed under this title 12 who is practicing
within the scope of his or her practice as defined in this title 12.
12-160-107. [Formerly 12-58.5-106] Private investigator licenses
- qualifications - fees - renewal - rules. (1) A private investigator
applying for a license pursuant to this section must satisfy the requirements
of the particular license for which application is made. The director may
issue the following types of licenses to applicants who, upon application in
the form and manner determined by the director, payment of the required
fee, and satisfaction of the requirements of subsection (2) of this section,
provide evidence satisfactory to the director that the applicant satisfies the
qualifications for the particular license as follows:
PAGE 561-HOUSE BILL 19-1172
(a) Level I private investigator license. An applicant for a level I
private investigator license must:
(I) Be at least twenty-one years of age;
(II) Be lawfully present in the United States; and
(III) Demonstrate knowledge and understanding of the laws and
rules affecting the ethics and activities of private investigators in this state
by passing a jurisprudence examination developed and approved by the
director.
(b) Level II private investigator license. An applicant for a level
II private investigator license must:
(I) Satisfy the requirements for a level I private investigator license;
and
(II) Have an amount of verifiable, applicable experience as a private
investigator or equivalent experience with a local, state, or federal law
enforcement agency, military police, the federal bureau of investigation, or
other equivalent experience. The director shall determine, by rule, the
amount and type of experience, which may include postsecondary
education, completion of approved certificate programs, or such other
experience the director deems appropriate, an applicant must have to satisfy
the requirements of this section.
(2) In addition to the requirements of subsection (1) of this section,
each applicant for a level I or level II private investigator license must have
his or her fingerprints taken by a local law enforcement agency or any third
party approved by the Colorado bureau of investigation for the purpose of
obtaining a fingerprint-based criminal history record check. If an approved
third party takes the person's fingerprints, the fingerprints may be
electronically captured using Colorado bureau of investigation-approved
livescan equipment. Third-party vendors shall not keep the applicant
information for more than thirty days unless requested to do so by the
applicant. The applicant shall submit payment by certified check or money
order for the fingerprints and for the actual costs of the record check at the
time the fingerprints are submitted to the Colorado bureau of investigation.
Upon receipt of fingerprints and receipt of the payment for costs, the
PAGE 562-HOUSE BILL 19-1172
Colorado bureau of investigation shall conduct a state and national
fingerprint-based criminal history record check utilizing records of the
Colorado bureau of investigation and the federal bureau of investigation and
shall forward the results of the criminal history record check to the director.
(3) An applicant for licensure under this section shall pay license,
renewal, and reinstatement fees established by the director pursuant to
section 24-34-105, C.R.S. A licensee must renew his or her license in
accordance with a schedule established by the director pursuant to section
24-34-102 (8), C.R.S. If a licensee fails to renew his or her license pursuant
to the schedule established by the director, the license expires, and the
person shall not conduct private investigations in this state until the person
pays the appropriate fees to reinstate the license and the director reinstates
the license LICENSES ISSUED PURSUANT TO THIS ARTICLE 160 ARE SUBJECT
TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). A person whose
license expires and who continues to do business as a private investigator
is subject to the penalties provided in this article 160 and section 24-34-102
(8), C.R.S. 12-20-202 (1).
12-160-108. [Formerly 12-58.5-107] Surety bond required - rules.
A licensee shall not engage in private investigation activities unless the
licensee posts and maintains, or is covered by, a surety bond in an amount
determined by the director by rule.
12-160-109. [Formerly 12-58.5-108] Director's powers and duties
- consult with stakeholders - rules. (1) The director may consult with
private investigators, law enforcement, consumer groups, victim advocacy
groups, civil liberties groups, and other stakeholders to obtain
recommendations and feedback concerning:
(a) The regulation of private investigators;
(b) Privacy laws and issues, new or changing technology, and the
impact of new or changing technology on privacy; and
(c) Any continuing education that may be necessary to ensure
private investigators maintain knowledge and understanding of laws and
rules affecting the practice, particularly those concerning privacy issues and
new or changing technology. If a stakeholder group recommends that
PAGE 563-HOUSE BILL 19-1172
continuing education requirements be imposed, nothing in this paragraph
(c) SUBSECTION (1)(c) abrogates the requirements of section 24-34-901,
C.R.S., and the director is not authorized to impose, by rule or otherwise,
any continuing education requirements absent an enactment of a bill
imposing continuing education requirements or authorizing the director to
establish continuing education requirements.
(2) In addition to all other powers and duties conferred or imposed
upon the director by this article 160 or by any other law, the director may:
(a) Promulgate rules pursuant to section 24-4-103, C.R.S.,
12-20-204 to implement this article 160, including rules to:
(I) Establish the form and manner for applying for a license under
this article 160;
(II) Specify the requirements for satisfying the experience
component for obtaining a level II private investigator license pursuant to
section 12-58.5-106 (1)(b) 12-160-107 (1)(b)(II);
(III) Define generally accepted standards of the practice of private
investigations;
(IV) Set the amount of the surety bond required by section
12-58.5-107 12-160-108; and
(V) Address any other matters determined necessary by the director
to implement this article 160;
(b) Develop and conduct or contract for examinations as required by
this article 160;
(c) Review and grant or deny applications for new or renewal
licenses as provided in this article 160; and
(d) Establish fees for the issuance of a new license and for each
license renewal pursuant to section 24-34-105, C.R.S. SECTIONS 12-20-105
AND 12-20-202 (1).
12-160-110. [Formerly 12-58.5-109] Disciplinary actions -
PAGE 564-HOUSE BILL 19-1172
grounds for discipline - rules - cease-and-desist orders. (1) The director
may deny, suspend, or revoke a license, place an applicant or licensee on
probation, or issue a letter of admonition to TAKE DISCIPLINARY OR OTHER
ACTION AS AUTHORIZED IN SECTION 12-20-404 AGAINST an applicant or
licensee if the applicant or licensee:
(a) Violates any order of the director, any provision of this article
160, AN APPLICABLE PROVISION OF ARTICLE 20 OF THIS TITLE 12, or any rule
adopted under this article 160;
(b) Fails to meet the requirements of section 12-58.5-106
12-160-107 or uses fraud, misrepresentation, or deceit in applying for or
attempting to apply for a license;
(c) Is convicted of or has entered a plea of guilty or nolo contendere
to a felony; to an offense, the underlying factual basis of which has been
found by the court to involve unlawful sexual behavior, domestic violence,
as defined in section 18-6-800.3 (1), C.R.S., or stalking, as defined in
section 18-3-602; C.R.S.; or to violation of a protection order, as defined in
section 18-6-803.5. C.R.S. In considering the disciplinary action, the
director is governed by section SECTIONS 12-20-202 (5) AND 24-5-101
C.R.S., in considering the conviction or plea.
(d) Has failed to report to the director the conviction of or plea to a
crime specified in paragraph (c) of this subsection (1) SUBSECTION (1)(c) OF
THIS SECTION;
(e) Advertises or presents himself or herself as a licensed private
investigator without holding an active license;
(f) Has been subject to discipline related to the practice of private
investigations in another jurisdiction. Evidence of disciplinary action in
another jurisdiction is prima facie evidence for denial of a license or other
disciplinary action if the violation would be grounds for disciplinary action
in this state.
(g) Commits an act or omission that fails to meet generally accepted
standards of the practice of private investigations; or
(h) Fails to comply with surety bond requirements as specified in
PAGE 565-HOUSE BILL 19-1172
section 12-58.5-107 12-160-108.
(2) The director may adopt rules establishing fines that he or she
may impose on a licensee. The rules must include a graduated fine structure,
with a maximum allowable fine of not more than three thousand dollars per
violation. The director shall transmit any fines he or she collects from a
licensee to the state treasurer for deposit in the general fund.
(3) The director need not find that the actions that are grounds for
discipline were willful but may consider whether the actions were willful
when determining the nature of disciplinary sanctions to impose.
(4) (a) The director may commence a proceeding to discipline a
licensee when the director has reasonable grounds to believe that the
licensee has committed an act or omission specified in this section.
(b) In any proceeding held under this section, the director may
accept as evidence of grounds for disciplinary action any disciplinary action
taken against a licensee in another jurisdiction if the violation that prompted
the disciplinary action in the other jurisdiction would be grounds for
disciplinary action under this article 160.
(5) The director shall conduct SECTION 12-20-403 GOVERNS
disciplinary proceedings, in accordance with article 4 of title 24, C.R.S. The
director or an administrative law judge appointed by the director pursuant
to paragraph (c) of subsection (6) of this section shall conduct the hearing
and opportunity for review pursuant to that article. The director may
exercise all powers and duties conferred by this article during the
disciplinary proceedings INVESTIGATIONS, HEARINGS, AND THE GATHERING
OF EVIDENCE IN ALL MATTERS RELATED TO THE DIRECTOR'S EXERCISE AND
PERFORMANCE OF THE DIRECTOR'S POWERS AND DUTIES UNDER THIS ARTICLE
160.
(6) (a) The director may request that the attorney general seek an
injunction in any court of competent jurisdiction ACCORDANCE WITH
SECTION 12-20-406 to enjoin a person from committing an act prohibited by
this article When seeking an injunction under this paragraph (a), the
attorney general is not required to allege or prove the inadequacy of any
remedy at law or that substantial or irreparable damage is likely to result
from a continued violation of this article 160.
PAGE 566-HOUSE BILL 19-1172
(b) (I) The director may investigate, hold hearings, and gather
evidence in all matters related to the exercise and performance of the
powers and duties of the director.
(II) In any hearing or investigation instituted pursuant to this section,
the director or an administrative law judge appointed pursuant to paragraph
(c) of this subsection (6) may administer oaths, take affirmations of
witnesses, and issue subpoenas compelling the attendance of witnesses and
the production of all relevant records, papers, books, documentary evidence,
and materials in any hearing, investigation, accusation, or other matter
before the director or an administrative law judge.
(III) Upon failure of any witness or licensee to comply with a
subpoena or process, the district court of the county in which the
subpoenaed person or licensee resides or conducts business, upon
application by the director with notice to the subpoenaed person or licensee,
may issue to the person or licensee an order requiring the person or licensee
to appear before the director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. If the person or
licensee fails to obey the order of the court, the court may hold the person
or licensee in contempt of court.
(c) The director may appoint an administrative law judge pursuant
to part 10 of article 30 of title 24, C.R.S., to conduct hearings, take
evidence, make findings, and report the findings to the director.
(7) (a) The director, the director's staff, a person acting as a witness
or consultant to the director, a witness testifying in a proceeding authorized
under this article, or a person who lodges a complaint pursuant to this
article is immune from liability in a civil action brought against him or her
for acts occurring while acting in his or her capacity as director, staff,
consultant, or witness, respectively, if the individual was acting in good
faith within the scope of his or her respective capacity, made a reasonable
effort to obtain the facts of the matter as to which he or she acted, and acted
in the reasonable belief that the action he or she took was warranted by the
facts.
(b) A person participating, in good faith, in making a complaint or
report or in an investigative or administrative proceeding pursuant to this
PAGE 567-HOUSE BILL 19-1172
section is immune from any civil or criminal liability that otherwise might
result by reason of the participation.
(8) (7) A final action of the director is subject to judicial review by
the court of appeals pursuant to section 24-4-106 (11), C.R.S. IN
ACCORDANCE WITH SECTION 12-20-408. The director may institute a judicial
proceeding in accordance with section 24-4-106 C.R.S., to enforce an order
of the director.
(9) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
director shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution.
(10) (a) (8) If it appears to the director, based upon credible
evidence as presented in a written complaint, that a licensee is acting in a
manner that is an imminent threat to the health and safety of the public, or
if a person is conducting private investigations or presenting himself or
herself as or is using the title "private investigator", "private detective", or
"licensed private investigator" without having obtained a license, the
director may issue an order to cease and desist the activity The director shall
set forth in the order the statutes and rules alleged to have been violated, the
facts alleged to have constituted the violation, and the requirement that all
unlawful acts or unlicensed practices immediately cease IN ACCORDANCE
WITH THE PROCEDURES SPECIFIED IN SECTION 12-20-405.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (10), the respondent may
request a hearing on the question of whether acts or practices in violation
of this article have occurred. The director or administrative law judge, as
applicable, shall conduct the hearing pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(11) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint, that a person has violated any other
portion of this article, in addition to any specific powers granted pursuant
to this article, the director may issue to the person an order to show cause
as to why the director should not issue a final order directing the person to
cease and desist from the unlawful act or unlicensed practice.
PAGE 568-HOUSE BILL 19-1172
(b) The director shall promptly notify the person against whom an
order to show cause has been issued pursuant to paragraph (a) of this
subsection (11) of the issuance of the order and shall include in the notice
a copy of the order, the factual and legal basis for the order, and the date set
by the director for a hearing on the order. The director may serve the notice
on the person against whom the order has been issued by personal service,
by first-class, postage-prepaid United States mail, or in another manner as
may be practicable. Personal service or mailing of an order or document
pursuant to this paragraph (b) constitutes notice of the order to the person.
(c) (I) The director shall hold the hearing on an order to show cause
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (11). The director may continue the hearing
by agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the director hold the hearing later than sixty calendar days after
the date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (11) does not appear at
the hearing, the director may present evidence that notification was properly
sent or served on the person pursuant to paragraph (b) of this subsection
(11) and such other evidence related to the matter as the director deems
appropriate. The director must issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order becomes final as to that person by operation of
law. The hearing must be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required license or has or is about to engage in acts or practices constituting
violations of this article, the director may issue a final cease-and-desist
order directing the person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (11), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
PAGE 569-HOUSE BILL 19-1172
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
is effective when issued and is a final order for purposes of judicial review.
(12) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged or is about to engage in
an act or practice constituting a violation of this article, a rule promulgated
pursuant to this article, or an order issued pursuant to this article, or any
other act or practice constituting grounds for administrative sanction
pursuant to this article, the director may enter into a stipulation with the
person.
(13) If a person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested the attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(14) A person aggrieved by the final cease-and-desist order may
seek judicial review of the director's determination or of the director's final
order as provided in subsection (8) of this section.
(15) (a) (9) When a complaint or investigation discloses an instance
of misconduct that, in the opinion of the director, does not warrant formal
action by the director but that should not be dismissed as being without
merit, The director may issue and send the A licensee a letter of admonition
UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH
SECTION 12-20-404 (4).
(b) When the director sends a letter of admonition to a licensee, the
director shall advise the licensee that he or she has the right to request in
writing, within twenty days after receipt of the letter, that formal
disciplinary proceedings be initiated to adjudicate the propriety of the
conduct upon which the letter of admonition is based.
(c) If the licensee timely requests adjudication, the director shall
vacate the letter of admonition and process the matter by means of formal
disciplinary proceedings.
PAGE 570-HOUSE BILL 19-1172
(16) (10) When a complaint or investigation discloses an instance
of conduct that does not warrant formal action by the director and, in the
opinion of the director, the complaint should be dismissed, but the director
has noticed indications of possible errant conduct by the licensee that could
lead to serious consequences if not corrected, The director may send the A
licensee a confidential letter of concern UNDER THE CIRCUMSTANCES
SPECIFIED IN SECTION 12-20-404 (5).
12-160-111. [Formerly 12-58.5-112] Repeal of article - review of
functions. This article 160 is repealed, effective September 1, 2020. Prior
to BEFORE the repeal, the department of regulatory agencies shall review the
powers, duties, and functions of the director regarding the licensure of
private investigators under this article as provided in 160 ARE SCHEDULED
FOR REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
HEALTH CARE PROFESSIONS AND OCCUPATIONS
ARTICLE 200
Acupuncturists
12-200-101. [Formerly 12-29.5-101] Legislative declaration.
While recognizing that the rendering of acupuncture services is not part of
the traditional practice of western medicine, it is the intent of the general
assembly that those citizens who wish to obtain acupuncture services be
allowed to do so and, in addition, that such THOSE citizens have available
certain information to assist them in making informed choices when seeking
such ACUPUNCTURE services. It is also the intent of the general assembly
that the providers or practitioners of acupuncture should not misrepresent
their qualifications, harm their clients, practice in an unhealthy manner, or
otherwise deceive insurers or the recipients of acupuncture services.
12-200-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 200.
12-200-103. [Formerly 12-29.5-102] Definitions. As used in this
article 200, unless the context otherwise requires:
(1) "Acupuncture" means a system of health care based upon
traditional and modern oriental medical concepts that employs oriental
PAGE 571-HOUSE BILL 19-1172
methods of diagnosis, treatment, and adjunctive therapies for the promotion,
maintenance, and restoration of health and the prevention of disease.
(2) "Acupuncturist" means any person who provides for
compensation, or holds himself OR HERSELF out to the public as providing,
acupuncture services.
(3) "Director" means the director of the division of professions and
occupations in the department of regulatory agencies.
(3.2) (3) "Guest acupuncturist" means an acupuncturist who is:
(a) Licensed, registered, certified, or regulated as an acupuncturist
in another jurisdiction;
(b) In this state for the purpose of instruction or education for not
more than seven days within a three-month period; and
(c) Under the direct supervision of a Colorado licensed
acupuncturist or licensed chiropractor while performing such instruction or
education.
(3.3) (4) "Injection therapy" means the injection of sterile herbs,
vitamins, minerals, homeopathic substances, or other similar substances
specifically manufactured for nonintravenous injection into acupuncture
points by means of hypodermic needles used primarily for the treatment of
musculoskeletal pain. Permissible substances include saline, glucose,
lidocaine, procaine, oriental herbs, vitamin B-12, traumeel, sarapin, and
homeopathic substances. "Injection therapy" includes the use of epinephrine
and oxygen as necessary for patient care and safety, including for the
purpose of addressing any risk of allergic reactions when using injection
substances.
(3.4) "Licensee" means an acupuncturist licensed pursuant to section
12-29.5-104.
(3.5) (5) (a) "Practice of acupuncture" means the insertion and
removal of acupuncture needles, injection therapy, the application of heat
therapies to specific areas of the human body, and adjunctive therapies.
Adjunctive therapies within the scope of acupuncture may include manual,
PAGE 572-HOUSE BILL 19-1172
mechanical, thermal, electrical, and electromagnetic treatment; the
recommendation of therapeutic exercises; and, subject to federal law, the
recommendation of herbs and dietary guidelines. The "practice of
acupuncture" is based upon traditional and modern oriental medical
concepts and does not include the utilization of western medical diagnostic
tests and procedures, such as magnetic resonance imaging, radiographs (X
rays), computerized tomography scans, and ultrasound.
(b) Nothing in this article 200 authorizes an acupuncturist to
perform the practice of medicine; surgery; spinal adjustment, manipulation,
or mobilization; or any other form of healing except as authorized by this
article 200.
(4) (Deleted by amendment, L. 2002, p. 33, § 1, effective March 13,
2002.)
12-200-104. [Formerly 12-29.5-102.5] Injection therapy - training
- substances - rules. (1) A licensee shall obtain the necessary training as
determined by the director prior to practicing injection therapy.
(2) Notwithstanding section 12-42.5-305 12-280-305, a licensee
who has received the necessary training to practice injection therapy may
obtain substances for injection therapy from a registered prescription drug
outlet, registered manufacturer, or registered wholesaler. An entity that
provides a substance to a licensee in accordance with this section, and who
relies in good faith upon the license information provided by the licensee,
is not liable for providing the substance.
(3) The director shall promulgate rules to implement this section that
include the necessary training for a licensee to practice injection therapy and
a list of substances that a licensee may obtain for injection therapy. In
promulgating the rules, the director shall consult with knowledgeable
medical professionals and pharmacists.
12-200-105. [Formerly 12-29.5-103] Mandatory disclosure of
information to patients - retention of records of disclosure. (1) Every
acupuncturist shall provide the following information in writing to each
patient during the initial patient contact:
(a) The name, business address, and business phone number of the
PAGE 573-HOUSE BILL 19-1172
acupuncturist;
(b) A fee schedule;
(c) A statement indicating that:
(I) The patient is entitled to receive information about the methods
of therapy, the techniques used, and the duration of therapy, if known;
(II) The patient may seek a second opinion from another health care
professional or may terminate therapy at any time;
(III) In a professional relationship, sexual intimacy is never
appropriate and should be reported to the director; of the division of
professions and occupations in the department of regulatory agencies;
(d) A listing of the acupuncturist's education, experience, degrees,
membership in a professional organization whose membership includes not
less than one-third of the persons licensed pursuant to this article 200,
certificates or credentials related to acupuncture awarded by such THE
organizations, the length of time required to obtain said THE degrees or
credentials, and experience;
(e) A statement indicating any license, certificate, or registration in
acupuncture or any other health care profession which THAT was issued to
the acupuncturist by any local, state, or national health care agency, and
indicating whether any such license, certificate, or registration was
suspended or revoked;
(f) A statement that the acupuncturist is complying with any rules
and regulations promulgated by the department of public health and
environment with respect to this article 200, including those related to the
proper cleaning and sterilization of needles used in the practice of
acupuncture and the sanitation of acupuncture offices;
(g) A statement indicating that the practice of acupuncture is
regulated by the department of regulatory agencies and the address and
phone number of the director; of the division of professions and
occupations in the department of regulatory agencies; and
PAGE 574-HOUSE BILL 19-1172
(h) A statement indicating the acupuncturist's training and
experience in the recommendation and application of adjunctive therapies
and herbs as defined by traditional oriental medical concepts.
(2) Any changes in the information required by paragraphs (a) to (f)
of subsection (1) SUBSECTIONS (1)(a) TO (1)(f) of this section shall be made
in the mandatory disclosure within five days of the said change.
(3) The acupuncturist shall retain a copy of the written information
specified in subsection (1) of this section, dated and signed by the patient,
from the time of the initial evaluation until at least three years after the
termination of treatment.
12-200-106. [Formerly 12-29.5-104] Requirement for licensure
with the division - annual fee - required disclosures. (1) Every
acupuncturist shall apply for licensure with the division of professions and
occupations by providing an application to the director in the form the
director shall require. Said THE application shall include the information
specified in section 12-29.5-103 (1)(a) and (1)(d) to (1)(g), 12-200-105
(1)(a) AND (1)(d) TO (1)(g) and shall include the disclosure of any act that
would be grounds for disciplinary action against a licensed acupuncturist
under this article 200.
(2) Any changes in the information required by subsection (1) of this
section shall be reported within thirty days of said THE change to the
division of professions and occupations in the manner prescribed by the
director.
(3) In order to qualify for licensure, an acupuncturist shall have:
(a) Successfully completed an education program for acupuncturists
that conforms to standards approved by the director, which standards may
be established by utilizing the assistance of any professional organization
whose membership includes not less than one-third of the persons licensed
pursuant to this article 200; or
(b) Qualifications based on education, experience, or training which
THAT are substantially similar to those provided by paragraph (a)
SUBSECTION (3)(a) of this subsection (3) SECTION, which are documented
in the form required by the director and accepted by him THE DIRECTOR in
PAGE 575-HOUSE BILL 19-1172
lieu of such THE education program.
(4) Every applicant for licensure shall pay license, renewal, and
reinstatement fees to be established by the director in the same manner as
is authorized by section 24-34-105, C.R.S. All 12-20-105. Licenses shall be
renewed or reinstated pursuant to a schedule established by the director of
the division of professions and occupations within the department of
regulatory agencies and shall be renewed or reinstated pursuant to section
24-34-102 (8), C.R.S. The director of the division of professions and
occupations within the department of regulatory agencies may establish
renewal fees and delinquency fees for reinstatement pursuant to section
24-34-105, C.R.S. If a person fails to renew his or her license pursuant to
the schedule established by the director of the division of professions and
occupations, such license shall expire ISSUED PURSUANT TO THIS ARTICLE
200 ARE SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
Any person whose license has expired shall be subject to the penalties
provided in this article 200 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
(5) (a) Every acupuncturist shall report to the director every
judgment or administrative action, as well as the terms of any settlement or
other disposition of any such judgment or action, against the acupuncturist
involving malpractice or improper practice of acupuncture, whether
occurring in Colorado or in any other jurisdiction. The acupuncturist shall
make such THE report either within thirty days after the judgment or action
or upon application for licensure or reinstatement, whichever occurs earlier.
(b) An acupuncturist who has had his or her license revoked or who
has surrendered his or her license to avoid disciplinary action is not eligible
to apply for a license for two years after the license is revoked or
suspended.
(6) As a condition of licensure, every acupuncturist shall purchase
and maintain commercial professional liability insurance with an insurance
company authorized to do business in this state in a minimum indemnity
amount of:
(a) Fifty thousand dollars per incident and fifty thousand dollars per
year, if practicing as a sole proprietor or general partnership;
PAGE 576-HOUSE BILL 19-1172
(b) Three hundred thousand dollars per incident and three hundred
thousand dollars per year, if practicing as a limited liability company or a
corporation.
(7) The director shall issue a license to practice acupuncture to any
acupuncturist who is registered to practice acupuncture in this state prior to
March 13, 2002.
12-200-107. [Formerly 12-29.5-104.5] Licensure by endorsement
- rules - definition. (1) The director shall issue a license by endorsement
to engage in the practice of acupuncture in this state to any applicant who
has a license in good standing as an acupuncturist under the laws of another
jurisdiction if the applicant presents satisfactory proof to the director that,
at the time of application for a license by endorsement, the applicant
possesses substantially equivalent credentials and qualifications to those
required for licensure pursuant to this article 200.
(2) The director shall specify by rule what shall constitute
"substantially equivalent credentials and qualifications" for the purposes of
this section.
(3) The director shall establish a fee to be paid by any applicant for
licensure by endorsement.
(4) (3) For the purposes of this section, "in good standing" means a
license that has not been revoked or suspended, or against which there are
no disciplinary or adverse actions.
12-200-108. [Formerly 12-29.5-105] Unlawful acts - exceptions
- definition. (1) Nothing in this article 200 shall interfere with, or be
interpreted to interfere with or prevent, any other licensed health care
professional from practicing within the scope of his or her practice, as
defined in this title 12.
(1.5) (2) (a) It is unlawful for any person to practice acupuncture
without a valid and current license on file with the division, of professions
and occupations, unless the acupuncturist is practicing pursuant to section
12-36-106 (3)(l) 12-240-107 (3)(l) or has met the requirements of
subsection (2) (3) of this section.
PAGE 577-HOUSE BILL 19-1172
(b) It is unlawful for any person to:
(I) Engage in the practice of acupuncture without being licensed; or
(II) Use the title "licensed acupuncturist", "registered acupuncturist",
or "diplomate of acupuncture", or use the designation "L.Ac.", "R.Ac.", or
"Dipl. Ac.", unless such THE person is practicing pursuant to section
12-36-106 (3) 12-240-107 (3).
(2) (3) Notwithstanding any provision of this section to the contrary,
a person in training may practice acupuncture without a valid and current
license issued by the division if such THE practice takes place in the course
of a bona fide training program and the person performs all acupuncture
acts and services under the direct, on-site supervision of a licensed
acupuncturist, who is responsible for all such acts and services as though
the licensed acupuncturist had personally performed them.
(3) (4) (a) Notwithstanding any provision of this article 29.5 200 to
the contrary, a mental health care professional who has provided
documentation that he or she has been trained to perform auricular acudetox
in compliance with subsection (3)(d) (4)(d) of this section may perform
auricular acudetox if the auricular acudetox is performed under the mental
health care professional's current scope of practice, and the mental health
care professional is:
(I) Licensed pursuant to article 43 245 of this title 12;
(II) Certified as a level III addiction counselor pursuant to part 8 of
article 43 245 of this title 12; or
(III) Registered as a psychotherapist pursuant to part 7 of article 43
245 of this title 12.
(b) A mental health professional performing auricular acudetox
pursuant to this subsection (3) (4) shall not use the title "acupuncturist" or
otherwise claim to be a person qualified to perform acupuncture beyond the
scope of this subsection (3) (4).
(c) As used in this subsection (3) (4), "auricular acudetox" means
the subcutaneous insertion of sterile, disposable acupuncture needles in the
PAGE 578-HOUSE BILL 19-1172
following five consistent, predetermined bilateral locations:
(I) Sympathetic;
(II) Shen men;
(III) Kidney;
(IV) Liver; and
(V) Lung.
(d) In order to perform auricular acudetox pursuant to this
subsection (3) (4), a mental health care professional must successfully
complete a training program in auricular acudetox for the treatment of
substance use disorders that meets or exceeds standards of training
established by the National Acupuncture Detoxification Association or
another organization approved by the director.
12-200-109. [Formerly 12-29.5-106] Grounds for disciplinary
action. (1) The director may deny licensure to or take disciplinary action
against an acupuncturist pursuant to section 24-4-105 SECTIONS 12-20-403,
12-20-404, AND 24-4-105 if the director finds that the acupuncturist has
committed any of the following acts:
(a) Violated the provisions of section 12-29.5-105 12-200-108;
(b) Failed to provide the mandatory disclosure required by section
12-29.5-103 12-200-105 or provided false, deceptive, or misleading
information to patients in the said disclosure;
(c) Failed to provide the information required by section
12-29.5-104 (1) 12-200-106 (1) or provided false, deceptive, or misleading
information to the division; of professions and occupations;
(d) Committed, or advertised in any manner that he or she will
commit, any act constituting an abuse of health insurance as prohibited by
section 18-13-119 C.R.S., or a fraudulent insurance act as defined in section
10-1-128; C.R.S.;
PAGE 579-HOUSE BILL 19-1172
(e) Failed to refer a patient to an appropriate practitioner when the
problem of the patient is beyond the training, experience, or competence of
the acupuncturist;
(f) Accepted commissions or rebates or other forms of remuneration
for referring clients to other professional persons;
(g) Offered or gave commissions, rebates, or other forms of
remuneration for the referral of clients; except that, notwithstanding the
provisions of this paragraph (g) SUBSECTION (1)(g), an acupuncturist may
pay an independent advertising or marketing agent compensation for
advertising or marketing services rendered on his OR HER behalf by such
THE agent, including compensation which THAT is paid for the results of
performance of such THE services, on a per patient basis;
(h) Failed to comply with, or aided or abetted a failure to comply
with, the requirements of this article 200 or any lawful rules or regulations
adopted by the executive director of the department of public health and
environment, including those regulations RULES governing the proper
cleaning and sterilization of acupuncture needles or the sanitary conditions
of acupuncture offices, or any lawful orders of the department of public
health and environment or of A court;
(i) Failed to comply with, or aided or abetted a failure to comply
with, the requirements of this article 200 or any lawful rules or regulations
governing the practice of acupuncture adopted by the director, AN
APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12, or any lawful
orders of the director or of A court;
(j) Engaged in sexual contact, sexual intrusion, or sexual
penetration, as defined in section 18-3-401, C.R.S., with a patient during the
period of time beginning with the initial patient evaluation and ending with
the termination of treatment;
(k) Departed from, or failed to conform to, minimal standards of
care of similar practitioners under the same or similar circumstances,
whether or not actual injury to a patient is established;
(l) (I) Failed to notify the director of a physical illness, a physical
condition, or a behavioral, mental health, or substance use disorder that
PAGE 580-HOUSE BILL 19-1172
impacts the licensee's ability to practice acupuncture with reasonable skill
and safety to patients;
(II) Failed to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the licensee unable to perform acupuncture with
reasonable skill and safety to the patient; or
(III) Failed to comply with the limitations agreed to under a
confidential agreement;
(m) Continued in the practice of acupuncture while abusing or
habitually or excessively using alcohol, a habit-forming drug, or controlled
substance as defined in section 18-18-102 (5); C.R.S.;
(n) Committed and been convicted of a felony or entered a plea of
guilty or nolo contendere to a felony; and
(o) Published or circulated, directly or indirectly, any fraudulent,
false, deceitful, or misleading claims or statements relating to acupuncture
or to the acupuncturist's practice, capabilities, services, methods, or
qualifications.
(2) The director may accept, as prima facie evidence of the
commission of any act enumerated in subsection (1) of this section,
evidence of disciplinary action taken by another jurisdiction against an
acupuncturist's license or other authorization to practice if such THE
disciplinary action was based upon acts or practices substantially similar to
those enumerated in subsection (1) of this section.
(3) (a) The director or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the
director pursuant to this article. The director may appoint an administrative
law judge pursuant to part 10 of article 30 of title 24, C.R.S., to take
evidence and to make findings and report them to the director.
(b) Upon failure of any witness to comply with such subpoena or
PAGE 581-HOUSE BILL 19-1172
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
12-200-110. [Formerly 12-29.5-107] Disciplinary authority and
proceedings. (1) A proceeding for discipline of a licensee may be
commenced by the director when the director has reasonable grounds to
believe that a licensee has committed any act prohibited by section
12-29.5-106 (1) 12-200-109 (1).
(2) Disciplinary actions may consist of the following:
(a) Revocation or suspension of licensure;
(b) Placement of the licensee on probation and setting the terms of
that probation; and
(c) (I) Issuance of letters ISSUING AND SENDING A LETTER of
admonition When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the director, does not warrant formal
action by the director but that should not be dismissed as being without
merit, the director may issue and send a letter of admonition by first-class
mail to the licensee UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN
ACCORDANCE WITH SECTION 12-20-404 (4).
(II) When the director sends a letter of admonition to a licensee, the
director shall advise the licensee that he or she has the right to request in
writing, within twenty days after receipt of the letter, that formal
disciplinary proceedings be initiated to adjudicate the propriety of the
conduct upon which the letter of admonition is based.
(III) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
PAGE 582-HOUSE BILL 19-1172
(2.5) (3) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the director and, in the
opinion of the director, the complaint should be dismissed, but the director
has noticed indications of possible errant conduct by the licensee that could
lead to serious consequences if not corrected, THE DIRECTOR MAY ISSUE
AND SEND a confidential letter of concern may be issued and sent to the TO
A licensee UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(3) (4) Complaints of record on file with the director and the results
of investigations shall be closed to public inspection during the
investigatory period and until dismissed or until notice of hearing and
charges are served on a licensee. The director's records and papers shall be
subject to the provisions of sections 24-72-203 and 24-72-204. C.R.S.
(4) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(5) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public or
a person is acting or has acted without the required license, the director may
issue an order to cease and desist such activity. The order shall set forth the
statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (5), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(6) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the director may issue to such person an
order to show cause as to why the director should not issue a final order
directing such person to cease and desist from the unlawful act or
PAGE 583-HOUSE BILL 19-1172
unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (6) shall be promptly notified
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (6) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (6). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (6) does not appear at the
hearing, the director may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(6) and such other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required license or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The director shall provide notice, in the manner set forth in
PAGE 584-HOUSE BILL 19-1172
paragraph (b) of this subsection (6), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(7) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the director may enter into
a stipulation with such person.
(8) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(9) A person aggrieved by the final cease-and-desist order may seek
judicial review of the director's determination or of the director's final order
in a court of competent jurisdiction.
(5) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
12-200-111. [Formerly 12-29.5-108] Unauthorized practice -
penalties. (1) Any person who practices or offers or attempts to practice
acupuncture without an active license issued under this article commits a
class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and, for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 200 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(2) Any person who violates the provision of section 12-29.5-106
PAGE 585-HOUSE BILL 19-1172
(1)(j) 12-200-109 (1)(j) by engaging in sexual contact with a patient during
the course of patient care commits a class 1 misdemeanor and shall be
referred for criminal prosecution.
(3) Any person who violates the provisions of section 12-29.5-106
(1)(j) 12-200-109 (1)(j) by engaging in sexual intrusion or sexual
penetration with a patient during the course of patient care commits a class
4 felony and shall be referred for criminal prosecution.
12-200-112. [Formerly 12-29.5-108.5] Confidential agreement to
limit practice. (1) If an acupuncturist suffers from a physical illness; a
physical condition; or a behavioral or mental health disorder that renders the
licensee unable to practice acupuncture or practice as an acupuncturist with
reasonable skill and patient safety, the acupuncturist shall notify the director
of the physical illness; the physical condition; or the behavioral or mental
health disorder in a manner and within a period of time determined by the
director. The director may require the licensee to submit to an examination
or to evaluate the extent of the physical illness; the physical condition; or
the behavioral or mental health disorder and its impact on the licensee's
ability to practice with reasonable skill and safety to patients.
(2) (a) Upon determining that an acupuncturist with a physical
illness; a physical condition; or a behavioral or mental health disorder is
able to render limited acupuncture treatment with reasonable skill and
patient safety, the director may enter into a confidential agreement with the
acupuncturist in which the acupuncturist agrees to limit his or her practice
based on the restrictions imposed by the physical illness; the physical
condition; or the behavioral or mental health disorder, as determined by the
director.
(b) The agreement must specify that the licensee is subject to
periodic reevaluations or monitoring as determined appropriate by the
director.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(d) By entering into an agreement with the director under this
subsection (2) to limit his or her practice, the licensee is not engaging in
unprofessional conduct. The agreement is an administrative action and does
PAGE 586-HOUSE BILL 19-1172
not constitute a restriction or discipline by the director. However, if the
licensee fails to comply with an agreement entered into pursuant to this
subsection (2), the failure constitutes grounds for disciplinary action under
section 12-29.5-106 (1)(l) and the licensee is subject to discipline in
accordance with section 12-29.5-107.
(1) EXCEPT AS SPECIFIED IN SUBSECTION (2) OF THIS SECTION,
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO LIMIT
PRACTICE APPLIES TO THIS ARTICLE 200.
(3) (2) This section does AND SECTION 12-30-108 DO not apply to a
licensee subject to discipline under section 12-29.5-106 (1)(m) 12-200-109
(1)(m).
12-200-113. [Formerly 12-29.5-109] Civil penalties. (1) No action
may be maintained against a recipient of acupuncture services for breach of
a contract involving the rendering of acupuncture services provided under
such THE contract by an acupuncturist who has committed, with respect to
such THE recipient, any act prohibited by section 12-29.5-106 (1)
12-200-109 (1).
(2) When a patient, his A PATIENT'S insurer, or his A PATIENT'S legal
guardian or representative has paid for acupuncture services rendered by an
acupuncturist who has committed, with respect to such THE patient, any act
prohibited by section 12-29.5-106 (1) 12-200-109 (1), whether or not said
THE patient knew that said THE act or acts were illegal, he, his THE PATIENT,
THE PATIENT'S insurer, or his THE PATIENT'S legal guardian or representative
may recover, in an action at law, the amount of any fees paid for the
acupuncture services and reasonable attorney fees.
(3) The criminal and civil penalties specified under this article 200
are not exclusive but cumulative and in addition to any other causes of
action, rights, or remedies a patient may have under law.
12-200-114. [Formerly 12-29.5-110] Director - powers and duties.
(1) In addition to any other powers and duties conferred by this article 200,
the director shall have the following powers and duties:
(a) To adopt such rules and regulations as may be necessary to carry
out the provisions of this article PURSUANT TO SECTION 12-20-204;
PAGE 587-HOUSE BILL 19-1172
(b) To establish the fees for licensure and renewal of licenses in the
same manner as is authorized by section 24-34-105, C.R.S.;
(c) (b) To accept or deny applications for licensure and to collect the
annual license fees authorized by this article 200;
(d) (c) To inspect on a complaint basis any premises where
acupuncture services are provided to ensure compliance with this article
200 and the rules and regulations adopted pursuant thereto;
(e) (d) To contract with the department of public health and
environment or others to provide appropriate services as needed to carry out
the inspections authorized with respect to the proper cleaning and
sterilization of needles and the sanitation of acupuncture offices;
(f) (e) To make investigations, hold hearings, and take evidence IN
ACCORDANCE WITH SECTION 12-20-403 with respect to any complaint
against any licensee when the director has reasonable cause to believe that
the licensee is violating any of the provisions of this article and to subpoena
witnesses, administer oaths, and compel the testimony of witnesses and the
production of books, papers, and records relevant to those investigations or
hearings. Any subpoena issued pursuant to this article shall be enforceable
by the district court 200;
(g) (f) To conduct any other meetings or hearings necessary to carry
out the provisions of this article 200;
(h) (g) Through the department of regulatory agencies, and subject
to appropriations made to the department of regulatory agencies, to employ
administrative law judges on a full-time or part-time basis to conduct any
hearings required by this article The administrative law judges shall be
appointed pursuant to part 10 of article 30 of title 24, C.R.S. 200;
(i) (h) To seek through the office of the attorney general, an
injunction in any court of competent jurisdiction ACCORDANCE WITH
SECTION 12-20-406 to enjoin any person from committing any act prohibited
by this article When seeking an injunction under this paragraph (i), the
director shall not be required to allege or prove the inadequacy of any
remedy at law or that substantial or irreparable damage is likely to result
from a continued violation of this article 200;
PAGE 588-HOUSE BILL 19-1172
(j) (i) To order the physical or mental examination of an
acupuncturist if the director has reasonable cause to believe that the
acupuncturist is subject to a physical or mental disability which THAT
renders the acupuncturist unable to treat patients with reasonable skill and
safety or which THAT may endanger a patient's health or safety; and the
director may order such an examination whether or not actual injury to a
patient is established;
(k) (j) To report to the United States department of health and
human services, pursuant to applicable federal law and regulations, any
adverse action taken against the license of any acupuncturist.
12-200-115. [Formerly 12-29.5-111] Powers and duties of the
executive director of the department of public health and environment
- rules. The executive director of the department of public health and
environment shall promulgate rules and regulations relating to the proper
cleaning and sterilization of needles to be used in the practice of
acupuncture and the sanitation of acupuncture offices.
12-200-116. [Formerly 12-29.5-112] Insurance coverage - not
affected. Nothing in this article 200 shall be construed to affect any present
or future provision of law or contract or other agreement concerning
insurance or insurance coverage with respect to the provision of
acupuncture services.
12-200-117. [Formerly 12-29.5-113] Scope of article. The
provisions of this article 200 shall not apply to those persons who are
otherwise licensed by the state of Colorado under this title 12 if the
provision of acupuncture services is within the scope of such THE licensure.
It is not intended nor shall it be interpreted that the practice of acupuncture
constitutes the practice of medicine within the scope of the "Colorado
Medical Practice Act", article 36 240 of this title 12.
12-200-118. [Formerly 12-29.5-116] Repeal of article -
termination of functions. (1) This article 200 is repealed, effective
September 1, 2022. BEFORE THE REPEAL, THE LICENSING FUNCTIONS OF THE
DIRECTOR ARE SCHEDULED FOR REVIEW IN ACCORDANCE WITH SECTION
24-34-104.
(2) The licensing functions of the director of the division of
PAGE 589-HOUSE BILL 19-1172
professions and occupations as set forth in this article are terminated on
September 1, 2022. Prior to such termination, the licensing functions shall
be reviewed as provided for in section 24-34-104, C.R.S.
ARTICLE 205
Athletic Trainers
12-205-101. [Formerly 12-29.7-101] Short title. The short title of
this article 205 is the "Athletic Trainer Practice Act".
12-205-102. [Formerly 12-29.7-102] Legislative declaration. The
general assembly hereby finds and declares that the practice of athletic
training by a person who does not possess a valid registration issued
pursuant to this article 205 is not in the best interests of the people of the
state of Colorado. It is not, however, the intent of this article 205 to restrict
the practice of a person duly licensed, certified, or registered under any
PART OR article of this title 12 or other laws of this state from practicing
within the person's scope of practice and authority pursuant to those laws.
12-205-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 205.
12-205-104. [Formerly 12-29.7-103] Definitions. As used in this
article 205, unless the context otherwise requires:
(1) "Accredited athletic training education program" means a
program of instruction in athletic training that is offered by an institution of
higher education and accredited by a national, regional, or state agency
recognized by the United States secretary of education, or any other
accredited program approved by the director.
(2) "Athlete" means a person who, in association with an
educational institution, an organized community sports program or event,
or a professional, amateur, or recreational organization or sports club,
participates in games, sports, recreation, or exercise requiring physical
strength, flexibility, range of motion, speed, stamina, or agility.
(3) "Athletic trainer" means a person engaged in the practice of
athletic training.
PAGE 590-HOUSE BILL 19-1172
(4) (a) "Athletic training" means the performance of those services
that require the education, training, and experience required by this article
205 for registration as an athletic trainer pursuant to section 12-29.7-107
12-205-108. "Athletic training" includes services appropriate for the
prevention, recognition, assessment, management, treatment, rehabilitation,
and reconditioning of injuries and illnesses sustained by an athlete:
(I) Who is engaged in sports, games, recreation, or exercise
requiring physical strength, flexibility, range of motion, speed, stamina, or
agility; or
(II) That affect an athlete's participation or performance in sports,
games, recreation, or exercise as described in subparagraph (I) of this
paragraph (a) SUBSECTION (4)(a)(I) OF THIS SECTION.
(b) "Athletic training" includes:
(I) Planning, administering, evaluating, and modifying methods for
prevention and risk management of injuries and illnesses;
(II) Identifying an athlete's medical conditions and disabilities and
appropriately caring for or referring an athlete as appropriate;
(III) Recognizing, assessing, treating, managing, preventing,
rehabilitating, reconditioning, and appropriately referring to another health
care provider to treat injuries and illnesses;
(IV) Using therapeutic modalities for which the athletic trainer has
received appropriate training and education;
(V) Using conditioning and rehabilitative exercise;
(VI) Using topical pharmacological agents, in conjunction with the
administration of therapeutic modalities and pursuant to prescriptions issued
in accordance with the laws of this state, for which the athletic trainer has
received appropriate training and education;
(VII) Educating and counseling athletes concerning the prevention
and care of injuries and illnesses;
PAGE 591-HOUSE BILL 19-1172
(VIII) Educating and counseling the general public with respect to
athletic training services;
(IX) Referring an athlete receiving athletic training services to
appropriate health care personnel as needed; and
(X) Planning, organizing, administering, and evaluating the practice
of athletic training.
(c) As used in this subsection (4), "injuries and illnesses" includes
those conditions in an athlete for which athletic trainers, as the result of
their education, training, and competency, are qualified to provide care.
(5) "Direction of a Colorado-licensed or otherwise lawfully
practicing physician, dentist, or health care professional" means the
planning of services with a physician, dentist, or health care professional;
the development and approval by the physician, dentist, or health care
professional of procedures and protocols to be followed in the event of an
injury or illness; the mutual review of the protocols on a periodic basis; and
the appropriate consultation and referral between the physician, dentist, or
health care professional and the athletic trainer.
(6) "Director" means the director of the division or his or her
designee.
(7) "Division" means the division of professions and occupations in
the department of regulatory agencies created in section 24-34-102, C.R.S.
(8) (6) "National certifying agency" means a nationally recognized
agency that certifies the competency of athletic trainers through the use of
an examination.
(9) "Registrant" means an athletic trainer registered pursuant to this
article.
12-205-105. [Formerly 12-29.7-104] Use of titles restricted. Only
a person registered as an athletic trainer may use the title "athletic trainer"
or "registered athletic trainer", the letters "A.T." OR "A.T.C.", or any other
generally accepted terms, letters, or figures that indicate that the person is
an athletic trainer.
PAGE 592-HOUSE BILL 19-1172
12-205-106. [Formerly 12-29.7-105] Limitations on authority.
(1) Nothing in this article 205 authorizes an athletic trainer to practice:
(a) Medicine, as defined in article 36 240 of this title 12;
(b) Physical therapy, as defined in article 41 285 of this title 12;
(c) Chiropractic, as defined in article 33 215 of this title 12;
(d) Occupational therapy, as defined in article 40.5 270 of this title
12; or
(e) Any other regulated form of healing except as authorized by this
article 205.
(2) Nothing in this article 205 authorizes an athletic trainer to treat
a disease or condition that is not related to a person's participation in sports,
games, recreation, or exercise, but the athletic trainer shall take a person's
disease or condition into account in providing athletic training services and
shall consult with a physician as appropriate regarding the disease or
condition.
(3) Nothing in this article 205 prohibits a person from
recommending weight management or exercise to improve strength,
conditioning, flexibility, and cardiovascular performance to a person in
normal health as long as the person recommending the weight management
or exercise does not represent himself or herself as an athletic trainer and
the person does not engage in athletic training as defined in this article 205.
12-205-107. [Formerly 12-29.7-106] Registration required.
(1) Except as otherwise provided in this article 205, in order to practice
athletic training or represent oneself as being able to practice athletic
training in this state, a person must:
(a) Possess a valid registration issued by the director in accordance
with this article 205 and any rules adopted under this article 205; and
(b) Practice pursuant to the direction of a Colorado-licensed or
otherwise lawfully practicing physician, dentist, or health care professional.
PAGE 593-HOUSE BILL 19-1172
12-205-108. [Formerly 12-29.7-107] Requirements for
registration - registration by endorsement - application - denial.
(1) Every applicant for a registration to practice athletic training must have:
(a) Earned a baccalaureate degree from an accredited college or
university;
(b) Successfully completed an accredited athletic training education
program;
(c) (I) Passed a competency examination administered by a national
certifying agency that has been approved by the director and provided
evidence of current certification by the national certifying agency; or
(II) Passed a competency examination developed and administered
by the director;
(d) Submitted an application in the form and manner designated by
the director;
(e) Paid a fee in an amount determined by the director; and
(f) Submitted additional information as requested by the director to
fully and fairly evaluate the applicant's qualifications for registration and to
protect public health and safety.
(2) When an applicant has fulfilled the requirements of subsection
(1) of this section, the director shall issue a registration to the applicant. The
director may deny registration if the applicant has committed an act that
would be grounds for disciplinary action under section 12-29.7-110
12-205-111.
(3) (a) An applicant for registration by endorsement shall file an
application and pay a fee as prescribed by the director and shall hold a
current, valid license or registration in a jurisdiction that requires
qualifications substantially equivalent to those required for registration by
subsection (1) of this section.
(b) An applicant for registration shall submit, with the application,
verification that the applicant has actively practiced for a period of time
PAGE 594-HOUSE BILL 19-1172
determined by rules of the director or has otherwise maintained continued
competency as determined by the director.
(c) Upon receipt of all documents required by paragraphs (a) and (b)
of this subsection (3) SUBSECTIONS (3)(a) AND (3)(b) OF THIS SECTION, the
director shall review the application and make a determination of the
applicant's qualifications to be registered by endorsement.
(d) The director may deny the registration if the applicant has
committed an act that would be grounds for disciplinary action under
section 12-29.7-110 12-205-111.
12-205-109. [Formerly 12-29.7-108] Renewal of registration -
fees. (1) (a) A registrant shall renew the registration issued pursuant to this
article according to a schedule of renewal dates established by the director.
The TO RENEW A REGISTRATION ISSUED PURSUANT TO THIS ARTICLE 205, A
registrant shall submit an application in the form and manner designated by,
and shall pay a renewal fee in an amount determined by, the director.
(b) (2) Registrations shall be renewed or reinstated in accordance
with the schedule established by the director, and renewal or reinstatement
shall be granted pursuant to section 24-34-102 (8), C.R.S. The director may
establish renewal fees and delinquency fees for reinstatement pursuant to
section 24-34-105, C.R.S. If a registrant fails to renew his or her registration
pursuant to the director's schedule, the registration expires ISSUED
PURSUANT TO THIS ARTICLE 205 ARE SUBJECT TO THE RENEWAL,
EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED
IN SECTION 12-20-202 (1) AND (2). A person whose registration has expired
is subject to the penalties provided in this article 205 or section 24-34-102
(8), C.R.S., for reinstatement 12-20-202 (1).
(c) (3) The registrant shall submit additional information that the
director requests, including evidence that the registrant has maintained and
holds a current, valid certification from the national certifying agency, to
fully and fairly evaluate the applicant's qualifications for registration
renewal and to protect public health and safety.
(2) All fees collected pursuant to this article shall be determined,
collected, and appropriated in the same manner as set forth in section
24-34-105, C.R.S., and periodically adjusted in accordance with section
PAGE 595-HOUSE BILL 19-1172
24-75-402, C.R.S.
12-205-110. [Formerly 12-29.7-109] Scope of article - exclusions
- authority for clinical setting - definitions. (1) Nothing in this article 205
prohibits:
(a) The practice of athletic training that is an integral part of a
program of study by students enrolled in an accredited athletic training
education program. Students enrolled in an accredited athletic training
education program shall be identified as "athletic training students" and
shall only practice athletic training under the direction and immediate
supervision of an athletic trainer currently registered under this article 205.
An athletic training student shall not represent himself or herself as an
athletic trainer.
(b) The practice of athletic training by a person who is certified by
a national certifying agency and who is employed by the United States
government or any bureau, division, or agency of the federal government
while acting in the course and scope of employment;
(c) The practice of athletic training by a person who resides in
another state or country, is currently licensed or registered in another state,
or is currently certified by a national certifying agency, and is:
(I) Administering athletic training services to an athlete who is a
member of a bona fide professional or amateur sports organization or of a
sports team of an accredited educational institution, if the person acts in
accordance with rules established by the director and engages in the
unregistered practice of athletic training for no more than ninety days in any
calendar year; or
(II) Participating in an educational program of not more than twelve
weeks' duration. Upon written application by the person prior to the
expiration of the twelve-week period, the director may grant an extension
of time.
(d) The practice of any health care profession, other than athletic
training, by a person licensed or registered under any other PART OR article
of this title 12 in accordance with the lawful scope of practice of the other
profession or the performance of activities described in subsection (2) of
PAGE 596-HOUSE BILL 19-1172
this section, if the person does not represent himself or herself as an athletic
trainer or as engaging in the practice of athletic training;
(e) Athletic training by a patient for himself or herself or gratuitous
athletic training by a friend or family member who does not represent
himself or herself as an athletic trainer.
(2) Nothing in this article 205 limits or prohibits the administration
of routine assistance or first aid by a person who is not a registered athletic
trainer for injuries or illnesses sustained at an athletic event or program.
(3) Nothing in this article 205 requires an entity offering or
sponsoring an athletic event or regular athletic activity, including a youth
sports team or program whose participants are eighteen years of age or
younger, to employ a registered athletic trainer.
(4) (a) A school coach, athletic director, or other employee or a
person contracted with a school is not engaging in the practice of athletic
training when he or she engages in or holds responsibility for the following
activities in the course of his or her regularly scheduled duties:
(I) Planning, administering, or modifying methods for prevention
and risk management of injuries and illnesses;
(II) Administering routine assistance for first aid to an injured
athlete;
(III) Directing conditioning exercises;
(IV) Educating or counseling athletes concerning the prevention of
injuries and illnesses; or
(V) Referring an athlete to a licensed health care professional.
(b) As used in this subsection (4), "school" means a public or private
elementary, middle, junior high, or high school.
(5) A registered athletic trainer may provide athletic training
services in a clinical setting to a person who is not an athlete if the athletic
trainer is under the direction and supervision of a Colorado-licensed or
PAGE 597-HOUSE BILL 19-1172
otherwise lawfully practicing physician, dentist, or health care professional
who treats sports or musculoskeletal injuries. As used in this subsection (5),
"direction and supervision" means the issuance of written or oral directives
by the physician, dentist, or licensed health care professional to the
registered athletic trainer pertaining to the athletic training services to be
provided.
12-205-111. [Formerly 12-29.7-110] Grounds for discipline -
disciplinary proceedings - definitions. (1) The director may take
disciplinary action against a registrant if the director finds that the registrant
has represented himself or herself as a registered athletic trainer after the
expiration, suspension, or revocation of his or her registration.
(2) The director may revoke, deny, suspend, or refuse to renew a
registration TAKE DISCIPLINARY OR OTHER ACTION PURSUANT TO SECTION
12-20-404 or issue a cease-and-desist order in accordance with this section
12-205-112 upon reasonable grounds that the registrant:
(a) Has engaged in a sexual act with a person receiving services
while a therapeutic relationship existed or within six months immediately
following termination of the therapeutic relationship. For the purposes of
this paragraph (a) SUBSECTION (2)(a):
(I) "Sexual act" means sexual contact, sexual intrusion, or sexual
penetration as defined in section 18-3-401. C.R.S.
(II) "Therapeutic relationship" means the period beginning with the
initial evaluation and ending upon the written termination of treatment.
When an individual receiving services is an athlete participating on a sports
team operated under the auspices of a bona fide amateur sports organization
or an accredited educational institution that employs the registrant, the
therapeutic relationship exists from the time the athlete becomes affiliated
with the team until the affiliation ends or the athletic trainer terminates the
provision of athletic training services to the team, whichever occurs first.
(b) Has falsified information in an application or has attempted to
obtain or has obtained a registration by fraud, deception, or
misrepresentation;
(c) Has an alcohol use disorder, as defined in section 27-81-102, or
PAGE 598-HOUSE BILL 19-1172
a substance use disorder, as defined in section 27-82-102, or is an excessive
or habitual user or abuser of alcohol or habit-forming drugs or is a habitual
user of a controlled substance, as defined in section 18-18-102 (5), or other
drugs having similar effects; except that the director has the discretion not
to discipline the registrant if he or she is participating in good faith in an
alcohol or substance use disorder treatment program approved by the
director;
(d) (I) Has failed to notify the director, as required by section
12-29.7-113 12-30-108 (1), of a physical illness, a physical condition, or a
behavioral, mental health, or substance use disorder that affects the
registrant's ability to provide athletic training services with reasonable skill
and safety or that may endanger the health or safety of individuals receiving
athletic training services;
(II) Has failed to act within the limitations created by a physical
illness, a physical condition, or a behavioral, mental health, or substance use
disorder that renders the registrant unable to perform athletic training with
reasonable skill and safety or that may endanger the health or safety of
persons under his or her care; or
(III) Has failed to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-29.7-113 SECTIONS
12-30-108 AND 12-205-114;
(e) Has had a registration or license suspended or revoked for
actions that are a violation of this article 205 OR AN APPLICABLE PROVISION
OF ARTICLE 20 OR 30 OF THIS TITLE 12;
(f) Has been convicted of or pled guilty or nolo contendere to a
felony or any crime defined in title 18. C.R.S. A certified copy of the
judgment of a court of competent jurisdiction of the conviction or plea is
prima facie evidence of the conviction or plea. In considering the
disciplinary action, the director is governed by section SECTIONS 12-20-202
(5) AND 24-5-101. C.R.S.
(g) Has practiced athletic training without a registration;
(h) Has failed to notify the director of any disciplinary action in
regard to the person's past or currently held license, certificate, or
PAGE 599-HOUSE BILL 19-1172
registration required to practice athletic training in this state or any other
jurisdiction;
(i) Has refused to submit to a physical or mental examination when
so ordered by the director pursuant to section 12-29.7-112 12-205-113;
(j) Has failed to practice pursuant to the direction of a
Colorado-licensed or otherwise lawfully practicing physician, dentist, or
health care professional;
(k) Has practiced athletic training in a manner that fails to meet
generally accepted standards of athletic training practice; or
(l) Has otherwise violated any provision of this article 205 OR AN
APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12.
(3) Except as otherwise provided in subsection (2) of this section,
the director need not find that the actions that are grounds for discipline
were willful but may consider whether the actions were willful when
determining the nature of disciplinary sanctions to be imposed.
(4) (a) The director may commence a proceeding to discipline a
registrant when the director has reasonable grounds to believe that the
registrant has committed an act enumerated in this section.
(b) In any proceeding held under this section, the director may
accept as evidence of grounds for disciplinary action any disciplinary action
taken against a registrant in another jurisdiction if the violation that
prompted the disciplinary action in the other jurisdiction would be grounds
for disciplinary action under this article 205.
(5) Disciplinary proceedings shall be conducted in accordance with
article 4 of title 24 C.R.S., and the hearing and opportunity for review shall
be conducted pursuant to that article by the director or by an administrative
law judge, at the director's discretion AND SECTION 12-20-403. The director
has the authority to exercise all powers and duties conferred by this article
205 during the disciplinary proceedings.
(6) (a) The director may request the attorney general to seek an
injunction in any court of competent jurisdiction, ACCORDANCE WITH
PAGE 600-HOUSE BILL 19-1172
SECTION 12-20-406 to enjoin a person from committing an act prohibited by
this article When seeking an injunction under this paragraph (a), the
attorney general is not required to allege or prove the inadequacy of any
remedy at law or that substantial or irreparable damage is likely to result
from a continued violation of this article 205.
(b) (I) IN ACCORDANCE WITH SECTION 12-20-403, the director may
investigate, hold hearings, and gather evidence in all matters related to the
exercise and performance of the powers and duties of the director.
(II) In order to aid the director in any hearing or investigation
instituted pursuant to this section, the director or an administrative law
judge appointed pursuant to paragraph (c) of this subsection (6) may
administer oaths, take affirmations of witnesses, and issue subpoenas
compelling the attendance of witnesses and the production of all relevant
records, papers, books, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter before the director or an
administrative law judge.
(III) Upon failure of any witness or registrant to comply with a
subpoena or process, the district court of the county in which the
subpoenaed person or registrant resides or conducts business, upon
application by the director with notice to the subpoenaed person or
registrant, may issue to the person or registrant an order requiring the
person or registrant to appear before the director; produce the relevant
papers, books, records, documentary evidence, or materials; or give
evidence touching the matter under investigation or in question. If the
person or registrant fails to obey the order of the court, the person or
registrant may be held in contempt of court.
(c) The director may appoint an administrative law judge pursuant
to part 10 of article 30 of title 24, C.R.S., to conduct hearings, take
evidence, make findings, and report the findings to the director.
(7) (a) The director, the director's staff, any person acting as a
witness or consultant to the director, any witness testifying in a proceeding
authorized under this article, and any person who lodges a complaint
pursuant to this article is immune from liability in any civil action brought
against him or her for acts occurring while acting in his or her capacity as
director, staff, consultant, or witness, respectively, if the individual was
PAGE 601-HOUSE BILL 19-1172
acting in good faith within the scope of his or her respective capacity, made
a reasonable effort to obtain the facts of the matter as to which he or she
acted, and acted in the reasonable belief that the action taken by him or her
was warranted by the facts.
(b) A person participating in good faith in making a complaint or
report or in an investigative or administrative proceeding pursuant to this
section is immune from any civil or criminal liability that otherwise might
result by reason of the participation.
(8) (7) A final action of the director is subject to judicial review by
the court of appeals pursuant to section 24-4-106 (11), C.R.S. 12-20-408.
The director may institute a judicial proceeding in accordance with section
24-4-106 C.R.S., to enforce the director's order.
(9) (8) An employer of an athletic trainer shall report to the director
any disciplinary action taken against the athletic trainer or the resignation
of the athletic trainer in lieu of disciplinary action for conduct that violates
this article 205.
(10) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
director shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution.
12-205-112. [Formerly 12-29.7-111] Cease-and-desist orders.
(1) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a registrant is acting in
a manner that is an imminent threat to the health and safety of the public or
that a person is acting or has acted without the required registration, the
director may issue an order to cease and desist the activity. The director
shall set forth the statutes and rules alleged to have been violated, the facts
alleged to have constituted the violation, and the requirement that all
unlawful acts or unregistered practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article or rules adopted under this article have occurred. The hearing shall
be conducted pursuant to sections 24-4-104 and 24-4-105, C.R.S.
PAGE 602-HOUSE BILL 19-1172
(2) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article or rules adopted under this article, in
addition to any specific powers granted pursuant to this article, the director
may issue to the person an order to show cause as to why the director should
not issue a final order directing the person to cease and desist from the
unlawful act or unregistered practice.
(b) The director shall promptly notify a person against whom the
director has issued an order to show cause pursuant to paragraph (a) of this
subsection (2) of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. The director may serve the notice on the person by
personal service, by first-class, postage-prepaid United States mail, or in
another manner as may be practicable. Personal service or mailing of an
order or document pursuant to this paragraph (b) constitutes notice of the
order to the person.
(c) (I) The director shall hold the hearing on an order to show cause
no sooner than ten and no later than forty-five calendar days after the date
the director transmitted or served the notice as provided in paragraph (b) of
this subsection (2). The director may continue the hearing by agreement of
all parties based upon the complexity of the matter, number of parties to the
matter, and legal issues presented in the matter, but in no event shall the
director hold the hearing later than sixty calendar days after the date the
notice was transmitted or served.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (2) does not appear at the
hearing, the director may present evidence that notification was properly
sent or served on the person pursuant to paragraph (b) of this subsection (2)
and other evidence related to the matter as the director deems appropriate.
The director shall issue the order within ten days after the director's
determination related to reasonable attempts to notify the respondent, and
the order becomes final as to that person by operation of law. The hearing
shall be conducted pursuant to sections 24-4-104 and 24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required registration, or has or is about to engage in acts or practices
PAGE 603-HOUSE BILL 19-1172
constituting violations of this article or rules adopted under this article, the
director may issue a final cease-and-desist order, directing the person to
cease and desist from further unlawful acts or unregistered practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (2), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
is effective when issued and is a final order for purposes of judicial review.
(3) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged or is about to engage in
an unregistered act or practice; an act or practice constituting a violation of
this article, a rule promulgated pursuant to this article, or an order issued
pursuant to this article; or an act or practice constituting grounds for
administrative sanction pursuant to this article, the director may enter into
a stipulation with the person.
(4) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(5) A person aggrieved by the final cease-and-desist order may seek
judicial review of the director's determination or of the director's final order
as provided in section 12-29.7-110 (8).
THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-205-113. [Formerly 12-29.7-112] Mental or physical
examination of registrants. (1) If the director has reasonable cause to
believe that a registrant is unable to practice with reasonable skill and
safety, the director may order the registrant to take a mental or physical
examination administered by a physician or other licensed health care
professional designated by the director. Unless due to circumstances beyond
PAGE 604-HOUSE BILL 19-1172
the registrant's control, if the registrant refuses to undergo a mental or
physical examination, the director may suspend the person's registration
until the results of the examination are known and the director has made a
determination of the registrant's fitness to practice. The director shall
proceed with an order for examination and shall make his or her
determination in a timely manner.
(2) The director shall include in an order requiring a registrant to
undergo a mental or physical examination the basis of the director's
reasonable cause to believe that the registrant is unable to practice with
reasonable skill and safety. For purposes of a disciplinary proceeding
authorized under this article 205, the registrant is deemed to have waived
all objections to the admissibility of the examining physician's or licensed
health care professional's testimony or examination reports on the ground
that they are privileged communications.
(3) The registrant may submit to the director testimony or
examination reports from a physician chosen by the registrant and
pertaining to any condition that the director has alleged may preclude the
registrant from practicing with reasonable skill and safety. The testimony
and reports submitted by the registrant may be considered by the director in
conjunction with, but not in lieu of, testimony and examination reports of
the physician designated by the director.
(4) The results of a mental or physical examination ordered by the
director shall not be used as evidence in any proceeding other than one
before the director and shall not be deemed a public record or made
available to the public.
12-205-114. [Formerly 12-29.7-113] Confidential agreement to
limit practice - violation grounds for discipline. (1) If a registered
athletic trainer suffers from a physical illness; a physical condition; or a
behavioral or mental health disorder that renders him or her unable to
practice athletic training with reasonable skill and safety to patients, he or
she shall notify the director of the physical illness; the physical condition;
or the behavioral or mental health disorder in a manner and within a period
of time determined by the director. The director may require the registrant
to submit to an examination to evaluate the extent of the physical illness;
the physical condition; or the behavioral or mental health disorder and its
impact on the registrant's ability to practice with reasonable skill and safety
PAGE 605-HOUSE BILL 19-1172
to patients.
(2) (a) Upon determining that a registrant with a physical illness; a
physical condition; or a behavioral or mental health disorder is able to
render limited athletic training services with reasonable skill and safety to
patients, the director may enter into a confidential agreement with the
registrant in which the registrant agrees to limit his or her practice based on
the restrictions imposed by the physical illness; the physical condition; or
the behavioral or mental health disorder, as determined by the director.
(b) The agreement must specify that the registrant is subject to
periodic reevaluations or monitoring as determined appropriate by the
director.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(d) By entering into an agreement with the director pursuant to this
section to limit his or her practice, the registrant is not engaging in activities
that constitute grounds for discipline under section 12-29.7-110. The
agreement is an administrative action and does not constitute a restriction
or discipline by the director. However, if the registrant fails to comply with
the terms of an agreement entered into pursuant to this section, the failure
constitutes grounds for disciplinary action under section 12-29.7-110 (2)(d),
and the registrant is subject to discipline in accordance with section
12-29.7-110.
(1) EXCEPT AS SPECIFIED IN SUBSECTION (2) OF THIS SECTION,
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO LIMIT
PRACTICE APPLIES TO THIS ARTICLE 205.
(3) (2) This section does AND SECTION 12-30-108 DO not apply to a
registrant subject to discipline under section 12-29.7-110 (2)(c) 12-205-111
(2)(c).
12-205-115. [Formerly 12-29.7-114] Unauthorized practice -
penalties. A person who practices or offers or attempts to practice athletic
training without an active registration issued under this article commits a
class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense. For the second or any subsequent
PAGE 606-HOUSE BILL 19-1172
offense, the person commits a class 1 misdemeanor and shall be punished
as provided in section 18-1.3-501, C.R.S. 205 IS SUBJECT TO PENALTIES
PURSUANT TO SECTION 12-20-407 (1)(b).
12-205-116. [Formerly 12-29.7-115] Rule-making authority. The
director shall promulgate rules as necessary for the administration of this
article PURSUANT TO SECTION 12-20-204.
12-205-117. [Formerly 12-29.7-117] Repeal of article - review of
functions. This article 205 is repealed, effective September 1, 2021, and the
powers, duties, and functions of the director specified in this article 205 are
repealed on that date. Prior to BEFORE the repeal, the department of
regulatory agencies shall review the powers, duties, and functions of the
director as provided in ARE SCHEDULED FOR REVIEW IN ACCORDANCE WITH
section 24-34-104. C.R.S.
ARTICLE 210
Audiologists
12-210-101. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 210.
12-210-102. [Formerly 12-29.9-101] Definitions. As used in this
article 210, unless the context otherwise requires:
(1) "Applicant" means a person applying for a license to practice
audiology.
(2) (1) "Audiologist" means a person engaged in the practice of
audiology.
(3) "Director" means the director of the division or the director's
designee.
(4) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(5) (2) (a) "Hearing aid" means any wearable instrument or device
designed or offered to aid or compensate for impaired human hearing and
PAGE 607-HOUSE BILL 19-1172
any parts, attachments, or accessories to the instrument or device, including
ear molds but excluding batteries and cords.
(b) "Hearing aid" does not include a surgically implanted hearing
device.
(6) "Licensee" means an audiologist who holds a current license
issued by the division pursuant to this article.
(7) (3) "Practice of audiology" means:
(a) (I) The application of principles, methods, and procedures
related to the development, disorders, and conditions of the human
auditory-vestibular system, whether those disorders or conditions are of
organic or functional origin, including disorders of hearing, balance,
tinnitus, auditory processing, and other neural functions, as those principles,
methods, and procedures are taught in accredited programs in audiology.
(II) The principles, methods, or procedures include diagnosis,
assessment, measurement, testing, appraisal, evaluation, rehabilitation,
treatment, prevention, conservation, identification, consultation, counseling,
intervention, management, interpretation, instruction, and research related
to hearing, vestibular function, balance and fall prevention, and associated
neural systems, and any abnormal condition related to tinnitus, auditory
sensitivity, acuity, function or processing, speech, language, or other
aberrant behavior resulting from hearing loss, for the purpose of diagnosing,
designing, and implementing audiological management and treatment or
other programs for the amelioration of human auditory-vestibular system
disorders and conditions.
(b) Prescribing, selecting, specifying, evaluating, assisting in the
adjustment to, and dispensing of prosthetic devices for hearing loss,
including hearing aids and hearing assistive devices by means of specialized
audiometric equipment or by any other means accepted by the director;
(c) Determining work-related hearing loss or impairment, as defined
by federal regulations;
(d) Prevention of hearing loss; and
PAGE 608-HOUSE BILL 19-1172
(e) Consulting with, and making referrals to, a physician when
appropriate.
(8) (4) "Surgically implanted hearing device" means a device that
is designed to produce useful hearing sensations to a person with a hearing
impairment and that has, as one or more components, a unit that is
surgically implanted into the ear, skull, or other interior part of the body.
The term includes any associated unit that may be worn on the body.
12-210-103. [Formerly 12-29.9-102] Scope of article - exemption.
(1) This article 210 does not apply to a person who is:
(a) Licensed pursuant to section 22-60.5-210 C.R.S., and not
licensed under this article 210 for work undertaken as part of his or her
employment by, or contractual agreement with, the public schools;
(b) Engaged in the practice of audiology in the discharge of his or
her official duties in the service of the United States armed forces, public
health service, Coast Guard, or veterans administration;
(c) A student enrolled in a course of study leading to a degree in
audiology or the hearing or speech sciences at an institution of higher
education or postsecondary education accredited by a national, regional, or
state agency recognized by the United States department of education who
is practicing audiology, if the student is supervised by a licensed audiologist
and the student's designated title clearly indicates his or her status as a
student; or
(d) Otherwise licensed as a health professional under this title 12.
(2) Nothing in this article 210 authorizes an audiologist to engage
in the practice of medicine as defined in section 12-36-106 12-240-107.
12-210-104. [Formerly 12-29.9-103] Title protection - use of title.
(1) It is unlawful for any person to use the following titles unless he or she
is licensed pursuant to this article 210: "Audiologist", "hearing and balance
audiologist", "vestibular audiologist", or any other title or abbreviation that
implies that the person is an audiologist.
(2) A licensee who has a doctorate degree in audiology is entitled to
PAGE 609-HOUSE BILL 19-1172
use the title "Doctor" or "Dr." when accompanied by the words
"Audiologist" or "Audiology" or the letters "Au.D.", "Ed.D.", "Ph.D.",
"Sc.D.", or any other appropriate degree designation, and to use the title
"Doctor of Audiology".
12-210-105. [Formerly 12-29.9-104] License required -
application - fee - liability insurance - disclosure - exemption. (1) (a) An
audiologist must obtain a license from the division before engaging in the
practice of audiology in this state.
(b) The director shall give each licensee a license bearing a unique
license number. The licensee shall include the license number on all written
contracts and receipts.
(2) To qualify for licensure as an audiologist under this article 210,
a person must have:
(a) Earned a doctoral degree in audiology from a program that is or,
at the time the applicant was enrolled and graduated, was offered by an
institution of higher education or postsecondary education accredited by a
national, regional, or state agency recognized by the United States
department of education, or another program approved by the director; or
(b) (I) Earned a master's degree from a program with a concentration
in audiology that was conferred before July 1, 2007, from a program of
higher learning that is or, at the time the applicant was enrolled and
graduated, was offered by an institution of higher education or
postsecondary education accredited by a national, regional, or state agency
recognized by the United States department of education, or another
program approved by the director; and
(II) Obtained a certificate of competency in audiology from a
nationally recognized certification agency.
(3) An audiologist desiring to be licensed pursuant to this article 210
must submit to the director an application containing the information
described in subsection (4) of this section and must pay to the director all
required fees in the amounts determined and collected by the director
pursuant to section 24-34-105, C.R.S. 12-20-105. The director may deny an
application for a license if the required information and fees are not
PAGE 610-HOUSE BILL 19-1172
submitted. If an applicant or licensee fails to notify the director of a change
in the submitted information within thirty days after the change, the failure
is grounds for disciplinary action pursuant to section 12-29.9-108
12-210-108.
(4) An applicant must include the following information in an
application for a license as an audiologist under this article 210:
(a) The audiologist's name, business address, and business telephone
number;
(b) A listing of the audiologist's education, experience, and degrees
or credentials, including all degrees or credentials awarded to the
audiologist that are related to the practice of audiology;
(c) A statement indicating whether a local, state, or federal
government agency has:
(I) Issued a license, certificate, or registration in audiology to the
applicant;
(II) Suspended or revoked a license, certificate, or registration
issued to the applicant;
(III) Charges or complaints pending against the applicant; or
(IV) Taken disciplinary action against the applicant;
(d) The length of time and the locations where the applicant has
engaged in the practice of audiology; and
(e) If the audiologist intends to provide services to patients, proof
of professional liability insurance in the form and amount determined
appropriate by the director pursuant to section 12-29.9-112 12-210-111.
(5) An applicant or licensee shall report and update information as
required by section 24-34-110, C.R.S. 12-30-102. When reporting and
updating information regarding malpractice judgments and settlements, as
required by section 24-34-110 (4)(h) and (8)(a), C.R.S. 12-30-102 (4)(h)
AND (8)(a), the applicant or licensee shall include the case number, the
PAGE 611-HOUSE BILL 19-1172
name of the court, and names of all parties to the action.
12-210-106. [Formerly 12-29.9-105] Licensure - certificate -
expiration - renewal - reinstatement - fees. (1) The director shall issue
a license to an applicant who satisfies the requirements of this article 210.
(2) All Licenses issued under this article expire pursuant to a
schedule established by the director and must be renewed or reinstated
pursuant to section 24-34-102 (8), C.R.S. The director shall establish
renewal fees and delinquency fees for reinstatement pursuant to section
24-34-105, C.R.S. If a person fails to renew his or her license pursuant to
the schedule established by the director, the license expires 210 ARE
SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
A person whose license has expired is subject to the penalties set forth in
this article 210 or in section 24-34-102 (8), C.R.S. 12-20-202 (1).
12-210-107. [Formerly 12-29.9-106] Licensure by endorsement
- rules. (1) The director shall issue a license by endorsement to engage in
the practice of audiology in this state to an individual who possesses an
active license in good standing to practice audiology in another state or
territory of the United States or in a foreign country if the applicant:
(a) Presents satisfactory proof to the director that the individual
possesses a valid license from another state or jurisdiction that requires
qualifications substantially equivalent to the qualifications for licensure in
this state and meets all other requirements for licensure pursuant to this
article 210; and
(b) Pays the license fee established under section 24-34-105, C.R.S.
12-20-105.
(2) The director may specify by rule what constitutes substantially
equivalent qualifications for the purposes of this section.
12-210-108. [Formerly 12-29.9-108] Disciplinary actions -
grounds for discipline. (1) Upon proof that an applicant or licensee has
engaged in an activity that is grounds for discipline under subsection (2) of
this section, the director may TAKE DISCIPLINARY OR OTHER ACTION AS
AUTHORIZED BY SECTION 12-20-404, INCLUDING:
PAGE 612-HOUSE BILL 19-1172
(a) Impose IMPOSING an administrative fine not to exceed two
thousand five hundred dollars for each separate offense;
(b) Issue ISSUING a letter of admonition UNDER THE CIRCUMSTANCES
SPECIFIED IN AND IN ACCORDANCE WITH SECTION 12-20-404 (4);
(c) Place PLACING a licensee on probation PURSUANT TO SECTION
12-20-404 (1)(b), which entails close supervision on the terms and for the
period of time that the director deems appropriate; or
(d) Deny, refuse DENYING, REFUSING to renew, revoke, or suspend
REVOKING, OR SUSPENDING the license of an applicant or licensee PURSUANT
TO SECTION 12-20-404 (1)(d).
(2) The following acts constitute grounds for discipline:
(a) Making a false or misleading statement or omission in an
application for licensure;
(b) Failing to notify the director of a change in the information filed
pursuant to section 12-29.9-104 12-210-105;
(c) Violating any provision of this article 210, including failure to
comply with the license requirements of section 12-29.9-104 12-210-105
or failure to report information as required under section 12-29.9-104 (5)
or 24-34-110, C.R.S. 12-30-102 OR 12-210-105 (5), OR VIOLATING AN
APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12;
(d) Violating any rule promulgated by the director under this article
210;
(e) Aiding or abetting a violation, or conspiring to violate, any
provision of this article 210, or AN APPLICABLE PROVISION OF ARTICLE 20 OR
30 OF THIS TITLE 12, any rule promulgated, or ANY order issued under this
article 210 by the director;
(f) Failing to maintain professional liability insurance as required by
section 12-29.9-112 12-210-111;
(g) Using false or misleading advertising;
PAGE 613-HOUSE BILL 19-1172
(h) Violating the "Colorado Consumer Protection Act", article 1 of
title 6; C.R.S.;
(i) Causing physical harm to a customer;
(j) Failing to practice audiology according to commonly accepted
professional standards;
(k) Providing services beyond the licensee's scope of educational
preparation, experience, skills, or competence;
(l) Failing to adequately supervise a trainee for any of the healing
arts;
(m) Employing a sales agent or employee who violates any
provision of this article 210;
(n) Committing abuse of health insurance as described in section
18-13-119; C.R.S.;
(o) Failing to comply with a final agency order or with a stipulation
or agreement made with or order issued by the director;
(p) Falsifying information in any application or attempting to obtain
or obtaining a license by fraud, deception, or misrepresentation;
(q) HAVING an alcohol use disorder, as defined in section 27-81-102,
or a substance use disorder, as defined in section 27-82-102, or excessively
or habitually using or abusing alcohol or habit-forming drugs or habitually
using a controlled substance, as defined in section 18-18-102 (5), or other
drugs or substances having similar effects; except that the director has the
discretion not to discipline the licensee if he or she is participating in good
faith in an alcohol or substance use disorder treatment program approved
by the director;
(r) (I) Failing to notify the director, as required by section
12-29.9-113 12-30-108 (1), of a physical illness, a physical condition, or a
behavioral, mental health, or substance use disorder that impacts the
licensee's ability to perform audiology with reasonable skill and safety to
patients;
PAGE 614-HOUSE BILL 19-1172
(II) Failing to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the licensee unable to perform audiology with
reasonable skill and safety to the patient; or
(III) Failing to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-29.9-113 SECTIONS
12-30-108 AND 12-210-112;
(s) Refusing to submit to a physical or mental examination when so
ordered by the director pursuant to section 12-29.9-114 12-210-113;
(t) Failing to respond in an honest, materially responsive, and timely
manner to a complaint lodged against the licensee; and
(u) In any court of competent jurisdiction, being convicted of,
pleading guilty or nolo contendere to, or receiving a deferred sentence for
a felony or a crime involving fraud, deception, false pretense, theft,
misrepresentation, false advertising, or dishonest dealing.
(3) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the director and, in the
opinion of the director, should be dismissed, but the director has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, The director may send the licensee
a confidential letter of concern UNDER THE CIRCUMSTANCES SPECIFIED IN
SECTION 12-20-404 (5).
(4) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
director shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution.
(5) A person whose license to practice under this article is revoked,
or who surrenders his or her license to avoid discipline, is ineligible to apply
for a new license under this article for two years after the date of revocation
or surrender.
(6) (4) Any disciplinary action taken by another state, local
jurisdiction, or the federal government against an applicant or licensee
PAGE 615-HOUSE BILL 19-1172
constitutes prima facie evidence of grounds for disciplinary action,
including denial of a license under this article 210; except that this
subsection (6) (4) applies only to discipline for acts or omissions that are
substantially similar to those set out as grounds for disciplinary action under
this article 210.
(7) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the director, does not warrant formal
action by the director but should not be dismissed as being without merit,
the director may issue and send to the licensee a letter of admonition.
(b) (I) When the director sends a letter of admonition to a licensee
pursuant to paragraph (a) of this subsection (7), the director shall also
advise the licensee that he or she has the right to request in writing, within
twenty days after receipt of the letter, that the director initiate formal
disciplinary proceedings to adjudicate the propriety of the conduct upon
which the letter of admonition is based.
(II) If the licensee makes the request for adjudication in a timely
manner, the director shall vacate the letter of admonition and shall process
the matter by means of formal disciplinary proceedings.
(8) The director shall transmit all fines collected pursuant to this
section to the state treasurer, who shall credit them to the general fund.
12-210-109. [Formerly 12-29.9-109] Director - powers - duties -
rules. (1) The director may conduct investigations and inspections IN
ACCORDANCE WITH SECTION 12-20-403 as necessary to determine whether
an applicant or licensee has violated this article 210 or any rule adopted by
the director under this article 210.
(2) The director may apply to a court of competent jurisdiction for
an order enjoining SEEK AN INJUNCTION IN ACCORDANCE WITH SECTION
12-20-406 TO ENJOIN any act or practice that constitutes a violation of this
article Upon a showing that a person is engaging in or intends to engage in
the act or practice, the court shall grant an injunction, restraining order, or
other appropriate order, regardless of the existence of another remedy. The
Colorado rules of civil procedure govern all proceedings related to such
court orders 210.
PAGE 616-HOUSE BILL 19-1172
(3) (a) The director or an administrative law judge may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing, investigation,
accusation, or other matter coming before the director pursuant to this
article. The director may appoint an administrative law judge pursuant to
part 10 of article 30 of title 24, C.R.S., to take evidence and to make
findings and report them to the director.
(b) Upon the failure of any witness to comply with a subpoena or
process, the director may apply to the district court of the county in which
the subpoenaed person or licensee resides or conducts business, and after
notice of the application by the director to the subpoenaed person or
licensee, the district court may issue to the person or licensee an order
requiring that the person or licensee appear before the director; produce the
relevant papers, books, records, documentary evidence, or materials if so
ordered; or give evidence relevant to the matter under investigation or in
question. If the person or licensee fails to obey the order of the court, the
court may hold the person or licensee in contempt of court.
(4) (3) The director shall determine the amount of malpractice
coverage that must be obtained by an audiologist who provides services to
patients.
(5) (4) No later than December 31, 2013, and as necessary
thereafter, The director shall adopt rules necessary for the enforcement or
administration of this article PURSUANT TO SECTION 12-20-204, including
rules requiring licensees to maintain records identifying customers by name,
the goods or services provided to each customer other than batteries and
minor accessories, and the date and price of each transaction. Licensees
shall maintain the records for at least seven years after the last transaction.
12-210-110. [Formerly 12-29.9-110] Cease-and-desist orders -
unauthorized practice - penalties. (1) (a) If it appears to the director,
based upon credible evidence as presented in a written complaint by any
person, that a licensee is acting in a manner that is an imminent threat to the
health and safety of the public or a person is acting or has acted without the
required license, the director may issue an order to cease and desist the
activity. The director must set forth in the order the statutes and rules
alleged to have been violated, the facts alleged to have constituted the
PAGE 617-HOUSE BILL 19-1172
violation, and the requirement that all unlawful acts or unlicensed practices
immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. The director shall conduct the hearing pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(2) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any provision of this article, then, in addition to any other powers granted
pursuant to this article, the director may issue to the person an order to show
cause as to why the director should not issue a final order directing the
person to cease and desist from the unlawful act or practice.
(b) The director shall promptly notify a person against whom he or
she has issued an order to show cause pursuant to paragraph (a) of this
subsection (2) of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. The director may serve the notice by personal
service, by first-class United States mail, postage prepaid, or as may be
practicable upon any person against whom the order is issued. Personal
service or mailing of an order or document pursuant to this subsection (2)
constitutes notice to the person of the existence and contents of the order or
document.
(c) (I) The director must commence the hearing on an order to show
cause no sooner than ten, and no later than forty-five, calendar days after
the date of transmission or service of the notification by the director as
provided in paragraph (b) of this subsection (2). The director may continue
the hearing by agreement of all parties based upon the complexity of the
matter, number of parties to the matter, and legal issues presented in the
matter, but in no event may the director commence the hearing later than
sixty calendar days after the date of transmission or service of the
notification.
(II) If a person to whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (2) does not appear at the
hearing, the director may present evidence that notification was properly
PAGE 618-HOUSE BILL 19-1172
sent or served upon the person pursuant to paragraph (b) of this subsection
(2) and any other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order becomes final as to that person by operation of
law. The conduct of the hearing is governed by sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required license or has or is about to engage in acts or practices constituting
violations of this article, the director may issue a final cease-and-desist
order directing the person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (2), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the director has issued the final
order. The final order issued pursuant to subparagraph (III) of this
paragraph (c) is effective when issued and constitutes a final order for
purposes of judicial review.
(3) The director may enter into a stipulation with a person if it
appears to the director, based upon credible evidence presented to the
director, that the person has engaged in or is about to engage in:
(a) An unlicensed act or practice;
(b) An act or practice constituting a violation of this article, a rule
promulgated pursuant to this article, or an order issued pursuant to this
article; or
(c) An act or practice constituting grounds for administrative
sanction pursuant to this article.
(4) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested the attorney shall bring, suit for a temporary
PAGE 619-HOUSE BILL 19-1172
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(5) A person aggrieved by a final cease-and-desist order may seek
judicial review of the director's determination or of the director's final order
in a court of competent jurisdiction.
(1) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
(6) (2) A person who practices or offers or attempts to practice
audiology services without an active audiologist license issued under this
article commits a class 2 misdemeanor and shall be punished as provided
in section 18-1.3-501, C.R.S., for the first offense, and, for the second or
any subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 210 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-210-111. [Formerly 12-29.9-112] Professional liability
insurance required - rules. (1) (a) Except as provided in paragraph (b) of
this subsection (1) SUBSECTION (1)(b) OF THIS SECTION, an audiologist shall
not practice audiology unless the audiologist purchases and maintains or is
covered by professional liability insurance in the form and amount
determined by the director by rule.
(b) The director, by rule, may exempt or establish lesser liability
insurance requirements for a class of audiologists whose practice does not
require the level of public protection the director establishes pursuant to this
paragraph (b) SUBSECTION (1)(b) for all other audiologists.
(2) The professional liability insurance required by this section must
cover all acts with the scope of practice of an audiologist as defined in this
article 210.
12-210-112. [Formerly12-29.9-113] Confidential agreements to
limit practice - violation grounds for discipline. (1) If an audiologist
suffers from a physical illness; a physical condition; or a behavioral or
mental health disorder that renders the licensee unable to practice audiology
with reasonable skill and safety to patients, the audiologist shall notify the
PAGE 620-HOUSE BILL 19-1172
director of the physical illness; the physical condition; or the behavioral or
mental health disorder in a manner and within a period of time determined
by the director. The director may require the licensee to submit to an
examination to evaluate the extent of the physical illness; the physical
condition; or the behavioral or mental health disorder and its impact on the
licensee's ability to practice audiology with reasonable skill and safety to
patients.
(2) (a) Upon determining that an audiologist with a physical illness;
a physical condition; or a behavioral or mental health disorder is able to
render limited audiology services with reasonable skill and safety to
patients, the director may enter into a confidential agreement with the
audiologist in which the audiologist agrees to limit his or her practice based
on the restrictions imposed by the physical illness; the physical condition;
or the behavioral or mental health disorder, as determined by the director.
(b) As part of the agreement, the audiologist is subject to periodic
reevaluations or monitoring as determined appropriate by the director.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or monitoring.
(d) By entering into an agreement with the director under this
subsection (2) to limit his or her practice, an audiologist is not engaging in
conduct that is grounds for discipline under section 12-29.9-108 (2). The
agreement does not constitute a restriction or discipline by the director.
However, if the audiologist fails to comply with the terms of an agreement
entered into pursuant to this subsection (2), the failure constitutes grounds
for disciplinary action under section 12-29.9-108 (2)(r), and the licensee is
subject to discipline in accordance with section 12-29.9-108.
(1) EXCEPT AS SPECIFIED IN SUBSECTION (2) OF THIS SECTION,
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO LIMIT
PRACTICE APPLIES TO THIS ARTICLE 210.
(3) (2) This section does AND SECTION 12-30-108 DO not apply to an
audiologist subject to discipline under section 12-29.9-108 (2)(q)
12-210-108 (2)(q).
12-210-113. [Formerly 12-29.9-114] Mental and physical
PAGE 621-HOUSE BILL 19-1172
examination of licensees. (1) If the director has reasonable cause to
believe that a licensee is unable to practice with reasonable skill and safety,
the director may require the licensee to take a mental or physical
examination by a health care provider designated by the director. If the
licensee refuses to undergo a mental or physical examination, unless due to
circumstances beyond the licensee's control, the director may suspend the
licensee's license until the results of the examination are known and the
director has made a determination of the licensee's fitness to practice. The
director shall proceed with an order for examination and determination in
a timely manner.
(2) The director shall include in an order issued to a licensee under
subsection (1) of this section the basis of the director's reasonable cause to
believe that the licensee is unable to practice with reasonable skill and
safety. For the purposes of a disciplinary proceeding authorized by this
article 210, the licensee is deemed to have waived all objections to the
admissibility of the examining health care provider's testimony or
examination reports on the ground that they are privileged communications.
(3) The licensee may submit to the director testimony or
examination reports from a health care provider chosen by the licensee
pertaining to the condition that the director alleges may preclude the
licensee from practicing with reasonable skill and safety. The director may
consider testimony and reports submitted by the licensee in conjunction
with, but not in lieu of, testimony and examination reports of the health care
provider designated by the director.
(4) A person shall not use the results of any mental or physical
examination ordered by the director as evidence in any proceeding other
than one before the director. The examination results are not public records
and are not available to the public.
12-210-114. [Formerly 12-29.9-115] Protection of medical
records - licensee's obligations - verification of compliance -
noncompliance grounds for discipline - rules. (1) Each licensee shall
develop a written plan to ensure the security of patient medical records. The
plan must address at least the following:
(a) The storage and proper disposal of patient medical records;
PAGE 622-HOUSE BILL 19-1172
(b) The disposition of patient medical records in the event the
licensee dies, retires, or otherwise ceases to practice or provide audiology
services to patients; and
(c) The method by which patients may access or obtain their medical
records promptly if any of the events described in paragraph (b) of this
subsection (1) SUBSECTION (1)(b) OF THIS SECTION occurs.
(2) Upon initial licensure under this article 210, the licensee shall
attest to the director that he or she THE LICENSEE has developed a plan in
compliance with this section.
(3) A licensee shall inform each patient, in writing, of the method
by which the patient may access or obtain his or her medical records if an
event described in paragraph (b) of subsection (1) SUBSECTION (1)(b) of this
section occurs.
(4) A licensee who fails to comply with this section is subject to
discipline in accordance with section 12-29.9-108 12-210-108.
(5) The director may adopt rules as necessary to implement this
section.
12-210-115. [Formerly 12-29.9-116] Repeal of article. This article
210 is repealed, effective September 1, 2020. Prior to BEFORE the repeal,
the department of regulatory agencies shall review the licensing and
supervisory functions of the director as provided in ARE SCHEDULED FOR
REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
ARTICLE 215
Chiropractors
PART 1
GENERAL PROVISIONS
12-215-101. [Formerly 12-33-101] Legislative declaration -
unlawful acts - license required. (1) It is hereby declared to be the policy
of the general assembly of the state of Colorado that, in order to safeguard
the life, health, and property and the public welfare of the people of this
state and in order to protect the people of this state against unauthorized,
PAGE 623-HOUSE BILL 19-1172
unqualified, and improper practice of chiropractic, it is necessary that a
proper regulatory authority be established and adequately provided for.
(2) It is unlawful for any person to practice or to offer to practice
chiropractic in the state of Colorado, or to use in connection with his OR
HER name or business or otherwise to assume, use, or advertise any title or
description which THAT will or which THAT reasonably might be expected
to mislead the public into believing he OR SHE is a doctor of chiropractic,
unless such THE person has been duly licensed under the provisions of this
article 215. Anyone who holds himself OR HERSELF out to the public as a
doctor of chiropractic without qualifying for proper licensing under this
article 215 and without submitting to the regulations provided in this article
215 endangers thereby the public life, health, property, and welfare.
12-215-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 215.
12-215-103. [Formerly 12-33-102] Definitions. As used in this
article 33 215, unless the context otherwise requires:
(1) "Acupuncture" means the puncture of the skin with fine needles
for diagnostic and therapeutic purposes.
(1.3) (2) (a) "Animal chiropractic" means diagnosing and treating
animal vertebral subluxation through chiropractic adjustment of the spine
or extremity articulations of fully awake dogs and equids. The chiropractic
adjustment may be performed only with the hands or with the use of a
handheld low-force mechanical adjusting device functionally equivalent to
the device known as an activator; all other equipment is prohibited.
(b) "Animal chiropractic" does not include:
(I) Performing veterinary medical care and diagnosis;
(II) Performing surgery;
(III) Dispensing or administering medications, dietary or nutritional
supplements, herbs, essences, nutraceutical products, or anything else
supplied orally, rectally, by inhalation, by injection, or topically except
PAGE 624-HOUSE BILL 19-1172
topically applied heat or cold;
(IV) Generating radiographic images or performing imaging
procedures, including thermography;
(V) Performing acupuncture, or any treatment activity other than
chiropractic adjustment;
(VI) Providing magnetic or other nonmanual treatment techniques,
colonics, colored-light therapy, homeopathy, radionics, or vitamin therapy;
(VII) Venipuncture;
(VIII) Making diagnoses by methods such as live cell analysis,
pendulum divining, iridology, hair analysis, nutritional deficiency
questionnaires, herbal crystallization analysis, or food allergy testing.
(1.5) (3) "Animal vertebral subluxation" means a lesion or
dysfunction in a joint or motion segment in which alignment, movement
integrity, or physiological function are altered, although contact between
joint surfaces remains intact, which THAT may influence biomechanical and
neural integrity. Diagnosis of animal vertebral subluxation typically
involves evaluation of gait and radiographs, and static and motion palpation
techniques that are used to identify joint dysfunction. Diagnosis of animal
vertebral subluxation does not include methods such as applied kinesiology,
reflexology, pendulum divining, or thermography.
(1.7) (4) "Chiropractic" means that branch of the healing arts that is
based on the premise that disease is attributable to the abnormal functioning
of the human nervous system. It includes the diagnosing and analyzing of
human ailments and seeks the elimination of the abnormal functioning of
the human nervous system by the adjustment or manipulation, by hand or
instrument, of the articulations and adjacent tissue of the human body,
particularly the spinal column, and the use as indicated of procedures that
facilitate the adjustment or manipulation and make it more effective and the
use of sanitary, hygienic, nutritional, and physical remedial measures for the
promotion, maintenance, and restoration of health, the prevention of
disease, and the treatment of human ailments. "Chiropractic" includes the
use of venipuncture for diagnostic purposes. "Chiropractic" does not
include colonic irrigation therapy. "Chiropractic" includes treatment by
PAGE 625-HOUSE BILL 19-1172
acupuncture when performed by an appropriately trained chiropractor as
determined by the Colorado state board of chiropractic examiners. Nothing
in this section shall apply to persons using acupuncture not licensed by the
board.
(2) (5) "Chiropractic adjustment" means the application, by hand, by
a trained chiropractor who has fulfilled the educational and licensing
requirements of this article 215, of adjustive force to correct subluxations,
fixations, structural distortions, abnormal tensions, and disrelated structures,
or to remove interference with the transmission of nerve force. The
application of the dynamic adjustive thrust is designed and intended to
produce and usually elicits audible and perceptible release of tensions and
movement of tissues or anatomical parts for the purpose of removing or
correcting interference to nerve transmission and expression.
(3) (6) "Electrotherapy" means the application of any radiant or
current energies of high or low frequency, alternating or direct, except
surgical cauterization, electrocoagulation, the use of radium in any form,
and X-ray therapy.
(3.1) (7) "Equid" means a hoofed mammal of the family equidae and
includes donkeys, horses, mules, and zebras.
(3.5) (8) "Licensed veterinarian" has the same meaning as set forth
in section 12-64-103 (9) 12-315-104 (11).
(4) (9) "Venipuncture" means the puncture of a vein for the
withdrawal of blood for the purpose of diagnosis through blood analysis.
Any blood analysis shall be done by a chiropractor or by a commercial
laboratory.
(5) (10) "Veterinary medical clearance" means that a veterinarian
licensed under article 64 315 of this title 12 has examined an animal patient,
has provided a diagnosis or differential diagnosis if appropriate, and has
provided written clearance, which may be transmitted electronically, for
animal chiropractic. The veterinary medical clearance shall precede the
commencement of animal chiropractic treatment and may contain
limitations on the scope, date of initiation, and duration of chiropractic
treatment. Once a veterinary medical clearance has been received, the
chiropractor is responsible for developing the plan of care for the animal
PAGE 626-HOUSE BILL 19-1172
patient's animal chiropractic.
12-215-104. State board of chiropractic examiners - subject to
termination - repeal of article - board meetings - election of officers.
(1) [Formerly 12-33-103 (1)] There is hereby created a Colorado state
board of chiropractic examiners, referred to in this article 215 as the
"board", consisting of seven members who are citizens of the United States,
five of whom must have practiced chiropractic in the state of Colorado for
five years before their appointment and two of whom shall be appointed
from the public at large. The governor shall appoint members of the board
for a term of four years. Any board member may be removed by the
governor for misconduct, incompetence, or neglect of duty. No member
shall serve more than two consecutive terms.
(2) [Formerly 12-33-105] The board shall elect from the
membership thereof a president, a vice-president, and a secretary-treasurer.
The board shall meet at such times and at such places as the board deems
necessary, but in no case less than annually. A majority of the board shall
constitute a quorum. An annual election of officers shall occur.
(3) [Formerly 12-33-103 (3)] (a) The provisions of section
24-34-104, C.R.S., concerning the termination schedule for regulatory
bodies of the state unless extended as provided in that section, are
applicable to the Colorado state board of chiropractic examiners created by
this section.
(b) This article 215 is repealed, effective July 1, 2020. BEFORE THE
REPEAL, THIS ARTICLE 215 IS SCHEDULED FOR REVIEW IN ACCORDANCE WITH
SECTION 24-34-104.
12-215-105. Board powers - limits on authority - publications -
records. (1) [Formerly 12-33-107] The board is authorized to and shall:
(a) Adopt promulgate, and from time to time revise such rules and
regulations not inconsistent with the law as may be necessary to enable it
to carry out the provisions of this article; except that the board shall not
adopt the code of ethics of any professional group or association by rule or
regulation RULES PURSUANT TO SECTION 12-20-204;
(b) Examine, license, and renew licenses of duly qualified
PAGE 627-HOUSE BILL 19-1172
chiropractic applicants;
(c) Approve or refuse to approve chiropractic schools and colleges;
(d) Conduct hearings IN ACCORDANCE WITH SECTION 12-20-403
upon complaints concerning the disciplining of chiropractors;
(e) Cause the prosecution of and seek injunctions IN ACCORDANCE
WITH SECTION 12-20-406 against all persons violating this article 215;
(f) Employ investigators; issue subpoenas, compel the attendance of
witnesses, compel the production of records, books, papers, and documents,
and administer oaths to persons giving testimony at hearings;
(g) Repealed.
(h) (g) Identify and proscribe, by rule, chiropractic practices which
THAT are untrue, deceptive, or misleading.
(2) THE BOARD SHALL NOT ADOPT THE CODE OF ETHICS OF ANY
PROFESSIONAL GROUP OR ASSOCIATION BY RULE.
(3) [Formerly 12-33-107.5] The authority granted the board under
the provisions of this article 215 shall not be construed to authorize the
board to arbitrate or adjudicate fee disputes between licensees or between
a licensee and any other party.
(4) [Formerly 12-33-108 (2)] Publications of the board circulated
in quantity outside the executive branch shall be issued in accordance with
the provisions of section 24-1-136. C.R.S.
(5) [Formerly 12-33-110] The board shall keep a record of its
proceedings and a register of all applications for licensing and all licensed
chiropractors, such to be public records and prima facie evidence of the
proceedings of the board set forth therein.
12-215-106. [Formerly 12-33-111] Licensure - minimum
education requirements. (1) (a) A minimum educational requirement shall
include a knowledge of the basic sciences and for original licensure shall
include graduation from a high school or its educational equivalent and
PAGE 628-HOUSE BILL 19-1172
graduation from an approved chiropractic school or college which THAT
teaches a course of not less than four thousand resident classroom hours in
a period of four academic years. All applicants for licensure who
matriculate in a chiropractic school or college shall present evidence of
having graduated from a chiropractic school or college having status with
the commission on accreditation of the Council on Chiropractic Education,
or its successor, or from a chiropractic school or college which THAT meets
equivalent standards. The schedule of minimum educational requirements
to enable any person to practice chiropractic in the state of Colorado is,
except as otherwise provided, as follows:
Group 1. Anatomy, including embryology and histology
Group 2. Physiology and psychology
Group 3. Biochemistry, inorganic and organic chemistry
Group 4. Pathology, bacteriology, and toxicology
Group 5. Public health, hygiene, sanitation, and first aid
Group 6. Diagnosis (to include, but not be limited to, physical, clinical,
laboratory, and all other recognized diagnostic procedures),
pediatrics, dermatology, syphilology, psychiatry, and X ray
Group 7. Obstetrics, gynecology
Group 8. Principles and practice of chiropractic, adjustive technic.
Electives including dietetics, nutrition, posture,
physiotherapy, electrotherapy, and surgical, optometric, and
dental indications
(b) (2) Any chiropractic college or school meeting the requirements
of this section and the rules and regulations adopted by the board shall be
eligible for approval.
12-215-107. [Formerly 12-33-111.5] Display of license required.
Every licensed practitioner of chiropractic shall conspicuously display his
or her license to practice in this state. If a chiropractor practices at several
locations, his or her name and license number shall be displayed in a
manner that can be easily recognized by patients. Persons who engage in the
practice of chiropractic under the name of a partnership, association, or
other entity shall conspicuously display at the entrance of their place of
business the name of each member or associate of such THE entity who is
engaged in the practice of chiropractic.
12-215-108. [Formerly 12-33-112] Application for license - fee -
PAGE 629-HOUSE BILL 19-1172
examination. Any person who fulfills the minimum educational
requirements prescribed by this article 215 and by the board, who is not less
than twenty-one years of age, who desires to obtain a license to practice
chiropractic in this state, and who is not entitled to a license therefor under
other provisions of this article 215 may make application for such A license
upon such THE forms and in such THE manner as prescribed by the board,
which application shall be accompanied by an examination fee. The board
may refuse to examine or license an applicant if the applicant has
committed any act that would be grounds for disciplinary action against a
licensed chiropractor. Such THE applicant shall be examined by the board
or the board's designee in the subjects outlined in section 12-33-111
12-215-106 to determine the applicant's qualifications to practice
chiropractic. A license shall be granted to all applicants who on such THE
examination are found qualified by attaining a passing grade on the
examinations adopted by the board. Qualification in that portion of the
examination relating to the basic sciences shall be established by the
applicant submitting proof satisfactory to the board of successfully passing
the examination in the basic sciences given by the National Board of
Chiropractic Examiners. The board may adopt the practical examination
developed and administered by the National Board of Chiropractic
Examiners as the practical portion of the examination. If the board adopts
such THE practical examination developed and administered by the National
Board of Chiropractic Examiners, qualification in the practical portion of
the examination shall be established by the applicant submitting proof
satisfactory to the board of successfully passing the practical examination
given by the National Board of Chiropractic Examiners, and the passing
score for such THE practical examination shall be as set by the National
Board of Chiropractic Examiners. Any chiropractic applicant who desires
to practice electrotherapy shall present evidence that he or she has
successfully completed a course of not less than one hundred twenty
classroom hours in this subject at a school approved by the board or under
the instruction of an approved provider.
12-215-109. [Formerly 12-33-113] Licensure by endorsement.
(1) Upon application for a license to practice chiropractic in this state,
accompanied by the required fee, the board shall issue such A license to any
person who furnishes, upon such THE form and in such THE manner as the
board prescribes, evidence satisfactory to the board that:
(a) The applicant is licensed to practice chiropractic in another state,
PAGE 630-HOUSE BILL 19-1172
a territory of the United States, the District of Columbia, the commonwealth
of Puerto Rico, or a province of Canada; and
(b) At the time of application under this section, the applicant
possesses credentials and qualifications that are, in the judgment of the
board, equivalent to this state's requirements for licensure by examination;
and
(c) (I) The applicant has been engaged in the full-time practice of
chiropractic, or has taught general clinical chiropractic subjects at an
accredited school of chiropractic, as set forth in section 12-33-111 (1)(a)
12-215-106 (1), in one of the jurisdictions referred to in paragraph (a) of
this subsection (1) SUBSECTION (1)(a) OF THIS SECTION for at least three of
the five years immediately preceding the date of the receipt of the
application; or
(II) The applicant has demonstrated competency as a chiropractor
as determined by the board; and
(d) The applicant has not been convicted of a crime that would be
grounds for the refusal, suspension, or revocation of a license to practice
chiropractic in this state if committed in this state; and
(e) The applicant's license to practice chiropractic is in good
standing.
12-215-110. [Formerly 12-33-114] Renewal of license.
(1) Licenses shall be renewed or reinstated pursuant to a schedule
established by the director of the division of professions and occupations
within the department of regulatory agencies and shall be renewed or
reinstated pursuant to section 24-34-102 (8), C.R.S. The director of the
division of professions and occupations within the department of regulatory
agencies may establish renewal fees and delinquency fees for reinstatement
pursuant to section 24-34-105, C.R.S. If a person fails to renew his or her
license pursuant to the schedule established by the director of the division
of professions and occupations, such license shall expire ISSUED PURSUANT
TO THIS ARTICLE 215 ARE SUBJECT TO THE RENEWAL, EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION
12-20-202 (1) AND (2). Any person whose license has expired shall be
subject to the penalties provided in this article 215 or section 24-34-102 (8),
PAGE 631-HOUSE BILL 19-1172
C.R.S. 12-20-202 (1).
(1.2) (Deleted by amendment, L. 2004, p. 1824, § 64, effective
August 4, 2004.)
(1.3) (2) A renewal fee paid pursuant to subsection (1) of this
section SECTION 12-20-202 (1) shall not be refunded.
(2) (Deleted by amendment, L. 2004, p. 1824, § 64, effective August
4, 2004.)
12-215-111. [Formerly 12-33-114.5] Change of address -
reporting required. Each person licensed under this article 215, upon
changing his or her address, shall inform the board of their THE new address
within thirty days after such THE change. The address change shall be
reflected on the next license or renewal certificate issued to the licensee.
12-215-112. [Formerly 12-33-115] Persons licensed under
previous laws. Any person holding a valid license to practice chiropractic
in Colorado on or after May 18, 1959, shall be licensed under the provisions
of this article 215 without further application by said THE person.
12-215-113. [Formerly 12-33-116] Continuing education. It is
hereby expressly declared to be the purpose of this section to provide for an
increase in the annual scientific educational requirements of licensed
Colorado chiropractors. Each licensed Colorado chiropractor in active
practice within the state of Colorado shall be required annually to attend not
less than fifteen hours of scientific clinics, forums, or chiropractic
educational study consisting of subjects basic to the field of the healing arts
as set forth in section 12-33-111 12-215-106. Each year at the time of its
regular June meeting, the board shall prepare an educational schedule of
minimum postgraduate requirements of subjects as set forth in section
12-33-111 12-215-106 that shall be met by any school, clinic, forum, or
convention giving such THE educational work, and such THE minimum
standards must be complied with by such THE school, clinic, forum, or
convention before the board issues a postgraduate attendance certificate.
Credit hours shall be determined by the board. Applicants shall apply to the
board prior to or after the course and present proof of attendance and
synopsis of the course content for approval of credit hours. This provision
is made mandatory in the best interest of public health and welfare and to
PAGE 632-HOUSE BILL 19-1172
provide progress in the field of chiropractic. If any licensed chiropractor is
unable to comply with this section on account of dire emergency and for
good cause shown, the board may waive the provisions of this section.
12-215-114. [Formerly 12-33-116.5] Professional liability
insurance required. (1) (a) It is unlawful for any person to practice
chiropractic within this state unless the person purchases and maintains
professional liability insurance in an amount not less than three hundred
thousand dollars per claim with an aggregate liability limit for all claims
during the year of one million dollars.
(b) Professional liability insurance required by this section shall
cover all acts within the scope of practice as defined by section 12-33-102
12-215-103. Professional liability coverage shall cover acupuncture and
electrotherapy only if the licensee is authorized to perform these acts.
(2) Notwithstanding subsection (1) of this section, the board may by
rule exempt or establish lesser liability insurance requirements for any class
of licensee which THAT:
(a) Practices chiropractic as employees of the United States
government;
(b) Renders limited or occasional chiropractic services;
(c) Performs less than full-time active chiropractic services because
of administrative or other nonclinical duties of partial or complete
retirement;
(d) Provides uncompensated chiropractic care to patients but does
not otherwise provide compensated chiropractic care to patients; or
(e) Practices chiropractic in such a manner that renders the amounts
provided in subsection (1) of this section unreasonable or unattainable.
12-215-115. [Formerly 12-33-117] Discipline of licensees -
suspension, revocation, denial, and probation - grounds - definitions.
(1) Upon any of the following grounds, the board may issue a letter of
admonition to a licensee or may revoke, suspend, deny, refuse to renew,
TAKE DISCIPLINARY OR OTHER ACTION AS SPECIFIED IN SECTION 12-20-404
PAGE 633-HOUSE BILL 19-1172
or impose conditions on such A licensee's license:
(a) Using fraud, misrepresentation, or deceit in applying for,
securing, renewing, or seeking reinstatement of a license or in taking an
examination provided for in this article 215;
(b) An act or omission that constitutes negligent chiropractic
practice or fails to meet generally accepted standards of chiropractic
practice;
(c) Conviction of a felony or any crime that would constitute a
violation of this article 215. For purposes of this subsection (1),
"conviction" includes the acceptance of a guilty plea or a plea of nolo
contendere or the imposition of a deferred sentence.
(d) A substance use disorder, as defined in section 27-82-102, or
excessive use by the licensee of a controlled substance, as defined in section
18-18-102 (5), or a habit-forming drug;
(e) An alcohol use disorder, as defined in section 27-81-102, or
excessive use of alcohol by the licensee;
(f) Disobedience to a lawful rule or order of the board;
(g) Persisting in maintaining an unsanitary office or practicing under
unsanitary conditions after warning from the board;
(h) Repealed.
(i) (h) False or misleading advertising;
(j) (i) Failure to report malpractice judgments or settlements within
sixty days;
(k) (j) Violation of abuse of health insurance pursuant to section
18-13-119 C.R.S., or commission of a fraudulent insurance act, as defined
in section 10-1-128; C.R.S.;
(l) (k) Treating a patient by colonic irrigation or allowing colonic
irrigation to be performed at the licensee's premises;
PAGE 634-HOUSE BILL 19-1172
(m) (l) Practicing with a suspended or expired license;
(n) (m) Willfully deceiving or attempting to deceive the board of
examiners or their ITS agents with reference to any matter under
investigation by the board;
(o) (n) Practicing under an assumed name;
(p) (o) Unethical advertising, as defined in subsection (3) (5) of this
section, or advertising through any medium that the licensee will perform
an act prohibited by section 18-13-119 (3); C.R.S.;
(q) (p) Violating this article or aiding any person to violate this
article 215 OR AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE
12;
(r) (q) Knowingly practicing in the employment of or in association
with any person who is practicing in an unlawful or unprofessional manner;
(s) (r) Offering, giving, or receiving commissions, rebates, or other
forms of remuneration for the referral of clients; except that a licensee may
compensate an independent advisory or marketing agent for advertising or
marketing services, which services may include the referral of patients
identified through such THE services, and a licensee may give an incidental
gift to a patient in appreciation for a referral;
(t) (s) Conducting any enterprise other than the regular practice of
chiropractic whereby the holder's license is used as a means of attracting
patients or attaining prestige or patronage in the conduct of such THE
enterprise;
(u) (t) Permitting the practice of chiropractic, the holding out of such
THE practice, or the maintenance of an office for such THE PRACTICE by an
unlicensed person in association with himself or herself;
(v) (u) Engaging in any of the following activities and practices:
Willful and repeated ordering or performance, without clinical justification,
of demonstrably unnecessary laboratory tests or studies; the administration,
without clinical justification, of treatment which THAT is demonstrably
unnecessary; the failure to obtain consultations or perform referrals when
PAGE 635-HOUSE BILL 19-1172
failing to do so is not consistent with the standard of care for the profession;
or ordering or performing, without clinical justification, any service, X ray,
or treatment which THAT is contrary to recognized standards of the practice
of chiropractic as interpreted by the board;
(w) (v) Falsifying or making incorrect essential entries or failing to
make essential entries on patient records;
(x) (w) Violating section 8-42-101 (3.6); C.R.S.;
(y) (x) Violating section 12-33-202 12-215-202 or any rule adopted
pursuant to said THAT section;
(z) (y) Failing to report to the board the surrender of a license to, or
adverse action taken against a license by, a licensing agency in another
state, territory, or country, a governmental agency, a law enforcement
agency, or a court for acts or conduct that would constitute grounds for
discipline pursuant to this article 215;
(aa) (z) Engaging in a sexual act with a patient during the course of
such THE patient's care or within six months immediately following the
termination of the chiropractor's professional relationship with the patient.
"Sexual act", as used in this paragraph (aa) SUBSECTION (1)(z), means
sexual contact, sexual intrusion, or sexual penetration, as defined in section
18-3-401. C.R.S.
(bb) (aa) Abandoning a patient by any means, including, but not
limited to, failing to provide a referral to another chiropractor or other
appropriate health care practitioner when such THE referral was necessary
to meet generally accepted standards of chiropractic care;
(cc) (bb) Failing to provide adequate or proper supervision when
employing unlicensed persons in a chiropractic practice;
(dd) (cc) Having a physical or mental disability that makes him or
her unable to render chiropractic services with reasonable skill and safety;
(ee) (dd) Performing a procedure in the course of patient care that
is beyond the chiropractor's training or competence or the scope of
authorized chiropractic services under this article 215;
PAGE 636-HOUSE BILL 19-1172
(ff) (ee) Failing to respond to a board-generated complaint letter.
(1.5) (2) In addition to any other penalty that may be imposed
pursuant to this section, a chiropractor violating any provision of this article
215 or any rule promulgated pursuant to this article 215 may be fined no
less than one thousand dollars for a first violation proven by the board, up
to three thousand dollars for a second violation proven by the board, and up
to five thousand dollars for a third or subsequent violation proven by the
board. The board shall establish guidelines for the imposition of such THE
fines. All fines collected pursuant to this subsection (1.5) shall be
transferred to the state treasurer, who shall credit such moneys to the
general fund.
(2) (3) Disciplinary action taken against a licensee's ability to
practice in another state or country shall be prima facie evidence of a
violation of this article 215 and shall constitute grounds for discipline if the
acts giving rise to such THE disciplinary action would violate this article 215
if committed in this state.
(2.5) (4) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, THE BOARD MAY SEND a confidential
letter of concern may be issued and sent to the licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(3) (a) (5) For purposes of this section, the term "unethical
advertising" shall include, but not be limited to, advertising, through
newspapers, magazines, circulars, direct mail, directories, radio, television,
or otherwise, which THAT:
(I) (a) Contains false or misleading statements;
(II) (b) Holds out or promises cures or guarantees results; OR
(III) (c) Contains claims which THAT cannot be substantiated by
standard laboratory or diagnostic procedures.
(IV) and (V) Repealed.
PAGE 637-HOUSE BILL 19-1172
(b) Repealed.
(4) (6) Any doctor of chiropractic proven to be incompetent or
negligent may be required to take an examination, given by the board, in the
subjects outlined in section 12-33-111 12-215-106. In addition, the board
may order the doctor of chiropractic to take such therapy or courses of
training or education as may be needed to correct deficiencies found in the
hearing.
(5) (7) In the event any person holding a license to practice
chiropractic in this state is determined to be mentally incompetent or insane
by a court of competent jurisdiction and a court enters, pursuant to part 3 or
4 of article 14 of title 15 or section 27-65-109 (4) or 27-65-127, C.R.S., an
order specifically finding that the mental incompetency or insanity is of
such a degree that the person holding a license is incapable of continuing
to practice chiropractic, his or her license shall automatically be suspended
by the board, and, anything in this article 215 to the contrary
notwithstanding, such THE suspension shall continue until the licentiate
LICENSEE is found by such THE court to be competent to practice
chiropractic.
12-215-116. [Formerly 12-33-117.5] Mental and physical
examination of licensees. (1) If the board has reasonable cause to believe
a licensee is unable to practice with reasonable skill and safety, it may
require such THE licensee to take a mental or physical examination given by
a physician or other qualified provider designated by the board. If the
licensee refuses to undergo such THE examination or to release all medical
records necessary to determine his or her THE LICENSEE'S ability to practice
safely, unless such THE refusal or failure is due to circumstances beyond the
licensee's control, the board may suspend such THE licensee's license until
the results of such THE examination are known and the board has made a
determination of the licensee's fitness to practice. The board shall proceed
with an order for examination and make its determination in a timely
manner.
(2) An order for examination issued by the board pursuant to
subsection (1) of this section shall include the board's reasons for believing
the licensee is unable to practice with reasonable skill and safety.
(3) For purposes of any disciplinary proceeding authorized under
PAGE 638-HOUSE BILL 19-1172
this article 215, a licensee shall be deemed to have waived all objections to
the admissibility of an examining physician's testimony and examination
reports on the basis of privilege.
(4) A licensee may submit to the board testimony and examination
reports received from a physician chosen by the licensee, if such THE
testimony and reports pertain to a condition that the board has alleged may
preclude the licensee from practicing with reasonable skill and safety.
(5) The results of a mental or physical examination ordered by the
board shall not be used as evidence in any proceeding other than one held
before the board and shall not be a public record nor made available to the
public.
12-215-117. [Formerly 12-33-118] Use of title. A license to practice
chiropractic entitles the holder to use the title "Doctor" or "Dr." when
accompanied by the word "Chiropractor" or the letters "D.C.", and to use
the title of "Doctor of Chiropractic". Such THE license shall not confer upon
the licensee the right to practice surgery or obstetrics, or to prescribe,
compound, or administer drugs, or to administer anesthetics. Nothing in this
article 215 shall be construed to prohibit or to require a license for bona fide
chiropractic students or interns in attendance upon a regular course of
instruction in a lawfully operated chiropractic school or hospital with
respect to performing chiropractic services within such THE school or
hospital while under the direct supervision of a licensed chiropractor.
12-215-118. [Formerly 12-33-119] Disciplinary proceedings.
(1) The board, through the department, of regulatory agencies, may employ
administrative law judges, on a full-time or part-time basis, to conduct
hearings as provided by this article 215 or on any matter within the board's
jurisdiction upon such THE conditions and terms as the board may
determine.
(2) A proceeding for the discipline of a licensee may be commenced
when the board has reasonable grounds to believe that a licensee under the
board's jurisdiction has committed an act that may violate section 12-33-117
12-215-115.
(3) The attendance of witnesses and the production of books, patient
records, papers, and other pertinent documents at the hearing may be
PAGE 639-HOUSE BILL 19-1172
summoned by subpoenas issued by the board, which shall be served in the
manner provided by the Colorado rules of civil procedure for service of
subpoenas.
(3.5) (Deleted by amendment, L. 2004, p. 1825, § 65, effective
August 4, 2004.)
(4) (3) Disciplinary proceedings and hearings shall be conducted in
the manner prescribed by article 4 of title 24 C.R.S. AND SECTION
12-20-403.
(5) (4) A previously issued license to engage in the practice of
chiropractic shall not be revoked or suspended until after a hearing
conducted pursuant to section 24-4-105, C.R.S., except in the case of a
deliberate and willful violation of this article 215 or if the public health,
safety, and welfare require emergency action under section 24-4-104 (4).
C.R.S. The denial of an application to renew an existing license shall be
treated in all respects as a revocation. If an application for a new license is
denied, the applicant, within sixty days after the giving of notice of such
action, may request a hearing as provided in section 24-4-105. C.R.S.
(6) Repealed.
(7) (5) (a) The board or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board.
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings and
report them to the board. The A person providing such copies OF RECORDS
SUBPOENAED PURSUANT TO SECTION 12-20-403 (2) shall prepare them from
the original record and shall delete from the copy provided pursuant to the
subpoena the name of the patient, but he or she shall identify the patient by
a numbered code, to be retained by the custodian of the records from which
the copies were made.
(b) Upon certification of the custodian that the copies are true and
complete except for the patient's name, they shall be deemed authentic,
subject to the right to subpoena the originals for the limited purpose of
PAGE 640-HOUSE BILL 19-1172
ascertaining the accuracy of the copies. The originals shall remain
confidential and be returned to the custodian as soon as the accuracy of the
copy is ascertained or as soon as the case is concluded if the original is
needed as evidence of falsification. No privilege of confidentiality shall
exist with respect to such THE copies, and no liability shall lie against the
board or the custodian for furnishing or using such THE copies in
accordance with this subsection (7) (5).
(c) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(8) (6) If a licensee has committed an act which THAT violates
section 12-33-117 12-215-115, the board shall withhold, revoke, or suspend
an existing license, issue a letter of admonition, or grant probation on terms
and conditions set by the board, TAKE DISCIPLINARY OR OTHER ACTION AS
SPECIFIED IN SECTION 12-20-404 or otherwise discipline a licensee as
provided for in this article 215. A revoked or suspended license may
thereafter be reissued by the board. The board may dismiss or terminate
probation prior to the completion of the probationary period.
(9) (a) (7) When a complaint or an investigation discloses an
instance of misconduct that, in the opinion of the board, does not warrant
formal action by the board but that should not be dismissed as being without
merit, THE BOARD MAY SEND a letter of admonition may be sent by certified
mail to the A chiropractor against whom the A complaint was made UNDER
THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH SECTION
12-20-404 (4) and SHALL ALSO SEND a copy also sent OF THE LETTER OF
ADMONITION to the person making the complaint. When a letter of
admonition is sent by certified mail by the board to a chiropractor
complained against, such chiropractor shall be advised that he or she has the
right to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based. If such request is
PAGE 641-HOUSE BILL 19-1172
timely made, the letter of admonition shall be deemed vacated, and the
matter shall be processed by means of formal disciplinary proceedings.
(b) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(10) (8) Notwithstanding other laws to the contrary, investigations,
examinations, meetings, and other proceedings of the board conducted
pursuant to this section are not required to be conducted publically
PUBLICLY, and minutes of the board need not be open to public inspection;
except that final action of the board taken pursuant to this section shall be
open to the public.
12-215-119. [Formerly 12-33-119.1] Professional review
committee - immunity. (1) If a professional review committee is
established pursuant to this section to investigate the quality of care,
including utilization review, being given by a person licensed pursuant to
this article 215, it shall include in its membership at least three persons
licensed under this article 215, but such committee may be authorized to act
only by:
(a) The board; or
(b) A society or an association of persons licensed pursuant to this
article 215 whose membership includes not less than one-third of the
persons licensed pursuant to this article 215 residing in this state if the
licensee whose services are the subject of review is a member of such
society or association.
(2) IN ADDITION TO THE PERSONS SPECIFIED IN SECTION 12-20-402,
any member of the board or A professional review committee, the board's
or professional review committee's staff, any person acting as a witness or
consultant to the board or committee, any witness testifying in a proceeding
authorized under this article 215, and any person who lodges a complaint
pursuant to this article shall be immune from liability in any civil action
brought against him or her for acts occurring while acting in his or her
capacity as board or professional review committee member, staff,
consultant, or witness, respectively, if such individual was acting in good
PAGE 642-HOUSE BILL 19-1172
faith within the scope of his or her respective capacity, made a reasonable
effort to obtain the facts of the matter as to which he or she acted, and acted
in the reasonable belief that the action taken by him or her was warranted
by the facts. Any person participating in good faith in lodging a complaint
or participating in any investigative or administrative proceeding pursuant
to this article shall be immune from any civil or criminal liability that may
result from such participation 215 IS GRANTED THE SAME IMMUNITY, AND IS
SUBJECT TO THE SAME CONDITIONS FOR IMMUNITY, AS SPECIFIED IN SECTION
12-20-402.
12-215-120. [Formerly 12-33-119.2] Cease-and-desist orders.
(1) (a) If it appears to the board, based upon credible evidence as presented
in a written complaint by any person, that a licensee is acting in a manner
that is an imminent threat to the health and safety of the public or a person
is acting or has acted without the required license, the board may issue an
order to cease and desist such activity. The order shall set forth the statutes
and rules alleged to have been violated, the facts alleged to have constituted
the violation, and the requirement that all unlawful acts or unlicensed
practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1), the respondent may request
a hearing on the question of whether acts or practices in violation of this
part 1 have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(2) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this part 1, then, in addition to any specific powers
granted pursuant to this part 1, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (2) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
PAGE 643-HOUSE BILL 19-1172
mailing of an order or document pursuant to this subsection (2) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (2). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (2) does not appear at the
hearing, the board may present evidence that notification was properly sent
or served upon such person pursuant to paragraph (b) of this subsection (2)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or has or is about to engage in acts or practices constituting
violations of this part 1, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (2), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(3) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
PAGE 644-HOUSE BILL 19-1172
in any unlicensed act or practice, any act or practice constituting a violation
of this part 1, any rule promulgated pursuant to this part 1, any order issued
pursuant to this part 1, or any act or practice constituting grounds for
administrative sanction pursuant to this part 1, the board may enter into a
stipulation with such person.
(4) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(5) A person aggrieved by the final cease-and-desist order may seek
judicial review of the board's determination or of the board's final order as
provided in section 12-33-121.
THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-215-121. [Formerly 12-33-120] Unauthorized practice -
penalties - exemption. (1) Except as specified in subsection (2) or (3) of
this section, any person who practices or offers or attempts to practice
chiropractic without an active license issued under this article commits a
class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and, for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 215 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(2) A chiropractor who lawfully practices chiropractic in another
state or territory and whose license is in good standing in such THE other
state or territory may practice chiropractic in this state for the limited
purpose of treating members, coaches, and staff of a visiting sports team
while in Colorado without having a license issued pursuant to this article
215. An unlicensed chiropractor practicing pursuant to this subsection (2)
shall not:
(a) Practice in Colorado more than ten days in a twelve-month
PAGE 645-HOUSE BILL 19-1172
period;
(b) Enter Colorado to practice more than three times in a
twelve-month period; or
(c) Hold himself or herself out as a chiropractor to or practice
chiropractic with members of the general public.
(3) A chiropractor who lawfully practices chiropractic in another
state or territory may provide chiropractic services to athletes or team
personnel registered to train at the United States Olympic training center in
Colorado Springs or to provide chiropractic services at an event in this state
sanctioned by the United States Olympic Committee. The chiropractor's
services shall be contingent upon the requirements and approvals of the
United States Olympic Committee and shall not exceed ninety days per
calendar year.
12-215-122. [Formerly 12-33-121] Judicial review. The court of
appeals shall have initial jurisdiction to SECTION 12-20-408 GOVERNS
JUDICIAL review OF all final actions and orders OF THE BOARD that are
subject to judicial review. of the board. Such proceeding shall be conducted
in accordance with section 24-4-106 (11), C.R.S.
12-215-123. [Formerly 12-33-122] Duty of district attorneys -
duty of department of regulatory agencies. It is the duty of the several
district attorneys of this state to prosecute all persons charged with the
violation of any of the provisions of this article 215. It is the duty of the
secretary-treasurer of the board, under the direction of the board, to aid said
attorneys in the enforcement of this article 215. It is the duty of the attorney
general to advise the board upon all legal matters and to represent the board
in all actions brought by or against it. It is the duty of the department of
regulatory agencies to forward to the board a copy of any correspondence
concerning the professional conduct or competence of any licensed
chiropractor which THAT the department either transmits or receives.
12-215-124. [Formerly 12-33-124] Professional service
corporations, limited liability companies, and registered limited
liability partnerships for the practice of chiropractic - definitions.
(1) Persons licensed to practice chiropractic by the board may form
professional service corporations for the practice of chiropractic under the
PAGE 646-HOUSE BILL 19-1172
"Colorado Corporation Code" "COLORADO BUSINESS CORPORATION ACT",
ARTICLES 101 TO 117 OF TITLE 7, if such THE corporations are organized and
operated in accordance with the provisions of this section. The articles of
incorporation of such THE corporations shall contain provisions complying
with the following requirements:
(a) The name of the corporation shall contain the words
"professional company" or "professional corporation" or abbreviations
thereof.
(b) The corporation shall be organized solely for the purposes of
conducting the practice of chiropractic only through persons licensed by the
board to practice chiropractic in the state of Colorado.
(c) The corporation may exercise the powers and privileges
conferred upon corporations by the laws of Colorado only in furtherance of
and subject to its corporate purpose.
(d) All shareholders of the corporation shall be persons licensed by
the board to practice chiropractic in the state of Colorado, and who at all
times own their shares in their own right. They shall be individuals who,
except for illness, accident, time spent in the armed services, on vacations,
and on leaves of absence not to exceed one year, are actively engaged in the
practice of chiropractic in the offices of the corporation.
(e) Provisions shall be made requiring any shareholder who ceases
to be or for any reason is ineligible to be a shareholder to dispose of all his
OR HER shares forthwith, either to the corporation or to any person having
the qualifications described in paragraph (d) of this subsection (1)
SUBSECTION (1)(d) OF THIS SECTION.
(f) The president shall be a shareholder and a director, and to the
extent possible, all other directors and officers shall be persons having the
qualifications described in paragraph (d) of this subsection (1) SUBSECTION
(1)(d) OF THIS SECTION. Lay directors and officers shall not exercise any
authority whatsoever over professional matters.
(g) The articles of incorporation shall provide, and all shareholders
of the corporation shall agree, that all shareholders of the corporation shall
be jointly and severally liable for all acts, errors, and omissions of the
PAGE 647-HOUSE BILL 19-1172
employees of the corporation, or that all shareholders of the corporation
shall be jointly and severally liable for all acts, errors, and omissions of the
employees of the corporation except during periods of time when the
corporation maintains in good standing professional liability insurance
which THAT shall meet the following minimum standards:
(I) The insurance shall insure the corporation against liability
imposed upon the corporation by law for damages resulting from any claim
made against the corporation arising out of the performance of professional
services for others by those officers and employees of the corporation who
are licensed by the board to practice chiropractic.
(II) Such THE policies shall insure the corporation against liability
imposed upon it by law for damages arising out of the acts, errors, and
omissions of all nonprofessional employees.
(III) The insurance shall be in an amount for each claim of at least
fifty thousand dollars multiplied by the number of persons licensed to
practice chiropractic employed by the corporation. The policy may provide
for an aggregate top limit of liability per year for all claims of one hundred
fifty thousand dollars also multiplied by the number of persons licensed to
practice chiropractic employed by the corporation, but no firm shall be
required to carry insurance in excess of three hundred thousand dollars for
each claim with an aggregate top limit of liability for all claims during the
year of nine hundred thousand dollars.
(IV) The policy may provide that it does not apply to: Any
dishonest, fraudulent, criminal, or malicious act or omission of the insured
corporation or any stockholder or employee thereof; the conduct of any
business enterprise, as distinguished from the practice of chiropractic, in
which the insured corporation under this section is not permitted to engage
but which THAT nevertheless may be owned by the insured corporation or
in which the insured corporation may be a partner or which THAT may be
controlled, operated, or managed by the insured corporation in its own or
in a fiduciary capacity, including the ownership, maintenance, or use of any
property in connection therewith; when not resulting from breach of
professional duty, bodily injury to, or sickness, disease, or death of any
person, or to injury to or destruction of any tangible property, including the
loss of use thereof; and such THE policy may contain reasonable provisions
with respect to policy periods, territory, claims, conditions, and other usual
PAGE 648-HOUSE BILL 19-1172
matters.
(2) Repealed.
(3) (2) The corporation shall do nothing which THAT, if done by a
person licensed to practice chiropractic in the state of Colorado employed
by it, would violate the standards of professional conduct as provided for
in section 12-33-117 12-215-115. Any violation by the corporation of this
section shall be grounds for the board to terminate or suspend its right to
practice chiropractic.
(4) (3) Nothing in this section shall be deemed to diminish or change
the obligation of each person licensed to practice chiropractic employed by
the corporation to conduct his OR HER practice in accordance with the
standards of professional conduct provided for in section 12-33-117
12-215-115. Any person licensed by the board to practice chiropractic who
by act or omission causes the corporation to act or fail to act in a way which
THAT violates such THE standards of professional conduct, including any
provision of this section, shall be deemed personally responsible for such
THE act or omission and shall be subject to discipline therefor.
(5) (4) A professional service corporation may adopt a pension,
CASH PROFIT SHARING, DEFERRED profit sharing, (whether cash or deferred),
health and accident insurance, or welfare plan for all or part of its
employees including lay employees if such THE plan does not require or
result in the sharing of specific or identifiable fees with lay employees, and
if any payments made to lay employees, or into any such plan in behalf of
lay employees, are based upon their compensation or length of service, or
both, rather than the amount of fees or income received.
(6) (5) Except as provided in this section, corporations shall not
practice chiropractic.
(7) (6) As used in this section, unless the context otherwise requires:
(a) "Articles of incorporation" includes operating agreements of
limited liability companies and partnership agreements of registered limited
liability partnerships.
(b) "Corporation" includes a limited liability company organized
PAGE 649-HOUSE BILL 19-1172
under the "Colorado Limited Liability Company Act", article 80 of title 7,
C.R.S., and a limited liability partnership registered under section 7-60-144
or 7-64-1002. C.R.S.
(c) "Director" and "officer" of a corporation includes a member and
a manager of a limited liability company and a partner in a registered
limited liability partnership.
(d) "Employees" includes employees, members, and managers of a
limited liability company and employees and partners of a registered limited
liability partnership.
(e) "Share" includes a member's rights in a limited liability company
and a partner's rights in a registered limited liability partnership.
(f) "Shareholder" includes a member of a limited liability company
and a partner in a registered limited liability partnership.
12-215-125. [Formerly 12-33-125] Reporting requirements. A
person licensed to practice chiropractic in this state shall report to the board
any chiropractor known or believed to have violated this article 215.
12-215-126. [Formerly 12-33-126] Confidentiality - exceptions.
(1) A licensee shall not disclose confidential communications made
between such THE licensee and a patient in the course of such THE licensee's
professional employment unless such THE patient gives his or her consent
prior to the disclosure. An employee or associate of a licensee shall not
disclose any knowledge of confidential communications acquired in his or
her capacity as an employee or associate, unless a patient gives his or her
consent prior to the disclosure.
(2) Subsection (1) of this section shall not apply when:
(a) A patient or an heir, executor, or administrator of a patient files
a complaint or suit against a licensee with respect to any cause of action
arising out of or connected with:
(I) The care or treatment of such THE patient by such THE licensee;
or
PAGE 650-HOUSE BILL 19-1172
(II) The consultation by such THE licensee with another health care
practitioner who provided care or treatment to the patient;
(b) A review of the services of a licensee is conducted by:
(I) The board, or a person or group authorized by the board;
(II) The governing board of a hospital where said THE licensee
practices, which hospital is licensed pursuant to part 1 of article 3 of title
25, C.R.S., or the medical staff of such THE hospital if said THE staff
operates pursuant to written bylaws approved by the governing board of the
hospital; or
(III) A professional review committee established pursuant to
section 12-33-119.1 12-215-119, if the licensee has signed a release
authorizing such THE review.
(3) The records and information produced and used in a review
described in paragraph (b) of subsection (2) SUBSECTION (2)(b) of this
section shall not become public records solely because of the use of such
THE records and information in such THE review, and the identity of a
patient whose records are reviewed pursuant to said paragraph (b)
SUBSECTION (2)(b) OF THIS SECTION shall not be disclosed to any person not
directly involved in the review process. The board shall adopt procedures
to ensure that the identity of patients remains confidential during the review
process.
(4) Nothing in this section shall be deemed to prohibit any
disclosure required by law.
12-215-127. [Formerly 12-33-127] Animal chiropractic -
registration - qualifications - continuing education - collaboration with
veterinarian - discipline - title restriction - rules. (1) (a) A licensed
chiropractor who is registered under this section is authorized to perform
animal chiropractic when the chiropractic diagnosis and treatment is
consistent with the scope of practice for chiropractors and the licensed
chiropractor performs animal chiropractic in accordance with all state and
local requirements regarding animal licensing and vaccinations, including
compliance with part 6 of article 4 of title 25 and section 30-15-101. A
chiropractor must have the knowledge, skill, ability, and documented
PAGE 651-HOUSE BILL 19-1172
competency to perform an act that is within the scope of practice for
chiropractors.
(b) In recognition of the special authority granted by this section, the
performance of animal chiropractic in accordance with this section shall not
be deemed a violation of section 12-64-104 12-315-105.
(c) A licensed chiropractor who is not registered under this section
may perform animal chiropractic if performed under the direct, on-premises
supervision of a licensed veterinarian.
(d) An individual who is not licensed as a chiropractor or a
veterinarian may not perform animal chiropractic.
(2) The state board of chiropractic examiners shall regulate animal
chiropractic and diagnosis, including, without limitation, educational and
clinical requirements for the performance of animal chiropractic and the
procedure for referring complaints to the department of regulatory agencies
regarding animal chiropractic diagnosis and therapy.
(3) Registry. (a) The state board of chiropractic examiners shall
maintain a database of all licensed chiropractors that WHO are registered
pursuant to this section and rules promulgated pursuant to this article 215
to practice animal chiropractic in this state. Information in the database
shall be open to public inspection at all times and shall be easily accessible
in electronic form.
(b) A licensed chiropractor who chooses to practice animal
chiropractic and who seeks registration in animal chiropractic shall provide
the state board of chiropractic examiners with registration information as
required by the board, which shall include the chiropractor's name, current
address, education and training in the field of animal chiropractic, active
Colorado chiropractic license, and qualifications to perform animal
chiropractic and treatment. Forms for chiropractors to provide such THIS
information shall be provided by the board.
(4) Educational qualifications. A licensed chiropractor who seeks
registration in animal chiropractic must obtain education in the field of
animal chiropractic from an accredited college of veterinary medicine, an
accredited college of chiropractic, or an educational program deemed
PAGE 652-HOUSE BILL 19-1172
equivalent by mutual agreement of the state board of chiropractic examiners
and the state board of veterinary medicine. The educational program must
consist of no fewer than two hundred ten hours, include both classroom
instruction and clinical experience, and culminate with a proficiency
evaluation. The educational program must include the following subjects:
(a) Chiropractic topics, including:
(I) History and systems review;
(II) Subluxation and vertebral subluxation; and
(III) Adjustment techniques for dogs and equids;
(b) Veterinary topics specific to dogs and equids, including:
(I) Anatomy, including sacropelvic, thoracolumbar, cervical, and
extremity, including normal hoof anatomy and care;
(II) Physiology;
(III) Behavior;
(IV) Knowledge of breed anomalies;
(V) Restraint;
(VI) Biomechanics, gait, and lameness;
(VII) Neurology, neuroanatomy, and neurological conditions;
(VIII) Differential diagnosis of neuromusculoskeletal conditions;
(IX) Motion palpation;
(X) Pathology; and
(XI) Radiographic interpretation;
(c) Recognition of dog and equid zoonotic and contagious diseases;
PAGE 653-HOUSE BILL 19-1172
(d) Animal-specific case management, outcome assessment, and
documentation; and
(e) Animal-specific professional ethics and legalities.
(4.5) (5) One-time education requirements. (a) A licensed
chiropractor who is registered to perform animal chiropractic or who
applies to be registered to perform animal chiropractic shall successfully
complete the following one-time courses:
(I) A one-hour jurisprudence course that includes information about
statutes, rules, and procedures concerning notification requirements
governing the identification of contagious, infectious, and zoonotic
diseases; and
(II) An eight-hour course on contagious, infectious, and zoonotic
diseases that covers recognition of early indicators and clinical signs of the
following diseases:
(A) In dog patients: Rabies virus; West Nile virus; canine
brucellosis, also known as brucella canis; plague, also known as yersinia
pestis; and tularemia, also known as francisella tularensis; and
(B) In equid patients: Rabies virus; West Nile virus; and equine
herpesvirus myeloencephalopathy.
(b) For each of the diseases listed in subsection (4.5)(a)(II) (5)(a)(II)
of this section, the course must address:
(I) Pathology;
(II) Clinical presentation;
(III) Biosecurity issues;
(IV) Public health concerns in Colorado; and
(V) Herd health concerns in Colorado.
(c) After a licensed chiropractor has successfully completed the
PAGE 654-HOUSE BILL 19-1172
jurisprudence and contagious, infectious, and zoonotic diseases courses
required under this subsection (4.5) (5), he or she need not take the courses
again as a condition of registration renewal or reinstatement.
(d) Until a licensed chiropractor successfully completes the courses
required under this subsection (4.5) (5), the licensed chiropractor must
obtain veterinary medical clearance from a licensed veterinarian to perform
animal chiropractic.
(5) (6) Continuing education. (a) A licensed chiropractor who is
registered to perform animal chiropractic shall complete twenty hours of
continuing education per licensing period that is specific to the diagnosis
and treatment of animals. All continuing education courses must be in the
fields of study listed in subsections (4) and (4.5) (5) of this section.
(b) On and after November 1, 2019, the twenty hours of continuing
education required under this subsection (5) (6) must include a two-hour
course on contagious, infectious, and zoonotic diseases, including current
information about the incidence rates of rabies virus, West Nile virus,
equine herpesvirus myeloencephalopathy, canine brucellosis, plague, and
tularemia in Colorado and in other locations that might affect a licensed
chiropractor's animal patients.
(5.5) (7) Initiation of treatment notification and reporting
requirements. (a) Within seven business days after initiating treatment of
an animal patient, a licensed chiropractor registered to perform animal
chiropractic must notify the animal patient's veterinarian of the initiation of
treatment if a licensed veterinarian is treating the animal patient. If the
animal patient is not being treated by a licensed veterinarian, the licensed
chiropractor may satisfy this subsection (5.5)(a) (7)(a) by providing the
individual who brought in the animal patient with a written summary of the
treatment performed or anticipated to be performed, which written summary
may be kept with any health documents maintained for the animal patient.
(b) If, before, during, or after performing animal chiropractic on an
animal patient, a licensed chiropractor suspects that the animal patient:
(I) Has a reportable disease, as defined in section 35-50-103, the
licensed chiropractor shall immediately report the disease to the state
veterinarian and, if the animal patient is being treated by a licensed
PAGE 655-HOUSE BILL 19-1172
veterinarian, to the animal patient's licensed veterinarian; or
(II) Has potentially had contact with a rabies reservoir species; has
indicators of canine brucellosis, plague, tularemia, or other indicators of a
contagious, infectious, or zoonotic disease; or exhibits ataxia, paralysis,
proprioceptive deficit, or incontinence that might be a result of a
contagious, infectious, or zoonotic disease, the licensed chiropractor shall:
(A) Immediately decline or stop performing chiropractic adjustment
on the animal patient;
(B) Immediately notify the state veterinarian and the animal patient's
licensed veterinarian or, if the animal patient is not being treated by a
licensed veterinarian, notify only the state veterinarian, of the suspected
contact, indicators, or exhibited condition; and
(C) Delay any further chiropractic adjustment until disease can be
ruled out or the chiropractor, in collaboration with the animal patient's
licensed veterinarian or the state veterinarian, determines appropriate
actions to prevent the spread of the contagious, infectious, or zoonotic
disease.
(c) Any licensed chiropractor who, in good faith and in the normal
course of business, reports his or her suspicion of disease pursuant to
subsection (5.5)(b) (7)(b) of this section is immune from liability in any
civil or criminal action brought against the licensed chiropractor for
reporting.
(6) (8) Records and professional collaboration. (a) A licensed
veterinarian who provides veterinary medical clearance for animal
chiropractic may require a veterinarian's presence at any chiropractic
treatment rendered pursuant to the veterinary medical clearance.
(b) The chiropractor and the veterinarian shall continue professional
collaboration as necessary for the well-being of the animal patient. The
veterinarian shall provide the animal patient's medical record to the
chiropractor upon request.
(c) The chiropractor shall maintain an animal patient record that
includes the written veterinary medical clearance, if clearance was required,
PAGE 656-HOUSE BILL 19-1172
including the name of the licensed veterinarian, date, and time the clearance
was received. The chiropractor shall furnish a copy of the medical record
to the licensed veterinarian upon the licensed veterinarian's request.
(d) A licensed chiropractor registered to perform animal chiropractic
shall maintain complete and accurate records or patient files in the
chiropractor's office for a minimum of three years.
(7) (9) Discipline. Complaints received in the office of the state
board of chiropractic examiners that include allegations of a violation
related to animal chiropractic shall be forwarded to the state board of
veterinary medicine for its review and advisory recommendation to the state
board of chiropractic examiners. The state board of chiropractic examiners
retains the final authority for decisions related to the discipline of a
chiropractor.
(8) (10) Separate treatment room. A licensed chiropractor who
provides animal chiropractic diagnosis and treatment in the same facility
where human patients are treated shall maintain a separate, noncarpeted
room for the purpose of adjusting animals. The table and equipment used
for animals shall not be used for human patients.
(9) (11) Use of title. Only a licensed chiropractor qualified and
registered in Colorado to perform animal chiropractic may use the titles
"animal chiropractor", "animal adjuster", "equine chiropractor", or "equine
adjuster". No chiropractor shall use the titles "veterinary chiropractor" or
"veterinary adjuster" unless the chiropractor is also licensed to practice
veterinary medicine in Colorado. Nothing in this section shall prohibit a
licensed veterinarian from using the titles "animal adjuster" or "equine
adjuster".
(10) (12) Rules. The state board of chiropractic examiners, in
consultation with the state board of veterinary medicine, may establish by
rule any additional requirements to be met by a chiropractor regarding
required documentation and any other rules necessary for the
implementation of this section.
(11) (13) Nothing in this section shall be construed to prohibit, limit,
or alter the privileges or practices of any other licensed profession,
including veterinarians, from performing spinal, extremity, or other aspects
PAGE 657-HOUSE BILL 19-1172
of adjustment, manipulation, or mobilization on animals as allowed for in
the scope of their respective practice acts.
12-215-128. [Formerly 12-33-128] Chiropractic assistants. A
chiropractor may supervise up to five unlicensed persons as chiropractic
assistants if such THE UNLICENSED persons have received appropriate
training as established by the board by rule promulgated pursuant to section
12-33-107 12-215-105. A chiropractic assistant may perform his or her
duties only under the direct supervision of a chiropractor and only in those
areas in which the chiropractic assistant has the requisite skill and training.
A chiropractic assistant shall not perform a diagnosis, an adjustment, or
acupuncture.
PART 2
SAFETY TRAINING FOR UNLICENSED
X-RAY TECHNICIANS
12-215-201. [Formerly 12-33-201] Legislative declaration.
(1) The general assembly hereby finds, determines, and declares that public
exposure to the hazards of ionizing radiation used for diagnostic purposes
should be minimized wherever possible. Accordingly, the general assembly
finds, determines, and declares that for any licensed chiropractor to allow
an untrained person to operate a machine source of ionizing radiation,
including without limitation a device commonly known as an "X-ray
machine", or to administer such radiation to a patient for diagnostic
purposes is a threat to the public health and safety.
(2) It is the intent of the general assembly that licensed chiropractors
utilizing unlicensed persons in their practices provide those persons with a
minimum level of education and training before allowing them to operate
machine sources of ionizing radiation; however, it is not the general
assembly's intent to discourage education and training beyond this
minimum. It is further the intent of the general assembly that established
minimum training and education requirements correspond as closely as
possible to the requirements of each particular work setting as determined
by the Colorado state board of chiropractic examiners pursuant to this part
2.
(3) The general assembly seeks to ensure, and accordingly declares
its intent, that in promulgating the rules and regulations authorized by this
PAGE 658-HOUSE BILL 19-1172
part 2, the board will make every effort, consistent with its other statutory
duties, to avoid creating a shortage of qualified individuals to operate
machine sources of ionizing radiation for beneficial medical purposes in any
area of the state.
12-215-202. [Formerly 12-33-202] Board authorized to issue
rules - definition. (1) (a) The Colorado state board of chiropractic
examiners shall adopt rules and regulations prescribing minimum standards
for the qualifications, education, and training of unlicensed persons
operating machine sources of ionizing radiation and administering such
radiation to patients for diagnostic chiropractic use. No licensed
chiropractor shall allow any unlicensed person to operate any machine
source of ionizing radiation or to administer such radiation to any patient
unless such THE person has met the standards then in effect under rules and
regulations adopted pursuant to this section. The board may adopt rules and
regulations allowing a grace period in which newly hired operators of
machine sources of ionizing radiation shall receive the training required
pursuant to this section.
(b) For purposes of this part 2, "unlicensed person" means any
person who does not hold a current and active license entitling the person
to practice chiropractic under the provisions of this article 215.
(2) The board shall seek the assistance of licensed chiropractors in
developing and formulating the rules and regulations promulgated pursuant
to this section.
(3) The required number of hours of training and education for all
unlicensed persons operating machine sources of ionizing radiation and
administering such radiation to patients shall be established by the board by
rule. on or before July 1, 1992. This standard shall apply to all persons in
chiropractic settings other than hospitals and similar facilities licensed by
the department of public health and environment pursuant to section
25-1.5-103. C.R.S. Such THE training and education may be obtained
through programs approved by the appropriate authority of any state or
through equivalent programs and training experience including on-the-job
training as determined by the board.
ARTICLE 220
Dentists and Dental Hygienists
PAGE 659-HOUSE BILL 19-1172
PART 1
GENERAL PROVISIONS
12-220-101. [Formerly 12-35-101] Short title. THE SHORT TITLE OF
this article shall be known and may be cited as 220 IS the "Dental Practice
Act".
12-220-102. [Formerly 12-35-102] Legislative declaration. The
practice of dentistry and dental hygiene in this state is declared to affect the
public health, safety, and welfare and to be subject to regulation and control
in the public interest. It is further declared to be a matter of public interest
and concern that the dental profession merit and receive the confidence of
the public and that only qualified dentists and dental hygienists be permitted
to practice dentistry or dental hygiene in this state. It is the purpose of this
article 220 to promote the public health, safety, and welfare by regulating
the practice of dentistry and dental hygiene and to ensure that no one shall
practice dentistry or dental hygiene without qualifying under this article
220. The provisions of this article 220 relating to licensure by credentials
are not intended to reduce competition or restrain trade with respect to the
oral health needs of the public. All provisions of this article 220 relating to
the practice of dentistry and dental hygiene shall be liberally construed to
carry out these objects and purposes.
12-220-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 220.
12-220-104. [Formerly 12-35-103] Definitions - rules. As used in
this article 35 220, unless the context otherwise requires:
(1) "Accredited" means a program that is nationally recognized for
specialized accrediting for dental, dental hygiene, and dental auxiliary
programs by the United States department of education.
(2) "Board" means the Colorado dental board created in section
12-35-104 12-220-105.
(3) "Dental assistant" means any person not a dentist or dental
hygienist licensed in Colorado who may be assigned or delegated to
perform dental tasks or procedures as authorized by this article 220 or by
PAGE 660-HOUSE BILL 19-1172
rules of the board.
(4) "Dental hygiene" means the delivery of preventive, educational,
and clinical services supporting total health for the control of oral disease
and the promotion of oral health provided by a dental hygienist within the
scope of his or her education, training, and experience and in accordance
with applicable law.
(4.5) (5) "Dental hygiene diagnosis" means the identification of an
existing oral health problem that a dental hygienist is qualified and licensed
to treat within the scope of dental hygiene practice. The dental hygiene
diagnosis focuses on behavioral risks and physical conditions that are
related to oral health. A dentist shall confirm any dental hygiene diagnosis
that requires treatment that is outside the scope of dental hygiene practice
pursuant to sections 12-35-124, 12-35-125, and 12-35-128 12-220-122,
12-220-123, AND 12-220-127.
(5) (6) "Dentistry" means the evaluation, diagnosis, prevention, or
treatment, including nonsurgical, surgical, or related procedures, of
diseases, disorders, or conditions of the oral cavity, maxillofacial area, or
the adjacent and associated structures and the impact of the disease,
disorder, or condition on the human body so long as a dentist is practicing
within the scope of his or her education, training, and experience and in
accordance with applicable law.
(6) (7) (a) "Direct supervision" means the supervision of those tasks
or procedures that do not require the presence of the dentist in the room
where performed but require the dentist's presence on the premises and
availability for prompt consultation and treatment.
(b) For purposes of this subsection (6) (7) only, "premises" means
within the same building, dental office, or treatment facility and within
close enough proximity to respond in a timely manner to an emergency or
the need for assistance.
(7) and (8) Repealed.
(9) (8) "Independent advertising or marketing agent" means a
person, firm, association, or corporation that performs advertising or other
marketing services on behalf of licensed dentists, including referrals of
PAGE 661-HOUSE BILL 19-1172
patients to licensees resulting from patient-initiated responses to such THE
advertising or marketing services.
(10) (9) (a) "Indirect supervision" means the supervision of those
tasks or procedures that do not require the presence of the dentist in the
office or on the premises at the time such THE tasks or procedures are being
performed, but do require that the tasks be performed with the prior
knowledge and consent of the dentist.
(b) For purposes of this subsection (10) (9) only, "premises" means
within the same building, dental office, or treatment facility and within
close enough proximity to respond in a timely manner to an emergency or
the need for assistance.
(10.5) (10) (a) "Interim therapeutic restoration" or "ITR" means a
direct provisional restoration placed to stabilize a tooth until a licensed
dentist can assess the need for further definitive treatment.
(b) (I) "Interim therapeutic restoration" involves the removal of soft
material using hand instrumentation, without the use of rotary
instrumentation, and the subsequent placement of a glass ionomer
restoration.
(II) The board may promulgate rules regarding the use of new
restorative materials in addition to the materials described in subparagraph
(I) of this paragraph (b) SUBSECTION (10)(b)(I) OF THIS SECTION that are
appropriate to the interim therapeutic restoration procedure as they become
available.
(c) "Interim therapeutic restoration" includes protective restoration
for adults delivered in accordance with section 12-35-128.5 12-220-128.
(11) "Laboratory work order" means the written instructions of a
dentist licensed in Colorado authorizing another person to construct,
reproduce, or repair any prosthetic denture, bridge, appliance, or other
structure to function in the oral cavity, maxillofacial area, or adjacent and
associated regions.
(12) "License" means the grant of authority by the board to any
person to engage in the practice of dentistry or dental hygiene. "License"
PAGE 662-HOUSE BILL 19-1172
HAS THE MEANING SPECIFIED IN SECTION 12-20-102 (9) AND includes an
academic license to practice dentistry pursuant to section 12-35-117.5
12-220-116. A license is a privilege personal to the licensee, and the board
may revoke, suspend, or impose disciplinary conditions on the license for
a violation of this article 220.
(13) Repealed.
(14) (13) "Proprietor" includes any person who:
(a) Employs dentists, dental hygienists, or dental assistants in the
operation of a dental office, except as provided in sections 12-35-113 and
12-35-128 12-220-110 AND 12-220-127;
(b) Places in possession of a dentist, dental hygienist, dental
assistant, or other agent such dental material or equipment as THAT may be
necessary for the management of a dental office on the basis of a lease or
any other agreement for compensation for the use of such THE material,
equipment, or offices; or
(c) Retains the ownership or control of dental equipment or material
or a dental office and makes the same available in any manner for use by
dentists, dental hygienists, dental assistants, or other agents; except that
nothing in this paragraph (c) SUBSECTION (13)(c) shall apply to bona fide
sales of dental equipment or material secured by a chattel mortgage or
retain-title agreement or to the loan of articulators.
(15) Repealed.
(16) (14) "Telehealth by store-and-forward transfer" means an
asynchronous transmission of medical or dental information to be reviewed
by a dentist at a later time at a distant site without the patient present in real
time.
(17) (15) "Telehealth supervision" means indirect supervision by a
dentist of a dental hygienist performing a statutorily authorized procedure
using telecommunications systems.
12-220-105. Colorado dental board - qualifications of board
members - quorum - panel - subject to termination - immunity - repeal
PAGE 663-HOUSE BILL 19-1172
of article. (1) [Formerly 12-35-104 (1)] (a) (I) The Colorado dental board
is hereby created as the agency of this state for the regulation of the practice
of dentistry in this state and to carry out the purposes of this article 220. The
board is subject to the supervision and control of the division of professions
and occupations as provided by section 24-34-102, C.R.S. 12-20-103 (2).
(II) (b) The board consists of seven dentist members, three dental
hygienist members, and three members from the public at large. The
governor shall appoint each member for a term of four years, and each
member shall have the qualifications provided in this article 220. No
member shall serve more than two consecutive terms of four years. Each
board member shall hold office until his or her term expires or until the
governor appoints a successor.
(III) (c) In making appointments to the board, the governor shall
attempt to create geographical, political, urban, and rural balance among the
board members. If a vacancy occurs in any board membership before the
expiration of the member's term, the governor shall fill the vacancy by
appointment for the remainder of the term in the same manner as in the case
of original appointments.
(IV) (d) The governor may remove any member of the board for
misconduct, incompetence, or neglect of duty.
(b) (Deleted by amendment, L. 2014.)
(2) [Formerly 12-35-105 (1)] A person shall be qualified to be
appointed to the board if such THE person:
(a) Is a legal resident of Colorado;
(b) Is currently licensed as a dentist or dental hygienist, if fulfilling
that position on the board; and
(c) Has been actively engaged in a clinical practice in this state for
at least five years immediately preceding the appointment, if fulfilling the
position of dentist or dental hygienist on the board.
(3) [Formerly 12-35-104 (2)] The board shall organize annually by
electing one of its members as chairperson and one as vice-chairperson. It
PAGE 664-HOUSE BILL 19-1172
may adopt such rules for its government as it may deem proper. The board
shall meet at least quarterly, and more often if necessary, at such times and
places as it may from time to time designate.
(4) [Formerly 12-35-106] A majority of the members of the board
shall constitute a quorum for the transaction of business, but if less than a
quorum is present on the day appointed for a meeting, those present may
adjourn until a quorum is present. Any action taken by a quorum of the
assigned panel shall constitute action by the board; except that, for
disciplinary matters concerning a dentist, a majority of dentist members is
required for a quorum.
(5) [Formerly 12-35-104 (4)] (a) Section 24-34-104, C.R.S.,
concerning the termination schedule for regulatory bodies of the state unless
extended as provided in that section, applies to the board. Prior to BEFORE
the repeal of this article the department of regulatory agencies shall review
220 PURSUANT TO SUBSECTION (5)(b) OF THIS SECTION, all functions of the
board as provided ARE SCHEDULED FOR REVIEW in ACCORDANCE WITH
section 24-34-104. C.R.S.
(b) This article 220 is repealed, effective September 1, 2025.
12-220-106. Powers and duties of board - rules - limitation on
authority. (1) [Formerly 12-35-107 (1)] The board shall exercise, in
accordance with this article 35 220, the following powers and duties:
(a) Repealed.
(b) (a) Make, publish, declare, and periodically review reasonable
rules as necessary to carry out and make effective the powers and duties of
the board as vested in it by this article 35 PURSUANT TO SECTION 12-20-204,
including rules regarding:
(I) The use of lasers for dental and dental hygiene purposes within
defined scopes of practice, subject to appropriate education and training,
and with appropriate supervision, as applicable;
(II) Minimum training, experience, and equipment requirements to
obtain an anesthesia or sedation permit under section 12-35-140
12-220-146;
PAGE 665-HOUSE BILL 19-1172
(III) Criteria and procedures consistent with section 12-35-140
12-220-146 for an office inspection program to be completed upon
application and renewal of sedation and anesthesia permits pursuant to
section 12-35-140 12-220-146;
(IV) A uniform system and schedule of fines pursuant to section
12-35-129.1 (6)(b). 12-220-131 (5)(b);
(V) THE GRANTING OF TEMPORARY LICENSES, WHICH RULES SHALL
INCLUDE, BUT NOT BE LIMITED TO, RESTRICTIONS WITH RESPECT TO
EFFECTIVE DATES, AREAS OF PRACTICE THAT MAY BE PERFORMED, AND
LICENSING FEES THAT MAY BE CHARGED TO THE APPLICANT;
(c) (b) (I) (A) Conduct hearings IN ACCORDANCE WITH SECTION
12-20-403 to revoke, suspend, or deny the issuance of a license or renewal
of a license granted under the authority of this article 220 or of previous
laws;
(B) Issue a confidential letter of concern IN ACCORDANCE WITH
SECTION 12-20-404 (5);
(C) Issue a letter of admonition IN ACCORDANCE WITH SECTION
12-20-404 (4);
(D) Impose an administrative fine IN ACCORDANCE WITH SECTION
12-20-404 (1)(c); or
(E) Reprimand, censure, or, IN ACCORDANCE WITH SECTION
12-20-404 (1)(b), place on probation a licensee ON PROBATION when
evidence has been presented showing A violation of any of the provisions
of this article 220 by a holder of or an applicant for a license.
(II) The board may elect to hear the matter itself pursuant to the
provisions of section 12-35-129.1 (1) 12-220-131 (1), or it may elect to hear
the matter with the assistance of an administrative law judge or an advisory
attorney from the office of the attorney general, and, in such case, the
advisor or administrative law judge shall advise the board on legal and
procedural matters and rule on evidence and otherwise conduct the course
of the hearing.
PAGE 666-HOUSE BILL 19-1172
(d) (c) Conduct investigations IN ACCORDANCE WITH SECTION
12-20-403 and inspections for compliance with the provisions of this article
220;
(e) (d) Grant and issue licenses and renewal certificates in
conformity with this article 220 to such applicants as have been found
qualified. The board may also grant and issue temporary licenses The board
shall promulgate IN ACCORDANCE WITH rules concerning the granting of
temporary licenses, which rules shall include, but not be limited to,
restrictions with respect to effective dates, areas of practice that may be
performed, and licensing fees that may be charged to the applicant ADOPTED
UNDER SUBSECTION (1)(a)(V) OF THIS SECTION.
(f) Repealed.
(g) (e) Through the department of regulatory agencies and subject
to appropriations made to the department, of regulatory agencies, employ
hearing officers or administrative law judges on a full-time or part-time
basis to conduct any hearings required by this article The hearing officers
and administrative law judges shall be appointed pursuant to part 10 of
article 30 of title 24, C.R.S. 220;
(h) (I) (f) In accordance with section 12-35-140 12-220-146, issue
anesthesia and sedation permits to licensed dentists and dental hygienists
and set and collect fees for permit issuance; except that the board shall only
collect fees for local anesthesia permits issued to dental hygienists on or
after July 1, 2014.
(II) (Deleted by amendment, L. 2014.)
(i) Repealed.
(2) [Formerly 12-35-107 (2)] The board may recognize those dental
specialties defined by the American Dental Association.
(3) [Formerly 12-35-107 (3)] To facilitate the licensure of qualified
applicants, the board may, in its discretion, establish a subcommittee of at
least six board members to perform licensing functions in accordance with
this article 220. Four subcommittee members shall constitute a quorum of
the subcommittee. The chairperson of the board may serve on a
PAGE 667-HOUSE BILL 19-1172
subcommittee as deemed necessary by the chairperson. Any action taken by
a quorum of the subcommittee shall constitute action by the board.
(4) [Formerly 12-35-108] The authority granted the board under the
provisions of this article 220 shall not be construed to authorize the board
to arbitrate or adjudicate fee disputes between licensees or between a
licensee and any other party.
12-220-107. [Formerly 12-35-110] Indebtedness - appropriations
- publications. (1) The board shall not have the power to create any
indebtedness on behalf of the state. All examination and other fees under
this article shall be collected by the board and transmitted to the state
treasurer, who shall credit the same pursuant to section 24-34-105, C.R.S.,
and the general assembly shall make annual appropriations pursuant to said
section for the uses and purposes of this article. Expenditures from such
appropriations shall be made upon vouchers and warrants drawn pursuant
to law.
(2) Appropriations made to the board may be applied only to the
payment of:
(a) The necessary traveling, hotel, and clerical expenses of the
members of the board in the performance of their duties;
(b) Dues for membership in the American Association of Dental
Boards, or its successor association, and the expense of sending delegates
to the association's convention; and
(c) Other expenditures necessary or proper to carry out and execute
the powers and duties of the board and implement this article 220.
(3) Publications of the board circulated in quantity outside the
executive branch shall be issued in accordance with the provisions of
section 24-1-136. C.R.S.
12-220-108. [Formerly 12-35-111] Change of address - duplicate
licenses and certificates. (1) Every person licensed under this article 220,
upon changing the licensee's place of business, shall furnish to the board the
licensee's new mailing address within thirty days.
PAGE 668-HOUSE BILL 19-1172
(2) The board may issue a duplicate of any license upon attestation
by the licensee of loss or destruction and shall charge a fee established
pursuant to section 24-34-105, C.R.S., 12-20-105 for a duplicate.
12-220-109. [Formerly 12-35-112] Persons entitled to practice
dentistry or dental hygiene. (1) It is unlawful for any person to practice
dentistry or dental hygiene in this state except those:
(a) Who are duly licensed as dentists or dental hygienists pursuant
to this article 220;
(b) Who are designated by this article 220 as dental assistants, but
only to the extent of the procedures authorized by this article 220 and the
rules adopted by the board.
12-220-110. [Formerly 12-35-113] What constitutes practicing
dentistry - authority to electronically prescribe. (1) A person is
practicing dentistry if the person:
(a) Performs, or attempts or professes to perform, any dental
operation, oral surgery, or dental diagnostic or therapeutic services of any
kind; except that nothing in this paragraph (a) SUBSECTION (1)(a) shall be
construed to prohibit a dental hygienist or dental assistant from providing
preventive dental or nutritional counseling, education, or instruction
services;
(b) Is a proprietor of a place where dental operation, oral surgery,
or dental diagnostic or therapeutic services are performed; except that
nothing in this paragraph (b) SUBSECTION (1)(b) shall be construed to
prohibit a dental hygienist or dental assistant from performing those tasks
and procedures consistent with section 12-35-128 12-220-127;
(c) Directly or indirectly, by any means or method, takes impression
of the human tooth, teeth, jaws, maxillofacial area, or adjacent and
associated structures, performs any phase of any operation incident to the
replacement of a part of a tooth, or supplies artificial substitutes for the
natural teeth, jaws, or adjacent and associated structures; except that
nothing in this paragraph (c) SUBSECTION (1)(c) prohibits a dental hygienist
or dental assistant from performing tasks and procedures consistent with
sections 12-35-124 (1)(d) 12-220-122 (1)(d) and 12-35-128 (3)(b)(III)
PAGE 669-HOUSE BILL 19-1172
12-220-127 (3)(b)(III);
(d) Furnishes, supplies, constructs, reproduces, or repairs any
prosthetic denture, bridge, appliance, or other structure to be worn in the
human mouth or upon the jaws, maxillofacial area, or adjacent and
associated structures other than on the written laboratory work order of a
duly licensed and practicing dentist;
(e) Places an appliance or structure described in paragraph (d) of
this subsection (1) SUBSECTION (1)(d) OF THIS SECTION in the human mouth;
(f) Adjusts or attempts or professes to adjust an appliance or
structure described in paragraph (d) of this subsection (1) SUBSECTION
(1)(d) OF THIS SECTION;
(g) Delivers an appliance or structure described in paragraph (d) of
this subsection (1) SUBSECTION (1)(d) OF THIS SECTION to any person other
than the dentist upon whose laboratory work order the work was performed;
(h) Professes to the public by any method to furnish, supply,
construct, reproduce, or repair any prosthetic denture, bridge, appliance, or
other structure to be worn in the human mouth or upon the jaws,
maxillofacial area, or adjacent and associated structures;
(i) Examines, diagnoses, plans treatment of, or treats natural or
artificial structures or conditions associated with, adjacent to, or
functionally related to the oral cavity, jaws, maxillofacial area, or adjacent
and associated structures and their impact on the human body;
(j) Extracts, or attempts to extract, human teeth or corrects, or
attempts to correct, malformations of human teeth or jaws;
(k) Repairs or fills cavities in human teeth;
(l) Prescribes ionizing radiation or the use of an X ray for the
purpose of taking dental X rays or roentgenograms; except that nothing in
this paragraph (l) SUBSECTION (1)(l) shall be construed to prohibit these
procedures from being delegated to appropriately trained personnel in
accordance with this article 220 and rules of the board;
PAGE 670-HOUSE BILL 19-1172
(m) Gives, or professes to give, interpretations or readings of dental
X rays or roentgenograms, CT scans, or other diagnostic methodologies;
except that nothing in this paragraph (m) SUBSECTION (1)(m) shall be
construed to prohibit a dental hygienist from performing tasks and
procedures consistent with sections 12-35-124 12-220-122 and 12-35-125
12-220-123;
(n) Represents himself or herself to an individual or the general
public as practicing dentistry, by using the words "dentist" or "dental
surgeon", or by using the letters "D.D.S.", "D.M.D.", "D.D.S./M.D.", or
"D.M.D./M.D." Nothing in this paragraph (n) SUBSECTION (1)(n) prohibits
a dental hygienist or dental assistant from performing tasks and procedures
consistent with section 12-35-128 (2) or (3)(b) 12-220-127 (2) OR (3)(b).
(o) States, permits to be stated, or professes by any means or method
whatsoever that he or she can perform or will attempt to perform dental
operations or render a diagnosis connected therewith;
(p) Prescribes drugs or medications and administers local anesthesia,
analgesia including nitrous oxide/oxygen inhalation, medication prescribed
or administered for the relief of anxiety or apprehension, minimal sedation,
moderate sedation, deep sedation, or general anesthesia as necessary for the
proper practice of dentistry; except that nothing in this paragraph (p)
SUBSECTION (1)(p) shall be construed to prohibit a dental hygienist from
performing those tasks and procedures consistent with sections 12-35-124
(1)(e) and (1)(g), 12-35-125 (1)(f), and 12-35-128 12-220-122 (1)(e) AND
(1)(g), 12-220-123 (1)(c), AND 12-220-127, and in accordance with rules
promulgated by the board;
(q) Prescribes, induces, and sets dosage levels for inhalation
anesthesia; except that nothing in this paragraph (q) SUBSECTION (1)(q) shall
be construed to prohibit the delegation of monitoring and administration to
appropriately trained personnel in accordance with this article 220 and rules
of the board;
(r) Gives or professes to give interpretations or readings of dental
charts or records or gives treatment plans or interpretations of treatment
plans derived from examinations, patient records, dental X rays, or
roentgenograms; except that nothing in this paragraph (r) SUBSECTION (1)(r)
shall be construed to prohibit a dental hygienist or dental assistant from
PAGE 671-HOUSE BILL 19-1172
performing tasks and procedures consistent with sections 12-35-124,
12-35-125, and 12-35-128 (2) and (3) 12-220-122, 12-220-123, AND
12-220-127 (2) AND (3).
(2) A licensed dentist may prescribe orders electronically.
12-220-111. [Formerly 12-35-114] Dentists may prescribe drugs
- surgical operations - anesthesia - limits on opioid prescriptions -
repeal. (1) A licensed dentist is authorized to prescribe drugs or medicine;
perform surgical operations; administer, pursuant to board rules, local
anesthesia, analgesia including nitrous oxide/oxygen inhalation, medication
prescribed or administered for the relief of anxiety or apprehension,
minimal sedation, moderate sedation, deep sedation, or general anesthesia;
and use appliances as necessary to the proper practice of dentistry. A dentist
shall not prescribe, distribute, or give to any person, including himself or
herself, any habit-forming drug or any controlled substance, as defined in
section 18-18-102 (5) or as contained in schedule II of 21 U.S.C. sec. 812,
other than in the course of legitimate dental practice and pursuant to the
rules promulgated by the board regarding controlled substance record
keeping.
(2) (a) A dentist shall not prescribe more than a seven-day supply of
an opioid to a patient who has not had an opioid prescription in the last
twelve months by that dentist, and may exercise discretion to include a
second fill for a seven-day supply. The limits on initial prescribing do not
apply if, in the judgment of the dentist, the patient: IS SUBJECT TO THE
LIMITATIONS ON PRESCRIBING OPIOIDS SPECIFIED IN SECTION 12-30-109.
(I) Has chronic pain that typically lasts longer than ninety days or
past the time of normal healing, as determined by the dentist, or following
transfer of care from another dentist who prescribed an opioid to the patient;
(II) Has been diagnosed with cancer and is experiencing
cancer-related pain; or
(III) Is experiencing post-surgical pain that, because of the nature
of the procedure, is expected to last more than fourteen days.
(b) Prior to prescribing the second fill of any opioid prescription
pursuant to this section, a dentist must comply with the requirements of
PAGE 672-HOUSE BILL 19-1172
section 12-42.5-404 (3.6). Failure to comply with section 12-42.5-404 (3.6)
constitutes grounds for discipline under section 12-35-129 only if the
dentist repeatedly fails to comply.
(c) A dentist licensed pursuant to this article 35 may prescribe
opioids electronically.
(d) A violation of this subsection (2) does not create a private right
of action or serve as the basis of a cause of action. A violation of this
section does not constitute negligence per se or contributory negligence per
se and does not alone establish a standard of care. Compliance with this
section does not alone establish an absolute defense to any alleged breach
of the standard of care.
(e) (b) This subsection (2) is repealed, effective September 1, 2021.
12-220-112. [Formerly 12-35-115] Persons exempt from
operation of this article. (1) This article 220 does not apply to the
following practices, acts, and operations:
(a) Practice of his or her profession by a physician or surgeon
licensed as such under the laws of this state unless the physician or surgeon
practices dentistry as a specialty;
(b) The administration of an anesthetic by a qualified anesthetist or
registered nurse for a dental operation;
(c) The practice of dentistry or dental hygiene in the discharge of
their official duties by graduate dentists or dental surgeons or dental
hygienists in the United States armed forces, public health service, Coast
Guard, or veterans administration;
(d) Students or residents regularly employed by a private hospital or
by a city, county, city and county, or state hospital under an advanced dental
education program accredited by the Commission on Dental Accreditation
or its successor commission and approved and registered by the board;
(e) The practice of dental hygiene by instructors and students or the
practice of dentistry by students or residents in schools or colleges of
dentistry, schools of dental hygiene, or schools of dental assistant education
PAGE 673-HOUSE BILL 19-1172
while such THE instructors, students, or residents are participating in
accredited programs of such THE schools or colleges;
(f) The practice of dentistry or dental hygiene by dentists or dental
hygienists licensed in good standing by other states or countries while
appearing in programs of dental education or research at the invitation of
any group of licensed dentists or dental hygienists in this state who are in
good standing, so long as such THE practice is limited to five consecutive
days in a twelve-month period and the name of each person engaging in
such THE practice is submitted to the board, in writing and on a form
approved by the board, at least ten days before the person performs such
THE practice;
(g) The filling of laboratory work orders of a licensed dentist, as
provided by section 12-35-133 12-220-139, by any person, association,
corporation, or other entity for the construction, reproduction, or repair of
prosthetic dentures, bridges, plates, or appliances to be used or worn as
substitutes for natural teeth or for restoration of natural teeth, or
replacement of structures relating to the jaws, maxillofacial area, or
adjacent and associated structures;
(h) The performance of acts by a person under the direct or indirect
supervision of a dentist licensed in Colorado when authorized pursuant to
the rules of the board or when authorized under other provisions of this
article 220;
(i) The practicing of dentistry or dental hygiene by an examiner
representing a testing agency approved by the board, during the
administration of an examination; or
(j) (Deleted by amendment, L. 2010, (HB 10-1128), ch. 172, p. 611,
§ 5, effective April 29, 2010.)
(k) (j) The practice of dentistry or dental hygiene by dentists or
dental hygienists licensed in good standing by other states while providing
care as a volunteer, at the invitation of any group of licensed dentists or
dental hygienists in this state who are in good standing, so long as such THE
practice is limited to five consecutive days in a twelve-month period and the
name of each person engaging in such THE practice is submitted to the
board, in writing and on a form approved by the board, at least ten days
PAGE 674-HOUSE BILL 19-1172
before the person performs such THE practice.
12-220-113. [Formerly 12-35-116] Names and status under which
dental practice may be conducted. (1) The conduct of the practice of
dentistry or dental hygiene in a corporate capacity is prohibited, but such
THE prohibition shall not be construed to prevent the practice of dentistry
or dental hygiene by a professional service corporation of licensees so
constituted that they may be treated under the federal internal revenue laws
as a corporation for tax purposes only. Any such professional service
corporation may exercise such powers and shall be subject to such
limitations and requirements, insofar as applicable, as are provided in
section 12-36-134 12-240-138, relating to professional service corporations
for the practice of medicine.
(2) The group practice of dentistry or dental hygiene is permitted.
(3) The practice of dentistry or dental hygiene by a limited liability
company of licensees or by a limited liability partnership of licensees is
permitted subject to the limitations and requirements, insofar as are
applicable, set forth in section 12-36-134 12-240-138, relating to a limited
liability company or limited liability partnership for the practice of
medicine.
12-220-114. [Formerly 12-35-116.5] Ownership of dental or
dental hygiene practice - information to be posted - heir to serve as
temporary proprietor - limitations - definitions. (1) (a) Only a dentist
licensed to practice dentistry in this state pursuant to this article 220 may be
the proprietor of a dental practice in this state.
(b) Only a dentist licensed to practice dentistry in this state pursuant
to this article 220 or a dental hygienist licensed to practice dental hygiene
in this state pursuant to this article 220 may be the proprietor of a dental
hygiene practice in this state.
(c) (I) Notwithstanding paragraphs (a) and (b) of this subsection (1)
SUBSECTIONS (1)(a) AND (1)(b) OF THIS SECTION, a nonprofit organization
may be the proprietor of a dental or dental hygiene practice if:
(A) The organization is a community health center, as defined in the
federal "Public Health Service Act", 42 U.S.C. sec. 254b; or
PAGE 675-HOUSE BILL 19-1172
(B) At least fifty percent of the patients served by the organization
are low income. As used in this sub-subparagraph (B) SUBSECTION
(1)(c)(I)(B), "low income" means the patient's income does not exceed the
income level specified for determining eligibility for the children's basic
health plan established in article 8 of title 25.5. C.R.S.
(II) Notwithstanding paragraphs (a) and (b) of this subsection (1)
SUBSECTIONS (1)(a) AND (1)(b) OF THIS SECTION, a political subdivision of
the state may be the proprietor of a dental or dental hygiene practice. As
used in this subparagraph (II) SUBSECTION (1)(c)(II), "political subdivision
of the state" means a county, city and county, city, town, service authority,
special district, or any other kind of municipal, quasi-municipal, or public
corporation, as defined in section 7-49.5-103. C.R.S.
(III) The proprietorship of a dental or dental hygiene practice by a
nonprofit organization that meets the criteria in subparagraph (I) of this
paragraph (c) SUBSECTION (1)(c)(I) OF THIS SECTION or by a political
subdivision of the state shall not affect the exercise of the independent
professional judgment of the licensed dentist or dental hygienist providing
care to patients on behalf of the organization or political subdivision.
(d) (I) A dentist may conduct a dental or dental hygiene business
collaboratively as a provider network in accordance with part 3 of article 18
of title 6. C.R.S.
(II) A dental hygienist may conduct a dental hygiene business
collaboratively as a provider network in accordance with part 3 of article 18
of title 6. C.R.S.
(2) (a) The name, license number, ownership percentage, and other
information, as required by the board, of each proprietor of a dental or
dental hygiene practice, including an unlicensed heir who is the temporary
proprietor of the practice, as specified in subsection (3) of this section, shall
be available at the reception desk of the dental or dental hygiene practice
during the practice's hours of operation. The information required by this
paragraph (a) SUBSECTION (2)(a) shall be available in a format approved by
the board.
(b) Upon request, the dental or dental hygiene practice shall
promptly make available to the requesting person a copy of the information
PAGE 676-HOUSE BILL 19-1172
required by paragraph (a) of this subsection (2) SUBSECTION (2)(a) OF THIS
SECTION.
(c) The dental or dental hygiene practice shall ensure that the
information required by paragraph (a) of this subsection (2) SUBSECTION
(2)(a) OF THIS SECTION is accurate and current. Any change in the
information shall be updated within thirty days after the change.
(3) (a) Notwithstanding sections 12-35-129 (1)(h) and 12-35-129.4
(1) and (2) 12-20-405 (1) AND (2) AND 12-220-130 (1)(h), if a dentist or
dental hygienist who was the proprietor of a dental or dental hygiene
practice and was engaged in the active practice of dentistry or dental
hygiene dies:
(I) An heir to the dentist may serve as a proprietor of the deceased
dentist's dental or dental hygiene practice for up to one year after the date
of the dentist's death, regardless of whether the heir is licensed to practice
dentistry or dental hygiene; or
(II) An heir to the dental hygienist may serve as a proprietor of the
deceased dental hygienist's dental hygiene practice for up to one year after
the date of the dental hygienist's death, regardless of whether the heir is
licensed to practice dentistry or dental hygiene.
(b) Upon good cause shown by the heir or the heir's representative,
the board may extend the period described in paragraph (a) of this
subsection (3) SUBSECTION (3)(a) OF THIS SECTION by up to an additional
twelve months, if necessary, to allow the heir sufficient time to sell or
otherwise dispose of the practice.
(c) If an heir to a deceased dentist or dental hygienist serves as a
proprietor of the deceased dentist's or dental hygienist's practice as specified
in paragraph (a) of this subsection (3) SUBSECTION (3)(a) OF THIS SECTION,
all patient care provided during the time the heir is a proprietor of the
practice shall be provided by an appropriately licensed dentist or dental
hygienist.
(d) The temporary proprietorship of a dental or dental hygiene
practice by an unlicensed heir shall not affect the exercise of the
independent professional judgment of the licensed dentist or dental
PAGE 677-HOUSE BILL 19-1172
hygienist providing care to patients on behalf of the practice.
12-220-115. [Formerly 12-35-117] Application for dentist license
- fee. (1) Every person not currently holding a license to practice dentistry
in this state who desires to practice dentistry in this state shall file with the
board an application for a license on a form provided by the board, verified
by the oath of the applicant, and accompanied by a fee required by section
12-35-138 (1)(a) 12-220-144 (1)(a) or established pursuant to section
24-34-105, C.R.S. 12-20-105, indicating that the applicant:
(a) Has attained the age of twenty-one years;
(b) Is a graduate of a dental school or college that, at the time of the
applicant's graduation, was accredited. An official transcript prepared by the
dental college or school attended shall be submitted to the board.
(c) Has listed any act the commission of which would be grounds
for disciplinary action under section 12-35-129 12-220-130 against a
licensed dentist, along with an explanation of the circumstances of such THE
act;
(d) Repealed.
(e) (d) Has proof that he or she THE APPLICANT has not been subject
to final or pending disciplinary action by any state in which the applicant is
or has been previously licensed; except that, if the applicant has been
subject to disciplinary action, the board may review such THE disciplinary
action to determine whether it warrants grounds for refusal to issue a
license; and
(f) (e) Has proof that he or she THE APPLICANT has met any more
stringent criteria established by the board.
(2) An applicant for licensure shall demonstrate to the board that he
or she has maintained the professional ability and knowledge required by
this article 220 when such THE applicant has not graduated from an
accredited dental school or college within the twelve months immediately
preceding the application and has not, for at least one year of the five years
immediately preceding the application, engaged in:
PAGE 678-HOUSE BILL 19-1172
(a) The active clinical practice of dentistry;
(b) Teaching dentistry in an accredited program; or
(c) Service as a dentist in the military.
(3) The board may require other pertinent information on the
application that the board deems necessary to process the application,
including demonstration of compliance with the financial responsibility
requirements set forth in section 13-64-301 (1)(a). C.R.S.
12-220-116. [Formerly 12-35-117.5] Dentist academic license.
(1) (a) A dentist who is employed at an accredited school or college of
dentistry in this state and who practices dentistry in the course of his or her
employment responsibilities shall either make written application to the
board for an academic license in accordance with this section or shall
otherwise become licensed pursuant to sections 12-35-117 12-220-115 and
12-35-119 12-220-117, as applicable.
(b) Nothing in this section shall require a dentist who appears in a
program of dental education or research, as described in section 12-35-115
(1)(f) 12-220-112 (1)(f), to obtain an academic license pursuant to this
section.
(2) A person who applies for an academic license shall submit proof
to the board that he or she THE PERSON:
(a) Graduated from a school of dentistry located in the United States
or another country; and
(b) Is employed by an accredited school or college of dentistry in
this state.
(c) (Deleted by amendment, L. 2014.)
(3) An applicant for an academic license shall satisfy the
credentialing standards of the accredited school or college of dentistry that
employs the applicant.
(4) An academic license shall authorize the licensee to practice
PAGE 679-HOUSE BILL 19-1172
dentistry only while engaged in the performance of his or her official duties
as an employee of the accredited school or college of dentistry and only in
connection with programs affiliated or endorsed by the school or college.
An academic licensee may not use an academic license to practice dentistry
outside of his or her academic responsibilities.
(5) In addition to the requirements of this section, an applicant for
an academic license shall complete all procedures for academic licensing
established by the board to become licensed, including payment of any fee
imposed pursuant to section 12-35-117 (1) 12-220-115 (1).
12-220-117. [Formerly 12-35-119] Examination - how conducted
- dentist license issued to successful applicants. (1) Applicants for dental
licensure shall submit to the board proof of having successfully passed the
following:
(a) The examination administered by the Joint Commission on
National Dental Examinations; and
(b) (Deleted by amendment, L. 2014.)
(c) (b) An examination or other methodology, as determined by the
board, designed to test the applicant's clinical skills and knowledge, which
may include residency and portfolio models.
(2) All examination results required by the board must be filed with
the board and kept for reference for a period of not less than one year. If the
applicant successfully completes the examinations and is otherwise
qualified, the board shall grant a license to the applicant and shall issue a
license certificate to the applicant.
(3) (Deleted by amendment, L. 2014.)
12-220-118. [Formerly 12-35-120] Dentist - licensure by
endorsement. (1) The board shall provide for licensure upon application
of any person licensed in good standing to practice dentistry in another state
or territory of the United States who provides the credentials and meets the
qualifications set forth in this section in the manner prescribed by the board.
(2) The board shall issue a license to an applicant licensed as a
PAGE 680-HOUSE BILL 19-1172
dentist in another state or territory of the United States if the applicant has
submitted credentials and qualifications for licensure that include:
(a) Proof of graduation from an accredited dental school;
(b) Proof the applicant is currently licensed in another state or
United States territory;
(c) Proof the applicant has been in practice or teaching dentistry,
which involves personally providing care to patients for not less than three
hundred hours annually in an accredited dental school for a minimum of
five years out of the seven years immediately preceding the date of the
receipt of the application, or evidence that the applicant has demonstrated
competency as a dentist as determined by the board;
(d) Proof the applicant has not been subject to final or pending
disciplinary action by any state in which the applicant is or has been
previously licensed; except that, if the applicant has been subject to
disciplinary action, the board may review such THE disciplinary action to
determine whether the underlying conduct warrants refusal to issue a
license;
(e) Repealed.
(f) (e) Proof the applicant has passed an entry level examination
acceptable to the board; and
(g) (f) Proof the applicant has met any more stringent criteria
established by the board.
12-220-119. [Formerly 12-35-121] Renewal of dental and dental
hygienist licenses - fees. Licenses must be renewed or reinstated pursuant
to a schedule established by the director of the division of professions and
occupations within the department of regulatory agencies, referred to in this
section as the director, and pursuant to section 24-34-102 (8), C.R.S. The
director may establish renewal fees, delinquency fees for late renewal, and
fees for reinstatement pursuant to section 24-34-105, C.R.S. If a person fails
to renew his or her license pursuant to the schedule established by the
director, the license expires ISSUED PURSUANT TO THIS ARTICLE 220 ARE
SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
PAGE 681-HOUSE BILL 19-1172
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
Any person whose license expires is subject to the penalties provided in this
article 220 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
12-220-120. [Formerly 12-35-122] Inactive dental or dental
hygienist license. (1) Any person licensed to practice dentistry or dental
hygiene pursuant to this article 220 may apply to the board to be transferred
to an inactive status. The licensee shall submit an application in the form
and manner designated by the board. The board may grant inactive status
by issuing an inactive license or deny the application for any of the causes
set forth in section 12-35-129 12-220-130.
(2) Any person applying for a license under this section shall:
(a) Provide an affidavit to the board that the applicant, after a date
certain, will not practice dentistry or dental hygiene in this state unless he
or she is issued a license to practice dentistry or dental hygiene pursuant to
subsection (5) of this section;
(b) Pay the license fee as authorized pursuant to section 24-34-105,
C.R.S. 12-20-105; and
(c) Comply with any financial responsibility or professional liability
insurance requirements established by the board under section 12-35-141
12-220-147, as applicable.
(3) Such THE inactive status shall be plainly indicated on the face
of any inactive license certificate issued under this section.
(4) The board is authorized to conduct disciplinary proceedings as
set forth in section 12-35-129 12-220-130 against any person licensed under
this section for any act committed while the person was licensed pursuant
to this article 220.
(5) Any person licensed under this section who wishes to resume the
practice of dentistry or dental hygiene shall file an application in the form
and manner the board designates, pay the license fee promulgated by the
board pursuant to section 24-34-105, C.R.S. 12-20-105, and meet the
financial responsibility requirements or the professional liability insurance
requirements in section 12-35-141 12-220-147, as applicable. The board
PAGE 682-HOUSE BILL 19-1172
may approve the application and issue a license to practice dentistry or
dental hygiene or may deny the application for any of the causes set forth
in section 12-35-129 12-220-130.
12-220-121. [Formerly 12-35-123] Retired dental and dental
hygienist licenses. (1) Any person licensed to practice dentistry or dental
hygiene pursuant to this article 220 may apply to the board for retired
licensure status. Any such THE application shall be in the form and manner
designated by the board. The board may grant such RETIRED LICENSURE
status by issuing a retired license, or it may deny the application if the
licensee has been disciplined for any of the causes set forth in section
12-35-129 12-220-130.
(2) Any person applying for a license under this section shall:
(a) Provide an affidavit to the board stating that, after a date certain,
the applicant shall not practice dentistry or dental hygiene, shall no longer
earn income as a dentist or dental hygiene administrator or consultant, and
shall not perform any activity that constitutes practicing dentistry or dental
hygiene pursuant to sections 12-35-113, 12-35-124, and 12-35-125
12-220-110, 12-220-122, AND 12-220-123 unless said THE applicant is
issued a license to practice dentistry or dental hygiene pursuant to
subsection (5) of this section; and
(b) Pay the license fee authorized by section 24-34-105, C.R.S.
12-20-105, which fee shall not exceed fifty dollars.
(3) The retired status of a licensee shall be plainly indicated on the
face of any retired license certificate issued under this section.
(4) The board may take disciplinary action pursuant to sections
12-35-129.1 to 12-35-129.5 12-220-131 TO 12-220-135 against any person
licensed under this section for an act committed while such THE person was
licensed pursuant to this article 220.
(5) Any person licensed under this section may apply to the board
for a return to active licensure status by filing an application in the form and
manner the board designates, paying the appropriate license fee established
pursuant to section 24-34-105, C.R.S. 12-20-105, and meeting the financial
responsibility requirements or the professional liability insurance
PAGE 683-HOUSE BILL 19-1172
requirements in section 12-35-141 12-220-147, as applicable. The board
may approve the application and issue a license to practice dentistry or
dental hygiene or may deny the application if the licensee has been
disciplined for any of the causes set forth in section 12-35-129 12-220-130.
(6) A dentist or dental hygienist on retired status may provide dental
or dental hygiene services on a voluntary basis to the indigent if the retired
dentist or dental hygienist provides the services on a limited basis and does
not charge a fee for the services. A retired dentist or dental hygienist
providing voluntary care pursuant to this subsection (6) is immune from any
liability resulting from the voluntary care he or she provided.
12-220-122. [Formerly 12-35-124] What constitutes practicing
unsupervised dental hygiene. (1) Unless licensed to practice dentistry, a
person shall be deemed to be practicing unsupervised dental hygiene who,
within the scope of the person's education, training, and experience:
(a) Removes deposits, accretions, and stains by scaling with hand,
ultrasonic, or other devices from all surfaces of the tooth and smooths and
polishes natural and restored tooth surfaces, including root planing;
(b) Removes granulation and degenerated tissue from the gingival
wall of a periodontal pocket;
(c) Provides preventive measures including the application of
fluorides, sealants, and other recognized topical agents for the prevention
of oral disease;
(d) Gathers and assembles information including, but not limited to:
(I) Fact-finding and patient history;
(II) Preparation of study casts for the purpose of fabricating a
permanent record of the patient's present condition; as a visual aid for
patient education, dental hygiene diagnosis, and dental hygiene treatment
planning; and to provide assistance during forensic examination;
(III) Extra- and intra-oral inspection;
(IV) Dental and periodontal charting; and
PAGE 684-HOUSE BILL 19-1172
(V) Radiographic and X ray survey for the purpose of assessing and
diagnosing dental hygiene-related conditions for treatment planning for
dental hygiene services as described in this section and identifying dental
abnormalities for immediate referral to a dentist;
(e) Administers a topical anesthetic to a patient in the course of
providing dental care;
(f) Performs dental hygiene assessment, dental hygiene diagnosis,
and dental hygiene treatment planning for dental hygiene services as
described in this section and identifies dental abnormalities for immediate
referral to a dentist; or
(g) (I) Prescribes, administers, and dispenses fluoride, fluoride
varnish, antimicrobial solutions for mouth rinsing, other nonsystemic
antimicrobial agents, and related emergency drugs and reversal agents in
collaboration with a licensed dentist. The board may, by rule, further define
the permissible and appropriate emergency drugs and reversal agents.
Dental hygienists shall maintain clear documentation in the patient record
of the drug or agent prescribed, administered, or dispensed; the date of the
action; and the rationale for prescribing, administering, or dispensing the
drug or agent.
(II) A dental hygienist shall not prescribe, administer, or dispense
the following:
(A) Drugs whose primary effect is systemic, with the exception of
fluoride supplements permitted under sub-subparagraph (A) of
subparagraph (III) of this paragraph (g) SUBSECTION (1)(g)(III)(A) OF THIS
SECTION; and
(B) Dangerous drugs or controlled substances, as defined in section
18-18-102 (5). C.R.S.
(III) A dental hygienist may prescribe the following:
(A) Fluoride supplements as follows, all using sodium fluoride:
Tablets: 0.5 mg, 1.1 mg, or 2.2 mg; lozenges: 2.21 mg; and drops: 1.1 mL;
(B) Topical anti-caries treatments as follows, all using sodium
PAGE 685-HOUSE BILL 19-1172
fluoride unless otherwise indicated: Toothpastes: 1.1 % or less (or stannous
fluoride 0.4%); topical gels: 1.1% or less (or stannous fluoride 0.4%); oral
rinses: 0.05%, 0.2%, 0.44%, or 0.5%; oral rinse concentrate used in
periodontal disease: 0.63% stannous fluoride; fluoride varnish: 5%; and
prophy pastes containing approximately 1.23% sodium fluoride and used
for polishing procedures as part of professional dental prophylaxis
treatment;
(C) Topical anti-infectives as follows: Chlorhexidine gluconate
rinses: 0.12%; chlorhexidine gluconate periodontal chips for subgingival
insertion into a periodontal pocket/sulcus; tetracycline impregnated fibers,
inserted subgingivally into a periodontal pocket/sulcus; doxycycline hyclate
periodontal gel, inserted subgingivally into a periodontal pocket/sulcus; and
minocycline hydrochloride periodontal powder, inserted subgingivally into
a periodontal pocket/sulcus; and
(D) Related emergency drugs and reversal agents as authorized by
the collaborating dentist.
(1.5) (2) A dental hygienist shall state in writing and require a
patient to acknowledge by signature that any diagnosis or assessment is for
the purpose of determining necessary dental hygiene services only and that
it is recommended by the American Dental Association, or any successor
organizations, that a thorough dental examination be performed by a dentist
twice each year.
(2) (3) Unsupervised dental hygiene may be performed by licensed
dental hygienists without the supervision of a licensed dentist.
(3) (4) (a) Notwithstanding section 12-35-103 (14) or 12-35-113
(1)(b) 12-220-104 (13) OR 12-220-110 (1)(b), a dental hygienist may be the
proprietor of a place where supervised or unsupervised dental hygiene is
performed and may purchase, own, or lease equipment necessary to perform
supervised or unsupervised dental hygiene.
(b) A dental hygienist proprietor, or a professional corporation or
professional limited liability corporation of dental hygienists, in addition to
providing dental hygiene services, may enter into an agreement with one or
more dentists for the lease or rental of equipment or office space in the
same physical location as the dental hygiene practice, but only if the
PAGE 686-HOUSE BILL 19-1172
determination of necessary dental services provided by the dentist and
professional responsibility for those services, including but not limited to
dental records, appropriate medication, and patient payment, remain with
the treating dentist. It shall be the responsibility of the dental hygienist to
inform the patient as to whether there is a supervisory relationship between
the dentist and the dental hygienist. Such An agreement UNDER THIS
SUBSECTION (4)(b) shall not constitute employment and shall not constitute
cause for discipline pursuant to section 12-35-129 (1)(h) 12-220-130 (1)(h).
12-220-123. [Formerly 12-35-125] What constitutes practicing
supervised dental hygiene. (1) Unless licensed to practice dentistry, a
person who performs any of the following tasks under the supervision of a
licensed dentist is deemed to be practicing supervised dental hygiene:
(a) Any task described in section 12-35-124 (1) 12-220-122 (1);
(b) Prepares study casts;
(c) to (e) (Deleted by amendment, L. 2014.)
(f) (c) Administers local anesthesia under the indirect supervision
of a licensed dentist pursuant to rules of the board, including minimum
education requirements and procedures for local anesthesia administration;
(g) and (h) (Deleted by amendment, L. 2014.)
(i) (d) Places interim therapeutic restorations pursuant to section
12-35-128.5 12-220-128; or
(j) (e) Applies silver diamine fluoride pursuant to section
12-35-128.8 12-220-129.
(2) (Deleted by amendment, L. 2014.)
12-220-124. [Formerly 12-35-126] Application for dental
hygienist license - fee. (1) Every person who desires to qualify for practice
as a dental hygienist within this state shall file with the board:
(a) A written application for a license, on which application such
THE applicant shall list:
PAGE 687-HOUSE BILL 19-1172
(I) Any act the commission of which would be grounds for
disciplinary action under section 12-35-129 12-220-130 against a licensed
dental hygienist; and
(II) An explanation of the circumstances of such act; and
(b) Satisfactory proof of graduation from a school of dental hygiene
that, at the time of the applicant's graduation, was accredited, and proof that
the program offered by the accredited school of dental hygiene was at least
two academic years or the equivalent of two academic years.
(2) Such THE application must be on the form prescribed and
furnished by the board, verified by the oath of the applicant, and
accompanied by a fee established pursuant to section 24-34-105, C.R.S.
12-20-105.
(3) An applicant for licensure who has not graduated from an
accredited school or program of dental hygiene within the twelve months
immediately preceding application, or who has not engaged either in the
active clinical practice of dental hygiene or in teaching dental hygiene in an
accredited program for at least one year during the five years immediately
preceding the application, shall demonstrate to the board that the applicant
has maintained the professional ability and knowledge required by this
article 220.
(4) Repealed.
12-220-125. [Formerly 12-35-127] Dental hygienist examinations
- license. (1) Every applicant for dental hygiene licensure shall submit to
the board proof of having successfully completed the following:
(a) An examination administered by the Joint Commission on
National Dental Examinations; and
(b) An examination designed to test the applicant's clinical skills and
knowledge, which must be administered by a regional testing agency
composed of at least four states or an examination of another state, or a
methodology adopted by the board by rule that is designed to test the
applicant's clinical skills and knowledge.
PAGE 688-HOUSE BILL 19-1172
(c) (Deleted by amendment, L. 2014.)
(2) All examination results required by the board must be filed with
the board and kept for reference for a period of not less than one year. If an
applicant successfully completes the examinations and is otherwise
qualified, the board shall grant a license to the applicant and shall issue a
license certificate signed by the officers of the board.
(3) and (4) Repealed.
12-220-126. [Formerly 12-35-127.5] Dental hygienist - licensure
by endorsement. (1) The board shall provide for licensure upon
application of any person licensed in good standing to practice dental
hygiene in another state or territory of the United States who has met the
requirements of section 12-35-126, 12-220-124 and provides the credentials
and meets the qualifications set forth in this section in the manner
prescribed by the board.
(2) The board shall issue a license to an applicant duly licensed as
a dental hygienist in another state or territory of the United States who has
submitted credentials and qualifications for licensure in Colorado that
include:
(a) Verification of licensure from any other jurisdiction where the
applicant has held a dental hygiene or other health care license;
(b) Evidence of the applicant's successful completion of the national
board dental examination administered by the Joint Commission on
National Dental Examinations;
(c) (I) Verification that the applicant has been engaged either in
clinical practice or in teaching dental hygiene or dentistry in an accredited
program for at least one year during the three years immediately preceding
the date of the receipt of the application; or
(II) Evidence that the applicant has demonstrated competency as a
dental hygienist as determined by the board;
(d) A report of any pending or final disciplinary actions against any
health care license held by the applicant at any time; and
PAGE 689-HOUSE BILL 19-1172
(e) A report of any pending or final malpractice actions against the
applicant.
12-220-127. [Formerly 12-35-128] Tasks authorized to be
performed by dental assistants or dental hygienists - rules.
(1) (a) (I) Except as provided in subparagraph (II) of this paragraph (a)
SUBSECTION (1)(a)(II) OF THIS SECTION, the responsibility for dental
diagnosis, dental treatment planning, or the prescription of therapeutic
measures in the practice of dentistry remains with a licensed dentist and
may not be assigned to any dental hygienist.
(II) A dental hygienist may:
(A) Perform dental hygiene assessment, dental hygiene diagnosis,
and dental hygiene treatment planning for dental hygiene services pursuant
to section 12-35-124 (1)(f) 12-220-122 (1)(f);
(B) Identify dental abnormalities for immediate referral to a dentist
as described in section 12-35-124 (1)(f) 12-220-122 (1)(f);
(C) In collaboration with a licensed dentist, prescribe, administer,
and dispense, as described in section 12-35-124 (1)(g) 12-220-122 (1)(g):
Fluoride; fluoride varnish; antimicrobial solutions for mouth rinsing; other
nonsystemic antimicrobial agents; and resorbable antimicrobial agents
pursuant to rules of the board; and
(D) In collaboration with a licensed dentist, apply silver diamine
fluoride pursuant to section 12-35-128.8 12-220-129.
(b) A dental procedure that involves surgery or that will contribute
to or result in an irremediable alteration of the oral anatomy shall not be
assigned to anyone other than a licensed dentist.
(2) Except as provided in subsection (1) of this section, a dental
hygienist may perform any dental task or procedure assigned to the
hygienist by a licensed dentist that does not require the professional skill of
a licensed dentist; except that the dental hygienist may perform the task or
procedure only under the indirect supervision of a licensed dentist or as
authorized in sections 12-35-124 and 12-35-125 12-220-122 AND
12-220-123.
PAGE 690-HOUSE BILL 19-1172
(3) (a) A dental assistant shall not perform the following tasks:
(I) Diagnosis;
(II) Treatment planning;
(III) Prescription of therapeutic measures;
(IV) Any procedure that contributes to or results in an irremediable
alteration of the oral anatomy;
(V) Administration of local anesthesia;
(VI) Scaling (supra and sub-gingival), as it pertains to the practice
of dental hygiene;
(VII) Root planing;
(VIII) Soft tissue curettage;
(IX) Periodontal probing.
(b) A dental assistant may perform the following tasks under the
indirect supervision of a licensed dentist:
(I) Smoothing and polishing natural and restored tooth surfaces;
(II) Provision of preventive measures, including the application of
fluorides and other recognized topical agents for the prevention of oral
disease;
(III) Gathering and assembling information including, but not
limited to, fact-finding and patient history, oral inspection, and dental and
periodontal charting;
(IV) Administering topical anesthetic to a patient in the course of
providing dental care;
(V) Any other task or procedure that does not require the
professional skill of a licensed dentist;
PAGE 691-HOUSE BILL 19-1172
(VI) Repairing and relining dentures pursuant to a dental laboratory
work order signed by a licensed dentist.
(c) A dental assistant may, under the direct supervision of a licensed
dentist in accordance with rules promulgated by the board, administer and
monitor the use of nitrous oxide on a patient.
(d) (I) A dental assistant may perform intraoral and extraoral tasks
and procedures necessary for the fabrication of a complete or partial denture
under the direct supervision of a licensed dentist. These tasks and
procedures shall include:
(A) Making of preliminary and final impressions;
(B) Jaw relation records and determination of vertical dimensions;
(C) Tooth selection;
(D) A preliminary try-in of the wax-up trial denture prior to and
subject to a try-in and approval in writing of the wax-up trial denture by the
licensed dentist;
(E) Denture adjustments that involve the periphery, occlusal, or
tissue-bearing surfaces of the denture prior to the final examination of the
denture.
(II) The tasks and procedures in subparagraph (I) of this paragraph
(d) SUBSECTION (3)(d)(I) OF THIS SECTION shall be performed in the
regularly announced office location of a licensed practicing dentist, and the
dentist shall be personally liable for all treatment rendered to the patient. A
dental assistant performing these tasks and procedures shall be properly
identified as a dental assistant. No dentist shall utilize more than the number
of dental assistants the dentist can reasonably supervise.
(III) Prior to any work being performed pursuant to subparagraph (I)
of this paragraph (d) SUBSECTION (3)(d)(I) OF THIS SECTION, the patient shall
first be examined by the treating dentist licensed to practice in this state
who shall certify that the patient has no pathologic condition that requires
surgical correction or other treatment prior to complete denture service.
PAGE 692-HOUSE BILL 19-1172
(4) Repealed.
(5) (4) The board may make such reasonable rules as may be
necessary to implement and enforce the provisions of this section.
12-220-128. [Formerly 12-35-128.5] Interim therapeutic
restorations by dental hygienists - permitting process - rules - repeal.
(1) Upon application, accompanied by a fee in an amount determined by
the director, of the division of professions and occupations, the board shall
grant a permit to place interim therapeutic restorations to any dental
hygienist applicant who:
(a) Holds a license in good standing to practice dental hygiene in
Colorado;
(b) Has completed a course developed at the postsecondary
educational level that complies with the rules adopted by the board. The
course must be offered under the direct supervision of a member of the
faculty of a Colorado dental or dental hygiene school accredited by the
Commission on Dental Accreditation or its successor agency. All faculty
responsible for clinical evaluation of students must be dentists with a
faculty appointment at an accredited Colorado dental or dental hygiene
school.
(c) Carries current professional liability insurance in the amount
specified in section 12-35-141 12-220-147; and
(d) Has completed the following hours of dental hygiene practice as
evidenced in documentation required by the board:
(I) Two thousand hours of supervised dental hygiene practice after
initial dental hygiene licensure;
(II) Four thousand hours of unsupervised dental hygiene practice
after initial dental hygiene licensure; or
(III) A combination of the hours specified in subparagraphs (I) and
(II) of this paragraph (d) SUBSECTIONS (1)(d)(I) AND (1)(d)(II) OF THIS
SECTION as determined by the board by rule.
PAGE 693-HOUSE BILL 19-1172
(2) The board may waive the requirement in paragraph (d) of
subsection (1) SUBSECTION (1)(d) of this section for a dental hygienist who
performs interim therapeutic restorations exclusively under the direct
supervision of a dentist.
(3) A dental hygienist shall not use local anesthesia for the purpose
of placing interim therapeutic restorations.
(4) (a) A dental hygienist may place an interim therapeutic
restoration only after a dentist provides a diagnosis, treatment plan, and
instruction to perform the procedure.
(b) If an interim therapeutic restoration is authorized by a
supervising dentist at a location other than the dentist's practice location, the
dental hygienist shall provide the patient or the patient's representative with
written notification that the care was provided at the direction of the
supervising dentist. The dental hygienist shall include in the written
notification the dentist's name, practice location address, and telephone
number.
(c) A dental hygienist who obtains a dentist's diagnosis, treatment
plan, and instruction to perform an ITR utilizing telehealth by
store-and-forward transfer shall notify the patient of the patient's right to
receive interactive communication with the distant dentist upon request.
Communication with the distant dentist may occur either at the time of the
consultation or within thirty days after the dental hygienist notifies the
patient of the results of the consultation.
(5) A dental hygienist who obtains a permit pursuant to this section
may place interim therapeutic restorations in a dental office setting under
the direct or indirect supervision of a dentist or through telehealth
supervision for purposes of communication with the dentist.
(6) A dentist shall not supervise more than five dental hygienists
who place interim therapeutic restorations under telehealth supervision. A
dentist who supervises a dental hygienist who provides interim therapeutic
restorations under telehealth supervision must have a physical practice
location in Colorado for purposes of patient referral for follow-up care.
(7) A dental hygienist shall inform the patient or the patient's legal
PAGE 694-HOUSE BILL 19-1172
guardian, in writing, and require the patient or the patient's legal guardian
to acknowledge by signature, that the interim therapeutic restoration is a
temporary repair to the tooth and that appropriate follow-up care with a
dentist is necessary.
(8) This section is repealed, effective September 1, 2021. Prior to
BEFORE the repeal, the department of regulatory agencies shall review the
permitting of dental hygienists to place interim therapeutic restorations as
provided in IS SCHEDULED FOR REVIEW IN ACCORDANCE WITH section
24-34-104. C.R.S.
12-220-129. [Formerly 12-35-128.8] Application of silver diamine
fluoride by dental hygienists - authorization - limitations - rules -
repeal. (1) A dental hygienist may apply silver diamine fluoride if the
dental hygienist:
(a) Holds a license in good standing to practice dental hygiene in
Colorado;
(b) Has completed a postsecondary course or continuing education
course developed at the postsecondary level that satisfies the requirements
established by the board by rule and that provides instruction on the use and
limitations of applying silver diamine fluoride;
(c) Is covered by professional liability insurance in the amount
established by the board pursuant to section 12-35-141 12-220-147; and
(d) Has a collaborative agreement with a dentist that describes the
silver diamine fluoride protocols, any restrictions or limitations, follow-up
and referral mechanisms, and any other requirements established by the
board by rule.
(2) (a) If the application of silver diamine fluoride is authorized by
a supervising dentist at a location other than the dentist's practice location,
the dental hygienist shall provide the patient or the patient's representative
with written notification that the application of silver diamine fluoride is
being provided in collaboration with the supervising dentist. The dental
hygienist shall include in the written notification the dentist's name, practice
location address, and telephone number.
PAGE 695-HOUSE BILL 19-1172
(b) A dental hygienist who applies silver diamine fluoride in
collaboration with a supervising dentist utilizing telehealth by
store-and-forward transfer shall notify the patient or the patient's
representative of the patient's right to receive interactive communication
with the distant dentist upon request. Communication with the distant
dentist may occur either at the time of the consultation or within thirty days
after the dental hygienist notifies the patient of the results of the
consultation.
(3) A dental hygienist who meets the requirements of subsections
(1) and (2) of this section may apply silver diamine fluoride under the direct
or indirect supervision of a dentist or through telehealth supervision for
purposes of communication with the dentist.
(4) (a) Not later than ninety days after March 22, 2018, The board
shall promulgate rules to:
(I) Define requirements for the education course required in
subsection (1)(b) of this section, including qualifications for entities
offering the course and faculty oversight requirements; and
(II) Address appropriate indications and limitations for the
application of silver diamine fluoride by a dental hygienist.
(b) The board may establish additional requirements for the
collaborative agreement required by subsection (1)(d) of this section.
(5) This section is repealed, effective September 1, 2021. Prior to
BEFORE the repeal, the department of regulatory agencies shall review the
application of silver diamine fluoride by dental hygienists as provided in IS
SCHEDULED FOR REVIEW IN ACCORDANCE WITH section 24-34-104.
12-220-130. [Formerly 12-35-129] Grounds for disciplinary
action - definition. (1) The board may take disciplinary action against an
applicant or licensee in accordance with section 12-35-129.1 SECTIONS
12-20-404 AND 12-220-131 for any of the following causes:
(a) Engaging in fraud, misrepresentation, or deception in applying
for, securing, renewing, or seeking reinstatement of a license to practice
dentistry or dental hygiene in this state, in applying for professional liability
PAGE 696-HOUSE BILL 19-1172
coverage required pursuant to section 12-35-141 12-220-147, or in taking
the examinations provided for in this article 220;
(b) Conviction of a felony or any crime that constitutes a violation
of this article 220. For purposes of this paragraph (b) SUBSECTION (1)(b),
"conviction" includes the entry of a plea of guilty or nolo contendere or a
deferred sentence.
(c) Administering, dispensing, or prescribing a habit-forming drug
or controlled substance, as defined in section 18-18-102 (5), C.R.S., to a
person, including the applicant or licensee, other than in the course of
legitimate professional practice;
(d) Conviction of a violation of a federal or state law regulating the
possession, distribution, or use of a controlled substance, as defined in
section 18-18-102 (5), C.R.S., and, in determining if a license should be
denied, revoked, or suspended or if the licensee should be placed on
probation, the board shall be governed by section SECTIONS 12-20-202 (5)
AND 24-5-101; C.R.S.;
(e) Habitually abusing or excessively using alcohol, a habit-forming
drug, or a controlled substance, as defined in section 18-18-102 (5); C.R.S.;
(f) Misusing a drug or controlled substance, as defined in section
18-18-102 (5); C.R.S.;
(g) Aiding or abetting, in the practice of dentistry or dental hygiene,
a person who is not licensed to practice dentistry or dental hygiene under
this article 220 or whose license to practice dentistry or dental hygiene is
suspended;
(h) Except as otherwise provided in sections 25-3-103.7, C.R.S.,
12-35-116, and 12-35-124 (3) 12-220-113, AND 12-220-122 (4), practicing
dentistry or dental hygiene as a partner, agent, or employee of or in joint
venture with any person who does not hold a license to practice dentistry or
dental hygiene within this state or practicing dentistry or dental hygiene as
an employee of or in joint venture with any partnership, association, or
corporation. A licensee holding a license to practice dentistry or dental
hygiene in this state may accept employment from any person, partnership,
association, or corporation to examine, prescribe, and treat the employees
PAGE 697-HOUSE BILL 19-1172
of the person, partnership, association, or corporation.
(i) Violating or attempting to violate, directly or indirectly, assisting
in or abetting the violation of, or conspiring to violate any provision or term
of this article 220, AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS
TITLE 12, or ANY lawful rule or order of the board;
(j) (I) Failing to notify the board of a physical illness, a physical
condition, or a behavioral, mental health, or substance use disorder that
renders the licensee unable, or limits the licensee's ability, to perform dental
or dental hygiene services with reasonable skill and with safety to the
patient;
(II) Failing to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the licensee unable to practice dental or dental hygiene
services with reasonable skill and safety or that may endanger the health or
safety of persons under his or her care; or
(III) Failing to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-35-129.6 SECTIONS
12-30-108 AND 12-220-136;
(k) Committing an act or omission that constitutes grossly negligent
dental or dental hygiene practice or that fails to meet generally accepted
standards of dental or dental hygiene practice;
(l) Advertising in a manner that is misleading, deceptive, or false;
(m) Engaging in a sexual act with a patient during the course of
patient care or within six months immediately following the termination of
the licensee's professional relationship with the patient. "Sexual act", as
used in this paragraph (m) SUBSECTION (1)(m), means sexual contact, sexual
intrusion, or sexual penetration as defined in section 18-3-401. C.R.S.
(n) Refusing to make patient records available to a patient pursuant
to a written authorization-request under section 25-1-802; C.R.S.;
(o) False billing in the delivery of dental or dental hygiene services,
including, but not limited to, performing one service and billing for another,
PAGE 698-HOUSE BILL 19-1172
billing for any service not rendered, or committing a fraudulent insurance
act, as defined in section 10-1-128; C.R.S.;
(p) Committing abuse of health insurance in violation of section
18-13-119; C.R.S.;
(q) Failing to notify the board, in writing and within ninety days
after a judgment is entered, of a final judgment by a court of competent
jurisdiction in favor of any party and against the licensee involving
negligent malpractice of dentistry or dental hygiene, which notice must
contain the name of the court, the case number, and the names of all parties
to the action;
(r) Failing to report a dental or dental hygiene malpractice judgment
or malpractice settlement to the board by the licensee within ninety days;
(s) Failing to furnish unlicensed persons with laboratory work orders
pursuant to section 12-35-133 12-220-139;
(t) Employing a solicitor or other agent to obtain patronage, except
as provided in section 12-35-137 12-220-143;
(u) Willfully deceiving or attempting to deceive the board or its
agents with reference to any matter relating to this article 220;
(v) Sharing any professional fees with anyone except those with
whom the dentist or dental hygienist is lawfully associated in the practice
of dentistry or dental hygiene; except that:
(I) A licensed dentist or dental hygienist may pay an independent
advertising or marketing agent compensation for advertising or marketing
services rendered by the agent for the benefit of the licensed dentist or
dental hygienist, including compensation that is based on the results or
performance of the services on a per-patient basis; and
(II) Nothing in this section prohibits a dentist or dental hygienist
practice owned or operated by a proprietor authorized under section
12-35-116.5 12-220-114 from contracting with any person or entity for
business management services or paying a royalty in accordance with a
franchise agreement if the terms of the contract or franchise agreement do
PAGE 699-HOUSE BILL 19-1172
not affect the exercise of the independent professional judgment of the
dentist or dental hygienist.
(w) Failing to provide reasonably necessary referral of a patient to
other licensed dentists or licensed health care professionals for consultation
or treatment when the failure to provide referral does not meet generally
accepted standards of dental care;
(x) Failure of a dental hygienist to recommend that a patient be
examined by a dentist, or to refer a patient to a dentist, when the dental
hygienist detects a condition that requires care beyond the scope of
practicing supervised or unsupervised dental hygiene;
(y) Engaging in any of the following activities and practices:
(I) Willful and repeated ordering or performance, without clinical
justification, of demonstrably unnecessary laboratory tests or studies;
(II) The administration, without clinical justification, of treatment
that is demonstrably unnecessary;
(III) In addition to the provisions of paragraph (x) of this subsection
(1) SUBSECTION (1)(x) OF THIS SECTION, the failure to obtain consultations
or perform referrals when failing to do so is not consistent with the standard
of care for the profession;
(IV) Ordering or performing, without clinical justification, any
service, X ray, or treatment that is contrary to recognized standards of the
practice of dentistry or dental hygiene as interpreted by the board;
(z) Falsifying or repeatedly making incorrect essential entries or
repeatedly failing to make essential entries on patient records;
(aa) Violating section 8-42-101 (3.6); C.R.S.;
(bb) Violating section 12-35-202 12-220-202 or any rule of the
board adopted pursuant to that section;
(cc) Administering local anesthesia, minimal sedation, moderate
sedation, or deep sedation/general anesthesia without obtaining a permit
PAGE 700-HOUSE BILL 19-1172
from the board in accordance with section 12-35-140 12-220-146;
(dd) Failing to report to the board, within ninety days after final
disposition, the surrender of a license to, or adverse action taken against a
license by, a licensing agency in another state, territory, or country, a
governmental agency, a law enforcement agency, or a court for an act or
conduct that would constitute grounds for discipline pursuant to this article
220;
(ee) Failing to provide adequate or proper supervision when
employing unlicensed persons in a dental or dental hygiene practice;
(ff) Engaging in any conduct that constitutes a crime as defined in
title 18, C.R.S., which conduct relates to the licensee's practice as a dentist
or dental hygienist;
(gg) Practicing outside the scope of dental or dental hygiene
practice;
(hh) Failing to establish and continuously maintain financial
responsibility or professional liability insurance as required by section
12-35-141 12-220-147;
(ii) Advertising or otherwise holding oneself out to the public as
practicing a dental specialty in which the dentist has not successfully
completed the education specified for the dental specialty as defined by the
American Dental Association;
(jj) Failing to respond in an honest, materially responsive, and
timely manner to a complaint filed against the licensee pursuant to this
article 220;
(kk) Committing an act or omission that fails to meet generally
accepted standards for infection control;
(ll) Administering moderate sedation or deep sedation/general
anesthesia without a licensed dentist or other licensed health care
professional qualified to administer the relevant level of sedation or
anesthesia present in the operatory;
PAGE 701-HOUSE BILL 19-1172
(mm) Failing to complete and maintain records of completing
continuing education as required by section 12-35-139 12-220-145;
(nn) Failing to comply with section 12-35-128.5 12-220-128
regarding the placement of interim therapeutic restorations; or
(oo) Failing to comply with section 12-35-128.8 12-220-129
regarding the application of silver diamine fluoride.
(2) to (18) Repealed.
12-220-131. [Formerly 12-35-129.1] Disciplinary actions.
(1) (a) If, after notice and hearing conducted in accordance with article 4
of title 24 C.R.S. AND SECTION 12-20-403, the board determines that an
applicant or licensee has engaged in an act specified in section 12-35-129
12-220-130, the board may:
(I) Deny the issuance of, refuse to renew, suspend, or revoke any
license provided for in this article ISSUE A LETTER OF ADMONITION UNDER
THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH SECTION
12-20-404 (4);
(II) Reprimand, censure, or, IN ACCORDANCE WITH SECTION
12-20-404 (1)(b), place on probation any licensed dentist or dental
hygienist;
(III) Issue a letter of admonition IMPOSE AN ADMINISTRATIVE FINE
IN ACCORDANCE WITH SECTION 12-20-404 (1)(c) AND SUBSECTION (5) OF
THIS SECTION; or
(IV) Impose an administrative fine IN ACCORDANCE WITH SECTION
12-20-404 (1)(d), DENY THE ISSUANCE OF, REFUSE TO RENEW, SUSPEND, OR
REVOKE ANY LICENSE PROVIDED FOR IN THIS ARTICLE 220.
(b) Hearings under this section must be conducted by the board or
by an administrative law judge appointed pursuant to part 10 of article 30
of title 24, C.R.S. PURSUANT TO SECTION 12-20-403.
(2) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
PAGE 702-HOUSE BILL 19-1172
by the board but should not be dismissed as being without merit, the board
may issue and send to the licensee a letter of admonition.
(b) When the board sends a letter of admonition to a licensee
pursuant to paragraph (a) of this subsection (2), the board shall also advise
the licensee that he or she has the right to request in writing, within twenty
days after receipt of the letter, that the board initiate formal disciplinary
proceedings to adjudicate the propriety of the conduct upon which the letter
of admonition is based. If the licensee makes the request for adjudication
in a timely manner, the board shall vacate the letter of admonition and shall
process the matter by means of formal disciplinary proceedings.
(3) (2) If an investigation discloses an instance of conduct that, in
the opinion of the board, does not warrant formal board action and should
be dismissed, but in which the board has noticed indications of possible
errant conduct that could lead to serious consequences if not corrected, The
board shall send a confidential letter of concern to the A licensee against
whom the complaint was made UNDER THE CIRCUMSTANCES SPECIFIED IN
SECTION 12-20-404 (5). The board shall send the person making the
complaint a notice that the board has issued a letter of concern to the
licensee.
(4) (3) The board may include, in any disciplinary order that allows
a dentist or dental hygienist to continue to practice, conditions the board
deems appropriate to assure that the dentist or dental hygienist is physically,
mentally, and otherwise qualified to practice dentistry or dental hygiene in
accordance with generally accepted professional standards of practice. The
order may include any or all of the following:
(a) A condition that the licensee submit to examinations to
determine the licensee's physical or mental condition or professional
qualifications;
(b) A condition that the licensee take therapy, courses of training,
or education as needed to correct deficiencies found by the board or by
examinations required pursuant to paragraph (a) of this subsection (4)
SUBSECTION (3)(a) OF THIS SECTION;
(c) Review or supervision of the licensee's practice as necessary to
determine the quality of the practice and to correct any deficiencies;
PAGE 703-HOUSE BILL 19-1172
(d) The imposition of restrictions on the licensee's practice to assure
that the practice does not exceed the limits of the licensee's capabilities.
(5) (4) The board may suspend the license of a dentist or dental
hygienist who fails to comply with an order of the board issued in
accordance with this section. The board may impose the license suspension
until the licensee complies with the board's order.
(6) (5) (a) In addition to any other penalty permitted under this
article 220, when a licensed dentist or dental hygienist violates a provision
of this article 220 or of any rule promulgated pursuant to this article 220,
the board may impose a fine on the licensee. If the licensee is a dentist, the
fine must not exceed five thousand dollars. If the licensee is a dental
hygienist, the fine must not exceed three thousand dollars.
(b) The board shall adopt rules establishing a uniform system and
schedule of fines that set forth fine tiers based on the severity of the
violation, the type of violation, and whether the licensee repeatedly violates
this article 220, board rules, or board orders.
(7) (6) If the board finds the charges proven and orders that
discipline be imposed, the board may also order the licensee to take courses
of training or education the board deems necessary to correct deficiencies
found as a result of the hearing.
(8) Any person whose license to practice is revoked is ineligible to
apply for any license under this article for at least two years after the date
of revocation or surrender of the license. Any subsequent application for
licensure is an application for a new license.
12-220-132. [Formerly 12-35-129.2] Disciplinary proceedings -
professional review committees. (1) (a) Any person may submit a
complaint relating to the conduct of a dentist or dental hygienist, which
complaint must be in writing and signed by the person. The board, on its
own motion, may initiate a complaint. The board shall notify the dentist or
dental hygienist of the complaint against him or her.
(b) (I) For complaints related to the standard of care delivered to a
patient that are submitted by a person other than the patient, the person
submitting the complaint shall notify the patient of the complaint before
PAGE 704-HOUSE BILL 19-1172
filing the complaint with the board.
(II) The requirements of this paragraph (b) SUBSECTION (1)(b) do
not apply when a complaint is submitted to the board by a state department
or agency.
(2) (a) Except as provided in paragraph (b) of this subsection (2)
SUBSECTION (2)(b) OF THIS SECTION, investigations, examinations, hearings,
meetings, and other proceedings of the board conducted pursuant to this
section or section 12-35-129.1, 12-35-129.3, 12-35-129.4 or 12-35-129.5
12-220-131, 12-220-133, 12-220-134, OR 12-220-135 are exempt from the
provisions of any law requiring that proceedings of the board be conducted
publicly or that the minutes or records of the board with respect to action of
the board taken pursuant to this section OR THOSE SECTIONS are open to
public inspection.
(b) The final action of the board taken pursuant to this section is
open to the public.
(3) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
board shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution.
(4) (3) IN ADDITION TO THE PERSONS SPECIFIED IN SECTION
12-20-402, any member of the board or A professional review committee
authorized by the board, any member of the board's or A professional review
committee's staff, any person acting as a witness or consultant to the board
or A PROFESSIONAL REVIEW committee, any witness testifying in a
proceeding authorized under this article 220, and any person who lodges a
complaint pursuant to this article is immune from liability in any civil action
brought against him or her for acts occurring while acting in his or her
capacity as board or committee member, staff, consultant, or witness,
respectively, if the individual was acting in good faith within the scope of
his or her respective capacity, made a reasonable effort to obtain the facts
of the matter as to which he or she acted, and acted in the reasonable belief
that his or her action was warranted by the facts. Any person participating
in good faith in lodging a complaint or participating in any investigative or
administrative proceeding pursuant to this article is immune from any civil
or criminal liability that may result from the participation 220 IS GRANTED
PAGE 705-HOUSE BILL 19-1172
THE SAME IMMUNITY, AND IS SUBJECT TO THE SAME CONDITIONS FOR
IMMUNITY, AS SPECIFIED IN SECTION 12-20-402.
(5) (4) The discipline of a licensee by another state, territory, or
country is deemed the equivalent of unprofessional conduct under this
article 220; except that this subsection (5) (4) applies only to discipline that
is based upon an act or omission in the other state, territory, or country that
is defined substantially the same as unprofessional conduct pursuant to this
article 220.
(6) (5) (a) Nothing in this section:
(I) Deprives a dental patient of the right to choose or replace any
professionally recognized restorative material;
(II) Permits disciplinary action against a dentist solely for removing
or placing any professionally recognized restorative material.
(b) Nothing in paragraph (a) of this subsection (6) SUBSECTION
(5)(a) OF THIS SECTION prevents disciplinary action against a dentist for
practicing dentistry in violation of this article 220.
(7) (6) (a) If a professional review committee is established pursuant
to this section to investigate complaints against a person licensed to practice
dentistry under this article 220, the committee must include in its
membership at least three persons licensed to practice dentistry under this
article 220. The committee may be authorized to act only by:
(I) The board; or
(II) A society or an association of persons licensed to practice
dentistry under this article 220 whose membership includes not less than
one-third of the persons licensed to practice dentistry under this article 220
residing in this state, if the licensee whose services are the subject of review
is a member of the society or association.
(b) Any member of the board or a professional review committee
authorized by the board and any witness or consultant appearing before the
board or professional review committee is immune from suit in any civil
action brought by a licensee who is the subject of a professional review
PAGE 706-HOUSE BILL 19-1172
proceeding if the member, witness, or consultant acts in good faith within
the scope of the function of the board or committee, has made a reasonable
effort to obtain the facts of the matter as to which the member, witness, or
consultant acts, and acts in the reasonable belief that his or her action is
warranted by the facts. The immunity provided by this paragraph (b)
SUBSECTION (6)(b) extends to the members of an authorized professional
review committee of a society or an association of persons licensed
pursuant to this article 220 and witnesses or consultants appearing before
the committee if the committee is authorized to act as provided in
subparagraph (II) of paragraph (a) of this subsection (7) SUBSECTION
(6)(a)(II) OF THIS SECTION.
(c) A professional review committee of a society or an association
of persons licensed pursuant to this article 220 shall:
(I) Notify the board within sixty days after the review committee
analyzes care provided by a licensee and determines that the care may not
meet generally accepted standards or that the licensee has otherwise
violated any provision of this article 220. The licensee may be subject to
disciplinary action by the board.
(II) Allow the board or its designee to conduct a periodic audit of
records of the review committee. A person designated by the board to
conduct the audit must be a licensed or retired dentist from any state. The
board or its designee shall conduct the audit no more than twice annually.
If any pattern of behavior of a licensee is identified that may constitute
reasonable grounds to believe there has been a violation of this article 220,
all relevant records of the review committee are subject to a subpoena
issued by the board.
(d) (I) The proceedings and records of a review committee must be
held in confidence and are not subject to discovery or introduction into
evidence in any civil action against a dentist arising out of the matters that
are the subject of evaluation and review by the committee. However,
records of closed proceedings and investigations are available to the
particular licensee under review and the complainant involved in the
proceedings.
(II) A person who was in attendance at a meeting of the committee
shall not be permitted or required to testify in any civil action as to any
PAGE 707-HOUSE BILL 19-1172
evidence or other matters produced or presented during the proceedings of
the committee or as to any findings, recommendations, evaluations,
opinions, or other actions of the committee or any members of the
committee. However, information, documents, or records otherwise
available from original sources are not protected from discovery or use in
a civil action merely because they were presented during proceedings of the
committee, and any documents or records that have been presented to the
review committee by any witness must be returned to the witness, if
requested by the witness or if ordered to be produced by a court in any
action, with copies to be retained by the committee at its discretion.
(III) Any person who testifies before the committee or who is a
member of the committee is not prevented from testifying as to matters
within the person's knowledge, but the person may not be asked about his
or her testimony before the committee or opinions he or she THE PERSON
formed as a result of the committee hearings.
12-220-133. [Formerly 12-35-129.3] Board panels. (1) The
chairperson of the board shall divide the members of the board, other than
the chairperson, into two panels of six members each.
(2) Each panel shall act as both an inquiry panel and a hearing panel.
The chairperson may reassign members of the board from one panel to the
other. The chairperson may be a member of both panels, but neither the
chairperson nor any other member who has considered a complaint as a
member of a panel acting as an inquiry panel shall take any part in the
consideration of a formal complaint involving the same matter.
(3) If the inquiry panel refers a matter for formal hearing, the
hearing panel or a committee of the hearing panel shall hear the matter.
However, in its discretion, either inquiry panel may elect to refer a case for
formal hearing to a qualified administrative law judge in lieu of a hearing
panel of the board for an initial decision pursuant to section 24-4-105.
C.R.S.
(4) A licensee who is the subject of an initial decision by an
administrative law judge, or by the hearing panel that would have heard the
case upon its own motion, may seek review of the initial decision pursuant
to section 24-4-105 (14) and (15) C.R.S., by filing an exception to the initial
decision with the hearing panel that would have heard the case if it had not
PAGE 708-HOUSE BILL 19-1172
been referred to an administrative law judge. The respondent or the board's
counsel may file the exception.
(5) The inquiry panel to whom an investigation is assigned shall
supervise the investigation, and the person conducting the investigation
shall report the results of the investigation to the panel for appropriate
action.
12-220-134. [Formerly 12-35-129.4] Cease-and-desist orders.
(1) (a) If it appears to the board, based upon credible evidence as presented
in a written complaint by any person, that a licensee is acting in a manner
that is an imminent threat to the health and safety of the public or a person
is acting or has acted without the required license, the board may issue an
order to cease and desist the activity. The board shall set forth in the order
the statutes and rules the person is alleged to have violated, the facts alleged
to constitute the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1), the respondent may request
a hearing on the question of whether acts or practices in violation of this
part 1 have occurred. The board or an administrative law judge, as
applicable, shall conduct the hearing in accordance with sections 24-4-104
and 24-4-105, C.R.S.
(2) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this part 1, then, in addition to any specific powers
granted pursuant to this part 1, the board may issue to the person an order
to show cause as to why the board should not issue a final order directing
the person to cease and desist from the unlawful act or unlicensed practice.
(b) The board shall promptly notify the person against whom it
issues an order to show cause pursuant to paragraph (a) of this subsection
(2) of the issuance of the order and shall include in the notice a copy of the
order, the factual and legal basis for the order, and the date set by the board
for a hearing on the order. The board may serve the notice by personal
service, by first-class United States mail, postage prepaid, or by other means
as may be practicable. Personal service or mailing of an order or document
pursuant to this subsection (2) constitutes notice to the person.
PAGE 709-HOUSE BILL 19-1172
(c) (I) The board shall commence the hearing on an order to show
cause no sooner than ten and no later than forty-five calendar days after the
date of transmission or service of the notification as provided in paragraph
(b) of this subsection (2). The board may continue the hearing by agreement
of all parties based upon the complexity of the matter, number of parties to
the matter, and legal issues presented in the matter, but in no event shall the
board commence the hearing later than sixty calendar days after the date of
transmission or service of the notification.
(II) If the person against whom the board has issued the order to
show cause pursuant to paragraph (a) of this subsection (2) does not appear
at the hearing, the board may present evidence that notification was
properly sent or served upon the person pursuant to paragraph (b) of this
subsection (2) and other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order becomes final as to that person by operation of law. The board or
an administrative law judge, as applicable, shall conduct the hearing in
accordance with sections 24-4-104 and 24-4-105, C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or has or is about to engage in acts or practices constituting
violations of this part 1, the board may issue a final cease-and-desist order
directing the person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (2), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order is issued. The
final order issued pursuant to subparagraph (III) of this paragraph (c) is
effective when issued and is a final order for purposes of judicial review.
(3) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in an unlicensed act or practice; an act or practice constituting a violation
of this part 1, a rule promulgated pursuant to this part 1, or an order issued
pursuant to this part 1; or an act or practice constituting grounds for
administrative sanction pursuant to this part 1, the board may enter into a
PAGE 710-HOUSE BILL 19-1172
stipulation with the person.
(4) If a person fails to comply with a final cease-and-desist order or
a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested the attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(5) A person aggrieved by the final cease-and-desist order may seek
judicial review of the board's determination or of the board's final order as
provided in section 12-35-130.
THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-220-135. [Formerly 12-35-129.5] Mental and physical
examinations. (1) (a) If the board has reasonable cause to believe that a
person licensed to practice dentistry or dental hygiene in this state is unable
to practice dentistry or dental hygiene with reasonable skill and safety to
patients because of a physical or mental disability or because of excessive
use of alcohol, a habit-forming drug or substance, or a controlled substance,
as defined in section 18-18-102 (5), C.R.S., the board may require the
licensed dentist or dental hygienist to submit to a mental or physical
examination by a qualified professional designated by the board.
(b) Upon the failure of the licensed dentist or dental hygienist to
submit to a mental or physical examination required by the board, unless the
failure is due to circumstances beyond the dentist's or dental hygienist's
control, the board may suspend the dentist's or dental hygienist's license to
practice dentistry or dental hygiene in this state until the dentist or dental
hygienist submits to the examination.
(2) Every person licensed to practice dentistry or dental hygiene in
this state is deemed, by so practicing or by applying for a renewal of the
person's license to practice dentistry or dental hygiene in this state, to have:
(a) Given consent to submit to a mental or physical examination
when directed in writing by the board; and
PAGE 711-HOUSE BILL 19-1172
(b) Waived all objections to the admissibility of the examining
qualified professional's testimony or examination reports on the ground of
privileged communication.
(3) The results of any mental or physical examination ordered by the
board cannot be used as evidence in any proceeding other than before the
board.
12-220-136. [Formerly 12-35-129.6] Confidential agreement to
limit practice. (1) If a licensed dentist or dental hygienist has a physical
illness; a physical condition; or a behavioral or mental health disorder that
renders him or her unable to practice dentistry or dental hygiene with
reasonable skill and safety to clients, the dentist or dental hygienist shall
notify the board of the physical illness; the physical condition; or the
behavioral or mental health disorder in a manner and within a period
determined by the board. The board may require the dentist or dental
hygienist to submit to an examination to evaluate the extent of the physical
illness; the physical condition; or the behavioral or mental health disorder
and its impact on the dentist's or dental hygienist's ability to practice
dentistry or dental hygiene with reasonable skill and safety to patients.
(2) (a) Upon determining that a dentist or dental hygienist with a
physical illness; a physical condition; or a behavioral or mental health
disorder is able to render limited services with reasonable skill and safety
to patients, the board may enter into a confidential agreement with the
dentist or dental hygienist in which the dentist or dental hygienist agrees to
limit his or her practice based on the restrictions imposed by the physical
illness; the physical condition; or the behavioral or mental health disorder,
as determined by the board.
(b) As part of the agreement, the dentist or dental hygienist is
subject to periodic reevaluations or monitoring as determined appropriate
by the board.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(3) By entering into an agreement with the board pursuant to this
section to limit his or her practice, a dentist or dental hygienist is not
engaging in activities prohibited pursuant to section 12-35-129 (1). The
PAGE 712-HOUSE BILL 19-1172
agreement does not constitute a restriction or discipline by the board.
However, if the dentist or dental hygienist fails to comply with the terms of
an agreement entered into pursuant to this section, the failure constitutes a
prohibited activity pursuant to section 12-35-129 (1)(j), and the dentist or
dental hygienist is subject to discipline in accordance with section
12-35-129.
(4) This section does not apply to a dentist or dental hygienist
subject to discipline for prohibited activities as described in section
12-35-129 (1)(e).
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO
LIMIT PRACTICE APPLIES TO THIS ARTICLE 220.
12-220-137. [Formerly 12-35-130] Review of board action.
(1) The court of appeals, by appropriate proceedings under section
24-4-106 (11), C.R.S., may SECTION 12-20-408 GOVERNS JUDICIAL review
OF any final action of the board to:
(a) Deny or refuse to issue or renew a license;
(b) Suspend a license;
(c) Revoke a license;
(d) Censure a licensee;
(e) Issue a letter of admonition to a licensee;
(f) Place a licensee on probation;
(g) Issue a reprimand to a licensee; or
(h) Issue an order to cease and desist.
(2) The provisions of this section apply to a license issued to a
dentist or dental hygienist.
12-220-138. Use or sale of forged or invalid diploma or license
certificate. (1) [Formerly 12-35-131] It is unlawful for any person to use
PAGE 713-HOUSE BILL 19-1172
or attempt to use as his or her own a diploma of a dental college or school
or school of dental hygiene, or a license or license renewal certificate, of
any other person or to use or attempt to use a forged diploma, license,
license renewal certificate, or identification. It is also unlawful for any
person to file with the board a forged document in response to a request by
the board for documentation of an applicant's qualifications for licensure.
(2) [Formerly 12-35-132 (1)] It is unlawful to sell or offer to sell a
diploma conferring a dental or dental hygiene degree or a license or license
renewal certificate granted pursuant to this article 220 or prior dental
practice laws, or to procure such diploma or license or license renewal
certificate:
(a) With the intent that it be used as evidence of the right to practice
dentistry or dental hygiene by a person other than the one upon whom it was
conferred or to whom such THE license or license renewal certificate was
granted; or
(b) With fraudulent intent to alter the document and use or attempt
to use it when it is so altered.
12-220-139. [Formerly 12-35-133] Construction of dental devices
by unlicensed technician. (1) (a) A licensed dentist who uses the services
of an unlicensed technician for the purpose of constructing, altering,
repairing, or duplicating any denture, bridge, splint, or orthodontic or
prosthetic appliance shall furnish the unlicensed technician with a written
or electronic laboratory work order in a form approved by the board, which
form must be dated and signed by the dentist for each separate and
individual piece of work. The dentist shall make the laboratory work order
in a reproducible form, and the dentist and the unlicensed technician shall
each retain a copy in a permanent file for two years. The permanent files of
the licensed dentist and the unlicensed technician shall be open to
inspection at any reasonable time by the board or its duly constituted agent.
The licensed dentist that furnishes the laboratory work order shall have
appropriate training, education, and experience related to the prescribed
treatment and is responsible for directly supervising all intraoral treatment
rendered to the patient.
(b) An unlicensed technician that possesses a valid laboratory work
order may provide extraoral construction, manufacture, fabrication, supply,
PAGE 714-HOUSE BILL 19-1172
or repair of identified dental and orthodontic devices but shall not provide
intraoral service in a human mouth except under the direct supervision of
a licensed dentist in accordance with section 12-35-128 (3)(d) 12-220-127
(3)(d).
(2) If the dentist fails to keep permanent records of laboratory work
orders as required in paragraph (a) of subsection (1) SUBSECTION (1)(a) of
this section, the dentist is subject to disciplinary action as deemed
appropriate by the board.
(3) If an unlicensed technician fails to have in his or her possession
a laboratory work order signed by a licensed dentist with each denture,
bridge, splint, or orthodontic or prosthetic appliance in his or her
possession, the absence of the laboratory work order is prima facie evidence
of a violation of this section and constitutes the practice of dentistry without
an active license in violation of, and subject to the penalties specified in,
section 12-35-135 12-220-141.
12-220-140. [Formerly 12-35-134] Soliciting or advertisements
by unlicensed persons. It is unlawful for any unlicensed person,
corporation, entity, partnership, or group of persons to solicit or advertise
to the general public to construct, reproduce, or repair prosthetic dentures,
bridges, plates, or other appliances to be used or worn as substitutes for
natural teeth.
12-220-141. [Formerly 12-35-135] Unauthorized practice -
penalties. (1) Any person who practices or offers or attempts to practice
dentistry or dental hygiene without an active license issued under this article
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and, for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 220 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(2) Repealed.
12-220-142. [Formerly 12-35-136] Attorney general shall
represent board and members. The attorney general of the state of
Colorado shall counsel with and advise the board in connection with its
duties and responsibilities under this article 220. If litigation is brought
PAGE 715-HOUSE BILL 19-1172
against the board or any of its individual members in connection with
actions taken by it or them under the provisions of this article 220 and such
THE actions are free of malice, fraud, or willful neglect of duty, the attorney
general shall defend such THE litigation without cost to the board or to any
individual member thereof.
12-220-143. [Formerly 12-35-137] Independent advertising or
marketing agent - injunctive proceedings. (1) Notwithstanding section
12-35-129 (1)(t) 12-220-130 (1)(t), a licensed dentist or dental hygienist
may employ an independent advertising or marketing agent to provide
advertising or marketing services on the dentist's or dental hygienist's
behalf, and the same shall not be considered unprofessional conduct.
(2) The board shall not have the authority to regulate, directly or
indirectly, advertising or marketing activities of independent advertising or
marketing agents except as provided in this section. The board may, in the
name of the people of the state of Colorado, apply for an injunction in
district court to enjoin any independent advertising or marketing agent from
the use of advertising or marketing that the court finds on the basis of the
evidence presented by the board to be misleading, deceptive, or false;
except that a licensed dentist or dental hygienist shall not be subject to
discipline by the board, injunction, or prosecution in the courts under this
article 220 or any other law for advertising or marketing by an independent
advertising or marketing agent if the factual information that the licensed
dentist or dental hygienist provides to the independent advertising or
marketing agent is accurate and not misleading, deceptive, or false.
12-220-144. [Formerly 12-35-138] Dentist peer health assistance
program - fees - rules. (1) (a) Effective July 1, 2004, as a condition of
renewal in this state, every renewal applicant shall pay to the administering
entity that has been selected by the board pursuant to the provisions of
paragraph (b) of this subsection (1) SUBSECTION (1)(b) OF THIS SECTION an
amount not to exceed fifty-nine dollars per year, which maximum amount
may be adjusted on January 1, 2005, and annually thereafter by the board
to reflect changes in the United States DEPARTMENT OF LABOR, bureau of
LABOR statistics, consumer price index for the Denver-Boulder consolidated
metropolitan statistical area DENVER-AURORA-LAKEWOOD for all urban
consumers or goods, or its successor index. Such THE fee shall be used to
support designated providers that have been selected by the board to
provide assistance to dentists needing help in dealing with physical,
PAGE 716-HOUSE BILL 19-1172
emotional, or psychological problems that may be detrimental to their
ability to practice dentistry. Such THE fee shall not exceed one hundred
dollars per year per licensee.
(b) The board shall select one or more peer health assistance
programs as designated providers. To be eligible for designation by the
board, a peer health assistance program shall:
(I) Provide for the education of dentists with respect to the
recognition and prevention of physical, emotional, and psychological
problems and provide for intervention when necessary or under
circumstances that may be established by rules promulgated by the board;
(II) Offer assistance to a dentist in identifying physical, emotional,
or psychological problems;
(III) Evaluate the extent of physical, emotional, or psychological
problems and refer the dentist for appropriate treatment;
(IV) Monitor the status of a dentist who has been referred for
treatment;
(V) Provide counseling and support for the dentist and for the family
of any dentist referred for treatment;
(VI) Agree to receive referrals from the board;
(VII) Agree to make its services available to all licensed Colorado
dentists.
(c) The administering entity shall be a qualified, nonprofit private
foundation that is qualified under section 501 (c)(3) of the federal "Internal
Revenue Code of 1986", as amended, and shall be dedicated to providing
support for charitable, benevolent, educational, and scientific purposes that
are related to dentistry, dental education, dental research and science, and
other dental charitable purposes.
(d) The responsibilities of the administering entity shall be to:
(I) Collect the required annual payments, directly or through the
PAGE 717-HOUSE BILL 19-1172
board;
(II) Verify to the board, in a manner acceptable to the board, the
names of all dentist applicants who have paid the fee set by the board;
(III) Distribute the moneys MONEY collected, less expenses, to the
designated provider, as directed by the board;
(IV) Provide an annual accounting to the board of all amounts
collected, expenses incurred, and amounts disbursed; and
(V) Post a surety performance bond in an amount specified by the
board to secure performance under the requirements of this section. The
administering entity may recover the actual administrative costs incurred in
performing its duties under this section in an amount not to exceed ten
percent of the total amount collected.
(e) The board, at its discretion, may collect the required annual
payments payable to the administering entity for the benefit of the
administering entity and shall transfer all such THE payments to the
administering entity. All required annual payments collected or due to the
board for each fiscal year shall be deemed custodial funds that are not
subject to appropriation by the general assembly, and such THE funds shall
not constitute state fiscal year spending for purposes of section 20 of article
X of the state constitution.
(2) (a) Any dentist who is a referred participant in a peer health
assistance program shall enter into a written agreement with the board prior
to such THE dentist becoming a participant in such THE program. Such THE
agreement shall contain specific requirements and goals to be met by the
participant, including the conditions under which the program will be
successfully completed or terminated, and a provision that a failure to
comply with such THE requirements and goals shall be promptly reported to
the board and that such THE failure shall result in disciplinary action by the
board.
(b) Notwithstanding section 12-35-129 12-220-130 and section
24-4-104, C.R.S., the board may immediately suspend the license of any
dentist who is referred to a peer health assistance program by the board and
who fails to attend or to complete such THE program. If such THE dentist
PAGE 718-HOUSE BILL 19-1172
objects to such THE suspension, he or she THE DENTIST may submit a written
request to the board for a formal hearing on such THE suspension within ten
days after receiving notice of such THE suspension, and the board shall grant
such THE request. In such THE hearing the dentist shall bear the burden of
proving that his or her THE DENTIST'S license should not be suspended.
(c) Any dentist who is accepted into a peer health assistance
program in lieu of disciplinary action by the board shall affirm that, to the
best of his or her THE DENTIST'S knowledge, information, and belief, he or
she THE DENTIST knows of no instance in which he or she THE DENTIST has
violated this article 220 or the rules of the board, except in those instances
affected by the dentist's physical, emotional, or psychological problems.
(2.5) (3) If a dentist is arrested for a drug- or alcohol-related offense,
the dentist shall refer himself or herself to the peer health assistance
program within thirty days after the arrest for an evaluation and referral for
treatment as necessary. If the dentist self-refers, the evaluation by the
program is confidential and cannot be used as evidence in any proceeding
other than before the board. If a dentist fails to comply with this subsection
(2.5) (3), the failure, alone, is not grounds for discipline under sections
12-35-129 and 12-35-129.1 12-220-130 AND 12-220-131 unless the dentist
has also committed an act or omission specified in section 12-35-129
12-220-130, other than an act or omission specified in section 12-35-129
(1)(e) or (1)(f) 12-220-130 (1)(e) OR (1)(f).
(3) (4) Nothing in this section shall be construed to create any
liability on behalf of the board or the state of Colorado for the actions of the
board members in making grants to peer assistance programs, and no civil
action may be brought or maintained against the board or the state for an
injury alleged to have been the result of the activities of any state-funded
peer assistance program or the result of an act or omission of a dentist
participating in or referred by a state-funded peer assistance program.
However, the state shall remain liable under the provisions of the "Colorado
Governmental Immunity Act", article 10 of title 24, C.R.S., if an injury
alleged to have been the result of an act or omission of a dentist
participating in or referred by a state-funded peer assistance program
occurred while such THE dentist was performing duties as an employee of
the state.
(4) (5) The board is authorized to promulgate rules necessary to
PAGE 719-HOUSE BILL 19-1172
implement the provisions of this section.
12-220-145. [Formerly 12-35-139] Continuing education
requirements - rules. (1) As a condition of renewing, reactivating, or
reinstating a license issued under this article 220, every dentist and dental
hygienist shall obtain at least thirty hours of continuing education every two
years to ensure patient safety and professional competency.
(2) The board may adopt rules establishing the basic requirements
for continuing education, including the types of programs that qualify,
exemptions for persons holding an inactive or retired license, requirements
for courses designed to enhance clinical skills for certain licenses, and the
manner by which dentists and dental hygienists are to report compliance
with the continuing education requirements.
12-220-146. [Formerly 12-35-140] Anesthesia and sedation
permits - dentists and dental hygienists - training and experience
requirements - office inspections - rules. (1) Upon application in a form
and manner determined by the board and payment of the applicable fees
established by the board, the board may issue an anesthesia or sedation
permit to a licensed dentist or a local anesthesia permit to a dental hygienist
in accordance with this section.
(2) (a) A licensed dentist who obtains an anesthesia or sedation
permit pursuant to this section may administer minimal sedation, moderate
sedation, or deep sedation/general anesthesia.
(b) A licensed dentist who administers minimal sedation, moderate
sedation, or deep sedation/general anesthesia to pediatric dental patients
shall obtain a permit designated by the board to allow for administration to
pediatric dental patients.
(c) An anesthesia or sedation permit issued to a licensed dentist is
valid for five years, unless the dentist's license expires. As a condition of
renewing an anesthesia or sedation permit, a licensed dentist shall attest,
when applying to renew the permit, that he or she completed seventeen
continuing education credits specific to anesthesia or sedation
administration during the five-year permit period. Continuing education
credits obtained as required by this section may be used to satisfy the
continuing education requirements in section 12-35-139 12-220-145.
PAGE 720-HOUSE BILL 19-1172
(3) (a) A licensed dental hygienist who obtains a local anesthesia
permit pursuant to this section may administer local anesthesia.
(b) A local anesthesia permit issued to a dental hygienist is valid as
long as the dental hygienist's license is active.
(4) (a) The board shall establish, by rule, minimum training,
experience, and equipment requirements for the administration of local
anesthesia, analgesia including nitrous oxide/oxygen inhalation, and
medication prescribed or administered for the relief of anxiety or
apprehension, minimal sedation, moderate sedation, deep sedation, or
general anesthesia, including procedures that may be used by and minimum
training requirements for dentists, dental hygienists, and dental assistants.
(b) In order to fulfill the training and experience requirements for
an anesthesia or sedation permit, an applicant must be the primary provider
and directly provide care for all required case work.
(c) The rules relating to anesthesia and sedation are not intended to:
(I) Permit administration of local anesthesia, analgesia, medication
prescribed or administered for the relief of anxiety or apprehension,
minimal sedation, moderate sedation, deep sedation, or general anesthesia
by dental assistants; except that this section does not prohibit a dental
assistant from monitoring and administering nitrous oxide/oxygen
inhalation performed under the supervision of a licensed dentist pursuant
to section 12-35-113 (1)(q) 12-220-110 (1)(q) and board rules; or
(II) Reduce competition or restrain trade with respect to the dentistry
needs of the public.
(5) The board shall establish, by rule, criteria and procedures for an
office inspection program to be completed upon application and renewal of
anesthesia or sedation permits, which must include:
(a) Designation of qualified inspectors who are experts in dental
outpatient deep sedation/general anesthesia and moderate sedation;
(b) A requirement for each licensee that is inspected to bear the cost
of inspection by allowing designated inspectors to charge a reasonable fee
PAGE 721-HOUSE BILL 19-1172
as established by the board;
(c) A requirement that an inspector notify the board in writing of the
results of an inspection; and
(d) A requirement for reinspection of an office prior to the renewal
of a moderate sedation or deep sedation/general anesthesia permit.
12-220-147. [Formerly 12-35-141] Professional liability insurance
required - rules. (1) A licensed dentist and a licensed dental hygienist
must meet the financial responsibility requirements established by the board
pursuant to section 13-64-301 (1)(a). C.R.S.
(2) Upon request of the board, a licensed dentist or licensed dental
hygienist shall provide proof of professional liability insurance to the board.
(3) The board may, by rule, exempt from or establish lesser financial
responsibility standards for licensed dentists and licensed dental hygienists
who meet the criteria in section 13-64-301 (1)(a)(II). C.R.S.
PART 2
SAFETY TRAINING FOR UNLICENSED
X RAY TECHNICIANS
12-220-201. [Formerly 12-35-201] Legislative declaration.
(1) The general assembly hereby finds, determines, and declares that public
exposure to the hazards of ionizing radiation used for diagnostic purposes
should be minimized wherever possible. Accordingly, the general assembly
finds, determines, and declares that for any dentist or dental hygienist to
allow an untrained person to operate a machine source of ionizing radiation,
including without limitation a device commonly known as an "X ray
machine", or to administer such radiation to a patient for diagnostic
purposes is a threat to the public health and safety.
(2) It is the intent of the general assembly that dentists and dental
hygienists utilizing unlicensed persons in their practices provide those
persons with a minimum level of education and training before allowing
them to operate machine sources of ionizing radiation; however, it is not the
general assembly's intent to discourage education and training beyond this
minimum. It is further the intent of the general assembly that established
PAGE 722-HOUSE BILL 19-1172
minimum training and education requirements correspond as closely as
possible to the requirements of each particular work setting as determined
by the Colorado dental board pursuant to this part 2.
(3) The general assembly seeks to ensure, and accordingly declares
its intent, that in promulgating the rules authorized by this part 2, the board
will make every effort, consistent with its other statutory duties, to avoid
creating a shortage of qualified individuals to operate machine sources of
ionizing radiation for beneficial medical purposes in any area of the state.
12-220-202. [Formerly 12-35-202] Board authorized to issue
rules - definition. (1) (a) The Colorado dental board shall adopt rules
prescribing minimum standards for the qualifications, education, and
training of unlicensed persons operating machine sources of ionizing
radiation and administering radiation to patients for diagnostic medical use.
A licensed dentist or dental hygienist shall not allow an unlicensed person
to operate a machine source of ionizing radiation or to administer radiation
to any patient unless the person meets standards then in effect under rules
adopted pursuant to this section. The board may adopt rules allowing a
grace period in which newly hired operators of machine sources of ionizing
radiation are to receive the training required by this section.
(b) For purposes of this part 2, "unlicensed person" means a person
who does not hold a current and active license entitling the person to
practice dentistry or dental hygiene under the provisions of this article 220.
(2) The board shall seek the assistance of licensed dentists or
licensed dental hygienists in developing and formulating the rules
promulgated pursuant to this section.
(3) The required number of hours of training and education for all
unlicensed persons operating machine sources of ionizing radiation and
administering such radiation to patients shall be established by the board by
rule. This standard shall apply to all persons in dental settings other than
hospitals and similar facilities licensed by the department of public health
and environment pursuant to section 25-1.5-103. C.R.S. Such THE training
and education may be obtained through programs approved by the
appropriate authority of any state or through equivalent programs and
training experience, including on-the-job training as determined by the
board.
PAGE 723-HOUSE BILL 19-1172
ARTICLE 225
Direct-entry Midwives
12-225-101. [Formerly 12-37-101] Scope of article - exemptions
- legislative declaration. (1) (a) This article 225 applies only to
direct-entry midwives and does not apply to those persons who are
otherwise licensed by the state of Colorado under this title 12 if the practice
of midwifery is within the scope of such THAT licensure.
(b) (I) A person who is a certified nurse-midwife authorized
pursuant to section 12-38-111.5 12-255-111 or a physician as provided in
article 36 240 of this title 12 shall not simultaneously be so licensed and
also be registered under this article 225. A physician or certified
nurse-midwife who holds a license in good standing may relinquish the
license and subsequently be registered under this article 225.
(II) A direct-entry midwife shall not represent himself or herself as
a nurse-midwife or certified nurse-midwife.
(III) The fact that a direct-entry midwife may hold a practical or
professional nursing license does not expand the scope of practice of the
direct-entry midwife.
(IV) The fact that a practical or professional nurse may be registered
as a direct-entry midwife does not expand the scope of practice of the nurse.
(c) It is the intent of the general assembly that health care be
provided pursuant to this article 225 as an alternative to traditional licensed
health care and not for the purpose of enabling providers of traditional
licensed health care to circumvent the regulatory oversight to which they are
otherwise subject under any other PART OR article of this title 12.
(2) Nothing in this article 225 shall be construed to prohibit, or to
require registration under this article 225, with regard to:
(a) The gratuitous rendering of services in an emergency;
(b) The rendering of services by a physician licensed pursuant to
article 36 240 of this title 12 or otherwise legally authorized to practice in
this state;
PAGE 724-HOUSE BILL 19-1172
(c) The rendering of services by certified nurse-midwives properly
licensed and practicing in accordance with the provisions of article 38 255
of this title 12; or
(d) The practice by persons licensed or registered under any law of
this state, in accordance with such THAT law, to practice a limited field of
the healing arts not specifically designated in this section.
12-225-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 225.
12-225-103. [Formerly 12-37-102] Definitions. As used in this
article 225, unless the context otherwise requires:
(1) "Client" means a pregnant woman for whom a direct-entry
midwife performs services. For purposes of perinatal or postpartum care,
"client" includes the woman's newborn.
(2) "Direct-entry midwife" means a person who practices
direct-entry midwifery.
(3) "Direct-entry midwifery" or "practice of direct-entry midwifery"
means the advising, attending, or assisting of a woman during pregnancy,
labor and natural childbirth at home, and during the postpartum period in
accordance with this article 225.
(4) "Director" means the director of the division.
(5) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(6) (4) "Natural childbirth" means the birth of a child without the
use of instruments, surgical procedures, or prescription drugs other than
those for which the direct-entry midwife has specific authority under this
article 225 to obtain and administer.
(6.5) (5) "Perinatal" means the period from the twenty-eighth week
of pregnancy through seven days after birth.
PAGE 725-HOUSE BILL 19-1172
(7) (6) "Postpartum period" means the period of six weeks after
birth.
(8) "Registrant" means a direct-entry midwife registered pursuant
to section 12-37-103.
12-225-104. [Formerly 12-37-103] Requirement for registration
with the division - annual fee - grounds for revocation. (1) Every
direct-entry midwife shall register with the division of professions and
occupations by applying to the director in the form and manner the director
requires. Said THE application shall include the information specified in
section 12-37-104 12-225-105.
(2) Any changes in the information required by subsection (1) of this
section shall be reported within thirty days after the change to the division
in the form and manner required by the director.
(3) Every applicant for registration shall pay a registration fee to be
established by the director in the manner authorized by section 24-34-105,
C.R.S. 12-20-105. Registrations shall be renewed or reinstated pursuant to
a schedule established by the director and shall be renewed or reinstated
pursuant to section 24-34-102 (8), C.R.S. The director may establish
renewal fees and delinquency fees for reinstatement pursuant to section
24-34-105, C.R.S. If a person fails to renew his or her registration pursuant
to the schedule established by the director, such registration shall expire
ISSUED PURSUANT TO THIS ARTICLE 225 ARE SUBJECT TO THE RENEWAL,
EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED
IN SECTION 12-20-202 (1) AND (2). Any person whose registration has
expired shall be subject to the penalties provided in this article 225 or
section 24-34-102 (8), C.R.S. 12-20-202 (1).
(4) (Deleted by amendment, L. 96, p. 395, § 2, effective April 17,
1996.)
(4.5) A person who has had his or her registration revoked shall not
apply for a new registration until at least two years have elapsed since the
date of the revocation.
(5) (4) To qualify to register, a direct-entry midwife must have
successfully completed an examination evaluated and approved by the
PAGE 726-HOUSE BILL 19-1172
director as an appropriate test to measure competency in the practice of
direct-entry midwifery, which examination must have been developed by
a person or entity other than the director or the division and the acquisition
of which shall require no expenditure of state funds. The national registry
examination administered by the Midwives Alliance of North America,
incorporated, or its successor, must be among those evaluated by the
director. The director is authorized to approve any existing test meeting all
the criteria set forth in this subsection (5) (4). In addition to successfully
completing such THE examination, a direct-entry midwife is qualified to
register if such THE person has:
(a) Attained the age of nineteen years;
(b) Earned at least a high school diploma or the equivalent;
(c) Successfully completed training approved by the director in:
(I) The provision of care during labor and delivery and during the
antepartum and postpartum periods;
(II) Parenting education for prepared childbirth;
(III) Aseptic techniques and universal precautions;
(IV) Management of birth and immediate care of the mother and the
newborn;
(V) Recognition of early signs of possible abnormalities;
(VI) Recognition and management of emergency situations;
(VII) Special requirements for home birth;
(VIII) Recognition of communicable diseases affecting the
pregnancy, birth, newborn, and postpartum periods; and
(IX) Recognition of the signs and symptoms of increased risk of
medical, obstetric, or neonatal complications or problems as set forth in
section 12-37-105 (3) 12-225-106 (3);
PAGE 727-HOUSE BILL 19-1172
(d) Acquired practical experience including, at a minimum,
experience with the conduct of at least one hundred prenatal examinations
on no fewer than thirty different women and observation of at least thirty
births;
(e) Participated as a birth attendant, including rendering care from
the prenatal period through the postpartum period, in connection with at
least thirty births; and
(f) Filed documentation with the director that the direct-entry
midwife is currently certified by the American Heart Association or the
American Red Cross to perform adult and infant cardiopulmonary
resuscitation ("CPR").
(6) (5) Effective July 1, 2003, in order to be deemed qualified to
register, a direct-entry midwife must have graduated from an accredited
midwifery educational program or obtained a substantially equivalent
education approved by the director. Such THE educational requirement does
not apply to direct-entry midwives who have registered with the division
before July 1, 2003.
(7) (6) For purposes of registration under this article 225, no
credential, licensure, or certification issued by any other state meets the
requirements of this article 225, and therefore there is no reciprocity with
other states.
12-225-105. [Formerly 12-37-104] Mandatory disclosure of
information to clients. (1) Every direct-entry midwife shall provide the
following information in writing to each client during the initial client
contact:
(a) The name, business address, and business phone number of the
direct-entry midwife;
(b) A listing of the direct-entry midwife's education, experience,
degrees, membership in any professional organization whose membership
includes not less than one-third of all registrants, certificates or credentials
related to direct-entry midwifery awarded by any such organization, and the
length of time and number of contact hours required to obtain said THE
degrees, certificates, or credentials;
PAGE 728-HOUSE BILL 19-1172
(c) A statement indicating whether or not the direct-entry midwife
is covered under a policy of liability insurance for the practice of
direct-entry midwifery;
(d) A listing of any license, certificate, or registration in the health
care field previously or currently held by the direct-entry midwife and
suspended or revoked by any local, state, or national health care agency;
(e) A statement that the practice of direct-entry midwifery is
regulated by the department. of regulatory agencies. The statement must
provide the address and telephone number of the office of midwifery
registration in the division and shall state that violation of this article 225
may result in revocation of registration and of the authority to practice
direct-entry midwifery in Colorado.
(f) A copy of the emergency plan as provided in section 12-37-105
(6) 12-225-106 (6);
(g) A statement indicating whether or not the direct-entry midwife
will administer vitamin K to the client's newborn infant and, if not, a list of
qualified health care practitioners who can provide that service; and
(h) A statement indicating whether or not the direct-entry midwife
will administer Rho(D) immune globulin to the client if she is determined
to be Rh-negative and, if not, a list of qualified health care practitioners
who can provide that service.
(2) Any changes in the information required by subsection (1) of this
section shall be reflected in the mandatory disclosure within five days of
AFTER the said change.
(3) (Deleted by amendment, L. 2011, (SB 11-088), ch. 283, p. 1261,
§ 7, effective July 1, 2011.)
12-225-106. [Formerly 12-37-105] Prohibited acts - practice
standards - informed consent - emergency plan - risk assessment -
referral - rules. (1) A direct-entry midwife shall not dispense or administer
any medication or drugs except in accordance with section 12-37-105.5
12-225-107.
PAGE 729-HOUSE BILL 19-1172
(2) A direct-entry midwife shall not perform any operative or
surgical procedure; except that a direct-entry midwife may perform sutures
of perineal tears in accordance with section 12-37-105.5 12-225-107.
(3) A direct-entry midwife shall not provide care to a pregnant
woman who, according to generally accepted medical standards, exhibits
signs or symptoms of increased risk of medical or obstetric or neonatal
complications or problems during the completion of her pregnancy, labor,
delivery, or the postpartum period. Such THOSE conditions include but are
not limited to signs or symptoms of diabetes, multiple gestation,
hypertensive disorder, or abnormal presentation of the fetus.
(4) A direct-entry midwife shall not provide care to a pregnant
woman who, according to generally accepted medical standards, exhibits
signs or symptoms of increased risk that her child may develop
complications or problems during the first six weeks of life.
(5) (a) A direct-entry midwife shall keep appropriate records of
midwifery-related activity, including but not limited to the following:
(I) The direct-entry midwife shall complete and file a birth
certificate for every delivery in accordance with section 25-2-112. C.R.S.
(II) The direct-entry midwife shall complete and maintain
appropriate client records for every client.
(III) Before accepting a client for care, the direct-entry midwife
shall obtain the client's informed consent, which shall be evidenced by a
written statement in a form prescribed by the director and signed by both the
direct-entry midwife and the client. The form shall certify that full
disclosure has been made and acknowledged by the client as to each of the
following items, with the client's acknowledgment evidenced by a separate
signature or initials adjacent to each item in addition to the client's signature
at the end of the form:
(A) The direct-entry midwife's educational background and training;
(B) The nature and scope of the care to be given, including the
possibility of and procedure for transport of the client to a hospital and
transferral of care prenatally;
PAGE 730-HOUSE BILL 19-1172
(C) A description of the available alternatives to direct-entry
midwifery care, including a statement that the client understands she is not
retaining a certified nurse midwife or a nurse midwife;
(D) A description of the risks of birth, including those that are
different from those of hospital birth and those conditions that may arise
during delivery;
(E) A statement indicating whether or not the direct-entry midwife
is covered under a policy of liability insurance for the practice of
direct-entry midwifery; and
(F) A statement informing the client that, if subsequent care is
required resulting from the acts or omissions of the direct-entry midwife,
any physician, nurse, prehospital emergency personnel, and health care
institution rendering such SUBSEQUENT care shall be held only to a standard
of gross negligence or willful and wanton conduct;
(IV) (A) Until the liability insurance required pursuant to section
12-37-109 (3) 12-225-112 (2) is available, each direct-entry midwife shall,
before accepting a client for care, provide the client with a disclosure
statement indicating that the DIRECT-ENTRY midwife does not have liability
insurance. To comply with this section, the direct-entry midwife shall
ensure that the disclosure statement is printed in at least twelve-point
bold-faced type and shall read the statement to the client in a language the
client understands. Each client shall sign the disclosure statement
acknowledging that the client understands the effect of its provisions. The
direct-entry midwife shall also sign the disclosure statement and provide a
copy of the signed disclosure statement to the client.
(B) In addition to the information required in sub-subparagraph (A)
of this subparagraph (IV) SUBSECTION (5)(a)(IV)(A) OF THIS SECTION, the
direct-entry midwife shall include the following statement in the disclosure
statement and shall display the statement prominently and deliver the
statement orally to the client before the client signs the disclosure statement:
"Signing this disclosure statement does not constitute a waiver of any right
(insert client's name) has to seek damages or redress from the undersigned
direct-entry midwife for any act of negligence or any injury (insert client's
name) may sustain in the course of care administered by the undersigned
direct-entry midwife."
PAGE 731-HOUSE BILL 19-1172
(b) As used in this subsection (5), "full disclosure" includes reading
the informed consent form to the client, in a language understood by the
client, and answering any relevant questions.
(6) A direct-entry midwife shall prepare a plan, in the form and
manner required by the director, for emergency situations. The plan must
include procedures to be followed in situations in which the time required
for transportation to the nearest facility capable of providing appropriate
treatment exceeds limits established by the director by rule. A copy of such
THE plan shall be given to each client as part of the informed consent
required by subsection (5) of this section.
(7) A direct-entry midwife shall prepare and transmit appropriate
specimens for newborn screening in accordance with section 25-4-1004
C.R.S., and shall refer every newborn child for evaluation, within seven
days after birth, to a licensed health care provider with expertise in pediatric
care.
(8) A direct-entry midwife shall ensure that appropriate laboratory
testing, as determined by the director, is completed for each client.
(9) (a) A direct-entry midwife shall provide eye prophylactic therapy
to all newborn children in the direct-entry midwife's care in accordance with
section 25-4-301. C.R.S.
(b) A direct-entry midwife shall inform the parents of all newborn
children in the direct-entry midwife's care of the importance of critical
congenital heart defect screening using pulse oximetry in accordance with
section 25-4-1004.3. C.R.S. If a direct-entry midwife is not properly trained
in the use of pulse oximetry or does not have the use of or own a pulse
oximeter, the direct-entry midwife shall refer the parents to a health care
provider who can perform the screening. If a direct-entry midwife is
properly trained in the use of pulse oximetry and has the use of or owns a
pulse oximeter, the direct-entry midwife shall perform the critical
congenital heart defect screening on newborn children in his or her THE
DIRECT-ENTRY MIDWIFE'S care in accordance with section 25-4-1004.3.
C.R.S.
(10) A direct-entry midwife shall be knowledgeable and skilled in
aseptic procedures and the use of universal precautions and shall use them
PAGE 732-HOUSE BILL 19-1172
with every client.
(11) To assure that proper risk assessment is completed and that
clients who are inappropriate for direct-entry midwifery are referred to other
health care providers, the director shall establish, by rule, a risk assessment
procedure to be followed by a direct-entry midwife for each client and
standards for appropriate referral. Such THE assessment shall be a part of
each client's record as required in section 12-37-105 (5)(a)(II) SUBSECTION
(5)(a)(II) OF THIS SECTION.
(12) At the time of renewal of a registration, each registrant shall
submit the following data in the form and manner required by the director:
(a) The number of women to whom care was provided since the
previous registration;
(b) The number of deliveries performed;
(c) The Apgar scores of delivered infants, in groupings established
by the director;
(d) The number of prenatal transfers;
(e) The number of transfers during labor, delivery, and immediately
following birth;
(f) Any perinatal deaths, including the cause of death and a
description of the circumstances; and
(g) Other morbidity statistics as required by the director.
(13) A registered direct-entry midwife may purchase, possess, carry,
and administer oxygen. The department of regulatory agencies shall
promulgate rules concerning minimum training requirements for
direct-entry midwives with respect to the safe administration of oxygen.
Each registrant shall complete the minimum training requirements and
submit proof of having completed such THE requirements to the director
before administering oxygen to any client.
(14) A registrant shall not practice beyond the scope of his or her
PAGE 733-HOUSE BILL 19-1172
THE REGISTRANT'S education and training.
12-225-107. [Formerly 12-37-105.5] Limited use of certain
medications - limited use of sutures - limited administration of
intravenous fluids - emergency medical procedures - rules. (1) A
registrant may obtain prescription medications to treat conditions specified
in this section from a registered prescription drug outlet, registered
manufacturer, or registered wholesaler. An entity that provides a
prescription medication to a registrant in accordance with this section, and
who relies in good faith upon the registration information provided by the
registrant, is not subject to liability for providing the medication.
(2) Except as otherwise provided in subsection (3) of this section,
a registrant may obtain and administer:
(a) Vitamin K to newborns by intramuscular injection;
(b) Rho(D) immune globulin to Rh-negative mothers by
intramuscular injection;
(c) Postpartum antihemorrhagic drugs to mothers;
(d) Eye prophylaxis; and
(e) Local anesthetics, as specified by the director by rule, to use in
accordance with subsection (6) of this section.
(3) (a) If a client refuses a medication listed in paragraph (a) or (b)
of subsection (2) SUBSECTION (2)(a) OR (2)(b) of this section, the registrant
shall provide the client with an informed consent form containing a detailed
statement of the benefits of the medication and the risks of refusal, and shall
retain a copy of the form acknowledged and signed by the client.
(b) If a client experiences uncontrollable postpartum hemorrhage
and refuses treatment with antihemorrhagic drugs, the registrant shall
immediately initiate the transportation of the client in accordance with the
emergency plan.
(4) A registrant shall, as part of the emergency medical plan
required by section 12-37-105 (6) 12-225-106 (6), inform the client that:
PAGE 734-HOUSE BILL 19-1172
(a) If she experiences uncontrollable postpartum hemorrhage, the
registrant is required by Colorado law to initiate emergency medical
treatment, which may include the administration of an antihemorrhagic drug
by the registrant to mitigate the postpartum hemorrhaging while initiating
the immediate transportation of the client in accordance with the emergency
plan.
(b) If she experiences postpartum hemorrhage, the registrant is
prepared and equipped to administer intravenous fluids to restore volume
lost due to excessive bleeding.
(5) The director shall promulgate rules to implement this section. In
promulgating such THE rules, the director shall seek the advice of
knowledgeable medical professionals to set standards for education,
training, and administration that reflect current generally accepted
professional standards for the safe and effective use of the medications,
methods of administration, and procedures described in this section,
including a requirement that, to administer intravenous fluids, the registrant
complete an intravenous therapy course or program approved by the
director. The director shall establish a preferred drug list that displays the
medications that a registrant can obtain.
(6) (a) Subject to paragraph (b) of this subsection (6) SUBSECTION
(6)(b) OF THIS SECTION, a registrant may perform sutures of first-degree and
second-degree perineal tears, as defined by the director by rule, on a client
and may administer local anesthetics to the client in connection with
suturing perineal tears.
(b) In order to perform sutures of first-degree and second-degree
perineal tears, the registrant shall apply to the director, in the form and
manner required by the director, and pay any application fee the director
may impose, for an authorization to perform sutures of first-degree and
second-degree perineal tears. As part of the application, the registrant shall
demonstrate to the director that the registrant has received education and
training approved by the director on suturing of perineal tears within the
year immediately preceding the date of the application or within such other
time the director, by rule, determines to be appropriate. The director may
grant the authorization to the registrant only if the registrant has complied
with the education and training requirement specified in this paragraph (b)
SUBSECTION (6)(b). An authorization issued under this paragraph (b)
PAGE 735-HOUSE BILL 19-1172
SUBSECTION (6)(b) is valid, and need not be renewed, if the direct-entry
midwife holds a valid registration under this article 225.
12-225-108. [Formerly 12-37-106] Director - powers and duties.
(1) In addition to any other powers and duties conferred on the director by
law, the director has the following powers and duties:
(a) To adopt such rules as may be necessary to carry out the
provisions of this article RULES PURSUANT TO SECTION 12-20-204;
(b) To establish the fees for registration and renewal of registration
in the manner authorized by section 24-34-105, C.R.S. 12-20-105;
(c) To prepare or adopt suitable education standards for applicants
and to adopt a registration examination;
(d) To accept applications for registration that meet the requirements
set forth in this article 225, and to collect the annual registration fees
authorized by this article 225;
(e) To seek through the office of the attorney general, an injunction
in a court of competent jurisdiction IN ACCORDANCE WITH SECTION
12-20-406 to enjoin any person from committing an act prohibited by this
article When seeking an injunction under this paragraph (e), the director
shall not be required to allege or prove the inadequacy of any remedy at law
or that substantial or irreparable damage is likely to result from a continued
violation of this article 225;
(f) To summarily suspend a registration upon the failure of the
registrant to comply with any condition of a stipulation or order imposed by
the director until the registrant complies with the condition, unless
compliance is beyond the control of the registrant.
12-225-109. [Formerly 12-37-107] Disciplinary action authorized
- grounds for discipline - injunctions - rules. (1) If a direct-entry midwife
has violated any of the provisions of section 12-37-103, 12-37-104,
12-37-105, or 12-37-109 (3) 12-225-104, 12-225-105, 12-225-106, OR
12-225-112 (2), the director may deny, revoke, or suspend a registration,
issue a letter of admonition to a registrant, place a registrant on probation,
TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED BY SECTION
PAGE 736-HOUSE BILL 19-1172
12-20-404 or apply for a temporary or permanent SEEK AN injunction
against a direct-entry midwife through the attorney general, in any court of
competent jurisdiction, enjoining such IN ACCORDANCE WITH SECTION
12-20-406 TO ENJOIN THE direct-entry midwife from practicing midwifery
or committing any such A violation Injunctive proceedings under this
subsection (1) shall be in addition to, and not in lieu of, any other penalties
or remedies provided in this article SPECIFIED IN THIS SUBSECTION (1).
(2) (a) (I) The director may assess a civil penalty in the form of a
fine, not to exceed five thousand dollars, for violation of a rule or order of
the director or any other act or omission prohibited by this article 225.
(II) (b) The director shall adopt rules establishing a fine structure and
the circumstances under which fines may be imposed.
(b) Any moneys collected pursuant to this subsection (2) shall be
transmitted to the state treasurer, who shall credit such moneys to the
general fund.
(3) The director may deny, revoke, or suspend a registration or issue
a letter of admonition or place a registrant on probation TAKE DISCIPLINARY
ACTION AS AUTHORIZED BY SECTION 12-20-404 (1)(a), (1)(b), OR (1)(d) for
any of the following acts or omissions:
(a) Any violation of section 12-37-103, 12-37-104, 12-37-105, or
12-37-109 (3) 12-225-104, 12-225-105, 12-225-106, OR 12-225-112 (2) OR
AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12;
(b) Failing to provide any information required pursuant to, or to pay
any fee assessed in accordance with, section 12-37-103 12-225-104 or
providing false, deceptive, or misleading information to the division that the
direct-entry midwife knew or should reasonably have known was false,
deceptive, or misleading;
(c) Failing to respond in an honest, materially responsive, and timely
manner to a letter of complaint from the director;
(d) Failing to comply with an order of the director, including an
order placing conditions or restrictions on the registrant's practice;
PAGE 737-HOUSE BILL 19-1172
(e) Engaging in any act or omission that does not meet generally
accepted standards of safe care for women and infants, whether or not
actual injury to a client is established;
(f) Abuse or habitual or excessive use of a habit-forming drug, a
controlled substance as defined in section 18-18-102 (5), C.R.S., or alcohol;
(g) Procuring or attempting to procure a registration in this or any
other state or jurisdiction by fraud, deceit, misrepresentation, misleading
omission, or material misstatement of fact;
(h) Having had a license or registration to practice direct-entry
midwifery or any other health care profession or occupation suspended or
revoked in any jurisdiction;
(i) Violating any law or regulation governing the practice of
direct-entry midwifery in another state or jurisdiction. A plea of nolo
contendere or its equivalent accepted by any state agency of another state
or jurisdiction may be considered to be the same as a finding of violation for
purposes of a proceeding under this article 225.
(j) Falsifying, failing to make essential entries in, or in a negligent
manner making incorrect entries in client records;
(k) Conviction of a felony or acceptance by a court of a plea of
guilty or nolo contendere to a felony. A certified copy of the judgment of
a court of competent jurisdiction of such A conviction or plea shall be prima
facie evidence of such THE conviction.
(l) Aiding or knowingly permitting any person to violate any
provision of this article 225 OR AN APPLICABLE PROVISION OF ARTICLE 20 OR
30 OF THIS TITLE 12;
(m) Advertising through newspapers, magazines, circulars, direct
mail, directories, radio, television, website, e-mail, text message, or
otherwise that the registrant will perform any act prohibited by this article
225; or
(n) (I) Failing to notify the director, as required by section
12-37-108.5 (1) 12-30-108 (1), of a physical illness, a physical condition,
PAGE 738-HOUSE BILL 19-1172
or a behavioral, mental health, or substance use disorder that renders the
registrant unable, or limits the registrant's ability, to practice direct-entry
midwifery with reasonable skill and safety to the client;
(II) Failing to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the registrant unable to practice direct-entry midwifery
with reasonable skill and safety or that may endanger the health or safety of
persons under his or her THE REGISTRANT'S care; or
(III) Failing to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-37-108.5 SECTIONS
12-30-108 AND 12-225-111.
(4) Any proceeding to deny, suspend, or revoke a registration or
place a registrant on probation shall be conducted pursuant to sections
12-20-403, 24-4-104, and 24-4-105. C.R.S. Such proceeding may be
conducted by an administrative law judge designated pursuant to part 10 of
article 30 of title 24, C.R.S. SECTION 12-20-408 GOVERNS JUDICIAL REVIEW
OF any final decision of the director. shall be subject to judicial review by
the court of appeals pursuant to section 24-4-106 (11), C.R.S.
(5) The director may accept as prima facie evidence of grounds for
disciplinary action any disciplinary action taken against a registrant by
another jurisdiction if the violation that prompted such THE disciplinary
action would be grounds for disciplinary action under this article 225.
(6) (a) The director or an administrative law judge may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing, investigation,
accusation, or other matter coming before the director. The director may
appoint an administrative law judge pursuant to part 10 of article 30 of title
24, C.R.S., to take evidence and to make findings and report them to the
director, including copies of hospital and physician records. The provider
of such THE PERSON PROVIDING copies OF RECORDS SUBPOENAED PURSUANT
TO SECTION 12-20-403 (2) shall prepare the copies from the original record
and shall delete the name of the patient or client, to be retained by the
custodian of the records from which the copies were made, but shall
identify the patient or client by a numbered code. Upon certification by the
PAGE 739-HOUSE BILL 19-1172
custodian that the copies are true and complete except for the patient's or
client's name, the copies shall be deemed authentic, subject to the right to
inspect the originals for the limited purpose of ascertaining the accuracy of
the copies. No privilege of confidentiality exists with respect to such THE
copies and no liability lies against the director or the custodian or the
director's or custodian's authorized employees for furnishing or using such
THE copies in accordance with this section.
(b) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
registrant resides or conducts business, upon application by the director
with notice to the subpoenaed person or registrant, may issue to the person
or registrant an order requiring that person or registrant to appear before the
director; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence touching the matter
under investigation or in question. Failure to obey the order of the court
may be punished by the court as a contempt of court.
(7) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the director, does not warrant formal
action by the director but that should not be dismissed as being without
merit, The director may issue and send a letter of admonition to the A
registrant UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE
WITH SECTION 12-20-404 (4).
(b) When the director sends a letter of admonition to a registrant, the
director shall inform the registrant that he or she has the right to request in
writing, within twenty days after receipt of the letter, that the director
initiate formal disciplinary proceedings to adjudicate the propriety of the
conduct upon which the letter of admonition is based.
(c) If the request for adjudication is timely made, the letter of
admonition is vacated and the matter shall be processed by means of formal
disciplinary proceedings.
(7.5) (8) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the director and, in the
opinion of the director, the complaint should be dismissed, but the director
has noticed indications of possible errant conduct by the registrant that
could lead to serious consequences if not corrected, THE DIRECTOR MAY
PAGE 740-HOUSE BILL 19-1172
SEND a confidential letter of concern may be issued and sent to the TO A
registrant UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(8) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(9) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a registrant is acting in
a manner that is an imminent threat to the health and safety of the public or
a person is acting or has acted without the required registration, the director
may issue an order to cease and desist such activity. The order shall set forth
the statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unregistered practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (9), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(10) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the director may issue to such person an
order to show cause as to why the director should not issue a final order
directing such person to cease and desist from the unlawful act or
unregistered practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (10) shall be promptly notified
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (10) shall
constitute notice thereof to the person.
PAGE 741-HOUSE BILL 19-1172
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (10). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (10) does not appear at
the hearing, the director may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(10) and such other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required registration or has or is about to engage in acts or practices
constituting violations of this article, a final cease-and-desist order may be
issued directing such person to cease and desist from further unlawful acts
or unregistered practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (10), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(11) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged in or is about to engage
in any unregistered act or practice, any act or practice constituting a
violation of this article, any rule promulgated pursuant to this article, any
order issued pursuant to this article, or any act or practice constituting
PAGE 742-HOUSE BILL 19-1172
grounds for administrative sanction pursuant to this article, the director may
enter into a stipulation with such person.
(12) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(13) A person aggrieved by the final cease-and-desist order may
seek judicial review of the director's determination or of the director's final
order in a court of competent jurisdiction.
(9) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
12-225-110. [Formerly 12-37-108] Unauthorized practice -
penalties. Any person who practices or offers or attempts to practice
direct-entry midwifery without an active registration issued under this
article commits a class 2 misdemeanor and shall be punished as provided
in section 18-1.3-501, C.R.S., for the first offense, and, for the second or
any subsequent offense, such person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 225 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-225-111. [Formerly 12-37-108.5] Confidential agreement to
limit practice. (1) If a registered direct-entry midwife has a physical illness;
a physical condition; or a behavioral or mental health disorder that renders
him or her unable to practice direct-entry midwifery with reasonable skill
and safety to clients, the registrant shall notify the director of the physical
illness; the physical condition; or the behavioral or mental health disorder
in a manner and within a period determined by the director. The director
may require the registrant to submit to an examination to evaluate the extent
of the physical illness; the physical condition; or the behavioral or mental
health disorder and its impact on the registrant's ability to practice
direct-entry midwifery with reasonable skill and safety to clients.
(2) (a) Upon determining that a registrant with a physical illness; a
PAGE 743-HOUSE BILL 19-1172
physical condition; or a behavioral or mental health disorder is able to
render limited services with reasonable skill and safety to clients, the
director may enter into a confidential agreement with the registrant in which
the registrant agrees to limit his or her practice based on the restrictions
imposed by the physical illness; the physical condition; or the behavioral or
mental health disorder, as determined by the director.
(b) As part of the agreement, the registrant is subject to periodic
reevaluations or monitoring as determined appropriate by the director.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or monitoring.
(3) By entering into an agreement with the director pursuant to this
section to limit his or her practice, a registrant is not engaging in activities
that are grounds for discipline under section 12-37-107 (3). The agreement
does not constitute a restriction or discipline by the director. However, if the
registrant fails to comply with the terms of an agreement entered into
pursuant to this section, the failure constitutes a ground for discipline
pursuant to section 12-37-107 (3)(n), and the registrant is subject to
discipline in accordance with section 12-37-107.
(4) This section does not apply to a registrant who is subject to
discipline for engaging in activities as described in section 12-37-107 (3)(f).
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO
LIMIT PRACTICE APPLIES TO THIS ARTICLE 225.
12-225-112. [Formerly 12-37-109] Assumption of risk - no
vicarious liability - legislative declaration - professional liability
insurance required. (1) (a) It is the policy of this state that registrants shall
be liable for their acts or omissions in the performance of the services that
they provide, and that no licensed physician, nurse, prehospital emergency
medical personnel, or health care institution shall be liable for any act or
omission resulting from the administration of services by any registrant.
This subsection (1) does not relieve any physician, nurse, prehospital
emergency personnel, or health care institution from liability for any willful
and wanton act or omission or any act or omission constituting gross
negligence, or under circumstances where a registrant has a business or
supervised relationship with any such THE physician, nurse, prehospital
PAGE 744-HOUSE BILL 19-1172
emergency personnel, or health care institution. A physician, nurse,
prehospital emergency personnel, or health care institution may provide
consultation or education to the registrant without establishing a business
or supervisory relationship, and is encouraged to accept referrals from
registrants pursuant to this article 225.
(b) (Deleted by amendment, L. 2011, (SB 11-088), ch. 283, p. 1268,
§ 12, effective July 1, 2011.)
(2) (Deleted by amendment, L. 2011, (SB 11-088), ch. 283, p. 1268,
§ 12, effective July 1, 2011.)
(3) (a) (2) If the director finds that liability insurance is available at
an affordable price, registrants shall be required to carry such LIABILITY
insurance.
(b) Repealed.
12-225-113. [Formerly 12-37-109.7] Confidential files. The
director may keep confidential all files and information concerning an
investigation authorized under this article 225 until the results of the
investigation are provided to the director and either the complaint is
dismissed or notice of hearing and charges are served upon the person
subject to the investigation.
12-225-114. [Formerly 12-37-110] Repeal of article. (1) This
article 225 is repealed, effective September 1, 2021.
(2) Prior to BEFORE the repeal, the department of regulatory
agencies shall review the registering of direct-entry midwives by the
division of professions and occupations as provided in IS SCHEDULED FOR
REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
ARTICLE 230
Hearing Aid Providers
PART 1
GENERAL PROVISIONS
12-230-101. Applicability of common provisions. ARTICLES 1, 20,
PAGE 745-HOUSE BILL 19-1172
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 230.
12-230-102. [Formerly 12-5.5-101] Definitions. As used in this
article 230, unless the context otherwise requires:
(1) "Applicant" means a person applying for licensure under this
article.
(2) (1) "Apprentice" means a person who holds a current license as
an apprentice pursuant to this article 230.
(3) "Director" means the director of the division or the director's
designee.
(4) (2) "Dispense", with regard to a hearing aid, means to sell or
transfer title, possession, or the right to use by lease, bailment, or any other
method. The term does not apply to wholesale transactions with distributors
or dealers.
(5) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(6) (3) (a) "Hearing aid" means a wearable device designed or
offered to be customized for the purpose of compensating for impaired
human hearing and includes:
(I) Any parts, attachments, or accessories to the instrument or
device, as defined in rules adopted by the director; and
(II) Ear molds, excluding batteries and cords.
(b) The term does not include a surgically implanted hearing device.
(7) (4) "Hearing aid provider" means a person engaged in the
practice of dispensing, fitting, or dealing in hearing aids.
(8) "Licensee" means a person who holds a current license as a
hearing aid provider pursuant to this article.
PAGE 746-HOUSE BILL 19-1172
(9) (5) "Practice of dispensing, fitting, or dealing in hearing aids"
includes:
(a) Selecting and adapting hearing aids for sale;
(b) Testing human hearing for purposes of selecting and adapting
hearing aids for sale; and
(c) Making impressions for ear molds and counseling and
instructing prospective users for purposes of selecting, fitting, adapting, or
selling hearing aids.
(10) (6) "Surgically implanted hearing device" means a device that
is designed to produce useful hearing sensations to a person with a hearing
impairment and that has, as one or more components, a unit that is
surgically implanted into the ear, skull, or other interior part of the body.
The term includes any associated unit that may be worn on the body.
12-230-103. [Formerly 12-5.5-102] Scope of article - exemption.
(1) This article 230 does not apply to persons who are:
(a) Licensed pursuant to section 22-60.5-210 C.R.S., and who are
not licensed under this article 230 for work undertaken as part of their
employment by, or contractual agreement with, the public schools; or
(b) Engaged in the practice of audiology or the practice of
dispensing, fitting, or dealing in hearing aids in the discharge of their
official duties in the service of the United States armed forces, public health
service, Coast Guard, or veterans administration.
(2) This article 230 does not apply to the wholesale sales of hearing
aids.
(3) Nothing in this article 230 authorizes a hearing aid provider to
engage in the practice of medicine as defined in section 12-36-106
12-240-107.
(4) Nothing in this article 230 prohibits a business or licensee from:
(a) Hiring and employing unlicensed staff to assist with conducting
PAGE 747-HOUSE BILL 19-1172
business practices and to assist in dispensing hearing aids if the unlicensed
staff are properly supervised by a licensee; except that the employees may
not conduct hearing tests or perform the initial fitting of hearing aids; or
(b) Performing tasks that would be permissible if the licensee was
not licensed.
(5) This article 230 does not apply to the dispensing of hearing aids
outside of this state.
(6) An audiologist licensed pursuant to article 29.9 210 of this title
12 is not required to obtain a license pursuant to this article 230.
12-230-104. [Formerly 12-5.5-103] Scope of practice. (1) The
scope of practice for a hearing aid provider includes:
(a) Eliciting patient case histories, including medical, otological,
pharmacological, occupational, and previous amplification history and
patient attitudes and expectations;
(b) Administering otoscopy for the purpose of identifying possible
otological conditions, including conditions described in section 12-5.5-301
(1)(b) 6-1-701 (2)(d), that may indicate the need for medical referral or that
may have a bearing on needed rehabilitative measures, outcomes, or
recommendations;
(c) Administering and interpreting tests of human hearing, including
appropriate objective and subjective methodology and measures;
(d) Determining a person's candidacy for hearing aids or hearing
assistive devices, referring the person for surgically implanted hearing
device evaluation, or recommending other clinical, rehabilitative, or
medical interventions;
(e) Prescribing, selecting, and fitting appropriate hearing
instruments and assistive devices, including appropriate technology,
electroacoustic targets, programming parameters, and special applications,
as indicated;
(f) Assessing hearing instrument efficacy using appropriate fitting
PAGE 748-HOUSE BILL 19-1172
verification methodology, including available fitting validation methods;
(g) Taking ear impressions and preparing ear molds for hearing
instruments, assistive devices, telecommunications applications, ear
protection, and other related applications;
(h) Designing and modifying ear molds and auditory equipment to
meet individual patient needs;
(i) Providing counseling and aural rehabilitative services in the use
and care of hearing instruments and assistive devices and for effectively
using communication coping strategies and other approaches to foster
optimal patient rehabilitation; and
(j) Providing supervision and training of those entering the
dispensing profession.
12-230-105. [Formerly 12-5.5-104] Title protection - use of title.
It is unlawful for any person to use the title "hearing aid provider" or
"hearing aid dispenser" unless he or she is licensed as a hearing aid provider
pursuant to this article 230.
12-230-106. [Formerly 12-5.5-105] Repeal of article. (1) This
article 230 is repealed, effective September 1, 2020.
(2) Prior to this BEFORE THE repeal, the department of regulatory
agencies shall review the licensing and supervisory functions of the director
as provided in ARE SCHEDULED FOR REVIEW IN ACCORDANCE WITH section
24-34-104. C.R.S.
PART 2
LICENSING
12-230-201. [Formerly 12-5.5-201] License required - application
- qualifications. (1) A hearing aid provider shall obtain a license pursuant
to this section before engaging in the practice of dispensing, fitting, or
dealing in hearing aids.
(2) (a) An applicant shall submit an application to the director
containing the information described in this subsection (2) and shall pay a
PAGE 749-HOUSE BILL 19-1172
fee determined and collected pursuant to section 24-34-105, C.R.S.
12-20-105. The director may deny an application for licensure if the
required information is not submitted or if an applicant's apprentice license,
issued pursuant to section 12-5.5-204 12-230-204, has been revoked. If an
applicant or licensee fails to notify the director of a change in the submitted
information within thirty days after the change, the failure is cause for
disciplinary action.
(b) An applicant shall include the following information in every
application for licensure pursuant to this section:
(I) The applicant's name, business address, and business telephone
number and other contact information as determined by the director;
(II) A statement indicating whether:
(A) A hearing aid provider license, certificate, or registration was
issued to the applicant by a local, state, or national health care agency;
(B) The license, certificate, or registration was suspended or
revoked;
(C) Charges or complaints are pending against the applicant; and
(D) Disciplinary action was taken.
(3) In order to qualify for licensure pursuant to this section, an
applicant must either:
(a) Have passed the national competency examination of the
National Board for Certification in Hearing Instrument Sciences
(NBC-HIS), unless the director determines, by rule, that this examination
no longer meets the minimum standards necessary for licensure, in which
case, only an examination that the applicant passed prior to the date of the
ruling will be acceptable; or
(b) Have passed an appropriate entry-level examination, as
determined by the director, and:
(I) Completed at least six months of training with an audiologist or
PAGE 750-HOUSE BILL 19-1172
licensed hearing aid provider, pursuant to section 12-5.5-204 12-230-204;
or
(II) Have an associate's degree in hearing aid fitting and dispensing
that, at the time the applicant was enrolled and graduated, was offered by
an institution of higher education or a postsecondary education program
accredited by a national, regional, or state agency recognized by the United
States department of education, or a program approved by the director.
12-230-202. [Formerly 12-5.5-202] Licensure - certificate -
expiration - renewal - reinstatement - fees. (1) (a) The director shall
license all applicants who meet the requirements for licensure in this article
230.
(b) The director shall issue or deny a license within sixty days after
the date the application is received.
(c) The director shall give each licensee a license bearing a unique
license number. The licensee shall include the license number on all written
contracts and receipts.
(2) [Relocated to 12-20-202 (1)(a)]
LICENSES ISSUED PURSUANT TO THIS ARTICLE 230 ARE SUBJECT TO
THE RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). A PERSON WHOSE
LICENSE HAS EXPIRED IS SUBJECT TO THE PENALTIES SET FORTH IN THIS
ARTICLE 230 OR IN SECTION 12-20-202 (1).
12-230-203. [Formerly 12-5.5-203] Licensure by endorsement -
rules. (1) The director shall issue a license by endorsement to practice as
a hearing aid provider in this state to an individual who possesses an active
license in good standing to practice in that profession in another state or
territory of the United States or in a foreign country if the applicant:
(a) Presents proof satisfactory to the director that the individual
possesses a valid license from another state or jurisdiction that requires
qualifications substantially equivalent to the qualifications for licensure in
this state and meets all other requirements for licensure pursuant to this
article 230; and
PAGE 751-HOUSE BILL 19-1172
(b) Pays the licensure fee established under section 12-5.5-201
12-20-105.
(2) The director may specify by rule what constitutes substantially
equivalent qualifications for the purposes of this section.
12-230-204. [Formerly 12-5.5-204] Apprentice license -
expiration - rules. (1) A person training to be a licensed hearing aid
provider shall submit to the director an application containing the
information described in subsection (2) of this section and shall pay an
apprentice license fee determined and collected pursuant to section
12-5.5-201 12-20-105.
(2) On and after June 1, 2014, the director shall issue an apprentice
license to a person who provides, to the director's satisfaction, verification
of training to become a licensed hearing aid provider, which training is
under the direct supervision of a licensed hearing aid provider whose
license is in good standing.
(3) During the training period:
(a) An apprentice is not permitted to sell hearing aids independently
of the supervising licensed hearing aid provider;
(b) A supervising licensed hearing aid provider retains ultimate
responsibility for the care provided by the apprentice and is subject to
disciplinary action by the director for failure to provide adequate
supervision.
(4) Any person issued an apprentice license under this section is
subject to:
(a) Discipline under section 12-5.5-402 12-230-302 for engaging in
an act that constitutes grounds for discipline under section 12-5.5-501
12-230-401; and
(b) A cease-and-desist order under section 12-5.5-403 SECTIONS
12-20-405 AND 12-230-303 for engaging in behavior set forth in section
12-5.5-403 12-20-405.
PAGE 752-HOUSE BILL 19-1172
(5) An apprentice license issued under this section is renewable and
is subject to section 12-5.5-202 (2) 12-230-202 (2).
(6) An associate license issued pursuant to section 12-5.5-202.5 as
it existed prior to its repeal in 2012 remains valid until the expiration date
on the license. The director shall not renew, or issue new, associate licenses.
(7) (6) On and after June 1, 2014, A person in this state training to
be a licensed hearing aid provider must possess a valid apprentice license
issued by the director pursuant to this article 230 and rules promulgated
pursuant to this article 230.
12-230-205. [Formerly 12-5.5-206] Retention of records -
licensee's obligation. Each licensee who sells a hearing aid or provides
goods or services to a customer shall develop a written plan to ensure the
maintenance of customer records. The records must be retained for at least
seven years and identify the customer by name; the goods or services,
except batteries, minor parts, and accessories, provided to each customer;
and the date and price of each transaction.
PART 3
DIRECTOR - POWERS, DUTIES, AND RULES
12-230-301. [Formerly 12-5.5-301] Director - powers - duties -
rules. (1) The director, IN ACCORDANCE WITH SECTION 12-20-403, may
make investigations and inspections as necessary to determine whether an
applicant or licensee has violated this article 230 or any rule adopted by the
director.
(2) The director may apply to a court of competent jurisdiction for
an order enjoining FOR INJUNCTIVE RELIEF IN ACCORDANCE WITH SECTION
12-20-406 TO ENJOIN any act or practice that constitutes a violation of this
article 230. Upon a showing that a person is engaging in or intends to
engage in the act or practice, the court shall grant an injunction, restraining
order, or other appropriate order, regardless of the existence of another
remedy. All proceedings related to such orders are governed by the
Colorado rules of civil procedure.
(3) (a) The director or an administrative law judge has the power to
administer oaths, take affirmations of witnesses, and issue subpoenas to
PAGE 753-HOUSE BILL 19-1172
compel the attendance of witnesses and the production of all relevant
papers, books, records, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter coming before the director
pursuant to this article. The director may appoint an administrative law
judge pursuant to part 10 of article 30 of title 24, C.R.S., to take evidence
and to make findings and report them to the director.
(b) Upon failure of any witness to comply with a subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the director with
notice to the subpoenaed person or licensee, may issue to the person or
licensee an order requiring that person or licensee to appear before the
director; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence touching the matter
under investigation or in question. The court may punish a failure to obey
the order of the court as a contempt of court.
(4) (3) No later than December 31, 2013, and thereafter as
necessary, the director shall adopt rules necessary for the enforcement or
administration of this article PURSUANT TO SECTION 12-20-204.
12-230-302. [Similar to 12-5.5-302] Disciplinary actions. (1) IF
THE DIRECTOR DETERMINES THAT AN APPLICANT OR LICENSEE HAS
COMMITTED ANY OF THE ACTS SPECIFIED IN SECTION 12-230-401, THE
DIRECTOR MAY:
(a) ISSUE A LETTER OF ADMONITION UNDER THE CIRCUMSTANCES
SPECIFIED IN AND IN ACCORDANCE WITH SECTION 12-20-404 (4);
(b) PLACE A LICENSEE ON PROBATION PURSUANT TO SECTION
12-20-404 (1)(b);
(c) IMPOSE AN ADMINISTRATIVE FINE NOT TO EXCEED TWO
THOUSAND FIVE HUNDRED DOLLARS FOR EACH SEPARATE OFFENSE; OR
(d) TAKE DISCIPLINARY ACTION AS AUTHORIZED IN SECTION
12-20-404 (1)(d).
(2) THE DIRECTOR MAY SEND A LICENSEE A CONFIDENTIAL LETTER
OF CONCERN UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404
PAGE 754-HOUSE BILL 19-1172
(5).
(3) THE DIRECTOR SHALL NOT ENFORCE ANY PROVISIONS OF THIS
ARTICLE 230 OR RULES PROMULGATED PURSUANT TO THIS ARTICLE 230 THAT
ARE HELD UNCONSTITUTIONAL, INVALID, OR INCONSISTENT WITH FEDERAL
LAWS OR REGULATIONS, INCLUDING REGULATIONS PROMULGATED BY THE
UNITED STATES FOOD AND DRUG ADMINISTRATION.
12-230-303. [Similar to 12-5.5-303] Cease-and-desist orders -
unauthorized practice - penalties. (1) IF IT APPEARS TO THE DIRECTOR,
BASED UPON CREDIBLE EVIDENCE AS PRESENTED IN A WRITTEN COMPLAINT
BY ANY PERSON, THAT A LICENSEE IS ACTING IN A MANNER THAT IS A THREAT
TO THE HEALTH AND SAFETY OF THE PUBLIC, OR A PERSON IS ACTING OR HAS
ACTED WITHOUT THE REQUIRED LICENSE, THE DIRECTOR, IN ACCORDANCE
WITH THE PROCEDURES SPECIFIED IN SECTION 12-20-405, MAY ISSUE AN
ORDER TO CEASE AND DESIST THE ACTIVITY. THE ORDER MUST SET FORTH
THE STATUTES AND RULES ALLEGED TO HAVE BEEN VIOLATED, THE FACTS
ALLEGED TO HAVE CONSTITUTED THE VIOLATION, THE SPECIFIC HARM THAT
THREATENS THE HEALTH AND SAFETY OF THE PUBLIC, AND THE
REQUIREMENT THAT ALL UNLAWFUL ACTS OR UNLICENSED PRACTICES
IMMEDIATELY CEASE.
(2) A PERSON WHO PRACTICES OR OFFERS OR ATTEMPTS TO PRACTICE
AS A HEARING AID PROVIDER OR WHO ENGAGES IN THE PRACTICE OF
DISPENSING, FITTING, OR DEALING IN HEARING AIDS WITHOUT AN ACTIVE
HEARING AID PROVIDER LICENSE ISSUED UNDER THIS ARTICLE 230 IS SUBJECT
TO PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
PART 4
GROUNDS FOR DISCIPLINE
12-230-401. [Formerly 12-5.5-401] Grounds for discipline.
(1) The following acts constitute grounds for discipline:
(a) Making a false or misleading statement or omission in an
application for licensure;
(b) Violating any provision of this article 230, AN APPLICABLE
PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12, a rule promulgated by the
director under this article 230, or an order issued by the director under this
PAGE 755-HOUSE BILL 19-1172
article 230;
(c) Using false or misleading advertising;
(d) Representing that the service or advice of a person licensed to
practice medicine will be used or made available in the selection, fitting,
adjustment, maintenance, or repair of hearing aids when that is not true or
using the terms "doctor", "clinic", "state-licensed clinic", "state-registered",
"state-certified", "state-approved", or any other term, abbreviation, or
symbol when it would give the false impression that service is being
provided by persons trained in medicine or that the licensee's service has
been recommended by the state when that is not the case, or when it would
be false or misleading;
(e) Directly or indirectly giving or offering to give money or
anything of value to any person who advises another in a professional
capacity as an inducement to influence the person or have the person
influence others to purchase or contract to purchase products sold or offered
for sale by a licensee or influencing persons to refrain from dealing in the
products of competitors;
(f) Employing a device, a scheme, or artifice with the intent to
defraud a purchaser of a hearing aid;
(g) Selling a hearing aid to a child under eighteen years of age
without receiving documentation that the child has been examined by a
licensed physician and an audiologist within six months prior to the fitting;
(h) Intentionally disposing of, concealing, diverting, converting, or
otherwise failing to account for any funds or assets of a purchaser of a
hearing aid that is under the applicant's, licensee's, or apprentice's control;
(i) Making a false or misleading statement of fact concerning goods
or services or the buyer's right to cancel with the intention or effect of
deterring or preventing the buyer from exercising the buyer's right to cancel,
or refusing to honor a buyer's request to cancel a contract for the purchase
of a hearing aid, if the request was made during the rescission period set
forth in section 12-5.5-301 (2)(g) 6-1-701 (2)(e);
(j) Charging, collecting, or recovering any cost or fee for any good
PAGE 756-HOUSE BILL 19-1172
or service that has been represented by the licensee as free;
(k) Failing to adequately supervise a licensed hearing aid provider
apprentice or any employee pursuant to section 12-5.5-204 or 12-5.5-102
(4)(a) 12-230-204 (2) OR 12-230-103 (4)(a);
(l) Employing a sales agent or employee who violates any provision
of this article 230, a rule promulgated by the director under this article 230,
or an order issued by the director under this article 230;
(m) Failing to comply with a stipulation or agreement made with the
director or with a final agency order;
(n) Failing to respond in an honest, materially responsive, and timely
manner to a complaint issued pursuant to section 12-5.5-402 (4) THIS
ARTICLE 230;
(o) Being convicted of, accepting a plea of guilty or nolo contendere
to, or receipt of a deferred sentence in any court for a felony or for any
crime involving fraud, deception, false pretense, theft, misrepresentation,
false advertising, or dishonest dealing;
(p) Selling, dispensing, adjusting, providing training or teaching in
regard to, or otherwise servicing surgically implanted hearing devices
unless the hearing aid provider is an audiologist or a physician; and
(q) Violating the "Colorado Consumer Protection Act", article 1 of
title 6. C.R.S.
ARTICLE 235
Massage Therapists
12-235-101. [Formerly 12-35.5-101] Short title. THE SHORT TITLE
OF this article shall be known and may be cited as 235 IS the "Massage
Therapy Practice Act".
12-235-102. [Formerly 12-35.5-102] Legislative declaration.
(1) The general assembly hereby finds and declares that it is in the interest
of the public health, safety, and welfare to require massage therapists to be
licensed. Because proper and safe massage therapy is of statewide concern,
PAGE 757-HOUSE BILL 19-1172
this article 235 is deemed to be an exercise of the police powers of the state.
(2) The general assembly further declares that the practice of
massage therapy by any person not licensed pursuant to this article 235 is
adverse to the best interests of the people of this state. It is not, however, the
intent of the general assembly in enacting this article 235 to prevent,
restrict, or inhibit the practice of massage therapy by any duly licensed
person.
12-235-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 235.
12-235-104. [Formerly 12-35.5-103] Definitions. As used in this
article 35.5 235, unless the context otherwise requires:
(1) "Advertise" means to publish, display, or disseminate
information and includes, but is not limited to, the issuance of any card,
sign, or direct mail, or causing or permitting any sign or marking on or in
any building or structure or in any newspaper, magazine, or directory, or
any announcement or display via any televised, computerized, electronic,
or telephonic networks or media.
(2) "Applicant" means a person applying for a license to practice
massage therapy.
(3) (2) "Approved massage school" means:
(a) A massage therapy educational school that has a valid certificate
of approval from the private occupational school division in accordance
with the provisions of article 64 of title 23;
(b) A massage therapy educational program certified by the
Colorado community college system;
(c) A massage therapy educational entity or program that is
accredited by a nationally recognized accrediting agency; or
(d) A massage therapy program at a school located outside Colorado
that is approved by the director based on standards adopted by the director
PAGE 758-HOUSE BILL 19-1172
by rule.
(4) (3) "Compensation" means something of value or benefit,
whether in cash, in kind, or in any other form.
(5) "Director" means the director of the division.
(6) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(6.5) "Licensee" means a person licensed in this state to practice
massage therapy.
(7) (4) "Massage" or "massage therapy" means a system of
structured touch, palpation, or movement of the soft tissue of another
person's body in order to enhance or restore the general health and
well-being of the recipient. Such THE system includes, but is not limited to,
techniques such as effleurage, commonly called stroking or gliding;
petrissage, commonly called kneading; tapotement or percussion; friction;
vibration; compression; passive and active stretching within the normal
anatomical range of movement; hydromassage; and thermal massage. Such
THE techniques may be applied with or without the aid of lubricants, salt or
herbal preparations, water, heat, or a massage device that mimics or
enhances the actions possible by human hands.
(8) (5) "Massage therapist" means an individual licensed by this
state to engage in the practice of massage therapy. The terms "masseuse"
and "masseur" are synonymous with the term "massage therapist".
(9) (6) "Person" means a natural person only.
(10) Repealed.
12-235-105. [Formerly 12-35.5-104] Use of massage titles
restricted. Only a person licensed under this article 235 to practice massage
therapy may use the titles "massage therapist", "licensed massage therapist",
"massage practitioner", "masseuse", "masseur", the letters "M.T." or
"L.M.T.", or any other generally accepted terms, letters, or figures that
indicate that the person is a massage therapist.
PAGE 759-HOUSE BILL 19-1172
12-235-106. [Formerly 12-35.5-105] Limitations on authority.
(1) Nothing in this article 235 shall be construed as authorizing a massage
therapist to perform any of the following acts:
(a) The practice of medicine pursuant to article 36 240 of this title
12;
(b) The practice of physical therapy pursuant to article 41 285 of this
title 12;
(c) The practice of chiropractic pursuant to article 33 215 of this title
12; or
(d) Any other forms of healing or healing arts not authorized by this
article 235.
12-235-107. [Formerly 12-35.5-106] License required.
(1) Repealed.
(2) (a) (1) On or after July 1, 2014, except as otherwise provided in
this article 235, a person in this state who practices massage therapy or who
represents himself or herself as being able to practice massage therapy must
possess a valid license issued by the director pursuant to this article 235 and
rules promulgated pursuant to this article 235.
(b) (2) On July 1, 2014, each active massage therapy registration
becomes an active massage therapy license by operation of law. The
conversion from registration to licensure does not affect any prior
discipline, limitation, or condition imposed by the director on a massage
therapist's registration; limit the director's authority over any registrant; or
affect any pending investigation or administrative proceeding. The director
shall treat any application for a massage therapist registration pending as of
July 1, 2014, as an application for licensure, which application is subject to
the requirements established by the director.
12-235-108. [Formerly 12-35.5-107] License - reciprocity - denial
of license application. (1) Every applicant for a license to practice
massage therapy shall:
PAGE 760-HOUSE BILL 19-1172
(a) Attain a degree, diploma, or otherwise successfully complete a
massage therapy program that consists of at least five hundred total hours
of course work and clinical work from an approved massage school;
(b) Pass one of the following examinations:
(I) The massage and bodywork licensing examination offered by the
Federation of State Massage Therapy Boards;
(II) A national certification examination offered by the National
Certification Board for Therapeutic Massage and Bodywork; or
(III) An examination approved by the director;
(c) Submit an application in the form and manner specified by the
director;
(d) Pay a fee in an amount determined by the director IN
ACCORDANCE WITH SECTION 12-20-105;
(e) Submit to a criminal history record check in the form and manner
as described in subsection (2) of this section; and
(f) Document that he or she THE APPLICANT will be at least eighteen
years of age at the time of licensure.
(2) In addition to the requirements of subsection (1) of this section,
each applicant must have his or her fingerprints taken by a local law
enforcement agency or any third party approved by the Colorado bureau of
investigation for the purpose of obtaining a fingerprint-based criminal
history record check. If an approved third party takes the person's
fingerprints, the fingerprints may be electronically captured using Colorado
bureau of investigation-approved livescan equipment. Third-party vendors
shall not keep the applicant information for more than thirty days unless
requested to do so by the applicant. The applicant shall submit payment by
certified check or money order for the fingerprints and for the actual costs
of the record check at the time the fingerprints are submitted to the
Colorado bureau of investigation. Upon receipt of fingerprints and receipt
of the payment for costs, the Colorado bureau of investigation shall conduct
a state and national fingerprint-based criminal history record check utilizing
PAGE 761-HOUSE BILL 19-1172
records of the Colorado bureau of investigation and the federal bureau of
investigation and shall forward the results of the criminal history record
check to the director.
(3) After an applicant has fulfilled the requirements of subsections
(1) and (2) of this section, the director shall issue a license to the applicant.
(4) Repealed.
(5) (4) The director shall issue a license to an applicant who
otherwise meets the qualifications set forth in this article 235 and who
submits satisfactory proof and certifies under penalty of perjury that the
applicant currently possesses an unrestricted license or registration, in good
standing, to practice massage therapy under the laws of another state or
territory of the United States or a foreign country if:
(a) The director determines that the qualifications for massage
therapy licensure or registration in the other state, territory, or foreign
country are substantially equivalent to those required by this section;
(b) The applicant submits proof of experience and competency on
a form determined by the director;
(c) The applicant submits to a criminal history record check pursuant
to subsection (2) of this section; and
(d) The director reviews any disciplinary actions taken against the
applicant.
(6) (5) Notwithstanding any provision of this section, the director
may deny a license if the applicant has committed any act that would be
grounds for disciplinary action under section 12-35.5-111 12-235-111 or if
the director determines, subsequent to the criminal history record check,
that the applicant was convicted of, pled guilty or nolo contendere to, or
received a deferred sentence for a charge of unlawful sexual behavior as
defined in section 16-22-102, C.R.S., any prostitution-related offense, or a
human trafficking-related offense as described in sections 18-3-503 and
18-3-504, C.R.S., whether or not the act was committed in Colorado.
(7) (6) The director may deny a license if the director determines
PAGE 762-HOUSE BILL 19-1172
that the applicant is not competent, trustworthy, or of good moral character.
(8) (7) Pursuant to section SECTIONS 12-20-202 (5) AND 24-5-101,
C.R.S., the director shall consider whether an applicant with a criminal
record has been rehabilitated, specifically considering whether the applicant
has been a victim of human trafficking and the lapse of time since the
offense.
12-235-109. [Formerly 12-35.5-108] License expiration - effect -
renewal - reinstatement - penalty. (1) Licenses issued pursuant to this
article are valid for the period of time established by the director. Licensees
must renew their licenses in accordance with the schedule set forth by the
director pursuant to section 24-34-102 (8), C.R.S. 235 ARE SUBJECT TO THE
RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
(2) If a licensee fails to renew his or her license within the time
period specified in the schedule established by the director, the license
expires. A person in possession of an expired license shall not practice
massage therapy until he or she reinstates the license.
(3) (2) The director shall establish application forms and fee
amounts for renewal of licenses and reinstatement of expired licenses. in the
manner authorized in section 24-34-105, C.R.S. A person renewing or
reinstating a license shall submit an application in the form and manner set
forth by the director. and shall pay a fee in an amount set forth by the
director pursuant to section 24-34-105, C.R.S.
12-235-110. [Formerly 12-35.5-110] Scope of article - exclusions
- authority for clinical setting - definitions. (1) Nothing in this article
35.5 235 prohibits or requires a massage therapy license for any of the
following:
(a) The practice of massage therapy that is a part of a program of
study by students enrolled in a massage therapy program at an approved
massage therapy school. Students enrolled in such THE programs are to be
identified as "student massage therapists" and shall not hold themselves out
as licensed massage therapists. Student massage therapists shall practice
massage therapy only under the immediate supervision of a massage
therapist holding a valid and current license. Faculty members teaching
PAGE 763-HOUSE BILL 19-1172
nonclinical aspects of massage therapy are not required to be licensed under
this article 235.
(b) The practice of massage therapy by a person employed by the
United States government or any federal governmental entity while acting
in the course and scope of such THE employment;
(c) The practice of massage therapy by a person who is a resident of
another state and who is in Colorado temporarily under one of the following
circumstances:
(I) The person is traveling with and administering massage therapy
to members of a professional or amateur sports organization, dance troupe,
or other such athletic organization;
(II) The person provides massage therapy, without compensation,
at a public athletic event such as the Olympic games, Special Olympics,
youth Olympics, or marathons, if the massage therapy is provided no earlier
than forty-eight hours prior to the commencement of the event and no later
than twenty-four hours after the conclusion of the event;
(III) The person is part of an emergency response team or is
otherwise working with or for disaster relief officials to provide massage
therapy in connection with a disaster situation; or
(IV) The person is participating as a student in or instructor of an
educational program, if:
(A) The program does not exceed sixteen days in duration; or
(B) The program exceeds sixteen days in duration and the person
obtains a grant of an extension of time from the director prior to the
seventeenth day;
(d) The person provides massage therapy to members of the person's
immediate family;
(e) The person provides alternative methods that employ contact and
does not hold himself or herself out as a massage therapist. For the purposes
of this paragraph (e) SUBSECTION (1)(e), "alternative methods that employ
PAGE 764-HOUSE BILL 19-1172
contact" include, but are not limited to:
(I) Practices using reflexology, auricular therapy, and meridian
therapies that affect the reflexes of the body;
(II) Practices using touch, words, and directed movements to deepen
a person's awareness of movement patterns in his or her body, such as the
Feldenkrais method, the Trager approach, and body-mind centering;
(III) Practices using touch or healing touch to affect the human
energy systems, such as reiki, shiatsu, and meridians;
(IV) Structural integration practices such as Rolfing and Hellerwork;
and
(V) The process of muscle activation techniques.
(f) (I) The practice of animal massage if the person performing
massage on an animal:
(A) Does not prescribe drugs, perform surgery, or diagnose medical
conditions; and
(B) Has earned a degree or certificate in animal massage from a
school approved by the private occupational school division of the Colorado
department of higher education under article 64 of title 23, an out-of-state
school offering an animal massage program with an accreditation
recognized by the United States department of education, or a school that
is exempt under section 23-64-104.
(II) As used in this paragraph (f) SUBSECTION (1)(f), "animal
massage" means a method of treating the body of an animal for remedial or
hygienic purposes through techniques that include rubbing, stroking,
kneading, or tapping with the hand or an instrument or both, which
techniques may be applied with or without the aid of a massage device that
mimics the actions possible using human hands.
(2) If there is a continued pattern of criminal behavior with arrests,
complaints regarding sexual misconduct, or criminal intent that is related to
human trafficking disguised as a legitimate exemption, the director may, at
PAGE 765-HOUSE BILL 19-1172
his or her discretion, determine that a practice is no longer exempt from
licensing pursuant to paragraph (e) of subsection (1) SUBSECTION (1)(e) of
this section.
(3) Nothing is this article 235 prohibits the practice of massage
therapy by a person who is licensed or registered to practice medicine,
nursing, osteopathy, physiology, chiropractic, podiatry, cosmetology, or any
other health care profession, as long as the practice is within the limits of
each respective practice act.
12-235-111. [Formerly 12-35.5-111] Grounds for discipline -
definitions. (1) The director is authorized to take disciplinary action
pursuant to section 12-35.5-112 12-235-112 against any person who has:
(a) Advertised, represented, or held himself or herself out as a
licensed massage therapist after the expiration, suspension, or revocation of
his or her license;
(b) Engaged in a sexual act with a client while a therapeutic
relationship exists. For the purposes of this paragraph (b) SUBSECTION
(1)(b):
(I) "Sexual act" means sexual contact, sexual intrusion, or sexual
penetration as defined in section 18-3-401. C.R.S.
(II) "Therapeutic relationship" means the period of time
commencing with the initial session of massage and ending upon written
termination of the relationship from either party.
(c) Failed to refer a patient to a general health care practitioner when
the services required by the client are beyond the level of competence of the
massage therapist or beyond the scope of massage practice;
(d) Falsified information in any application or attempted to obtain
or obtained a license by fraud, deception, or misrepresentation;
(e) Fraudulently obtained or furnished a massage therapy license; a
renewal or reinstatement of a license, diploma, certificate, or record; or
aided and abetted any of those acts;
PAGE 766-HOUSE BILL 19-1172
(f) An alcohol use disorder, as defined in section 27-81-102, or a
substance use disorder, as defined in section 27-82-102, or a dependence on
or addiction to alcohol or any habit-forming drug, or WHO abuses or
engages in the habitual or excessive use of any such habit-forming drug or
any controlled substance as defined in section 18-18-102 (5), but the
director may take into account the licensee's participation in a substance use
disorder treatment program when considering disciplinary action;
(g) (I) Failed to notify the director of a physical condition, a physical
illness, or a behavioral, mental health, or substance use disorder that affects
the licensee's ability to treat clients with reasonable skill and safety or that
may endanger the health or safety of clients receiving massage services
from the licensee;
(II) Failed to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the licensee unable to practice massage therapy with
reasonable skill and safety or that may endanger the health or safety of
persons under his or her care; or
(III) Failed to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-35.5-116.5 SECTIONS
12-30-108 AND 12-235-117;
(h) Refused to submit to a physical or mental examination when so
ordered by the director pursuant to section 12-35.5-114 12-235-114;
(i) Failed to notify the director, in writing, of the entry of a final
judgment by a court of competent jurisdiction in favor of any party and
against the licensee for malpractice of massage therapy or any settlement by
the licensee in response to charges or allegations of malpractice of massage
therapy. Such THE notice shall be given within ninety days after the entry
of the judgment or settlement and, in the case of a judgment, shall contain
the name of the court, the case number, and the names of all parties to the
action.
(j) Been convicted of, pled guilty or nolo contendere to, or received
a deferred sentence for a felony or a crime for which the act giving rise to
the crime was related to the practice of massage therapy or was perpetrated
against a massage client during a therapeutic relationship, as defined in
PAGE 767-HOUSE BILL 19-1172
subparagraph (II) of paragraph (b) of this subsection (1) SUBSECTION
(1)(b)(II) OF THIS SECTION; or committed any act specified in this section.
A certified copy of a document from a court of competent jurisdiction
documenting a conviction or entry of a plea is conclusive evidence of the
conviction or plea. In considering the disciplinary action, the director shall
be governed by the provisions of section SECTIONS 12-20-202 (5) AND
24-5-101. C.R.S.
(k) Advertised, represented, held himself or herself out in any
manner, or used any designation in connection with his or her name as a
massage therapist without being licensed or exempt pursuant to this article
235;
(l) Violated or aided or abetted a violation of any provision of this
article 235, AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE
12, any rule adopted under this article 235, or any lawful order of the
director;
(m) Been convicted of, pled guilty or nolo contendere to, or received
a deferred sentence for a charge of unlawful sexual behavior as defined in
section 16-22-102, C.R.S., any prostitution-related offense, or any human
trafficking-related offense as described in sections 18-3-503 and 18-3-504,
C.R.S., whether or not the act was committed in Colorado;
(n) Failed to report to the director the surrender of a massage
therapy license, certification, or registration to, or an adverse action taken
against a license, certification, or registration by, a licensing agency in
another state, territory, or country, a governmental agency, a law
enforcement agency, or a court for acts that constitute grounds for discipline
under this article 235;
(o) Committed an act that does not meet, or failed to perform an act
necessary to meet, generally accepted standards of massage therapy care;
(p) Used fraudulent, coercive, or dishonest practices, or
demonstrated incompetence or untrustworthiness, in this state or elsewhere;
or
(q) Exposed an intimate part of his or her body to the view of a
client or any person present with the client, or performed an act of
PAGE 768-HOUSE BILL 19-1172
masturbation in the presence of a client. For the purposes of this subsection
(1)(q):
(I) "Intimate part" means the external genitalia, the perineum, the
anus, the buttocks, the pubes, or the breast of any person.
(II) "Masturbation" means the real or simulated touching, rubbing,
or otherwise stimulating of a person's own genitals or pubic area, regardless
of whether the genitals or pubic area is exposed or covered.
(III) Repealed.
12-235-112. [Formerly 12-35.5-112] Disciplinary proceedings -
injunctions - investigations - hearings - judicial review - fine. (1) The
director may revoke, suspend, deny, or refuse to renew a license, issue a
letter of admonition to a licensee, or place a licensee on probation in
accordance with the disciplinary proceedings described in this section TAKE
DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN THIS SECTION AND
SECTION 12-20-404 upon proof that the person committed a violation of
section 12-35.5-111 12-235-111.
(2) The director may request the attorney general to seek an
injunction in any court of competent jurisdiction, ACCORDANCE WITH
SECTION 12-20-406 to enjoin any person from engaging in or aiding and
abetting an act or practice prohibited by this article When seeking a
temporary restraining order, preliminary injunction, or injunction under this
subsection (2), the attorney general is not required to allege or prove the
inadequacy of any remedy at law or that substantial or irreparable damage
is likely to result from a continued violation of this article 235.
(3) (a) The director is authorized to investigate, hold hearings, and
gather evidence in all matters related to the exercise and performance of the
powers and duties of the director pursuant to article 4 of title 24, C.R.S.
SECTION 12-20-403, and this article 235.
(b) The director or an administrative law judge shall have the power
to administer oaths, take affirmations of witnesses, and issue subpoenas to
compel the attendance of witnesses and the production of all relevant
papers, books, records, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter coming before the director. The
PAGE 769-HOUSE BILL 19-1172
director may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to conduct hearings, take evidence, and make
findings and report them to the director.
(c) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the director with
notice to the subpoenaed person or licensee, may issue to the person or
licensee an order requiring that person or licensee to appear before the
director; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence touching the matter
under investigation or in question. If a person or licensee fails to obey the
order of the court, the court may hold the person or licensee in contempt of
court.
(4) (a) The director, the director's staff, any person acting as a
witness or consultant to the director, any witness testifying in a proceeding
authorized under this article, and any person who lodges a complaint
pursuant to this article shall be immune from liability in any civil action
brought against him or her for acts occurring while acting in his or her
capacity as director, staff, consultant, or witness, respectively, if such
individual was acting in good faith within the scope of his or her respective
capacity, made a reasonable effort to obtain the facts of the matter as to
which he or she acted, and acted in the reasonable belief that the action
taken by him or her was warranted by the facts.
(b) A person who in good faith makes a complaint or report or
participates in an investigative or administrative proceeding pursuant to this
article shall be immune from liability, civil or criminal, that otherwise might
result from such participation.
(5) (4) An employer of a massage therapist shall report to the
director any disciplinary action taken against the massage therapist or the
resignation of such THE massage therapist in lieu of disciplinary action for
conduct that violates this article 235.
(6) (5) On completion of an investigation, the director shall find one
of the following:
(a) The complaint is without merit and no further action need be
PAGE 770-HOUSE BILL 19-1172
taken with reference thereto;
(b) There is no reasonable cause to warrant further action; or
(c) The complaint discloses misconduct by the licensee that warrants
formal action, When a complaint or an investigation discloses an instance
of misconduct that, in the opinion of the director, warrants formal action,
the director shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution. Rather, IN WHICH CASE the director shall initiate
disciplinary proceedings pursuant to subsection (7) (6) of this section.
(7) (6) (a) The director shall commence a disciplinary proceeding
when the director has reasonable grounds to believe that a licensee has
committed any act that violates section 12-35.5-111 12-235-111.
(b) Disciplinary proceedings shall be conducted pursuant to article
4 of title 24, C.R.S., and the hearing and opportunity for review shall be
conducted pursuant to that article by the director or by an administrative law
judge, at the director's discretion SECTION 12-20-403.
(c) If, after the hearing, the director finds the charges proven and
orders that discipline be imposed, he or she THE DIRECTOR shall also
determine the extent of the discipline. The director may revoke, suspend,
deny, or refuse to renew a license or place a licensee on probation TAKE
DISCIPLINARY ACTION AS SPECIFIED IN SECTION 12-20-404 (1)(b) OR (1)(d).
(d) If the director finds the charges against the licensee proven and
orders that discipline be imposed, the director may require, as a condition
of reinstatement, that the licensee take therapy or courses of training or
education as may be needed to correct any deficiency found.
(8) (7) SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF a final
action of the director. may be judicially reviewed by the court of appeals in
accordance with section 24-4-106 (11), C.R.S., and Judicial proceedings for
the enforcement of an order of the director may be instituted in accordance
with section 24-4-106. C.R.S.
(9) (a) (8) When a complaint or an investigation discloses an
instance of misconduct that, in the opinion of the director, does not warrant
formal action but should not be dismissed as being without merit, The
PAGE 771-HOUSE BILL 19-1172
director may send a letter of admonition to the A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH SECTION
12-20-404 (4).
(b) When the director sends a letter of admonition to a licensee, the
director shall notify the licensee of his or her right to request in writing,
within twenty days after receipt of the letter, that the director initiate formal
disciplinary proceedings to adjudicate the propriety of the conduct described
in the letter of admonition.
(c) If the licensee timely requests adjudication, the letter of
admonition is vacated, and the director shall process the matter by means
of formal disciplinary proceedings.
(10) (9) When a complaint or an investigation discloses an instance
of conduct that does not warrant formal action by the director and, in the
director's opinion, should be dismissed, but the director has noticed conduct
that could lead to serious consequences if not corrected, The director may
send a confidential letter of concern to the A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(11) (10) If a person commits an act that violates this article 235, the
director may impose a fine not to exceed five thousand dollars per violation.
Each day of a continuing violation constitutes a separate violation.
12-235-113. [Formerly 12-35.5-113] Cease-and-desist orders.
(1) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public,
or a person is acting or has acted without the required license, the director
may issue an order to cease and desist the activity and shall set forth in the
order the statutes and rules alleged to have been violated, the facts alleged
to have constituted the violation, and the requirement that all unlawful acts
or unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
PAGE 772-HOUSE BILL 19-1172
(2) (a) If it appears to the director, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other provision of this article, then, in addition to any specific powers
granted pursuant to this article, the director may issue to such person an
order to show cause as to why the director should not issue a final order
directing such person to cease and desist from the unlawful act.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (2) shall be promptly notified
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (2) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (2). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (2) does not appear at the
hearing, the director may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(2) and such other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required license, or has engaged or is about to engage in acts or practices
PAGE 773-HOUSE BILL 19-1172
constituting violations of this article, the director may issue a final
cease-and-desist order directing the person to cease and desist from further
unlawful acts or unlicensed practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (2), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(3) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged in or is about to engage
in any act or practice constituting a violation of this article, any rule
promulgated pursuant to this article, any order issued pursuant to this
article, or any act or practice constituting grounds for administrative
sanction pursuant to this article, the director may enter into a stipulation
with such person.
(4) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(5) A person aggrieved by the final cease-and-desist order may seek
judicial review of the director's determination or of the director's final order
as provided in subsection (2) of this section.
THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-235-114. [Formerly 12-35.5-114] Mental and physical
examination of licensees. (1) (a) If the director has reasonable cause to
believe that a licensee is unable to practice with reasonable skill and safety,
the director may order the licensee to take a mental or physical examination
administered by a physician or other licensed health care professional
PAGE 774-HOUSE BILL 19-1172
designated by the director.
(b) If a licensee refuses to submit to a mental or physical
examination that has been properly ordered by the director pursuant to
subsection (2) of this section, and the refusal is not due to circumstances
beyond the licensee's control, the refusal constitutes grounds for discipline
pursuant to section 12-35.5-111 (1)(h) 12-235-111 (1)(h). When a licensee
has refused to submit to an examination, the director may suspend the
licensee's license in accordance with section 12-35.5-112 12-235-112 until:
(I) The results of the examination are known; and
(II) The director has made a determination of the licensee's fitness
to practice.
(c) The director shall proceed with an order for examination and
determination of a licensee's fitness to practice in a timely manner.
(2) In an order to a licensee pursuant to subsection (1) of this section
to undergo a mental or physical examination, the director shall include the
basis of the director's reasonable cause to believe that the licensee is unable
to practice with reasonable skill and safety. For purposes of any disciplinary
proceeding authorized under this article 235, the licensee is deemed to have
waived all objections to the admissibility of the examining physician's
testimony or examination reports on the ground that they are privileged
communications.
(3) The licensee may submit to the director testimony or
examination reports from a physician or other licensed health care
professional chosen by the licensee and pertaining to any condition that the
director has alleged may preclude the licensee from practicing with
reasonable skill and safety. The director may consider the testimony or
examination reports in conjunction with, but not in lieu of, testimony and
examination reports of the physician or other licensed health care
professional designated by the director.
(4) The results of a mental or physical examination ordered by the
director shall not be used as evidence in any proceeding other than one
before the director and shall not be deemed public records nor made
available to the public.
PAGE 775-HOUSE BILL 19-1172
12-235-115. [Formerly 12-35.5-115] Unauthorized practice -
criminal penalties. (1) A person who practices or offers or attempts to
practice massage therapy without an active license issued under this article
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and for the second or any
subsequent offense, the person commits a class 1 misdemeanor and shall be
punished as provided in section 18-1.3-501, C.R.S. 235 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(b).
(2) A person who knowingly aids or abets the unlicensed practice
of massage therapy commits a class 2 misdemeanor for the first offense and
a class 1 misdemeanor for any subsequent offense, and shall be punished as
provided in section 18-1.3-501, C.R.S. IS SUBJECT TO PENALTIES PURSUANT
TO SECTION 12-20-407 (1)(b).
12-235-116. [Formerly 12-35.5-116] Professional liability
insurance required. It is unlawful for any person to practice massage
therapy within this state unless the person purchases and maintains
professional liability insurance in an amount not less than fifty thousand
dollars per claim with an aggregate liability limit for all claims during the
year of three hundred thousand dollars. Professional liability insurance
required by this section shall cover all acts within the scope of massage
therapy practice as defined by section 12-35.5-103 12-235-104.
12-235-117. [Formerly 12-35.5-116.5] Confidential agreement to
limit practice. (1) If a massage therapist has a physical illness; a physical
condition; or a behavioral or mental health disorder that renders him or her
unable to practice massage therapy with reasonable skill and safety to
clients, the massage therapist shall notify the director of the physical illness;
the physical condition; or the behavioral or mental health disorder in a
manner and within a period determined by the director. The director may
require the massage therapist to submit to an examination to evaluate the
extent of the physical illness; the physical condition; or the behavioral or
mental health disorder and its impact on the massage therapist's ability to
practice massage therapy with reasonable skill and safety to clients.
(2) (a) Upon determining that a massage therapist with a physical
illness; a physical condition; or a behavioral or mental health disorder is
able to render limited services with reasonable skill and safety to clients, the
director may enter into a confidential agreement with the massage therapist
PAGE 776-HOUSE BILL 19-1172
in which the massage therapist agrees to limit his or her practice based on
the restrictions imposed by the physical illness; the physical condition; or
the behavioral or mental health disorder, as determined by the director.
(b) As part of the agreement, the massage therapist is subject to
periodic reevaluations or monitoring as determined appropriate by the
director.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(3) By entering into an agreement with the director pursuant to this
section to limit his or her practice, a massage therapist is not engaging in
activities prohibited pursuant to section 12-35.5-111. The agreement does
not constitute a restriction or discipline by the director. However, if the
massage therapist fails to comply with the terms of an agreement entered
into pursuant to this section, the failure constitutes a prohibited activity
pursuant to section 12-35.5-111 (1)(g), and the massage therapist is subject
to discipline in accordance with section 12-35.5-112.
(1) EXCEPT AS PROVIDED IN SUBSECTION (2) OF THIS SECTION,
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO LIMIT
PRACTICE APPLIES TO THIS SECTION.
(4) (2) This section does AND SECTION 12-30-108 DO not apply to a
massage therapist subject to discipline for prohibited activities as described
in section 12-35.5-111 (1)(f) 12-235-111 (1)(f).
12-235-118. [Formerly 12-35.5-117] Rule-making authority. The
director shall promulgate rules for the administration of this article
PURSUANT TO SECTION 12-20-204. If the director promulgates rules
regarding generally accepted standards of massage therapy care, the rules
are not an exhaustive statement of the generally accepted standards of
massage therapy care.
12-235-119. [Formerly 12-35.5-118] Local government -
regulations - enforcement. (1) No city, county, city and county, or other
political subdivision of this state shall enact or enforce any local ordinance
that regulates the practice or the profession of massage therapy.
PAGE 777-HOUSE BILL 19-1172
(2) Local government law enforcement agencies may inspect
massage therapy licenses and the business premises where massage therapy
is practiced for compliance with applicable laws. Nothing in this section
precludes criminal prosecution for a violation of any criminal law. If an
inspection reveals the practice of massage therapy by a person without a
valid license, the local government law enforcement agency shall charge the
person with a misdemeanor pursuant to section 12-35.5-115 SECTIONS
12-20-407 (1)(b) AND 12-235-115.
(3) A city, county, city and county, or other political subdivision
may inspect massage businesses, except for a sole proprietorship with a
person's residence, upon complaint of illegal activity and ensure that the
people performing massage therapy are licensees. A city, county, city and
county, or other political subdivision shall not charge a fee for the
inspection or license verification.
12-235-120. [Formerly 12-35.5-120] Repeal of article - review of
functions. (1) This article 235, and the functions of the director as set forth
in this article 235, are repealed, effective September 1, 2022. Prior to
BEFORE the repeal, the department of regulatory agencies shall review the
functions of the director pursuant to ARE SCHEDULED FOR REVIEW IN
ACCORDANCE WITH section 24-34-104. C.R.S.
(2) Repealed.
ARTICLE 240
Medical Practice
12-240-101. [Formerly 12-36-101] Short title. THE SHORT TITLE OF
this article shall be known and may be cited as 240 IS the "Colorado
Medical Practice Act".
12-240-102. [Formerly 12-36-102] Legislative declaration.
(1) The general assembly declares it to be in the interests of public health,
safety, and welfare to enact laws regulating and controlling the practice of
the healing arts to the end that the people shall be properly protected against
unauthorized, unqualified, and improper practice of the healing arts in this
state, and this article 240 shall be construed in conformity with this
declaration of purpose.
PAGE 778-HOUSE BILL 19-1172
(2) Repealed.
12-240-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 240.
12-240-104. [Formerly 12-36-102.5] Definitions. As used in this
article 240, unless the context otherwise requires:
(1) (a) "Approved fellowship" means a program that meets the
following criteria:
(I) Is specialized, clearly defined, and delineated;
(II) Follows the completion of an approved residency;
(III) Provides additional training in a medical specialty or
subspecialty; and
(IV) Is either:
(A) Performed in a hospital conforming to the minimum standards
for fellowship training established by the Accreditation Council for
Graduate Medical Education or the American Osteopathic Association, or
by a successor of either organization; or
(B) Any other program that is approved by the Accreditation
Council for Graduate Medical Education or the American Osteopathic
Association or a successor of either organization.
(b) "Approved fellowship" includes any other fellowship that the
board, upon its own investigation, approves for purposes of issuing a
physician training license pursuant to section 12-36-122 12-240-128.
(2) (a) "Approved internship" means an internship:
(I) Of at least one year in a hospital conforming to the minimum
standards for intern training established by the Accreditation Council for
Graduate Medical Education or the American Osteopathic Association or
a successor of either organization; or
PAGE 779-HOUSE BILL 19-1172
(II) Approved by either of the organizations specified in
subparagraph (I) of this paragraph (a) SUBSECTION (2)(a)(I) OF THIS
SECTION.
(b) "Approved internship" includes any other internship approved
by the board upon its own investigation.
(3) (a) "Approved medical college" means a college that:
(I) Conforms to the minimum educational standards for medical
colleges as established by the Liaison Committee on Medical Education or
any successor organization that is the official accrediting body of
educational programs leading to the degree of doctor of medicine and
recognized for such purpose by the federal UNITED STATES department of
education and the Council on Postsecondary Accreditation;
(II) Conforms to the minimum education standards for osteopathic
colleges as established by the American Osteopathic Association or any
successor organization that is the official accrediting body of education
programs leading to the degree of doctor of osteopathy; or
(III) Is approved by either of the organizations specified in
subparagraphs (I) and (II) of this paragraph (a) SUBSECTIONS (3)(a)(I) AND
(3)(a)(II) OF THIS SECTION.
(b) "Approved medical college" includes any other medical college
approved by the board upon its own investigation of the educational
standards and facilities of the medical college.
(4) (a) "Approved residency" means a residency:
(I) Performed in a hospital conforming to the minimum standards
for residency training established by the Accreditation Council for Graduate
Medical Education or the American Osteopathic Association or any
successor of either organization; or
(II) Approved by either of the organizations specified in
subparagraph (I) of this paragraph (a) SUBSECTION (4)(a)(I) OF THIS
SECTION.
PAGE 780-HOUSE BILL 19-1172
(b) "Approved residency" means any other residency approved by
the board upon its own investigation.
(5) "Board" means the Colorado medical board created in section
12-36-103 (1) 12-240-105 (1).
(6) "License" means the authority to practice medicine, practice as
a physician assistant, or practice as an anesthesiologist assistant under this
article.
(7) "Licensee" means any physician, physician assistant, or
anesthesiologist assistant who is licensed pursuant to this article.
(8) (6) "Telemedicine" means the delivery of medical services and
any diagnosis, consultation, or treatment using interactive audio, interactive
video, or interactive data communication.
12-240-105. [Formerly 12-36-103] Colorado medical board -
subject to termination - repeal of article. (1) (a) (I) There is hereby
created the Colorado medical board, referred to in this article 240 as the
"board". The board shall consist of sixteen members appointed by the
governor and possessing the qualifications specified in this article 240 and
as follows:
(A) (I) Eleven physician members;
(B) (II) One member licensed under this article 240 as a physician
assistant; and
(C) (III) Four members from the public at large who have no
financial or professional association with the medical profession.
(II) (b) The terms of the members of the board shall be four years.
For the two physician and one physician assistant appointees added to the
board during the calendar year beginning January 1, 2010, the term for one
of the physician member appointees shall expire four years after the
appointment; the term for the other physician member appointee shall
expire three years after the appointment; and the term for the physician
assistant appointee shall expire two years after the appointment. Thereafter,
the terms of the members of the board shall be four years.
PAGE 781-HOUSE BILL 19-1172
(b) (Deleted by amendment, L. 2003, p. 911, § 12, effective August
6, 2003.)
(2) The board shall be comprised at all times of eight members
having the degree of doctor of medicine, three members having the degree
of doctor of osteopathy, and one physician assistant, all of whom shall have
been licensed in good standing and actively engaged in the practice of their
professions in this state for at least three years next preceding their
appointments, and four members of the public at large.
(3) If a vacancy in the membership of the board occurs for any cause
other than expiration of a term, the governor shall appoint a successor to fill
the unexpired portion of the term of the member whose office has been so
vacated and shall appoint the new member in the same manner as members
for a full term. Members of the board shall remain in office until their
successors have been appointed. A member of the board may be removed
by the governor for continued neglect of duty, incompetence, or
unprofessional or dishonorable conduct.
(4) The board shall elect biennially from its members a president
and a vice-president. Meetings of the board or any panel established
pursuant to this article 240 shall be held as scheduled by the board in the
state of Colorado. Except as provided in section 12-36-118 (6) 12-240-125
(6), a majority of the board shall constitute a quorum for the transaction of
all business. All meetings of the board shall be deemed to have been duly
called and regularly held, and all decisions, resolutions, and proceedings of
the board shall be deemed to have been duly authorized, unless the contrary
be proved.
(5) (Deleted by amendment, L. 2004, p. 1827, § 67, effective August
4, 2004.)
(6) (a) (I) The provisions of section 24-34-104, C.R.S., concerning
the termination schedule for regulatory bodies of the state unless extended
as provided in that section, are applicable to the Colorado medical board
created by this section.
(II) The review required by this subsection (6) shall include an
analysis of physician responsibilities related to recommendations for
medical marijuana and the provisions of section 25-1.5-106, C.R.S.
PAGE 782-HOUSE BILL 19-1172
(b) (5) This article 240 is repealed, effective July 1, 2019. BEFORE
ITS REPEAL, THIS ARTICLE 240, INCLUDING AN ANALYSIS OF PHYSICIAN
RESPONSIBILITIES RELATED TO RECOMMENDATIONS FOR MEDICAL
MARIJUANA, AND THE PROVISIONS OF SECTION 25-1.5-106 ARE SCHEDULED
FOR REVIEW IN ACCORDANCE WITH SECTION 24-34-104.
(7) (Deleted by amendment, L. 2010, (HB 10-1260), ch. 403, p.
1948, § 14, effective July 1, 2010.)
12-240-106. Powers and duties of board - limitation on
authority. (1) [Formerly 12-36-104 (1)] In addition to all other powers
and duties conferred and imposed upon the board by this article 240, the
board has the following powers and duties to:
(a) Adopt and promulgate, under the provisions of section 24-4-103,
C.R.S., such rules and regulations as the board may deem necessary or
proper to carry out the provisions and purposes of this article which shall
be PROMULGATE RULES PURSUANT TO SECTION 12-20-204 THAT ARE fair,
impartial, and nondiscriminatory;
(b) (I) Make investigations, hold hearings, and take evidence IN
ACCORDANCE WITH SECTION 12-20-403 in all matters relating to the exercise
and performance of the powers and duties vested in the board; AND
(II) The board or an administrative law judge shall have the power
to administer oaths, take affirmations of witnesses, and issue subpoenas to
compel the attendance of witnesses and the production of all relevant
papers, books, records, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter coming before the board. The
board may appoint an administrative law judge pursuant to part 10 of article
30 of title 24, C.R.S., to take evidence and to make findings and report them
to the board.
(III) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
PAGE 783-HOUSE BILL 19-1172
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(c) (Deleted by amendment, L. 2010, (HB 10-1260), ch. 403, p.
1951, § 16, effective July 1, 2010.)
(d) Repealed.
(e) (c) Aid law enforcement in the enforcement of this article 240
and in the prosecution of all persons, firms, associations, or corporations
charged with the violation of any of its provisions.
(2) [Formerly 12-36-104 (3)] To facilitate the licensure of qualified
applicants and address the unlicensed practice of medicine, the unlicensed
practice as a physician assistant, and the unlicensed practice as an
anesthesiologist assistant, the president of the board shall establish a
licensing panel in accordance with section 12-36-111.3 12-240-116 to
perform licensing functions in accordance with this article 240 and review
and resolve matters relating to the unlicensed practice of medicine,
unlicensed practice as a physician assistant, and unlicensed practice as an
anesthesiologist assistant. Two panel members constitute a quorum of the
panel. Any action taken by a quorum of the panel constitutes action by the
board.
(3) [Formerly 12-36-104 (4)] To facilitate the licensure of a
physician under the "Interstate Medical Licensure Compact Act", part 36 of
article 60 of title 24, C.R.S., the board shall obtain a set of fingerprints from
an applicant for licensure under the compact and shall forward the
fingerprints to the Colorado bureau of investigation for the purpose of
obtaining a fingerprint-based criminal history record check. Upon receipt
of fingerprints and payment for the costs, the Colorado bureau of
investigation shall conduct a state and national fingerprint-based criminal
history record check using records of the Colorado bureau of investigation
and the federal bureau of investigation. The board is the authorized agency
to receive information regarding the result of a national criminal history
record check. The applicant whose fingerprints are checked shall pay the
actual costs of the state and national fingerprint-based criminal history
record check.
(4) [Formerly 12-36-104.5] The authority granted the board under
PAGE 784-HOUSE BILL 19-1172
the provisions of this article 240 shall not be construed to authorize the
board to arbitrate or adjudicate fee disputes between licensees or between
a licensee and any other party.
12-240-107. [Formerly 12-36-106] Practice of medicine defined
- exemptions from licensing requirements - unauthorized practice by
physician assistants and anesthesiologist assistants - penalties -
definitions - rules - repeal. (1) For the purpose of this article 36 240,
"practice of medicine" means:
(a) Holding out one's self to the public within this state as being able
to diagnose, treat, prescribe for, palliate, or prevent any human disease;
ailment; pain; injury; deformity; physical condition; or behavioral, mental
health, or substance use disorder, whether by the use of drugs, surgery,
manipulation, electricity, telemedicine, the interpretation of tests, including
primary diagnosis of pathology specimens, images, or photographs, or any
physical, mechanical, or other means whatsoever;
(b) Suggesting, recommending, prescribing, or administering any
form of treatment, operation, or healing for the intended palliation, relief,
or cure of a person's physical disease; ailment; injury; condition; or
behavioral, mental health, or substance use disorder;
(c) The maintenance of an office or other place for the purpose of
examining or treating persons afflicted with disease; injury; or a behavioral,
mental health, or substance use disorder;
(d) Using the title "M.D.", "D.O.", "physician", "surgeon", or any
word or abbreviation to indicate or induce others to believe that one is
licensed to practice medicine in this state and engaged in the diagnosis or
treatment of persons afflicted with disease; injury; or a behavioral, mental
health, or substance use disorder, except as otherwise expressly permitted
by the laws of this state enacted relating to the practice of any limited field
of the healing arts;
(e) Performing any kind of surgical operation upon a human being;
(f) The practice of midwifery, except:
(I) Services rendered by certified nurse-midwives properly licensed
PAGE 785-HOUSE BILL 19-1172
and practicing in accordance with the provisions of article 38 255 of this
title 12; or
(II) (A) Services rendered by a person properly registered as a
direct-entry midwife and practicing in accordance with article 37 225 of this
title 12.
(B) This subparagraph (II) SUBSECTION (1)(f)(II) is repealed,
effective September 1, 2023.
(g) The delivery of telemedicine. Nothing in this paragraph (g)
SUBSECTION (1)(g) authorizes physicians to deliver services outside their
scope of practice or limits the delivery of health services by other licensed
professionals, within the professional's scope of practice, using advanced
technology, including, but not limited to, interactive audio, interactive
video, or interactive data communication.
(2) If a person who does not possess and has not filed a license to
practice medicine, practice as a physician assistant, or practice as an
anesthesiologist assistant in this state, as provided in this article 240, and
who is not exempted from the licensing requirements under this article 240,
performs any of the acts that constitute the practice of medicine as defined
in this section, the person shall be deemed to be practicing medicine,
practicing as a physician assistant, or practicing as an anesthesiologist
assistant in violation of this article 240.
(3) A person may engage in, and shall not be required to obtain a
license or a physician training license under this article 36 240 with respect
to, any of the following acts:
(a) The gratuitous rendering of services in cases of emergency;
(b) The occasional rendering of services in this state by a physician
if the physician:
(I) Is licensed and lawfully practicing medicine in another state or
territory of the United States without restrictions or conditions on the
physician's license;
(II) Does not have any established or regularly used medical staff
PAGE 786-HOUSE BILL 19-1172
membership or clinical privileges in this state;
(III) Is not party to any contract, agreement, or understanding to
provide services in this state on a regular or routine basis;
(IV) Does not maintain an office or other place for the rendering of
such services;
(V) Has medical liability insurance coverage in the amounts
required pursuant to section 13-64-302 C.R.S., for the services rendered in
this state; and
(VI) Limits the services provided in this state to an occasional case
or consultation;
(c) The practice of dentistry under the conditions and limitations
defined by the laws of this state;
(d) The practice of podiatry under the conditions and limitations
defined by the laws of this state;
(e) The practice of optometry under the conditions and limitations
defined by the laws of this state;
(f) The practice of chiropractic under the conditions and limitations
defined by the laws of this state;
(g) The practice of religious worship;
(h) The practice of Christian Science, with or without compensation;
(i) The performance by commissioned medical officers of the armed
forces of the United States of America or of the United States public health
service or of the United States veterans administration of their lawful duties
in this state as such officers;
(j) The rendering of nursing services and delegated medical
functions by registered or other nurses in the lawful discharge of their
duties; as such;
PAGE 787-HOUSE BILL 19-1172
(k) The rendering of services by students currently enrolled in an
approved medical college;
(l) The rendering of services, other than the prescribing of drugs, by
persons qualified by experience, education, or training, under the personal
and responsible direction and supervision of a person licensed under the
laws of this state to practice medicine, but nothing in this exemption shall
be deemed to extend or limit the scope of any license, and this exemption
shall not apply to persons otherwise qualified to practice medicine but not
licensed to so practice in this state;
(m) The practice by persons licensed or registered under any law of
this state to practice a limited field of the healing arts not specifically
designated in this section, under the conditions and limitations defined by
such THE law;
(n) (Deleted by amendment, L. 2000, p. 30, § 1, effective March 10,
2000.)
(o) (I) (n) The administration and monitoring of medications in
facilities as provided in part 3 of article 1.5 of title 25; C.R.S.;
(II) Repealed.
(p) (o) The rendering of acupuncture services subject to the
conditions and limitations provided in article 29.5 200 of this title 12;
(q) (I) (p) The administration of nutrition or fluids through
gastrostomy tubes as provided in sections 25.5-10-204 (2)(j) and
27-10.5-103 (2)(i), C.R.S., as a part of residential or day program services
provided through service agencies approved by the department of health
care policy and financing pursuant to section 25.5-10-208; C.R.S.;
(II) Repealed.
(r) (q) (I) The administration of topical and aerosol medications
within the scope of physical therapy practice as provided in section
12-41-113 (2) 12-285-116 (2);
(II) The performance of wound debridement under a physician's
PAGE 788-HOUSE BILL 19-1172
order within the scope of physical therapy practice as provided in section
12-41-113 (3) 12-285-116 (3) or the performance of noninvasive wound
debridement within the scope of practice as a physical therapist assistant as
provided in section 12-41-209 (1)(f) 12-285-210 (1)(f);
(s) (r) The rendering of services by an athletic trainer subject to the
conditions and limitations provided in article 29.7 205 of this title 12;
(t) (s) (I) The rendering of prescriptions by an advanced practice
nurse pursuant to section 12-38-111.6 12-255-112.
(II) Repealed.
(II.5) (II) On or after July 1, 2010, a physician who serves as a
preceptor or mentor to an advanced practice nurse pursuant to sections
12-36-106.4 12-240-108 and 12-38-111.6 (4.5) 12-255-112 (4) shall have
a license in good standing without disciplinary sanctions to practice
medicine in Colorado and an unrestricted registration by the drug
enforcement administration for the same schedules as the collaborating
advanced practice nurse.
(III) Repealed.
(IV) (III) It is unlawful and a violation of this article 240 for any
person, corporation, or other entity to require payment or employment as a
condition of entering into a mentorship relationship with the advanced
practice nurse pursuant to sections 12-36-106.4 12-240-108 and
12-38-111.6 (4.5) 12-255-112 (4), but the mentor may request
reimbursement of reasonable expenses and time spent as a result of the
mentorship relationship.
(u) (t) (I) The provision, to a treating physician licensed in this state,
of the results of laboratory tests, excluding histopathology tests and
cytology tests, performed in a laboratory certified under the federal
"Clinical Laboratories Improvement Act of 1967", as amended, 42 U.S.C.
sec. 263a, to perform high complexity testing, as such THE term is used in
42 CFR 493.1701 and any related or successor provision;
(II) The provision, to a pathologist licensed in this state, of the
results of histopathology tests and cytology tests performed in a laboratory
PAGE 789-HOUSE BILL 19-1172
certified under the federal "Clinical Laboratories Improvement Act of
1967", as amended, 42 U.S.C. sec. 263a, to perform high complexity
testing, as such THE term is used in 42 CFR 493.1701 and any related or
successor provision;
(v) (u) The rendering of services by any person serving an approved
internship, residency, or fellowship as defined by this article 240 for an
aggregate period not to exceed sixty days;
(w) (v) A physician lawfully practicing medicine in another state or
territory providing medical services to athletes or team personnel registered
to train at the United States Olympic training center at Colorado Springs or
providing medical services at an event in this state sanctioned by the United
States Olympic Committee. The physician's medical practice shall be
contingent upon the requirements and approvals of the United States
Olympic Committee and shall not exceed ninety days per calendar year.
(x) Repealed.
(y) (w) The rendering of services by an emergency medical service
provider certified under section 25-3.5-203 C.R.S., if the services rendered
are consistent with rules adopted by the executive director or chief medical
officer, as applicable, under section 25-3.5-206 C.R.S., defining the duties
and functions of emergency medical service providers;
(z) (x) Rendering complementary and alternative health care
services consistent with section 6-1-724; C.R.S.;
(aa) (y) Practicing as a medical director pursuant to the "Recognition
of Emergency Medical Services Personnel Licensure Interstate Compact
Act", part 35 of article 60 of title 24, C.R.S., so long as the person is
licensed in good standing in a state that has enacted and is a member of the
compact.
(3.2) (4) Nothing in this section shall be construed to prohibit patient
consultation between a practicing physician licensed in Colorado and a
practicing physician licensed in another state or jurisdiction.
(3.5) (Deleted by amendment, L. 2009, (SB 09-026), ch. 373, p.
2031, § 2, effective July 1, 2009.)
PAGE 790-HOUSE BILL 19-1172
(4) (5) All licensees designated or referred to in subsection (3) of
this section, who are licensed to practice a limited field of the healing arts,
shall confine themselves strictly to the field for which they are licensed and
to the scope of their respective licenses and shall not use any title, word, or
abbreviation mentioned in paragraph (d) of subsection (1) SUBSECTION
(1)(d) of this section, except to the extent and under the conditions
expressly permitted by the law under which they are licensed.
(5) (6) (a) A person licensed under the laws of this state to practice
medicine may delegate to a physician assistant licensed by the board
pursuant to section 12-36-107.4 12-240-113 the authority to perform acts
that constitute the practice of medicine and acts that physicians are
authorized by law to perform to the extent and in the manner authorized by
rules promulgated by the board, including the authority to prescribe
medication, including controlled substances, and dispense only the drugs
designated by the board. Such THE acts must be consistent with sound
medical practice. Each prescription for a controlled substance, as defined
in section 18-18-102 (5), C.R.S., issued by a physician assistant licensed by
the board shall be imprinted with the name of the physician assistant's
supervising physician. For all other prescriptions issued by a physician
assistant, the name and address of the health facility and, if the health
facility is a multi-speciality organization, the name and address of the
speciality clinic within the health facility where the physician assistant is
practicing must be imprinted on the prescription. Nothing in this subsection
(5) (6) limits the ability of otherwise licensed health personnel to perform
delegated acts. The dispensing of prescription medication by a physician
assistant is subject to section 12-42.5-118 (6) 12-280-120 (6).
(b) (I) If the authority to perform an act is delegated pursuant to
paragraph (a) of this subsection (5) SUBSECTION (6)(a) OF THIS SECTION, the
act shall not be performed except under the personal and responsible
direction and supervision of a person licensed under the laws of this state
to practice medicine. A licensed physician may be responsible for the
direction and supervision of up to four physician assistants at any one time,
and may be responsible for the direction and supervision of more than four
physician assistants upon receiving specific approval from the board. The
board, by rule, may define what constitutes appropriate direction and
supervision of a physician assistant.
(II) For purposes of this subsection (5) (6), "personal and
PAGE 791-HOUSE BILL 19-1172
responsible direction and supervision" means that the direction and
supervision of a physician assistant is personally rendered by a licensed
physician practicing in the state of Colorado and is not rendered through
intermediaries. The extent of direction and supervision shall be determined
by rules promulgated by the board and as otherwise provided in this
paragraph (b) SUBSECTION (6)(b); except that, when a physician assistant is
performing a delegated medical function in an acute care hospital, the board
shall allow supervision and direction to be performed without the physical
presence of the physician during the time the delegated medical functions
are being implemented if:
(A) Such THE medical functions are performed where the
supervising physician regularly practices or in a designated health
manpower shortage area;
(B) The licensed supervising physician reviews the quality of
medical services rendered by the physician assistant by reviewing the
medical records to assure compliance with the physicians' directions; and
(C) The performance of the delegated medical function otherwise
complies with the board's regulations RULES and any restrictions and
protocols of the licensed supervising physician and hospital.
(III) Repealed.
(c) to (f) (Deleted by amendment, L. 2010, (HB 10-1260), ch. 403,
p. 1966, § 35, effective July 1, 2010.)
(g) (c) Pursuant to section 12-36-129 (6) 12-240-135 (7), the board
may apply for an injunction to enjoin any person from performing delegated
medical acts that are in violation of this section or of any rules promulgated
by the board.
(h) (d) This subsection (5) (6) shall not apply to any person who
performs delegated medical tasks within the scope of the exemption
contained in paragraph (l) of subsection (3) SUBSECTION (3)(l) of this
section.
(i) and (j) (Deleted by amendment, L. 2010, (HB 10-1260), ch. 403,
p. 1966, § 35, effective July 1, 2010.)
PAGE 792-HOUSE BILL 19-1172
(k) Repealed. / (Deleted by amendment, L. 2010, (HB 10-1260), ch.
403, p. 1966, § 35, effective July 1, 2010.)
(6) Repealed.
(7) (a) A physician licensed in this state that practices as an
anesthesiologist may delegate tasks constituting the practice of medicine to
an anesthesiologist assistant licensed pursuant to section 12-36-107.3
12-240-112 who has been educated and trained in accordance with rules
promulgated by the board. The delegated medical tasks referred to in this
paragraph (a) SUBSECTION (7)(a) are limited to the medical functions that
constitute the delivery or provision of anesthesia services as practiced by the
supervising physician.
(b) An anesthesiologist assistant shall perform delegated medical
tasks only under the direct supervision of a physician who practices as an
anesthesiologist. A patient or the patient's representative shall be advised if
an anesthesiologist assistant is involved in the care of a patient. Unless
approved by the board, a supervising physician shall not concurrently
supervise more than three anesthesiologist assistants; except that the board
may, by rule, allow an anesthesiologist to supervise up to four
anesthesiologist assistants on and after July 1, 2016. The board may
consider information from anesthesiologists, anesthesiologist assistants,
patients, and other sources when considering a ratio change of supervision
of anesthesiologist assistants. Direct supervision of anesthesiologist
assistants may be transferred between anesthesiologists of the same group
or practice in accordance with generally accepted standards of care.
(c) Nothing in this subsection (7) affects the practice of dentists and
dental assistants practicing pursuant to article 35 220 of this title 12.
12-240-108. [Formerly 12-36-106.4] Collaboration with advanced
practice nurses with prescriptive authority - mentorships. (1) (a) A
physician licensed pursuant to this article 240 may, and is encouraged to,
serve as a mentor to an advanced practice nurse who is applying for
prescriptive authority pursuant to section 12-38-111.6 (4.5) 12-255-112 (4).
A physician who serves as a mentor to an advanced practice nurse seeking
prescriptive authority shall:
(I) Be practicing in Colorado and shall have education, training,
PAGE 793-HOUSE BILL 19-1172
experience, and active practice that corresponds with the role and
population focus of the advanced practice nurse; and
(II) Have a license in good standing without disciplinary sanctions
to practice medicine in Colorado and an unrestricted registration by the drug
enforcement administration for the same schedules as the advanced practice
nurse.
(b) A physician serving as a mentor to an advanced practice nurse
pursuant to section 12-38-111.6 (4.5) 12-255-112 (4) shall not require
payment or employment as a condition of entering into the mentorship
relationship, but the physician may request reimbursement of reasonable
expenses and time spent as a result of the mentorship relationship.
(c) Upon successful completion of a mentorship as described in
section 12-38-111.6 (4.5)(b)(I) 12-255-112 (4)(b)(I), the physician shall
verify by his or her signature that the advanced practice nurse has
successfully completed the mentorship within the required period.
(2) While serving as a mentor pursuant to section 12-38-111.6
(4.5)(b)(I) 12-255-112 (4)(b)(I), a physician shall assist the advanced
practice nurse in developing an articulated plan for safe prescribing, as
described in section 12-38-111.6 (4.5)(b)(II) 12-255-112 (4)(b)(II), and
shall verify through his or her signature that the advanced practice nurse has
developed an articulated plan in compliance with said THAT section.
(3) For purposes of an advanced practice nurse who obtained
prescriptive authority prior to July 1, 2010, as described in section
12-38-111.6 (4.5)(c) 12-255-112 (4)(c), or who has prescriptive authority
from another state and obtains prescriptive authority in this state, as
described in section 12-38-111.6 (4.5)(d) 12-255-112 (4)(d), physicians
may, and are encouraged to, assist those advanced practice nurses in
developing the articulated plans required by those sections and verifying,
through the physician's signature, the development of the required plans.
The physician verifying an advanced practice nurse's articulated plan shall
be practicing in Colorado and have education, training, experience, and
active practice that corresponds with the role and population focus of the
advanced practice nurse.
(4) Repealed.
PAGE 794-HOUSE BILL 19-1172
12-240-109. [Formerly 12-36-106.5] Child health associates -
scope of practice. On and after July 1, 1990, any person who, on June 30,
1990, was certified only as a child health associate under the laws of this
state shall, upon application to the board, be granted licensure as a physician
assistant. The practice of any such THE person shall be subject to sections
12-36-106 (5) and 12-36-107.4 12-240-107 (6) AND 12-240-113; except that
such THE practice shall be limited to patients under the age of twenty-one.
12-240-110. [Formerly 12-36-107] Qualifications for licensure.
(1) Subject to the other conditions and provisions of this article 240, a
license to practice medicine shall be granted by the board to an applicant
only upon the basis of:
(a) The passing by the applicant of an examination approved by the
board;
(b) The applicant's passage of examinations conducted by the
National Board of Medical Examiners, the National Board of Examiners for
Osteopathic Physicians and Surgeons, the Federation of State Medical
Boards, or any successor to said THOSE organizations, as approved by the
board;
(c) Any combination of the examinations provided in paragraphs (a)
and (b) of this subsection (1) SUBSECTIONS (1)(a) AND (1)(b) OF THIS
SECTION approved by the board;
(d) (Deleted by amendment, L. 2010, (HB 10-1260), ch. 403, p.
1959, § 27, effective July 1, 2010.)
(e) (d) (I) Endorsement, if the applicant for licensure by
endorsement:
(A) Files an application and pays a fee as prescribed by the board;
(B) Holds a current, valid license in a jurisdiction that requires
qualifications substantially equivalent to the qualifications for licensure in
this state as specified in this section;
(C) Submits written verification that he or she has actively practiced
medicine in another jurisdiction for at least five of the immediately
PAGE 795-HOUSE BILL 19-1172
preceding seven years or has otherwise maintained continued competency
as determined by the board; and
(D) Submits proof satisfactory to the board that he or she has not
been and is not subject to final or pending disciplinary or other action by
any state or jurisdiction in which the applicant is or has been previously
licensed; except that, if the applicant is or has been subject to such action,
the board may review the action to determine whether the underlying
conduct warrants refusal of a license pursuant to section 12-36-116
12-240-120.
(II) Upon receipt of all documents required by this paragraph (e)
SUBSECTION (1)(d), the board shall review the application and make a
determination of the applicant's qualification to be licensed by endorsement.
(2) No person shall be granted a license to practice medicine as
provided by subsection (1) of this section unless such THE person:
(a) Is at least twenty-one years of age;
(b) Is a graduate of an approved medical college; and
(c) Has completed either an approved internship of at least one year
or at least one year of postgraduate training approved by the board.
(3) to (5) Repealed.
12-240-111. [Formerly 12-36-107.2] Distinguished foreign
teaching physician license - qualifications - rules. (1) Notwithstanding
any other provision of this article 240, an applicant of noteworthy and
recognized professional attainment who is a graduate of a foreign medical
school and who is licensed in a foreign jurisdiction, if that jurisdiction has
a licensing procedure, may be granted a distinguished foreign teaching
physician license to practice medicine in this state, upon application to the
board in the manner determined by the board, if the following conditions
are met:
(a) The applicant has been invited by a medical school in this state
to serve as a full-time member of its academic faculty for the period of his
or her appointment, at a rank equal to an associate professor or higher;
PAGE 796-HOUSE BILL 19-1172
(b) The applicant's medical practice is limited to that required by his
or her academic position, the limitation is so designated on the license in
accordance with board procedure, and the medical practice is also limited
to the core teaching hospitals affiliated with the medical school, as
identified by the board, on which the applicant is serving as a faculty
member.
(2) An applicant who meets the qualifications and conditions set
forth in subsection (1) of this section but is not offered the rank of associate
professor or higher may be granted a temporary license, for one year only,
to practice medicine in this state, as a member of the academic faculty, at
the discretion of the board and in the manner determined by the board. If the
applicant is granted a temporary license, he or she shall practice only under
the direct supervision of a person who has the rank of associate professor
or higher.
(3) A distinguished foreign teaching physician license is effective
and in force only while the holder is serving on the academic staff of a
medical school. The license expires one year after the date of issuance and
may be renewed annually only after the board has specifically determined
that the conditions specified in subsection (1) or (2) of this section will
continue during the ensuing period of licensure. The board may require an
applicant for licensure under this section to present himself or herself to the
board for an interview. The board may withdraw licensure granted under
this section prior to the expiration of the license for unprofessional conduct
as defined in section 12-36-117 12-240-121.
(4) The board may establish and charge a fee for a distinguished
foreign teaching physician license pursuant to section 24-34-105, C.R.S.
12-20-105, not to exceed the amount of the fee for renewal of a physician's
license.
(5) The board shall promulgate rules specifying standards related to
the qualification and supervision of distinguished foreign teaching
physicians.
12-240-112. [Formerly 12-36-107.3] Anesthesiologist assistant
license - qualifications. (1) To be licensed as an anesthesiologist assistant
under this article 240, an applicant must be at least twenty-one years of age
and must have:
PAGE 797-HOUSE BILL 19-1172
(a) Successfully completed an education program for
anesthesiologist assistants that conforms to standards delineated by the
Commission on Accreditation of Allied Health Education Programs, or its
successor organization, and approved by the board;
(b) Successfully completed the national certifying examination for
anesthesiologist assistants that is administered by the National Commission
for Certification of Anesthesiologist Assistants or a successor organization;
and
(c) Submitted an application to the board in the manner designated
by the board and paid the appropriate fee established by the board pursuant
to section 24-34-105, C.R.S. 12-20-105.
(2) A person applying for a license to practice as an anesthesiologist
assistant in this state shall notify the board, in connection with his or her
application for licensure, of the commission of any act that would be
grounds for disciplinary action against a licensed anesthesiologist assistant
under section 12-36-117 12-240-121, along with an explanation of the
circumstances of the act. The board may deny licensure to any applicant as
set forth in section 12-36-116 12-240-120.
(3) A person licensed to practice as an anesthesiologist assistant
shall not perform any act that constitutes the practice of medicine within a
hospital or ambulatory surgical center licensed pursuant to part 1 of article
3 of title 25 C.R.S., or required to obtain a certificate of compliance
pursuant to section 25-1.5-103 (1)(a)(II), C.R.S., unless the licensed
anesthesiologist assistant obtains authorization from the governing board of
the hospital or ambulatory surgical center. The governing board of a
hospital or ambulatory surgical center may grant, deny, or limit a licensed
anesthesiologist assistant's authorization based on the governing board's
established procedures.
(4) The board may take any disciplinary action with respect to an
anesthesiologist assistant license as it may with respect to the license of a
physician, in accordance with section 12-36-118 12-240-125.
(5) The board shall license and keep a record of anesthesiologist
assistants who have been licensed pursuant to this section. A licensed
anesthesiologist assistant shall renew his or her license in accordance with
PAGE 798-HOUSE BILL 19-1172
section 12-36-123 12-240-130.
(6) This section takes effect July 1, 2013.
12-240-113. [Formerly 12-36-107.4] Physician assistant license
- qualifications. (1) To be licensed as a physician assistant under this
article 240, an applicant shall be at least twenty-one years of age and shall
have:
(a) Successfully completed an education program for physician
assistants that conforms to standards approved by the board, which
standards may be established by utilizing the assistance of any responsible
accrediting organization;
(b) Successfully completed the national certifying examination for
physician assistants that is administered by the National Commission on
Certification of Physician Assistants or a successor organization or
successfully completed any other examination approved by the board; and
(c) Submitted an application to the board in the manner designated
by the board and paid the appropriate fee established by the board pursuant
to section 24-34-105, C.R.S. 12-20-105.
(2) The board may determine whether any applicant for licensure as
a physician assistant possesses education, experience, or training in health
care that is sufficient to be accepted in lieu of the qualifications required for
licensure under subsection (1) of this section.
(3) A person applying for a license to practice as a physician
assistant in this state shall notify the board, in connection with his or her
application for licensure, of the commission of any act that would be
grounds for disciplinary action against a licensed physician assistant under
section 12-36-117 12-240-121, along with an explanation of the
circumstances of the act. The board may deny licensure to any applicant as
set forth in section 12-36-116 12-240-120.
(4) A person licensed as a physician assistant shall not perform any
act that constitutes the practice of medicine within a hospital or nursing care
facility that is licensed pursuant to part 1 of article 3 of title 25 C.R.S., or
that is required to obtain a certificate of compliance pursuant to section
PAGE 799-HOUSE BILL 19-1172
25-1.5-103 (1)(a)(II), C.R.S., without authorization from the governing
board of the hospital or nursing care facility. The governing board may
grant, deny, or limit a physician assistant's authorization based on its own
established procedures.
(5) The board may take any disciplinary action with respect to a
physician assistant license as it may with respect to the license of a
physician, in accordance with section 12-36-118 12-240-125.
(6) The board shall license and keep a record of physician assistants
who have been licensed pursuant to this section. A licensed physician
assistant shall renew his or her license in accordance with section 12-36-123
12-240-130.
12-240-114. [Formerly 12-36-107.6] Foreign medical school
graduates - degree equivalence. (1) For graduates of schools other than
those approved by the Liaison Committee for ON Medical Education or the
American Osteopathic Association, or the successor of either entity, the
board may require three years of postgraduate clinical training approved by
the board. An applicant whose foreign medical school is not an approved
medical college is eligible for licensure at the discretion of the board if the
applicant meets all other requirements for licensure and holds specialty
board certification, current at the time of application for licensure, conferred
by a regular member board of the American Board of Medical Specialties
or the American Osteopathic Association. The factors to be considered by
the board in the exercise of its discretion in determining the qualifications
of such applicants shall include the following:
(a) The information available to the board relating to the medical
school of the applicant; and
(b) The nature and length of the postgraduate training completed by
the applicant.
(2) Repealed.
12-240-115. [Formerly 12-36-111] Applications for license.
(1) Every person desiring a license to practice medicine shall make
application to the board, such THE application to be verified by oath and to
be in such THE form as shall be prescribed by the board. Such THE
PAGE 800-HOUSE BILL 19-1172
application shall be accompanied by the license fee and such THE
documents, affidavits, and certificates as are necessary to establish that the
applicant possesses the qualifications prescribed by this article 240, apart
from any required examination by the board. The burden of proof shall be
upon the applicant, but the board may make such independent investigation
as it may deem advisable to determine whether the applicant possesses such
THE qualifications and whether the applicant has at any time committed any
of the acts or offenses defined in this article 240 as unprofessional conduct.
(2) Repealed.
12-240-116. [Formerly 12-36-111.3] Licensing panel. (1) (a) The
president of the board shall establish a licensing panel consisting of three
members of the board as follows:
(I) One panel member shall be a licensed physician having the
degree of doctor of medicine;
(II) One panel member shall be a licensed physician having the
degree of doctor of osteopathy; and
(III) One panel member shall be a public member of the board.
(b) The president may rotate the licensing panel membership and the
membership on the inquiry and hearing panels established pursuant to
section 12-36-118 12-240-125 so that all members of the board, including
the board president, may serve on each of the board panels.
(c) If the president determines that the board lacks a member to
serve on the licensing panel that meets the criteria specified in paragraph (a)
of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION, the president may
appoint another board member to fill the vacancy on the panel.
(2) The licensing panel shall review and make determinations on
applications for a license under this article 240.
(3) The licensing panel shall review and resolve matters relating to
the unlicensed practice of medicine. If it appears to the licensing panel,
based upon credible evidence in a written complaint by any person or upon
credible evidence in a motion of the licensing panel, that a person is
PAGE 801-HOUSE BILL 19-1172
practicing or has practiced medicine, practiced as a physician assistant, or
practiced as an anesthesiologist assistant without a license as required by
this article 240, the licensing panel may issue an order to cease and desist
the unlicensed practice. The order must set forth the particular statutes and
rules that have been violated, the facts alleged to have constituted the
violation, and the requirement that all unlicensed practices immediately
cease. The respondent may request a hearing on a cease-and-desist order in
accordance with section 12-36-118 (14)(b) 12-20-405. Section 12-36-118
(10) 12-240-125 (9), exempting board disciplinary proceedings and records
from open meetings and public records requirements, does not apply to a
hearing or any other proceeding held by the licensing panel pursuant to this
subsection (3) regarding the unlicensed practice of medicine. The
procedures specified in section 12-36-118 (15), (16), (17), and (18)
12-20-405 apply to allegations and orders regarding the unlicensed practice
of medicine before the licensing panel.
12-240-117. [Formerly 12-36-114] Issuance of licenses - prior
practice prohibited. (1) If the board determines that an applicant
possesses the qualifications required by this article 240, the board shall
issue to the applicant a license to practice medicine.
(2) Prior to the approval of such A license, the applicant shall not
engage in the practice of medicine in this state, and any person who
practices medicine in this state without first obtaining approval of such A
license shall be deemed to have violated the provisions of this article 240.
(3) All holders of a license to practice medicine granted by the
board, or by the state board of medical examiners as constituted under any
prior law of this state, shall be accorded equal rights and privileges under
all laws of the state of Colorado, shall be subject to the same duties and
obligations, and shall be authorized to practice medicine, as defined by this
article 240 in all its branches.
12-240-118. [Formerly 12-36-114.3] Pro bono license -
qualifications - reduced fee - rules. (1) Notwithstanding any other
provision of this article 240, the board may issue a pro bono license to a
physician to practice medicine in this state for not more than sixty days in
a calendar year if the physician:
(a) (I) Holds an active and unrestricted license to practice medicine
PAGE 802-HOUSE BILL 19-1172
in Colorado and is in active practice in this state;
(II) Has been on inactive status pursuant to section 12-36-137
12-240-141 for not more than two years; or
(III) Holds an active and unrestricted license to practice medicine
in another state or territory of the United States;
(b) Attests to the board that he or she:
(I) Does not charge for his or her services; except that the facility at
which the services are provided may charge on a not-for-profit basis for the
provision of services; or
(II) Works for and may be compensated by an organization that does
not charge Colorado patients for its services;
(c) Has never had a license to practice medicine in this state or in
another state or territory revoked or suspended, as verified by the applicant
in the manner prescribed by the board;
(d) Is not the subject of an unresolved complaint;
(e) Maintains commercial professional liability insurance coverage
in accordance with section 13-64-301; C.R.S.; and
(f) Pays the fee established by the board.
(2) The board shall establish and charge an application fee for an
initial and renewal pro bono license, not to exceed one-half the amount of
the fee for a renewal of a physician's license and not to exceed the cost of
administering the license.
(3) A pro bono license is subject to the renewal requirements set
forth in section 12-36-123 12-240-130.
(4) A physician granted a pro bono license under this section shall
not simultaneously hold a full license to practice medicine issued under this
article 240.
PAGE 803-HOUSE BILL 19-1172
(5) A physician granted a pro bono license under this section is
subject to discipline by the board for committing unprofessional conduct,
as defined in section 12-36-117 12-240-121, or any other act prohibited by
this article 240.
(6) The board may refrain from issuing a pro bono license in
accordance with section 12-36-116 12-240-120.
(7) The board may adopt rules as necessary to implement this
section.
12-240-119. [Formerly 12-36-114.5] Reentry license.
(1) Notwithstanding any other provision of this article 240, the board may
issue a reentry license to a physician, physician assistant, or anesthesiologist
assistant who has not actively practiced medicine, practiced as a physician
assistant, or practiced as an anesthesiologist assistant, as applicable, for the
two-year period immediately preceding the filing of an application for a
reentry license, or who has not otherwise maintained continued competency
during such THAT period, as determined by the board. The board may
charge a fee for a reentry license.
(2) (a) In order to qualify for a reentry license, the physician,
physician assistant, or anesthesiologist assistant shall submit to evaluations,
assessments, and an educational program as required by the board. The
board may work with a private entity that specializes in physician, physician
assistant, or anesthesiologist assistant assessment to:
(I) Determine the applicant's competency and areas in which
improvement is needed, if any;
(II) Develop an educational program specific to the applicant; and
(III) Upon completion of the educational program, conduct an
evaluation to determine the applicant's competency.
(b) (I) If, based on the assessment, the board determines that the
applicant requires a period of supervised practice, the board may issue a
reentry license, allowing the applicant to practice medicine, practice as a
physician assistant, or practice as an anesthesiologist assistant, as
applicable, under supervision as specified by the board.
PAGE 804-HOUSE BILL 19-1172
(II) After satisfactory completion of the period of supervised
practice, as determined by the board, the reentry licensee may apply to the
board for conversion of the reentry license to a full license to practice
medicine, practice as a physician assistant, or practice as an anesthesiologist
assistant, as applicable, under this article 240.
(c) If, based on the assessment and after completion of an
educational program, if prescribed, the board determines that the applicant
is competent and qualified to practice medicine without supervision or
practice as a physician assistant or as an anesthesiologist assistant with
supervision as specified in this article 240, the board may convert the
reentry license to a full license to practice medicine, practice as a physician
assistant, or practice as an anesthesiologist assistant, as applicable, under
this article 240.
(3) A reentry license shall be valid for no more than three years and
shall not be renewable.
12-240-120. [Formerly 12-36-116] Refusal of license - issuance
subject to probation. (1) The board may refrain from issuing a license or
may grant a license subject to terms of probation if the board determines
that an applicant for a license:
(a) Does not possess the qualifications required by this article 240;
(b) Has engaged in unprofessional conduct, as defined in section
12-36-117 12-240-121;
(c) Has been disciplined in another state or foreign jurisdiction with
respect to his or her license to practice medicine, license to practice as a
physician assistant, or license to practice as an anesthesiologist assistant; or
(d) Has not actively practiced medicine, practiced as a physician
assistant, or practiced as an anesthesiologist assistant for the two-year
period immediately preceding the filing of such AN application or otherwise
maintained continued competency during such THAT period, as determined
by the board.
(2) For purposes of this section, "discipline" includes any matter that
must be reported pursuant to 45 CFR 60.8 and is substantially similar to
PAGE 805-HOUSE BILL 19-1172
unprofessional conduct, as defined in section 12-36-117 12-240-121.
(3) An applicant whose application is denied or whose license is
granted subject to terms of probation may seek review pursuant to section
24-4-104 (9); C.R.S.; except that, if an applicant accepts a license that is
subject to terms of probation, such THE acceptance shall be in lieu of and
not in addition to the remedies set forth in section 24-4-104 (9). C.R.S.
12-240-121. [Formerly 12-36-117] Unprofessional conduct -
definitions. (1) "Unprofessional conduct" as used in this article 36 240
means:
(a) Resorting to fraud, misrepresentation, or deception in applying
for, securing, renewing, or seeking reinstatement of a license to practice
medicine or a license to practice as a physician assistant in this state or any
other state, in applying for professional liability coverage, required pursuant
to section 13-64-301, C.R.S., or privileges at a hospital, or in taking the
examination provided for in this article 240;
(b) to (e) Repealed.
(f) (b) Any conviction of an offense of moral turpitude, a felony, or
a crime that would constitute a violation of this article 240. For purposes of
this paragraph (f) SUBSECTION (1)(b), "conviction" includes the entry of a
plea of guilty or nolo contendere or the imposition of a deferred sentence.
(g) (c) Administering, dispensing, or prescribing any habit-forming
drug or any controlled substance as defined in section 18-18-102 (5) C.R.S.,
other than in the course of legitimate professional practice;
(h) (d) Any conviction of violation of any federal or state law
regulating the possession, distribution, or use of any controlled substance,
as defined in section 18-18-102 (5), C.R.S., and, in determining if a license
should be denied, revoked, or suspended, or if the licensee should be placed
on probation, the board shall be governed by section SECTIONS 12-20-202
(5) AND 24-5-101. C.R.S. For purposes of this paragraph (h) SUBSECTION
(1)(d), "conviction" includes the entry of a plea of guilty or nolo contendere
or the imposition of a deferred sentence.
(i) (e) Habitual or excessive use or abuse of alcohol, a habit-forming
PAGE 806-HOUSE BILL 19-1172
drug, or a controlled substance as defined in section 18-18-102 (5); C.R.S.;
(j) Repealed.
(k) (f) The aiding or abetting, in the practice of medicine, of any
person not licensed to practice medicine as defined under this article 240 or
of any person whose license to practice medicine is suspended;
(l) Repealed.
(m) (g) (I) Except as otherwise provided in sections 12-36-134
12-240-138, 25-3-103.7, and 25-3-314, C.R.S., practicing medicine as the
partner, agent, or employee of, or in joint venture with, any person who
does not hold a license to practice medicine within this state, or practicing
medicine as an employee of, or in joint venture with, any partnership or
association any of whose partners or associates do not hold a license to
practice medicine within this state, or practicing medicine as an employee
of or in joint venture with any corporation other than a professional service
corporation for the practice of medicine as described in section 12-36-134
12-240-138. Any licensee holding a license to practice medicine in this state
may accept employment from any person, partnership, association, or
corporation to examine and treat the employees of such THE person,
partnership, association, or corporation.
(II) (A) Nothing in this paragraph (m) SUBSECTION (1)(g) shall be
construed to permit a professional services SERVICE corporation for the
practice of medicine, as described in section 12-36-134 12-240-138, to
practice medicine.
(B) Nothing in this paragraph (m) SUBSECTION (1)(g) shall be
construed to otherwise create an exception to the corporate practice of
medicine doctrine.
(n) (h) Violating, or attempting to violate, directly or indirectly, or
assisting in or abetting the violation of or conspiring to violate any
provision or term of this article 240 OR AN APPLICABLE PROVISION OF
ARTICLE 20 OR 30 OF THIS TITLE 12;
(o) (i) Failing to notify the board, as required by section 12-36-118.5
(1) 12-30-108 (1), of a physical illness, a physical condition, or a
PAGE 807-HOUSE BILL 19-1172
behavioral, mental health, or substance use disorder that impacts the
licensee's ability to perform a medical service with reasonable skill and with
safety to patients; failing to act within the limitations created by a physical
illness, a physical condition, or a behavioral, mental health, or substance use
disorder that renders the licensee unable to perform a medical service with
reasonable skill and with safety to the patient; or failing to comply with the
limitations agreed to under a confidential agreement entered INTO pursuant
to section 12-36-118.5 SECTIONS 12-30-108 AND 12-240-126;
(p) (j) Any act or omission which THAT fails to meet generally
accepted standards of medical practice;
(q) Repealed.
(r) (k) Engaging in a sexual act with a patient during the course of
patient care or within six months immediately following the termination of
the licensee's professional relationship with the patient. "Sexual act", as
used in this paragraph (r) SUBSECTION (1)(k), means sexual contact, sexual
intrusion, or sexual penetration as defined in section 18-3-401. C.R.S.
(s) (l) Refusal of an attending physician to comply with the terms of
a declaration executed by a patient pursuant to the provisions of article 18
of title 15 C.R.S., and failure of the attending physician to transfer care of
said THE patient to another physician;
(t) (m) (I) Violation of abuse of health insurance pursuant to section
18-13-119; C.R.S.; or
(II) Advertising through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the licensee will
perform any act prohibited by section 18-13-119 (3); C.R.S.;
(u) (n) Violation of any valid board order or any rule or regulation
promulgated by the board in conformance with law;
(v) (o) Dispensing, injecting, or prescribing an anabolic steroid, as
defined in section 18-18-102 (3), C.R.S., for the purpose of the hormonal
manipulation that is intended to increase muscle mass, strength, or weight
without a medical necessity to do so or for the intended purpose of
improving performance in any form of exercise, sport, or game;
PAGE 808-HOUSE BILL 19-1172
(w) (p) Dispensing or injecting an anabolic steroid, as defined in
section 18-18-102 (3), C.R.S., unless such THE anabolic steroid is dispensed
from a pharmacy prescription drug outlet pursuant to a prescription order
or is dispensed by any practitioner in the course of his THE PRACTITIONER'S
professional practice;
(x) (q) Prescribing, distributing, or giving to a family member or to
oneself except on an emergency basis any controlled substance as defined
in section 18-18-204 C.R.S., or as contained in schedule II of 21 U.S.C. sec.
812, as amended;
(y) (r) Failing to report to the board, within thirty days after an
adverse action, that an adverse action has been taken against the licensee by
another licensing agency in another state or country, a peer review body, a
health care institution, a professional or medical society or association, a
governmental agency, a law enforcement agency, or a court for acts or
conduct that would constitute grounds for disciplinary or adverse action as
described in this article 240;
(z) (s) Failing to report to the board, within thirty days, the surrender
of a license or other authorization to practice medicine in another state or
jurisdiction or the surrender of membership on any medical staff or in any
medical or professional association or society while under investigation by
any of those authorities or bodies for acts or conduct similar to acts or
conduct that would constitute grounds for action as described in this article
240;
(aa) (t) Failing to accurately answer the questionnaire accompanying
the renewal form as required pursuant to section 12-36-123 (1)(b)
12-240-130 (2);
(bb) (u) (I) Engaging in any of the following activities and practices:
Willful and repeated ordering or performance, without clinical justification,
of demonstrably unnecessary laboratory tests or studies; the administration,
without clinical justification, of treatment which THAT is demonstrably
unnecessary; the failure to obtain consultations or perform referrals when
failing to do so is not consistent with the standard of care for the profession;
or ordering or performing, without clinical justification, any service, X ray,
or treatment which THAT is contrary to recognized standards of the practice
of medicine as interpreted by the board.
PAGE 809-HOUSE BILL 19-1172
(II) In determining which activities and practices are not consistent
with the standard of care or are contrary to recognized standards of the
practice of medicine, the board shall utilize, in addition to its own expertise,
the standards developed by recognized and established accreditation or
review organizations that meet requirements established by the board by
rule. Such THE determinations shall include but NEED not be limited to
appropriate ordering of laboratory tests and studies, appropriate ordering of
diagnostic tests and studies, appropriate treatment of the medical condition
under review, appropriate use of consultations or referrals in patient care,
and appropriate creation and maintenance of patient records.
(cc) (v) Falsifying or repeatedly making incorrect essential entries
or repeatedly failing to make essential entries on patient records;
(dd) (w) Committing a fraudulent insurance act, as defined in
section 10-1-128; C.R.S.;
(ee) (x) Failing to establish and continuously maintain financial
responsibility, as required in section 13-64-301; C.R.S.;
(ff) Repealed.
(gg) (y) Failing to respond in an honest, materially responsive, and
timely manner to a complaint issued pursuant to section 12-36-118 (4)
12-240-125 (4);
(hh) (z) Advertising in a manner that is misleading, deceptive, or
false;
(ii) Repealed.
(jj) (aa) Any act or omission in the practice of telemedicine that fails
to meet generally accepted standards of medical practice;
(kk) (bb) Entering into or continuing in a mentorship relationship
with an advanced practice nurse pursuant to sections 12-36-106.4
12-240-108 and 12-38-111.6 (4.5) 12-255-112 (4) that fails to meet
generally acceptable standards of medical practice;
(ll) (cc) Verifying by signature the articulated plan developed by an
PAGE 810-HOUSE BILL 19-1172
advanced practice nurse pursuant to sections 12-36-106.4 12-240-108 and
12-38-111.6 (4.5) 12-255-112 (4) if the articulated plan fails to comply with
the requirements of section 12-38-111.6 (4.5)(b)(II) 12-255-112 (4)(b)(II);
(mm) (dd) Failure to comply with the requirements of section 14 of
article XVIII of the state constitution, section 25-1.5-106, C.R.S., or the
rules promulgated by the state health agency pursuant to section 25-1.5-106
(3). C.R.S.
(1.5) (2) (a) A licensee shall not be subject to disciplinary action by
the board solely for prescribing controlled substances for the relief of
intractable pain.
(b) For the purposes of this subsection (1.5) (2), "intractable pain"
means a pain state in which the cause of the pain cannot be removed and
FOR which in the generally accepted course of medical practice no relief or
cure of the cause of the pain is possible or none has been found after
reasonable efforts including, but not limited to, evaluation by the attending
physician and one or more physicians specializing in the treatment of the
area, system, or organ of the body perceived as the source of the pain.
(1.7) Repealed.
(1.8) (3) A licensee is not subject to disciplinary action by the board
for issuing standing orders and protocols regarding the use of epinephrine
auto-injectors in a public or nonpublic school in accordance with the
requirements of section 22-1-119.5, C.R.S., for the actions taken by a
school nurse or by any designated school personnel who administers
epinephrine auto-injectors in accordance with the requirements of section
22-1-119.5, C.R.S., or for prescribing epinephrine auto-injectors in
accordance with the requirements of article 47 of title 25. C.R.S.
(2) (4) The discipline of a license to practice medicine, of a license
to practice as a physician assistant, or of a license to practice as an
anesthesiologist assistant in another state, territory, or country shall be
deemed to be unprofessional conduct. For purposes of this subsection (2)
(4), "discipline" includes any sanction required to be reported pursuant to
45 CFR 60.8. This subsection (2) (4) applies only to discipline that is based
upon an act or omission in such THE other state, territory, or country that is
defined substantially the same as unprofessional conduct pursuant to
PAGE 811-HOUSE BILL 19-1172
subsection (1) of this section.
(3) (5) (a) For purposes of this section, "alternative medicine" means
those health care methods of diagnosis, treatment, or healing that are not
generally used but that provide a reasonable potential for therapeutic gain
in a patient's medical condition that is not outweighed by the risk of such
THE methods. A licensee who practices alternative medicine shall inform
each patient in writing, during the initial patient contact, of such THE
licensee's education, experience, and credentials related to the alternative
medicine practiced by such THE licensee. The board shall not take
disciplinary action against a licensee solely on the grounds that such THE
licensee practices alternative medicine.
(b) Nothing in paragraph (a) of this subsection (3) SUBSECTION
(5)(a) OF THIS SECTION prevents disciplinary action against a licensee for
practicing medicine, practicing as a physician assistant, or practicing as an
anesthesiologist assistant in violation of this article 240.
12-240-122. [Formerly 12-36-117.5] Prescriptions - requirement
to advise patients. (1) A physician licensed under this article 240, or a
physician assistant licensed by the board who has been delegated the
authority to prescribe medication, may advise the physician's or the
physician assistant's patients of their option to have the symptom or purpose
for which a prescription is being issued included on the prescription order.
(2) A physician's or a physician assistant's failure to advise a patient
under subsection (1) of this section shall not be grounds for any disciplinary
action against the physician's or the physician assistant's professional
license issued under this article 240. Failure to advise a patient pursuant to
subsection (1) of this section shall not be grounds for any civil action
against a physician or physician's assistant in a negligence or tort action, nor
shall such THE failure be evidence in any civil action against a physician or
a physician's assistant.
12-240-123. [Similar to 12-36-117.6] Prescribing opioids -
limitations - repeal. (1) A PHYSICIAN OR PHYSICIAN ASSISTANT IS SUBJECT
TO THE LIMITATIONS ON PRESCRIBING OPIOIDS SPECIFIED IN SECTION
12-30-109.
(2) THIS SECTION IS REPEALED, EFFECTIVE SEPTEMBER 1, 2021.
PAGE 812-HOUSE BILL 19-1172
12-240-124. [Similar to 12-36-117.7] Prescribing opiate
antagonists. A PHYSICIAN OR PHYSICIAN ASSISTANT LICENSED PURSUANT TO
THIS ARTICLE 240 MAY PRESCRIBE OR DISPENSE AN OPIATE ANTAGONIST IN
ACCORDANCE WITH SECTION 12-30-110.
12-240-125. [Formerly 12-36-118] Disciplinary action by board
- rules. (1) (a) The president of the board shall divide those members of the
board other than the president into two panels of six members each, four of
whom shall be physician members.
(b) Each panel shall act as both an inquiry and a hearings panel.
Members of the board may be assigned from one panel to the other by the
president. The president may be a member of both panels, but in no event
shall the president or any other member who has considered a complaint as
a member of a panel acting as an inquiry panel take any part in the
consideration of a formal complaint involving the same matter.
(c) All matters referred to one panel for investigation shall be heard,
if referred for formal hearing, by the other panel or a committee of such
THAT panel. However, in its discretion, either inquiry panel may elect to
refer a case for formal hearing to a qualified administrative law judge in
lieu of a hearings panel of the board, for an initial decision pursuant to
section 24-4-105. C.R.S.
(d) The initial decision of an administrative law judge may be
reviewed pursuant to section 24-4-105 (14) and (15) C.R.S., by the filing of
exceptions to the initial decision with the hearings panel which THAT would
have heard the case if it had not been referred to an administrative law
judge or by review upon the motion of such THE hearings panel. The
respondent or the board's counsel shall file such THE exceptions.
(2) Investigations shall be under the supervision of the panel to
which they are assigned. The persons making such THE investigation shall
report the results thereof to the assigning panel for appropriate action.
(3) (a) In the discharge of its duties, the board may enlist the
assistance of other licensees. Licensees have the duty to report to the board
any licensee known, or upon information and belief, to have violated any
of the provisions of section 12-36-117 (1) 12-240-121 (1); except that a
licensee who is treating another licensee for a behavioral, mental health, or
PAGE 813-HOUSE BILL 19-1172
substance use disorder or the excessive use of any habit-forming drug, shall
not have a duty to report his or her patient unless, in the opinion of the
treating licensee, the impaired licensee presents a danger to himself, herself,
or others.
(b) [Relocated to 12-20-402]
(4) (a) (I) Written complaints relating to the conduct of a licensee
licensed or authorized to practice medicine in this state may be made by any
person or may be initiated by an inquiry panel of the board on its own
motion. The licensee complained of shall be given notice by first-class mail
of the nature of the complaint and shall be given thirty days to answer or
explain in writing the matters described in such complaint. Upon receipt of
the licensee's answer or at the conclusion of thirty days, whichever occurs
first, the inquiry panel may take further action as set forth in subparagraph
(II) of this paragraph (a) SUBSECTION (4)(a)(II) OF THIS SECTION.
(II) The inquiry panel may then conduct a further investigation,
which may be made by one or more members of the inquiry panel, one or
more licensees who are not members of the board, a member of the staff of
the board, a professional investigator, or any other person or organization
as the inquiry panel directs. Any such THE investigation shall be entirely
informal.
(b) The board shall cause an investigation to be made when the
board is informed of:
(I) Disciplinary actions taken by hospitals to suspend or revoke the
privileges of a physician and reported to the board pursuant to section
25-3-107; C.R.S.;
(II) Disciplinary actions taken as a result of a professional review
proceeding pursuant to part 1 2 of article 36.5 30 of this title 12 against a
physician. Such Disciplinary actions shall be promptly reported to the
board.
(III) An instance of a medical malpractice settlement or judgment
against a licensee reported to the board pursuant to section 10-1-120;
C.R.S.; or
PAGE 814-HOUSE BILL 19-1172
(IV) Licensees who have been allowed to resign from hospitals for
medical misconduct. Such Hospitals shall report the same RESIGNATION.
(c) On completion of an investigation, the inquiry panel shall make
a finding that:
(I) The complaint is without merit and no further action need be
taken with reference thereto;
(II) There is no reasonable cause to warrant further action with
reference thereto;
(II.5) (III) The investigation discloses THERE IS an instance of
conduct that does not warrant formal action by the board and should be
dismissed, but in which the inquiry panel has noticed indications of possible
errant conduct by the licensee that could lead to serious consequences if not
corrected. In such a THIS case, THE BOARD SHALL SEND a confidential letter
of concern shall be sent IN ACCORDANCE WITH SECTION 12-20-404 (5) to the
licensee against whom the complaint was made.
(III) (IV) (A) When a complaint or investigation discloses THERE IS
an instance of misconduct that, in the opinion of the board, does not warrant
formal action by the board but that should not be dismissed as being without
merit. IN THIS CASE, THE BOARD MAY ISSUE AND SEND a letter of admonition,
may be issued and sent, by certified mail, to the licensee IN ACCORDANCE
WITH SECTION 12-20-404 (4).
(B) When a letter of admonition is sent by the board, by certified
mail, to a licensee, such licensee shall be advised that he or she has the right
to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(C) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(IV) (V) (A) The investigation discloses facts that warrant further
proceedings by formal complaint, as provided in subsection (5) of this
section. In which event THIS CASE, the complaint shall be referred to the
PAGE 815-HOUSE BILL 19-1172
attorney general for preparation and filing of a formal complaint.
(B) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(d) All proceedings pursuant to this subsection (4) shall be
expeditiously and informally conducted so that no licensee is subjected to
unfair and unjust charges and that no complainant is deprived of his or her
right to a timely, fair, and proper investigation of his or her complaint.
(e) Repealed.
(5) (a) to (d) (Deleted by amendment, L. 95, p. 1062, § 13, effective
July 1, 1995.)
(e) (5) (a) All formal complaints shall be heard and determined in
accordance with paragraph (f) of this subsection (5) SUBSECTION (5)(b) OF
THIS SECTION and section 24-4-105. C.R.S. Except as provided in subsection
(1) of this section, all formal hearings shall be conducted by the hearings
panel. The licensee may be present in person and by counsel, if so desired,
to offer evidence and be heard in his or her own defense. At formal
hearings, the witnesses shall be sworn and a complete record shall be made
of all proceedings and testimony.
(f) (b) Except as provided in subsection (1) of this section, an
administrative law judge shall preside at the hearing and shall advise the
hearings panel, as requested, on legal matters in connection with the
hearing. The administrative law judge shall provide advice or assistance as
requested by the hearings panel in connection with its preparations of its
findings and recommendations or conclusions to be made. The
administrative law judge may administer oaths and affirmations, sign and
issue subpoenas, ACT IN ACCORDANCE WITH SECTION 12-20-403 and perform
other duties as authorized by the hearings panel.
(g) (c) (I) To warrant a finding of unprofessional conduct, the
charges shall be established as specified in section 24-4-105 (7). C.R.S.
Except as provided in subsection (1) of this section, the hearings panel shall
make a report of its findings and conclusions which THAT, when approved
PAGE 816-HOUSE BILL 19-1172
and signed by a majority of those members of the hearings panel who have
conducted the hearing pursuant to paragraphs (e) and (f) of this subsection
(5) SUBSECTIONS (5)(a) AND (5)(b) OF THIS SECTION, shall be and become
the action of the board.
(II) If it is found that the charges are unproven, the hearings panel,
or an administrative law judge sitting in lieu of the hearings panel pursuant
to subsection (1) of this section, shall enter an order dismissing the
complaint.
(III) If the hearings panel finds the charges proven and orders that
discipline be imposed, it shall also determine the extent of such THE
discipline, which must be in the form of a letter of admonition, suspension
for a definite or indefinite period, or revocation of license to practice. The
hearings panel also may impose a fine of up to five thousand dollars per
violation. In determining appropriate disciplinary action, the hearings panel
shall first consider sanctions that are necessary to protect the public. Only
after the panel has considered such sanctions may it consider and order
requirements designed to rehabilitate the licensee or applicant. If discipline
other than revocation of a license to practice is imposed, the hearings panel
may also order that the licensee be granted probation and allowed to
continue to practice during the period of such probation. The hearings panel
may also include in any disciplinary order that allows the licensee to
continue to practice such conditions as the panel may deem appropriate to
assure that the licensee is physically, mentally, morally, and otherwise
qualified to practice medicine, practice as a physician assistant, or practice
as an anesthesiologist assistant in accordance with generally accepted
professional standards of practice, including any or all of the following:
(A) Submission by the respondent to such examinations as the
hearings panel may order to determine his THE RESPONDENT'S physical or
mental condition or his THE RESPONDENT'S professional qualifications;
(B) The Taking by him THE RESPONDENT of such therapy or courses
of training or education as may be needed to correct deficiencies found
either in the hearing or by such THE examinations;
(C) The Review or supervision of his THE RESPONDENT'S practice as
may be necessary to determine the quality of his THE RESPONDENT'S practice
and to correct deficiencies therein; and
PAGE 817-HOUSE BILL 19-1172
(D) The imposition of restrictions upon the nature of his THE
RESPONDENT'S practice to assure that he THE RESPONDENT does not practice
beyond the limits of his THE RESPONDENT'S capabilities.
(III.5) Any moneys collected pursuant to subparagraph (III) of this
paragraph (g) shall be transmitted to the state treasurer, who shall credit the
same to the general fund.
(IV) Upon the failure of the licensee to comply with any conditions
imposed by the hearings panel pursuant to subparagraph (III) of this
paragraph (g) SUBSECTION (5)(c)(III) OF THIS SECTION, unless due to
conditions beyond the licensee's control, the hearings panel may order
suspension of the licensee's license to practice medicine, practice as a
physician assistant, or practice as an anesthesiologist assistant in this state
until such time as the licensee complies with such THE conditions.
(V) In making any of the orders provided in subparagraphs (III) and
(IV) of this paragraph (g) SUBSECTIONS (5)(c)(III) AND (5)(c)(IV) OF THIS
SECTION, the hearings panel may take into consideration the licensee's prior
disciplinary record. If the hearings panel does take into consideration any
prior discipline of the licensee, its findings and recommendations shall so
indicate.
(VI) In all cases of revocation, suspension, or probation, the board
shall enter in its records the facts of such THE revocation, suspension, or
probation and of any subsequent action of the board with respect thereto.
(VII) to (IX) (Deleted by amendment, L. 79, p. 512, § 14, effective
July 1, 1979.)
(X) (VII) In all cases involving alleged violations of section
12-36-117 (1)(mm) 12-240-121 (1)(dd), the board shall promptly notify the
executive director of the department of public health and environment of its
findings, including whether it found that the physician violated section
12-36-117 (1)(mm) 12-240-121 (1)(dd) and any restrictions it placed on the
physician with respect to recommending the use of medical marijuana.
(h) (d) The attorney general shall prosecute those charges which
THAT have been referred to him or her THE ATTORNEY GENERAL by the
inquiry panel pursuant to subparagraph (IV) of paragraph (c) of subsection
PAGE 818-HOUSE BILL 19-1172
(4) SUBSECTION (4)(c)(V) of this section. The board may direct the attorney
general to perfect an appeal.
(i) (e) Any person whose license to practice medicine, to practice as
a physician assistant, or to practice as an anesthesiologist assistant is
revoked or who surrenders his or her license to avoid discipline is not
eligible to apply for any license for two years after the date the license is
revoked or surrendered. The two-year waiting period SPECIFIED IN SECTION
12-20-404 (3) applies to any person whose license to practice medicine, to
practice as a physician assistant, to practice as an anesthesiologist assistant,
or to practice any other health care occupation is revoked by THE BOARD,
ANOTHER APPLICABLE REGULATOR, OR any other legally qualified board or
regulatory entity.
(6) A majority of the members of the board, three members of the
inquiry panel, or three members of the hearings panel shall constitute a
quorum. The action of a majority of those present comprising such A
quorum shall be the action of the board, the inquiry panel, or the hearings
panel.
(7) (Deleted by amendment, L. 2010, (HB 10-1260), ch. 403, p.
1951, § 17, effective July 1, 2010.)
(8) (7) If any licensee is determined to be mentally incompetent or
insane by a court of competent jurisdiction and a court enters, pursuant to
part 3 or part 4 of article 14 of title 15 or section 27-65-109 (4) or
27-65-127, C.R.S., an order specifically finding that the mental
incompetency or insanity is of such a degree that the licensee is incapable
of continuing to practice medicine, practice as a physician assistant, or
practice as an anesthesiologist assistant, the board shall automatically
suspend his or her license, and, anything in this article 240 to the contrary
notwithstanding, such THE suspension must continue until the licensee is
found by such THE court to be competent to practice medicine, practice as
a physician assistant, or practice as an anesthesiologist assistant.
(9) (8) (a) If the board has reasonable cause to believe that a licensee
is unable to practice with reasonable skill and safety to patients because of
a condition described in section 12-36-117 (1)(i) or (1)(o) 12-240-121 (1)(e)
OR (1)(i), it may require such THE licensee to submit to mental or physical
examinations by physicians designated by the board. If a licensee fails to
PAGE 819-HOUSE BILL 19-1172
submit to such THE mental or physical examinations, the board may suspend
the license until the required examinations are conducted.
(b) Every licensee shall be deemed, by so practicing or by applying
for annual registration of such THE person's license, to have consented to
submit to mental or physical examinations when directed in writing by the
board. Further, such THE person shall be deemed to have waived all
objections to the admissibility of the examining physician's testimony or
examination reports on the ground of privileged communication. Subject to
applicable federal law, such THE licensee shall be deemed to have waived
all objections to the production of medical records to the board from health
care providers that may be necessary for the evaluations described in
paragraph (a) of this subsection (9) SUBSECTION (8)(a) OF THIS SECTION.
(c) The results of any mental or physical examination ordered by the
board shall not be used as evidence in any proceeding other than before the
board.
(10) (9) (a) Investigations, examinations, hearings, meetings, or any
other proceedings of the board conducted pursuant to this section shall be
exempt from any law requiring that proceedings of the board be conducted
publicly or that the minutes or records of the board with respect to action of
the board taken pursuant to this section be open to public inspection. This
subsection (10) (9) shall not apply to investigations, examinations, hearings,
meetings, or any other proceedings or records of the licensing panel created
pursuant to section 12-36-111.3 12-240-116 related to the unlicensed
practice of medicine.
(b) For purposes of the records related to a complaint filed pursuant
to this section against a licensee, the board is considered a professional
review committee, the records related to the complaint include all records
described in section 12-36.5-102 (7) 12-30-202 (8), and section 12-36.5-104
(11) 12-30-204 (12) applies to those records.
(11) (10) A licensee who, at the request of the board, examines
another licensee shall be immune from suit for damages by the person
examined if the examining person conducted the examination and made his
or her findings or diagnosis in good faith.
(12) (Deleted by amendment, L. 95, p. 1062, § 13, effective July 1,
PAGE 820-HOUSE BILL 19-1172
1995.)
(13) (11) Within thirty days after the board takes final action, which
is of public record, to revoke or suspend a license or to place a licensee on
probation based on competence or professional conduct, the board shall
send notice of the final action to any hospital in which the licensee has
clinical privileges, as indicated by the licensee.
(14) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person or in its own motion, that a
licensee is acting in a manner that is an imminent threat to the health and
safety of the public, the board may issue an order to cease and desist such
activity. The order shall set forth the statutes and rules alleged to have been
violated, the facts alleged to have constituted the violation, and the
requirement that all unlawful acts or practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (14), the respondent may
request a hearing on the question of whether acts or practices in violation
of this part 1 have occurred. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(15) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this part 1, then, in addition to any specific powers
granted pursuant to this part 1, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (15) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (15) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
PAGE 821-HOUSE BILL 19-1172
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (15). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (15) does not appear at
the hearing, the board may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(15) and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or has or is about to engage in acts or practices constituting
violations of this part 1, a final cease-and-desist order may be issued
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (15), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom such order has been issued. The
final order issued pursuant to subparagraph (III) of this paragraph (c) shall
be effective when issued and shall be a final order for purposes of judicial
review.
(16) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this part 1, any rule promulgated pursuant to this part 1, any order issued
pursuant to this part 1, or any act or practice constituting grounds for
administrative sanction pursuant to this part 1, the board may enter into a
PAGE 822-HOUSE BILL 19-1172
stipulation with such person.
(17) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(18) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
order as provided in section 12-36-119.
(12) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405; EXCEPT THAT THE BOARD:
(a) MAY ALSO ISSUE A CEASE-AND-DESIST ORDER ON ITS OWN
MOTION; AND
(b) MAY ONLY ISSUE A CEASE-AND-DESIST ORDER WHEN IT APPEARS
THAT A LICENSEE IS ACTING IN A MANNER THAT IS AN IMMINENT THREAT TO
THE HEALTH AND SAFETY OF THE PUBLIC.
(19) (13) If a physician has a restriction placed on his or her license,
the restriction shall, if practicable, state whether the restriction prohibits the
physician from making a medical marijuana recommendation.
12-240-126. [Formerly 12-36-118.5] Confidential agreements to
limit practice. (1) If a physician, physician assistant, or anesthesiologist
assistant suffers from a physical illness; a physical condition; or a
behavioral or mental health disorder that renders the licensee unable to
practice medicine, practice as a physician assistant, or practice as an
anesthesiologist assistant with reasonable skill and with safety to patients,
the physician, physician assistant, or anesthesiologist assistant shall notify
the board of the physical illness; the physical condition; or the behavioral
or mental health disorder in a manner and within a period determined by the
board. The board may require the licensee to submit to an examination or
refer the licensee to a peer health assistance program pursuant to section
12-36-123.5 to evaluate the extent of the physical illness; the physical
PAGE 823-HOUSE BILL 19-1172
condition; or the behavioral or mental health disorder and its impact on the
licensee's ability to practice with reasonable skill and with safety to patients.
(2) (a) Upon determining that a physician, physician assistant, or
anesthesiologist assistant with a physical illness; a physical condition; or a
behavioral or mental health disorder is able to render limited medical
services with reasonable skill and with safety to patients, the board may
enter into a confidential agreement with the physician, physician assistant,
or anesthesiologist assistant in which the physician, physician assistant, or
anesthesiologist assistant agrees to limit his or her practice based on the
restrictions imposed by the physical illness; the physical condition; or the
behavioral or mental health disorder, as determined by the board.
(b) As part of the agreement, the licensee shall be subject to periodic
reevaluations or monitoring as determined appropriate by the board. The
board may refer the licensee to the peer assistance health program for
reevaluation or monitoring.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(3) By entering into an agreement with the board pursuant to this
section to limit his or her practice, the licensee shall not be deemed to be
engaging in unprofessional conduct, and the agreement shall be considered
an administrative action and shall not constitute a restriction or discipline
by the board. However, if the licensee fails to comply with the terms of an
agreement entered into pursuant to this section, such failure constitutes
unprofessional conduct pursuant to section 12-36-117 (1)(o), and the
licensee shall be subject to discipline in accordance with section 12-36-118.
(4) This section shall not apply to a licensee subject to discipline for
unprofessional conduct as described in section 12-36-117 (1)(i).
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO
LIMIT PRACTICE APPLIES TO THIS ARTICLE 240. AN AGREEMENT ENTERED
INTO PURSUANT TO SECTION 12-30-108 SHALL BE CONSIDERED AN
ADMINISTRATIVE ACTION BY THE BOARD.
12-240-127. [Formerly 12-36-119] Appeal of final board actions.
When the board refuses to grant a license, imposes disciplinary action
PAGE 824-HOUSE BILL 19-1172
pursuant to section 12-36-118 12-240-125, or places a licensee on
probation, such THE action may be reviewed by the court of appeals
pursuant to section 24-4-106 (11), C.R.S. 12-20-408, unless the licensee has
accepted a license subject to terms of probation as set forth in section
12-36-116 (3) 12-240-120 (3).
12-240-128. [Formerly 12-36-122] Physician training licenses.
(1) Any person serving an approved internship, residency, or fellowship,
as defined by this article 240, in a hospital in this state may do so for an
aggregate period of up to six years under the authority of a physician
training license issued pursuant to this subsection SECTION and without a
license to practice medicine issued pursuant to section 12-36-107
12-240-110 or 12-36-107.6 12-240-114.
(2) No person shall be granted a physician training license unless
such THE person meets the following criteria:
(a) The person has been accepted into and demonstrates the
intention to participate in an approved internship, residency, or fellowship,
as defined by this article 240; and
(b) The person is not otherwise licensed to practice medicine in this
state.
(3) The board may refrain from issuing a physician training license,
or may grant a physician training license subject to terms or probation, for
any of the reasons listed in section 12-36-116 (1)(a), (1)(b), or (1)(c)
12-240-120 (1)(a), (1)(b), OR (1)(c). An applicant whose physician training
license is denied or is granted subject to terms of probation may seek review
pursuant to section 24-4-104 (9); C.R.S.; except that, if an applicant accepts
a physician training license that is subject to terms of probation, such
acceptance shall be in lieu of and not in addition to the remedies set forth
in section 24-4-104 (9). C.R.S.
(4) Except as provided in subsection (3) of this section, the board
shall issue a physician training license upon receipt of a statement from the
approved internship, residency, or fellowship program stating that the
applicant meets the criteria set forth in subsection (2) of this section and that
the approved internship, residency, or fellowship accepts responsibility for
the applicant's training while in the program. The statement shall be signed
PAGE 825-HOUSE BILL 19-1172
by the program director, clinical director, or other physician responsible for
the training of the applicant. The statement shall be submitted to the board
no later than thirty days prior to the date on which the applicant begins the
approved internship, residency, or fellowship in this state.
(5) Where feasible, the applicant shall submit a completed
application, on a form approved by the board, on or before the date on
which the applicant begins the approved internship, residency, or fellowship
in this state. Any physician training license granted pursuant to this section
shall expire if a completed application is not received by the board sixty
days after the applicant begins the approved internship, residency, or
fellowship in this state. The board may establish and charge an application
and renewal fee not to exceed fifty dollars for such physician training
licenses pursuant to section 24-34-105, C.R.S. Such 12-20-105. Applicants
and renewal applicants shall not be required to pay any fee pursuant to
section 12-36-123.5 12-240-131.
(6) Except as otherwise provided in this section, such A physician
training license shall be subject to renewal as set forth in section 12-36-123
(1)(a) and (1)(b) 12-240-130 (1) AND (2). In no event shall any person hold
a Colorado physician training license for more than an aggregate period of
six years.
(7) A physician training licensee may practice medicine as defined
by this article 240 with the following restrictions:
(a) A physician training licensee shall be authorized to practice
medicine only under the supervision of a physician licensed to practice
medicine pursuant to section 12-36-107 12-240-110 or 12-36-107.6
12-240-114 and only as necessary for the physician training licensee's
participation in the approved internship, residency, or fellowship designated
on the licensee's application for a physician training license.
(b) (I) A physician training license shall expire:
(A) Within sixty days under the circumstances described in
subsection (5) of this section;
(B) At the time the physician training licensee ceases to participate
in the approved internship, residency, or fellowship program identified on
PAGE 826-HOUSE BILL 19-1172
the licensee's application form; or
(C) At the time the physician training licensee obtains any other
license to practice medicine issued by the board.
(II) If a physician training licensee entered an approved internship,
residency, or fellowship other than the approved internship, residency, or
fellowship indicated on the licensee's application, the licensee shall file a
new application with the board pursuant to subsections (4) and (5) of this
section.
(c) A physician training licensee shall not have the authority to
delegate the rendering of medical services to a person who is not licensed
to practice medicine pursuant to section 12-36-106 (3)(l) 12-240-107 (3)(l)
and shall not have the authority to supervise physician assistants as provided
by section 12-36-106 (5) 12-240-107 (6).
(d) The issuance of a physician training license shall not be
construed to require the board to issue the physician training licensee a
license to practice medicine pursuant to section 12-36-107 12-240-110 or
12-36-107.6 12-240-114.
(8) A physician training licensee may be disciplined for
unprofessional conduct as defined in section 12-36-117 12-240-121,
pursuant to the procedures outlined in section 12-36-118 12-240-125.
(9) Repealed.
(10) (9) Licensed physicians responsible for the supervision of
interns, residents, or fellows in graduate training programs shall report to
the board no later than thirty days after a physician training licensee has
been terminated or has resigned from the approved internship, residency, or
fellowship.
12-240-129. [Formerly 12-36-122.5] Intern, resident, or fellow
reporting. (1) Notwithstanding any provision of 12-36-118 (10) SECTION
12-240-125 (9) to the contrary, the board shall inform the licensed
physicians responsible for the supervision of an intern, resident, or fellow
of any complaint received in writing relating to the intern, resident, or
fellow. The board shall also inform the program sponsoring such THE intern,
PAGE 827-HOUSE BILL 19-1172
resident, or fellow of actions of the board regarding such THE complaint.
(2) The board in its discretion may release records that are not
otherwise privileged or confidential by law to the licensed physicians
responsible for the supervision of an intern, resident, or fellow, but only if
such THE physician agrees in writing not to redisclose such THE records or
the information contained therein for use outside of any proceeding within
the program or practice site.
(3) Licensed physicians responsible for the supervision of interns,
residents, or fellows in graduate training programs shall promptly report to
the board anything concerning a licensee in the graduate training program
that would constitute a violation of this article 240. The physicians shall
also report to the board any licensee who has not progressed satisfactorily
in the program because the licensee has been dismissed, suspended, or
placed on probation for reasons that constitute unprofessional conduct as
defined in section 12-36-117 12-240-121, unless the conduct has been
reported to the peer health assistance program pursuant to section
12-36-123.5 12-240-131.
12-240-130. [Formerly 12-36-123] Procedure - registration - fees.
(1) (a) All licenses shall be renewed or reinstated pursuant to a schedule
established by the director of the division of professions and occupations
within the department of regulatory agencies and shall be renewed or
reinstated pursuant to section 24-34-102 (8), C.R.S. The director of the
division may establish renewal fees and delinquency fees for reinstatement
pursuant to section 24-34-105, C.R.S., and ISSUED PURSUANT TO THIS
ARTICLE 240 ARE SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT,
AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND
(2). THE DIRECTOR shall increase renewal fees consistent with section
24-34-109 (4), C.R.S., 12-30-105 (4) to fund the division's costs in
administering and staffing the nurse-physician advisory task force for
Colorado health care created in section 24-34-109 (1), C.R.S. If a person
fails to renew his or her license pursuant to the schedule established by the
director of the division of professions and occupations, such license shall
expire 12-30-105 (1). A person whose license has expired shall be subject
to the penalties provided in this article 240 or section 24-34-102 (8), C.R.S.
12-20-202 (1).
(b) (2) The board shall design a questionnaire to accompany the
PAGE 828-HOUSE BILL 19-1172
renewal form for the purpose of determining whether a licensee has acted
in violation of this article 240 or been disciplined for any action that might
be considered a violation of this article 240 or might make the licensee unfit
to practice medicine with reasonable care and safety. If an applicant fails to
answer the questionnaire accurately, such THE failure shall constitute
unprofessional conduct under section 12-36-117 (1)(aa) 12-240-121 (1)(t).
(c) (3) Applicants for relicensure shall not be required to attend and
complete continuing medical education programs, except as directed by the
board to correct deficiencies of training or education as directed under
section 12-36-118 (5)(g)(III)(B) 12-240-125 (5)(c)(III)(B).
(2) (Deleted by amendment, L. 2004, p. 1829, § 70, effective August
4, 2004.)
(3) (Deleted by amendment, L. 95, p. 1067, § 16, effective July 1,
1995.)
12-240-131. [Formerly 12-36-123.5] Peer health assistance
program.
(1) to (3) Repealed.
(3.5) (a) (Deleted by amendment, L. 95, p. 1068, § 17, effective July
1, 1995.)
(1) (b) (a) (I) As a condition of physician, physician assistant, and
anesthesiologist assistant licensure and renewal in this state, every applicant
shall pay, pursuant to paragraph (e) of this subsection (3.5) SUBSECTION
(1)(d) OF THIS SECTION, an amount set by the board, not to exceed sixty-one
dollars per year, which maximum amount may be adjusted on January 1,
2011, and annually thereafter by the board to reflect:
(A) Changes in the United States DEPARTMENT OF LABOR, bureau of
labor statistics, consumer price index for the Denver-Boulder consolidated
metropolitan statistical area DENVER-AURORA-LAKEWOOD for all urban
consumers, all goods, or its successor index;
(B) Overall utilization of the program; and
PAGE 829-HOUSE BILL 19-1172
(C) Differences in program utilization by physicians, physician
assistants, and anesthesiologist assistants.
(II) Based on differences in utilization rates between physicians,
physician assistants, and anesthesiologist assistants, the board may establish
different fee amounts for physicians, physician assistants, and
anesthesiologist assistants.
(III) The fee imposed pursuant to this paragraph (b) SUBSECTION
(1)(a) is to support designated providers that have been selected by the
board to provide assistance to physicians, physician assistants, and
anesthesiologist assistants needing help in dealing with physical, emotional,
or psychological problems that may be detrimental to their ability to practice
medicine, practice as a physician assistant, or practice as an anesthesiologist
assistant, as applicable.
(c) (b) The board shall select one or more peer health assistance
programs as designated providers. To be eligible for designation by the
board, a peer health assistance program must:
(I) Provide for the education of physicians, physician assistants, and
anesthesiologist assistants with respect to the recognition and prevention of
physical, emotional, and psychological problems and provide for
intervention when necessary or under circumstances that may be established
by rules promulgated by the board;
(II) Offer assistance to a physician, physician assistant, or
anesthesiologist assistant in identifying physical, emotional, or
psychological problems;
(III) Evaluate the extent of physical, emotional, or psychological
problems and refer the physician, physician assistant, or anesthesiologist
assistant for appropriate treatment;
(IV) Monitor the status of a physician, physician assistant, or
anesthesiologist assistant who has been referred for treatment;
(V) Provide counseling and support for the physician, physician
assistant, or anesthesiologist assistant and for the family of any physician,
physician assistant, or anesthesiologist assistant referred for treatment;
PAGE 830-HOUSE BILL 19-1172
(VI) Agree to receive referrals from the board;
(VII) Agree to make their services available to all licensed Colorado
physicians, licensed Colorado physician assistants, and licensed Colorado
anesthesiologist assistants.
(d) (c) The administering entity shall be a qualified, nonprofit
private foundation that is qualified under section 501 (c)(3) of the federal
"Internal Revenue Code of 1986", as amended, and shall be dedicated to
providing support for charitable, benevolent, educational, and scientific
purposes that are related to medicine, medical education, medical research
and science, and other medical charitable purposes.
(e) (d) The responsibilities of the administering entity are:
(I) To collect the required annual payments, either directly or
through the board pursuant to paragraph (e.5) of this subsection (3.5)
SUBSECTION (1)(e) OF THIS SECTION;
(II) To verify to the board, in a manner acceptable to the board, the
names of all physician, physician assistant, and anesthesiologist assistant
applicants who have paid the fee set by the board;
(III) To distribute the moneys MONEY collected, less expenses, to the
approved designated provider, as directed by the board;
(IV) To provide an annual accounting to the board of all amounts
collected, expenses incurred, and amounts disbursed; and
(V) To post a surety performance bond in an amount specified by
the board to secure performance under the requirements of this section. The
administering entity may recover the actual administrative costs incurred in
performing its duties under this section in an amount not to exceed ten
percent of the total amount collected.
(e.5) (e) The board may collect the required annual payments
payable to the administering entity for the benefit of the administering entity
and shall transfer all such payments to the administering entity. All required
annual payments collected by or due to the board for each fiscal year are
custodial funds that are not subject to appropriation by the general
PAGE 831-HOUSE BILL 19-1172
assembly, and the distribution of the payments to the administering entity
or expenditure of the payments by the administering entity does not
constitute state fiscal year spending for purposes of section 20 of article X
of the state constitution.
(f) Repealed.
(4) (Deleted by amendment, L. 95, p. 1068, § 17, effective July 1,
1995.)
(5) (2) Nothing in this section creates any liability on the board or
the state of Colorado for the actions of the board in making grants to peer
assistance programs, and no civil action may be brought or maintained
against the board or the state for an injury alleged to have been the result of
the activities of any state-funded peer assistance program or the result of an
act or omission of a physician, physician assistant, or anesthesiologist
assistant participating in or referred by a state-funded peer assistance
program.
(6) Repealed.
12-240-132. [Formerly 12-36-125] Division of fees - independent
advertising or marketing agent - definition. (1) (a) If any person holding
a license issued by the board or by the state board of medical examiners as
constituted under any prior law of this state divides any fee or compensation
received or charged for services rendered by him or her as such A licensee
or agrees to divide any such fee or compensation with any person, firm,
association, or corporation as pay or compensation to such THE other person
for sending or bringing any patient or other person to such THE licensee, or
for recommending such THE licensee to any person, or for being
instrumental in any manner in causing any person to engage such THE
licensee in his or her professional capacity; or if any such licensee shall
either directly or indirectly pay or compensate or agree to pay or
compensate any person, firm, association, or corporation for sending or
bringing any patient or other person to such THE licensee for examination
or treatment, or for recommending such THE licensee to any person, or for
being instrumental in causing any person to engage such THE licensee in his
or her professional capacity; or if any such licensee, in his or her
professional capacity and in his or her own name or behalf, shall make or
present a bill or request a payment for services rendered by any person other
PAGE 832-HOUSE BILL 19-1172
than the licensee, such THE licensee commits a class 3 misdemeanor and
shall be punished as provided in section 18-1.3-501. C.R.S.
(b) Notwithstanding the provisions of paragraph (a) of subsection
(1) SUBSECTION (1)(a) of this section, a licensee may pay an independent
advertising or marketing agent compensation for the advertising or
marketing services rendered on the licensee's behalf by such THE agent,
including compensation which THAT is paid for the results or performance
of such THE services on a per patient basis.
(c) As used in this subsection (1), "independent advertising or
marketing agent" means a person, firm, association, or corporation which
THAT performs advertising or other marketing services on behalf of
licensees, including referrals of patients to licensees resulting from
patient-initiated responses to such advertising or marketing services.
(2) Violation of the provisions of this section shall constitute
grounds for the suspension or revocation of a license or the placing of the
holder thereof on probation.
(3) Repealed.
12-240-133. [Formerly 12-36-126] Recovery of fees illegally paid.
If any licensee, in violation of section 12-36-125 12-240-132, divides or
agrees to divide any fee or compensation received by him THE LICENSEE for
services rendered in his OR HER professional capacity with any person
whomsoever, the person who has paid such THE fee or compensation to
such THE licensee may recover the amount unlawfully paid or agreed to be
paid from either the licensee or from the person to whom such THE fee or
compensation has been paid, by an action to be instituted within two years
from the date on which such THE fee or compensation was so divided or
agreed to be divided.
12-240-134. [Formerly 12-36-127] Liability of persons other than
licensee. If any person, firm, association, or corporation receives, either
directly or indirectly, any pay or compensation given or paid in violation of
section 12-36-125, such 12-240-132, THE person, firm, association, or
corporation, and the officers and directors thereof, commits a class 3
misdemeanor and shall be punished as provided in section 18-1.3-501.
C.R.S.
PAGE 833-HOUSE BILL 19-1172
12-240-135. [Formerly 12-36-129] Unauthorized practice -
penalties - injunctive relief. (1) Any person who practices or offers or
attempts to practice medicine, practice as a physician assistant, or practice
as an anesthesiologist assistant within this state without an active license
issued under this article commits a class 2 misdemeanor and shall be
punished as provided in section 18-1.3-501, C.R.S., for the first offense, and
any person committing a second or subsequent offense commits a class 6
felony and shall be punished as provided in section 18-1.3-401, C.R.S. 240
IS SUBJECT TO PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(2) Any person who engages in any of the following activities
commits a class 6 felony and shall be punished as provided in section
18-1.3-401: C.R.S.:
(a) Presents as his or her own the diploma, license, certificate, or
credentials of another;
(b) Gives either false or forged evidence of any kind to the board or
any board member in connection with an application for a license to
practice medicine, practice as a physician assistant, or practice as an
anesthesiologist assistant;
(c) Practices medicine, practices as a physician assistant, or practices
as an anesthesiologist assistant under a false or assumed name; or
(d) Falsely impersonates another licensee of a like or different name.
(2.5) (3) Any person who violates section 12-36-117 (1)(w)
12-240-121 (1)(p) commits a class 5 felony, and any person committing a
second or subsequent violation commits a class 3 felony; and such THOSE
persons shall be punished as provided in section 18-1.3-401. C.R.S.
(3) (4) No action may be maintained against an individual who has
been the recipient of services constituting the unlawful practice of
medicine, unlawful practice as a physician assistant, or unlawful practice as
an anesthesiologist assistant, for the breach of a contract involving the
unlawful practice of medicine, unlawful practice as a physician assistant, or
unlawful practice as an anesthesiologist assistant or the recovery of
compensation for services rendered under such a contract.
PAGE 834-HOUSE BILL 19-1172
(4) (5) When an individual has been the recipient of services
constituting the unlawful practice of medicine, unlawful practice as a
physician assistant, or unlawful practice as an anesthesiologist assistant,
whether or not the individual knew that the rendition of the services was
unlawful:
(a) The individual or the individual's personal representative is
entitled to recover the amount of any fee paid for the services; and
(b) The individual or the individual's personal representative may
also recover a reasonable attorney fee as fixed by the court, to be assessed
as part of the costs of the action.
(5) (6) (a) No specialty society, association of physicians, or
licensed physician may discriminate against any person licensed to practice
medicine if such THE physician is qualified for membership in the specialty
society or association. If board certification or eligibility in a specialty is a
membership requirement, certification or eligibility by either the American
Board of Medical Specialties or the American Osteopathic Association
based upon the applicant's training as a doctor of medicine or doctor of
osteopathy, is sufficient. Notwithstanding any other remedies provided
under this article 240, a licensed physician who is discriminated against in
violation of this section shall have a private right of action against the
licensed physician or specialty society or association that so discriminates.
(b) Any licensed physician, specialty society, or association of
physicians held liable for a violation of this subsection (5) (6) shall pay the
costs and reasonable attorney fees incurred by the aggrieved physician
associated with his OR HER pursuit of any claim for relief authorized by this
subsection (5) (6).
(6) [Relocated to 12-20-406]
(7) THE BOARD MAY APPLY IN ACCORDANCE WITH SECTION
12-20-406 FOR AN INJUNCTION TO ENJOIN ANY PERSON FROM COMMITTING
ANY ACT PROHIBITED BY THIS ARTICLE 240.
12-240-136. [Formerly 12-36-131] Existing licenses. (1) Nothing
in this article 240 shall be construed to invalidate or affect the license of any
person holding a valid, unrevoked, and unsuspended license to practice
PAGE 835-HOUSE BILL 19-1172
medicine in this state on July 1, 1951, except as otherwise provided by this
article 240.
(2) Nothing in this article 240 shall be construed to invalidate the
license of any person holding a valid, unrevoked, and unsuspended license
on June 30, 1979, to practice medicine in this state or to affect any
disciplinary proceeding or appeal pending on June 30, 1979, or any
appointment to the board, the inquiry panel, or the hearings panel made on
or before June 30, 1979.
12-240-137. [Formerly 12-36-133] Postmortem examinations by
licensee - definition - application of this section. (1) As used in this
section, "person" or persons" shall include any individual, partnership,
corporation, body politic, or association.
(2) Consent for a licensee to conduct a postmortem examination of
the body of a deceased person shall be deemed sufficient when given by
whichever one of the following assumes custody of the body for purposes
of burial: Father, mother, husband, wife, child, guardian, next of kin, or, in
the absence of any of the foregoing, a friend or a person charged by law
with the responsibility for burial. If two or more such persons assume
custody of the body, the consent of one of them shall be deemed sufficient.
(3) Nothing in this section shall be construed as a repeal of any
provision of part 6 of article 10 of title 30. C.R.S.
12-240-138. [Formerly 12-36-134] Professional service
corporations, limited liability companies, and registered limited
liability partnerships for the practice of medicine - definitions.
(1) Persons licensed to practice medicine by the board may form
professional service corporations for such persons' practice of medicine
under the "Colorado Business Corporation Act", articles 101 to 117 of title
7, C.R.S., if such THE corporations are organized and operated in
accordance with the provisions of this section. The articles of incorporation
of such THE corporations shall contain provisions complying with the
following requirements:
(a) The name of the corporation shall contain the words
"professional company" or "professional corporation" or abbreviations
thereof.
PAGE 836-HOUSE BILL 19-1172
(b) The corporation is organized solely for the purpose of permitting
individuals to conduct the practice of medicine through a corporate entity,
so long as all the individuals are actively licensed physicians or physician
assistants in the state of Colorado.
(c) The corporation may exercise the powers and privileges
conferred upon corporations by the laws of Colorado only in furtherance of
and subject to its corporate purpose.
(d) (I) Except as specified in subparagraph (II) of this paragraph (d)
SUBSECTION (1)(d)(II) OF THIS SECTION, all shareholders of the corporation
are persons licensed by the board to practice medicine in the state of
Colorado who at all times own their shares in their own right; except that
one or more persons licensed by the board as a physician assistant may be
a shareholder of the corporation as long as the physician shareholders
maintain majority ownership of the corporation. The shareholders shall be
individuals who, except for illness, accident, time spent in the armed
services, on vacations, and on leaves of absence not to exceed one year, are
actively engaged in the practice of medicine or as a physician assistant in
the offices of the corporation.
(II) If a person licensed to practice medicine who was a shareholder
of the corporation dies, an heir to the deceased shareholder may become a
shareholder of the corporation for up to two years, regardless of whether the
heir is licensed to practice medicine. Unless the deceased shareholder was
the only shareholder of the corporation, the heir who becomes a shareholder
shall be a nonvoting shareholder in all matters concerning the corporation.
If the heir of the deceased shareholder ceases to be a shareholder, the shares
shall be disposed of pursuant to paragraph (e) of this subsection (1)
SUBSECTION (1)(e) OF THIS SECTION.
(e) Provisions shall be made requiring any shareholder who ceases
to be or for any reason is ineligible to be a shareholder to dispose of all OF
his OR HER shares forthwith, either to the corporation or to any person
having the qualifications described in paragraph (d) of this subsection (1)
SUBSECTION (1)(d) OF THIS SECTION.
(f) The president shall be a shareholder and a director and, to the
extent possible, all other directors and officers shall be persons having the
qualifications described in paragraph (d) of this subsection (1) SUBSECTION
PAGE 837-HOUSE BILL 19-1172
(1)(d) OF THIS SECTION. Lay directors, officers, and heirs of deceased
shareholders shall not exercise any authority whatsoever over the
independent medical judgment of persons licensed by the board to practice
medicine in this state. Notwithstanding sections 7-108-103 to 7-108-106
C.R.S., relating to the terms of office and classification of directors, a
professional service corporation for the practice of medicine may provide
in the articles of incorporation or the bylaws that the directors may have
terms of office of up to six years and that the directors may be divided into
classes, with the terms of each class staggered to provide for the periodic
election of less than all the directors. Nothing in this article 240 shall be
construed to cause a professional service corporation to be vicariously liable
to a patient or third person for the professional negligence or other tortious
conduct of a physician who is a shareholder or employee of a professional
service corporation.
(f.5) (g) An heir to a deceased shareholder who becomes a
shareholder shall be liable only to the same extent as the deceased
shareholder would have been in his or her capacity as a shareholder, had he
or she lived and remained a shareholder, for all acts, errors, and omissions
of the employees of the corporation.
(g) (h) The articles of incorporation provide and all shareholders of
the corporation agree that all shareholders of the corporation are jointly and
severally liable for all acts, errors, and omissions of the employees of the
corporation or that all shareholders of the corporation are jointly and
severally liable for all acts, errors, and omissions of the employees of the
corporation, except during periods of time when each licensee who is a
shareholder or any employee of the corporation has a professional liability
policy insuring himself or herself and all employees who are not licensed
pursuant to this article 240 who act at his or her direction, in the amount of
fifty thousand dollars for each claim and an aggregate top limit of liability
per year for all claims of one hundred fifty thousand dollars, or the
corporation maintains in good standing professional liability insurance that
meets the following minimum standards:
(I) The insurance insures the corporation against liability imposed
upon the corporation by law for damages resulting from any claim made
against the corporation arising out of the performance of professional
services for others by those officers and employees of the corporation who
are licensees.
PAGE 838-HOUSE BILL 19-1172
(II) The policies insure the corporation against liability imposed
upon it by law for damages arising out of the acts, errors, and omissions of
all nonprofessional employees.
(III) The insurance is in an amount for each claim of at least fifty
thousand dollars multiplied by the number of licensees employed by the
corporation. The policy may provide for an aggregate top limit of liability
per year for all claims of one hundred fifty thousand dollars also multiplied
by the number of licensees employed by the corporation, but no firm shall
be required to carry insurance in excess of three hundred thousand dollars
for each claim with an aggregate top limit of liability for all claims during
the year of nine hundred thousand dollars.
(IV) The policy may provide that it does not apply to: Any
dishonest, fraudulent, criminal, or malicious act or omission of the insured
corporation or any stockholder or employee thereof; the conduct of any
business enterprise, as distinguished from the practice of medicine, in which
the insured corporation under this section is not permitted to engage but
which nevertheless may be owned by the insured corporation or in which
the insured corporation may be a partner or which may be controlled,
operated, or managed by the insured corporation in its own or in a fiduciary
capacity, including the ownership, maintenance, or use of any property in
connection therewith; when not resulting from breach of professional duty,
bodily injury to, or sickness, disease, or death of any person, or to injury to
or destruction of any tangible property, including the loss of use thereof;
and such THE policy may contain reasonable provisions with respect to
policy periods, territory, claims, conditions, and other usual matters.
(2) Repealed.
(3) (2) The corporation shall do nothing that, if done by a licensee
employed by the corporation, would violate the standards of professional
conduct as provided for in section 12-36-117 12-240-121. Any violation of
this section by the corporation is grounds for the board to revoke or suspend
the license of the person or persons responsible for the violation.
(4) (3) Nothing in this section diminishes or changes the obligation
of each licensee employed by the corporation to conduct his or her practice
in accordance with the standards of professional conduct provided for in
section 12-36-117 12-240-121. Any licensee who, by act or omission,
PAGE 839-HOUSE BILL 19-1172
causes the corporation to act or fail to act in a way that violates the
standards of professional conduct, including any provision of this section,
is personally responsible for such act or omission and is subject to discipline
for the act or omission.
(5) (4) Nothing in this section modifies the physician-patient
privilege specified in section 13-90-107 (1)(d). C.R.S.
(6) (5) A professional service corporation may adopt a pension,
CASH PROFIT SHARING, DEFERRED profit sharing, (whether cash or deferred),
health and accident, insurance, or welfare plan for all or part of its
employees including lay employees if such THE plan does not require or
result in the sharing of specific or identifiable fees with lay employees, and
if any payments made to lay employees, or into any such plan in behalf of
lay employees, are based upon their compensation or length of service, or
both, rather than the amount of fees or income received.
(7) (6) (a) Corporations shall not practice medicine. Nothing in this
section shall be construed to abrogate a cause of action against a
professional corporation for its independent acts of negligence.
(b) Employment of a physician in accordance with section
25-3-103.7 C.R.S., shall not be considered the corporate practice of
medicine.
(8) (7) As used in this section, unless the context otherwise requires:
(a) "Articles of incorporation" includes operating agreements of
limited liability companies and partnership agreements of registered limited
liability partnerships.
(b) "Corporation" includes a limited liability company organized
under the "Colorado Limited Liability Company Act", article 80 of title 7,
C.R.S., and a limited liability partnership registered under section 7-60-144
or 7-64-1002; C.R.S.; except that the name of an entity other than a
corporation shall contain the word "professional" or the abbreviation "prof."
in addition to any other words required by the statute under which such THE
entity is organized.
(c) "Director" and "officer" of a corporation includes a member and
PAGE 840-HOUSE BILL 19-1172
a manager of a limited liability company and a partner in a registered
limited liability partnership.
(d) "Employees" includes employees, members, and managers of a
limited liability company and employees and partners of a registered limited
liability partnership.
(e) "President" includes all managers, if any, of a limited liability
company and all partners in a registered limited liability partnership.
(f) "Share" includes a member's rights in a limited liability company
and a partner's rights in a registered limited liability partnership.
(g) "Shareholder" includes a member of a limited liability company
and a partner in a registered limited liability partnership.
12-240-139. [Formerly 12-36-135] Injuries to be reported -
penalty for failure to report - immunity from liability - definitions.
(1) (a) (I) Every licensee who attends or treats any of the following injuries
shall report the injury at once to the police of the city, town, or city and
county or the sheriff of the county in which the licensee is located:
(A) A bullet wound, a gunshot wound, a powder burn, or any other
injury arising from the discharge of a firearm, or an injury caused by a
knife, an ice pick, or any other sharp or pointed instrument that the licensee
believes to have been intentionally inflicted upon a person;
(B) An injury arising from a dog bite that the licensee believes was
inflicted upon a person by a dangerous dog, as defined in section
18-9-204.5 (2)(b); C.R.S.; or
(C) Any other injury that the licensee has reason to believe involves
a criminal act; except that a licensee is not required to report an injury that
he or she has reason to believe resulted from domestic violence unless he
or she is required to report the injury pursuant to subsection (1)(a)(I)(A) or
(1)(a)(I)(B) of this section or the injury is a serious bodily injury, as defined
in section 18-1-901 (3)(p).
(II) Any licensee who fails to make a report as required by this
section commits a class 2 petty offense, as defined by section 18-1.3-503
PAGE 841-HOUSE BILL 19-1172
C.R.S., and, upon conviction thereof, shall be punished by a fine of not
more than three hundred dollars, or by imprisonment in the county jail for
not more than ninety days, or by both such fine and imprisonment.
(III) Except as described in subsection (1)(a)(I)(C) of this section,
a licensee may, but is not required to, report an injury that he or she has
reason to believe occurred as a result of domestic violence if:
(A) The victim of the injury is at least eighteen years of age and
indicates his or her preference that the injury not be reported; and
(B) The injury is not an injury that the licensee is required to report
pursuant to subsection (1)(a)(I)(A) or (1)(a)(I)(B) of this section.
(IV) If a licensee does not report an injury pursuant to a victim's
request, as described in subsection (1)(a)(III) of this section, the licensee
shall document the victim's request in the victim's medical record.
(V) Before a licensee reports an injury that he or she has reason to
believe resulted from domestic violence, as described in subsection
(1)(a)(III) of this section, the licensee shall make a good-faith effort,
confidentially, to advise the victim of the licensee's intent to do so.
(VI) If a licensee has reason to believe that an injury resulted from
domestic violence, then, regardless of whether the licensee reports the
injury to law enforcement, the licensee shall either refer the victim to a
victim's advocate, as defined in section 13-90-107 (1)(k)(II), or provide the
victim with information concerning services available to victims of abuse.
(b) (I) When a licensee or nurse performs a medical forensic
examination that includes the collection of evidence at the request of a
victim of sexual assault, the licensee's or nurse's employing medical facility
shall, with the consent of the victim of the sexual assault, make one of the
following reports to law enforcement:
(A) A law enforcement report if a victim wishes to obtain a medical
forensic examination with evidence collection and at the time of the medical
forensic examination chooses to participate in the criminal justice system;
(B) A medical report if a victim wishes to obtain a medical forensic
PAGE 842-HOUSE BILL 19-1172
examination with evidence collection but at the time of the medical forensic
examination chooses not to participate in the criminal justice system. The
licensee or nurse shall collect such THE evidence and victim-identifying
information, and the employing medical facility shall release the evidence
and information to law enforcement for testing in accordance with section
24-33.5-113 (1)(b)(III) C.R.S., and storage in accordance with section
18-3-407.5 (3)(c). C.R.S.
(C) An anonymous report if a victim wishes to obtain a medical
forensic examination with evidence collection but at the time of the medical
forensic examination chooses not to have personal identifying information
provided to law enforcement or to participate in the criminal justice system.
The licensee or nurse shall collect such THE evidence, and the employing
medical facility shall release it to law enforcement for storage in accordance
with section 18-3-407.5 (3)(c). C.R.S. Law enforcement shall receive no
identifying information for the victim. Law enforcement shall assign a
unique identifying number to the evidence, and the licensee or nurse shall
record the identifying number in the medical record and notify the victim
that the identifying number is recorded. Additionally, the licensee or nurse
shall provide the identifying number to the victim.
(II) Nothing in this section:
(A) Prohibits a victim from anonymously speaking to law
enforcement about the victim's rights or options prior to determining
whether to consent to a report described in this paragraph (b) SUBSECTION
(1)(b); or
(B) Requires a licensee, nurse, or medical facility to make a report
to law enforcement concerning an alleged sexual assault if medical forensic
evidence is not collected.
(III) If the licensee's employing medical facility knows where the
alleged sexual assault occurred, the facility shall make the report with the
law enforcement agency in whose jurisdiction the crime occurred regarding
preservation of the evidence. If the medical facility does not know where
the alleged sexual assault occurred, the facility shall make the report with
its local law enforcement agency regarding preservation of the evidence.
(IV) In addition to the report required by subparagraph (I) of this
PAGE 843-HOUSE BILL 19-1172
paragraph (b) SUBSECTION (1)(b)(I) OF THIS SECTION to be filed by the
employing medical facility, a licensee who attends or treats any of the
injuries described in sub-subparagraph (A) of subparagraph (I) of paragraph
(a) of this subsection (1) SUBSECTION (1)(a)(I)(A) OF THIS SECTION of a
victim of a sexual assault shall also report the injury to the police or sheriff
as required by paragraph (a) of this subsection (1) SUBSECTION (1)(a) OF
THIS SECTION.
(1.5) (2) As used in subsection (1) of this section, unless the context
otherwise requires:
(a) "Domestic violence" means an act of violence upon a person
with whom the actor is or has been involved in an intimate relationship.
Domestic violence also includes any other crime against a person or any
municipal ordinance violation against a person when used as a method of
coercion, control, punishment, intimidation, or revenge directed against a
person with whom the actor is or has been involved in an intimate
relationship.
(b) "Intimate relationship" means a relationship between spouses,
former spouses, past or present unmarried couples, or persons who are both
the parents of the same child regardless of whether the persons have been
married or have lived together at any time.
(2) (3) (a) Any licensee who, in good faith, makes a report pursuant
to subsection (1) of this section or does not make a report as described in
subsection (1)(a)(III) of this section is immune from any liability, civil or
criminal, that might otherwise be incurred or imposed with respect to the
making of such report, and has the same immunity with respect to
participation in any judicial proceeding resulting from such THE report.
(b) A licensee who, in good faith, refers a victim to a victim's
advocate or provides a victim with information concerning services
available to victims of abuse, as described in subsection (1)(a)(VI) of this
section, is not civilly liable for any act or omission of the victim's advocate
or of any agency that provides such services to the victim.
(3) (4) Any licensee who makes a report pursuant to subsection (1)
of this section shall not be subject to the physician-patient relationship
described in section 13-90-107 (1)(d) C.R.S., as to the medical examination
PAGE 844-HOUSE BILL 19-1172
and diagnosis. Such THE licensee may be examined as a witness, but not as
to any statements made by the patient that are the subject matter of section
13-90-107 (1)(d). C.R.S.
12-240-140. [Formerly 12-36-136] Determination of death.
(1) An individual is dead if:
(a) He THE INDIVIDUAL has sustained irreversible cessation of
circulatory and respiratory functions; or
(b) He THE INDIVIDUAL has sustained irreversible cessation of all
functions of the entire brain, including the brain stem.
(2) A determination of death under this section shall be in
accordance with accepted medical standards.
12-240-141. [Formerly 12-36-137] Inactive license. (1) Any
licensee pursuant to section 12-36-114 12-240-117 may apply to the board
to be transferred to an inactive status. Such THE application shall be in the
form and manner designated by the board. The board may grant such
INACTIVE status by issuing an inactive license or it may deny the application
as set forth in section 12-36-116 12-240-120.
(2) Any person applying for a license under this section shall:
(a) Provide an affidavit to the board that the applicant, after a date
certain, will not practice medicine, practice as a physician assistant, or
practice as an anesthesiologist assistant in this state unless the applicant is
issued a license to practice medicine, practice as a physician assistant, or
practice as an anesthesiologist assistant pursuant to subsection (5) of this
section;
(b) Pay the license fee as authorized pursuant to section 12-36-123
12-240-130; and
(c) Comply with any financial responsibility standards promulgated
by the board pursuant to section 13-64-301 (1). C.R.S.
(3) Such THE inactive status shall be plainly indicated on the face
of any inactive license issued under this section.
PAGE 845-HOUSE BILL 19-1172
(4) The board is authorized to undertake disciplinary proceedings as
set forth in sections 12-36-117 and 12-36-118 12-240-121 AND 12-240-125
against any person licensed under this section for any act committed while
the person was licensed pursuant to this article 240.
(5) Any person licensed under this section who wishes to resume the
practice of medicine or to resume practice as a physician assistant shall file
an application in the form and manner the board shall designate, pay the
license fee promulgated by the board pursuant to section 12-36-123
12-240-130, and meet the financial responsibility requirements promulgated
by the board pursuant to section 13-64-301 (1). C.R.S. The board may
approve such THE application and issue a license or may deny the
application as set forth in section 12-36-116 12-240-120.
12-240-142. [Formerly 12-36-140] Protection of medical records
- licensee's obligations - verification of compliance - noncompliance
grounds for discipline - rules. (1) Each licensed physician and physician
assistant shall develop a written plan to ensure the security of patient
medical records. The plan shall address at least the following:
(a) The storage and proper disposal, if appropriate, of patient
medical records;
(b) The disposition of patient medical records in the event the
licensee dies, retires, or otherwise ceases to practice or provide medical care
to patients; and
(c) The method by which patients may access or obtain their medical
records promptly if any of the events described in paragraph (b) of this
subsection (1) occurs SUBSECTION (1)(b) OF THIS SECTION OCCUR.
(2) Upon initial licensure under this article 240 and upon renewal of
a license, the applicant or licensee, as applicable, shall attest to the board
that he or she has developed a plan in compliance with this section.
(3) A licensee shall inform each patient, in writing, of the method
by which the patient may access or obtain his or her medical records if an
event described in paragraph (b) of subsection (1) SUBSECTION (1)(b) of this
section occurs.
PAGE 846-HOUSE BILL 19-1172
(4) A licensee who fails to comply with this section shall be subject
to discipline in accordance with section 12-36-118 12-240-125.
(5) The board may adopt rules as necessary to implement this
section.
12-240-143. [Formerly 12-36-141] Medical marijuana
recommendations - guidelines. The board, in consultation with the
department of public health and environment and physicians specializing in
medical marijuana, shall establish guidelines for physicians making medical
marijuana recommendations.
12-240-144. [Formerly 12-36-142] Licensee duties relating to
assistance animals - definitions. (1) A licensee who is approached by a
patient seeking an assistance animal as a reasonable accommodation in
housing shall either:
(a) Make a written finding regarding whether the patient has a
disability and, if a disability is found, a separate written finding regarding
whether the need for the animal is related to that disability; or
(b) Make a written finding that there is insufficient information
available to make a finding regarding disability or the disability-related
need for the animal.
(2) This section does not:
(a) Change any laws or procedures related to a service animal under
Title II and Title III of the federal "Americans with Disabilities Act of
1990", 42 U.S.C. sec. 12101 et seq., AS AMENDED;
(b) Affect in any way the right of pet ownership in public housing
established in 42 U.S.C. sec. 1437z-3, as amended; or
(c) Limit the means by which a person with a disability may
demonstrate, pursuant to state or federal law, that the person has a disability
or that the person has a disability-related need for an assistance animal.
(3) A licensee shall not make a determination related to subsection
(1) of this section unless the licensee:
PAGE 847-HOUSE BILL 19-1172
(a) Has met with the patient in person or by telemedicine;
(b) Is sufficiently familiar with the patient and the disability; and
(c) Is legally and professionally qualified to make the determination.
(4) For purposes of this section:
(a) "Assistance animal" means an animal that qualifies as a
reasonable accommodation under the federal "Fair Housing Act", 42 U.S.C.
sec. 3601 et seq., as amended, or section 504 of the federal "Rehabilitation
Act of 1973", 29 U.S.C. sec. 794, as amended.
(b) "Disability" has the same meaning as set forth in the federal
"Americans with Disabilities Act of 1990", 42 U.S.C. sec. 12101 et seq.,
and its related amendments and implementing regulations and includes a
handicap as that term is defined in the federal "Fair Housing Act", 42
U.S.C. sec. 3601 et seq., as amended, and 24 CFR 100.201.
(c) "Service animal" has the same meaning as set forth in the
implementing regulations of Title II and Title III of the federal "Americans
with Disabilities Act of 1990", 42 U.S.C. sec. 12101 et seq., AS AMENDED.
ARTICLE 245
Mental Health
PART 1
LEGISLATIVE DECLARATION
12-245-101. [Formerly 12-43-101] Legislative declaration. The
general assembly hereby finds and determines that, in order to safeguard the
public health, safety, and welfare of the people of this state and in order to
protect the people of this state against the unauthorized, unqualified, and
improper application of psychology, social work, marriage and family
therapy, professional counseling, psychotherapy, and addiction counseling,
it is necessary that the proper regulatory authorities be established and
adequately provided for. The general assembly therefore declares that there
shall be established a state board of psychologist examiners, a state board
of social work examiners, a state board of marriage and family therapist
examiners, a state board of licensed professional counselor examiners, a
PAGE 848-HOUSE BILL 19-1172
state board of registered psychotherapists, and a state board of addiction
counselor examiners with the authority to license, register, or certify, and
take disciplinary actions or bring injunctive actions, or both, concerning
licensed psychologists and psychologist candidates, licensed social workers,
licensed marriage and family therapists and marriage and family therapist
candidates, licensed professional counselors and licensed professional
counselor candidates, registered psychotherapists, and licensed and certified
addiction counselors, respectively, and mental health professionals who
have been issued a provisional license pursuant to this article 245.
PART 2
GENERAL PROVISIONS
12-245-201. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 245.
12-245-202. [Formerly 12-43-201] Definitions. As used in this
article 43 245, unless the context otherwise requires:
(1) "Board" includes the state board of psychologist examiners, the
state board of social work examiners, the state board of licensed
professional counselor examiners, the state board of marriage and family
therapist examiners, the state board of registered psychotherapists, and the
state board of addiction counselor examiners.
(1.3) (2) "Certificate holder" means an addiction counselor certified
pursuant to this article 245.
(1.5) (3) "Certified addiction counselor" means a person who is an
addiction counselor certified pursuant to this article 245.
(1.6) (4) "Dementia diseases and related disabilities" has the same
meaning set forth in section 25-1-502 (2.5).
(1.7) "Director" means the director of the division of professions
and occupations in the department of regulatory agencies.
(1.8) "Division" means the division of professions and occupations
in the department of regulatory agencies.
PAGE 849-HOUSE BILL 19-1172
(2) (Deleted by amendment, L. 2000, p. 1841, § 17, effective August
2, 2000.)
(3) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1278,
§ 7, effective July 1, 2011.)
(3.5) (5) "Licensed addiction counselor" means a person who is an
addiction counselor licensed pursuant to this article 245.
(4) (Deleted by amendment, L. 98, p. 1107, § 4, effective July 1,
1998.)
(5) (6) "Licensed professional counselor" means a person who is a
professional counselor licensed pursuant to this article 245.
(5.5) (7) "Licensed social worker" means a person who:
(a) Is a licensed social worker or licensed clinical social worker; and
(b) Is licensed pursuant to this article 245.
(6) (8) "Licensee" means a psychologist, social worker, clinical
social worker, marriage and family therapist, licensed professional
counselor, or addiction counselor licensed pursuant to this article 245.
(7) (9) "Marriage and family therapist" means a person who is a
marriage and family therapist licensed pursuant to this article 245.
(7.5) (10) "Professional relationship" means an interaction that is
deliberately planned or directed, or both, by the licensee, registrant, or
certificate holder toward obtaining specific objectives.
(7.7) (a) (11) "Provisional license" means a license or certification
issued pursuant to section 12-43-206.5 12-245-208.
(b) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1278,
§ 7, effective July 1, 2011.)
(7.8) (a) (12) "Provisional licensee" means a person who holds a
provisional license pursuant to section 12-43-206.5 12-245-208.
PAGE 850-HOUSE BILL 19-1172
(b) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1278,
§ 7, effective July 1, 2011.)
(8) (13) "Psychologist" means a person who is a psychologist
licensed pursuant to this article 245.
(9) (14) (a) "Psychotherapy" means the treatment, diagnosis, testing,
assessment, or counseling in a professional relationship to assist individuals
or groups to alleviate behavioral and mental health disorders, understand
unconscious or conscious motivation, resolve emotional, relationship, or
attitudinal conflicts, or modify behaviors that interfere with effective
emotional, social, or intellectual functioning. Psychotherapy follows a
planned procedure of intervention that takes place on a regular basis, over
a period of time, or in the cases of testing, assessment, and brief
psychotherapy, psychotherapy can be a single intervention.
(b) It is the intent of the general assembly that the definition of
psychotherapy as used in this article 245 be interpreted in its narrowest
sense to regulate only those persons who clearly fall within the definition
set forth in this subsection (9) (14).
(9.1) (15) (a) "Registered psychotherapist" means a person:
(I) Whose primary practice is psychotherapy or who holds himself
or herself out to the public as being able to practice psychotherapy for
compensation; and
(II) Who is registered with the state board of registered
psychotherapists pursuant to section 12-43-702.5 12-245-703 to practice
psychotherapy in this state.
(b) "Registered psychotherapist" also includes a person who:
(I) Is a licensed school psychologist licensed pursuant to section
22-60.5-210 (1)(b); C.R.S.;
(II) Is practicing outside of a school setting; and
(III) Is registered with the state board of registered psychotherapists
pursuant to section 12-43-702.5 12-245-703.
PAGE 851-HOUSE BILL 19-1172
(9.3) (16) "Registrant" means a psychologist candidate, marriage
and family therapist candidate, or licensed professional counselor candidate
registered pursuant to section 12-43-304 (7), 12-43-504 (5), or 12-43-603
(5) 12-245-304 (3), 12-245-504 (4), OR 12-245-604 (4), respectively, or a
registered psychotherapist.
(9.5) to (10) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285,
p. 1278, § 7, effective July 1, 2011.)
12-245-203. [Formerly 12-43-202] Practice outside of or beyond
professional training, experience, or competence - general scope of
practice for licensure, registration, or certification. (1) Notwithstanding
any other provision of this article 245, no licensee, registrant, or certificate
holder is authorized to practice outside of or beyond his or her THE PERSON'S
area of training, experience, or competence.
(2) The practice of psychotherapy is one area of practice for mental
health professionals licensed, certified, or registered pursuant to this article
245 but may not be the only or primary practice area of such THE
professionals, other than persons registered as psychotherapists pursuant to
part 7 of this article 245. The requirements for licensure, registration, or
certification as a mental health professional pursuant to this article 245 are
contained in sections 12-43-303, 12-43-403, 12-43-503, 12-43-602.5, and
12-43-803 12-245-303, 12-245-403, 12-245-503, 12-245-603, AND
12-245-803, which define the practice of psychology, social work, marriage
and family therapy, licensed professional counseling, and addiction
counseling, respectively.
12-245-204. Boards - division to supervise - meetings - duties -
powers - removal of members - limitation on authority. (1) [Formerly
12-43-210] Each board shall be under the supervision and control of the
division. of professions and occupations of the department of regulatory
agencies as created by section 24-34-102, C.R.S.
(2) [Formerly 12-43-203 (1)] In addition to all other powers and
duties conferred or imposed upon each board by this article 245 or by any
other law, each board shall have the powers specified in this section.
(3) [Formerly 12-43-203 (2)] (a) (I) Each board shall annually hold
a meeting and elect from its membership a chairperson and
PAGE 852-HOUSE BILL 19-1172
vice-chairperson. Each board shall meet at such times as it deems necessary
or advisable or as deemed necessary and advisable by the chairperson or a
majority of its members. Each board may conduct meetings by electronic
means. Each board shall give reasonable notice of its meetings in the
manner prescribed by law. A majority of each board constitutes a quorum
at any meeting or hearing.
(II) All meetings are open to the public, except when:
(A) A board, or an administrative law judge acting on behalf of a
board, specifically determines that the harm to a complainant or other
recipient of services to keep such THE proceedings or related documents
open to the public outweighs the public interest in observing the
proceedings; or
(B) The licensee, registrant, or certificate holder is participating in
good faith in a program approved by the board designed to end a substance
use disorder and the licensee, registrant, or certificate holder has not
violated the board's order regarding the person's participation in the
treatment program.
(III) If the board determines that it is in the best interest of a
complainant or other recipient of services to keep proceedings or related
documents closed to the public, the final action of the board must be open
to the public without disclosing the name of the client or other recipient. In
all open meetings, the board shall take reasonable steps to keep the names
of the recipients of services confidential.
(b) The proceedings of each board shall be conducted pursuant to
article 4 of title 24. C.R.S.
(4) [Formerly 12-43-203 (3)] Each board is authorized to:
(a) Adopt, and from time to time revise, such rules and regulations
as may be necessary to carry out its powers and duties RULES PURSUANT TO
SECTION 12-20-204;
(b) Adopt an examination;
(c) Examine for, deny, withhold, or approve the license of an
PAGE 853-HOUSE BILL 19-1172
applicant PURSUANT TO SECTION 12-245 214, and renew licenses pursuant
to section 12-43-212 12-245-205;
(d) Appoint advisory committees to assist in the performance of its
duties;
(e) Conduct hearings IN ACCORDANCE WITH SECTION 12-20-403 as
necessary to carry out its powers and duties.
(5) [Formerly 12-43-203 (3.5)] In carrying out its duties related to
the approval of applications for licensure, registration, or certification
pursuant to this section, section 12-43-212 12-245-214, and this article 245,
each board shall delegate the function of the preliminary review and
approval of applications to the staff of the board, with approval of an
application ratified by action of the board. Each board, in its sole discretion,
may individually review any application requiring board consideration prior
to the approval of the application pursuant to section 12-43-212 12-245-214
and this article 245.
(6) [Formerly 12-43-203 (4)] Each board shall maintain current lists
of the names of all licensees, registrants, and certificate holders and records
of cases and decisions rendered by the board. In addition, each board shall
keep an accurate record of the results of all examinations.
(7) [Formerly 12-43-203 (6)] Publications of each board intended
for circulation in quantity outside the board shall be issued in accordance
with the provisions of section 24-1-136. C.R.S.
(8) [Formerly 12-43-203 (9)] Any board member having an
immediate personal, private, or financial interest in any matter pending
before the board shall disclose the fact and shall not vote upon such THE
matter.
(9) [Formerly 12-43-203 (10)] The governor may remove any board
member for misconduct, incompetence, or neglect of duty. Actions
constituting neglect of duty shall include, but not be limited to, the failure
of board members to attend three consecutive meetings or at least
three-quarters of the board's meetings in any one calendar year.
(10) [Formerly 12-43-203 (12)] The boards shall develop rules or
PAGE 854-HOUSE BILL 19-1172
policies to provide guidance to persons licensed, registered, or certified
pursuant to this article 245 to assist in determining whether a relationship
with a client or potential client is likely to impair his or her professional
judgment or increase the risk of client exploitation in violation of section
12-43-222 (1)(i) 12-245-224 (1)(i).
(11) [Formerly 12-43-203.5] The authority granted each board
under the provisions of this article 245 does not authorize a board to
arbitrate or adjudicate fee disputes between licensees, registrants, or
certificate holders, or between a licensee, registrant, or certificate holder
and any other party.
12-245-205. [Formerly 12-43-204] Fees - renewal. (1) All fees
collected pursuant to this article 245 shall be determined, collected, and
appropriated in the same manner as set forth in section 24-34-105, C.R.S.
12-20-105.
(2) Each board may charge fees established pursuant to section
24-34-105, C.R.S., 12-20-105 to all applicants for licensure, registration, or
certification under this article 245.
(3) Every person licensed, registered, or certified to practice
psychology, social work, marriage and family therapy, professional
counseling, psychotherapy, or addiction counseling within the state shall
renew his or her license, registration, or certification pursuant to a schedule
established by the director, and licenses, registrations, and certifications
shall be renewed pursuant to section 24-34-102 (8), C.R.S. The director
may establish renewal fees and delinquency fees pursuant to section
24-34-105, C.R.S. If a person fails to renew his or her license, registration,
or certification pursuant to the schedule established by the director, the
license, registration, or certification expires EACH LICENSE, REGISTRATION,
OR CERTIFICATION ISSUED PURSUANT TO THIS ARTICLE 245 IS SUBJECT TO
THE RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). Any person whose
license, registration, or certification expires is subject to the penalties
provided in this article 245 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
(3.5) (4) The director shall coordinate fee-setting pursuant to this
section so that all licensees, registrants, and certificate holders pay fees as
required by this section and section 12-43-702.5 (1) 12-245-703 (1).
PAGE 855-HOUSE BILL 19-1172
(4) (Deleted by amendment, L. 2004, p. 1850, § 102, effective
August 4, 2004.)
12-245-206. [Formerly 12-43-205] Records. (1) Each board shall
keep a record of proceedings and a register of all applications for licenses,
registrations, or certifications, which must include:
(a) The name and age of each applicant;
(b) The date of the application;
(c) The mailing address of the applicant;
(d) A summary of the educational and other qualifications of each
applicant;
(e) Whether or not an examination was required and, if required,
proof that the applicant passed the examination;
(f) Whether licensure, registration, or certification was granted;
(g) The date of the action of the board;
(h) Other information the board deems necessary or advisable in aid
of the requirements of this section.
12-245-207. [Formerly 12-43-206] Licensure by endorsement -
rules. A board may issue a license by endorsement to engage in the practice
of psychology, social work, marriage and family therapy, professional
counseling, or addiction counseling to an applicant who has a license,
registration, or certification in good standing as a psychologist, social
worker, marriage and family therapist, licensed professional counselor, or
addiction counselor under the laws of another jurisdiction if the applicant
presents proof satisfactory to the board that, at the time of application for
a Colorado license by endorsement, the applicant possesses credentials and
qualifications that are substantially equivalent to the requirements of section
12-43-304, 12-43-404, 12-43-504, 12-43-603, or 12-43-804 12-245-304,
12-245-404, 12-245-504, 12-245-604, OR 12-245-804, whichever is
applicable. Each board shall promulgate rules setting forth the manner in
which the board will review credentials and qualifications of an applicant.
PAGE 856-HOUSE BILL 19-1172
12-245-208. [Formerly 12-43-206.5] Provisional license - fees.
(1) (a) The board may issue a provisional license to an applicant who has
completed a post-graduate degree that meets the educational requirements
for licensure in section 12-43-304, 12-43-403, 12-43-504, 12-43-603, or
12-43-804 12-245-304, 12-245-404, 12-245-504, 12-245-604, OR
12-245-804, as applicable, and who is working in a residential child care
facility as defined in section 26-6-102 (33) C.R.S., under the supervision of
a licensee.
(b) A provisional license issued pursuant to paragraph (a) of this
subsection (1) SUBSECTION (1)(a) OF THIS SECTION terminates at the earliest
of:
(I) Thirty days after termination of the provisional licensee's
employment with a qualifying residential child care facility, unless the
provisional licensee obtains and submits to the board proof of employment
with another residential child care facility; or
(II) Thirty days after termination of the provisional licensee's
supervision by a licensee unless the provisional licensee obtains and
submits to the board proof of supervision by another licensee.
(c) A provisional licensee shall notify the board of any change in
supervision within thirty days after the change.
(2) Each board may charge an application fee to an applicant for a
provisional license All fees collected pursuant to this subsection (2) shall
be transmitted to the state treasurer, who shall credit the same to the
division of professions and occupations cash fund pursuant to section
24-34-105, C.R.S. AS PROVIDED IN SECTION 12-20-105. An application for
a provisional license must identify the name, contact information, and
license number of the licensee providing supervision of the provisional
licensure applicant.
(3) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1278,
§ 6, effective July 1, 2011.)
12-245-209. [Formerly 12-43-207] License - issuance. Each board
shall issue a license, registration, or certification, as appropriate, when an
applicant successfully qualifies for licensure, registration, or certification
PAGE 857-HOUSE BILL 19-1172
as provided in this article 245.
12-245-210. [Formerly 12-43-208] Drugs - medicine. Nothing in
this article 245 permits psychologists, social workers, marriage and family
therapists, licensed professional counselors, psychotherapists, and addiction
counselors licensed, registered, or certified under this article 245 to
administer or prescribe drugs or in any manner engage in the practice of
medicine as defined by the laws of this state.
12-245-211. [Formerly 12-43-209] Collaborate with physician. In
order to provide for the diagnosis and treatment of medical problems, a
licensee, registrant, or certificate holder shall collaborate with a physician
licensed under the laws of this state, except when practicing pursuant to
section 12-43-201 (9) 12-245-202 (14). A licensee, registrant, or certificate
holder shall not diagnose, prescribe for, treat, or advise a client with
reference to medical problems.
12-245-212. Professional review committees - immunity.
(1) (a) [Formerly 12-43-203 (11)(a)(I)] Subject to the requirements of
subparagraph (II) of this paragraph (a) SUBSECTION (1)(b) OF THIS SECTION,
a professional review committee may be established pursuant to this
subsection (11) (1) to investigate the quality of care being given by a person
licensed, registered, or certified pursuant to this article 245. If a professional
review committee is established, it must include in its membership at least
three persons licensed, registered, or certified under this article 245, and
such THE persons must be licensees, registrants, or certificate holders in the
same profession as the licensee, registrant, or certificate holder who is the
subject of a professional review proceeding.
(b) [Formerly 12-43-203 (11)(a)(II)] A professional review
committee may be authorized to act only by a society or an association of
persons licensed, registered, or certified pursuant to this article 245 whose
membership includes not less than one-third of the persons licensed,
registered, or certified pursuant to this article 245 residing in this state if the
licensee, registrant, or certificate holder whose services are the subject of
review is a member of the society or association.
(2) [Formerly 12-43-203 (7)(a)] IN ADDITION TO THE PERSONS
SPECIFIED IN SECTION 12-20-402, a member of a board or of a professional
review committee authorized by a board, a member of staff to a board or
PAGE 858-HOUSE BILL 19-1172
committee, a person acting as a witness or consultant to a board or
committee, a witness testifying in a proceeding authorized under this article
245, and a person who lodges a complaint pursuant to this article is immune
from liability in a civil action brought against him or her for acts occurring
while acting in his or her capacity as a board or committee member, staff,
consultant, or witness, respectively, if the individual was acting in good
faith within the scope of his or her respective capacity, made a reasonable
effort to obtain the facts of the matter as to which he or she acted, and acted
in the reasonable belief that the action taken by him or her was warranted
by the facts. A person participating in good faith in lodging a complaint or
participating in an investigative or administrative proceeding pursuant to
this article is immune from any civil or criminal liability that may result
from such participation 245 IS GRANTED THE SAME IMMUNITY, AND IS
SUBJECT TO THE SAME CONDITIONS FOR IMMUNITY, AS SPECIFIED IN SECTION
12-20-402.
12-245-213. [Formerly 12-43-211] Professional service
corporations for the practice of psychology, social work, marriage and
family therapy, professional counseling, and addiction counseling -
definitions. (1) Licensees, registrants, or certificate holders may form
professional service corporations for the practice of psychology, social
work, marriage and family therapy, professional counseling, psychotherapy,
or addiction counseling under the "Colorado Business Corporation Act",
articles 101 to 117 of title 7, C.R.S., if the corporations are organized and
operated in accordance with this section. The articles of incorporation of a
professional service corporation formed pursuant to this section must
contain provisions complying with the following requirements:
(a) The name of the corporation shall contain the words
"professional company" or "professional corporation" or abbreviations
thereof.
(b) The corporation must be organized by licensees, registrants, or
certificate holders for the purpose of conducting the practice of psychology,
social work, marriage and family therapy, professional counseling,
psychotherapy, or addiction counseling by the respective licensees,
registrants, or certificate holders of those practices. The corporation may be
organized with any other person, and any person may own shares in such
THE corporation, if the following conditions are met:
PAGE 859-HOUSE BILL 19-1172
(I) The practice of psychology, as defined in section 12-43-303
12-245-303, by the professional service corporation is performed by or
under the supervision of a licensed psychologist, and any psychologist
member of the professional service corporation remains individually
responsible for his or her professional acts and conduct as provided
elsewhere in this article 245;
(II) (Deleted by amendment, L. 98, p. 1111, § 11, effective July 1,
1998.)
(III) (II) The practice of social work, as defined in section
12-43-403 12-245-403, by the professional service corporation is performed
by a licensed social worker acting independently or under the supervision
of a person licensed pursuant to this article 245 or a licensed social worker.
Any licensed social worker member of the professional service corporation
remains individually responsible for his or her professional acts and conduct
as provided elsewhere in this article 245.
(IV) (III) The practice of marriage and family therapy, as defined in
section 12-43-503 12-245-503, by the professional service corporation is
performed by a licensed marriage and family therapist acting independently
or under the supervision of a person licensed pursuant to this article 245 or
a licensed marriage and family therapist. Any licensed marriage and family
therapist member of the professional service corporation remains
individually responsible for his or her professional acts and conduct as
provided elsewhere in this article 245.
(V) (IV) The practice of licensed professional counseling, as defined
in section 12-43-602.5 12-245-603, by the professional service corporation
is performed by a licensed professional counselor acting independently or
under the supervision of a person licensed pursuant to this article 245 or a
licensed professional counselor. Any licensed professional counselor
member of the professional service corporation remains individually
responsible for his or her professional acts and conduct as provided
elsewhere in this article 245.
(VI) (V) The practice of addiction counseling, as defined in section
12-43-803 12-245-803, by the professional service corporation is performed
by a licensed addiction counselor acting independently or under the
supervision of a person licensed pursuant to this article 245 or a licensed
PAGE 860-HOUSE BILL 19-1172
addiction counselor. Any licensed addiction counselor member of the
professional service corporation remains individually responsible for his or
her professional acts and conduct as provided in this article 245; or
(VII) (VI) The practice of psychotherapy, as defined in section
12-43-201 12-245-202, by the professional service corporation is performed
by a registered psychotherapist acting independently or under the
supervision of a person licensed pursuant to this article 245 or a registered
psychotherapist. Any registered psychotherapist member of the professional
service corporation remains individually responsible for his or her
professional acts and conduct as provided in this article 245.
(c) The corporation may exercise the powers and privileges
conferred upon corporations by the laws of Colorado only in furtherance of
and subject to its corporate purpose.
(d) and (e) Repealed.
(f) (d) Lay directors and officers shall not exercise any authority
whatsoever over professional matters.
(g) (e) The articles of incorporation must provide, and all
shareholders of the corporation must agree, that either all shareholders of
the corporation are jointly and severally liable for all acts, errors, and
omissions of the employees of the corporation or that all shareholders of the
corporation are jointly and severally liable for all acts, errors, and omissions
of the employees of the corporation except during periods when the
corporation maintains professional liability insurance that meets the
following minimum standards:
(I) The insurance insures the corporation against liability imposed
upon the corporation by law for damages resulting from any claim made
against the corporation arising out of the performance of professional
services for others by those officers and employees of the corporation who
are licensed, registered, or certified to practice under this article 245 or by
those employees who provide professional services under supervision.
(II) The insurance insures the corporation against liability imposed
upon it by law for damages arising out of the acts, errors, and omissions of
all nonprofessional employees.
PAGE 861-HOUSE BILL 19-1172
(III) The insurance is in an amount for each claim of at least one
hundred thousand dollars multiplied by the number of persons licensed,
registered, or certified to practice under this article 245 who are employed
by the corporation. The policy may provide for an aggregate maximum limit
of liability per year for all claims of three hundred thousand dollars also
multiplied by the number of licensees, registrants, or certificate holders
employed by the corporation, but no corporation is required to carry
insurance in excess of three hundred thousand dollars for each claim with
an aggregate maximum limit of liability for all claims during the year of
nine hundred thousand dollars.
(IV) The insurance policy may provide that it does not apply to: Any
dishonest, fraudulent, criminal, or malicious act or omission of the insured
corporation or any stockholder or employee of the corporation; or the
conduct of any business enterprise, as distinguished from the practice of
licensees, registrants, or certificate holders, in which the insured corporation
under this section is not permitted to engage but that nevertheless may be
owned by the insured corporation or in which the insured corporation may
be a partner or that may be controlled, operated, or managed by the insured
corporation in its own or in a fiduciary capacity, including the ownership,
maintenance, or use of any property in connection therewith, when not
resulting from breach of professional duty of, bodily injury to, or sickness,
disease, or death of any person or to injury to or destruction of any tangible
property, including the loss of use of tangible property.
(V) The insurance policy may contain reasonable provisions with
respect to policy periods, territory, claims, conditions, and other usual
matters.
(2) The corporation shall not act or fail to act in a manner that would
violate section 12-43-222 (1) 12-245-224 (1). Any violation of this section
by the corporation is grounds for a board to discipline any licensee,
registrant, or certificate holder who is a member of or is employed by the
corporation pursuant to section 12-43-224 12-245-226.
(3) Nothing in this section diminishes or changes the obligation of
each licensee, registrant, or certificate holder employed by the corporation
to conduct his or her practice in a manner that does not violate section
12-43-222 (1) 12-245-224 (1). Any licensee, registrant, or certificate holder
who, by act or omission, causes the corporation to act or fail to act in a way
PAGE 862-HOUSE BILL 19-1172
that violates section 12-43-222 (1) 12-245-224 (1) or this section is
personally responsible for the act or omission and is subject to discipline by
the board.
(4) A professional service corporation may adopt a pension, CASH
PROFIT SHARING, DEFERRED profit sharing, (whether cash or deferred),
health and accident, insurance, or welfare plan for all of its employees,
including lay employees, if such THE plan does not require or result in the
sharing of specific or identifiable fees with lay employees and if any
payments made to lay employees, or into any such THE plan in ON behalf of
lay employees, are based upon their compensation or length of service, or
both, rather than the amount of fees or income received.
(5) Nothing in this section shall be deemed to modify the privileges
regarding confidential communications specified in sections 12-43-218
12-245-220 and 13-90-107 (1)(g). C.R.S.
(6) Nothing in this article 245 limits persons licensed, registered, or
certified under this article 245 from forming a corporation with persons
licensed, registered, or certified under this article 245.
(7) As used in this section, unless the context otherwise requires:
(a) "Articles of incorporation" includes operating agreements of
limited liability companies and partnership agreements of registered limited
liability partnerships.
(b) "Corporation" includes a limited liability company organized
under the "Colorado Limited Liability Company Act", article 80 of title 7,
C.R.S., and a limited liability partnership registered under section 7-60-144
or 7-64-1002. C.R.S.
(c) "Director" and "officer" of a corporation includes a member and
a manager of a limited liability company and a partner in a registered
limited liability partnership.
(d) "Employees" includes employees, members, and managers of a
limited liability company and employees and partners of a registered limited
liability partnership.
PAGE 863-HOUSE BILL 19-1172
(e) "Share" includes a member's rights in a limited liability company
and a partner's rights in a registered limited liability partnership.
(f) "Shareholder" includes a member of a limited liability company
and a partner in a registered limited liability partnership.
12-245-214. [Formerly 12-43-212] Denial of license, registration,
or certification - reinstatement. (1) Each board is empowered to
determine whether an applicant for licensure, registration, or certification,
or for registry as a candidate for licensure, registration, or certification,
possesses the qualifications required by this article 245.
(2) If a board determines that an applicant does not possess the
applicable qualifications required by this article 245 or, for a licensed
clinical social worker, licensed social worker, licensed marriage and family
therapist, licensed professional counselor, licensed addiction counselor, or
level II or III certified addiction counselor, is unable to demonstrate his or
her continued professional competence as required by section 12-43-411,
12-43-506, 12-43-605, or 12-43-805 12-245-410, 12-245-506, 12-245-606,
OR 12-245-806, respectively, the board may deny the applicant a license,
registration, or certification or deny the reinstatement of a license,
registration, or certification. If the application is denied, the board shall
provide the applicant with a statement in writing setting forth the basis of
the board's determination that the applicant does not possess the
qualifications or professional competence required by this article 245. The
applicant may request a hearing on the determination as provided in section
24-4-104 (9). C.R.S.
(3) If a board has any reason to believe that or receives any
information that an applicant has committed any of the acts set forth in
section 12-43-222 (1) 12-245-224 (1) as grounds for discipline, the board
may deny a license, registration, or certification to the applicant if the board
determines that there is a basis for the denial. The order of the board to
grant or deny a license, registration, or certification constitutes final agency
action.
(4) A board, on its own motion or upon application, at any time after
the refusal to grant a license, registration, or certification, may reconsider
its prior action and grant a license, registration, or certification. The board
has sole discretion to determine whether to take further action on the
PAGE 864-HOUSE BILL 19-1172
application after it refuses to grant a license, registration, or certification.
12-245-215. [Formerly 12-43-213] Legislative intent - schools and
colleges - examinations. It is the intent of the general assembly that the
definition relating to full-time courses of study and institutions of higher
education for graduation of persons who are qualified to take examinations
for licensure under this article 245 be liberally construed by each board
under the board's rule-making powers to ensure the right to take the
examinations. It is not the intent that technical barriers be used to deny the
ability to take an examination.
12-245-216. [Formerly 12-43-214] Mandatory disclosure of
information to clients. (1) Except as otherwise provided in subsection (4)
of this section, every licensee, registrant, or certificate holder shall provide
the following information in writing to each client during the initial client
contact:
(a) The name, business address, and business phone number of the
licensee, registrant, or certificate holder;
(b) (I) An explanation of the levels of regulation applicable to
mental health professionals under this article 245 and the differences
between licensure, registration, and certification, including the educational,
experience, and training requirements applicable to the particular level of
regulation; and
(II) A listing of any degrees, credentials, certifications, registrations,
and licenses held or completed by the licensee, registrant, or certificate
holder, including the education, experience, and training the licensee,
registrant, or certificate holder was required to satisfy in order to complete
the degree, credential, certification, registration, or license;
(c) A statement indicating that the practice of licensed or registered
persons in the field of psychotherapy is regulated by the division, and an
address and telephone number for the board that regulates the licensee,
registrant, or certificate holder;
(d) A statement indicating that:
(I) A client is entitled to receive information about the methods of
PAGE 865-HOUSE BILL 19-1172
therapy, the techniques used, the duration of therapy, if known, and the fee
structure;
(II) The client may seek a second opinion from another therapist or
may terminate therapy at any time;
(III) In a professional relationship, sexual intimacy is never
appropriate and should be reported to the board that licenses, registers, or
certifies the licensee, registrant, or certificate holder;
(IV) The information provided by the client during therapy sessions
is legally confidential in the case of licensed marriage and family therapists,
social workers, professional counselors, and psychologists; licensed or
certified addiction counselors; and registered psychotherapists, except as
provided in section 12-43-218 12-245-220 and except for certain legal
exceptions that will be identified by the licensee, registrant, or certificate
holder should any such situation arise during therapy; and
(e) If the mental health professional is a registered psychotherapist,
a statement indicating that a registered psychotherapist is a psychotherapist
listed in the state's database and is authorized by law to practice
psychotherapy in Colorado but is not licensed by the state and is not
required to satisfy any standardized educational or testing requirements to
obtain a registration from the state.
(2) If the client is a child who is consenting to mental health services
pursuant to section 27-65-103, C.R.S., disclosure shall be made to the child.
If the client is a child whose parent or legal guardian is consenting to mental
health services, disclosure shall be made to the parent or legal guardian.
(3) In residential, institutional, or other settings where
psychotherapy may be provided by multiple providers, disclosure shall be
made by the primary therapist. The institution shall also provide a statement
to the patient containing the information in paragraphs (c) and (d) of
subsection (1) SUBSECTIONS (1)(c) AND (1)(d) of this section and a
statement that the patient is entitled to the information listed in paragraphs
(a) and (b) of subsection (1) SUBSECTIONS (1)(a) AND (1)(b) of this section
concerning any psychotherapist in the employ of the institution who is
providing psychotherapy services to the patient.
PAGE 866-HOUSE BILL 19-1172
(4) The disclosure of information required by subsection (1) of this
section is not required when psychotherapy is being administered in any of
the following circumstances:
(a) In an emergency;
(b) Pursuant to a court order or involuntary procedures pursuant to
sections 27-65-105 to 27-65-109; C.R.S.;
(c) The sole purpose of the professional relationship is for forensic
evaluation;
(d) The client is in the physical custody of either the department of
corrections or the department of human services and such department has
developed an alternative program to provide similar information to such
THE client and such THE program has been established through rule; or
regulation;
(e) The client is incapable of understanding such THE disclosure and
has no guardian to whom disclosure can be made;
(f) By a social worker practicing in a hospital that is licensed or
certified under section 25-1.5-103 (1)(a)(I) or (1)(a)(II); C.R.S.;
(g) By a person licensed or certified pursuant to this article 245, or
by a registered psychotherapist practicing in a hospital that is licensed or
certified under section 25-1.5-103 (1)(a)(I) or (1)(a)(II). C.R.S.
(5) If the client has no written language or is unable to read, an oral
explanation shall accompany the written copy.
(6) Unless the client, parent, or guardian is unable to write, or
refuses or objects, the client, parent, or guardian shall sign the disclosure
form required by this section not later than the second visit with the
psychotherapist.
12-245-217. [Formerly 12-43-215] Scope of article - exemptions.
(1) Any person engaged in the practice of religious ministry shall not be
required to comply with the provisions of this article 245; except that such
THE person shall not hold himself or herself out to the public by any title
PAGE 867-HOUSE BILL 19-1172
incorporating the terms "psychologist", "social worker", "licensed social
worker", "LSW", "licensed clinical social worker", "clinical social worker",
"LCSW", "licensed marriage and family therapist", "LMFT", "licensed
professional counselor", "LPC", "addiction counselor", "licensed addiction
counselor", "LAC", "certified addiction counselor", or "CAC" unless that
person has been licensed or certified pursuant to this article 245.
(2) The provisions of this article 245 shall not apply to:
(a) The practice of employment or rehabilitation counseling as
performed in the private and public sectors; except that the provisions of
this article 245 shall apply to employment or rehabilitation counselors
practicing psychotherapy in the field of mental health;
(3) (b) The provisions of this article 43 do not apply to Employees
of the state department of human services, employees of county departments
of human or social services, or personnel under the direct supervision and
control of the state department of human services or any county department
of human or social services for work undertaken as part of their
employment;
(4) (c) The provisions of this article shall not apply to Persons who
are licensed pursuant to section 22-60.5-210 C.R.S., and who are not
licensed under this article 245 for work undertaken as part of their
employment by, or contractual agreement with, the public schools;
(5) Nothing in this section limits the applicability of section
18-3-405.5, C.R.S., which applies to any person while he or she is
practicing psychotherapy as defined in this article.
(6) (d) The provisions of this article shall not apply to Mediators
resolving judicial disputes pursuant to part 3 of article 22 of title 13; C.R.S.
(7) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1302,
§ 31, effective July 1, 2011.)
(8) The provisions of section 12-43-702.5 shall not apply to
employees of community mental health centers or clinics as those centers
or clinics are defined by section 27-66-101, C.R.S., but such persons
practicing outside the scope of employment as employees of a facility
PAGE 868-HOUSE BILL 19-1172
defined by section 27-66-101, C.R.S., shall be subject to the provisions of
section 12-43-702.5.
(9) (e) The provisions of this article shall not apply to A person who
resides in another state and who is currently licensed or certified as a
psychologist, marriage and family therapist, clinical social worker,
professional counselor, or addiction counselor in that state to the extent that
the licensed or certified person performs activities or services in this state,
if the activities and services are:
(a) (I) Performed within the scope of the person's license or
certification;
(b) (II) Do not exceed twenty days per year in this state;
(c) (III) Are not otherwise in violation of this article 245; and
(d) (IV) Disclosed to the public that the person is not licensed or
certified in this state; OR
(10) (f) The provisions of this article do not apply to A professional
coach, including a life coach, executive coach, personal coach, or business
coach, who has had coach-specific training and who serves clients
exclusively as a coach, as long as the professional coach does not engage
in the practice of psychology, social work, marriage and family therapy,
licensed professional counseling, psychotherapy, or addiction counseling,
as those practices are defined in this article 245.
(3) NOTHING IN THIS SECTION LIMITS THE APPLICABILITY OF SECTION
18-3-405.5, WHICH APPLIES TO ANY PERSON WHILE PRACTICING
PSYCHOTHERAPY AS DEFINED IN THIS ARTICLE 245.
(4) THE PROVISIONS OF SECTION 12-245-703 DO NOT APPLY TO
EMPLOYEES OF COMMUNITY MENTAL HEALTH CENTERS OR CLINICS AS THOSE
CENTERS OR CLINICS ARE DEFINED BY SECTION 27-66-101, BUT PERSONS
PRACTICING OUTSIDE THE SCOPE OF EMPLOYMENT AS EMPLOYEES OF A
FACILITY DEFINED BY SECTION 27-66-101 ARE SUBJECT TO THE PROVISIONS
OF SECTION 12-245-703.
12-245-218. [Formerly 12-43-216] Title use restrictions. A
PAGE 869-HOUSE BILL 19-1172
psychologist, social worker, marriage and family therapist, professional
counselor, or addiction counselor may only use the title for which he or she
is licensed, certified, or registered under this article 245. Except as provided
in section 12-43-306 (3) 12-245-306 (3), no other person shall hold himself
or herself out to the public by any title or description of services
incorporating the terms "licensed clinical social worker", "clinical social
worker", "LCSW", "licensed social worker", "LSW", "marriage and family
therapist", "LMFT", "professional counselor", "LPC", "psychologist",
"psychologist candidate", "psychology", "psychological", "addiction
counselor", "licensed addiction counselor", "LAC", "certified addiction
counselor", or "CAC", and no other person shall state or imply that he or
she is licensed to practice social work, marriage and family therapy,
professional counseling, psychology, or addiction counseling. Nothing in
this section shall prohibit a person from stating or using the educational
degrees that such THE person has obtained.
12-245-219. [Formerly 12-43-217] Judicial review of final board
actions and orders. SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF final
actions and orders of a board appropriate for judicial review. may be
judicially reviewed in the court of appeals, and Judicial proceedings for the
enforcement of a board order may be instituted in accordance with section
24-4-106 (11). C.R.S.
12-245-220. [Formerly 12-43-218] Disclosure of confidential
communications - definitions. (1) A licensee, registrant, or certificate
holder shall not disclose, without the consent of the client, any confidential
communications made by the client, or advice given to the client, in the
course of professional employment. A licensee's, registrant's, or certificate
holder's employee or associate, whether clerical or professional, shall not
disclose any knowledge of said THE communications acquired in such THAT
capacity. Any person who has participated in any therapy conducted under
the supervision of a licensee, registrant, or certificate holder, including
group therapy sessions, shall not disclose any knowledge gained during the
course of such THE therapy without the consent of the person to whom the
knowledge relates.
(2) Subsection (1) of this section does not apply when:
(a) A client, or the heirs, executors, or administrators of a client, file
suit or a complaint against a licensee, registrant, or certificate holder on any
PAGE 870-HOUSE BILL 19-1172
cause of action arising out of or connected with the care or treatment of the
client by the licensee, registrant, or certificate holder;
(b) A licensee, registrant, or certificate holder was in consultation
with a physician, registered professional nurse, licensee, registrant, or
certificate holder against whom a suit or complaint was filed based on the
case out of which said THE suit or complaint arises;
(c) A review of services of a licensee, registrant, or certificate holder
is conducted by any of the following:
(I) A board or a person or group authorized by the board to make an
investigation on its behalf;
(II) The governing board of a hospital licensed pursuant to part 1 of
article 3 of title 25, C.R.S., where the licensee, registrant, or certificate
holder practices or the medical staff of such THE hospital if the medical staff
operates pursuant to written bylaws approved by the governing board of the
hospital; or
(III) A professional review committee established pursuant to
section 12-43-203 (11) 12-245-212 (1) if said THE person has signed a
release authorizing such THE review;
(d) (I) A client, regardless of age:
(A) Makes an articulable and significant threat against a school or
the occupants of a school; or
(B) Exhibits behaviors that, in the reasonable judgment of the
licensee, registrant, or certificate holder, create an articulable and
significant threat to the health or safety of students, teachers, administrators,
or other school personnel.
(II) A licensee, registrant, or certificate holder who discloses
information under this paragraph (d) SUBSECTION (2)(d) shall limit the
disclosure to appropriate school or school district personnel and law
enforcement agencies. School or school district personnel to whom the
information is disclosed shall maintain confidentiality of the disclosed
information, regardless of whether the information constitutes an education
PAGE 871-HOUSE BILL 19-1172
record subject to FERPA, consistent with the requirements of FERPA and
regulations and applicable guidelines adopted under FERPA, but may
disclose information in accordance with section 1232g (b)(1) of FERPA and
34 CFR 99.36 if necessary to protect the health or safety of students or other
persons.
(III) A licensee, registrant, or certificate holder who discloses or
fails to disclose a confidential communication with a client in accordance
with this paragraph (d) SUBSECTION (2)(d) is not liable for damages in any
civil action for disclosing or not disclosing the communication. This
subparagraph (III) SUBSECTION (2)(d)(III) does not rescind any statutory
duty to warn and protect specified in, and does not eliminate any potential
civil liability for failure to comply with, section 13-21-117. C.R.S.
(IV) (A) This paragraph (d) SUBSECTION (2)(d) does not apply to an
education record that, under FERPA, is exempt from the HIPAA privacy
rule.
(B) Notwithstanding subsection (6) of this section, this paragraph
(d) SUBSECTION (2)(d) applies to covered entities, as defined in HIPAA.
(V) As used in this subsection (2)(d):
(A) "Articulable and significant threat" means a threat to the health
or safety of a person that, based on the totality of the circumstances, can be
explained or articulated and that constitutes a threat of substantial bodily
harm to a person.
(B) "FERPA" means the federal "Family Educational Rights and
Privacy Act of 1974", 20 U.S.C. sec. 1232g, AS AMENDED.
(C) "HIPAA" means the federal "Health Insurance Portability and
Accountability Act of 1996", as amended, Pub.L. 104-191.
(D) "School" means a public or private preschool; elementary,
middle, junior high, or high school; or institution of postsecondary
education described in title 23, C.R.S., including the Auraria higher
education center created in article 70 of title 23. C.R.S.
(VI) Repealed.
PAGE 872-HOUSE BILL 19-1172
(3) The records and information produced and used in the review
provided for in paragraph (c) of subsection (2) SUBSECTION (2)(c) of this
section do not become public records solely by virtue of the use of the
records and information. The identity of a client whose records are reviewed
shall not be disclosed to any person not directly involved in the review
process, and procedures shall be adopted by a board, hospital, association,
or society to ensure that the identity of the client is concealed during the
review process itself and to comply with section 12-43-224 (4) 12-245-226
(4).
(4) Subsection (1) of this section shall not apply to any delinquency
or criminal proceeding, except as provided in section 13-90-107 C.R.S.,
regarding any delinquency or criminal proceeding involving a licensed
psychologist.
(5) Nothing in this section shall be deemed to prohibit any other
disclosures required by law.
(6) This section does not apply to covered entities, their business
associates, or health oversight agencies, as each is defined in the federal
"Health Insurance Portability and Accountability Act of 1996", as amended
by the federal "Health Information Technology for Economic and Clinical
Health Act", PUB.L. 111-5, AS AMENDED, and the respective implementing
regulations.
12-245-221. [Formerly 12-43-219] Article not to restrict other
professions. (1) Nothing in this article 245 shall be construed to prohibit
any member of any other profession who is duly licensed or certified
pursuant to the laws of this state from rendering service consistent with his
or her training and professional ethics so long as the professional does not
hold himself or herself out to the public by any title or description to which
such THE professional is not entitled pursuant to the provisions of this
article 245.
(2) No person licensed pursuant to article 38 255 of this title 12 shall
be subject to the jurisdiction of a board created pursuant to this article 245
to the extent such THE person is under the jurisdiction of the state board of
nursing.
12-245-222. [Formerly 12-43-221] Powers and duties of the
PAGE 873-HOUSE BILL 19-1172
boards - rules. (1) In addition to all other powers and duties conferred and
imposed upon the boards, as defined in section 12-43-201 (1), each board
has the following powers and duties with respect to the licensing,
registration, and certification of the persons licensed, registered, or certified
by each individual board pursuant to this article 245:
(a) To annually elect one of its members as chairperson and one as
vice-chairperson. Each board may meet at such times and adopt such rules
for its government as it deems proper.
(b) (I) To make investigations, hold hearings, and take evidence in
accordance with SECTION 12-20-403, article 4 of title 24, C.R.S., and this
article 245 in all matters relating to the exercise and performance of the
powers and duties vested in each board;
(II) Each board, or an administrative law judge acting on the board's
behalf, may administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter before the board. Each
board may appoint an administrative law judge pursuant to part 10 of article
30 of title 24, C.R.S., to take evidence and to make findings and report them
to the board pursuant to paragraph (e) of this subsection (1).
(III) Upon failure of a witness to comply with a subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board with
notice to the subpoenaed person or licensee, may issue to the person or
licensee an order requiring that person or licensee to appear before the
board; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence touching the matter
under investigation or in question. The court may punish the failure to obey
the order of the court as a contempt of court.
(c) To aid the several district attorneys of this state in the
enforcement of this article 245 and in the prosecution of all persons, firms,
associations, or corporations charged with the violation of any of its
provisions and to report to the appropriate district attorney any violation of
this article 245 that it reasonably believes involves a criminal violation;
PAGE 874-HOUSE BILL 19-1172
(d) To take disciplinary actions in conformity with this article 245
AND SECTION 12-20-404;
(e) Through the department of regulatory agencies and subject to
appropriations made to the department, of regulatory agencies, to employ
administrative law judges on a full-time or part-time basis to conduct any
hearings required by this article The administrative law judges shall be
appointed pursuant to part 10 of article 30 of title 24, C.R.S. 245;
(f) To notify the public of all disciplinary actions taken against
licensees, registrants, or certificate holders pursuant to this article 245.
(2) Pursuant to this part 2, SECTION 12-20-204, and article 4 of title
24, C.R.S., each board is authorized to adopt and revise rules as necessary
to enable the board to carry out the provisions of this part 2 with respect to
the regulation of the persons licensed, registered, or certified by each
individual board pursuant to this article 245.
12-245-223. [Similar to 12-43-221.5] Confidential agreement to
limit practice. SECTION 12-30-108 CONCERNING CONFIDENTIAL
AGREEMENTS TO LIMIT PRACTICE APPLIES TO THIS ARTICLE 245.
12-245-224. [Formerly 12-43-222] Prohibited activities - related
provisions. (1) A person licensed, registered, or certified under this article
43 245 violates this article 43 245 if he or she THE PERSON:
(a) Has been convicted of or pled guilty or nolo contendere to a
felony or received a deferred sentence to a felony charge. A certified copy
of the judgment of a court of competent jurisdiction of such THE conviction
or plea is conclusive evidence of the conviction or plea. In considering the
disciplinary action, each board is governed by section SECTIONS 12-20-202
(5) AND 24-5-101. C.R.S.
(b) Has violated or attempted to violate, directly or indirectly, or
assisted or abetted the violation of, or conspired to violate any provision or
term of this article or 245, AN APPLICABLE PROVISION OF ARTICLE 20 OR 30
OF THIS TITLE 12, A rule promulgated pursuant to this article 245, or any
order of a board established pursuant to this article 245;
(c) Has used advertising that is misleading, deceptive, or false;
PAGE 875-HOUSE BILL 19-1172
(d) (I) Has committed abuse of health insurance pursuant to section
18-13-119; C.R.S.;
(II) Has advertised through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the person will perform
any act prohibited by section 18-13-119; C.R.S.;
(e) Habitually or excessively uses or abuses alcohol, a habit-forming
drug, or a controlled substance, as defined in section 18-18-102 (5); C.R.S.;
(f) (I) Fails to notify the board that regulates his or her THE PERSON'S
profession of a physical illness, a physical condition, or a behavioral, mental
health, or substance use disorder that affects the person's ability to treat
clients with reasonable skill and safety or that may endanger the health or
safety of persons under his or her care;
(II) Fails to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the person unable to treat clients with reasonable skill
and safety or that may endanger the health or safety of persons under his or
her care; or
(III) Fails to comply with the limitations agreed to under a
confidential agreement entered INTO pursuant to section 12-43-221.5
SECTIONS 12-30-108 AND 12-245-223;
(g) (I) Has acted or failed to act in a manner that does not meet the
generally accepted standards of the professional discipline under which the
person practices. Generally accepted standards may include, at the board's
discretion, the standards of practice generally recognized by state and
national associations of practitioners in the field of the person's professional
discipline.
(II) A certified copy of a malpractice judgment of a court of
competent jurisdiction is conclusive evidence that the act or omission does
not meet generally accepted standards of the professional discipline, but
evidence of the act or omission is not limited to a malpractice judgment.
(h) Has performed services outside of such THE person's area of
training, experience, or competence;
PAGE 876-HOUSE BILL 19-1172
(i) Has maintained relationships with clients that are likely to impair
such THE person's professional judgment or increase the risk of client
exploitation, such as treating employees, supervisees, close colleagues, or
relatives;
(j) Has exercised undue influence on the client, including the
promotion of the sale of services, goods, property, or drugs in such a
manner as to exploit the client for the financial gain of the practitioner or
a third party;
(k) Has failed to terminate a relationship with a client when it was
reasonably clear that the client was not benefitting from the relationship and
is not likely to gain such benefit in the future;
(l) Has failed to refer a client to an appropriate practitioner when the
problem of the client is beyond such THE person's training, experience, or
competence;
(m) Has failed to obtain a consultation or perform a referral when
such THE failure is not consistent with generally accepted standards of care;
(n) Has failed to render adequate professional supervision of persons
practicing pursuant to this article 245 under such THE person's supervision
according to generally accepted standards of practice;
(o) Has accepted commissions or rebates or other forms of
remuneration for referring clients to other professional persons;
(p) Has failed to comply with any of the requirements pertaining to
mandatory disclosure of information to clients pursuant to section
12-43-214 12-245-216;
(q) Has offered or given commissions, rebates, or other forms of
remuneration for the referral of clients; except that a licensee, registrant, or
certificate holder may pay an independent advertising or marketing agent
compensation for advertising or marketing services rendered on the person's
behalf by such THE agent, including compensation that is paid for the results
of performance of such THE services on a per-patient basis;
(r) Has engaged in sexual contact, sexual intrusion, or sexual
PAGE 877-HOUSE BILL 19-1172
penetration, as defined in section 18-3-401, C.R.S., with a client during the
period of time in which a therapeutic relationship exists or for up to two
years after the period in which such a THERAPEUTIC relationship exists;
(s) Has resorted to fraud, misrepresentation, or deception in applying
for or in securing licensure or taking any examination provided for in this
article 245;
(t) Has engaged in any of the following activities and practices:
(I) Repeated ordering or performing demonstrably unnecessary
laboratory tests or studies without clinical justification for the tests or
studies;
(II) The administration, without clinical justification, of treatment
that is demonstrably unnecessary;
(III) Ordering or performing any service or treatment that is contrary
to the generally accepted standards of the person's practice and is without
clinical justification;
(IV) Using or recommending rebirthing or any therapy technique
that may be considered similar to rebirthing as a therapeutic treatment.
"Rebirthing" means the reenactment of the birthing process through therapy
techniques that involve any restraint that creates a situation in which a
patient may suffer physical injury or death. For the purposes of this
subparagraph (IV) SUBSECTION (1)(t)(IV), a parent or legal guardian may
not consent to physical, chemical, or mechanical restraint on behalf of a
child or ward.
(u) Has falsified or repeatedly made incorrect essential entries or
repeatedly failed to make essential entries on patient records;
(v) Has committed a fraudulent insurance act, as set forth in section
10-1-128; C.R.S.;
(w) Has sold or fraudulently obtained or furnished a license,
registration, or certification to practice as a psychologist, social worker,
marriage and family therapist, licensed professional counselor,
psychotherapist, or addiction counselor or has aided or abetted in such
PAGE 878-HOUSE BILL 19-1172
THOSE activities; or
(x) Has failed to respond, in the manner required by the board, to a
complaint filed with or by the board against the licensee, registrant, or
certificate holder.
(2) A disciplinary action relating to a license, registration, or
certification to practice a profession licensed, registered, or certified under
this article 245 or any related occupation in any other state, territory, or
country for disciplinary reasons constitutes prima facie evidence of grounds
for disciplinary action, including denial of licensure, registration, or
certification, by a board. This subsection (2) applies only to disciplinary
actions based upon acts or omissions in such THE other state, territory, or
country substantially similar to those acts or omissions set out as grounds
for disciplinary action pursuant to subsection (1) of this section.
12-245-225. [Formerly 12-43-223] Authority of boards -
cease-and-desist orders - rules. (1) (a) If a licensee, registrant, or
certificate holder violates any provision of section 12-43-222 12-245-224,
the board that licenses, registers, or certifies the licensee, registrant, or
certificate holder may, IN ACCORDANCE WITH SECTION 12-20-404:
(I) (a) Deny, revoke, or suspend the person's license, registration, or
certification ISSUE AND SEND, BY CERTIFIED MAIL, A LETTER OF ADMONITION
TO A LICENSEE, REGISTRANT, OR CERTIFICATE HOLDER UNDER THE
CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH SECTION
12-20-404 (4);
(II) (b) Deny, revoke, or suspend the listing of a registered
psychotherapist in the state board of registered psychotherapists database
PLACE A LICENSEE, REGISTRANT, OR CERTIFICATE HOLDER ON PROBATION;
(III) (c) Issue a letter of admonition to a licensee, registrant, or
certificate holder DENY, REVOKE, OR SUSPEND THE PERSON'S LICENSE,
REGISTRATION, OR CERTIFICATION;
(IV) (d) Issue a confidential letter of concern to a licensee,
registrant, or certificate holder DENY, REVOKE, OR SUSPEND THE LISTING OF
A REGISTERED PSYCHOTHERAPIST IN THE STATE BOARD OF REGISTERED
PSYCHOTHERAPISTS DATABASE ESTABLISHED PURSUANT TO SECTION
PAGE 879-HOUSE BILL 19-1172
12-245-703;
(V) (e) Place a licensee, registrant, or certificate holder on probation
ISSUE AND SEND A CONFIDENTIAL LETTER OF CONCERN TO A LICENSEE,
REGISTRANT, OR CERTIFICATE HOLDER UNDER THE CIRCUMSTANCES
SPECIFIED IN SECTION 12-20-404 (5); or
(VI) (f) Apply for an injunction pursuant to section 12-43-227
12-245-230 to enjoin a licensee, registrant, or certificate holder from
practicing the profession for which the person is licensed, registered, or
certified under this article 245.
(b) (2) When a licensee, registrant, or certificate holder violates an
administrative requirement of this article 245, the board regulating the
licensee, registrant, or certificate holder may impose an administrative fine
on the licensee, registrant, or certificate holder, not to exceed five thousand
dollars per violation. Each board shall adopt rules establishing a schedule
of fines setting forth different levels of fines based on whether the licensee,
registrant, or certificate holder has committed a single violation or
subsequent violations of administrative requirements.
(2) (Deleted by amendment, L. 98, p. 1119, § 18, effective July 1,
1998.)
(3) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1287,
§ 15, effective July 1, 2011.)
(4) (a) If it appears to a board, based upon credible evidence as
presented in a written complaint by any person, that a licensee or registrant
is acting in a manner that is an imminent threat to the health and safety of
the public, or a person is acting or has acted without the required license or
registration, the board may issue an order to cease and desist such activity.
The order shall set forth the statutes and rules alleged to have been violated,
the facts alleged to have constituted the violation, and the requirement that
all unlawful acts or unlicensed or unregistered practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (4), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
PAGE 880-HOUSE BILL 19-1172
24-4-104 and 24-4-105, C.R.S.
(5) (a) If it appears to a board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed or
unregistered practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (5) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (5) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (5). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (5) does not appear at the
hearing, a board may present evidence that notification was properly sent
or served upon such person pursuant to paragraph (b) of this subsection (5)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after such
board's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
PAGE 881-HOUSE BILL 19-1172
(III) If a board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or registration, or has or is about to engage in acts or practices
constituting violations of this article, a final cease-and-desist order may be
issued, directing such person to cease and desist from further unlawful acts
or unlicensed or unregistered practices.
(IV) A board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (5), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(6) If it appears to a board, based upon credible evidence presented
to the board, that a person has engaged in or is about to engage in any
unlicensed or unregistered act or practice, any act or practice constituting
a violation of this article, any rule promulgated pursuant to this article, any
order issued pursuant to this article, or any act or practice constituting
grounds for administrative sanction pursuant to this article, the board may
enter into a stipulation with such person.
(7) If any person fails to comply with a final cease-and-desist order
or a stipulation, a board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(8) A person aggrieved by the final cease-and-desist order may seek
judicial review of a board's determination or of a board's final order as
provided in section 12-43-224 (5).
(3) A BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-245-226. [Formerly 12-43-224] Disciplinary proceedings -
judicial review - mental and physical examinations - multiple licenses.
PAGE 882-HOUSE BILL 19-1172
(1) (a) (I) A proceeding for discipline of a licensee, registrant, or certificate
holder may be commenced when the board that licenses, registers, or
certifies the licensee, registrant, or certificate holder has reasonable grounds
to believe that the licensee, registrant, or certificate holder under the board's
jurisdiction has committed any act or failed to act pursuant to the grounds
established in section 12-43-222 or 12-43-226 12-245-224 OR 12-245-228.
(II) (A) Any person who alleges that a licensee, registrant, or
certificate holder violated a provision of this article 43 245 related to
maintenance of records of a client eighteen years of age or older must file
a complaint or other notice with the board within seven years after the
person discovered or reasonably should have discovered the misconduct. A
licensee, registrant, or certificate holder shall notify a client that the client's
records may not be maintained after the seven-year period for filing a
complaint pursuant to this section. The required notice must be provided to
the client in writing no later than one hundred eighty days after the end of
the client's treatment. The notice may be included with the licensee's
disclosures pursuant to section 12-43-214 (1) 12-245-216 (1) or sent to the
client's last-known mailing address. Consistent with all procedural
requirements of this article 43 245, or otherwise required by law, the board
must either take disciplinary action on the complaint or dismiss the
complaint no later than two years after the date the complaint or notice was
filed with the board.
(B) The seven-year limitation period specified in subsection
(1)(a)(II)(A) of this section does not apply to the filing of a complaint or
other notice with the board for any other violation of this article 43 245,
including the acts described in section 12-43-222 or 12-43-226 12-245-224
OR 12-245-228.
(b) A licensee, registrant, or certificate holder who holds more than
one license, registration, or certification pursuant to this article 245, who
has committed any act or failed to act pursuant to the grounds established
in section 12-43-222 or 12-43-226 12-245-224 OR 12-245-228, is subject
to disciplinary action by all boards that license, register, or certify the
person pursuant to this article 245. The findings, conclusions, and final
agency order of the first board to take disciplinary action pursuant to this
section against the licensee, registrant, or certificate holder, or any
disciplinary action taken by the state grievance board as it existed prior to
July 1, 1998, is prima facie evidence against the person in any subsequent
PAGE 883-HOUSE BILL 19-1172
disciplinary action taken by another board concerning the same act or series
of acts.
(c) If a licensee, registrant, or certificate holder who applies for a
license, registration, or certification pursuant to this article 245 has been
disciplined by any board created pursuant to this article 245, or the state
grievance board as it existed prior to July 1, 1998, the findings, conclusions,
and final agency order of the first board to take disciplinary action pursuant
to this section against the licensee, registrant, or certificate holder is prima
facie evidence against the person in any subsequent application made for a
license, registration, or certification to any other board created pursuant to
this article 245.
(2) (a) Disciplinary proceedings shall be conducted in the manner
prescribed by the "State Administrative Procedure Act", article 4 of title 24,
C.R.S. AND SECTION 12-20-403.
(b) Each board, through the department, of regulatory agencies, may
employ administrative law judges, on a full-time or part-time basis, to
conduct hearings as provided by this article 245 or on any matter within the
board's jurisdiction upon such conditions and terms as such THE board may
determine. A board may elect to refer a case for formal hearing to an
administrative law judge, with or without an assigned advisor from such
THE board. If a board so elects to refer a case with an assigned advisor and
such THE advisor is a member of the board, the advisor shall be excluded
from such THE board's review of the decision of the administrative law
judge. The advisor shall assist the administrative law judge in obtaining and
interpreting data pertinent to the hearing.
(c) (I) Except as provided in subparagraph (II) of this paragraph (c)
SUBSECTION (2)(c)(II) OF THIS SECTION, a board shall not deny, revoke, or
suspend a licensee's, registrant's, or certificate holder's right to use a title
and shall not place a licensee, registrant, or certificate holder on probation
pursuant to the grounds established in sections 12-43-222 and 12-43-226
12-245-224 AND 12-245-228 until a hearing has been conducted if required
pursuant to section 24-4-105. C.R.S.
(II) The board that licenses, registers, or certifies a licensee,
registrant, or certificate holder pursuant to this article 43 245 may
summarily suspend the person's license, registration, or certification, subject
PAGE 884-HOUSE BILL 19-1172
to the limitation of section 24-4-104, under the following circumstances:
(A) In emergency situations, as provided for by section 24-4-104;
C.R.S.;
(B) The licensee, registrant, or certificate holder has been
adjudicated by a court of competent jurisdiction as a person who is gravely
disabled, a person who is mentally incompetent, or a person who is insane;
is a person who has a mental health disorder; or is a person who has an
intellectual and developmental disability; or
(C) The licensee, registrant, or certificate holder violates paragraph
(e) of this subsection (2) SUBSECTION (2)(d) OF THIS SECTION.
(d) (I) If a board has reasonable cause to believe that a licensee,
registrant, or certificate holder whom the board licenses, registers, or
certifies pursuant to this article 245 is unable to practice with reasonable
skill and safety to patients, the board may require the licensee, registrant, or
certificate holder to submit to mental or physical examinations designated
by the board. Upon the failure of the licensee, registrant, or certificate
holder to submit to a mental or physical examination, and unless the person
shows good cause for such THE failure, the board may act pursuant to
paragraph (c) of this subsection (2) SUBSECTION (2)(c) OF THIS SECTION or
enjoin a licensee, registrant, or certificate holder pursuant to section
12-43-227 12-245-230 until the person submits to the required
examinations.
(e) (II) Every licensee, registrant, or certificate holder is deemed to
have consented to submit to mental or physical examinations when directed
in writing by the board that licenses, registers, or certifies the licensee,
registrant, or certificate holder pursuant to this article 245 and to have
waived all objections to the admissibility of the examiner's testimony or
examination reports on the ground of privileged communication.
(f) (III) The results of any mental or physical examination ordered
by a board may be used as evidence in any proceeding initiated by a board
or within that board's jurisdiction in any forum.
(3) IN ADDITION TO THE ACTIONS AUTHORIZED BY SECTION
12-20-404, disciplinary actions may consist of the following:
PAGE 885-HOUSE BILL 19-1172
(a) Revocation of a license, registration, or certification.
(I) Revocation of a license, registration, or certification by a board means
that the licensee, registrant, or certificate holder shall surrender his or her
license, registration, or certification.
(II) Any person whose license, registration, or certification to
practice is revoked is ineligible to apply for any license, registration, or
certification issued under this article for at least three years after the date of
surrender of the license, registration, or certification. Any reapplication
after such three-year period is treated as a new application.
(b) Suspension of a license, registration, or certification.
Suspension of a license, registration, or certification by the board that
licenses, registers, or certifies such licensee, registrant, or certificate holder
pursuant to this article is for a period to be determined by the applicable
board.
(c) (a) Probationary status. A board may impose probationary
status on a licensee, registrant, or certificate holder. If a board places a
licensee, registrant, or certificate holder on probation, it may include
conditions for continued practice that the board deems appropriate to assure
that the licensee, registrant, or certificate holder is physically, mentally, and
otherwise qualified to practice in accordance with generally accepted
professional standards of practice, including any of the following:
(I) Submission by the licensee, registrant, or certificate holder to
examinations a board may order to determine the person's physical or
mental condition or professional qualifications;
(II) Participation in therapy or courses of training or education the
board determines necessary to correct deficiencies found either in the
hearing or by such THE examinations;
(III) Review or supervision of the person's practice as may be
necessary to determine the quality of, and correct any deficiencies in, that
practice; and
(IV) The imposition of restrictions upon the nature of the person's
practice to assure that he or she THE PERSON does not practice beyond the
limits of his or her THE PERSON'S capabilities.
PAGE 886-HOUSE BILL 19-1172
(d) Issuance of letters of admonition. (I) When a complaint or
investigation discloses an instance of misconduct that, in the opinion of the
board, does not warrant formal action by the board but that should not be
dismissed as being without merit, a letter of admonition may be issued and
sent, by certified mail, to the licensee, registrant, or certificate holder.
(II) When a letter of admonition is sent by the board, by certified
mail, to a licensee, registrant, or certificate holder, the letter also must
advise the person that he or she has the right to request, in writing within
twenty days after receipt of the letter, that formal disciplinary proceedings
be initiated to adjudicate the propriety of the conduct upon which the letter
of admonition is based.
(III) If the request for adjudication is timely made, the letter of
admonition is vacated and the matter shall be processed by means of formal
disciplinary proceedings.
(e) (b) Issuance of confidential letters of concern. When a
complaint or investigation discloses an instance of conduct that does not
warrant formal action by the board but indicates to the board conduct by the
licensee, registrant, or certificate holder that could lead to serious
consequences if not corrected, the A board may issue and send to the A
licensee, registrant, or certificate holder a confidential letter of concern
UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5). The letter
must advise the licensee, registrant, or certificate holder that the board is
concerned about a complaint it received about the licensee, registrant, or
certificate holder and must specify what action, if any, the licensee,
registrant, or certificate holder should take to assuage the board's concern.
Confidential letters of concern are confidential, and the board shall not
disclose the existence of such a THE letter or its contents to members of the
public or in any court action unless the board is a party to the action.
(f) Deferred settlement or judgment. When a complaint or an
investigation discloses an instance of misconduct that, in the opinion of the
board, warrants formal action, the complaint shall not be resolved by a
deferred settlement, action, judgment, or prosecution.
(4) (a) Except as provided in paragraph (b) of this subsection (4)
SUBSECTION (4)(b) OF THIS SECTION, if a complaint is dismissed, records of
investigations, examinations, hearings, meetings, and other proceedings of
PAGE 887-HOUSE BILL 19-1172
the board conducted pursuant to this section are exempt from the open
records law, article 72 of title 24. C.R.S.
(b) The exemption from the open records law specified in paragraph
(a) of this subsection (4) SUBSECTION (4)(a) OF THIS SECTION does not
apply:
(I) When a decision to proceed with a disciplinary action has been
agreed upon by a majority of the members of the applicable board and a
notice of formal complaint is drafted and served on the licensee, registrant,
or certificate holder by first-class mail; or
(II) Upon final agency action.
(c) In any final agency action or formal complaint, the board, when
it deems necessary, shall redact all names of clients or other recipients of
services to protect such THE persons' confidentiality.
(5) SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF final board
actions and orders appropriate for judicial review. may be judicially
reviewed in the court of appeals, and Judicial proceedings for the
enforcement of a board order may be instituted in accordance with section
24-4-106 (11). C.R.S.
(6) (Deleted by amendment, L. 98, p. 1120, § 18, effective July 1,
1998.)
(7) (6) Any board member having an immediate personal, private,
or financial interest in any matter pending before the board shall disclose
the fact to the board and shall not vote upon such THE matter.
(8) (7) Any licensee, registrant, or certificate holder against whom
a malpractice claim is settled or a judgment rendered in a court of
competent jurisdiction shall notify the board that licenses, registers, or
certifies the licensee, registrant, or certificate holder pursuant to this article
245 of the judgment or settlement within sixty days after the disposition.
(9) (8) Any licensee, registrant, or certificate holder who has direct
knowledge that a licensee, registrant, or certificate holder has violated
section 12-43-222 or 12-43-226 12-245-224 OR 12-245-228 has a duty to
PAGE 888-HOUSE BILL 19-1172
report the violation to the board that licenses, registers, or certifies the
licensee, registrant, or certificate holder pursuant to this article 245 unless
reporting the violation would violate the prohibition against disclosure of
confidential information without client consent pursuant to section
12-43-218 12-245-220.
12-245-227. [Formerly 12-43-225] Reconsideration and review
of action of a board. A board, on its own motion or upon application, at
any time after the imposition of any discipline as provided in section
12-43-224 12-245-226, may reconsider its prior action and reinstate or
restore such THE license, registration, or certification; terminate probation;
or reduce the severity of its prior disciplinary action. The board has sole
discretion to determine whether to take further action or hold a hearing with
respect to its prior disciplinary action.
12-245-228. [Formerly 12-43-226] Unauthorized practice -
penalties.
(1) Repealed.
(2) (1) Any person who practices or offers or attempts to practice as
a psychologist, social worker, marriage and family therapist, licensed
professional counselor, psychotherapist, or addiction counselor without an
active license, registration, or certification issued under this article commits
a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense. Any person who commits a second
or any subsequent offense commits a class 6 felony and shall be punished
as provided in section 18-1.3-401, C.R.S. 245 IS SUBJECT TO PENALTIES
PURSUANT TO SECTION 12-20-407 (1)(a).
(3) Repealed.
(4) (2) No action may be maintained for the breach of a contract
involving the unlawful practice of psychology, social work, professional
counseling, marriage and family therapy, addiction counseling, or
psychotherapy or for the recovery of compensation for services rendered
under such a contract.
(5) (3) When an individual has been the recipient of services
prohibited by this article 245, whether or not such THE person knew that the
PAGE 889-HOUSE BILL 19-1172
rendition of the services were unlawful:
(a) Such THE person or such THE person's personal representative is
entitled to recover the amount of any fee paid for the services; and
(b) Damages for injury or death occurring as a result of the services
may be recovered in an appropriate action without any showing of
negligence.
12-245-229. [Formerly 12-43-226.5] Licensee duties relating to
assistance animals - definitions. (1) A licensee who is approached by a
patient seeking an assistance animal as a reasonable accommodation in
housing shall either:
(a) Make a written finding regarding whether the patient has a
disability and, if a disability is found, a separate written finding regarding
whether the need for the animal is related to that disability; or
(b) Make a written finding that there is insufficient information
available to make a finding regarding disability or the disability-related
need for the animal.
(2) This section does not:
(a) Change any laws or procedures related to a service animal under
Title II and Title III of the federal "Americans with Disabilities Act of
1990", 42 U.S.C. sec. 12101 et seq., AS AMENDED;
(b) Affect in any way the right of pet ownership in public housing
established in 42 U.S.C. sec. 1437z-3, as amended; or
(c) Limit the means by which a person with a disability may
demonstrate, pursuant to state or federal law, that the person has a disability
or that the person has a disability-related need for an assistance animal.
(3) A licensee shall not make a determination related to subsection
(1) of this section unless the licensee:
(a) Has met with the patient in person;
PAGE 890-HOUSE BILL 19-1172
(b) Is sufficiently familiar with the patient and the disability; and
(c) Is legally and professionally qualified to make the determination.
(4) For purposes of this section:
(a) "Assistance animal" means an animal that qualifies as a
reasonable accommodation under the federal "Fair Housing Act", 42 U.S.C.
sec. 3601 et seq., as amended, or section 504 of the federal "Rehabilitation
Act of 1973", 29 U.S.C. sec. 794, as amended.
(b) "Disability" has the same meaning as set forth in the federal
"Americans with Disabilities Act of 1990", 42 U.S.C. sec. 12101 et seq.,
and its related amendments and implementing regulations and includes a
handicap as that term is defined in the federal "Fair Housing Act", 42
U.S.C. sec. 3601 et seq., as amended, and 24 CFR 100.201.
(c) "Service animal" has the same meaning as set forth in the
implementing regulations of Title II and Title III of the federal "Americans
with Disabilities Act of 1990", 42 U.S.C. sec. 12101 et seq., AS AMENDED.
12-245-230. [Formerly 12-43-227] Injunctive proceedings. (1) A
board may in the name of the people of the state of Colorado, through the
attorney general of the state of Colorado, apply for an injunction in any
court of competent jurisdiction ACCORDANCE WITH SECTION 12-20-406, BUT
ONLY TO ENJOIN:
(a) To enjoin Any person licensed, registered, or certified by that
board pursuant to this article 245 from committing any act prohibited by this
article 245;
(b) To enjoin A licensee, registrant, or certificate holder regulated
by that board from practicing the profession for which the person is
licensed, registered, or certified under this article 245 if the person has
violated section 12-43-224 (2)(d) or 12-43-222 12-245-224 OR 12-245-226
(2)(d).
(c) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1309,
§ 37, effective July 1, 2011.)
PAGE 891-HOUSE BILL 19-1172
(2) If the board demonstrates that the defendant has been or is
committing any act prohibited by this article 245, the court shall enter a
decree perpetually enjoining the defendant from further committing the act
or from practicing any profession licensed, registered, or certified pursuant
to this article 245.
(3) Injunctive proceedings are in addition to, and not in lieu of,
penalties and other remedies provided in this article.
(4) When seeking an injunction under this section, a board is not
required to allege or prove either that an adequate remedy at law does not
exist or that substantial or irreparable damage would result from a continued
violation.
12-245-231. [Formerly 12-43-227.5] Mental health professional
peer health assistance program - fees - administration - rules. (1) (a) On
and after July 1, 2012, as a condition of licensure, registration, or
certification and renewal in this state, every person applying for a new
license, registration, or certification or to renew his or her license,
registration, or certification shall pay a fee, for use by the administering
entity selected by the director pursuant to this subsection (1), in an amount
not to exceed twenty-five dollars per application for a new or to renew a
license, registration, or certification. The director shall annually review the
fee and program usage level and adjust the fee amount based on program
usage, but the director shall not adjust the fee to an amount in excess of
twenty-five dollars. The division shall forward the fee to the chosen
administering entity for use in supporting designated providers selected to
provide assistance to licensees, registrants, or certificate holders needing
help in dealing with physical, emotional, or psychological conditions that
may be detrimental to their ability to practice their mental health profession.
(b) By January 31, 2014, the director, in consultation with the boards
before making a selection, shall select one or more designated providers to
provide the peer health assistance program. For purposes of selecting
designated providers, the director shall use a competitive bidding process
that encourages participation from interested vendors. To be eligible for
designation, a peer health assistance program must:
(I) Provide for the education of mental health professionals with
respect to the recognition and prevention of physical, emotional, and
PAGE 892-HOUSE BILL 19-1172
psychological conditions and provide for intervention when necessary or
under circumstances established by the board by rule;
(II) Offer assistance to a mental health professional in identifying
physical, emotional, or psychological conditions;
(III) Evaluate the extent of physical, emotional, or psychological
conditions and refer the mental health professional for appropriate
treatment, taking into consideration the cost of the treatment, whether the
cost is prohibitive for or will pose an undue financial hardship on the mental
health professional, and, if so, referring the mental health professional to
alternative treatment or to a provider or treatment program that offers
discounted fees based on ability to pay;
(IV) Monitor the status of a mental health professional who has been
referred for treatment;
(V) Provide counseling and support for the mental health
professional and for the family of any mental health professional referred
for treatment;
(VI) Agree to receive referrals from the board;
(VII) Agree to make its services available to all licensed, registered,
or certified mental health professionals; and
(VIII) Notify the appropriate board when a mental health
professional has successfully completed the peer health assistance program.
(c) The director may select an entity to administer the mental health
professional peer assistance program. An administering entity must be a
nonprofit private foundation that is qualified under section 501 (c)(3) of the
federal "Internal Revenue Code of 1986", as amended, and that is dedicated
to providing support for charitable, benevolent, educational, and scientific
purposes that may be related to mental health professions, mental health
professional education, mental health research and science, and other
mental health charitable purposes.
(d) The administering entity shall:
PAGE 893-HOUSE BILL 19-1172
(I) Distribute the moneys MONEY collected by the division, less
expenses, to the designated provider, as directed by the director;
(II) Provide an annual accounting to the division of all amounts
collected, expenses incurred, and amounts disbursed; and
(III) Post a surety performance bond in an amount specified by the
director to secure performance under the requirements of this section. The
administering entity may recover the actual administrative costs incurred in
performing its duties under this section in an amount not to exceed ten
percent of the total amount collected.
(e) The division shall collect the required annual payments payable
to the administering entity for the benefit of the administering entity and
shall transfer all such payments to the administering entity. All required
annual payments collected or due for each fiscal year are custodial funds
that are not subject to appropriation by the general assembly, and the
distribution of payments to the administering entity or expenditure of the
payments by the administering entity does not constitute state fiscal year
spending for purposes of section 20 of article X of the state constitution.
(2) (a) Any mental health professional who is referred by the
applicable board to a peer health assistance program shall enter into a
stipulation with the board pursuant to section 12-43-223 (6) 12-20-405 (3)
before participating in the program. The agreement must contain specific
requirements and goals to be met by the participant, including the
conditions under which the program will be successfully completed or
terminated, and a provision that a failure to comply with the requirements
and goals is to be promptly reported to the board and that such THE failure
will result in disciplinary action by the board. Upon notice from the peer
health assistance program that a mental health professional has successfully
completed the program, the board that regulates the professional shall
reinstate the professional's license, registration, or certification.
(b) Notwithstanding sections 12-43-223, 12-43-224 12-245-225,
12-245-226, and 24-4-104, C.R.S., the applicable board may immediately
suspend the license of any mental health professional who is referred to a
peer health assistance program by the board and who fails to attend or to
complete the program. If the mental health professional objects to the
suspension, he or she may submit a written request to the board for a formal
PAGE 894-HOUSE BILL 19-1172
hearing on the suspension within ten days after receiving notice of the
suspension, and the board shall grant the request. In the hearing, the mental
health professional bears the burden of proving that his or her license,
registration, or certification should not be suspended.
(c) Any mental health professional who self-refers and is accepted
into a peer health assistance program shall affirm that, to the best of his or
her knowledge, information, and belief, he or she knows of no instance in
which he or she has violated this article 245 or the rules of the board, except
in those instances affected by the mental health professional's physical,
emotional, or psychological conditions.
(3) Nothing in this section creates any liability on the director,
division, or state of Colorado for their actions in making grants to peer
assistance programs, and no civil action may be brought or maintained
against the board, director, division, or state for an injury alleged to have
been the result of the activities of any state-funded peer assistance program
or the result of an act or omission of a mental health professional
participating in or referred by a state-funded peer assistance program.
However, the state remains liable under the "Colorado Governmental
Immunity Act", article 10 of title 24, C.R.S., if an injury alleged to have
been the result of an act or omission of a mental health professional
participating in or referred by a state-funded peer assistance program
occurred while such THE mental health professional was performing duties
as an employee of the state.
(4) The boards may promulgate rules necessary to implement this
section. The boards and the director shall seek and obtain input from
representatives of associations representing each type of mental health
professional regulated under this article 245 in the development of the peer
health assistance program and related rules and shall not select a designated
provider until that input is obtained.
(5) As used in this section, "mental health professional" means a
psychologist, social worker, marriage and family therapist, licensed
professional counselor, psychotherapist, or addiction counselor regulated
under this article 245.
12-245-232. [Formerly 12-43-228] Minimum standards for
testing. (1) Every person licensed, registered, or certified under this article
PAGE 895-HOUSE BILL 19-1172
43 245 must meet the minimum professional preparation standards set forth
in this section to engage in the administration, scoring, or interpretation of
the following levels of psychometric or electrodiagnostic testing:
(a) General use. There is no educational or experience minimum
necessary for a licensee, registrant, or certificate holder to administer
standardized personnel selection, achievement, general aptitude, or
proficiency tests.
(b) Technical use. A master's degree in anthropology, psychology,
counseling, marriage and family therapy, social work, or sociology from a
regionally accredited university or college certified by the accrediting
agency or body to award graduate degrees and completion of at least one
graduate level course each in statistics, psychometric measurement, theories
of personality, individual and group test administration and interpretation,
and psychopathology is required in order to administer, score, or interpret
tests that require technical knowledge of test construction and use or require
the application of scientific and psychophysiological knowledge. Such THE
tests include, but are not limited to, tests of general intelligence, special
aptitudes, temperament, values, interests, and personality inventories.
(c) Advanced use. A licensee, registrant, or certificate holder must
meet all the requirements of subsection (1)(b) of this section and, in
addition, completion, at a regionally accredited university or college
certified by the accrediting agency or body to award graduate degrees, of at
least one graduate-level course in six of the following areas: Cognition,
emotion, attention, sensory-perceptual function, psychopathology, learning,
encephalopathy, neuropsychology, psychophysiology, personality, growth
and development, projective testing, and neuropsychological testing and
completion of one year of experience in advanced use practice under the
supervision of a person fully qualified under this subsection (1)(c) in order
to practice projective testing, neuropsychological testing, or use of a battery
of three or more tests to:
(I) Determine the presence, nature, causation, or extent of psychosis,
dementia diseases and related disabilities, amnesia, cognitive impairment,
influence of deficits on competence, and ability to function adaptively;
(II) Determine the etiology or causative factors contributing to
psychological dysfunction, criminal behavior, vocational disability,
PAGE 896-HOUSE BILL 19-1172
neurocognitive dysfunction, or competence; or
(III) Predict the psychological responses to specific medical,
surgical, and behavioral interventions.
(2) The board licensing, registering, or certifying any person
violating this section may bring disciplinary proceedings or injunctive
proceedings against the person pursuant to section 12-43-224 or 12-43-227
12-245-226 OR 12-245-230.
(3) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1310,
§ 38, effective July 1, 2011.)
12-245-233. [Formerly 12-43-228.5] Auricular acudetox by
mental health professionals - training - definition. (1) A mental health
care professional who has provided documentation that he or she has been
trained to perform auricular acudetox in accordance with subsection (4) of
this section may perform auricular acudetox if the auricular acudetox is
performed under the mental health care professional's current scope of
practice, and the mental health professional is:
(a) Licensed pursuant to this article 43 245;
(b) Certified as a level III addiction counselor pursuant to part 8 of
this article 43 245; or
(c) Registered as a psychotherapist pursuant to part 7 of this article
43 245.
(2) A mental health care professional performing auricular acudetox
pursuant to subsection (1) of this section shall not use the title
"acupuncturist" or otherwise claim to be a person qualified to perform
acupuncture beyond the scope of this section.
(3) As used in this section "auricular acudetox" means the
subcutaneous insertion of sterile, disposable acupuncture needles in the
following five consistent, predetermined bilateral locations:
(a) Sympathetic;
PAGE 897-HOUSE BILL 19-1172
(b) Shen men;
(c) Kidney;
(d) Liver; and
(e) Lung.
(4) In order to perform auricular acudetox pursuant to subsection (1)
of this section, a mental health care professional must successfully complete
a training program in auricular acudetox for the treatment of substance use
disorders that meets or exceeds standards of training established by the
National Acupuncture Detoxification Association or another organization
approved by the director.
12-245-234. [Formerly 12-43-229] Repeal of article. (1) This
article 245 is repealed, effective September 1, 2020. Prior to such BEFORE
THE repeal, all of the boards relating to the licensing, registration, or
certification of and grievances against any person licensed, registered, or
certified pursuant to this article shall be reviewed as provided for in 245
ARE SCHEDULED FOR REVIEW IN ACCORDANCE WITH section 24-34-104.
C.R.S.
(2) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1274,
§ 1, effective July 1, 2011.)
PART 3
PSYCHOLOGISTS
12-245-301. [Formerly 12-43-301] Definitions. As used in this part
3, unless the context otherwise requires:
(1) "Adverse action" means any action taken by the board that finds
a violation of a statute or regulation RULE that is identified by the board as
discipline and is a matter of public record.
(1.5) (2) "Approved school" means any university or other
institution of higher education offering a full-time graduate course of study
in psychology and having programs approved by the American
Psychological Association or the board.
PAGE 898-HOUSE BILL 19-1172
(2) (3) "Board" means the state board of psychologist examiners
created by section 12-43-302 (1) 12-245-302 (1).
(3) Repealed.
(4) "License" means a certificate of licensure as a licensed
psychologist.
(5) Repealed.
(6) (4) "Licensed psychologist" means a person licensed under this
part 3.
(7) Repealed.
(8) (5) "Professional psychological training program" means a
doctoral training program that:
(a) Is a planned program of study that reflects an integration of the
science and practice of psychology; and
(b) For applicants receiving their terminal degrees after 1990, is
designated as a doctoral program in psychology by the Association of State
and Provincial Psychology Boards or the National Register of Health
Service providers in psychology PSYCHOLOGISTS, or is accredited by the
American Psychological Association or Canadian Psychological
Association.
(9) (6) "Telepsychology" means the provision of psychological
services using telecommunications technologies.
12-245-302. [Formerly 12-43-302] State board of psychologist
examiners - created - members - terms. (1) There is hereby created a
state board of psychologist examiners under the supervision and control of
the division. of professions and occupations of the department of regulatory
agencies, created in section 24-1-122 (2)(g), C.R.S.
(2) The board consists of seven members who are citizens of the
United States and residents of the state of Colorado as follows:
PAGE 899-HOUSE BILL 19-1172
(a) Four board members must be licensed psychologists, at least two
of whom shall be engaged in the direct practice of psychology; except that,
if, after a good-faith attempt, the governor determines that an applicant for
membership on the board pursuant to this paragraph (a) SUBSECTION (2)(a)
who is engaged in the direct practice of psychology is not available to serve
on the board for a particular term, the governor may appoint a licensed
psychologist who is not engaged in the direct practice of psychology.
(b) Three board members must be representatives of the general
public, one of whom may be a mental health consumer or family member
of a mental health consumer. These individuals must have never been
psychologists, applicants or former applicants for licensure as
psychologists, members of another mental health profession, or members
of households that include psychologists or members of another mental
health profession or otherwise have conflicts of interest or the appearance
of such conflicts with their duties as board members.
(3) (Deleted by amendment, L. 2007, p. 130, § 1, effective August
3, 2007.)
(4) (3) (a) Each board member shall hold office until the expiration
of such THE member's appointed term or until a successor is duly appointed.
Except as specified in paragraph (b) of this subsection (4) SUBSECTION
(3)(b) OF THIS SECTION, the term of each member shall be four years, and no
board member shall serve more than two full consecutive terms. Any
vacancy occurring in board membership other than by expiration of a term
shall be filled by the governor by appointment for the unexpired term of
such THE member.
(b) The terms of office of the members on the board are modified
as follows in order to ensure staggered terms of office:
(I) The second term of office of the licensed psychologist board
member and one of the two board members representing the general public,
whose second term would otherwise expire on June 30, 2010, shall expire
on May 31, 2008, and the governor shall appoint one new licensed
psychologist and one new representative of the general public to serve terms
as described in paragraph (a) of this subsection (4) SUBSECTION (3)(a) OF
THIS SECTION commencing on June 1, 2008.
PAGE 900-HOUSE BILL 19-1172
(II) The initial term of office of the one board member representing
the general public whose initial term would otherwise expire on June 30,
2009, shall expire on May 31, 2009, and the board member is eligible to
serve one additional four-year term commencing on June 1, 2009, and
expiring on May 31, 2013. On and after the expiration of this board
member's term or a vacancy in this position, the governor shall appoint a
licensed psychologist to this position on the board, who is eligible to serve
terms as described in paragraph (a) of this subsection (4) SUBSECTION (3)(a)
OF THIS SECTION commencing on June 1 of the applicable year.
(III) The initial term of office of one of the two licensed
psychologist board members whose initial term would otherwise expire on
June 30, 2010, shall expire on May 31, 2009. This board member shall be
eligible to serve one additional four-year term, commencing on June 1,
2009, and expiring on May 31, 2013. On and after the expiration of this
board member's term, persons appointed to this position on the board shall
serve terms as described in paragraph (a) of this subsection (4) SUBSECTION
(3)(a) OF THIS SECTION commencing on June 1 of the applicable year.
(IV) The initial terms of office of the remaining licensed
psychologist board member and the other board member representing the
general public, whose initial terms would otherwise expire on June 30,
2010, shall expire on May 31, 2010. Each of these board members shall be
eligible to serve one additional four-year term commencing on June 1, 2010,
and expiring on May 31, 2014. On and after the expiration of these board
members' terms, persons appointed to these positions on the board shall
serve terms as described in paragraph (a) of this subsection (4) SUBSECTION
(3)(a) OF THIS SECTION commencing on June 1 of the applicable year.
(V) The second term of office of the remaining board member
representing the general public whose second term would otherwise expire
on June 30, 2010, shall expire on May 31, 2010. The governor shall appoint
one new representative of the general public to serve terms as described in
paragraph (a) of this subsection (4) SUBSECTION (3)(a) OF THIS SECTION
commencing on June 1, 2010.
(5) (4) The governor may remove any board member for
misconduct, incompetence, or neglect of duty after giving the board
member a written statement of the charges and an opportunity to be heard
thereon. Actions constituting neglect of duty shall include, but not be
PAGE 901-HOUSE BILL 19-1172
limited to, the failure of board members to attend three consecutive
meetings or at least three quarters of the total meetings in any calendar year.
(6) (5) Each board member shall receive a certificate of appointment
from the governor.
12-245-303. [Formerly 12-43-303] Practice of psychology defined.
(1) For the purposes of this part 3, the "practice of psychology" means the
observation, description, evaluation, interpretation, or modification of
human behavior by the application of psychological principles, methods, or
procedures, for the purpose of:
(a) Preventing, eliminating, evaluating, assessing, or predicting
symptomatic, maladaptive, or undesired behavior;
(b) Evaluating, assessing, or facilitating the enhancement of
individual, group, or organizational effectiveness, including personal
effectiveness, adaptive behavior, interpersonal relationships, work and life
adjustment, health, and individual, group, or organizational performance;
or
(c) Providing clinical information to be utilized in legal proceedings.
(2) The practice of psychology includes:
(a) Psychological testing and the evaluation or assessment of
personal characteristics such as intelligence; personality; cognitive,
physical, or emotional abilities; skills; interests; aptitudes; and
neuropsychological functioning;
(b) Counseling, psychoanalysis, psychotherapy, hypnosis,
biofeedback, and behavior analysis and therapy;
(c) Diagnosis, treatment, and management of behavioral, mental, or
emotional health disorders or disabilities; substance use disorders; and
disorders of habit or conduct, as well as of the psychological aspects of
physical illness, accident, injury, or disability;
(d) Psychoeducational evaluation, therapy, and remediation;
PAGE 902-HOUSE BILL 19-1172
(e) Consultation with physicians, other health care professionals,
and patients regarding all available treatment options with respect to
provision of care for a specific patient or client;
(f) The provision of direct services to individuals or groups for the
purpose of enhancing individual and thereby organizational effectiveness,
using psychological principles, methods, or procedures to assess and
evaluate individuals on personal characteristics for individual development
or behavior change or for making decisions about the individual, such as
selection; and
(g) The supervision of any of the practices described in this
subsection (2).
(h) to (l) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p.
1311, § 41, effective July 1, 2011.)
(3) Psychological services may be rendered to individuals, families,
groups, organizations, institutions, the public, and the courts.
(4) The practice of psychology shall be construed within the
meaning of this definition without regard to whether payment is received
for services rendered.
12-245-304. [Formerly 12-43-304] Qualifications - examinations
- licensure. (1) The board shall issue a license as a psychologist to each
applicant who files an application in a form and manner required by the
board, submits the fee required by the board pursuant to section 12-43-204
12-245-205, and furnishes evidence satisfactory to the board that he or she
THE APPLICANT:
(a) Is at least twenty-one years of age;
(b) Is not in violation of any provision of this article 245 or any rules
promulgated by the board;
(c) Has completed a doctorate degree with a major in psychology,
or the equivalent to such THAT major as determined by the board, from an
approved school;
PAGE 903-HOUSE BILL 19-1172
(d) Has had at least one year of postdoctoral experience practicing
psychology under supervision approved by the board; and
(e) Demonstrates professional competence by passing a single,
written examination in psychology as prescribed by the board and a
jurisprudence examination administered by the division.
(1.5) (2) (a) The examination by the board described in paragraph
(e) of subsection (1) SUBSECTION (1)(e) of this section shall be given not
less than twice per year at such time and place and under such supervision
as the board may determine.
(b) The examination shall test for knowledge of the following three
areas:
(I) General psychology;
(II) Clinical and counseling psychology; and
(III) Application of the practice of clinical and counseling
psychology, including knowledge of appropriate statutes and professional
ethics.
(c) The board or its designated representatives shall administer and
determine the pass or fail status of the examination and take any actions
necessary to ensure impartiality. The board shall determine the passing
score for the examination based upon a level of minimum competency to
engage in the practice of psychology.
(2) to (6) (Deleted by amendment, L. 2007, p. 137, § 1, effective
July 1, 2007.)
(7) (3) (a) The board shall register as a psychologist candidate a
person who files an application for registration, accompanied by the fee
required by section 12-43-204 12-245-205, and who:
(I) Submits evidence satisfactory to the board that he or she THE
PERSON has met the requirements of paragraphs (a), (b), and (c) of
subsection (1) SUBSECTIONS (1)(a), (1)(b), AND (1)(c) of this section; and
PAGE 904-HOUSE BILL 19-1172
(II) Has not been previously registered as a psychologist candidate
by the board.
(b) A psychologist candidate registered pursuant to this subsection
(7) (3) is under the jurisdiction of the state board. of psychologist
examiners. The psychologist candidate may, but is not required to, register
with the database of registered psychotherapists pursuant to section
12-43-702.5 12-245-703. If the requirements of paragraphs (d) and (e) of
subsection (1) SUBSECTIONS (1)(d) AND (1)(e) of this section are not met
within four years, the registration of the psychologist candidate expires and
is not renewable unless the board, in its discretion, grants the candidate an
extension. A person whose psychologist candidate registration expires is not
precluded from applying for licensure or registration with any other mental
health board for which the person is qualified.
12-245-305. [Formerly 12-43-305] Rights and privileges of
licensure - title. (1) Any person who possesses a valid, unsuspended, and
unrevoked license as a licensed psychologist has the right to:
(a) Engage in the private, independent practice of psychology;
(b) Practice and supervise psychology practice; and
(c) Use the title "psychologist" and the terms "psychology" and
"psychological". No other person may assume these titles or use these terms
on any work or letter, sign, figure, or device to indicate that the person
using such THE title or terms is a licensed psychologist.
(2) Any person duly licensed as a psychologist shall not be required
to obtain any other license or certification to practice psychology as defined
in section 12-43-303 unless otherwise required by the board.
12-245-306. [Formerly 12-43-306] Exemptions. (1) Nothing in this
part 3 shall be construed to prevent the teaching of psychology, or the
conduct of psychological research, if the teaching or research does not
involve the delivery or supervision of direct psychological services to
individuals who are themselves, rather than a third party, the intended
beneficiaries of the services without regard to the source or extent of
payment for services rendered. Nothing in this part 3 prevents the provision
of expert testimony by psychologists who are exempted by this part 3. A
PAGE 905-HOUSE BILL 19-1172
person who has completed an earned doctoral degree in psychology from
an approved school may use the title "psychologist" in conjunction with the
activities permitted in this subsection (1).
(2) Nothing in this part 3 shall be construed to prevent members of
other professions licensed under the laws of this state from rendering
services within the scope of practice as set out in the statutes regulating
their professional practices so long as they do not represent themselves to
be psychologists or their services as psychological.
(3) The use of the title "psychologist" may be continued by an
unlicensed person who, as of July 1, 1982, is employed by a state, county,
or municipal agency or by other political subdivisions or any educational
institution chartered by the state, but only so long as such THE person
remains in the employment of the same institution or agency and only in the
course of conducting duties for such THE agency or institution.
(4) Nothing in this part 3 shall be construed to limit the use of an
official title on the part of any doctoral level graduate of a research
psychology program or an industrial or organizational psychology program
from a regionally accredited university while engaged in the conduct of
psychological research or the provision of psychological consultation to
organizations or institutions if such THE services do not include the clinical
practice of psychology.
(5) Nothing in this part 3 shall be construed to require the new
regulation of any occupational or professional group that is not currently
subject to regulation under state law.
(6) Nothing in this part 3 prevents the practice of psychotherapy by
persons registered with the state board of registered psychotherapists
pursuant to section 12-43-702.5 12-245-703.
(7) No person may engage in the practice of psychology as a
psychologist, or refer to himself or herself as a psychologist, unless such
THE person is licensed pursuant to this part 3.
12-245-307. [Formerly 12-43-307] Continuing professional
development - rules. (1) In accordance with section 12-43-304
12-245-304, the board issues a license to practice as a psychologist based
PAGE 906-HOUSE BILL 19-1172
on whether the applicant satisfies minimum educational and experience
requirements that demonstrate competency to practice as a psychologist.
After a license is issued to an applicant, the licensed psychologist shall
complete continuing professional development and educational hours to
maintain his or her license as a psychologist.
(2) The board shall adopt rules establishing a continuing
professional development program that includes, at a minimum, the
following elements:
(a) The development, execution, and documentation of a learning
plan;
(b) A requirement that, every two years, a licensed psychologist
complete at least forty hours of continuing professional development,
including one or more of the following activities, in any combination,
chosen by the licensed psychologist:
(I) (A) Attending workshops; seminars; symposia; colloquia; invited
speaker sessions; postdoctoral institutes; or scientific or professional
programs offered at meetings of local, state, regional, national, or
international professional or scientific organizations. The activities
completed pursuant to this subparagraph (I) SUBSECTION (2)(b)(I) may
include online continuing education but must qualify as continuing
education units or continuing medical education credit approved by the
American Psychological Association, state medical association, or
Accreditation Council for Continuing Medical Education or by a regionally
accredited institution of higher education; except that up to five of the
continuing professional development hours completed pursuant to this
subparagraph (I) SUBSECTION (2)(b)(I) may come from attendance at
nonaccredited programming that meets the other requirements of this
subparagraph (I) SUBSECTION (2)(b)(I).
(B) A licensed psychologist must retain a transcript or a certificate
of attendance, including a statement of the credits earned, provided at the
end of the workshop, seminar, symposium, colloquium, invited speaker
session, postdoctoral institute, or scientific or professional program offered
at a meeting of a local, state, regional, national, or international professional
or scientific organization as documentation of completion.
PAGE 907-HOUSE BILL 19-1172
(II) Satisfactorily completing an ethics course offered by the
American Psychological Association, state medical association, or
Accreditation Council for Continuing Medical Education, or a regionally
accredited institution of higher education. A licensed psychologist must
retain a certificate of attendance or a transcript as documentation of
completion. One continuing education hour is equivalent to one
professional development hour.
(III) Developing and teaching an academic course in psychology at
an institution accredited by a regional accrediting association. Credit is
given for the first time within a given licensure cycle that the licensed
psychologist teaches the course, as documented by the dean or head of the
department of the institution in which the course was taught, and is based
on the number of credit hours, units, or hours assigned by the institution.
One academic credit, unit, or hour is equivalent to ten continuing
professional development hours.
(IV) Satisfactorily completing a graduate course in psychology
offered by an institution accredited by a regional accrediting association and
documented by an academic transcript showing the graduate credits earned.
One academic credit, unit, or hour is equivalent to ten continuing
professional development hours.
(V) Developing and presenting for the first time within a given
licensure cycle a workshop, seminar, symposium, colloquium, or invited
speaking session at a meeting of a professional or scientific organization or
a postdoctoral institute, documented by a printed program or agenda. One
hour of workshop, seminar, symposium, colloquial presentation, or invited
speaking session is equivalent to three continuing professional development
hours.
(VI) Authoring or editing a psychology publication documented by
a cover sheet, masthead, or table of contents from the publication. The
maximum hours THAT may be earned ARE as follows:
(A) Authoring a professional or scientific book is equivalent to forty
hours of continuing professional development hours;
(B) Authoring a professional or scientific book chapter or journal
article is equivalent to twenty hours of continuing professional development
PAGE 908-HOUSE BILL 19-1172
hours;
(C) Editing a professional or scientific book or journal is equivalent
to thirty hours of continuing professional development hours.
(D) Repealed.
(VII) Providing editorial review of a professional psychological or
scientific journal article at the request of the journal's editorial staff. Such
a EDITORIAL review, as documented by acknowledgment of the completed
review by the editorial staff, is equivalent to one continuing professional
development hour.
(c) A requirement that each licensed psychologist maintain all
documentation for his or her continuing professional development hours.
(3) A licensed psychologist is not required to receive preapproval
from the board or other entity prior to the completion of a continuing
professional development activity in order to receive credit for the
continuing professional development hours.
(4) The board may audit up to five percent of licensed psychologists
each two-year cycle to determine compliance with continuing professional
development requirements.
(5) (a) Records of assessments or other documentation developed or
submitted in connection with the continuing professional development
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a licensed psychologist.
The records or documents shall be used only by the board for the purpose
of determining whether a licensed psychologist is maintaining continuing
professional development necessary to engage in the profession.
(b) Subject to the requirements of paragraph (a) of this subsection
(5) SUBSECTION (5)(a) OF THIS SECTION, nothing in this section shall be
construed to restrict the discovery of information or documents that are
otherwise discoverable under the Colorado rules of civil procedure in
connection with a civil action against a licensed psychologist.
12-245-308. [Formerly 12-43-308] Psychology interjurisdictional
PAGE 909-HOUSE BILL 19-1172
compact act - powers and duties of the board - rules - definition.
(1) For purposes of this section, "compact" means the psychology
interjurisdictional compact authorized in part 39 of article 60 of title 24.
With regard to the compact, the board has the following powers and duties:
(a) To facilitate Colorado's participation in the compact;
(b) To promulgate rules necessary for the implementation,
administration, and enforcement of the compact. The board shall
promulgate rules in accordance with article 4 of title 24.
(c) To appoint a person to serve as a commissioner on the
psychology interjurisdictional compact commission;
(d) To regulate telepsychology in accordance with the compact;
(e) To regulate psychologist temporary authorization to practice in
accordance with the compact;
(f) To notify the psychology interjurisdictional compact commission
of any adverse action regarding a licensed psychologist;
(g) To provide uniform data to a coordinated license information
system consistent with the rules of the psychology interjurisdictional
compact commission;
(h) To approve payment of assessments levied by the psychology
interjurisdictional compact commission to cover the cost of the operations
and activities of the commission and its staff.
PART 4
SOCIAL WORKERS
12-245-401. [Formerly 12-43-401] Definitions. As used in this part
4, unless the context otherwise requires:
(1) "Approved school" means any university or other institution of
higher education offering a full-time undergraduate course of study in social
work approved by the Council on Social Work Education or its predecessor
organization.
PAGE 910-HOUSE BILL 19-1172
(2) "Board" means the state board of social work examiners, created
in section 12-43-402 12-245-402.
(3) Repealed.
(4) (3) "Clinical social work practice" shall have the same meaning
as "social work practice" as defined in section 12-43-403 12-245-403.
(5) (4) "Graduate school of social work" means any university or
other institution of higher education offering a full-time graduate course of
study in social work approved by the Council on Social Work Education or
its predecessor organization.
(5.5) (5) "Independent practice" means practicing independent of
supervision.
(6) "Independent private practice" means a practice charging a fee
in a setting other than under the auspices of a public or private nonprofit
agency exempt from federal income tax under section 501 (c)(3) of the
federal "Internal Revenue Code of 1986", as amended.
(7) "Licensed clinical social worker" means any person licensed
under the provisions of this part 4 as a clinical social worker.
(8) "Licensed social worker" means a person licensed under this part
4 as a licensed social worker.
(9) Repealed.
(10) (Deleted by amendment, L. 2004, p. 912, § 10, effective July
1, 2004.)
(11) (9) "Social worker" means a person who has completed an
earned master's or bachelor's degree in social work from a social work
education program accredited by the Council on Social Work Education, or
a doctoral degree in social work from a doctoral program within a social
work education program accredited by the Council on Social Work
Education, and who is practicing within the scope of section 12-43-403
12-245-403.
PAGE 911-HOUSE BILL 19-1172
12-245-402. [Formerly 12-43-402] State board of social work
examiners - created - members - terms. (1) There is hereby created under
the supervision and control of the division of professions and occupations
of the department of regulatory agencies the state board of social work
examiners, which shall consist of seven members who are citizens of the
United States and residents of the state of Colorado.
(2) (a) Four board members shall be licensed clinical social workers,
at least two of whom shall be engaged in direct social work practice; except
that, if, after a good-faith attempt, the governor determines that an applicant
for membership on the board pursuant to this paragraph (a) SUBSECTION
(2)(a) who is engaged in direct social work practice is not available to serve
on the board for a particular term, the governor may appoint a licensed
clinical social worker who is not engaged in direct social work practice.
(b) Three board members shall be representatives of the general
public. These individuals shall have never been a social worker, an
applicant or former applicant for licensure as a social worker, a member of
another mental health profession, or a member of a household that includes
a social worker or a member of another mental health profession or
otherwise have conflicts of interest or the appearance of such conflicts with
his or her duties as a board member.
(3) (a) Each board member shall hold office until the expiration of
such THE member's appointed term or until a successor is duly appointed.
Except as specified in paragraph (b) of this subsection (3) SUBSECTION
(3)(b) OF THIS SECTION, the term of each member shall be four years, and no
board member shall serve more than two full consecutive terms. Any
vacancy occurring in board membership other than by expiration of a term
shall be filled by the governor by appointment for the remainder of the
unexpired term of such THE member.
(b) The terms of office of the members on the board are modified
as follows in order to ensure staggered terms of office:
(I) The second term of office of one of the two licensed clinical
social worker board members who, as of July 25, 2010, would have served
two four-year terms shall expire on June 30, 2008, and the governor shall
appoint a new licensed clinical social worker to serve terms as described in
paragraph (a) of this subsection (3) SUBSECTION (3)(a) OF THIS SECTION
PAGE 912-HOUSE BILL 19-1172
commencing on July 1, 2008.
(II) The initial term of office of one of the board members
representing the general public whose initial term would otherwise expire
on July 25, 2010, expires on June 30, 2008, and the board member is
eligible to serve one additional four-year term commencing on July 1, 2008,
and expiring on June 30, 2012. On and after the expiration of this board
member's term or a vacancy in this position, the governor shall appoint a
licensed clinical social worker to this position on the board, who is eligible
to serve terms as described in paragraph (a) of this subsection (3)
SUBSECTION (3)(a) OF THIS SECTION commencing on July 1 of the applicable
year.
(III) The term of office of the one member representing the general
public who, as of July 25, 2009, would have served one full four-year term
and one partial four-year term shall expire on June 30, 2009, and the
member shall be eligible to serve one additional four-year term
commencing on July 1, 2009, and expiring on June 30, 2013. On and after
the expiration of this board member's term, persons appointed to this
position on the board shall serve terms as described in paragraph (a) of this
subsection (3) SUBSECTION (3)(a) OF THIS SECTION commencing on July 1
of the applicable year.
(IV) The term of office of the one licensed clinical social worker
board member who, as of July 25, 2010, would have served one full
four-year term and one partial four-year term shall expire on June 30, 2009,
and the board member shall be eligible to serve one additional four-year
term commencing on July 1, 2009, and expiring on June 30, 2013. On and
after the expiration of this board member's term, persons appointed to this
position on the board shall serve terms as described in paragraph (a) of this
subsection (3) SUBSECTION (3)(a) OF THIS SECTION commencing on July 1
of the applicable year.
(V) The initial terms of office of the one remaining licensed clinical
social worker board member and the two remaining board members
representing the general public whose initial terms would otherwise expire
on July 25, 2010, shall expire on June 30, 2010, and each of these board
members shall be eligible to serve one additional four-year term,
commencing on July 1, 2010, and expiring on June 30, 2014. On and after
the expiration of these board members' terms, persons appointed to these
PAGE 913-HOUSE BILL 19-1172
positions on the board shall serve terms as described in paragraph (a) of this
subsection (3) SUBSECTION (3)(a) OF THIS SECTION commencing on July 1
of the applicable year.
(4) (Deleted by amendment, L. 2007, p. 132, § 2, effective August
3, 2007.)
(5) (4) The governor may remove any board member for
misconduct, incompetence, or neglect of duty after giving the board
member a written statement of the charges and an opportunity to be heard
thereon. Actions constituting neglect of duty shall include, but not be
limited to, the failure of board members to attend three consecutive
meetings or at least three quarters of the total meetings in any calendar year.
(6) (5) Each board member shall receive a certificate of appointment
from the governor.
(7) (6) When professional judgment specific to clinical practice is
required in the review of alleged violations of section 12-43-222
12-245-224, the board may appoint an advisory committee of clinical
practitioners to review and make recommendations to the board.
12-245-403. [Formerly 12-43-403] Social work practice defined.
(1) For the purposes of this part 4, "social work practice" means the
professional application of social work theory and methods by a person who
has completed a master's degree in social work or a doctoral degree in social
work or a bachelor's degree in social work from an accredited social work
program, for the purpose of prevention, assessment, diagnosis, and
intervention with individual, family, group, organizational, and societal
problems, including substance use disorders and domestic violence, based
on the promotion of biopsychosocial developmental processes, person-in
environment transactions, and empowerment of the client system. Social
work theory and methods are based on known accepted principles that are
taught in professional schools of social work in colleges or universities
accredited by the Council on Social Work Education.
(2) Professional social work practice may include, but is not limited
to:
(a) Assessment;
PAGE 914-HOUSE BILL 19-1172
(b) Differential diagnosis;
(c) Treatment planning and evaluation;
(d) Measurement of psychosocial functioning;
(e) Crisis intervention, out-reach, short- and long-term treatment;
(f) Therapeutic, individual, marital, and family interventions;
(g) Client education;
(h) Case management;
(i) Mediation;
(j) Advocacy;
(k) Discharge, referral, and continuity of care planning and
implementation;
(l) Consultation;
(m) Supervision;
(n) Research;
(o) Management and administration;
(p) Program evaluation and education;
(q) Social group work;
(r) Community organization and development;
(s) Social policy analysis and development;
(t) Psychotherapy;
(u) Consultation, supervision, and teaching in higher education; and
PAGE 915-HOUSE BILL 19-1172
(v) Counseling.
(3) Social work practice may take place in a public or private agency
or institutional, educational, or independent setting.
(4) Social work practice is directly based upon an advanced
educational program that teaches the practitioner to analyze, intervene, and
evaluate in ways that are highly differentiated, discriminating, and
self-critical. A practitioner must be able to synthesize and apply a broad
range of knowledge as well as practice with a high degree of autonomy and
skill. A practitioner must be able to refine and advance the quality of his or
her practice as well as that of the larger social work profession. These
advanced competencies must be appropriately integrated and reflected in all
aspects of a social work practice, including the ability to:
(a) Apply critical thinking skills within professional contexts,
including synthesizing and applying appropriate theories and knowledge to
practice interventions;
(b) Practice within the values and ethics of the social work
profession and with an understanding of, and respect for, the positive value
of diversity;
(c) Demonstrate the professional use of self;
(d) Understand the forms and mechanisms of oppression and
discrimination and the strategies and skills of change that advance social
and economic justice;
(e) Understand and interpret the history of the social work
profession and its current structure and issues;
(f) Apply the knowledge and skills of a generalist social work
perspective to practice with systems of all sizes;
(g) Apply the knowledge and skills of advanced social work practice
in an area of concentration;
(h) Critically analyze and apply knowledge of biopsychosocial
variables that affect an individual's development and behavior and use
PAGE 916-HOUSE BILL 19-1172
theoretical frameworks to understand the interactions among and between
individuals and social systems;
(i) Analyze the impact of social policies on client systems, workers,
and agencies and demonstrate skills for influencing policy formulation and
change;
(j) Evaluate relevant research studies and apply findings to practice,
and demonstrate skills in quantitative research design, data analysis, and
knowledge dissemination;
(k) Conduct empirical evaluations of their own practice
interventions and those of other relevant systems; and
(l) Use communication skills differentially with a variety of client
populations, colleagues, and members of the community.
12-245-404. [Formerly 12-43-404] Qualifications - examination
- licensure and registration. (1) The board shall license as a licensed
social worker a person who files an application in a form and manner
required by the board, submits the fee required by the board pursuant to
section 12-43-204 12-245-205, and submits evidence satisfactory to the
board that he or she THE APPLICANT:
(a) Is at least twenty-one years of age;
(b) Has completed a master's degree from a graduate school of
social work; and
(c) Demonstrates professional competence by satisfactorily passing
an examination in social work as prescribed by the board and a
jurisprudence examination administered by the division.
(2) The board shall license as a licensed clinical social worker a
person who files an application, in a form and manner required by the
board, submits the fee required by the board pursuant to section 12-43-204
12-245-205, and submits evidence satisfactory to the board that he or she
THE APPLICANT:
(a) Is at least twenty-one years of age;
PAGE 917-HOUSE BILL 19-1172
(b) Has completed a master's or doctorate degree from a graduate
school of social work;
(c) Has practiced social work for at least two years under the
supervision of a licensed clinical social worker, which practice includes
training and work experience in the area of clinical social work practice;
and
(d) Demonstrates professional competence by satisfactorily passing
an examination in social work as prescribed by the board and a
jurisprudence examination administered by the division.
(2.5) (3) (a) The board or its designated representative shall give the
examination described in paragraph (c) of subsection (1) SUBSECTION (1)(c)
of this section and in paragraph (d) of subsection (2) SUBSECTION (2)(d) of
this section at least twice per year at a time and place and under the
supervision determined by the board.
(b) The board or its designated representatives shall administer and
determine the pass or fail status of the examination and take any actions
necessary to ensure impartiality. The board shall determine the passing
score for the examination based upon a level of minimum competency to
engage in social work practice.
(3) (Deleted by amendment, L. 2004, p. 914, § 13, effective July 1,
2004.)
(4) to (6) (Deleted by amendment, L. 2007, p. 138, § 2, effective
July 1, 2007.)
(7) (Deleted by amendment, L. 2004, p. 914, § 13, effective July 1,
2004.)
(8) (4) A person licensed as a licensed social worker pursuant to
subsection (1) of this section may, but is not required to, register with the
database of registered psychotherapists pursuant to section 12-43-702.5
12-245-703.
12-245-405. [Formerly 12-43-405] Rights and privileges of
licensure and a social work degree - titles. (1) Any person who possesses
PAGE 918-HOUSE BILL 19-1172
a valid, unsuspended, and unrevoked license as a social worker that was
issued pursuant to section 12-43-404 12-245-404 has the right to practice
social work under supervision and use the title "licensed social worker" OR
"social worker" and the abbreviation "LSW". No other person shall assume
these titles or use these abbreviations on any work or letter, sign, figure, or
device to indicate that the person using the same is a licensed social worker
or a social worker.
(2) Any person who possesses a valid, unsuspended, and unrevoked
license as a clinical social worker that was granted pursuant to section
12-43-404 12-245-404 is entitled to engage in the private, independent
practice of clinical social work and has the right to practice and supervise
clinical social work practice and use the title "licensed clinical social
worker", "clinical social worker", "social worker", or "licensed social
worker" and the abbreviation "LCSW". No other person shall assume these
titles or use these abbreviations on any work or letter, sign, figure, or device
to indicate that the person using the same is a licensed clinical social worker
or social worker.
(3) (a) (Deleted by amendment, L. 2005, p. 128, § 8, effective
August 8, 2005.)
(b) (3) Any person engaged in providing medically related social
services in skilled nursing or nursing care facilities shall not be subject to
the requirements of this article 245 so long as that person meets the
qualifications of, and provides services in accordance with, the federal
regulations governing the medicare and medicaid program participation of
these facilities and the Colorado department of public health and
environment's regulations RULES for the licensing of these facilities.
(4) Any person duly licensed as a licensed clinical social worker or
any person under the supervision of a licensed clinical social worker shall
not be required to obtain any other license or certification to practice social
work as defined in section 12-43-403, unless otherwise required by the
board. of social work examiners.
(5) Any person who has completed an earned master's or bachelor's
degree in social work from a social work education program accredited by
the Council on Social Work Education, or a doctoral degree in social work
from a doctoral program within a social work education program accredited
PAGE 919-HOUSE BILL 19-1172
by the Council on Social Work Education, has the right to practice social
work and to use the title "social worker". Only a person licensed as a
clinical social worker or practicing under the supervision of a licensed
clinical social worker may assert that he or she is practicing clinical social
work or use the title of "clinical social worker".
12-245-406. [Formerly 12-43-406] Scope of part. (1) The practice
of social work includes, but is not limited to, the following professional
services: Assessment; differential diagnosis; treatment planning and
evaluation; measurement of psychosocial functioning; crisis intervention;
out-reach; short- and long-term treatment; psychotherapy; therapeutic
intervention; client education; case management; mediation; advocacy;
discharge, referral, and continuity of care planning; consultation;
supervision; research; administration; education; social-group work;
community organization; and social policy analysis and development. Social
work practice also may encompass other current or developing modalities
and techniques that are consistent with this scope.
(2) A person may not state that he or she is engaged in the practice
of social work as a social worker, or refer to himself or herself as a social
worker, unless the person is licensed pursuant to this part 4 or has
completed an earned social work degree, as defined SPECIFIED in section
12-43-401 (11) 12-245-401 (9). A person may not practice as a clinical
social worker unless licensed pursuant to section 12-43-404 (2) 12-245-404
(2) or licensed to practice social work and supervised pursuant to section
12-43-404 (1) or (2) 12-245-404 (1) OR (2).
(3) No person may supervise the practice of social work for the
purpose of licensure compliance or disciplinary proceedings unless licensed
pursuant to section 12-43-404 12-245-404; except that, in cases where no
LCSW LICENSED CLINICAL SOCIAL WORKER is available for supervision for
licensure, the licensee may apply to the board for approval to be supervised
by a person with equivalent experience as determined by the board.
(4) Nothing in this part 4 shall be construed to prevent members of
other professions licensed under the laws of this state from rendering
services within the scope of practice so long as they do not represent
themselves to be social workers or their services as social work.
(5) Nothing in this part 4 prevents the practice of psychotherapy by
PAGE 920-HOUSE BILL 19-1172
persons registered with the state board of registered psychotherapists
pursuant to section 12-43-702.5 12-245-703.
12-245-407. [Formerly 12-43-407] Exemptions. Nothing in this
part 4 shall be construed to prevent the teaching of social work, or the
conduct of social work research, if the teaching or research does not involve
the delivery or supervision of direct social work services to individuals who
are themselves, rather than a third party, the intended beneficiaries of the
services without regard to the source or extent of payment for services
rendered. Nothing in this part 4 prevents the provision of expert testimony
by social workers who are exempted by this part 4. A person who has
completed an earned doctoral degree in social work from an approved
school may use the title "social worker" in conjunction with activities
permitted in this section.
12-245-408. [Formerly 12-43-409] Clinical social work practice
of psychotherapy. For the purpose of licensure, the practice, under this part
4, of psychotherapy and other clinical activities within the definition of
social work practice in section 12-43-403 12-245-403 is limited to licensed
clinical social workers or licensed social workers supervised by licensed
clinical social workers.
12-245-409. [Formerly 12-43-410] Employees of social services.
(1) Notwithstanding the exemption in section 12-43-215 (3) 12-245-217
(2)(b), an employee of the state department of human services, employee of
a county department of human or social services, or personnel under the
direct control or supervision of those departments, shall not state that he or
she is engaged in the practice of social work as a social worker or refer to
himself or herself as a social worker unless the person is licensed pursuant
to this part 4 or has completed an earned social work degree, as defined
SPECIFIED in section 12-43-401 (11) 12-245-401 (9).
(2) Notwithstanding the exemption in section 12-43-215 (3)
12-245-217 (2)(b), any employee licensed pursuant to this article 43 245
who is terminated from employment by the state department of human
services or a county department of human or social services is subject to
review and disciplinary action by the board that licenses or regulates the
employee.
(3) An employee of the state department of human services or a
PAGE 921-HOUSE BILL 19-1172
county department of human or social services who has completed a
bachelor's or master's degree in social work may apply to the board, for
purposes related to licensure under this part 4, for approval for supervision
by a person other than a licensed clinical social worker. The board shall
consider input from representatives of the state department of human
services and the county departments of human or social services when
promulgating the rule concerning what qualifications or experience a person
is required to possess in order to supervise an employee pursuant to this
subsection (3).
12-245-410. [Formerly 12-43-411] Continuing professional
competency - rules - definition. (1) (a) In accordance with section
12-43-404 12-245-404, the board issues a license to practice as a clinical
social worker or a social worker based on whether the applicant satisfies
minimum educational and experience requirements that demonstrate
professional competency to practice as a licensed clinical social worker or
a licensed social worker, respectively. After a license is issued to an
applicant, the licensed clinical social worker or licensed social worker shall
maintain continuing professional competency to practice as a licensed
clinical social worker or licensed social worker, respectively.
(b) The board shall adopt rules establishing a continuing
professional competency program that includes, at a minimum, the
following elements:
(I) A self-assessment of the knowledge and skills of a licensed
clinical social worker or licensed social worker seeking to renew or
reinstate a license;
(II) Development, execution, and documentation of a learning plan
based on the assessment; and
(III) Periodic demonstration of knowledge and skills through
documentation of activities necessary to ensure at least minimal ability to
safely practice the profession. Nothing in this subparagraph (III)
SUBSECTION (1)(b)(III) shall require a licensed clinical social worker or a
licensed social worker to retake any examination required pursuant to
section 12-43-404 12-245-404 in connection with initial licensure.
(c) The board shall establish that a licensed clinical social worker or
PAGE 922-HOUSE BILL 19-1172
licensed social worker is deemed to satisfy the continuing competency
requirements of this section if the licensed clinical social worker or licensed
social worker meets the continued professional competence requirements
of one of the following entities:
(I) A state department, including continued professional competence
requirements imposed through a contractual arrangement with a provider;
(II) An accrediting body recognized by the board; or
(III) An entity approved by the board.
(d) (I) After the program is established, licensed clinical social
workers and licensed social workers shall satisfy the requirements of the
program in order to renew or reinstate a license to practice as a licensed
clinical social worker or as a licensed social worker in Colorado.
(II) The requirements of this section apply to individual licensed
clinical social workers or licensed social workers who are licensed pursuant
to this part 4, and nothing in this section shall be construed to require a
person who employs or contracts with a licensed clinical social worker or
licensed social worker to comply with the requirements of this section.
(2) (a) Records of assessments or other documentation developed or
submitted in connection with the continuing professional competency
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a licensed clinical social
worker or a licensed social worker. The records or documents shall be used
only by the board for purposes of determining whether a licensed clinical
social worker or licensed social worker is maintaining continuing
professional competency to engage in the profession.
(b) Subject to the requirements of paragraph (a) of this subsection
(2) SUBSECTION (2)(a) OF THIS SECTION, nothing in this section shall be
construed to restrict the discovery of information or documents that are
otherwise discoverable under the Colorado rules of civil procedure in
connection with a civil action against a licensed clinical social worker or
licensed social worker.
(3) As used in this section, "continuing professional competency"
PAGE 923-HOUSE BILL 19-1172
means the ongoing ability of a licensee to learn, integrate, and apply the
knowledge, skill, and judgment to practice as a licensed clinical social
worker or as a licensed social worker, as applicable, according to generally
accepted industry standards and professional ethical standards in a
designated role and setting.
(4) Repealed.
PART 5
MARRIAGE AND FAMILY THERAPISTS
12-245-501. [Formerly 12-43-501] Definitions. As used in this part
5, unless the context otherwise requires:
(1) "Approved school" means any university or other institution of
higher education offering a full-time graduate course of study in marriage
and family therapy accredited by the Commission on Accreditation for
Marriage and Family Therapy Education, a nationally recognized
accrediting agency as determined by the board, or a substantially equivalent
program approved by the board.
(2) "Board" means the state board of marriage and family therapist
examiners created in section 12-43-502 12-245-502.
(3) Repealed.
(4) (3) "Licensed marriage and family therapist" means a person
licensed under the provisions of this part 5.
(5) Repealed.
12-245-502. [Formerly 12-43-502] State board of marriage and
family therapist examiners - created - members - terms. (1) There is
hereby created under the supervision and control of the division of
professions and occupations of the department of regulatory agencies,
created in section 24-1-122 (2)(g), C.R.S., the state board of marriage and
family therapist examiners, which shall consist of seven members who are
citizens of the United States and residents of the state of Colorado.
(2) (a) The members of the board shall be appointed by the governor
PAGE 924-HOUSE BILL 19-1172
as follows:
(I) Three members of the general public who are not regulated by
this article 245; and
(II) Four marriage and family therapists.
(b) The public members shall have never been a marriage and family
therapist, an applicant or former applicant for licensure as a marriage and
family therapist, a member of another mental health profession, or a
member of a household that includes a marriage and family therapist or a
member of another mental health profession or otherwise have conflicts of
interest or the appearance of such conflicts with his or her duties as a board
member.
(c) (Deleted by amendment, L. 2004, p. 916, § 17, effective July 1,
2004.)
(3) (Deleted by amendment, L. 2007, p. 133, § 3, effective August
3, 2007.)
(4) (3) (a) Each board member shall hold office until the expiration
of his or her appointed term or until a successor is duly appointed. Except
as specified in paragraph (b) of this subsection (4) SUBSECTION (3)(b) OF
THIS SECTION, members shall serve terms of four years, and no member
shall serve more than two full consecutive terms. When the term of each
board member expires, the governor shall appoint his or her successor for
a term of four years. Any vacancy occurring in the board membership other
than by the expiration of a term shall be filled by the governor by
appointment for the remainder of the unexpired term of such THE member.
(b) The terms of office of the members on the board are modified
as follows in order to ensure staggered terms of office:
(I) The second term of office of one of the board members
representing the general public whose second term would otherwise expire
on August 12, 2010, shall expire on July 31, 2008. On and after the
expiration of this board member's term, persons appointed to this position
on the board shall serve terms as described in paragraph (a) of this
subsection (4) SUBSECTION (3)(a) OF THIS SECTION commencing on August
PAGE 925-HOUSE BILL 19-1172
1 of the applicable year.
(II) The initial term of office of one of the marriage and family
therapist board members whose initial term would otherwise expire on
August 12, 2010, shall expire on July 31, 2008, and the board member shall
be eligible to serve one additional four-year term commencing on August
1, 2008, and expiring on July 31, 2012. On and after the expiration of this
board member's term, persons appointed to this position on the board shall
serve terms as described in paragraph (a) of this subsection (4) SUBSECTION
(3)(a) OF THIS SECTION commencing on August 1 of the applicable year.
(III) The term of office of the one board member representing the
general public who, as of August 12, 2009, would have served one full
four-year term and one partial four-year term expires on July 31, 2009. This
board member is eligible to serve one additional four-year term
commencing on August 1, 2009, and expiring on July 31, 2013. On and
after the expiration of this board member's term or a vacancy in this
position, the governor shall appoint a marriage and family therapist to this
position on the board, who is eligible to serve terms as described in
paragraph (a) of this subsection (4) SUBSECTION (3)(a) OF THIS SECTION
commencing on August 1 of the applicable year.
(IV) The initial term of office of one of the marriage and family
therapist board members whose initial term would otherwise expire on
August 12, 2010, shall expire on July 31, 2009, and the board member shall
be eligible to serve one additional four-year term commencing August 1,
2009, and expiring on July 31, 2013. On and after the expiration of this
board member's term, persons appointed to this position on the board shall
serve terms as described in paragraph (a) of this subsection (4) SUBSECTION
(3)(a) OF THIS SECTION commencing on August 1 of the applicable year.
(V) The initial term of office of one of the marriage and family
therapist board members whose initial term of office would otherwise
expire on August 12, 2010, shall expire on July 31, 2010, and the board
member shall be eligible to serve one additional four-year term
commencing on August 1, 2010, and expiring on July 31, 2014. On and
after the expiration of this board member's term, persons appointed to this
position on the board shall serve terms as described in paragraph (a) of this
subsection (4) SUBSECTION (3)(a) OF THIS SECTION commencing on August
1 of the applicable year.
PAGE 926-HOUSE BILL 19-1172
(VI) The second term of office of one of the board members
representing the general public whose second term would otherwise expire
on August 12, 2010, shall expire on July 31, 2010, and the governor shall
appoint one new representative of the general public to serve terms as
described in paragraph (a) of this subsection (4) SUBSECTION (3)(a) OF THIS
SECTION commencing on August 1, 2010.
(VII) The term of office of the one board member representing the
general public who, as of August 12, 2010, would have served one full
four-year term and one partial four-year term shall expire on July 31, 2010.
This board member shall be eligible to serve one additional four-year term
commencing on August 1, 2010, and expiring on July 31, 2014. On and
after the expiration of this board member's term, persons appointed to this
position on the board shall serve terms as described in paragraph (a) of this
subsection (4) SUBSECTION (3)(a) OF THIS SECTION commencing on August
1 of the applicable year.
(5) (4) The governor may remove any board member for
misconduct, incompetence, or neglect of duty after giving the board
member a written statement of the charges and an opportunity to be heard
thereon. Actions constituting neglect of duty shall include, but not be
limited to, the failure of board members to attend three consecutive
meetings or at least three quarters of the total meetings in any calendar year.
(6) (5) Each board member shall receive a certificate of appointment
from the governor.
12-245-503. [Formerly 12-43-503] Marriage and family therapy
practice defined. (1) For the purposes of this part 5, "marriage and family
therapy practice" means the rendering of professional marriage and family
therapy services to individuals, couples, and families, singly or in groups,
whether such THE services are offered directly to the general public or
through organizations, either public or private, for a monetary fee. Marriage
and family therapy utilizes established principles that recognize the
interrelated nature of individual problems and dysfunctions to assess,
understand, diagnose, and treat emotional problems; behavioral, mental
health, and substance use disorders; and domestic violence, and modify
intrapersonal and interpersonal dysfunctions.
(2) Professional marriage and family therapy practice may include,
PAGE 927-HOUSE BILL 19-1172
but is not limited to:
(a) Assessment and testing;
(b) Diagnosis;
(c) Treatment planning and evaluation;
(d) Therapeutic individual, marital, family, group, or organizational
interventions;
(e) Psychotherapy;
(f) Client education;
(g) Consultation; and
(h) Supervision.
(3) Professional marriage and family therapy practice includes
practicing within the values and ethics of the marriage and family therapy
profession.
(4) This definition is to be interpreted in a manner that does not
impinge upon or otherwise limit the scope of practice of other
psychotherapists licensed under this article 245.
12-245-504. [Formerly 12-43-504] Qualifications - examination
- licensure and registration. (1) The board shall issue a license as a
marriage and family therapist to each applicant who files an application in
a form and manner required by the board, submits the fee required by the
board pursuant to section 12-43-204 12-245-205, and furnishes evidence
satisfactory to the board that he or she THE APPLICANT:
(a) Is at least twenty-one years of age;
(b) Is not in violation of any provision of this article 245 or any rule
adopted under this article 245;
(c) Has completed a master's or doctoral degree from an accredited
PAGE 928-HOUSE BILL 19-1172
school or college in marriage and family therapy or its equivalent as
determined by the board, and the degree includes a practicum or internship
in the principles and practice of marriage and family therapy;
(d) Subsequent to completing his or her master's or doctoral degree,
has had at least two years of post-master's or one year OF postdoctoral
practice in individual and marriage and family therapy, including at least
one thousand five hundred hours of face-to-face direct client contact as
determined by the board for the purpose of assessment and intervention
under board-approved supervision; and
(e) Demonstrates professional competence by passing an
examination in marriage and family therapy prescribed by the board and a
jurisprudence examination administered by the division.
(2) (Deleted by amendment, L. 2007, p. 139, § 3, effective July 1,
2007.)
(3) (2) The examination by the board described in paragraph (e) of
subsection (1) SUBSECTION (1)(e) of this section shall be given not less than
twice per year at such time and place and under such supervision as the
board may determine.
(4) (3) The board or its designated representatives shall administer
and determine the pass or fail status of the examination and take any actions
necessary to ensure impartiality. The board shall determine the passing
score for the examination based upon a level of minimum competency to
engage in marriage and family therapy practice.
(5) (4) (a) The board shall register as a marriage and family therapist
candidate a person who:
(I) Files an application for registration, accompanied by the fee as
required by section 12-43-204 12-245-205;
(II) Submits evidence satisfactory to the board that he or she THE
PERSON meets the requirements of paragraphs (a), (b), and (c) of subsection
(1) SUBSECTIONS (1)(a), (1)(b), AND (1)(c) of this section; and
(III) Has not been previously registered as a marriage and family
PAGE 929-HOUSE BILL 19-1172
therapist candidate by the board.
(b) A marriage and family therapist candidate who registers with the
board pursuant to this subsection (5) (4) is under the jurisdiction of the
board and may, but is not required to, register with the database of
registered psychotherapists pursuant to section 12-43-702.5 12-245-703.
(c) If a candidate does not meet the requirements of paragraphs (d)
and (e) of subsection (1) SUBSECTIONS (1)(d) AND (1)(e) of this section
within four years after initial registration, the candidate's registration
expires and is not renewable, unless the board, in its discretion, grants the
candidate an extension. A person whose marriage and family therapist
candidate registration expires is not precluded from applying to this board
or to any other board for licensure or registration in a mental health
profession for which the person is qualified.
12-245-505. [Formerly 12-43-505] Rights and privileges of
licensure and registration - title. (1) Any person who possesses a valid,
unsuspended, and unrevoked license as a licensed marriage and family
therapist pursuant to section 12-43-504 12-245-504 has the right to engage
in the private, independent practice of marriage and family therapy and has
the right to practice and supervise marriage and family therapy practice and
use the title "licensed marriage and family therapist" and the abbreviation
"LMFT". No other person shall assume these titles or use these
abbreviations on any work or letter, sign, figure, or device to indicate that
the person using the same is a licensed marriage and family therapist.
(2) No person may engage in the practice of marriage and family
therapy unless such THE person is licensed pursuant to this part 5.
(3) Any person duly licensed as a licensed marriage and family
therapist shall not be required to obtain any other license or certification to
practice marriage and family therapy as defined in section 12-43-503 unless
otherwise required by the STATE board of marriage and family therapist
examiners.
(4) Nothing in this part 5 shall be construed to prevent members of
other professions licensed under the laws of this state from rendering
services within the scope of practice as set out in the statutes regulating
their professional practices, provided that SO LONG AS they do not represent
PAGE 930-HOUSE BILL 19-1172
themselves to be marriage and family therapists, or their services as
marriage and family therapy.
(5) Nothing in this part 5 prevents the practice of psychotherapy by
persons registered with the state board of registered psychotherapists
pursuant to section 12-43-702.5 12-245-703.
12-245-506. [Formerly 12-43-506] Continuing professional
competency - rules - definition. (1) (a) In accordance with section
12-43-504 12-245-504, the board issues a license to practice marriage and
family therapy based on whether the applicant satisfies minimum
educational and experience requirements that demonstrate professional
competency to practice marriage and family therapy. After a license is
issued to an applicant, the licensed marriage and family therapist shall
maintain continuing professional competency to practice marriage and
family therapy.
(b) The board shall adopt rules establishing a continuing
professional competency program that includes, at a minimum, the
following elements:
(I) A self-assessment of the knowledge and skills of a licensed
marriage and family therapist seeking to renew or reinstate a license;
(II) Development, execution, and documentation of a learning plan
based on the assessment; and
(III) Periodic demonstration of knowledge and skills through
documentation of activities necessary to ensure at least minimal ability to
safely practice the profession. Nothing in this subparagraph (III)
SUBSECTION (1)(b)(III) shall require a licensed marriage and family
therapist to retake any examination required pursuant to section 12-43-504
12-245-504 in connection with initial licensure.
(c) The board shall establish that a licensed marriage and family
therapist is deemed to satisfy the continuing competency requirements of
this section if the licensed marriage and family therapist meets the
continued professional competence requirements of one of the following
entities:
PAGE 931-HOUSE BILL 19-1172
(I) A state department, including continued professional competence
requirements imposed through a contractual arrangement with a provider;
(II) An accrediting body recognized by the board; or
(III) An entity approved by the board.
(d) (I) After the program is established, a licensed marriage and
family therapist shall satisfy the requirements of the program in order to
renew or reinstate a license to practice marriage and family therapy in
Colorado.
(II) The requirements of this section apply to individual marriage
and family therapists who are licensed pursuant to this part 5, and nothing
in this section shall be construed to require a person who employs or
contracts with a licensed marriage and family therapist to comply with the
requirements of this section.
(2) (a) Records of assessments or other documentation developed or
submitted in connection with the continuing professional competency
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a licensed marriage and
family therapist. The records or documents shall be used only by the board
for purposes of determining whether a licensed marriage and family
therapist is maintaining continuing professional competency to engage in
the profession.
(b) Subject to the requirements of paragraph (a) of this subsection
(2) SUBSECTION (2)(a) OF THIS SECTION, nothing in this section shall be
construed to restrict the discovery of information or documents that are
otherwise discoverable under the Colorado rules of civil procedure in
connection with a civil action against a licensed marriage and family
therapist.
(3) As used in this section, "continuing professional competency"
means the ongoing ability of a licensee to learn, integrate, and apply the
knowledge, skill, and judgment to practice as a marriage and family
therapist according to generally accepted industry standards and
professional ethical standards in a designated role and setting.
PAGE 932-HOUSE BILL 19-1172
(4) Repealed.
PART 6
LICENSED PROFESSIONAL COUNSELORS
12-245-601. [Formerly 12-43-601] Definitions. As used in this part
6, unless the context otherwise requires:
(1) "Board" means the state board of licensed professional counselor
examiners, created in section 12-43-602 12-245-602.
(2) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1317,
§ 53, effective July 1, 2011.)
(3) Repealed.
(4) (2) "Licensed professional counselor" means a professional
counselor who practices professional counseling and who is licensed
pursuant to this part 6.
(5) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285, p. 1317,
§ 53, effective July 1, 2011.)
(6) (3) "School or college" means any university or other institution
of higher education offering a full-time graduate course of study in
professional counseling approved by appropriate national organizations
accrediting professional counselor education programs or a substantially
equivalent program approved by the board.
12-245-602. [Formerly 12-43-602] State board of licensed
professional counselor examiners - created - members - fines. (1) There
is hereby created the state board of licensed professional counselor
examiners under the supervision and control of the division. of professions
and occupations of the department of regulatory agencies, created in section
24-1-122 (2)(g), C.R.S. The board shall consist of seven members who are
citizens of the United States and residents of the state of Colorado.
(2) (a) The members of the board shall be appointed by the governor
as follows:
PAGE 933-HOUSE BILL 19-1172
(I) Three members of the general public who are not regulated under
this article 245; and
(II) Four licensed professional counselors.
(b) The public members shall have never been a licensed
professional counselor, an applicant or former applicant for licensure as a
licensed professional counselor, a member of another mental health
profession, or a member of a household that includes a licensed professional
counselor or a member of another mental health profession or otherwise
have conflicts of interest or the appearance of such conflicts with his or her
duties as a board member.
(c) (Deleted by amendment, L. 2004, p. 917, § 19, effective July 1,
2004.)
(3) (Deleted by amendment, L. 2007, p. 135, § 4, effective August
3, 2007.)
(4) (3) (a) Each member shall hold office until the expiration of his
or her appointed term or until a successor is duly appointed. Except as
specified in paragraph (b) of this subsection (4) SUBSECTION (3)(b) OF THIS
SECTION, members shall serve terms of four years, and no member shall
serve more than two full consecutive terms. When the term of each board
member expires, the governor shall appoint his or her successor for a term
of four years. Any vacancy occurring in the board membership other than
by the expiration of a term shall be filled by the governor by appointment
for the unexpired term of such THE member.
(b) The terms of office of the members on the board are modified
as follows in order to ensure staggered terms of office:
(I) The terms of office of the one licensed professional counselor
board member and one of the board members representing the general
public who, as of September 12, 2010, would have served one full four-year
term and one partial four-year term shall expire on August 31, 2008. Each
of these board members shall be eligible to serve one additional four-year
term, commencing on September 1, 2008, and expiring on August 31, 2012.
On and after the expiration of these board members' terms, persons
appointed to these positions on the board shall serve terms as described in
PAGE 934-HOUSE BILL 19-1172
paragraph (a) of this subsection (4) SUBSECTION (3)(a) OF THIS SECTION
commencing on September 1 of the applicable year.
(II) The term of office of the one board member representing the
public whose initial term would otherwise expire on September 12, 2009,
expires on August 31, 2009, and the board member is eligible to serve one
additional four-year term, commencing on September 1, 2009, and expiring
on August 31, 2013. On and after the expiration of this board member's
term or a vacancy in this position, the governor shall appoint a licensed
professional counselor to this position on the board, who is eligible to serve
terms as described in paragraph (a) of this subsection (4) SUBSECTION (3)(a)
OF THIS SECTION commencing on September 1 of the applicable year.
(III) The initial term of office of one of the two licensed
professional counselor board members whose initial term of office would
otherwise expire on September 12, 2010, shall expire on August 31, 2009.
This board member shall be eligible to serve one additional four-year term
commencing on September 1, 2009, and expiring on August 31, 2013. On
and after the expiration of this board member's term, persons appointed to
this position on the board shall serve terms as described in paragraph (a) of
this subsection (4) SUBSECTION (3)(a) OF THIS SECTION commencing on
September 1 of the applicable year.
(IV) The initial terms of office of the two remaining board members
representing the general public and the one remaining licensed professional
counselor whose initial terms would otherwise expire on September 12,
2010, shall expire on August 31, 2010. Each of these board members shall
be eligible to serve one additional four-year term commencing on
September 1, 2010, and expiring on August 31, 2014. On and after the
expiration of these board members' terms, persons appointed to these
positions on the board shall serve terms as described in paragraph (a) of this
subsection (4) SUBSECTION (3)(a) OF THIS SECTION commencing on
September 1 of the applicable year.
(5) (4) The governor may remove any board member for
misconduct, incompetence, or neglect of duty after giving the board
member a written statement of the charges and an opportunity to be heard
thereon. Actions constituting neglect of duty shall include, but not be
limited to, the failure of board members to attend three consecutive
meetings or at least three quarters of the total meetings in any calendar year.
PAGE 935-HOUSE BILL 19-1172
(6) (5) Each board member shall receive a certificate of appointment
from the governor.
12-245-603. [Formerly 12-43-602.5] Practice of licensed
professional counseling defined. (1) For purposes of this part 6, "practice
of licensed professional counseling" means the application of mental health,
psychological, or human development principles through cognitive,
affective, behavioral, or systematic intervention strategies that address
wellness, personal growth, or career development, as well as pathology. A
licensed professional counselor may render the application of these
principles to individuals, couples, families, or groups.
(2) The practice of professional counseling may include:
(a) Evaluation;
(b) Assessment;
(c) Testing;
(d) Diagnosis;
(e) Treatment or intervention;
(f) Planning;
(g) Consultation;
(h) Case management;
(i) Education;
(j) Supervision;
(k) Psychotherapy;
(l) Research;
(m) Referral; and
PAGE 936-HOUSE BILL 19-1172
(n) Crisis intervention.
12-245-604. [Formerly 12-43-603] Licensure - examination -
licensed professional counselors. (1) The board shall issue a license as a
licensed professional counselor to each applicant who files an application
in a form and manner required by the board, submits the fee required by the
board pursuant to section 12-43-204 12-245-205, and furnishes evidence
satisfactory to the board that he or she THE APPLICANT:
(a) Is at least twenty-one years of age;
(b) Is not in violation of any provision of this article 245 or any rule
adopted under this article 245;
(c) Has completed a master's or doctoral degree in professional
counseling from an accredited school or college or an equivalent program
as determined by the board. The degree or program must include a
practicum or internship in the principles and the practice of professional
counseling.
(d) Has at least two years of post-master's practice or one year of
postdoctoral practice in licensed professional counseling under supervision
approved by the board; and
(e) Demonstrates professional competence by passing an
examination in professional counseling demonstrating special knowledge
and skill in licensed professional counseling as prescribed by the board and
a jurisprudence examination administered by the division.
(2) (Deleted by amendment, L. 2007, p. 140, § 4, effective July 1,
2007.)
(3) (2) The examination by the board described in paragraph (e) of
subsection (1) SUBSECTION (1)(e) of this section shall be given not less than
twice per year at such time and place and under such supervision as the
board may determine.
(4) (3) The board or its designated representatives shall administer
and determine the pass or fail status of the examination and take any actions
necessary to ensure impartiality. The board shall determine the passing
PAGE 937-HOUSE BILL 19-1172
score for the examination based upon a level of minimum competency to
engage in the practice of licensed professional counseling.
(5) (4) (a) The board shall register as a licensed professional
counselor candidate a person who:
(I) Files an application for registration, accompanied by the fee as
required by section 12-43-204 12-245-205;
(II) Submits evidence satisfactory to the board that he or she THE
PERSON meets the requirements of paragraphs (a), (b), and (c) of subsection
(1) SUBSECTIONS (1)(a), (1)(b), AND (1)(c) of this section; and
(III) Has not been previously registered as a licensed professional
counselor candidate by the board.
(b) A licensed professional counselor candidate who registers with
the state board of licensed professional counselor examiners pursuant to this
subsection (5) (4) is under the jurisdiction of the board and may, but is not
required to, register with the database of registered psychotherapists
pursuant to section 12-43-702.5 12-245-703.
(c) If a candidate does not meet the requirements of paragraphs (d)
and (e) of subsection (1) SUBSECTIONS (1)(d) AND (1)(e) of this section
within four years after initial registration, the candidate's registration
expires and is not renewable, unless the board, in its discretion, grants the
candidate an extension. A person whose licensed professional counselor
candidate registration expires is not precluded from applying to this board
or to any other board for licensure or registration in a mental health
profession for which the person is qualified.
12-245-605. [Formerly 12-43-604] Rights and privileges of
licensure - title. (1) Any person who possesses a valid, unsuspended, and
unrevoked license as a licensed professional counselor has the right to use
the title for which he or she THE PERSON is licensed pursuant to section
12-43-603 12-245-604. A licensed professional counselor licensed pursuant
to section 12-43-603 12-245-604 has the right to use the abbreviation
"LPC". No other person shall assume this title or use this abbreviation on
any work or letter, sign, figure, or device to indicate that the person using
the same is a licensed professional counselor.
PAGE 938-HOUSE BILL 19-1172
(2) Any person duly licensed as a licensed professional counselor is
not required to obtain any other license or certification to practice
professional counseling unless otherwise required by the STATE board of
licensed professional counselor examiners.
(3) Nothing in this act shall be construed to prevent members of
other professions licensed under the laws of this state from rendering
services within the scope of practice as set out in the statutes regulating
their professional practices, provided that IF they do not represent
themselves to be professional counselors, or their services as professional
counseling.
(4) Nothing in this part 6 prevents the practice of psychotherapy by
persons registered with the state board of registered psychotherapists
pursuant to section 12-43-702.5 12-245-703.
12-245-606. [Formerly 12-43-605] Continuing professional
competency - rules - definition. (1) (a) In accordance with section
12-43-603 12-245-604, the board issues a license to practice professional
counseling based on whether the applicant satisfies minimum educational
and experience requirements that demonstrate professional competency to
practice professional counseling. After a license is issued to an applicant,
the licensed professional counselor shall maintain continuing professional
competency to practice professional counseling.
(b) The board shall adopt rules establishing a continuing
professional competency program that includes, at a minimum, the
following elements:
(I) A self-assessment of the knowledge and skills of a licensed
professional counselor seeking to renew or reinstate a license;
(II) Development, execution, and documentation of a learning plan
based on the assessment; and
(III) Periodic demonstration of knowledge and skills through
documentation of activities necessary to ensure at least minimal ability to
safely practice the profession. Nothing in this subparagraph (III)
SUBSECTION (1)(b)(III) shall require a licensed professional counselor to
retake any examination required pursuant to section 12-43-603 12-245-604
PAGE 939-HOUSE BILL 19-1172
in connection with initial licensure.
(c) The board shall establish that a licensed professional counselor
is deemed to satisfy the continuing competency requirements of this section
if the licensed professional counselor meets the continued professional
competence requirements of one of the following entities:
(I) A state department, including continued professional competence
requirements imposed through a contractual arrangement with a provider;
(II) An accrediting body recognized by the board; or
(III) An entity approved by the board.
(d) (I) After the program is established, a licensed professional
counselor shall satisfy the requirements of the program in order to renew or
reinstate a license to practice professional counseling in Colorado.
(II) The requirements of this section apply to individual professional
counselors who are licensed pursuant to this part 6, and nothing in this
section shall be construed to require a person who employs or contracts with
a licensed professional counselor to comply with the requirements of this
section.
(2) (a) Records of assessments or other documentation developed or
submitted in connection with the continuing professional competency
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a licensed professional
counselor. The records or documents shall be used only by the board for
purposes of determining whether a licensed professional counselor is
maintaining continuing professional competency to engage in the
profession.
(b) Subject to the requirements of paragraph (a) of this subsection
(2) SUBSECTION (2)(a) OF THIS SECTION, nothing in this section shall be
construed to restrict the discovery of information or documents that are
otherwise discoverable under the Colorado rules of civil procedure in
connection with a civil action against a licensed professional counselor.
(3) As used in this section, "continuing professional competency"
PAGE 940-HOUSE BILL 19-1172
means the ongoing ability of a licensee to learn, integrate, and apply the
knowledge, skill, and judgment to practice as a professional counselor
according to generally accepted industry standards and professional ethical
standards in a designated role and setting.
(4) Repealed.
PART 7
STATE BOARD OF REGISTERED PSYCHOTHERAPISTS
12-245-701. [Formerly 12-43-701] Definitions. As used in this part
7, unless the context otherwise requires:
(1) "Board" means the state board of registered psychotherapists
created by section 12-43-702 12-245-702.
(2) Repealed.
(3) and (4) (Deleted by amendment, L. 2011, (SB 11-187), ch. 285,
p. 1282, § 10, effective July 1, 2011.)
12-245-702. [Formerly 12-43-702] State board of registered
psychotherapists - creation - membership. (1) There is hereby created
the state board of registered psychotherapists, which shall be under the
supervision and control of the division of professions and occupations as
provided in section 24-34-102, C.R.S. 12-20-103 (2). The board shall
consist of seven members who are residents of the state of Colorado.
(2) Three members of the board shall be appointed by the governor
from the general public who are not regulated by this article 245 with a
good-faith effort to achieve broad-based geographical representation. Such
THE members are eligible to serve terms of four years. A member must not
have any direct involvement or interest in the provision of psychotherapy;
except that such A member may be or may have been a consumer of such
PSYCHOTHERAPY services.
(3) Four members of the board must be registered psychotherapists.
The governor shall appoint members to the board to serve terms of four
years.
PAGE 941-HOUSE BILL 19-1172
(4) (Deleted by amendment, L. 2004, p. 917, § 21, effective July 1,
2004.)
(5) (4) Members of the state board of registered psychotherapists
appointed under subsection (2) or (3) of this section may serve two full
consecutive terms.
(6) (5) (a) Each member is eligible to hold office until the expiration
of his or her appointed term or until a successor is duly appointed. When the
term of each board member expires, the governor shall appoint his or her
successor for a term of four years. Any vacancy occurring in the board
membership other than by the expiration of a term shall be filled by the
governor by appointment for the unexpired term of such THE member.
(b) For purposes of appointments to the board made on or after July
1, 2011, upon the occurrence of a vacancy in a position held by a member
representing the public or upon the expiration of the second term of office
of a member representing the public, whichever occurs first, the governor
shall appoint a regulated psychotherapist to that position on the board, who
is eligible to serve terms as described in subsections (3) and (5) (4) of this
section.
(c) The governor may remove any board member for misconduct,
incompetence, or neglect of duty. Actions constituting neglect of duty shall
include, but not be limited to, the failure of board members to attend three
consecutive meetings or at least three-quarters of the board's meetings in
any one calendar year.
(7) (6) A majority of the board shall constitute a quorum for the
transaction of all business.
12-245-703. [Formerly 12-43-702.5] Database of registered
psychotherapists - unauthorized practice - penalties - data collection.
(1) The state board of registered psychotherapists shall maintain a database
of all registered psychotherapists. The board shall charge a fee in the same
manner as authorized in section 24-34-105, C.R.S., 12-20-105 for recording
information in the database as required by this section. Information in the
database maintained pursuant to this section is open to public inspection at
all times.
PAGE 942-HOUSE BILL 19-1172
(1.5) (2) A person who: Is licensed pursuant to part 3, 4, 5, 6, or 8
of this article 245; is registered as a psychologist candidate, licensed social
worker, marriage and family therapist candidate, or professional counselor
candidate; or is enrolled in a professional training program at an approved
school and actively working toward acquiring and demonstrating the
necessary qualifications for licensure set forth in section 12-43-304,
12-43-404, 12-43-504, 12-43-603, or 12-43-804 12-245-304, 12-245-404,
12-245-504, 12-245-604, OR 12-245-804 may, but is not required to,
register with the database of registered psychotherapists.
(2) (3) Any person not otherwise licensed, registered, or certified
pursuant to this article 245 who is practicing psychotherapy in this state
shall register with the board by submitting his or her name, current address,
educational qualifications, disclosure statements, therapeutic orientation or
methodology, or both, and years of experience in each specialty area. Upon
receipt and review of the required information, the board may approve the
psychotherapist for registration in the database required by subsection (1)
of this section. A registered psychotherapist shall update this information
upon renewal of his or her registration and at other times and under
conditions specified by the board by rule. At the time of recording the
information required by this section, the registered psychotherapist shall
indicate whether he or she has been convicted of, or entered a plea of guilty
or nolo contendere to, any felony or misdemeanor.
(3) (4) An unlicensed person whose primary practice is
psychotherapy or who holds himself or herself out to the public as able to
practice psychotherapy for compensation shall not practice psychotherapy
unless the person is registered with the board and included in the database
required by this section. Notwithstanding the requirements of this section,
a registered psychotherapist shall not use the term "licensed", "certified",
"clinical", "state-approved", or any other term or abbreviation that would
falsely give the impression that the psychotherapist or the service that is
being provided is recommended by the state, based solely on inclusion in
the database.
(4) (5) The state board of registered psychotherapists shall not
register a person pursuant to this section unless the person has successfully
completed a jurisprudence examination developed and approved by the
division.
PAGE 943-HOUSE BILL 19-1172
(5) (6) Any unlicensed person who practices psychotherapy without
first complying with the registration requirements of this section commits
a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-245-704. [Formerly 12-43-709] Expenses of the board. All
reasonable expenses of the board shall be paid as determined by the director
of the division of professions and occupations from the fees collected
pursuant to section 12-43-204 12-245-205 as provided by law.
12-245-705. [Formerly 12-43-710] Jurisdiction. If the licensee,
registrant, or certificate holder is regulated by more than one board, the
investigation or case being adjudicated shall be referred to the board
determined appropriate by the director for final adjudication.
PART 8
ADDICTION COUNSELORS
12-245-801. [Formerly 12-43-801] Definitions. As used in this part
8, unless the context otherwise requires:
(1) "Addiction" means a persistent, compulsive dependence on a
behavior or substance, including mood-altering behaviors or activities
known as process addictions.
(2) "Administrative supervision" means oversight of treatment
agency operations, organization of people and resources, and
implementation of policies and procedures in a way that directs activities
towards agency goals and objectives.
(3) "Approved school, college, or university" means any accredited
institution of higher education offering a full-time graduate or
undergraduate course of study in behavioral health sciences, such as
addiction counseling, human services, psychology, rehabilitation, social
work, or other behavioral health sciences, that is recognized by an
appropriate national organization or is approved by the board.
PAGE 944-HOUSE BILL 19-1172
(4) "Behavioral health disorders" includes behavioral, mental health,
and substance use disorders.
(5) "Board" means the state board of addiction counselor examiners
created in section 12-43-802 12-245-802.
(6) "Certified" means certified as an addiction counselor certified at
level I, II, or III.
(7) "Certified addiction counselor" means an individual who has a
certificate issued by the board authorizing the individual to practice
addiction counseling commensurate with his or her certification level and
scope of practice.
(8) "Clinical supervision" means:
(a) The evaluation and modification or approval by a supervisor of
the clinical practice of the person being supervised; and
(b) A source of knowledge, expertise, and more advanced skills
made available to the person being supervised.
(9) "Co-occurring disorders" means the existence of one or more
substance use disorders, addictive behavioral disorders, or behavioral or
mental health disorders presenting concurrently. At the individual level,
co-occurring disorders exist when at least one disorder can be established
independent of the other, and the disorders are not simply a cluster of
symptoms resulting from a single disorder.
(10) "License" means a license issued by the board pursuant to this
part 8 to engage in the practice of a licensed addiction counselor.
(11) (10) "Licensed addiction counselor" means a person licensed
by the board to provide professional behavioral health disorder treatment.
12-245-802. [Formerly 12-43-802] State board of addiction
counselor examiners - created - members - terms. (1) There is hereby
created a state board of addiction counselor examiners under the
supervision and control of the division. of professions and occupations in
the department of regulatory agencies. Once the governor appoints the
PAGE 945-HOUSE BILL 19-1172
board members and the board adopts necessary rules, the board is
responsible for regulating addiction counselors pursuant to this part 8 and
this article The director retains the authority to regulate addiction counselors
for three months after the date on which all members of the board have been
appointed, and the director's rules adopted pursuant to this part 8 remain in
effect until the director repeals the rules 245.
(2) The board consists of seven members who are citizens of the
United States and residents of the state of Colorado. By November 30,
2011, The governor shall appoint the members of the board as follows:
(a) (I) Four board members must be licensed or certified addiction
counselors, and except as provided in subparagraph (II) of this paragraph
(a) SUBSECTION (2)(a)(II) OF THIS SECTION, at least two of these four
members must be engaged in the direct practice of addiction counseling.
The four board members appointed pursuant to this paragraph (a)
SUBSECTION (2)(a) must include at least one licensed addiction counselor
and at least one certified addiction counselor.
(II) If, after a good-faith attempt, the governor determines that a
licensed or certified addiction counselor who is engaged in the direct
practice of addiction counseling is not available to serve on the board for a
particular term, the governor may appoint a licensed or certified addiction
counselor who is not engaged in the direct practice of addiction counseling
to serve on the board pursuant to this paragraph (a) SUBSECTION (2)(a).
(b) Three board members must be representatives of the general
public, one of whom may be an addiction counseling consumer or family
member of an addiction counseling consumer. These individuals must have
never been addiction counselors, applicants, or former applicants for
licensure or certification as an addiction counselor, members of another
mental health profession, members of households that include addiction
counselors or any other mental health professional, or otherwise have
conflicts of interest or the appearance of a conflict with their duties as board
members.
(3) (a) Each board member shall hold office until the expiration of
the member's appointed term or until a successor is duly appointed. Except
as specified in paragraph (b) of this subsection (3) SUBSECTION (3)(b) OF
THIS SECTION, the term of each member is four years, and a board member
PAGE 946-HOUSE BILL 19-1172
shall not serve more than two full consecutive terms. The governor shall fill
a vacancy occurring in board membership, other than by expiration of a
term, by appointment for the unexpired term of the member.
(b) The initial terms of office of the members appointed to the board
as of January 1, 2012, are modified as follows in order to ensure staggered
terms of office:
(I) The initial term of office of one of the board members
representing the general public, whose initial term would otherwise expire
on December 31, 2015, expires on December 31, 2013, and this board
member is eligible to serve one additional four-year term commencing on
January 1, 2014, and expiring on December 31, 2017. On and after the
expiration of the board member's term, the term of a person appointed to
this member's position on the board is as described in paragraph (a) of this
subsection (3) SUBSECTION (3)(a) OF THIS SECTION commencing on January
1 of the applicable year.
(II) The initial terms of office of two of the licensed or certified
addiction counselor board members, whose initial terms would otherwise
expire on December 31, 2015, expire on December 31, 2013. These board
members are eligible to serve one additional four-year term, commencing
on January 1, 2014, and expiring on December 31, 2017. On and after the
expiration of these board members' terms, the terms of persons appointed
to the members' positions on the board are as described in paragraph (a) of
this subsection (3) SUBSECTION (3)(a) OF THIS SECTION commencing on
January 1 of the applicable year.
(4) The governor may remove any board member for misconduct,
incompetence, or neglect of duty. Actions constituting neglect of duty
include the failure of board members to attend three consecutive meetings
or at least three-fourths of the total meetings in any calendar year.
12-245-803. [Formerly 12-43-803] Practice of addiction
counseling defined - scope of practice. (1) For the purposes of this part
8, "addiction counseling" means the application of general counseling
theories and treatment methods adapted specifically for working with
addictive and other behavioral health disorders. Addiction counselors work
in a broad variety of disciplines but share an understanding of the addictive
process. An addiction counselor identifies a variety of helping strategies
PAGE 947-HOUSE BILL 19-1172
that can be tailored to meet the needs of the client. Addiction counseling
relies on the use of evidence-based practices that have been shown to be
effective in treating addictive disorders.
(2) The scope of practice of addiction counseling focuses on the
following four transdisciplinary foundations that underlie the work of all
addiction counselors:
(a) Understanding addiction: Includes knowledge of models and
theories of addiction, including alcohol and substance use disorders;
recognition of social, political, economic, and cultural contexts within
which addiction exists; understanding the behavioral, psychological,
physical health, and social effects of using addictive substances or engaging
in addictive behaviors; and recognizing and understanding co-occurring
disorders.
(b) Treatment knowledge: Includes the philosophies, practices,
policies, and outcomes of the most generally accepted and scientifically
supported models, along with research and outcome data, of treatment,
recovery, relapse prevention, and continuing care for addictive disorders,
including alcohol and substance use disorders. Treatment knowledge
includes the ability to work effectively with families, significant others,
social networks, and community systems in the treatment process and
understanding the value of a multidisciplinary approach to treatment of
addictive disorders, including alcohol and substance use disorders.
(c) Application to practice: Includes the ability to properly
diagnose behavioral health disorders using appropriate assessment and
testing instruments and placement criteria; stabilization to reduce negative
effects of problematic behaviors; developing helping strategies and
treatment levels of care based on the client's stage of readiness for change;
cultural competency; and familiarity with medical and pharmacological
resources for treatment.
(d) Professional readiness: Includes an understanding of diverse
cultures; cultivation of a high level of self-awareness; ability to use critical
thinking skills; adherence to ethical standards of conduct; ongoing use of
clinical supervision and consultation; crisis management; and knowledge
of the importance of prevention and recovery management.
PAGE 948-HOUSE BILL 19-1172
(3) The primary practice dimensions of addiction counseling include
the following competencies, as appropriate based on the level of
certification or licensure and scope of practice:
(a) Clinical evaluation, including screening and assessment;
(b) Clinical intake, discharge, discharge planning, and referral;
(c) Treatment planning;
(d) Service coordination, including client advocacy, continuing care
planning, and collaboration with other behavioral health professionals;
(e) Counseling of individuals, groups, families, couples, and
significant others;
(f) Recovery management;
(g) Case management;
(h) Client, family, and community education;
(i) Documentation required for a clinical record;
(j) Professional and ethical practices;
(k) Clinical supervision; and
(l) Intervention.
(4) Scope of practice - licensed addiction counselors. Based on
education, training, knowledge, and experience, the scope of practice of a
licensed addiction counselor includes behavioral health counseling and may
include the treatment of substance use disorders, addictive behavioral
disorders, and co-occurring disorders, including clinical evaluation and
diagnosis, treatment planning, service coordination, case management,
clinical documentation, professional and ethical responsibilities, education
and psychotherapy with clients, family, and community, clinical supervisory
responsibilities, and intervention.
PAGE 949-HOUSE BILL 19-1172
12-245-804. [Formerly 12-43-804] Requirements for licensure
and certification - rules. (1) The board shall issue a license as an addiction
counselor to an applicant who files an application in the form and manner
required by the board, submits the fee required by the board pursuant to
section 12-43-204 12-245-205, and submits evidence satisfactory to the
board that he or she THE APPLICANT:
(a) Is at least twenty-one years of age;
(b) Is not in violation of any provision of this article 245 or any rules
promulgated by the board;
(c) Has completed a master's or doctorate degree in the behavioral
health sciences from an accredited school, college, or university or an
equivalent program as determined by the board;
(d) Demonstrates professional competence by:
(I) Passing a national examination demonstrating special knowledge
and skills in behavioral health disorders counseling as determined by the
office of behavioral health in the department of human services and
approved by the board; and
(II) Passing a jurisprudence examination administered by the
division;
(e) Has met the requirements for a certificate of addiction
counseling, level III;
(f) Has completed the number of clock hours of addiction-specific
training, as specified by the board by rule, including training in
evidence-based treatment approaches, clinical supervision, ethics, and
co-occurring disorders; and
(g) Has completed at least five thousand hours of clinically
supervised work experience.
(2) The board shall issue a certification as an addiction counselor to
an applicant who files an application in the form and manner required by
the board, submits the fee required by the board pursuant to section
PAGE 950-HOUSE BILL 19-1172
12-43-204 12-245-205, and submits evidence satisfactory to the board that
he or she THE APPLICANT:
(a) Is at least eighteen years of age;
(b) Is not in violation of any provision of this article 245 or any rules
promulgated by the board or by the state board of human services in the
department of human services pursuant to section 27-80-108 (1)(e); C.R.S.;
(c) Has met the requirements for certification at a particular
certification level as specified in rules adopted pursuant to subsection (3)
of this section by the state board of human services in the department of
human services.
(3) The state board of human services in the department of human
services shall promulgate rules, with approval of the board, for certification
of addiction counselors in accordance with section 27-80-108 (1)(e). C.R.S.
(4) Nothing in this part 8 prevents members of other professions
licensed under the laws of this state from rendering services within their
scope of practice as set forth in the statutes regulating their professional
practices so long as they do not represent themselves to be certified or
licensed addiction counselors.
12-245-805. [Formerly 12-43-804.5] Rights and privileges of
certification and licensure - titles. (1) Any person who possesses a valid,
unsuspended, and unrevoked certificate as a level I, II, or III certified
addiction counselor has the right to practice addiction counseling under
supervision or consultation as required by the rules of the state board of
human services in the department of human services; a level III certified
addiction counselor has the right to supervise addiction counseling practice;
and all levels of certification have the right to use the title "certified
addiction counselor" and the abbreviations "CAC I", "CAC II", or "CAC
III", as applicable. No other person shall assume these titles or use these
abbreviations on any work or media to indicate that the person using the
title or abbreviation is a certified addiction counselor.
(2) Any person who possesses a valid, unsuspended, and unrevoked
license as an addiction counselor has the right to practice addiction
counseling and to use the title "licensed addiction counselor" or the
PAGE 951-HOUSE BILL 19-1172
abbreviation "LAC". No other person shall assume these titles or use these
abbreviations on any work or media to indicate that the person using the
title or abbreviation is a licensed addiction counselor.
12-245-806. [Formerly 12-43-805] Continuing professional
competency - rules - definition. (1) (a) In accordance with sections
12-43-803 and 12-43-804 12-245-803 AND 12-245-804, the board issues a
license or certificate to practice addiction counseling based on whether the
applicant satisfies minimum educational and experience requirements that
demonstrate professional competency to practice addiction counseling.
After a license or a certificate as a level II or level III addiction counselor
is issued to an applicant, the licensed or level II or level III certified
addiction counselor shall maintain continuing professional competency to
practice addiction counseling.
(b) The board, in consultation with the office of behavioral health
in the department of human services and other stakeholders, shall adopt
rules establishing a continuing professional competency program that
includes, at a minimum, the following elements:
(I) A self-assessment of the knowledge and skills of a licensed or
level II or level III certified addiction counselor seeking to renew or
reinstate a license;
(II) Development, execution, and documentation of a learning plan
based on the assessment; and
(III) Periodic demonstration of knowledge and skills through
documentation of activities necessary to ensure at least minimal ability to
safely practice the profession. Nothing in this subparagraph (III)
SUBSECTION (1)(b)(III) shall require a licensed or level II or level III
certified addiction counselor to retake any examination required pursuant
to section 12-43-804 12-245-804 in connection with initial licensure or
certification.
(c) A licensed or level II or level III certified addiction counselor
satisfies the continuing competency requirements of this section if the
licensed or level II or level III certified addiction counselor meets the
continued professional competence requirements of one of the following
entities:
PAGE 952-HOUSE BILL 19-1172
(I) A state department, including continued professional competence
requirements imposed through a contractual arrangement with a provider;
(II) An accrediting body recognized by the board; or
(III) An entity approved by the board.
(d) (I) After the program is established, a licensed or level II or level
III certified addiction counselor shall satisfy the requirements of the
program in order to renew or reinstate a license or certificate to practice
addiction counseling in Colorado.
(II) The requirements of this section apply to individual addiction
counselors who are licensed or level II or level III certified pursuant to this
part 8, and nothing in this section shall be construed to require a person who
employs or contracts with a licensed or level II or level III certified
addiction counselor to comply with the requirements of this section.
(2) (a) Records of assessments or other documentation developed or
submitted in connection with the continuing professional competency
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a licensed or certified
addiction counselor. The records or documents shall be used only by the
board for purposes of determining whether a licensed or level II or level III
certified addiction counselor is maintaining continuing professional
competency to engage in the profession.
(b) Subject to the requirements of paragraph (a) of this subsection
(2) SUBSECTION (2)(a) OF THIS SECTION, nothing in this section shall be
construed to restrict the discovery of information or documents that are
otherwise discoverable under the Colorado rules of civil procedure in
connection with a civil action against a licensed or certified addiction
counselor.
(3) As used in this section, "continuing professional competency"
means the ongoing ability of a licensed or level II or level III certified
addiction counselor to learn, integrate, and apply the knowledge, skill, and
judgment to practice as an addiction counselor according to generally
accepted industry standards and professional ethical standards in a
designated role and setting.
PAGE 953-HOUSE BILL 19-1172
(4) Repealed.
ARTICLE 250
Naturopathic Doctors
12-250-101. [Formerly 12-37.3-101] Short title. THE SHORT TITLE
OF this article shall be known and may be cited as 250 IS the "Naturopathic
Doctor Act".
12-250-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 250.
12-250-103. [Formerly 12-37.3-102] Definitions. As used in this
article 37.3 250, unless the context otherwise requires:
(1) "ACIP" means the advisory committee on immunization
practices to the centers for disease control and prevention in the federal
UNITED STATES department of health and human services or its successor
entity.
(1.3) (2) "Administer" means the direct application of a drug to the
body of a patient by injection, inhalation, ingestion, or any other method.
(1.5) (3) "Advisory committee" means the naturopathic medicine
advisory committee created in section 12-37.3-103 12-250-104.
(2) (4) "Approved clinical training" means clinical training in
naturopathic medicine in an inpatient or outpatient setting that has been
approved by the director. "Approved clinical training" may include
components of allopathic medicine in addition to naturopathic medicine.
(3) (5) "Approved naturopathic medical college" means:
(a) A naturopathic medical education program in the United States
or Canada that grants the degree of doctor of naturopathic medicine or
doctor of naturopathy and that:
(I) Is approved by the director;
PAGE 954-HOUSE BILL 19-1172
(II) Offers graduate-level, full-time didactic and supervised clinical
training; and
(III) Is accredited or has achieved candidacy status for accreditation
by the Council on Naturopathic Medical Education or an equivalent
accrediting body for naturopathic medical programs recognized by the
United States department of education; or
(b) Any other college or program approved by the director and
accredited by the Council on Naturopathic Medical Education or its
successor entity.
(4) (6) "Continuing professional competency" means the ongoing
ability of a naturopathic doctor to learn, integrate, and apply the knowledge,
skill, and judgment to practice as a naturopathic doctor according to
generally accepted standards and professional ethical standards.
(5) "Director" means the director of the division or the director's
designee.
(5.5) (7) "Dispense" means the preparation, in a suitable container
appropriately labeled for subsequent administration to or use by a patient,
of a medicine that a naturopathic doctor is authorized under this article 250
to obtain.
(6) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(7) (8) "Homeopathic preparations" means medicines prepared
according to the most current version of the Homeopathic Pharmacopoeia
of the United States/Revision Service.
(8) (9) "Minor office procedures" means:
(a) The repair, care, and suturing of superficial lacerations and
abrasions;
(b) The removal of foreign bodies located in superficial tissue,
excluding the ear or eye; and
PAGE 955-HOUSE BILL 19-1172
(c) Obtaining and administering saline, sterile water, topical
antiseptics, and local anesthetics, including local anesthetics with
epinephrine, in connection with a procedure described in paragraph (a) or
(b) of this subsection (8) SUBSECTION (9)(a) OR (9)(b) OF THIS SECTION.
(9) (10) "Natural health care services" or "natural health care"
includes, but is not limited to:
(a) Healing practices using food; food extracts; over-the-counter
dietary supplements, including vitamins, herbs, minerals, and enzymes;
nutrients; homeopathic remedies and preparations; the physical forces of
heat, cold, water, touch, sound, and light; and mind-body and energetic
healing practices;
(b) Education, counseling, or advice regarding healing practices
described in paragraph (a) of this subsection (9) SUBSECTION (10)(a) OF THIS
SECTION and their effects on the structure and functions of the human body;
and
(c) Services or care as may be further defined by the director by rule.
(10) (11) "Naturopathic doctor" or "registrant" means a person who
is registered by the director to practice naturopathic medicine pursuant to
this article 250.
(11) (12) "Naturopathic formulary" means the list of nonprescription
classes of medicines determined by the director that naturopathic doctors
use in the practice of naturopathic medicine. "Naturopathic formulary"
includes any prescription substance or device that is authorized under this
article 37.3 250.
(12) (13) (a) "Naturopathic medicine", as performed by a
naturopathic doctor, means a system of health care for the prevention,
diagnosis, evaluation, and treatment of injuries, diseases, and conditions of
the human body through the use of education, nutrition, naturopathic
preparations, natural medicines and other therapies, and other modalities
that are designed to support or supplement the human body's own natural
self-healing processes.
(b) "Naturopathic medicine" includes naturopathic physical
PAGE 956-HOUSE BILL 19-1172
medicine, which consists of naturopathic manual therapy, the therapeutic
use of the physical agents of air, water, heat, cold, sound, light, touch, and
electromagnetic nonionizing radiation, and the physical modalities of
electrotherapy, diathermy, ultraviolet light, ultrasound, hydrotherapy, and
exercise.
12-250-104. [Formerly 12-37.3-103] Naturopathic medicine
advisory committee - creation - membership - duties. (1) (a) The
naturopathic medicine advisory committee is hereby created in the
department of regulatory agencies as the entity responsible for advising the
director in the regulation of the practice of naturopathic medicine by
naturopathic doctors and the implementation of this article 250.
(b) (I) The advisory committee consists of nine members appointed
by the director as follows:
(A) (I) Three members who are naturopathic doctors;
(B) (II) Three members who are doctors of medicine or osteopathy
licensed pursuant to article 36 240 of this title 12;
(C) (III) One member who is a pharmacist licensed pursuant to
article 42.5 280 of this title 12; and
(D) (IV) Two members from the public at large. The director shall
make reasonable efforts to appoint public members who are or have been
consumers of naturopathic medicine.
(II) The director shall appoint members to the advisory committee
no later than January 1, 2014.
(c) (I) Each member of the advisory committee holds office until the
expiration of the member's appointed term or until a successor is duly
appointed. Except as specified in subparagraph (II) of this paragraph (c)
SUBSECTION (1)(c)(II) OF THIS SECTION, the term of office of each member
is four years, and an advisory committee member shall not serve more than
two consecutive four-year terms. The director shall fill a vacancy occurring
on the advisory committee, other than by expiration of a term, by
appointment for the unexpired term of the member.
PAGE 957-HOUSE BILL 19-1172
(II) To ensure staggered terms of office, the initial term of office of
one of the naturopathic doctor members, the pharmacist member, and one
of the members representing the public is two years. These members are
eligible to serve one additional four-year term of office. On and after the
expiration of these members' terms, the term of office of persons appointed
to these positions on the advisory committee is as described in subparagraph
(I) of this paragraph (c) SUBSECTION (1)(c)(I) OF THIS SECTION, commencing
on January 1 of the applicable year.
(d) The director may remove any advisory committee member for
misconduct, incompetence, or neglect of duty.
(2) The advisory committee shall advise the director in the
administration and enforcement of this article 250 and rules adopted under
this article 250.
(3) Members of the advisory committee shall not receive
compensation for their services but are entitled to reimbursement for actual
and necessary expenses they incur in performing their duties.
12-250-105. [Formerly 12-37.3-104] Director powers and duties.
(1) In addition to any other powers and duties granted or imposed on the
director under this article 250 OR ARTICLES 20 AND 30 OF THIS TITLE 12, the
director shall:
(a) Adopt rules necessary to administer this article PURSUANT TO
SECTION 12-20-204;
(b) Establish the form and manner in which applicants are to apply
for a new registration or to renew a registration;
(c) Receive, review, and approve or deny applications for
registrations and issue and renew registrations under this article 250;
(d) Establish fees for registration applications and renewal
applications in the manner authorized by section 24-34-105, C.R.S.;
(e) (d) Conduct investigations, hold hearings, take evidence, and
pursue disciplinary actions pursuant to section 12-37.3-112 SECTIONS
12-20-403, 12-20-404, AND 12-250-113 with respect to complaints against
PAGE 958-HOUSE BILL 19-1172
naturopathic doctors when the director has reasonable cause to believe that
a naturopathic doctor is violating this article 250 or rules adopted pursuant
to this article and to subpoena witnesses, administer oaths, and compel the
testimony of witnesses and the production of books, papers, and records
relevant to those investigations or hearings. Any subpoena issued pursuant
to this article is enforceable by the district court 250.
(f) (e) Perform other functions and duties necessary to administer
this article 250.
12-250-106. [Formerly 12-37.3-105] Practice of naturopathic
medicine by naturopathic doctors - exclusions - protected activities -
definition - rules. (1) The practice of naturopathic medicine by a
naturopathic doctor includes the following:
(a) The prevention and treatment of human injury, disease, or
conditions through education or dietary or nutritional advice, and the
promotion of healthy ways of living;
(b) The use of physical examinations and the ordering of clinical,
laboratory, and radiological diagnostic procedures from licensed or certified
health care facilities or laboratories for the purpose of diagnosing and
evaluating injuries, diseases, and conditions in the human body;
(c) (I) Obtaining, dispensing, administering, ordering, or
prescribing, as specified, medicines listed in the naturopathic formulary,
which includes:
(A) Obtaining, administering, or dispensing epinephrine to treat
anaphylaxis;
(B) Obtaining and dispensing barrier contraceptives, excluding
intrauterine devices;
(C) Obtaining and administering oxygen, but only for emergency
use;
(D) Obtaining and administering vitamins B6 and B12;
(E) Obtaining, administering, or dispensing substances that are
PAGE 959-HOUSE BILL 19-1172
regulated by the federal food and drug administration but that do not require
a prescription order to be dispensed; and
(F) Obtaining and administering vaccines, in accordance with the
ACIP guidelines, for patients who are at least eighteen years of age.
(II) A naturopathic doctor may obtain medications described in
subparagraph (I) of this paragraph (c) SUBSECTION (1)(c)(I) OF THIS SECTION
from a manufacturer, wholesaler, or in-state prescription drug outlet
registered or licensed by the state board of pharmacy pursuant to article 42.5
280 of this title 12. An entity that provides a medication described in
subparagraph (I) of this paragraph (c) SUBSECTION (1)(c)(I) OF THIS SECTION
to a naturopathic doctor in accordance with this section, and that relies in
good faith upon the registration information provided by the naturopathic
doctor, is not subject to liability for providing the medication.
(d) Performing minor office procedures.
(2) A naturopathic doctor shall not:
(a) Prescribe, dispense, administer, or inject a controlled substance
or device identified in the federal "Controlled Substances Act", 21 U.S.C.
sec. 801 et seq., as amended;
(b) Perform surgical procedures, including surgical procedures using
a laser device;
(c) Use general or spinal anesthetics, other than topical anesthetics;
(d) Administer ionizing radioactive substances for therapeutic
purposes;
(e) Treat a child who is less than two years of age, unless the
naturopathic doctor:
(I) Provides to the parent or legal guardian of the child a copy of the
most recent immunizations schedule recommended by the advisory
committee on immunization practices to the centers for disease control and
prevention in the federal department of health and human services ACIP
and recommends that the parent or legal guardian follow the immunizations
PAGE 960-HOUSE BILL 19-1172
schedule;
(II) (A) On or after March 26, 2015, except as provided in
sub-subparagraph (B) of this subparagraph (II) SUBSECTION (2)(e)(II)(B) OF
THIS SECTION, demonstrates in each year in which the naturopathic doctor
treats a child under two years of age, successful completion of five hours
per year of education or practicum training solely related to pediatrics in
accordance with continuing professional competency requirements
approved by the director pursuant to section 12-37.3-108 12-250-109,
which includes subject matter related to recognizing a sick infant and when
to refer an infant for more intensive care.
(B) If, pursuant to paragraph (f) of this subsection (2) SUBSECTION
(2)(f) OF THIS SECTION, a naturopathic doctor treats children who are two
years of age or older but less than eight years of age and successfully
completes three hours per year of education or practicum training solely
related to pediatrics as required by subparagraph (II) of paragraph (f) of this
subsection (2) SUBSECTION (2)(f)(II) OF THIS SECTION, the naturopathic
doctor is required only to successfully complete an additional two hours per
year of education or practicum training solely related to pediatrics to
comply with the requirements of sub-subparagraph (A) of this subparagraph
(II) SUBSECTION (2)(e)(II)(A) OF THIS SECTION.
(III) (A) Develops and executes a written collaborative agreement
with a licensed physician who is a pediatrician or family physician, which
agreement includes the duties and responsibilities of each party as part of
the collaborative agreement according to each party's standard of care and
practice act, a process for consulting with and referring to a licensed
physician to facilitate the effective treatment of children under two years of
age, and other provisions as may be established by the director by rule. The
naturopathic doctor and the licensed physician shall keep the written
collaborative agreement on file and, upon request by the director, for
naturopathic doctors, or by the Colorado medical board, for licensed
physicians, shall provide a copy of the agreement to the director or board,
as applicable.
(B) The naturopathic doctor shall provide to the director the name
and license number of the licensed physician and shall ensure that the
information filed with the director is current. The director shall make the
information available to the Colorado medical board and the naturopathic
PAGE 961-HOUSE BILL 19-1172
medicine advisory committee.
(C) Nothing in this subparagraph (III) SUBSECTION (2)(e)(III)
permits the independent practice of medicine, as defined in section
12-36-106 (1) and (2) 12-240-107 (1) AND (2), by a naturopathic doctor.
(D) Nothing in this subparagraph (III) SUBSECTION (2)(e)(III):
Limits the ability of a naturopathic doctor to make an independent
judgment; requires supervision by a licensed physician; precludes the use
of professional judgment or variation according to the needs of the child
under two years of age; imposes liability on a licensed physician, in
developing or signing a collaborative agreement, for the actions of the
naturopathic doctor in treating a child under two years of age; imposes
liability on a naturopathic doctor, in developing or signing a collaborative
agreement, for the actions of the licensed physician in consulting regarding
the treatment of a child less than two years of age; or requires the
naturopathic doctor and licensed physician to be practicing in the same
community or in close proximity to each other in order to enter into a
collaborative agreement.
(IV) Requires the child's parent or legal guardian to sign an
informed consent that:
(A) Discloses that the naturopathic doctor is registered pursuant to
this article 250;
(B) Discloses that the naturopathic doctor is not a physician licensed
pursuant to article 36 240 of this title 12;
(C) Recommends that the child have a relationship with a licensed
pediatric health care provider; and
(D) If the child has a relationship with a licensed pediatric health
care provider, requests permission from the parent or legal guardian for the
naturopathic doctor to attempt to develop and maintain a collaborative
relationship with the licensed pediatric health care provider, as defined by
director rules; or if the child does not have a relationship with a licensed
pediatric health care provider, on the child's first visit, refers the child to at
least one licensed pediatric health care provider, physician, or advanced
practice nurse who cares for pediatric patients to provide a medical home
PAGE 962-HOUSE BILL 19-1172
for the child, with ongoing communication and relationship between the
naturopathic doctor and the licensed pediatric health care provider,
physician, or advanced practice nurse; and
(V) Complies with rules adopted by the director regarding the
training required by subparagraph (II) of this paragraph (e) SUBSECTION
(2)(e)(II) OF THIS SECTION and referral to and communication with licensed
pediatric health care providers, physicians, or advanced practice nurses as
required by sub-subparagraph (D) of subparagraph (IV) of this paragraph
(e) SUBSECTION (2)(e)(IV)(D) OF THIS SECTION, to ensure the safety of
clients who are under two years of age;
(f) Treat a child who is two years of age or older but less than eight
years of age, unless the naturopathic doctor:
(I) Provides to the parent or legal guardian of the child a copy of the
most recent immunizations schedule recommended by the advisory
committee on immunization practices to the centers for disease control and
prevention in the federal department of health and human services ACIP
and recommends that the parent or legal guardian follow the immunizations
schedule;
(II) Demonstrates successful completion of three hours per year of
education or practicum training solely related to pediatrics in accordance
with continuing professional competency requirements approved by the
director pursuant to section 12-37.3-108 12-250-109; and
(III) Requires the child's parent or legal guardian to sign an
informed consent that:
(A) Discloses that the naturopathic doctor is registered pursuant to
this article 250;
(B) Discloses that the naturopathic doctor is not a physician licensed
pursuant to article 36 240 of this title 12;
(C) Recommends that the child have a relationship with a licensed
pediatric health care provider; and
(D) If the child has a relationship with a licensed pediatric health
PAGE 963-HOUSE BILL 19-1172
care provider, requests permission from the parent or legal guardian for the
naturopathic doctor to attempt to develop and maintain a collaborative
relationship with the licensed pediatric health care provider, as defined by
director rules;
(g) Engage in or perform the practice of medicine, surgery, or any
other form of healing except as authorized by this article 250;
(h) Practice obstetrics;
(i) Perform spinal adjustment, manipulation, or mobilization, but
this paragraph (i) SUBSECTION (2)(i) does not prohibit a naturopathic doctor
from practicing naturopathic physical medicine as described in section
12-37.3-102 (12)(b) 12-250-103 (13)(b); or
(j) Recommend the discontinuation of, or counsel against, a course
of care, including a prescription drug that was recommended or prescribed
by another health care practitioner licensed in this state, unless the
naturopathic doctor consults with the health care practitioner who
recommended the course of care.
(3) (a) A naturopathic doctor has the same authority and is subject
to the same responsibilities as a licensed physician under public health laws
pertaining to reportable diseases and conditions, communicable disease
control and prevention, and recording of vital statistics and health and
physical examinations, subject to the limitations of the scope of practice of
a naturopathic doctor as specified in this article 250.
(b) Before conducting an initial examination of a patient, a
naturopathic doctor shall obtain the patient's informed consent to the
examination, evidenced by a written statement in a form prescribed by the
director and signed by both the patient and the naturopathic doctor. The
statement must:
(I) Disclose that the naturopathic doctor is not a medical doctor or
physician licensed under article 36 240 of this title 12;
(II) Recommend that the patient have a relationship with a medical
doctor or licensed physician;
PAGE 964-HOUSE BILL 19-1172
(III) Indicate that the naturopathic doctor will attempt to develop
and maintain a collaborative relationship with the patient's licensed
physician, if the patient has a relationship with a licensed physician; and
(IV) Disclose that the naturopathic doctor is registered and not
licensed.
(c) A naturopathic doctor shall communicate and cooperate with a
patient's other health care providers, if any, to ensure that the patient
receives coordinated care.
(d) A naturopathic doctor shall refer a patient to another health care
professional if the patient's needs are beyond the naturopathic doctor's scope
of knowledge and practice.
(4) This article 250 does not prevent or restrict the practice, services,
or activities of:
(a) A person who is licensed, certified, or registered to practice a
profession or occupation pursuant to this title 12 and who engages in
activities that are within the lawful scope of practice for the profession or
occupation for which the person is licensed, certified, or registered;
(b) A person who practices natural health care, provides natural
health care services, or advises and educates in the use of natural health care
products, as long as the person does not:
(I) Diagnose injuries or diseases;
(II) Prescribe medicines as authorized for registrants pursuant to
paragraph (c) of subsection (1) SUBSECTION (1)(c) of this section or a
prescription drug or controlled substance or device identified in the federal
"Controlled Substances Act", 21 U.S.C. sec. 801 et seq., as amended; or
(III) Perform minor office procedures as authorized for registrants
pursuant to paragraph (d) of subsection (1) SUBSECTION (1)(d) of this
section;
(c) A person who sells vitamins, health foods, dietary supplements,
herbs, or other natural products, if not otherwise prohibited by state or
PAGE 965-HOUSE BILL 19-1172
federal law, and who sells or provides information about the products;
(d) A person who provides truthful and nonmisleading information
regarding natural health care products or services;
(e) A person employed by the federal government who practices
naturopathic medicine while the person is engaged in the performance of his
or her duties;
(f) A person who is licensed or otherwise authorized to practice as
a naturopathic doctor in another state or district in the United States who is
consulting with a naturopathic doctor in this state as long as the consultation
is limited to examination, recommendation, or testimony in litigation;
(g) A student enrolled in an approved naturopathic medical college
who practices naturopathic medicine if the performance of services is
pursuant to a course of instruction or assignments from and under the
supervision of an instructor who is a naturopathic doctor or a licensed
professional in the field in which he or she is providing instruction;
(h) A person who administers a domestic or family remedy to
oneself or a member of his or her immediate family based on religious or
health beliefs; or
(i) A person who renders aid in an emergency when no fee or other
consideration of value for the services is charged, received, expected, or
contemplated.
(5) Except as provided in subsection (4) of this section, a person
who is not registered under this article 250 shall not:
(a) Diagnose injury, disease, ailment, infirmity, deformity, pain, or
other condition of the human body;
(b) Dispense, administer, order, or prescribe medicines as authorized
for registrants pursuant to paragraph (c) of subsection (1) SUBSECTION (1)(c)
of this section; or
(c) Use the title "naturopathic doctor", or "doctor of naturopathy" or
the abbreviation "N.D."
PAGE 966-HOUSE BILL 19-1172
(6) Many therapies used by naturopathic doctors, such as the use of
nutritional supplements, herbs, foods, homeopathic preparations, and
physical forces such as heat, cold, water, touch, and light, are not the
exclusive privilege of naturopathic doctors, and this article 250 does not
prohibit the use or practice of those therapies by a person who is not
registered under this article 250 to practice naturopathic medicine.
(7) As used in this section, "licensed pediatric health care provider"
means a licensed physician or advanced practice nurse who treats children.
12-250-107. [Formerly 12-37.3-106] Registration required -
qualifications - examination - registration by endorsement - rules.
(1) Effective June 1, 2014, a person shall not practice as a naturopathic
doctor in this state without a registration.
(2) An applicant for a registration to practice as a naturopathic
doctor in this state shall submit an application to the director in a form and
manner determined by the director by rule, accompanied by the fee required
pursuant to section 12-37.3-104 (1)(d) 12-20-105. The director shall issue
a registration to practice as a naturopathic doctor to an applicant upon
receipt of satisfactory proof that the applicant:
(a) Is at least twenty-one years of age and of good moral character;
(b) Has obtained a baccalaureate degree from an accredited
educational institution or documented experience that provides the same
kind, amount, and level of knowledge as a baccalaureate degree, as
determined by the director;
(c) Has graduated from and holds a doctor of naturopathic medicine
or doctor of naturopathy degree from an approved naturopathic medical
college;
(d) Has successfully passed either a director-approved examination
or a comprehensive competency-based national naturopathic licensing
examination administered by the North American Board of Naturopathic
Examiners or a nationally recognized, director-approved successor entity,
as determined by the director by rule; and
(e) Has not had a license or other authorization to practice as a
PAGE 967-HOUSE BILL 19-1172
naturopathic doctor or other health care license, registration, or certification
denied, revoked, or suspended by Colorado or any other jurisdiction for
reasons that relate to the applicant's ability to skillfully and safely practice
naturopathic medicine, unless the license, registration, or certification is
reinstated to good standing by Colorado or another jurisdiction.
(3) The director may issue a registration by endorsement to engage
in the practice of naturopathic medicine to an applicant who has a license,
certification, or registration in good standing as a naturopathic doctor under
the laws of another jurisdiction if the applicant presents satisfactory proof
to the director that, at the time of application for a Colorado registration by
endorsement, the applicant possesses credentials and qualifications that are
substantially equivalent to the requirements of this section. The director
may adopt rules concerning the necessary applicant credentials and
qualifications.
(4) The director may determine, by rule, the qualifications for
registration under this article 250 for a person who satisfies the
requirements of paragraphs (a), (b), and (e) of subsection (2) SUBSECTIONS
(2)(a), (2)(b), AND (2)(e) of this section but does not satisfy the
requirements for registration under paragraph (c) or (d) of subsection (2)
SUBSECTION (2)(c) OR (2)(d) of this section and who is not licensed,
certified, or registered to practice a profession or occupation under this title
12 or the laws of any other jurisdiction in the United States. The director's
rules may require qualifications the director deems appropriate and may
include documented evidence that the person:
(a) Has completed a postgraduate level didactic and supervised
clinical educational program from an accredited educational institution,
which program is substantially equivalent to the education requirements set
forth in paragraph (c) of subsection (2) SUBSECTION (2)(c) of this section,
as determined by the director by rule;
(b) Has passed a national examination in naturopathic medicine that
is substantially equivalent to the examination required in paragraph (d) of
subsection (2) SUBSECTION (2)(d) of this section, as determined by the
director by rule; and
(c) Has at least ten years of related professional experience.
PAGE 968-HOUSE BILL 19-1172
12-250-108. [Formerly 12-37.3-107] Registration renewal or
reinstatement - fees. A naturopathic doctor shall renew or reinstate his or
her registration pursuant to a schedule established by the director, and the
director shall renew or reinstate a registration in accordance with section
24-34-102 (8), C.R.S. The director may establish renewal fees and
delinquency fees for reinstatement pursuant to section 24-34-105, C.R.S. If
a person fails to renew his or her registration pursuant to the schedule
established by the director, the registration expires REGISTRATION ISSUED
PURSUANT TO THIS ARTICLE 250 IS SUBJECT TO THE RENEWAL, EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION
12-20-202 (1) AND (2). A person whose registration expires is subject to the
penalties provided in this article 250 or section 24-34-102 (8), C.R.S. The
director shall transmit fees collected pursuant to this section or section
12-37.3-106 to the state treasurer for deposit in the division of professions
and occupations cash fund pursuant to section 24-34-105, C.R.S. 12-20-202
(1).
12-250-109. [Formerly 12-37.3-108] Continuing professional
competency - rules. (1) (a) A naturopathic doctor shall maintain
continuing professional competency to practice naturopathic medicine.
(b) The director shall adopt rules establishing a continuing
professional competency program that includes, at a minimum, the
following elements:
(I) A self-assessment of the knowledge and skills of a naturopathic
doctor seeking to renew or reinstate a registration;
(II) Development, execution, and documentation of a learning plan
based on the assessment; and
(III) Periodic demonstration of knowledge and skills through
documentation of activities necessary to ensure continuing competency in
the profession; except that a naturopathic doctor need not retake any
examination required by section 12-37.3-106 (2)(d) 12-250-107 (2)(d) for
initial registration.
(c) The director shall establish that a naturopathic doctor satisfies
the continuing competency requirements of this section if the naturopathic
doctor meets the continuing professional competency requirements of one
PAGE 969-HOUSE BILL 19-1172
of the following entities:
(I) A state department, including continuing professional
competency requirements imposed through a contractual arrangement with
a provider;
(II) An accrediting body recognized by the director; or
(III) An entity approved by the director.
(d) (I) After the program is established, a naturopathic doctor shall
satisfy the requirements of the program in order to renew or reinstate a
registration to practice naturopathic medicine.
(II) The requirements of this section apply to individual naturopathic
doctors, and nothing in this section requires a person who employs or
contracts with a naturopathic doctor to comply with the requirements of this
section.
(2) Records of assessments or other documentation developed or
submitted in connection with the continuing professional competency
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a naturopathic doctor.
Neither the director nor any other person shall use the records or documents
unless used by the director to determine whether a naturopathic doctor is
maintaining continuing professional competency to engage in the
profession.
12-250-110. [Formerly 12-37.3-109] Compliance with
transparency requirements. A naturopathic doctor shall comply with
section 24-34-110, C.R.S. 12-30-102 regarding the disclosure of
information to the director.
12-250-111. [Formerly 12-37.3-110] Persons entitled to practice
as naturopathic doctors - title protection for naturopathic doctors.
(1) A person shall not hold himself or herself out as a naturopathic doctor
or use any of the titles or initials referred to in subsection (2) of this section
unless the person is registered as a naturopathic doctor pursuant to this
article 250.
PAGE 970-HOUSE BILL 19-1172
(2) A naturopathic doctor may use the title "naturopathic doctor", or
"doctor of naturopathy", or the initials "N.D."
(2.5) (3) A naturopathic doctor shall qualify any specialty services
provided to the public with "naturopathic" or "naturopath".
(3) (4) A naturopathic doctor shall not use:
(a) The term "physician" in describing the naturopathic doctor's
registered naturopathic medicine practice in this state;
(b) The abbreviations "NMD" or "N.M.D.";
(c) The term "naturopathic medical doctor".
(4) (5) Nothing in this section prevents a naturopathic doctor from
disclosing membership in national organizations or associations of
naturopathic physicians unless the disclosure is false, misleading, or
deceptive.
(5) (6) Nothing in this section prevents a person from using the term
"doctor" or the title "Dr." if he or she satisfies the requirements of section
6-1-707 (1)(a). C.R.S.
12-250-112. [Formerly 12-37.3-111] Disclosures - record keeping.
(1) A naturopathic doctor shall provide the following information in
writing to each patient in a format required by the director:
(a) The naturopathic doctor's name, business address, and telephone
number;
(b) The nature of the services to be provided;
(c) A statement that naturopathic doctors are registered by the state
to practice naturopathic medicine under the "Naturopathic Doctor Act";
(d) The prohibitions specified in section 12-37.3-105 (2) 12-250-106
(2);
(e) The states in which the naturopathic doctor holds an active
PAGE 971-HOUSE BILL 19-1172
license or registration; and
(f) How to file a complaint against a naturopathic doctor.
(2) A naturopathic doctor shall obtain a written acknowledgment
from the patient stating that the patient has been provided the information
described in subsection (1) of this section. The naturopathic doctor shall
retain the acknowledgment for seven years after the date on which the last
services were provided to the patient.
(3) If a naturopathic doctor treats any patient who is seeking
treatment for cancer, the naturopathic doctor shall recommend to the patient
that the patient consult with a licensed physician specializing in oncology
and document the recommendation in writing.
12-250-113. [Formerly 12-37.3-112] Grounds for discipline -
disciplinary actions authorized - procedures - definitions. (1) The
director may deny, revoke, or suspend the registration of, issue a letter of
admonition to, or place on probation TAKE DISCIPLINARY OR OTHER ACTION
AS SPECIFIED IN SECTION 12-20-404 AGAINST a naturopathic doctor for any
of the following acts or omissions:
(a) Violating, or aiding or abetting another in the violation of, this
article 250, AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE
12, or any rule promulgated by the director pursuant to this article 250;
(b) Falsifying information in any application, attempting to obtain
or obtaining a registration by fraud, deceit, or misrepresentation, or aiding
or abetting such act;
(c) Engaging in an act or omission that does not meet generally
accepted standards of practice of naturopathic medicine or of safe care for
patients, whether or not actual injury to a patient is established;
(d) Habitual or excessive use or abuse of alcohol, a habit-forming
drug, or a controlled substance as defined in section 18-18-102 (5); C.R.S.;
(e) Failing to refer a patient to an appropriate health care
professional when the services required by the patient are beyond the level
of competence of the naturopathic doctor or beyond the scope of
PAGE 972-HOUSE BILL 19-1172
naturopathic medicine practice;
(f) Violation of a law or regulation governing the practice of
naturopathic medicine in another jurisdiction;
(g) Falsifying, repeatedly failing to make essential entries in, or
repeatedly making incorrect essential entries in patient records;
(h) Conviction of a felony, an offense of moral turpitude, or a crime
that would constitute a violation of this article 250. For purposes of this
paragraph (h) SUBSECTION (1)(h), "conviction" includes the entry of a plea
of guilty or nolo contendere or the imposition of a deferred sentence or
judgment.
(i) Advertising through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the naturopathic doctor
will perform any act prohibited by this article 250;
(j) Engaging in a sexual act with a patient during the course of
patient care or within six months immediately following the written
termination of the professional relationship with the patient. As used in this
paragraph (j) SUBSECTION (1)(j), "sexual act" means sexual contact, sexual
intrusion, or sexual penetration, as those terms are defined in section
18-3-401. C.R.S.
(k) Committing abuse of health insurance, as prohibited by section
18-13-119; C.R.S.;
(l) Advertising through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the naturopathic doctor
will perform any act prohibited by section 18-13-119 (3); C.R.S.;
(m) Violating a valid order of the director;
(n) Failing to report to the director, within thirty days after an
adverse action, that an adverse action has been taken against the
naturopathic doctor by a licensing agency in another state or country, a peer
review body, a health care institution, a professional or naturopathic
medical society or association, a governmental agency, a law enforcement
agency, or a court for acts or conduct that would constitute grounds for
PAGE 973-HOUSE BILL 19-1172
disciplinary or adverse action as described in this article 250;
(o) Failing to report to the director, within thirty days:
(I) The surrender of a license or other authorization to practice as a
naturopathic doctor in another state or jurisdiction; or
(II) The surrender of membership on a medical staff or in a
naturopathic medical or professional association or society while under
investigation by any of those authorities or bodies for acts or conduct
similar to acts or conduct that would constitute grounds for action as
described in this article 250;
(p) (I) Failing to notify the director of a physical illness, a physical
condition, or a behavioral, mental health, or substance use disorder that
affects the naturopathic doctor's ability to treat patients with reasonable skill
and safety or that may endanger the health or safety of persons under his or
her care;
(II) Failing to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the naturopathic doctor unable to practice naturopathic
medicine with reasonable skill and safety or that may endanger the health
or safety of persons under his or her care; or
(III) Failing to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-37.3-116 SECTIONS
12-30-108 AND 12-250-118;
(q) Failing to timely respond to a complaint filed against the
naturopathic doctor;
(r) Failing to develop a written plan for the security of patient
medical records in accordance with section 12-37.3-115 12-250-117;
(s) Refusing to submit to a physical or mental examination when so
ordered by the director pursuant to section 12-37.3-117 12-250-119;
(t) Failing to obtain and continually maintain professional liability
insurance as required by section 12-37.3-114 12-250-115.
PAGE 974-HOUSE BILL 19-1172
(2) In addition to or as an alternative to the discipline authorized by
subsection (1) of this section, the director may assess an administrative fine
of up to five thousand dollars against a naturopathic doctor who commits
any of the acts or omissions described in subsection (1) of this section. The
director shall transmit any moneys collected pursuant to this subsection (2)
to the state treasurer for deposit in the general fund.
(3) Any person whose registration is revoked or who surrenders his
or her registration to avoid discipline is ineligible to apply for a registration
under this article for at least two years after the date of revocation or
surrender of the registration.
(4) (3) The director shall conduct any DISCIPLINARY proceeding to
deny, suspend, or revoke a registration or place a naturopathic doctor on
probation in accordance with sections 12-20-403, 24-4-104, and 24-4-105.
C.R.S. The director may designate an administrative law judge pursuant to
part 10 of article 30 of title 24, C.R.S., to conduct the proceeding. The
administrative law judge shall conduct the proceeding in accordance with
sections 24-4-104 and 24-4-105, C.R.S. A final decision of the director or
the AN administrative law judge is subject to judicial review by the court of
appeals pursuant to section 24-4-106 (11), C.R.S. IN ACCORDANCE WITH
SECTION 12-20-408.
(5) (4) The director may accept as prima facie evidence of grounds
for disciplinary action any disciplinary action taken against a naturopathic
doctor by another jurisdiction if the violation that prompted the disciplinary
action would be grounds for disciplinary action under this article 250.
(6) (a) (5) The director or an administrative law judge may
administer oaths, take affirmations of witnesses, and issue subpoenas to
compel the attendance of witnesses and the production of all relevant
papers, books, records, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter before the director or
administrative law judge. The director may appoint an administrative law
judge pursuant to part 10 of article 30 of title 24, C.R.S., to take evidence
and to make findings and report them to the director, including hospital and
naturopathic doctor records. The A person providing copies of records
SUBPOENAED PURSUANT TO SECTION 12-20-403 (2) shall prepare the copies
from the original record, deleting the name of the patient and instead
identifying the patient by a numbered code. Upon certification by the
PAGE 975-HOUSE BILL 19-1172
custodian that the copies are true and complete except for the patient's
name, the copies are deemed authentic, subject to the right to inspect the
originals for the limited purpose of ascertaining the accuracy of the copies.
The copies are not confidential, and the director or custodian of the records
and their authorized employees are not liable for furnishing or using the
copies in accordance with this section.
(b) If a witness or naturopathic doctor fails to comply with a
subpoena or process, the director may apply to the district court of the
county in which the subpoenaed person or naturopathic doctor resides or
conducts business for an order directing the person or naturopathic doctor
to appear before the director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. The director shall
provide notice to the subpoenaed person or naturopathic doctor of the
director's application to the district court, and the court shall not issue the
order absent the notice. If the subpoenaed person or naturopathic doctor
fails to obey the court's order, the court may hold the person in contempt of
court.
(7) (6) (a) When a complaint or investigation discloses an instance
of misconduct that, in the opinion of the director, does not warrant formal
action by the director but that should not be dismissed as being without
merit, The director may issue a letter of admonition to the A naturopathic
doctor UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH
SECTION 12-20-404 (4).
(b) When the director sends a letter of admonition to a registrant, the
letter must advise the registrant that he or she has the right to request in
writing, within twenty days after receipt of the letter, that formal
disciplinary proceedings be initiated to adjudicate the propriety of the
conduct upon which the letter of admonition is based.
(c) If the registrant timely requests adjudication, the director shall
vacate the letter of admonition and process the matter by means of formal
disciplinary proceedings.
(8) (7) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the director and, in the
opinion of the director, should be dismissed, but the director has noticed
PAGE 976-HOUSE BILL 19-1172
indications of possible errant conduct by the registrant that could lead to
serious consequences if not corrected, The director may send the A
registrant a confidential letter of concern UNDER THE CIRCUMSTANCES
SPECIFIED IN SECTION 12-20-404 (5).
(9) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
director shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution.
(10) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a registrant is acting
in a manner that is an imminent threat to the health and safety of the public
or a person is acting or has acted without the required registration, the
director may issue an order to cease and desist the activity. The director
shall set forth in the order the statutes and rules alleged to have been
violated, the facts alleged to have constituted the violation, and the
requirement that all unlawful acts or unregistered practices immediately
cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (10), the respondent may
request a hearing on the question of whether acts or practices in violation
of this article have occurred. The director or administrative law judge shall
conduct the hearing in accordance with sections 24-4-104 and 24-4-105,
C.R.S.
(11) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a person has violated
any other portion of this article, the director may issue to the person an
order to show cause as to why the director should not issue a final order
directing the person to cease and desist from the unlawful act or
unregistered practice.
(b) The director shall promptly notify the person that he or she has
been issued an order to show cause. The director shall include in the notice
a copy of the order, the factual and legal basis for the order, and the date set
by the director for a hearing on the order. The director may serve the notice
on the person by personal service, by first-class United States mail, postage
prepaid, or in any other manner that is practicable. Personal service or
PAGE 977-HOUSE BILL 19-1172
mailing of an order or document pursuant to this subsection (11) constitutes
notice to the person.
(c) (I) The director shall commence the hearing on an order to show
cause no earlier than ten and no later than forty-five calendar days after the
date of transmission or service of the notification by the director as
provided in paragraph (b) of this subsection (11). The director may continue
the hearing upon agreement of all parties based upon the complexity of the
matter, the number of parties to the matter, and the legal issues presented
in the matter, but in no event shall the director continue the hearing more
than sixty calendar days after the date of transmission or service of the
notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (11) does not appear at
the hearing, the director may present evidence that notification was properly
sent or served upon the person pursuant to paragraph (b) of this subsection
(11) and other evidence related to the matter that the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order is final as to that person by operation of law. The
director shall conduct the hearing in accordance with sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required registration or has or is about to engage in acts or practices
constituting violations of this article, the director may issue a final
cease-and-desist order directing the person to cease and desist from further
unlawful acts or unregistered practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (11), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order is effective when issued and is a final order for purposes of
judicial review.
(12) The director may enter into a stipulation with a person if it
appears to the director, based upon credible evidence presented to the
PAGE 978-HOUSE BILL 19-1172
director, that the person has engaged in or is about to engage in:
(a) An unregistered act or practice;
(b) An act or practice constituting a violation of this article or of any
rule promulgated pursuant to this article;
(c) A violation of an order issued pursuant to this article; or
(d) An act or practice constituting grounds for administrative
sanction pursuant to this article.
(13) If a person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation occurred or
is occurring to bring, and if so requested the attorney shall bring, suit for a
temporary restraining order and for injunctive relief to prevent any further
or continued violation of the final order.
(14) A person aggrieved by the final cease-and-desist order may
seek judicial review of the director's determination or of the director's final
order in a court of competent jurisdiction.
(8) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
12-250-114. [Similar to 12-37.3-113] Unauthorized practice -
penalties. A PERSON WHO PRACTICES OR OFFERS OR ATTEMPTS TO PRACTICE
AS A NATUROPATHIC DOCTOR WITHOUT AN ACTIVE REGISTRATION ISSUED
UNDER THIS ARTICLE 250 IS SUBJECT TO PENALTIES PURSUANT TO SECTION
12-20-407 (1)(c).
12-250-115. [Formerly 12-37.3-114] Professional liability
insurance required - vicarious liability. (1) It is unlawful for a person to
practice as a naturopathic doctor in this state unless the person is covered
by professional liability insurance in an amount not less than one million
dollars.
(2) Professional liability insurance required by this section must
PAGE 979-HOUSE BILL 19-1172
cover all acts within the scope of practice of a naturopathic doctor.
(3) A naturopathic doctor is liable for his or her acts or omissions in
the performance of naturopathic medicine.
12-250-116. [Formerly 12-37.3-114.5] Judgments and settlements
- reporting. In accordance with section 10-1-125.5, a naturopathic doctor's
malpractice insurance carrier shall report to the director information relating
to a final judgment or settlement against the naturopathic doctor for
malpractice. The director shall review the information and investigate and,
as appropriate, take disciplinary or other action against the naturopathic
doctor.
12-250-117. [Formerly 12-37.3-115] Protection of medical
records - registrant's obligations - verification of compliance -
noncompliance grounds for discipline - rules. (1) Each naturopathic
doctor shall develop a written plan to ensure the security of patient medical
records. The plan must address at least the following:
(a) The storage and proper disposal of patient medical records;
(b) The disposition of patient medical records in the event the
naturopathic doctor dies, retires, or otherwise ceases to practice or provide
naturopathic medical care to patients; and
(c) The method by which patients may access or obtain their medical
records promptly if any of the events described in paragraph (b) of this
subsection (1) SUBSECTION (1)(b) OF THIS SECTION occurs.
(2) Upon initial registration under this article 250, the applicant or
registrant shall attest to the director that he or she has developed a plan in
compliance with this section.
(3) A naturopathic doctor shall inform each patient in writing of the
method by which the patient may access or obtain his or her medical records
if an event described in paragraph (b) of subsection (1) SUBSECTION (1)(b)
of this section occurs.
(4) The director may adopt rules reasonably necessary to implement
this section.
PAGE 980-HOUSE BILL 19-1172
12-250-118. [Formerly 12-37.3-116] Confidential agreement to
limit practice. (1) If a naturopathic doctor has a physical illness; a physical
condition; or a behavioral or mental health disorder that renders him or her
unable to practice naturopathic medicine with reasonable skill and safety to
patients, the naturopathic doctor shall notify the director of the physical
illness; the physical condition; or the behavioral or mental health disorder
in a manner and within a period determined by the director. The director
may require the naturopathic doctor to submit to an examination to evaluate
the extent of the physical illness; the physical condition; or the behavioral
or mental health disorder and its impact on the naturopathic doctor's ability
to practice naturopathic medicine with reasonable skill and safety to
patients.
(2) (a) Upon determining that a naturopathic doctor with a physical
illness; a physical condition; or a behavioral or mental health disorder is
able to render limited services with reasonable skill and safety to patients,
the director may enter into a confidential agreement with the naturopathic
doctor in which the naturopathic doctor agrees to limit his or her practice
based on the restrictions imposed by the physical illness; the physical
condition; or the behavioral or mental health disorder, as determined by the
director.
(b) As part of the agreement, the naturopathic doctor is subject to
periodic reevaluations or monitoring as determined appropriate by the
director.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or monitoring.
(3) By entering into an agreement with the director pursuant to this
section to limit his or her practice, a naturopathic doctor is not engaging in
activities that are prohibited pursuant to section 12-37.3-112. The
agreement does not constitute a restriction or discipline by the director.
However, if the naturopathic doctor fails to comply with the terms of an
agreement entered into pursuant to this section, the failure constitutes a
prohibited activity pursuant to section 12-37.3-112 (1)(p), and the
naturopathic doctor is subject to discipline in accordance with section
12-37.3-112.
(4) This section does not apply to a naturopathic doctor subject to
PAGE 981-HOUSE BILL 19-1172
discipline for prohibited activities as described in section 12-37.3-112
(1)(d).
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO
LIMIT PRACTICE APPLIES TO THIS ARTICLE 250.
12-250-119. [Formerly 12-37.3-117] Mental and physical
examination of registrants. (1) If the director has reasonable cause to
believe that a registrant is unable to practice with reasonable skill and
safety, the director may require the registrant to take a mental or physical
examination by a health care provider designated by the director. If the
registrant refuses to undergo a mental or physical examination, unless due
to circumstances beyond the registrant's control, the director may suspend
the registrant's registration until the results of the examination are known
and the director has made a determination of the registrant's fitness to
practice. The director shall proceed with an order for examination and
determination in a timely manner.
(2) The director shall include in an order issued under subsection (1)
of this section the basis of the director's reasonable cause to believe that the
registrant is unable to practice with reasonable skill and safety. For the
purposes of a disciplinary proceeding authorized by this article 250, the
registrant is deemed to waive all objections to the admissibility of the
examining health care provider's testimony or examination reports on the
ground that the testimony and reports are privileged communications.
(3) The registrant may submit to the director testimony or
examination reports from a health care provider chosen by the registrant
pertaining to the condition that the director alleges may preclude the
registrant from practicing with reasonable skill and safety. The director may
consider testimony and examination reports submitted by the registrant in
conjunction with, but not in lieu of, testimony and examination reports of
the health care provider designated by the director.
(4) A person shall not use the results of any mental or physical
examination ordered by the director as evidence in any proceeding other
than one before the director. The examination results are not public records
and are not available to the public.
12-250-120. [Formerly 12-37.3-118] Inactive registration - rules.
PAGE 982-HOUSE BILL 19-1172
A naturopathic doctor may request that the director inactivate or activate the
naturopathic doctor's registration. The director shall promulgate rules
governing the activation and inactivation of registrations. Notwithstanding
any law to the contrary, the director's rules may limit the applicability of
statutory requirements for maintaining professional liability insurance and
continuing professional competency for a registrant whose registration is
currently inactive. The director need not reactivate an inactive registration
if the naturopathic doctor has committed any act that would be grounds for
disciplinary action under section 12-37.3-112 12-250-113. A naturopathic
doctor whose registration is currently inactive shall not practice
naturopathic medicine.
12-250-121. [Formerly 12-37.3-119] Repeal of article - definition.
(1) This article 37.3 250 is repealed, effective September 1, 2020. Before
its THE repeal, the department of regulatory agencies shall review the
registration of naturopathic doctors IS SCHEDULED FOR REVIEW in
accordance with section 24-34-104.
(2) (a) In conducting its review, the department shall gather and
include in its report information from naturopathic doctors regarding the
number of children under two years of age that naturopathic doctors treated,
the conditions for which naturopathic doctors treated children under two
years of age, and the number and description of any adverse events that
occurred in connection with treating children under two years of age.
Additionally, the department shall review written collaborative agreements
kept on file by naturopathic doctors pursuant to section 12-37.3-105
(2)(e)(III) 12-250-106 (2)(e)(III) and include a summary of those
agreements in its report.
(b) As used in this subsection (2), "adverse event" means any harm
to a child under two years of age that the treating naturopathic doctor is
aware of and that resulted or likely resulted from the naturopathic doctor's
care of the child. Reporting an adverse event to the department pursuant to
this section does not, alone, constitute grounds for discipline pursuant to
section 12-37.3-112 12-250-113.
ARTICLE 255
Nurses
12-255-101. [Formerly 12-38-101] Short title. THE SHORT TITLE OF
PAGE 983-HOUSE BILL 19-1172
this article shall be known and may be cited as 255 IS the "Nurse Practice
Act".
12-255-102. [Formerly 12-38-102] Legislative declaration. The
general assembly hereby declares it to be the policy of this state that, in
order to safeguard the life, health, property, and public welfare of the people
of this state and in order to protect the people of this state from the
unauthorized, unqualified, and improper application of services by
individuals in the practice of nursing, it is necessary that a proper regulatory
authority be established. The general assembly further declares it to be the
policy of this state to regulate the practice of nursing through a state agency
with the power to enforce the provisions of this article 255.
12-255-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 255.
12-255-104. [Formerly 12-38-103] Definitions. As used in this
article 38 255, unless the context otherwise requires:
(1) Repealed.
(1.5) (1) "Advanced practice nurse" means an advanced practice
registered nurse who is a professional nurse and is licensed to practice
pursuant to this article 255, who obtains specialized education or training
as provided in this section, and who applies to and is accepted by the board
for inclusion in the advanced practice registry.
(2) "Approved education program" means a course of training
conducted by an educational or health care institution which THAT
implements the basic practical or professional nursing curriculum
prescribed and approved by the board.
(3) "Board" means the state board of nursing CREATED IN SECTION
12-255-105.
(4) "Delegated medical function" means an aspect of care that
implements and is consistent with the medical plan as prescribed by a
licensed or otherwise legally authorized physician, podiatrist, or dentist and
is delegated to a registered professional nurse or a practical nurse by a
PAGE 984-HOUSE BILL 19-1172
physician, podiatrist, dentist, or physician assistant. For purposes of this
subsection (4), "medical plan" means a written plan, verbal order, standing
order, or protocol, whether patient specific or not, that authorizes specific
or discretionary medical action, which may include but is not limited to the
selection of medication. Nothing in this subsection (4) shall limit the
practice of nursing as defined in this article 255.
(5) "Diagnosing" within the terms of this article, means the use of
professional nursing knowledge and skills in the identification of, and
discrimination between, physical and psychological signs or symptoms to
arrive at a conclusion that a condition exists for which nursing care is
indicated or for which referral to appropriate medical or community
resources is required. "DIAGNOSIS" HAS A CORRESPONDING MEANING.
(6) and (7) Repealed.
(7.4) "Licensee" means a person licensed pursuant to this article.
(7.8) (6) "Panel" means either panel of the board created in section
12-38-116.5 (1) 12-255-119 (1).
(8) (a) (7) On and after January 18, 2018, "Practical nurse", "trained
practical nurse", "licensed vocational nurse", or "licensed practical nurse"
means a person who holds a license to practice pursuant to this article 38
255 as a licensed practical nurse in this state or is licensed in another state
and is practicing in this state pursuant to section 24-60-3802, with the right
to use the title "licensed practical nurse" and its abbreviation, "L.P.N."
(b) (I) On January 18, 2018, through one hundred eighty days after
January 18, 2018, "practical nurse", "trained practical nurse", "licensed
vocational nurse", or "licensed practical nurse" means a person who holds
a license to practice pursuant to this article 38 as a licensed practical nurse
in this state or is licensed in another state and is practicing in this state
pursuant to section 24-60-3202, with the right to use the title "licensed
practical nurse" and its abbreviation, "L.P.N."
(II) This subsection (8)(b) is repealed, effective January 1, 2019.
(8.5) (8) (a) "Practice of advanced practice nursing" means an
expanded scope of professional nursing in a scope, role, and population
PAGE 985-HOUSE BILL 19-1172
focus approved by the board, with or without compensation or personal
profit, and includes the practice of professional nursing. as defined in
subsection (10) of this section.
(b) "Practice of advanced practice nursing" includes prescribing
medications as may be authorized pursuant to section 12-38-111.6
12-255-112.
(c) Nothing in this subsection (8.5) (8) shall alter the definition of
the practice of professional nursing. as defined in subsection (10) of this
section.
(9) (a) "Practice of practical nursing" means the performance, under
the supervision of a dentist, physician, podiatrist, or professional nurse
authorized to practice in this state, of those services requiring the education,
training, and experience, as evidenced by knowledge, abilities, and skills
required in this article 255 for licensing as a practical nurse pursuant to
section 12-38-112 12-255-114, in:
(I) Caring for the ill, injured, or infirm;
(II) Teaching and promoting preventive health measures;
(III) Acting to safeguard life and health; or
(IV) Administering treatments and medications prescribed by:
(A) A legally authorized dentist, podiatrist, or physician; or
(B) A physician assistant implementing a medical plan pursuant to
subsection (4) of this section.
(b) "Practice of practical nursing" includes the performance of
delegated medical functions.
(c) Nothing in this article 255 shall limit or deny a practical nurse
from supervising other practical nurses or other health care personnel.
(10) (a) "Practice of professional nursing" means the performance
of both independent nursing functions and delegated medical functions in
PAGE 986-HOUSE BILL 19-1172
accordance with accepted practice standards. Such THE functions include
the initiation and performance of nursing care through health promotion,
supportive or restorative care, disease prevention, diagnosis and treatment
of human disease, ailment, pain, injury, deformity, and physical or mental
condition using specialized knowledge, judgment, and skill involving the
application of biological, physical, social, and behavioral science principles
required for licensure as a professional nurse pursuant to section 12-38-111
12-255-110.
(b) The "practice of professional nursing" shall include the
performance of such services as:
(I) Evaluating health status through the collection and assessment
of health data;
(II) Health teaching and health counseling;
(III) Providing therapy and treatment that is supportive and
restorative to life and well-being either directly to the patient or indirectly
through consultation with, delegation to, supervision of, or teaching of
others;
(IV) Executing delegated medical functions;
(V) Referring to medical or community agencies those patients who
need further evaluation or treatment;
(VI) Reviewing and monitoring therapy and treatment plans.
(11) (a) On and after January 18, 2018, "Registered nurse" or
"registered professional nurse" means a professional nurse, and only a
person who holds a license to practice professional nursing in this state
pursuant to this article 38 255 or who holds a license in another state and is
practicing in this state pursuant to section 24-60-3802 may use the title
"registered nurse" and its abbreviation, "R.N."
(b) (I) On January 18, 2018, through one hundred eighty days after
January 18, 2018, "registered nurse" or "registered professional nurse"
means a professional nurse, and only a person who holds a license to
practice professional nursing in this state pursuant to this article 38 or who
PAGE 987-HOUSE BILL 19-1172
holds a license in another state and is practicing in this state pursuant to
section 24-60-3202 may use the title "registered nurse" and its abbreviation,
"R.N."
(II) This subsection (11)(b) is repealed, effective January 1, 2019.
(12) "Treating" means the selection, recommendation, execution,
and monitoring of those nursing measures essential to the effective
determination and management of actual or potential human health
problems and to the execution of the delegated medical functions. Such THE
delegated medical functions shall be performed under the responsible
direction and supervision of a person licensed under the laws of this state
to practice medicine, podiatry, or dentistry. "TREATMENT" HAS A
CORRESPONDING MEANING.
(13) (a) On and after January 18, 2018, "Unauthorized practice"
means the practice of practical nursing or the practice of professional
nursing by any person who has not been issued a license under this article
38 255, or WHO is not practicing in this state pursuant to section
24-60-3802, or whose license has been suspended or revoked or has
expired.
(b) (I) On January 18, 2018, through one hundred eighty days after
January 18, 2018, "unauthorized practice" means the practice of practical
nursing or the practice of professional nursing by any person who has not
been issued a license under this article 38, or is not practicing in this state
pursuant to section 24-60-3202, or whose license has been suspended or
revoked or has expired.
(II) This subsection (13)(b) is repealed, effective January 1, 2019.
12-255-105. State board of nursing created - removal of board
members - meetings of board. (1) [Formerly 12-38-104 (1)] (a) There is
hereby created the state board of nursing in the division, of professions and
occupations in the department of regulatory agencies, which board shall
consist of eleven members who are residents of this state, appointed by the
governor as follows:
(I) Two members of the board shall be licensed practical nurses
engaged in the practice of practical nursing and licensed in this state;
PAGE 988-HOUSE BILL 19-1172
(II) Seven members of the board shall be licensed professional
nurses who are actively employed in their respective nursing professions
and licensed in this state. The professional nurse members shall have been
employed for at least three years in their respective categories. Members
shall be as follows:
(A) One member shall be engaged in professional nursing
education;
(B) One member shall be engaged in practical nursing education in
a program that prepares an individual for licensure;
(C) One member shall be engaged in home health care;
(D) One member shall be registered as an advanced practice nurse
pursuant to section 12-38-111.5 12-255-111;
(E) One member shall be engaged in nursing service administration;
and
(F) Two members shall be engaged as staff nurses, including one
staff nurse who is employed in a hospital and one employed in a nursing
care facility;
(III) Two members of the board shall be persons who are not
currently licensed and have not been previously licensed as health care
providers, and who are not employed by or in any way connected with, or
have any financial interest in, a health care facility, agency, or insurer.
(IV) (Deleted by amendment, L. 2009, (SB 09-239), ch. 401, p.
2165, § 3, effective July 1, 2009.)
(b) Any statutory change in board composition shall be implemented
when the terms of current members expire, and no member shall be asked
to resign before the end of a term due to such THE statutory changes.
(b.5) (c) When making appointments to the board, the governor shall
strive to achieve geographical, political, urban, and rural balance among the
board membership.
PAGE 989-HOUSE BILL 19-1172
(c) (d) (I) Each member of the board shall be appointed for a term
of three years; except that members appointed to the board for a first or
second term on or after July 1, 2009, shall be appointed for a term of four
years.
(II) Any interim appointment necessary to fill a vacancy which THAT
has occurred by any reason other than the expiration of a term shall be for
the remainder of the term of the individual member whose office has
become vacant.
(III) A member may be reappointed for a subsequent term at the
pleasure of the governor, but no member shall serve for more than two
consecutive terms.
(d) (e) Notwithstanding the provisions of this subsection (1) to the
contrary, if, as determined by the governor, an appropriate applicant for
membership on the board pursuant to paragraph (a) of this subsection (1)
SUBSECTION (1)(a) OF THIS SECTION is not available to serve on the board
for a particular term, the governor may appoint a nurse whose license is in
good standing to fill the vacancy for the length of that term. At the end of
such THE term, if the governor, after a good-faith attempt, cannot find an
appropriate applicant pursuant to paragraph (a) of this subsection (1)
SUBSECTION (1)(a) OF THIS SECTION, the governor may appoint a nurse
whose license is in good standing to fill the vacancy for one term.
(2) [Formerly 12-38-104 (1.5)] The board shall elect annually from
its members a president.
(3) [Formerly 12-38-105] The governor may remove any board
member for negligence in the performance of any duty required by law, for
incompetency, for unprofessional conduct, for willful misconduct, or for
failure to continue to comply with the requirements of THIS section.
12-38-104.
(4) [Formerly 12-38-106] The board shall meet at least quarterly
during the fiscal year and at such other times as it may determine.
12-255-106. [Formerly 12-38-107] Employees - executive officer.
After consultation with the board, the director of the division of professions
and occupations shall appoint an executive administrator for the board and
PAGE 990-HOUSE BILL 19-1172
such other personnel as are deemed necessary, pursuant to section 13 of
article XII of the state constitution. At least one member of the board shall
serve on any panel convened by the department of personnel to interview
candidates for the position of executive administrator.
12-255-107. Powers and duties of the board - rules - definition.
(1) [Formerly 12-38-108 (1)] The board has the following powers and
duties:
(a) To approve, pursuant to rules and regulations adopted by the
board, educational programs in this state preparing individuals for licensure,
including approving curricula, conducting surveys, and establishing
standards for such THE educational programs; to deny approval of or
withdraw approval from such THE educational programs for failure to meet
required standards as established by this article 255 or pursuant to rules and
regulations adopted by the board; and to further establish standards in
accordance with this article 255 in the form of rules and regulations to
determine whether institutions outside this state shall be deemed to have
acceptable educational programs and whether graduates of institutions
outside this state shall be deemed to be graduates of approved educational
EDUCATION programs for the purpose of licensing requirements in this state;
and to determine by rule when accreditation by a state or voluntary agency
may be accepted in lieu of board approval;
(b) (I) To examine, license, reactivate, and renew licenses of
qualified applicants and to grant to such THE applicants temporary licenses
and permits to engage in the practice of practical nursing and professional
nursing in this state within the limitations imposed by this article 255.
Licenses shall be renewed, reactivated, or reinstated pursuant to a schedule
established by the director of the division of professions and occupations
within the department of regulatory agencies and shall be renewed,
reactivated, or reinstated pursuant to section 24-34-102 (8), C.R.S. The
director of the division of professions and occupations within the
department of regulatory agencies may establish renewal fees, reactivation
fees, and delinquency fees for reinstatement pursuant to section 24-34-105,
C.R.S., and ISSUED PURSUANT TO THIS ARTICLE 255 ARE SUBJECT TO THE
RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). THE DIRECTOR
may increase fees to obtain or renew a professional nurse license or
advanced practice nurse authority consistent with section 24-34-109 (4),
PAGE 991-HOUSE BILL 19-1172
C.R.S., 12-30-105 (4) to fund the division's costs in administering and
staffing the nurse-physician advisory task force for Colorado health care
created in section 24-34-109 (1), C.R.S. If a person fails to renew his or her
license pursuant to the schedule established by the director of the division
of professions and occupations, such license shall expire 12-30-105 (1).
Any person whose license has expired shall be subject to the penalties
provided in this article 255 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
(II) In order to facilitate the licensure of qualified applicants, the
board may, in its discretion, assign licensing functions in accordance with
this article 255 to either panel. Any action taken by a quorum of the
assigned panel shall constitute action by the board.
(b.5) (c) To revoke, suspend, withhold, limit the scope of or refuse
to renew any license, to place a licensee or temporary licensee on probation,
to impose an administrative fine on a licensee, or to issue a letter of
admonition to a licensee in accordance with the procedures set forth in
section 12-38-116.5 OR TO TAKE DISCIPLINARY OR OTHER ACTION AS
SPECIFIED IN SECTION 12-20-404 upon proof that such THE licensee has
committed an act that constitutes grounds for discipline under section
12-38-117 or 12-42-113 12-255-120 OR 12-295-111;
(c) (d) To permit the executive officer, during the period between
board meetings, to administer examinations, issue licenses by endorsement
and examination, renew licenses, and issue temporary licenses and permits
to qualified applicants, pursuant to rules and regulations adopted by the
board;
(d) (e) To adopt and revise rules and regulations concerning
qualifications needed to practice as a practical nurse when such THE practice
requires preparation and skill beyond that of a practical nurse pursuant to
section 12-38-112 12-255-114;
(e) Repealed.
(f) To provide by regulation RULE for the legal recognition of nurse
licensees from other states and jurisdictions;
(g) To charge and collect appropriate fees;
PAGE 992-HOUSE BILL 19-1172
(h) To investigate and conduct hearings upon charges for the
discipline of nurses in accordance with the provisions of article 4 of title 24
C.R.S., AND SECTION 12-20-403 and to impose disciplinary sanctions as
provided in this article 255 AND SECTION 12-20-404;
(i) To cause the prosecution and enjoinder, IN ACCORDANCE WITH
SECTION 12-20-406, of any person violating the provisions of this article
255 and incur necessary expenses therefor;
(j) To adopt rules and regulations necessary PURSUANT TO SECTION
12-20-204 to carry out the purposes of this article such rules and regulations
to be promulgated in accordance with the provisions of article 4 of title 24,
C.R.S. 255;
(k) To administer the licensing and regulation of psychiatric
technicians pursuant to article 42 295 of this title 12 and to adopt and revise
rules and regulations PURSUANT TO SECTION 12-20-204 consistent with the
laws of this state as may be necessary:
(I) To renew, grant, suspend, limit the scope of, and revoke licenses
of psychiatric technicians in accordance with article 42 295 of this title 12;
(II) To prescribe standards and approve curricula for educational
programs preparing persons for licensure as psychiatric technicians;
(III) To provide for surveys of such EDUCATION programs at such
times as the board may deem necessary;
(IV) To accredit such EDUCATION programs as meet the
requirements of the board and article 42 295 of this title 12;
(V) To deny accreditation to or withdraw accreditation from
educational programs for failure to meet prescribed standards;
(VI) To conduct hearings pursuant to section 12-42-114 12-295-112;
(VII) To cause the prosecution and enjoinder, IN ACCORDANCE WITH
SECTION 12-20-406, of any person violating the provisions of article 42 295
of this title 12 and incur necessary expenses therefor;
PAGE 993-HOUSE BILL 19-1172
(l) (I) (A) Repealed.
(B) To conduct criminal history record checks on any individual
under the jurisdiction of the board, against whom a complaint has been
filed.
(C) Repealed.
(II) For purposes of this paragraph (l) SUBSECTION (1)(l), "criminal
history record check" means a written review of an individual's criminal
conviction history.
(m) To facilitate the licensure of nurses under the "Enhanced Nurse
Licensure Compact", part 38 of article 60 of title 24, as follows:
(I) Appoint a qualified delegate to serve on the interstate
commission of nurse licensure compact administrators;
(II) Participate in the coordinated licensure information system, as
that is defined in article II c. of section 24-60-3802;
(III) Require an applicant for licensure under the compact to have
his or her fingerprints taken by a local law enforcement agency or any third
party approved by the Colorado bureau of investigation for the purpose of
obtaining a fingerprint-based criminal history record check. The applicant
is required to submit payment by certified check or money order for the
fingerprints and for the actual costs of the record check at the time the
fingerprints are submitted to the Colorado bureau of investigation. Upon
receipt of fingerprints and receipt of the payment for costs, the Colorado
bureau of investigation shall conduct a state and national fingerprint-based
criminal history record check utilizing records of the Colorado bureau of
investigation and the federal bureau of investigation and shall forward the
results of the criminal history record check to the board. The board shall use
the information resulting from the fingerprint-based criminal history record
check to investigate and determine whether an applicant is qualified to hold
a license pursuant to the compact. The board may verify the information an
applicant is required to submit. The results of the criminal history record
check are confidential. The board shall not release the results to the public,
the interstate commission of nurse licensure compact administrators, or
other state licensing boards.
PAGE 994-HOUSE BILL 19-1172
(IV) Notify the interstate commission of nurse licensure compact
administrators of any adverse action taken by the board; and
(V) Approve payment of assessments levied by the interstate
commission of nurse licensure compact administrators to cover the cost of
the operations and activities of the commission and its staff.
(2) [Formerly 12-38-108 (1.1)(a)] The board shall appoint advisory
committees pursuant to section 12-38-109 12-255-108 of at least three
psychiatric technicians to advise the board on matters pertaining to
psychiatric technician testing. The board shall, in its discretion, assign
matters referred to the board by the psychiatric technicians advisory
committee to a panel for consideration and implementation, if necessary.
(3) [Formerly 12-38-108 (2)] When the board determines that rules
and regulations are completed and established, the board shall make copies
available at a reasonable cost.
(4) [Formerly 12-38-108 (3)] The board shall, in its discretion,
assign matters referred to the board by the nurse aide advisory committee,
created pursuant to section 12-38.1-110 12-260-112, to a panel for
consideration and implementation, if necessary.
(5) [Formerly 12-38-108.5] The authority granted the board under
the provisions of this article 255 shall not be construed to authorize the
board to arbitrate or adjudicate fee disputes between licensees or between
a licensee and any other party.
12-255-108. [Formerly 12-38-109] Advisory committee. The board
may appoint advisory committees including professional review committees
to assist in the performance of its duties. Each advisory committee shall
consist of at least three licensees who have expertise in the area under
review. Members of the advisory committees shall receive no compensation
for their services but shall be reimbursed for the actual and necessary
expenses incurred in the performance of their duties.
12-255-109. [Formerly 12-38-110] Examination. (1) All nurse
applicants, unless eligible for licensure by endorsement, shall be required
to pass a written examination approved or prepared by the board, relating
to the knowledge, skills, and judgments as incorporated in their respective
PAGE 995-HOUSE BILL 19-1172
approved educational EDUCATION programs.
(2) In accordance with the requirements of this article 255, the board
shall hold at least two examinations annually for practical nurses and for
professional nurses at such places and at such times as the board shall
determine.
12-255-110. [Formerly 12-38-111] Requirements for professional
nurse licensure. (1) The board shall issue a license to engage in the
practice of professional nursing to any applicant who:
(a) Submits an application containing such THE information as the
board may prescribe;
(b) Submits proof satisfactory to the board in such THE manner and
upon such THE forms as the board may require to show that the applicant
has completed a professional nursing educational program which THAT
meets the standards of the board for approval of educational programs or
which THAT is approved by the board and to show that the applicant holds
a certificate of graduation from or a certificate of completion of such THE
approved program;
(c) Repealed.
(d) (c) Passes an examination as provided in section 12-38-110
12-255-109 or is eligible for and is granted licensure by endorsement as
provided in subsection (2) of this section;
(e) (d) Pays the required fee.
(2) The board may issue a license by endorsement to engage in the
practice of professional nursing in this state to a nurse who is licensed to
practice professional nursing in another state or a territory of the United
States or in a foreign country if the applicant presents proof satisfactory to
the board that, at the time of application for a Colorado license by
endorsement, the applicant possesses credentials and qualifications which
THAT are substantially equivalent to requirements in Colorado for licensure
by examination. The board may specify by rule and regulation what shall
constitute substantially equivalent credentials and qualifications.
PAGE 996-HOUSE BILL 19-1172
(3) The board shall design a questionnaire to be sent to all licensees
who apply for license renewal. Each applicant for license renewal shall
complete the board-designed questionnaire. The purpose of the
questionnaire is to determine whether a licensee has acted in violation of
this article 255 or been disciplined for any action that might be considered
a violation of this article 255 or might make the licensee unfit to practice
nursing with reasonable care and safety. If an applicant fails to answer the
questionnaire accurately, such THE failure shall constitute grounds for
discipline under section 12-38-117 (1)(v) 12-255-120 (1)(v). The board may
include the cost of developing and reviewing the questionnaire in the fee
paid under paragraph (e) of subsection (1) SUBSECTION (1)(d) of this
section. The board may refuse an application for license renewal that does
not accompany an accurately completed questionnaire.
12-255-111. [Formerly 12-38-111.5] Requirements for advanced
practice nurse registration - legislative declaration - advanced practice
registry - rules. (1) The general assembly hereby recognizes that some
individuals practicing pursuant to this article 255 have acquired additional
preparation for advanced practice and hereby determines that it is
appropriate for the state to maintain a registry of such THOSE individuals.
Such THE registry shall be known as the "advanced practice registry".
(2) Repealed.
(3) (2) The board shall establish the advanced practice registry and
shall require that a nurse applying for registration identify his or her role
and population focus. The board shall establish reasonable criteria for
designation of specific role and population foci based on currently accepted
professional standards. A nurse who is included in the advanced practice
registry has the right to use the title "advanced practice nurse" or, if
authorized by the board, to use the title "certified nurse midwife", "clinical
nurse specialist", "certified registered nurse anesthetist", or "nurse
practitioner". These titles may be abbreviated as "A.P.N.", "C.N.M.",
"C.N.S.", "C.R.N.A.", or "N.P.", respectively. It is unlawful for any person
to use any of the titles or abbreviations listed in this subsection (3) (2)
unless included in the registry and authorized by the board to do so.
(4) (a) Repealed.
(b) On and after July 1, 1995, until July 1, 2008, the requirements
PAGE 997-HOUSE BILL 19-1172
for inclusion in the advanced practice registry shall include the successful
completion of a nationally accredited education program for preparation as
an advanced practice nurse or a passing score on a certification examination
of a nationally recognized accrediting agency, or both, if applicable, as
defined in rules adopted by the board.
(c) (3) (a) On and after July 1, 2008, the requirements for inclusion
in the advanced practice registry shall include the successful completion of
an appropriate graduate degree as determined by the board; except that
individuals who are included in the registry as of June 30, 2008, but have
not successfully completed such THAT degree, may thereafter continue to be
included in the registry and to use the appropriate title and abbreviation.
(d) (b) On and after July 1, 2010, in addition to the requirements of
paragraph (c) of this subsection (4) SUBSECTION (3)(a) OF THIS SECTION, a
professional nurse shall obtain national certification from a nationally
recognized accrediting agency, as defined by the board by rule, in the
appropriate role and population focus in order to be included in the
advanced practice registry; except that professional nurses who are included
in the registry as of June 30, 2010, but have not obtained such THE national
certification, may thereafter continue to be included in the registry and to
use the appropriate title and abbreviation.
(e) (c) A professional nurse may be included in the advanced
practice registry by endorsement if the professional nurse meets one of the
following qualifying standards:
(I) The professional nurse is recognized as an advanced practice
nurse in another state or jurisdiction and has practiced as an advanced
practice nurse for at least two of the last five years immediately preceding
the date of application for inclusion in the advanced practice registry; or
(II) The professional nurse holds national certification as provided
in paragraph (d) of this subsection (4) SUBSECTION (3)(b) OF THIS SECTION
and possesses an appropriate graduate degree as determined by the board.
(5) (4) A nurse who meets the definition of advanced practice nurse
as defined in section 12-38-103, and the requirements of section
12-38-111.6, 12-255-112 may be granted prescriptive authority as a
function in addition to those defined in section 12-38-103 (10) 12-255-104
PAGE 998-HOUSE BILL 19-1172
(10).
(6) (5) An advanced practice nurse shall practice in accordance with
the standards of the appropriate national professional nursing organization
and have a safe mechanism for consultation or collaboration with a
physician or, when appropriate, referral to a physician. Advanced practice
nursing also includes, when appropriate, referral to other health care
providers.
(7) (6) (a) In order to enhance the cost efficiency and continuity of
care, an advanced practice nurse may, within his or her scope of practice
and within the advanced practice nurse-patient relationship, sign an
affidavit, certification, or similar document that:
(I) Documents a patient's current health status;
(II) Authorizes continuing treatment, tests, services, or equipment;
or
(III) Gives advance directives for end-of-life care.
(b) Such THE affidavit, certification, or similar document may not:
(I) Be the prescription of medication unless the advanced practice
nurse has been granted prescriptive authority pursuant to section
12-38-111.6 12-255-112; or
(II) Be in conflict with other requirements of law.
12-255-112. [Formerly 12-38-111.6] Prescriptive authority -
advanced practice nurses - limits on opioid prescriptions - rules -
repeal. (1) The board may authorize an advanced practice nurse who is
listed on the advanced practice registry, has a license in good standing
without disciplinary sanctions issued pursuant to section 12-38-111
12-255-110, and has fulfilled requirements established by the board
pursuant to this section to prescribe controlled substances or prescription
drugs as defined in part 1 of article 42.5 280 of this title 12.
(2) (a) The board shall adopt rules to implement this section.
PAGE 999-HOUSE BILL 19-1172
(b) Rules adopted pursuant to this section shall reflect current,
accepted professional standards for the safe and effective use of controlled
substances and prescription drugs.
(3) (a) An advanced practice nurse may be granted authority to
prescribe prescription drugs and controlled substances to provide treatment
to clients within the role and population focus of the advanced practice
nurse.
(b) and (c) (Deleted by amendment, L. 2009, (SB 09-239), ch. 401,
p. 2174, § 20, effective July 1, 2009.)
(d) (b) (I) An advanced practice nurse who has been granted
authority to prescribe prescription drugs and controlled substances under
this article 255 may advise the nurse's patients of their option to have the
symptom or purpose for which a prescription is being issued included on the
prescription order.
(II) A nurse's failure to advise a patient under subparagraph (I) of
this paragraph (d) SUBSECTION (3)(b)(I) OF THIS SECTION shall not be
grounds for any disciplinary action against the nurse's professional license
issued under this article 255. Failure to advise a patient pursuant to
subparagraph (I) of this paragraph (d) SUBSECTION (3)(b)(I) OF THIS
SECTION shall not be grounds for any civil action against a nurse in a
negligence or tort action, nor shall such THE failure be evidence in any civil
action against a nurse.
(4) Repealed.
(4.5) (4) (a) An advanced practice nurse applying for prescriptive
authority shall provide evidence to the board of the following:
(I) An appropriate graduate degree as determined by the board
pursuant to section 12-38-111.5 (4)(c) 12-255-111 (3)(a);
(II) Satisfactory completion of specific educational requirements in
the use of controlled substances and prescription drugs, as established by
the board, either as part of a degree program or in addition to a degree
program;
PAGE 1000-HOUSE BILL 19-1172
(III) National certification from a nationally recognized accrediting
agency, as defined by the board by rule pursuant to section 12-38-111.5
(4)(d) 12-255-111 (3)(b), unless the board grants an exception;
(IV) Professional liability insurance as required by section
12-38-111.8 12-255-113;
(V) Repealed.
(VI) (V) Inclusion on the advanced practice registry pursuant to
section 12-38-111.5 12-255-111; and
(VII) (VI) A signed attestation that states he or she has completed
at least three years of combined clinical work experience as a professional
nurse or as an advanced practice nurse.
(b) Upon satisfaction of the requirements set forth in paragraph (a)
of this subsection (4.5) SUBSECTION (4)(a) OF THIS SECTION, the board may
grant provisional prescriptive authority to an advanced practice nurse. The
provisional prescriptive authority that is granted is limited to those patients
and medications appropriate to the advanced practice nurse's role and
population focus. In order to retain provisional prescriptive authority and
obtain and retain full prescriptive authority pursuant to this subsection (4.5)
(4) for patients and medications appropriate for the advanced practice
nurse's role and population focus, an advanced practice nurse shall satisfy
the following requirements:
(I) (A) Once the provisional prescriptive authority is granted, the
advanced practice nurse must obtain one thousand hours of documented
experience in a mutually structured prescribing mentorship either with a
physician or with an advanced practice nurse who has full prescriptive
authority and experience in prescribing medications. The mentor must be
practicing in Colorado and have education, training, experience, and an
active practice that corresponds with the role and population focus of the
advanced practice nurse.
(A.5) (B) Remote communication with the mentor is permissible
within the mentorship as long as the communication is synchronous.
Synchronous communication does not include communication by e-mail.
PAGE 1001-HOUSE BILL 19-1172
(B) (C) The physician or advanced practice nurse serving as a
mentor shall not require payment or employment as a condition of entering
into the mentorship relationship, but the mentor may request reimbursement
of reasonable expenses and time spent as a result of the mentorship
relationship.
(C) (D) Upon successful completion of the mentorship period, the
mentor shall provide his or her signature and attestation to verify that the
advanced practice nurse has successfully completed the mentorship within
the required period after the provisional prescriptive authority was granted.
(D) (E) If an advanced practice nurse with provisional prescriptive
authority fails to complete the mentorship required by this subparagraph (I)
SUBSECTION (4)(b)(I) within three years or otherwise fails to demonstrate
competence as determined by the board, the advanced practice nurse's
provisional prescriptive authority expires for failure to comply with the
statutory requirements.
(II) The advanced practice nurse with provisional prescriptive
authority shall develop an articulated plan for safe prescribing that
documents how the advanced practice nurse intends to maintain ongoing
collaboration with physicians and other health care professionals in
connection with the advanced practice nurse's practice of prescribing
medication within his or her role and population focus. The articulated plan
shall guide the advanced practice nurse's prescriptive practice. The
physician or advanced practice nurse that serves as a mentor as described
in subparagraph (I) of this paragraph (b) SUBSECTION (4)(b)(I) OF THIS
SECTION shall provide his or her signature and attestation on the articulated
plan to verify that the advanced practice nurse has developed an articulated
plan. The advanced practice nurse shall retain the articulated plan on file,
shall review the plan annually, and shall update the plan as necessary. The
articulated plan is subject to review by the board, and the advanced practice
nurse shall provide the plan to the board upon request. If an advanced
practice nurse with provisional prescriptive authority fails to develop the
required articulated plan within three years or otherwise fails to demonstrate
competence as determined by the board, the advanced practice nurse's
provisional prescriptive authority expires for failure to comply with the
statutory requirements. An articulated plan developed pursuant to this
subparagraph (II) SUBSECTION (4)(b)(II) must include at least the following:
PAGE 1002-HOUSE BILL 19-1172
(A) A mechanism for consultation and referral for issues regarding
prescriptive authority;
(B) A quality assurance plan;
(C) Decision support tools; and
(D) Documentation of ongoing continuing education in
pharmacology and safe prescribing.
(III) The advanced practice nurse shall maintain professional
liability insurance as required by section 12-38-111.8 12-255-113.
(IV) The advanced practice nurse shall maintain national
certification, as specified in subparagraph (III) of paragraph (a) of this
subsection (4.5) SUBSECTION (4)(a)(III) OF THIS SECTION, unless the board
grants an exception.
(c) An advanced practice nurse who was granted prescriptive
authority prior to July 1, 2010, shall satisfy the following requirements in
order to retain prescriptive authority:
(I) The advanced practice nurse shall develop an articulated plan as
specified in subparagraph (II) of paragraph (b) of this subsection (4.5)
SUBSECTION (4)(b)(II) OF THIS SECTION; except that to verify development
of an articulated plan, the advanced practice nurse shall obtain the signature
of either a physician or an advanced practice nurse who has prescriptive
authority and experience in prescribing medications, is practicing in
Colorado, and has education, training, experience, and active practice that
corresponds with the role and population focus of the advanced practice
nurse developing the plan.
(II) The advanced practice nurse shall maintain professional liability
insurance as required by section 12-38-111.8 12-255-113.
(III) The advanced practice nurse shall maintain national
certification, as specified in subparagraph (III) of paragraph (a) of this
subsection (4.5) SUBSECTION (4)(a)(III) OF THIS SECTION, unless:
(A) The advanced practice nurse was included on the advanced
PAGE 1003-HOUSE BILL 19-1172
practice registry prior to July 1, 2010, and has not obtained national
certification;
(B) The advanced practice nurse was included on the advanced
practice registry prior to July 1, 2008, and has not completed a graduate
degree as specified in section 12-38-111.5 (4)(c) 12-255-111 (3)(a); or
(C) The board grants an exception.
(d) In order to obtain provisional prescriptive authority and obtain
and retain full prescriptive authority in this state, an advanced practice nurse
from another state must meet the requirements of this section or
substantially equivalent requirements, as determined by the board.
(e) The board shall conduct random audits of articulated plans to
ensure that the plans satisfy the requirements of this subsection (4.5) (4) and
rules adopted by the board.
(f) Repealed.
(5) and (6) Repealed.
(7) (5) An advanced practice nurse who obtains prescriptive
authority pursuant to this section shall be assigned a specific identifier by
the STATE board OF NURSING. This identifier shall be available to the
Colorado medical board and the STATE board of pharmacy. The STATE
board OF NURSING shall establish a mechanism to assure that the
prescriptive authority of an advanced practice nurse may be readily verified.
(7.5) (6) (a) An advanced practice nurse with prescriptive authority
pursuant to this section shall not prescribe more than a seven-day supply of
an opioid to a patient who has not had an opioid prescription in the last
twelve months by that advance practice nurse, and may exercise discretion
to include a second fill for a seven-day supply. The limits on initial
prescribing do not apply if, in the judgment of the advanced practice nurse,
the patient: IS SUBJECT TO THE LIMITATIONS ON PRESCRIBING OPIOIDS
SPECIFIED IN SECTION 12-30-109.
(I) Has chronic pain that typically lasts longer than ninety days or
past the time of normal healing, as determined by the advance practice
PAGE 1004-HOUSE BILL 19-1172
nurse, or following transfer of care from another advance practice nurse
who prescribed an opioid to the patient;
(II) Has been diagnosed with cancer and is experiencing
cancer-related pain;
(III) Is experiencing post-surgical pain that, because of the nature
of the procedure, is expected to last more than fourteen days; or
(IV) Is undergoing palliative care or hospice care focused on
providing the patient with relief from symptoms, pain, and stress resulting
from a serious illness in order to improve quality of life.
(b) Prior to prescribing the second fill of any opioid prescription
pursuant to this section, an advanced practice nurse must comply with the
requirements of section 12-42.5-404 (3.6). Failure to comply with section
12-42.5-404 (3.6) constitutes grounds for discipline under section
12-38-117 only if the advanced practice nurse repeatedly fails to comply.
(c) An advanced practice nurse with prescriptive authority pursuant
to this section may prescribe opioids electronically.
(d) A violation of this subsection (7.5) does not create a private right
of action or serve as the basis of a cause of action. A violation of this
section does not constitute negligence per se or contributory negligence per
se and does not alone establish a standard of care. Compliance with this
section does not alone establish an absolute defense to any alleged breach
of the standard of care.
(e) (b) This subsection (7.5) (6) is repealed, effective September 1,
2021.
(8) (7) (a) The scope of practice for an advanced practice nurse may
be determined by the board in accordance with this article 255.
(b) The board may consider information provided by nursing,
medical, or other health professional organizations, associations, or
regulatory boards.
(c) (I) Prescriptive authority by an advanced practice nurse shall be
PAGE 1005-HOUSE BILL 19-1172
limited to those patients appropriate to such THE nurse's scope of practice.
Prescriptive authority may be limited or withdrawn and the advanced
practice nurse may be subject to further disciplinary action in accordance
with this article 255 if such THE nurse has prescribed outside such THE
nurse's scope of practice or for other than a therapeutic purpose.
(II) Nothing in this section shall be construed to require a registered
nurse to obtain prescriptive authority to deliver anesthesia care.
(9) (8) All prescriptions must comply with applicable federal and
state laws, including article 42.5 280 of this title 12 and part 2 of article 18
of title 18. C.R.S.
(10) (9) Nothing in this section shall be construed to permit
dispensing or distribution, as defined in section 12-42.5-102 (11) and (12)
12-280-103 (14) AND (15), by an advanced practice nurse, except for
samples, under article 42.5 280 of this title 12 and the federal "Prescription
Drug Marketing Act of 1987", PUB.L. 100-293, AS AMENDED.
(11) (10) No advanced practice nurse registered pursuant to section
12-38-111.5 12-255-111 shall be required to apply for or obtain prescriptive
authority.
(12) (11) Nothing in this section shall limit the practice of nursing
as defined in section 12-38-103 (9) or (10) by any nurse including, but not
limited to, advanced practice nurses.
12-255-113. [Formerly 12-38-111.8] Professional liability
insurance required - advanced practice nurses in independent practice
- rules. (1) It is unlawful for any advanced practice nurse engaged in an
independent practice of professional nursing to practice within the state of
Colorado unless the advanced practice nurse purchases and maintains or is
covered by professional liability insurance in an amount not less than five
hundred thousand dollars per claim with an aggregate liability for all claims
during the year of one million five hundred thousand dollars.
(2) Professional liability insurance required by this section shall
cover all acts within the scope of practice of an advanced practice nurse as
defined in this part 1 ARTICLE 255.
PAGE 1006-HOUSE BILL 19-1172
(3) Notwithstanding the requirements of subsection (1) of this
section, the board, by rule, may exempt or establish lesser liability insurance
requirements for advanced practice nurses.
(4) Nothing in this section shall be construed to confer liability on
an employer for the acts of an advanced practice nurse that are outside the
scope of employment or to negate the applicability of the "Colorado
Governmental Immunity Act", article 10 of title 24. C.R.S.
12-255-114. [Formerly 12-38-112] Requirements for practical
nurse licensure. (1) The board shall issue a license to engage in the
practice of practical nursing to any applicant who:
(a) Submits an application containing such information as the board
may prescribe;
(b) Submits proof satisfactory to the board in such THE manner and
upon such THE forms as the board may require to show that the applicant
has completed a practical nursing educational program which THAT meets
the standards of the board for approval of educational programs or which
THAT is approved by the board and to show that the applicant holds a
certificate of graduation from or a certificate of completion of such THE
approved program;
(c) Repealed.
(d) (c) Passes an examination as provided in section 12-38-110
12-255-109 or is eligible for and is granted licensure by endorsement as
provided in subsection (2) of this section;
(e) (d) Pays the required fee.
(2) The board may issue a license by endorsement to engage in the
practice of practical nursing in this state to any applicant who has been duly
licensed or registered as a practical nurse or who is entitled to perform
similar services under laws of another state or a territory of the United
States or a foreign country if the applicant presents proof satisfactory to the
board that, at the time of application for a Colorado license by endorsement,
the applicant possesses credentials and qualifications which THAT are
substantially equivalent to requirements in Colorado for licensure by
PAGE 1007-HOUSE BILL 19-1172
examination. The board may specify by rule and regulation what shall
constitute substantially equivalent credentials and qualifications.
(3) The board shall design a questionnaire to be sent to all licensed
practical nurses who apply for license renewal. Each applicant for license
renewal shall complete the board-designed questionnaire. The purpose of
the questionnaire is to determine whether a licensee has acted in violation
of this article 255 or been disciplined for any action that might be
considered a violation of this article 255 or might make the licensee unfit
to practice nursing with reasonable care and safety. If an applicant fails to
answer the questionnaire accurately, such THE failure shall constitute
grounds for discipline under section 12-38-117 (1)(v) 12-255-120 (1)(v).
The board may include the cost of developing and reviewing the
questionnaire in the fee paid under paragraph (e) of subsection (1)
SUBSECTION (1)(d) of this section. The board may refuse an application for
license renewal that does not accompany an accurately completed
questionnaire.
12-255-115. [Formerly 12-38-112.5] Retired volunteer nurse
licensure. (1) The board may issue a license to a retired volunteer nurse
who meets the requirements set forth in this section.
(2) A retired volunteer nursing license shall only be issued to an
applicant who is at least fifty-five years of age and:
(a) Currently holds a license to practice nursing, either as a practical
nurse or as a professional nurse, and such THE license is due to expire unless
renewed; or
(b) Has retired from the practice of nursing and is not currently
engaged in the practice of nursing either full-time or part-time and has, prior
to retirement, maintained full licensure in good standing in any state or
territory of the United States.
(3) A nurse who holds a retired volunteer nursing license shall not
accept compensation for nursing tasks that are performed while in
possession of the license. A retired volunteer nursing license shall permit
the retired nurse to engage in volunteer nursing tasks within the scope of the
nurse's license.
PAGE 1008-HOUSE BILL 19-1172
(4) An applicant for a retired volunteer nursing license shall submit
to the board an application containing such THE information as the board
may prescribe, a copy of the applicant's most recent nursing license, and a
statement signed under penalty of perjury in which the applicant agrees not
to receive compensation for any nursing tasks that are performed while in
possession of the license.
(5) (Deleted by amendment, L. 2011, (SB 11-242), ch. 244, p. 1068,
§ 1, effective May 27, 2011.)
(6) (5) A person who possesses a retired volunteer nursing license
shall be immune from civil liability for actions performed within the scope
of the nursing license unless it is established that injury or death was caused
by gross negligence or the willful and wanton misconduct of the licensee.
The immunity provided in this subsection (6) (5) shall apply only to the
licensee and shall not affect the liability of any other individual or entity.
Nothing in this subsection (6) (5) shall be construed to limit the ability of
the board to take disciplinary action against a licensee.
(7) (6) The fee for a retired volunteer nursing license, including
assessments for legal defense, peer assistance, and other programs for
which licenses are assessed, shall be no more than fifty percent of the
license renewal fee, including all such assessments, established by the board
for an active nursing license.
(8) (7) The board shall design a questionnaire to be sent to all retired
volunteer nurses who apply for license renewal. Each applicant for license
renewal shall complete the board-designed questionnaire. The purpose of
the questionnaire is to determine whether a licensee has acted in violation
of this article 255 or been disciplined for any action that might be
considered a violation of this article 255 or might make the licensee unfit
to practice nursing with reasonable care and safety. If an applicant fails to
answer the questionnaire accurately, such THE failure shall constitute
grounds for discipline under section 12-38-117 (1)(v) 12-255-120 (1)(v).
The board may include the cost of developing and reviewing the
questionnaire in the fee paid under subsection (7) (6) of this section. The
board may refuse an application for license renewal that does not
accompany an accurately completed questionnaire.
(9) (8) The board shall deny an application for the reactivation of a
PAGE 1009-HOUSE BILL 19-1172
practical or professional nurse license for a retired volunteer nurse if the
board determines that the nurse requesting reactivation has not actively
volunteered as a nurse for the two-year period immediately preceding the
filing of the application for license reactivation or has not otherwise
demonstrated continued competency to return to the active practice of
nursing in a manner approved by the board.
12-255-116. [Formerly 12-38-114] Persons licensed under
previous laws. Any person holding a valid Colorado license to engage in
the practice of practical or professional nursing issued prior to July 1, 1980,
shall continue to be licensed under the provisions of this article 255.
12-255-117. [Formerly 12-38-115] Temporary licenses and
permits. (1) The board may issue a temporary license to practice for a
period of four months to an applicant for licensure by endorsement, pending
compliance with the requirements for licensure. To obtain a temporary
license, the applicant for licensure by endorsement shall show evidence of
current licensure in another state or country or in a territory of the United
States.
(2) Repealed.
(3) (2) The board may issue a permit to practice as a practical or
professional nurse for a period not to exceed two years or as determined by
the board to any person from another state or a territory of the United States
or a foreign country who is in this state for special training or for
observation of nursing educational programs upon proof to the board by
such THE person that he OR SHE is currently licensed to practice as a nurse
in the state, territory, or country of his residency. The nursing practice
permitted by such THE permit shall be limited to that practice performed as
part of the special training or nursing educational program.
(3.5) (3) The board may, as it deems appropriate, issue a permit to
a person who is under the supervision of a professional nurse licensed
pursuant to this article 255.
(4) A person holding a permit may engage in the practice of
practical or professional nursing only under the personal and responsible
supervision and direction of a person licensed by the board to engage in the
practice of professional nursing.
PAGE 1010-HOUSE BILL 19-1172
(5) The board shall summarily withdraw a temporary license or
permit issued pursuant to this section if the board determines that the
license holder fails to meet the requirements of this section or section
12-38-110, 12-38-111, or 12-38-112 12-255-109, 12-255-110, OR
12-255-114. The holder of a temporary license or permit summarily
withdrawn has the right to a hearing which THAT shall be conducted
pursuant to article 4 of title 24 C.R.S., AND SECTION 12-20-403 by the board
or by an administrative law judge at the board's discretion.
12-255-118. [Formerly 12-38-116] Approval of education
programs. (1) Any institution in this state desiring to receive from the
board approval of its educational program which THAT prepares individuals
for licensure as a practical or as a professional nurse shall apply to the board
and submit evidence that it is prepared to carry out an educational program
which THAT complies with the provisions of this article 255 and with rules
and regulations adopted by the board pursuant to this article 255.
(2) For the practice of practical nursing, such THE educational
program shall include:
(a) Content fundamental to the knowledge and skills required for
clinical nursing appropriate to the practice of practical nursing;
(b) Content relating to the principles of biological, physical, social,
and behavioral sciences.
(3) For the practice of professional nursing, such THE educational
program shall include:
(a) Content fundamental to the knowledge and skills required for
clinical nursing appropriate to the practice of professional nursing;
(b) Content relating to the principles of biological, physical, social,
and behavioral sciences.
(4) Any educational program for practical or professional nurses in
this state which THAT was accredited by the former boards of nursing prior
to July 1, 1980, shall be deemed to be an approved educational EDUCATION
program for the purpose of this article 255, but such THE approval shall be
subject to the powers and duties of the board under section 12-38-108
PAGE 1011-HOUSE BILL 19-1172
12-255-107 to deny or to withdraw approval.
12-255-119. [Formerly 12-38-116.5] Disciplinary procedures of
the board - inquiry and hearings panels - mental and physical
examinations - definitions - rules. (1) (a) The president of the board shall
divide the other ten members of the board into two panels of five members
each. Members representing the three different categories of membership
(licensed practical nurses, professional nurses, and persons not licensed,
employed, or in any way connected with, or with any financial interest in,
any health care facility, agency, or insurer) shall be divided between the two
panels as equally as possible.
(b) Each panel shall act as both an inquiry and a hearings panel.
Members of the board may be assigned from one panel to the other by the
president. The president may be a member of both panels, but in no event
shall the president or any other member who has considered a complaint as
a member of a panel acting as an inquiry panel take any part in the
consideration of a formal complaint involving the same matter.
(c) All matters referred to one panel for investigation shall be heard,
if referred for formal hearing, by the other panel or a committee of such THE
panel. However, in its discretion, either inquiry panel may elect to refer a
case for formal hearing to a qualified administrative law judge, in lieu of a
hearings panel of the board, for an initial decision pursuant to section
24-4-105. C.R.S.
(d) The initial decision of an administrative law judge may be
reviewed pursuant to section 24-4-105 (14) and (15) C.R.S., by the filing of
exceptions to the initial decision with the hearings panel that would have
heard the case if it had not been referred to an administrative law judge or
by review upon the motion of such THE hearings panel. The respondent or
the board's counsel shall file such THE exceptions.
(2) Investigations shall be under the supervision of the panel to
which they are assigned. The persons making such THE investigation shall
report the results thereof to the assigning panel for appropriate action.
(3) (a) (I) For the purposes of this section:
(A) "Grounds for discipline" includes grounds under sections
PAGE 1012-HOUSE BILL 19-1172
12-38-117 and 12-42-113 12-255-120 AND 12-295-111.
(B) "License" includes licensure for a practical nurse or professional
nurse and licensure for a psychiatric technician.
(C) "Nurse", "licensee", or "respondent" includes a practical nurse,
a professional nurse, and a psychiatric technician as described in section
12-42-102 (4) 12-295-103 (4).
(D) "Practice of nursing" includes the practice of practical nursing,
the practice of professional nursing, and the practice as a psychiatric
technician.
(II) Written complaints relating to the conduct of a nurse licensed
or authorized to practice nursing in this state may be made by any person or
may be initiated by an inquiry panel of the board on its own motion. The
nurse complained of shall be given notice, unless the board determines the
complaint to be without merit of investigation, by first-class mail, and the
notice shall state the nature of the complaint and shall state that the failure
to respond in a materially factual and timely manner constitutes grounds for
discipline. The nurse complained of shall be given thirty days to answer or
explain in writing the matters described in such complaint. Upon receipt of
the nurse's answer or at the conclusion of thirty days, whichever occurs first,
the inquiry panel may take further action as set forth in subparagraph (III)
of this paragraph (a) SUBSECTION (3)(a)(III) OF THIS SECTION.
(III) Upon receipt of the nurse's answer or the conclusion of thirty
days, the inquiry panel may conduct a further investigation that may be
made by one or more members of the inquiry panel, one or more nurses who
are not members of the board, a member of the staff of the board, a
professional investigator, or any other person or organization as the inquiry
panel directs. Any such THE investigation shall be entirely informal.
(b) The board shall cause an investigation to be made when the
board is informed of:
(I) Disciplinary action taken by an employer of a nurse against the
nurse or resignation in lieu of a disciplinary action for conduct that
constitutes grounds for discipline under section 12-38-117 12-255-120 or
12-42-113. Such 12-295-111. THE employer shall report such THE
PAGE 1013-HOUSE BILL 19-1172
disciplinary action or resignation to the board.
(II) An instance of a malpractice settlement or judgment against a
nurse;
(III) A nurse who has not timely renewed his or her license and the
nurse is actively engaged in the practice of nursing.
(c) On completion of an investigation, the inquiry panel shall make
a finding that:
(I) The complaint is without merit and no further action need be
taken;
(II) There is no reasonable cause to warrant further action on the
complaint;
(III) An instance of conduct occurred that does not warrant formal
action by the board and that should be dismissed, but that indications of
possible conduct by the nurse were noted that could lead to serious
consequences if not corrected. In such a case, THE BOARD SHALL SEND a
confidential letter of concern shall be sent IN ACCORDANCE WITH SECTION
12-20-404 (5) to the nurse against whom the complaint was made.
(IV) (A) When a complaint or investigation discloses An instance
of misconduct that, in the opinion of the board, does not warrant formal
action by the board but that should not be dismissed as being without merit,
IN WHICH CASE THE BOARD MAY ISSUE AND SEND a letter of admonition, may
be issued and sent, by certified mail, to the licensee IN ACCORDANCE WITH
SECTION 12-20-404 (4);
(B) When a letter of admonition is sent by the board, by certified
mail, to a licensee, such licensee shall be advised that he or she has the right
to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(C) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
PAGE 1014-HOUSE BILL 19-1172
(V) (A) Facts were disclosed that warrant further proceedings by
formal complaint, as provided in subsection (4) of this section, and that the
complaint should be referred to the attorney general for preparation and
filing of a formal complaint.
(B) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(4) (a) All formal complaints shall be heard and determined in
accordance with paragraph (b) of this subsection (4) SUBSECTION (4)(b) OF
THIS SECTION and section 24-4-105. C.R.S. Except as provided in subsection
(1) of this section, all formal hearings shall be conducted by the hearings
panel. The nurse may be present in person or represented by counsel, or
both, if so desired, to offer evidence and be heard in the nurse's own
defense. At formal hearings, the witnesses shall be sworn and a complete
record shall be made of all proceedings and testimony.
(b) Except as provided in subsection (1) of this section, an
administrative law judge shall preside at the hearing and shall advise the
hearings panel on all such legal matters in connection with the hearing as
the panel may request. The administrative law judge shall provide such
advice or assistance as the hearings panel may request in connection with
the preparation of its findings and recommendations or conclusions. Such
THE administrative law judge shall have the authority to administer oaths
and affirmations, sign and issue subpoenas, MAY ACT IN ACCORDANCE WITH
SECTION 12-20-403 and perform such other duties as the hearings panel may
authorize the administrative law judge to perform. Such THE administrative
law judge shall have the qualifications provided in section 24-30-1003 (2).
C.R.S.
(c) (I) To warrant a finding of grounds for discipline, the charges
shall be established as specified in section 24-4-105 (7). C.R.S. Except as
provided in subsection (1) of this section, the hearings panel shall make a
report of its findings and conclusions that, when approved by a majority of
those members of the hearings panel who have conducted the hearing
pursuant to paragraphs (a) and (b) of this subsection (4) SUBSECTIONS (4)(a)
AND (4)(b) OF THIS SECTION, shall be the action of the board.
PAGE 1015-HOUSE BILL 19-1172
(II) If it is found that the charges are unproven, the hearings panel,
or an administrative law judge sitting in lieu of the hearings panel pursuant
to subsection (1) of this section, shall enter an order dismissing the
complaint.
(III) If the hearings panel finds the charges proven and orders that
discipline be imposed, it shall also determine the extent of such THE
discipline, which may be in the form of a letter of admonition regarding a
license or suspension for a definite or indefinite period, revocation, or
nonrenewal of a license to practice. In addition to any other discipline that
may be imposed pursuant to this section, the hearings panel may impose a
fine of no less than two hundred fifty dollars but no more than one thousand
dollars per violation on any nurse who violates this article 255 or any rule
adopted pursuant to this article 255. The board shall adopt rules establishing
a fine structure and the circumstances under which fines may be imposed.
All fines collected pursuant to this subparagraph (III) shall be transmitted
to the state treasurer who shall credit the same to the general fund.
(IV) In determining appropriate disciplinary action, the hearings
panel shall first consider sanctions that are necessary to protect the public.
Only after the panel has considered such sanctions shall it consider and
order requirements designed to rehabilitate the nurse. If discipline other
than revocation of a license to practice is imposed, the hearings panel may
also order that the nurse be granted probation and allowed to continue to
practice during the period of such THE probation. The hearings panel may
also include in any disciplinary order that allows the nurse to continue to
practice such conditions as the panel may deem appropriate to assure that
the nurse is physically, mentally, and otherwise qualified to practice nursing
in accordance with generally accepted standards of practice, including any
of the following:
(A) Submission by the respondent to such examinations as the
hearings panel may order to determine the respondent's physical or mental
condition or the respondent's professional qualifications;
(B) The taking by the respondent of such therapy or courses of
training or education as may be needed to correct deficiencies found either
in the hearing or by such THE examinations;
(C) The review or supervision of the respondent's practice of
PAGE 1016-HOUSE BILL 19-1172
nursing as may be necessary to determine the quality of the respondent's
practice of nursing and to correct deficiencies therein; or
(D) The imposition of restrictions upon the nature of the
respondent's practice to assure that the respondent does not practice beyond
the limits of the respondent's capabilities.
(IV) (V) Upon the failure of the respondent to comply with any
conditions imposed by the hearings panel pursuant to subparagraph (III) of
this paragraph (c) SUBSECTION (4)(c)(IV) OF THIS SECTION, the hearings
panel may order revocation or suspension of the respondent's license to
practice in this state until such time as the respondent complies with such
THE conditions.
(V) (VI) In making any of the orders provided in subparagraphs (III)
and (IV) of this paragraph (c) SUBSECTIONS (4)(c)(IV) AND (4)(c)(V) OF
THIS SECTION, the hearings panel may take into consideration the
respondent's prior disciplinary record. If the hearings panel does take into
consideration any prior discipline of the respondent, its findings and
recommendations shall so indicate.
(VI) (VII) In all cases of revocation, suspension, probation, or
nonrenewal, the board shall enter in its records the facts of such THE
revocation, suspension, probation, or nonrenewal and of any subsequent
action of the board with respect thereto.
(d) The attorney general shall prosecute those charges that have
been referred to the office of the attorney general by the inquiry panel
pursuant to subparagraph (V) of paragraph (c) of subsection (3) SUBSECTION
(3)(c)(V) of this section. The board may direct the attorney general to
perfect an appeal.
(e) Any person whose license to practice nursing is revoked or who
surrenders his or her license to avoid discipline shall not be eligible to apply
for any license for two years after the date the license is revoked or
surrendered. The two-year waiting period SPECIFIED IN SECTION 12-20-404
(3) applies to any person whose license to practice nursing or any other
health care occupation is revoked by any other legally qualified board.
(5) A majority of the members of the board, three members of the
PAGE 1017-HOUSE BILL 19-1172
inquiry panel, or three members of the hearings panel shall constitute a
quorum. The action of a majority of those present comprising such A
quorum shall be the action of the board, the inquiry panel, or the hearings
panel.
(6) Upon the expiration of any term of suspension, the license shall
be reinstated by the board if the board is furnished with evidence that the
nurse has complied with all terms of the suspension. If such THE evidence
shows the nurse has not complied with all terms of the suspension, the
board may revoke or continue the suspension of the license at a hearing,
notice of which and the procedure at which shall be as provided in this
section.
(7) In case any nurse is determined to be mentally incompetent or
insane by a court of competent jurisdiction and a court enters, pursuant to
part 3 or part 4 of article 14 of title 15 or section 27-65-109 (4) or
27-65-127, C.R.S., an order specifically finding that the mental
incompetency or insanity is of such a degree that the nurse is incapable of
continuing the practice of nursing, the nurse's license shall automatically be
suspended by the board, and, notwithstanding any provision of this article
255 to the contrary, such THE suspension shall continue until the nurse is
found by such THE court to be competent to continue the practice of nursing.
(8) (a) If the board has reasonable cause to believe that a nurse is
unable to practice nursing with reasonable skill and safety to patients
because of a condition described in section 12-38-117 (1)(i) or (1)(j)
12-255-120 (1)(i) OR (1)(j) or section 12-42-113 (1)(i) or (1)(j) 12-295-111
(1)(i) OR (1)(j), it may require such THE nurse to submit to mental or
physical examinations by a physician or other licensed health care
professional designated by the board. If a nurse fails to submit to such THE
mental or physical examinations, the board may suspend the nurse's license
until the required examinations are conducted.
(b) Every nurse shall be deemed, by so practicing or by applying for
renewal registration of such THE nurse's license, to have consented to
submit to mental or physical examinations when directed in writing by the
board. Further, such THE nurse shall be deemed to have waived all
objections to the admissibility of the examining physician's or other licensed
health care professional's testimony or examination reports on the ground
of privileged communication. Subject to applicable federal law, such THE
PAGE 1018-HOUSE BILL 19-1172
nurse shall be deemed to have waived all objections to the production of
medical records to the board from health care providers that may be
necessary for the evaluations described in paragraph (a) of this subsection
(8) SUBSECTION (8)(a) OF THIS SECTION. Nothing in this section shall prevent
the nurse from submitting to the board testimony or examination reports of
a physician or other licensed health care professional designated by the
nurse to a condition described in paragraph (a) of this subsection (8)
SUBSECTION (8)(a) OF THIS SECTION that may be considered by the board in
conjunction with, but not in lieu of, testimony and examination reports of
the physician or licensed health care professional designated by the board.
(c) The results of any mental or physical examination ordered by the
board shall not be used as evidence in any proceeding other than before the
board and shall not be deemed a public record nor made available to the
public.
(d) The board may require that a nurse submit medical records for
review in conjunction with an investigation EXAMINATION made pursuant
to paragraph (a) of this subsection (8) SUBSECTION (8)(a) OF THIS SECTION;
except that such THE records shall remain confidential and shall be reviewed
by the board only to the extent necessary to conduct an investigation.
(9) (a) Investigations, examinations, hearings, meetings, or any other
proceedings of the board conducted pursuant to the provisions of this
section shall be exempt from the open meetings provisions of the "Colorado
Sunshine Act of 1972", contained in part 4 of article 6 of title 24, C.R.S.,
requiring that proceedings of the board be conducted publicly, and the open
records provisions of article 72 of title 24, C.R.S., requiring that the minutes
or records of the board with respect to action of the board taken pursuant to
the provisions of this section be open to public inspection.
(b) Notwithstanding the exemptions in paragraph (a) of this
subsection (9) SUBSECTION (9)(a) OF THIS SECTION, records of disciplinary
action taken by the board pursuant to this section shall be open to public
inspection pursuant to the open records provisions of article 72 of title 24.
C.R.S.
(10) A physician or other licensed health care professional who, at
the request of the board, examines a nurse shall be immune from suit for
damages by the nurse examined if the examining physician or examining
PAGE 1019-HOUSE BILL 19-1172
licensed health care professional conducted the examination and made
findings or a diagnosis in good faith.
(11) All investigations completed or in progress pursuant to section
12-38-117 or 12-42-113, as said sections existed on June 30, 1999,
including those cases that have been referred to hearing, are before an
administrative law judge, or are awaiting final disposition by the board,
shall be referred to a panel of the board by the director of the division of
professions and occupations for final adjudication. All actions taken and
decisions rendered by the board prior to July 1, 1999, are hereby ratified.
(12) Final board action may be judicially reviewed in the court of
appeals, and IN ACCORDANCE WITH SECTION 12-20-408. Judicial
proceedings for the enforcement of a board order may be instituted in
accordance with section 24-4-106. C.R.S.
(13) (a) The board or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board.
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings and
report them to the board including, but not limited to, hospital and physician
records. Upon certification of the custodian that the copies OF RECORDS
SUBPOENAED PURSUANT TO SECTION 12-20-403 (2) are true and complete
except for the patient's name, the copies shall be deemed authentic, subject
to the right to inspect the originals for the limited purpose of ascertaining
the accuracy of the copies. No privilege of confidentiality shall exist with
respect to such THE copies, and no liability shall lie against the board or the
custodian or the custodian's authorized employee for furnishing or using
such THE copies in accordance with this subsection (13).
(b) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
PAGE 1020-HOUSE BILL 19-1172
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(14) Any member of the board or the board's staff, any person acting
as a witness or consultant to the board, any witness testifying in a
proceeding authorized under this article, and any person who lodges a
complaint pursuant to this article shall be immune from liability in any civil
action brought against him or her for acts occurring while acting in his or
her capacity as board member, staff, consultant, or witness, respectively, if
such individual was acting in good faith within the scope of his or her
respective capacity, made a reasonable effort to obtain the facts of the
matter as to which he or she acted, and acted in the reasonable belief that
the action taken by him or her was warranted by the facts. Any person
participating in good faith in the making of a complaint or report or
participating in any investigative or administrative proceeding pursuant to
this article shall be immune from any liability, civil or criminal, that
otherwise might result by reason of such participation.
(15) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee or registrant
is acting in a manner that is an imminent threat to the health and safety of
the public, or a person is acting or has acted without the required license or
registration, the board may issue an order to cease and desist such activity.
The order shall set forth the statutes and rules alleged to have been violated,
the facts alleged to have constituted the violation, and the requirement that
all unlawful acts or unlicensed or unregistered practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (15), the respondent may
request a hearing on the question of whether acts or practices in violation
of this part 1 have occurred. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(16) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this part 1, then, in addition to any specific powers
granted pursuant to this part 1, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed or
unregistered practice.
PAGE 1021-HOUSE BILL 19-1172
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (16) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (16) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (16). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (16) does not appear at
the hearing, the board may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(16) and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or registration, or has or is about to engage in acts or practices
constituting violations of this part 1, a final cease-and-desist order may be
issued, directing such person to cease and desist from further unlawful acts
or unlicensed or unregistered practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (16), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
PAGE 1022-HOUSE BILL 19-1172
paragraph (c) to each person against whom such order has been issued. The
final order issued pursuant to subparagraph (III) of this paragraph (c) shall
be effective when issued and shall be a final order for purposes of judicial
review.
(17) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed or unregistered act or practice, any act or practice
constituting a violation of this part 1, any rule promulgated pursuant to this
part 1, any order issued pursuant to this part 1, or any act or practice
constituting grounds for administrative sanction pursuant to this part 1, the
board may enter into a stipulation with such person.
(18) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(19) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
order as provided in subsection (12) of this section.
(14) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-255-120. [Formerly 12-38-117] Grounds for discipline.
(1) "Grounds for discipline", as used in this article 255, means any action
by any person who:
(a) Has procured or attempted to procure a license by fraud, deceit,
misrepresentation, misleading omission, or material misstatement of fact;
(b) (I) Has been convicted of a felony or any crime that would
constitute a violation of this article 255.
(II) (A) For purposes of this paragraph (b) SUBSECTION (1)(b),
"conviction" "CONVICTED" includes the entry of ENTERING a plea of guilty
PAGE 1023-HOUSE BILL 19-1172
or nolo contendere or the imposition of IMPOSING a deferred sentence.
(B) A certified copy of the judgment of a court of competent
jurisdiction of such THE conviction or plea shall be prima facie evidence of
such THE conviction.
(III) Repealed.
(c) Has willfully or negligently acted in a manner inconsistent with
the health or safety of persons under his OR HER care;
(d) Has had a license to practice nursing or any other health care
occupation suspended or revoked in any jurisdiction. A certified copy of the
order of suspension or revocation shall be prima facie evidence of such THE
suspension or revocation.
(e) Has violated any provision of this article or has aided or
knowingly permitted any person to violate any provision of this article 255
OR AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12;
(f) Has negligently or willfully practiced nursing in a manner which
THAT fails to meet generally accepted standards for such THE nursing
practice;
(g) Has negligently or willfully violated any order OR rule or
regulation of the board pertaining to nursing practice or licensure;
(h) Has falsified or in a negligent manner made incorrect entries or
failed to make essential entries on patient records;
(i) Excessively uses or abuses alcohol, habit-forming drugs,
controlled substances, as defined in section 18-18-102 (5), C.R.S., or other
drugs having similar effects, or is diverting controlled substances, as
defined in section 18-18-102 (5), C.R.S., or other drugs having similar
effects from the licensee's place of employment; except that the board has
the discretion not to discipline the licensee if such THE licensee is
participating in good faith in a program approved by the board designed to
end such THE excessive use or abuse;
(j) Has a physical or mental disability which THAT renders him THE
PAGE 1024-HOUSE BILL 19-1172
PERSON unable to practice nursing with reasonable skill and safety to the
patients and which THAT may endanger the health or safety of persons under
his THE PERSON'S care;
(k) Has violated the confidentiality of information or knowledge as
prescribed by law concerning any patient;
(l) Has engaged in any conduct which THAT would constitute a
crime as defined in title 18 C.R.S., and which conduct THAT relates to such
THE person's employment as a practical or professional nurse. In
conjunction with any disciplinary proceeding pertaining to this paragraph
(l) SUBSECTION (1)(l), the board shall be governed by the provisions of
section SECTIONS 12-20-202 (5) AND 24-5-101. C.R.S.
(m) (I) Has violated abuse of health insurance pursuant to section
18-13-119; C.R.S.; or
(II) Has advertised through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the licensee will
perform any act prohibited by section 18-13-119 (3); C.R.S.;
(n) Has engaged in any of the following activities and practices:
Willful and repeated ordering or performance, without clinical justification,
of demonstrably unnecessary laboratory tests or studies; the administration,
without clinical justification, of treatment which THAT is demonstrably
unnecessary; the failure to obtain consultations or perform referrals when
failing to do so is not consistent with the standard of care for the profession;
or ordering or performing, without clinical justification, any service, X ray,
or treatment which THAT is contrary to recognized standards of the practice
of nursing as interpreted by the board;
(o) Has committed a fraudulent insurance act, as defined in section
10-1-128; C.R.S.;
(p) Has prescribed, distributed, or given to himself or herself or a
family member any controlled substance as defined in part 2 of article 18
of title 18 C.R.S., or as contained in schedule II of 21 U.S.C. sec. 812;
(q) Has dispensed, injected, or prescribed an anabolic steroid, as
defined in section 18-18-102 (3), C.R.S., for the purpose of hormonal
PAGE 1025-HOUSE BILL 19-1172
manipulation that is intended to increase muscle mass, strength, or weight
without a medical necessity to do so or for the intended purpose of
improving performance in any form of exercise, sport, or game;
(r) Has dispensed or injected an anabolic steroid, as defined in
section 18-18-102 (3), C.R.S., unless such THE anabolic steroid is dispensed
from a pharmacy pursuant to a written prescription or is dispensed by any
person licensed to practice medicine in the course of such THE person's
professional practice;
(s) Has administered, dispensed, or prescribed any habit-forming
drug or any controlled substance, as defined in section 18-18-102 (5),
C.R.S., other than in the course of legitimate professional practice;
(t) Has been disciplined by another state, territory, or country based
upon an act or omission that is defined substantially the same as a ground
for discipline pursuant to this subsection (1);
(u) Willfully fails to respond in a materially factual and timely
manner to a complaint issued pursuant to section 12-38-116.5 (3)
12-255-119 (3);
(v) Has failed to accurately complete and submit to the board the
designated questionnaire upon renewal of a license pursuant to section
12-38-111 (3), 12-38-112 (3), or 12-38-112.5 (8) 12-255-110 (3),
12-255-114 (3), OR 12-255-115 (7);
(w) (I) Represents himself or herself to an individual or to the
general public by use of any word or abbreviation to indicate or induce
others to believe that he or she is a licensed practical or professional nurse
unless the person is actually licensed as a practical nurse or professional
nurse, respectively; or
(II) Uses the title "nurse", "registered nurse", "R.N.", "practical
nurse", "trained practical nurse", "licensed vocational nurse", "licensed
practical nurse", or "L.P.N." unless the person is licensed by the board;
(x) Practices as a practical or professional nurse during a period
when the person's license has been suspended, revoked, or placed on
inactive status pursuant to section 12-38-118.5 12-255-122;
PAGE 1026-HOUSE BILL 19-1172
(y) Sells or fraudulently obtains or furnishes a license to practice as
a nurse or aids or abets therein;
(z) Has failed to report to the board, within forty-five days after a
final conviction, that the person has been convicted of a crime, as defined
in title 18; C.R.S.;
(aa) Fails to maintain professional liability insurance in accordance
with section 12-38-111.8 12-255-113; or
(bb) Has verified by signature the articulated plan developed by an
advanced practice nurse pursuant to sections 12-36-106.4 12-240-108 and
12-38-111.6 (4.5) 12-255-112 (4) if the articulated plan fails to comply with
the requirements of section 12-38-111.6 (4.5)(b)(II) 12-255-112 (4)(b)(II).
(2) to (6) Repealed.
12-255-121. [Formerly 12-38-118] Withholding or denial of
license - hearing - definitions. (1) (a) The board is empowered to
determine summarily whether an applicant for a license or a temporary
license to practice as a nurse possesses the qualifications required by this
article 255, whether there is probable cause to believe that an applicant has
done any of the acts set forth in section 12-38-117 12-255-120 as grounds
for discipline, or whether the applicant has had a license to practice nursing
or any other health care occupation revoked by any legally authorized
board.
(b) As used in this section:
(I) "Applicant" includes a nurse seeking reinstatement or
reactivation of a license pursuant to section 12-38-118.5 12-255-122, but
does not include a renewal applicant.
(II) "Legally authorized board" means a board created pursuant to
the laws of this state or of another state for the purpose of licensing or
otherwise authorizing a person to engage in a health care occupation. The
term includes any governmental entity charged with licensing or other
oversight of persons engaged in a health care occupation.
(2) (a) (I) If the board determines that an applicant does not possess
PAGE 1027-HOUSE BILL 19-1172
the qualifications required by this article 255, that probable cause exists to
believe that an applicant has done any of the acts set forth in section
12-38-117 12-255-120, or that the applicant has had a nursing or other
health care occupation license revoked by another legally authorized board,
the board may withhold or deny the applicant a license.
(II) The board may refuse to issue a license or temporary license to
practice as a nurse to any applicant during the time the applicant's license
is under suspension in another state.
(III) The board may refuse to issue a license or may grant a license
subject to terms of probation if the board determines that an applicant for
a license has not actively practiced practical or professional nursing, or has
not otherwise maintained continued competency, as determined by the
board, during the two years immediately preceding the application for
licensure under this article 255.
(b) If the board refuses to issue a license to an applicant pursuant to
paragraph (a) of this subsection (2) SUBSECTION (2)(a) OF THIS SECTION, the
provisions of section 24-4-104 (9) C.R.S., shall apply. Upon such THE
refusal, the board shall provide the applicant with a statement in writing
setting forth the following:
(I) The basis of the board's determination that the applicant:
(A) Does not possess the qualifications required by this article 255;
(B) Has had a nursing or other health care occupation license
revoked or suspended by another legally authorized board; or
(C) Has not actively practiced practical or professional nursing, or
has not maintained continued competency, during the previous two years;
or
(II) The factual basis for probable cause that the applicant has done
any of the acts set forth in section 12-38-117 12-255-120.
(c) If the board refuses to issue a license to an applicant on the
grounds that the applicant's nursing or other health care occupation license
was revoked by another legally authorized board, the board may require the
PAGE 1028-HOUSE BILL 19-1172
applicant to pass a written examination as provided in section 12-38-110,
12-255-109 as a prerequisite to licensure. The applicant shall not be allowed
to take the written examination until at least two years after the revocation
of the nursing or other health care occupation license.
(3) If the applicant requests a hearing pursuant to the provisions of
section 24-4-104 (9) C.R.S., and fails to appear without good cause at such
THE hearing, the board may affirm its prior action of withholding or denial
without conducting a hearing.
(4) Following a hearing, the board shall affirm, modify, or reverse
its prior action in accordance with its findings at such THE hearing.
(5) No action shall lie against the board for the withholding or denial
of a license or temporary license without a hearing in accordance with the
provisions of this section if the board acted reasonably and in good faith.
(6) (a) At the hearing, the applicant shall have the burden of proof
to show that:
(I) The applicant possesses the qualifications required for licensure
under this article 255;
(II) The applicant's nursing or other health care occupation license
was not revoked by another legally authorized board; or
(III) The applicant has actively practiced practical or professional
nursing, or has maintained continued competency, during the two years
prior to application for a license under this article 255.
(b) The board shall have the burden of proof to show commission
of acts set forth in section 12-38-117 12-255-120.
12-255-122. [Formerly 12-38-118.5] Inactive license status -
reactivation. (1) A nurse licensed pursuant to section 12-38-111 or
12-38-112 12-255-110 OR 12-255-114 may request that the board place his
or her license on inactive status. Such THE request shall be made in the form
and manner designated by the board.
(2) A nurse requesting inactive license status shall provide an
PAGE 1029-HOUSE BILL 19-1172
affidavit or other document required by the board certifying that,
immediately upon the conferral of inactive status, the nurse shall not
practice nursing in the state unless and until the nurse's license is reactivated
pursuant to subsection (6) of this section.
(3) Upon receiving the documentation pursuant to subsection (2) of
this section, the board shall approve a request for inactive license status.
However, the board may deny such a THE request if the board has probable
cause to believe that the requesting nurse has committed any of the acts set
forth in section 12-38-117 12-255-120.
(4) (a) A license on inactive status shall constitute a single state
license issued by Colorado and without multistate licensure privilege
pursuant to part 38 of article 60 of title 24.
(b) (I) A license on inactive status shall constitute a single state
license issued by Colorado and without multistate licensure privilege
pursuant to part 32 of article 60 of title 24.
(II) This subsection (4)(b) is repealed, effective January 1, 2019.
(5) A nurse with a license on inactive status is not authorized to
practice nursing in Colorado. Any nurse practicing nursing while his or her
license is inactive shall be subject to disciplinary action pursuant to section
12-38-116.5 12-255-119 and criminal penalties pursuant to section
12-38-123 12-255-125.
(6) (a) A nurse with a license on inactive status who wishes to
resume the practice of nursing shall file an application in the form and
manner designated by the board and pay the license reactivation fees
established pursuant to section 12-38-108 12-255-107. The board shall
reactivate such license unless paragraph (b) of this subsection (6)
SUBSECTION (6)(b) OF THIS SECTION applies.
(b) The board shall deny an application for reactivation of an
inactive license:
(I) Pursuant to section 12-38-118 12-255-121; or
(II) If the board determines that the nurse requesting reactivation has
PAGE 1030-HOUSE BILL 19-1172
not actively practiced nursing in another state for the two-year period
immediately preceding the filing of the request for reactivation or has not
otherwise demonstrated continued competency to return to the active
practice of nursing in a manner approved by the board.
12-255-123. [Formerly 12-38-121] Immunity in professional
review. (1) If a professional review committee is established pursuant to
section 12-38-109 12-255-108 to investigate the quality of care being given
by a person licensed pursuant to this article 255, it shall include in its
membership at least three persons licensed in the same category as the
licensee under review, but such THE committee may be authorized to act
only by the board.
(2) IN ADDITION TO THE PERSONS SPECIFIED IN SECTION 12-20-402,
any member of the board or of a professional review committee authorized
by the board, any member of the board's or committee's staff, any person
acting as a witness or consultant to the board or committee, any witness
testifying in a proceeding authorized under this article 255, and any person
who lodges a complaint pursuant to this article shall be immune from
liability in any civil action brought against him or her for acts occurring
while acting in his or her capacity as board or committee member, staff,
consultant, or witness, respectively, if such individual was acting in good
faith within the scope of his or her respective capacity, made a reasonable
effort to obtain the facts of the matter as to which he or she acted, and acted
in the reasonable belief that the action taken by him or her was warranted
by the facts. Any person participating in good faith in lodging a complaint
or participating in any investigative or administrative proceeding pursuant
to this article shall be immune from any civil or criminal liability that may
result from such participation 255 IS GRANTED THE SAME IMMUNITY AND IS
SUBJECT TO THE SAME CONDITIONS FOR IMMUNITY AS SPECIFIED IN SECTION
12-20-402.
12-255-124. [Formerly 12-38-122] Surrender of license. (1) Prior
to the initiation of an investigation or hearing, any licensee or temporary
license holder may surrender his OR HER license to practice nursing.
(2) Following the initiation of an investigation or hearing and upon
a finding that to do so would be in the public interest, the board may allow
a licensee or temporary license holder to surrender his OR HER license to
practice.
PAGE 1031-HOUSE BILL 19-1172
(3) The board shall not issue a license or temporary license or permit
to a former licensee or temporary license or permit holder whose license has
been surrendered unless the licensee meets all of the requirements of this
article 255 for a new applicant, including the passing of an examination.
(4) The surrender of a license in accordance with this section
removes all rights and privileges to practice nursing, including renewal of
a license.
12-255-125. [Formerly 12-38-123] Unauthorized practice -
penalties. (1) It is unlawful for any person
(a) to practice as a practical or professional nurse unless licensed
therefor.
(b) to (d) Repealed.
(2) Any person who practices or offers or attempts to practice
practical or professional nursing without an active license issued under this
article commits a class 2 misdemeanor and shall be punished as provided
in section 18-1.3-501, C.R.S., for the first offense, and for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 255 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-255-126. [Formerly 12-38-124] Injunctive proceedings. The
board in the name of the people of the state of Colorado, may apply for MAY
SEEK injunctive relief through the attorney general in any court of
competent jurisdiction IN ACCORDANCE WITH SECTION 12-20-406, BUT ONLY
to enjoin any person who does not possess a currently valid or active
practical or professional nurse license from committing any act declared to
be unlawful or prohibited by this article If it is established that the
defendant has been or is committing an act declared to be unlawful or
prohibited by this article, the court or any judge thereof shall enter a decree
perpetually enjoining said defendant from further committing such act. In
the case of a violation of any injunction issued under the provisions of this
section, the court or any judge thereof may summarily try and punish the
offender for contempt of court. Such injunctive proceedings shall be in
addition to, and not in lieu of, all penalties and other remedies provided for
in this article 255.
PAGE 1032-HOUSE BILL 19-1172
12-255-127. Exclusions. (1) [Formerly 12-38-125] No provision
of this article 255 shall be construed to prohibit:
(a) Gratuitous care of friends or members of the family;
(b) Domestic administration of family remedies or care of the sick
by domestic servants, housekeepers, companions, or household aides of any
type, whether employed regularly or because of an emergency of illness, but
who shall not in any way assume to practice practical or professional
nursing;
(c) Nursing assistance in the case of an emergency;
(d) The practice of nursing in this state by any legally qualified
nurse of another state whose engagement requires him THE NURSE to
accompany and care for a patient temporarily residing in this state, during
the period of one such engagement, not to exceed six months in length, if
such THE person does not represent or hold himself OR HERSELF out as a
practical or professional nurse licensed to practice in this state;
(e) The practice of any nurse licensed in this state or another state
or a territory of the United States who is employed by the United States
government or any bureau, division, or agency thereof while in the
discharge of his official duties;
(f) The practice of nursing by students enrolled in an educational
program approved by the board when such THE practice is performed as part
of an educational program prior to the graduation of such THE student;
(g) The practice of nursing by any nurse licensed in any other state
or any territory of the United States or any other country enrolled in a
baccalaureate or graduate program when such THE practice is performed as
a part of such THE program;
(h) (I) The administration and monitoring of medications in facilities
pursuant to part 3 of article 1.5 of title 25; C.R.S.
(II) Repealed.
(i) (I) The administration of nutrition or fluids through gastrostomy
PAGE 1033-HOUSE BILL 19-1172
tubes as provided in sections 25.5-10-204 (2)(j) and 27-10.5-103 (2)(i)
C.R.S., as a part of residential or day program services provided through
service agencies approved by the department of health care policy and
financing pursuant to section 25.5-10-206; C.R.S.
(II) Repealed.
(j) The administration of topical and aerosol medications within the
scope of physical therapy practice as provided in section 12-41-113 (2)
12-285-116 (2);
(k) The practice of administration and monitoring as defined in
section 25-1.5-301 (1) and (3); C.R.S.;
(l) The administration of medications by child care providers to
children cared for in family child care homes pursuant to section 26-6-119;
C.R.S.;
(m) A person who provides nonmedical support services from using
the title "Christian Science nurse" when offering or providing services to a
member of his or her own religious organization;
(n) (I) The administration of epinephrine auto-injectors by a licensee
in a public school or nonpublic school pursuant to a policy adopted in
accordance with section 22-1-119.5; C.R.S.;
(II) The issuance by an advanced practice nurse with prescriptive
authority of standing orders and protocols for the use of epinephrine
auto-injectors for emergency use in a public school or nonpublic school
pursuant to a policy adopted in accordance with section 22-1-119.5; C.R.S.;
or
(III) The training by a licensee of and the delegation to designated
school personnel on the recognition of the symptoms of anaphylactic shock
and on the administration of epinephrine auto-injectors in a public school
or nonpublic school pursuant to a policy adopted in accordance with section
22-1-119.5; C.R.S.;
(o) A prescription by an advanced practice nurse with prescriptive
authority for the use of epinephrine auto-injectors by an authorized entity
PAGE 1034-HOUSE BILL 19-1172
in accordance with article 47 of title 25. C.R.S.
(2) [Formerly 12-38-126] No provision in this article 255 shall be
construed as applying to a person who nurses or cares for the sick in
accordance with the practice or tenets of any church or religious
denomination which THAT teaches reliance upon spiritual means through
prayer for healing, and who does not hold himself OR HERSELF out to the
public to be a licensed practical or professional nurse.
(3) [Formerly 12-38-128] Nothing in this article 255 shall be
deemed to prohibit any licensee from practicing practical or professional
nursing independently for compensation upon a fee for services basis.
Nothing in this article 255 shall be deemed to prohibit or require the direct
reimbursement for nursing services and care through qualified
governmental and insurance programs to persons duly licensed in
accordance with this article 255.
(4) [Formerly 12-38-130] Nothing in this article 255 shall be
interpreted as conveying to the practice of nursing the performance of
medical practice as regulated by article 36 240 of this title 12.
12-255-128. [Formerly 12-38-125.5] Prescribing opiate
antagonists. (1) An advanced practice nurse with prescriptive authority
pursuant to section 12-38-111.6 12-255-112 may prescribe or dispense
directly or in accordance with standing orders and protocols, an opiate
antagonist to: IN ACCORDANCE WITH SECTION 12-30-110.
(a) An individual at risk of experiencing an opiate-related drug
overdose event;
(b) A family member, friend, or other person in a position to assist
an individual at risk of experiencing an opiate-related drug overdose event;
(c) An employee or volunteer of a harm reduction organization; or
(d) A first responder.
(2) An advanced practice nurse with prescriptive authority who
prescribes or dispenses an opiate antagonist pursuant to this section is
strongly encouraged to educate persons receiving the opiate antagonist on
PAGE 1035-HOUSE BILL 19-1172
the use of an opiate antagonist for overdose, including instruction
concerning risk factors for overdose, recognizing an overdose, calling
emergency medical services, rescue breathing, and administering an opiate
antagonist.
(3) An advanced practice nurse with prescriptive authority does not
engage in conduct that is grounds for discipline pursuant to section
12-38-117 if the advanced practice nurse issues standing orders and
protocols regarding opiate antagonists or prescribes or dispenses an opiate
antagonist in a good-faith effort to assist:
(a) An individual who is at risk of experiencing an opiate-related
drug overdose event;
(b) A family member, friend, or other person who is in a position to
assist an individual who is at risk of experiencing an opiate-related drug
overdose event;
(c) A first responder or an employee or volunteer of a harm
reduction organization in responding to, treating, or otherwise assisting an
individual who is experiencing or is at risk of experiencing an opiate-related
drug overdose event or a friend, family member, or other person in a
position to assist an at-risk individual.
(4) An advanced practice nurse with prescriptive authority who
prescribes or dispenses an opiate antagonist in accordance with this section
is not subject to civil liability or criminal prosecution, as specified in
sections 13-21-108.7 (4) and 18-1-712 (3), C.R.S., respectively.
(5) This section does not establish a duty or standard of care
regarding the prescribing, dispensing, or administering of an opiate
antagonist.
(6) As used in this section:
(a) "First responder" means:
(I) A peace officer, as defined in section 16-2.5-101, C.R.S.;
(II) A firefighter, as defined in section 29-5-203 (10), C.R.S.; or
PAGE 1036-HOUSE BILL 19-1172
(III) A volunteer firefighter, as defined in section 31-30-1102 (9),
C.R.S.
(b) "Harm reduction organization" means an organization that
provides services, including medical care, counseling, homeless services,
or drug treatment, to individuals at risk of experiencing an opiate-related
drug overdose event or to the friends and family members of an at-risk
individual.
(c) "Opiate" has the same meaning as set forth in section 18-18-102
(21), C.R.S.
(d) "Opiate antagonist" means naloxone hydrochloride or any
similarly acting drug that is not a controlled substance and that is approved
by the federal food and drug administration for the treatment of a drug
overdose.
(e) "Opiate-related drug overdose event" means an acute condition,
including a decreased level of consciousness or respiratory depression, that:
(I) Results from the consumption or use of a controlled substance or
another substance with which a controlled substance was combined;
(II) A layperson would reasonably believe to be caused by an
opiate-related drug overdose event; and
(III) Requires medical assistance.
(f) "Protocol" means a specific written plan for a course of medical
treatment containing a written set of specific directions created by a
physician, group of physicians, hospital medical committee, pharmacy and
therapeutics committee, or other similar practitioners or groups of
practitioners with expertise in the use of opiate antagonists.
(g) "Standing order" means a prescription order written by an
advanced practice nurse with prescriptive authority that is not specific to
and does not identify a particular patient.
12-255-129. [Formerly 12-38-127] Continuing education - rules.
In addition to any other authority conferred upon the board by this article
PAGE 1037-HOUSE BILL 19-1172
255, the board is authorized to require no more than twenty hours of
continuing education every two years as a condition of renewal of licenses
and to establish procedures and standards for such THE educational
requirements. The board shall, to assure that the continuing education
requirements imposed do not have the effect of restraining competition
among providers of such THE education, recognize a variety of alternative
means of compliance with such THE requirements. The board shall adopt
rules and regulations that are necessary to carry out the provisions of this
section, such THE rules and regulations to be promulgated in accordance
with the provisions of article 4 of title 24. C.R.S.
12-255-130. [Formerly 12-38-131] Nursing peer health assistance
or nurse alternative to discipline program - fund - rules. (1) As a
condition of licensure and for the purpose of supporting a nursing peer
health assistance program or a nurse alternative to discipline program, every
applicant for an initial license or to reinstate a license and any person
renewing a license issued pursuant to this article 255 shall pay to the
administering entity designated pursuant to paragraph (c) of subsection (3)
SUBSECTION (3)(c) of this section a fee in an amount set by the board, not
to exceed twenty-five dollars per year; except that the board may adjust
such THE amount each January 1 to reflect changes in the United States
department of labor's bureau of labor statistics consumer price index, or its
successor index, for the Denver-Boulder consolidated metropolitan
statistical area DENVER-AURORA-LAKEWOOD for the price of goods paid by
urban consumers.
(2) (a) No later than June 30, 2008, the board shall transfer any
remaining balance in the impaired professional diversion fund, as such fund
existed prior to January 1, 2008, to the administering entity chosen by the
board pursuant to paragraph (c) of subsection (3) SUBSECTION (3)(c) of this
section.
(b) Money in the fund shall be used to support a nursing peer health
assistance program or nurse alternative to discipline program in providing
assistance to licensees needing help in dealing with physical, emotional,
psychiatric, or psychological problems or behavioral, mental health, or
substance use disorders that may be detrimental to their ability to practice
nursing.
(3) (a) The board shall select one or more recognized peer health
PAGE 1038-HOUSE BILL 19-1172
assistance organizations or nurse alternative to discipline programs as
designated providers. For purposes of selecting designated providers, the
board shall use a competitive bidding process that encourages participation
from interested vendors. To be eligible for designation by the board
pursuant to this section, a peer health assistance organization or nurse
alternative to discipline program shall:
(I) Offer assistance and education to licensees concerning the
recognition, identification, and prevention of physical, emotional,
psychiatric, or psychological problems or behavioral, mental health, or
substance use disorders and provide for intervention when necessary or
under circumstances that may be established in rules promulgated by the
board;
(II) Evaluate the extent of physical, emotional, psychiatric, or
psychological problems or behavioral, mental health, or substance use
disorders and refer the licensee for appropriate treatment;
(III) Monitor the status of a licensee who has been referred for
treatment, including assessing continued public protection;
(IV) Provide counseling and support for a licensee and for the
family of a licensee referred for treatment;
(V) Receive referrals from the board; and
(VI) Make services available to all licensees statewide.
(b) The board contract with the designated provider or providers
selected pursuant to paragraph (a) of this subsection (3) SUBSECTION (3)(a)
OF THIS SECTION shall include specific deliverables, performance measures,
and documentation of results.
(c) The board shall designate an administering entity for a program
established pursuant to this section. Such THE entity shall be a nonprofit
private entity that is qualified under 26 U.S.C. sec. 501 (c)(3) of the federal
"Internal Revenue Code of 1986", as amended, and shall be dedicated to
providing support for charitable, benevolent, educational, or scientific
purposes that are related to nursing, nursing education, nursing research and
science, and other nursing charitable purposes.
PAGE 1039-HOUSE BILL 19-1172
(d) The administering entity shall:
(I) Collect the required annual payments, directly or through the
board;
(II) Distribute the moneys collected, less expenses, to the approved
designated provider, as directed by the board;
(III) Provide an annual accounting to the board of all amounts
collected, expenses incurred, and amounts disbursed; and
(IV) Post a surety performance bond in an amount specified by the
board to secure performance under this section.
(e) The administering entity may recover from the fee required by
subsection (1) of this section the actual administrative costs incurred in
performing its duties under this section. Such THE recovery shall not exceed
ten percent of the total amount collected.
(f) The board, at its discretion, may collect the required annual
payments payable to the administering entity for the benefit of the
administering entity and shall transfer all such THE payments to the
administering entity. All required annual payments collected or due to the
board for each fiscal year shall be deemed custodial funds that are not
subject to appropriation by the general assembly, and such THE funds shall
not constitute state fiscal year spending for purposes of section 20 of article
X of the state constitution.
(4) Notwithstanding sections 12-38-116.5 12-255-119 and 24-4-104,
C.R.S., the board may immediately suspend the license of any licensee who
is referred to a peer health assistance program or nurse alternative to
discipline program by the board and who fails to attend or to complete the
program. If the licensee objects to the suspension, he or she may submit a
written request to the board for a formal hearing on the suspension within
ten days after receiving notice of the suspension, and the board shall grant
the request. In the hearing, the licensee shall bear the burden of proving that
his or her license should not be suspended.
(5) The records of a proceeding pertaining to the rehabilitation of a
licensee under a program established pursuant to this section shall be
PAGE 1040-HOUSE BILL 19-1172
confidential and shall not be subject to subpoena unless the licensee has
been referred to the board for disciplinary action.
(6) Nothing in this section shall be construed to create any liability
of the board, members of the board, or the state of Colorado for the actions
of the board in making awards to peer health assistance organizations or
nurse alternative to discipline programs or in designating licensees to
participate in the programs of such organizations. No civil action may be
brought or maintained against the board, its members, or the state for an
injury alleged to have been the result of an act or omission of a licensee
participating in or referred to a program provided by a peer health assistance
organization or to a nurse alternative to discipline program. However, the
state shall remain liable under the provisions of the "Colorado
Governmental Immunity Act", article 10 of title 24, C.R.S., if an injury
alleged to have been the result of an act or omission of a licensee
participating in or referred to a peer health assistance diversion program or
nurse alternative to discipline program occurred while such licensee was
performing duties as an employee of the state.
(7) The board is authorized to promulgate rules necessary to
implement this section.
12-255-131. [Formerly 12-38-132] Delegation of nursing tasks -
rules. (1) Any registered nurse as defined in section 12-38-103 (11), may
delegate any task included in the practice of professional nursing, as defined
in section 12-38-103 (10), subject to the requirements of this section. In no
event may a registered nurse delegate to another person the authority to
select medications if such THE person is not, independent of such THE
delegation, authorized by law to select medications.
(2) Delegated tasks shall be within the area of responsibility of the
delegating nurse and shall not require any delegatee to exercise the
judgment required of a nurse.
(3) No delegation shall be made without the delegating nurse
making a determination that, in his or her professional judgment, the
delegated task can be properly and safely performed by the delegatee and
that such THE delegation is commensurate with the patient's safety and
welfare.
PAGE 1041-HOUSE BILL 19-1172
(4) The delegating nurse shall be solely responsible for determining
the required degree of supervision the delegatee will need, after an
evaluation of the appropriate factors, which shall include but not be limited
to the following:
(a) The stability of the condition of the patient;
(b) The training and ability of the delegatee;
(c) The nature of the nursing task being delegated; and
(d) Whether the delegated task has a predictable outcome.
(5) An employer of a nurse may establish policies, procedures,
protocols, or standards of care which THAT limit or prohibit delegations by
nurses in specified circumstances.
(6) The board may promulgate rules pursuant to this section,
including but not limited to standards on the assessment of the proficiency
of the delegatee to perform delegated tasks, and standards for accountability
of any nurse who delegates nursing tasks. Such THE rules shall be consistent
with the provisions of part 3 of article 1.5 of title 25, C.R.S., section
25.5-10-204 (2)(j), C.R.S., and section 27-10.5-103 (2)(i). C.R.S.
12-255-132. [Formerly 12-38-132.3] School nurses -
over-the-counter medication. (1) This part 1 ARTICLE 255 does not
prohibit a person who has been appropriately trained from dispensing an
over-the-counter medication to a minor as long as the person has written
instructions from the minor's parent or guardian and there is a physician's
standing medical order.
(2) This section is not intended to affect the authority of a
professional nurse to delegate nursing tasks.
12-255-133. [Formerly 12-38-132.5] Licensee duties relating to
assistance animals - definitions. (1) A licensee who is approached by a
patient seeking an assistance animal as a reasonable accommodation in
housing shall either:
(a) Make a written finding regarding whether the patient has a
PAGE 1042-HOUSE BILL 19-1172
disability and, if a disability is found, a separate written finding regarding
whether the need for the animal is related to that disability; or
(b) Make a written finding that there is insufficient information
available to make a finding regarding disability or the disability-related
need for the animal.
(2) This section does not:
(a) Change any laws or procedures related to a service animal under
Title II and Title III of the federal "Americans with Disabilities Act of
1990", 42 U.S.C. sec. 12101 et seq., AS AMENDED;
(b) Affect in any way the right of pet ownership in public housing
established in 42 U.S.C. sec. 1437z-3, as amended; or
(c) Limit the means by which a person with a disability may
demonstrate, pursuant to state or federal law, that the person has a disability
or that the person has a disability-related need for an assistance animal.
(3) A licensee shall not make a determination related to subsection
(1) of this section unless the licensee:
(a) Has met with the patient in person;
(b) Is sufficiently familiar with the patient and the disability; and
(c) Is legally and professionally qualified to make the determination.
(4) For purposes of this section:
(a) "Assistance animal" means an animal that qualifies as a
reasonable accommodation under the federal "Fair Housing Act", 42 U.S.C.
sec. 3601 et seq., as amended, or section 504 of the federal "Rehabilitation
Act of 1973", 29 U.S.C. sec. 794, as amended.
(b) "Disability" has the same meaning as set forth in the federal
"Americans with Disabilities Act of 1990", 42 U.S.C. sec. 12101 et seq.,
and its related amendments and implementing regulations and includes a
handicap as that term is defined in the federal "Fair Housing Act", 42
PAGE 1043-HOUSE BILL 19-1172
U.S.C. sec. 3601 et seq., as amended, and 24 CFR 100.201.
(c) "Service animal" has the same meaning as set forth in the
implementing regulations of Title II and Title III of the federal "Americans
with Disabilities Act of 1990", 42 U.S.C. sec. 12101 et seq., AS AMENDED.
12-255-134. [Formerly 12-38-133] Repeal of article - review of
functions. (1) This article 255 is repealed, effective July 1, 2020.
(2) The provisions of section 24-34-104, C.R.S., concerning the
termination schedule for regulatory bodies of the state unless extended as
provided in that section, are applicable to BEFORE THE REPEAL, the state
board of nursing created by this article IS SCHEDULED FOR REVIEW IN
ACCORDANCE WITH SECTION 24-34-104.
ARTICLE 260
Nurse Aides
12-260-101. [Formerly 12-38.1-101] Legislative declaration. It is
declared to be the policy of the state of Colorado that, in order to safeguard
life, health, property, and the public welfare of the people of the state of
Colorado, and in order to protect the people of the state of Colorado against
unauthorized, unqualified, and improper application of services by nurse
aides in a medical facility, it is necessary that a proper regulatory authority
be established. The general assembly further declares it to be the policy of
this state to regulate the practice of nurse aides in medical facilities through
a state agency with the power to enforce the provisions of this article 260.
Any person who practices as a nurse aide in a medical facility without
qualifying for proper certification and without submitting to the regulations
provided in this article 260 endangers the public health thereby. The general
assembly hereby finds and declares that this article 260 will meet the
requirements of the federal "Omnibus Budget Reconciliation Act of 1987".
12-260-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 260.
12-260-103. [Formerly 12-38.1-102] Definitions. As used in this
article 260, unless the context otherwise requires:
PAGE 1044-HOUSE BILL 19-1172
(1) "Approved education program" means
(a) a course of training conducted by an educational or health care
institution which THAT implements the basic nurse aide curriculum
prescribed and approved by the board.
(b) Repealed.
(2) "Board" means the state board of nursing in the division of
professions and occupations in the department of regulatory agencies,
created in section 12-38-104 12-255-105.
(3) "Certified nurse aide" means a person who meets the
qualifications specified in this article 260 and who is currently certified by
the board. Only a person who holds a certificate to practice as a nurse aide
in this state pursuant to the provisions of this article 260 shall have the right
to use the title "certified nurse aide" and its abbreviation, "C.N.A."
(3.5) (4) "Home health agency" means a provider of home health
services, as defined in section 25.5-4-103 (7), C.R.S., that is certified by the
department of public health and environment.
(4) (5) "Medical facility" means a nursing facility licensed by the
department of public health and environment or home health agencies
certified to receive medicare or medicaid funds, pursuant to the federal
"Social Security Act", as amended, distinct part nursing facilities, or home
health agencies or entities engaged in nurse aide practices as such practices
are defined in subsection (5) of this section PRACTICE. "Medical facility"
does not include hospitals and other facilities licensed or certified pursuant
to section 25-1.5-103 (1)(a). C.R.S.
(4.5) (6) "Nursing facility" shall have the same meaning as set forth
in section 25.5-4-103 (14). C.R.S.
(5) (7) "Practice of a nurse aide" or "nursing aide practice" means
the performance of services requiring the education, training, and skills
specified in this article 260 for certification as a nurse aide. Such THESE
services are performed under the supervision of a dentist, physician,
podiatrist, professional nurse, licensed practical nurse, or other licensed or
certified health care professional acting within the scope of his THE
PAGE 1045-HOUSE BILL 19-1172
PROFESSIONAL'S license or certificate.
12-260-104. [Formerly 12-38.1-103] Certification - state board of
nursing - rules. (1) In addition to all other powers and duties conferred and
imposed upon the board by law, the board shall have the authority to certify
nurse aides to practice in the state of Colorado, and the board shall
implement the provisions of this article 260.
(2) The department of public health and environment, which is
otherwise responsible for the regulation of certain medical facilities, shall,
as necessary, assist the board in implementing the provisions of this article
260.
(3) The board shall promulgate rules and regulations to carry out the
purposes of this article and PURSUANT TO SECTION 12-20-204, INCLUDING
RULES to ensure compliance with federal law and regulation relating to
nurse aides.
(4) The board shall maintain a registry of all certified nurse aides as
well as a record of all final disciplinary action taken against persons under
the provisions of this article Such 260. THE registry shall conform to all
requirements of federal law and regulation.
(5) (a) The board shall not issue a certificate to a former holder of
a certificate whose certificate was revoked unless the applicant meets the
requirements of this article 260, has successfully repeated an approved
education program as required by the board, and has repeated and passed a
competency evaluation.
(b) No nurse aide certificate holder who has had a certificate
revoked may apply for recertification before a one-year waiting period after
such revocation.
(6) Funding for the nurse aide certification program, as operated by
the department of regulatory agencies, shall be provided by the federal
medicaid and medicare programs. Medicaid funding shall be secured by the
department of health care policy and financing and medicare funding shall
be secured by the department of public health and environment. All such
THE funding shall be forwarded to the department of regulatory agencies for
its use in operating the nurse aide certification program. The departments
PAGE 1046-HOUSE BILL 19-1172
of health care policy and financing and public health and environment shall
take all reasonable and necessary steps to secure such THE funding from the
federal medicaid and medicare programs.
12-260-105. [Formerly 12-38.1-104] Application for certification
- fee. (1) Every applicant for certification as a nurse aide, whether
qualifying by competency evaluation or by endorsement, shall submit the
application on forms provided by the board.
(2) (a) The application submitted pursuant to subsection (1) of this
section shall be accompanied by an application fee established pursuant to
section 24-34-105, C.R.S. 12-20-105.
(b) The board may reduce the application fee if federal funds are
available. Such THE fee shall not be subject to the provisions of section
24-34-104.4, C.R.S. 12-20-104.
(3) (a) Repealed.
(b) (Deleted by amendment, L. 2003, p. 2631, § 5, effective June 5,
2003.)
12-260-106. [Formerly 12-38.1-105] Application for certification
by competency evaluation. (1) Every applicant for certification by
competency evaluation shall pay the required application fee and shall
submit written evidence that said THE applicant:
(a) Has not committed any act or omission that would be grounds for
discipline or denial of certification under this article 260; and
(b) Has successfully completed an approved education program.
(c) Repealed.
12-260-107. [Formerly 12-38.1-106] Application for certification
by endorsement. (1) Every applicant for certification by endorsement shall
pay the required application fee, shall submit the information required by
the board in the manner and form specified by the board, and shall submit
written evidence that said THE applicant:
PAGE 1047-HOUSE BILL 19-1172
(a) Is certified to practice as a nurse aide by another state or territory
of the United States with requirements that are essentially similar to the
requirements for certification set out in this article 260 and that such THE
certification is in good standing;
(b) Has not committed any act or omission that would be grounds
for discipline or denial of certification under this article 260;
(c) Has successfully completed an education program approved by
the board or a nurse aide training program that meets the standards for such
THE programs specified in this article 260 and those standards set by the
board; and
(d) Has no record of abuse, negligence, or misappropriation of
resident's property or any disciplinary action taken or pending in any other
state or territory against such THE certification.
(e) Repealed.
12-260-108. [Formerly 12-38.1-107] Certification by competency
evaluation. (1) All applicants except those certified by endorsement shall
be required to pass a clinical competency evaluation. Such THE evaluation
shall be in a written or oral form and shall include the following areas:
(a) Basic nursing skills;
(b) Personal care skills;
(c) Recognition of mental health and social services needs;
(d) Basic restorative services;
(e) Resident or patient rights.
(2) Competency evaluations shall be held at such THE times and
places as the board determines but shall be held at least four times per year.
12-260-109. [Formerly 12-38.1-108] Approved nurse aide
training programs. (1) Except for any medical facility or program that has
been explicitly disapproved by the department of public health and
PAGE 1048-HOUSE BILL 19-1172
environment, the board may approve any nurse aide training program
offered by or held in a medical facility or offered and held outside a medical
facility. Such Approval by the board shall be sufficient to authorize and
permit the operation of such THE training program.
(2) The curriculum content for nurse aide training must include
material which THAT will provide a basic level of both knowledge and
demonstrable skills for each individual completing the program and be
presented in such a manner which THAT will take into consideration
individuals with limited literacy skills. The curriculum content must include
needs of populations which THAT may be served by an individual medical
facility.
(3) The following topics shall be included in the curriculum:
(a) Communication and interpersonal skills;
(b) Infection control;
(c) Safety and emergency procedures;
(d) Promoting residents' and patients' independence;
(e) Respecting residents' and patients' rights.
(4) The training program shall be designed to enable participants to
develop and demonstrate competency in the following areas:
(a) Basic nursing skills;
(b) Personal care skills;
(c) Recognition of mental health and social services needs;
(d) Basic restorative services;
(e) Resident or patient rights.
(5) The board or its designee shall inspect and survey each nurse
aide training program it approves during the first year following such
PAGE 1049-HOUSE BILL 19-1172
approval and every two years thereafter. Such THE inspection or survey may
be made in conjunction with surveys of medical facilities conducted by the
department of public health and environment.
(6) The board may require a nurse aide training program to include
up to twenty-five percent more hours than the minimum requirements
established in the federal "Omnibus Budget Reconciliation Act of 1987",
as amended, Pub.L. 100-203, 101 Stat. 1330. (1987). Any additional
training hours shall be within the subject areas required by federal law.
12-260-110. [Formerly 12-38.1-108.5] Scope of practice - rules.
(1) In addition to any nursing tasks delegated to a certified nurse aide
pursuant to section 12-38-132 12-255-131, a certified nurse aide who is
deemed competent by a registered nurse licensed pursuant to article 38 255
of this title 12 may perform the following tasks:
(a) Digital stimulation, insertion of a suppository, or the use of an
enema, or any other medically acceptable procedure to stimulate a bowel
movement;
(b) Gastrostomy-tube and jejunostomy-tube feedings; and
(c) Placement in a client's mouth of presorted medication that has
been boxed or packaged by a registered nurse, a licensed practical nurse, or
a pharmacist.
(2) The board shall promulgate rules concerning the competency
requirements for a certified nurse aide to perform the tasks listed in
subsection (1) of this section.
(3) The duties performed by a certified nurse aide AS SPECIFIED in
paragraphs (a), (b), and (c) of subsection (1) SUBSECTION (1) of this section
are not considered a delegation of nursing tasks pursuant to section
12-38-132 12-255-131.
(4) A registered nurse who in good faith determines that a certified
nurse aide is competent to perform the tasks listed in subsection (1) of this
section is not liable for the actions of the certified nurse aide in the
performance of the tasks.
PAGE 1050-HOUSE BILL 19-1172
12-260-111. [Formerly 12-38.1-109] Renewal of certification.
Each certificate to practice as a nurse aide shall be renewed or reinstated
pursuant to a schedule established by the director of the division of
professions and occupations within the department of regulatory agencies
and shall be renewed or reinstated pursuant to section 24-34-102 (8), C.R.S.
The director of the division of professions and occupations within the
department of regulatory agencies may establish renewal fees and
delinquency fees for reinstatement pursuant to section 24-34-105, C.R.S. If
a person fails to renew his or her certification pursuant to the schedule
established by the director of the division of professions and occupations,
such certificate shall expire ISSUED PURSUANT TO THIS ARTICLE 260 IS
SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
Any person whose certificate has expired shall be subject to the penalties
provided in this article 260 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
12-260-112. [Formerly 12-38.1-110] Advisory committee. (1) To
assist in the performance of its duties under this article 260, the board may
designate an advisory committee, which shall report to the board. Such THE
committee shall be composed of seven members who have expertise in an
area under review. One member shall be a certified nurse aide; one member
shall be a licensed professional nurse or a licensed practical nurse as
defined in section 12-38-103, 12-255-104 who supervises certified nurse
aides; one member shall represent a home health agency; one member shall
represent a nursing facility; one member shall be a department of public
health and environment employee; and two members shall be members of
the public. Committee members shall receive a per diem allowance pursuant
to section 24-34-102 (13), C.R.S., 12-20-103 (6) for their services and shall
be reimbursed for the actual and necessary expenses in the performance of
their duties from the division of professions and occupations cash fund by
the general assembly.
(2) (Deleted by amendment, L. 93, p. 1747, § 5, effective July 1,
1993.)
12-260-113. [Formerly 12-38.1-110.5] Medication aides - training
- scope of duties - rules. (1) Prior to a certified nurse aide obtaining
authority as a medication aide to administer medications, the certified nurse
aide shall meet all applicable requirements as established by rules of the
board. The board shall promulgate rules regarding the scope of practice,
PAGE 1051-HOUSE BILL 19-1172
education, experience, and certification requirements for a nurse aide to
obtain authority to administer medications. The board shall consider, but not
be limited to, reducing the number of required hours of education,
expanding the allowable routes of administration, reducing or eliminating
the required hours of work experience, and developing different scopes of
practice depending on practice setting, if appropriate.
(2) and (3) (Deleted by amendment, L. 2009, (SB 09-138), ch. 400,
p. 2161, § 10, effective July 1, 2009.)
(4) (2) The board shall promulgate rules regarding the supervision
requirements for a medication aide, the requirements for a registered nurse
to perform a patient assessment before a medication aide administers
medications to the patient, and requirements for a registered nurse to review
medications to be administered by a medication aide.
(5) (3) The administration of medications by medication aides shall
not alter any requirement or limitation applicable to the delegation of
nursing tasks pursuant to section 12-38-132 12-255-131.
(6) (Deleted by amendment, L. 2009, (SB 09-138), ch. 400, p. 2161,
§ 10, effective July 1, 2009.)
12-260-114. [Formerly 12-38.1-111] Grounds for discipline.
(1) The board may suspend, revoke, or deny any person's certification to
practice as a nurse aide or authority to practice as a medication aide IN
ACCORDANCE WITH SECTION 12-20-404 (1)(d) or may issue to the person a
letter of admonition UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN
ACCORDANCE WITH SECTION 12-20-404 (4), upon proof that the A person:
(a) Has procured or attempted to procure a certificate by fraud,
deceit, misrepresentation, misleading omission, or material misstatement of
fact;
(b) Has been convicted of a felony or has had a court accept a plea
of guilty or nolo contendere to a felony. A certified copy of such THE
conviction or plea from a court of competent jurisdiction shall be prima
facie evidence of such THE conviction or plea. In considering discipline
based on the grounds specified in this paragraph (b) SUBSECTION (1)(b), the
board shall be governed by the provisions of section SECTIONS 12-20-202
PAGE 1052-HOUSE BILL 19-1172
(5) AND 24-5-101. C.R.S.
(c) (Deleted by amendment, L. 2003, p. 2633, § 10, effective June
5, 2003.)
(d) (c) Has had a certification to practice as a nurse aide or to
practice any other health care occupation suspended or revoked in any
jurisdiction. A certified copy of the order of suspension or revocation shall
be prima facie evidence of such THE suspension or revocation.
(e) (d) Has violated any provision of this article or has aided or
knowingly permitted any person to violate any provision of this article 260
OR AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12;
(f) (Deleted by amendment, L. 2003, p. 2633, § 10, effective June
5, 2003.)
(g) (e) Has negligently or willfully violated any order OR rule or
regulation of the board pertaining to practice or certification as a nurse aide;
(h) (f) Has verbally or physically abused a person under the care of
the certified nurse aide;
(i) (g) Has an alcohol use disorder, as defined in section 27-81-102,
or a substance use disorder, as defined in section 27-82-102, or excessively
uses any habit-forming drug or any controlled substance, as defined in
section 18-18-102 (5), or other drugs having similar effects, or is diverting
controlled substances, as defined in section 18-18-102 (5), or other drugs
having similar effects from the person's place of employment;
(j) (h) Has misused any drug or controlled substance, as defined in
section 18-18-102 (5); C.R.S.;
(k) (i) Has a physical or mental disability which THAT renders him
THE PERSON unable to practice as a certified nurse aide with reasonable skill
and safety to the patients and which THAT may endanger the health or safety
of persons under his OR HER care;
(l) (j) Has violated the confidentiality of information or knowledge
as prescribed by law concerning any patient;
PAGE 1053-HOUSE BILL 19-1172
(m) (k) Has misappropriated patient or facility property;
(n) (l) Has engaged in any conduct that would constitute a crime as
defined in title 18, C.R.S., if such IF THE conduct relates to the person's
ability to practice as a nurse aide. In considering discipline based upon the
grounds specified in this paragraph (n) SUBSECTION (1)(l), the board shall
be governed by the provisions of section SECTIONS 12-20-202 (5) AND
24-5-101. C.R.S.
(o) (m) Has neglected a person under the care of the certified nurse
aide;
(p) (n) Has willfully or negligently acted in a manner inconsistent
with the health or safety of persons under his or her care;
(q) (o) Has willfully or negligently practiced as a medication aide
in a manner that does not meet generally accepted standards for such
practice;
(r) (p) Has willfully or negligently violated any order or rule of the
board pertaining to the practice or authorization as a medication aide;
(s) (q) Has practiced in a medical facility as a nurse aide except as
provided in this article 260;
(t) (Deleted by amendment, L. 2009, (SB 09-138), ch. 400, p. 2160,
§ 6, effective July 1, 2009.)
(u) (r) Has practiced as a nurse aide during any period when his or
her certificate has been suspended or revoked;
(v) (s) Has sold or fraudulently obtained or furnished a certificate to
practice as a nurse aide or has aided or abetted therein;
(w) (t) Has failed to respond in a materially factual and timely
manner to a complaint as grounds for discipline pursuant to section
12-38.1-114 12-260-117;
(x) (u) Has failed to report a criminal conviction to the board within
forty-five days after the conviction.
PAGE 1054-HOUSE BILL 19-1172
(2) Except as otherwise provided in subsection (1) of this section,
the board need not find that the actions which THAT form the basis for the
disciplinary action were willful. However, the board, in its discretion, may
consider whether such THE action was willful in determining the sanctions
it imposes on the nurse aide.
(3) (Deleted by amendment, L. 2003, p. 2633, § 10, effective June
5, 2003.)
(4) (3) An employer of a medication aide shall report conduct that
constitutes grounds for discipline pursuant to this section to the board and
any disciplinary action taken by the employer against a medication aide or
the resignation of a medication aide in lieu of a disciplinary action resulting
from such THE conduct.
12-260-115. [Formerly 12-38.1-112] Withholding or denial of
certification. (1) If the board determines that an applicant for an initial
certificate to practice as a nurse aide does not possess the qualifications
specified in section 12-38.1-105 12-260-106 or 12-38.1-106 12-260-107,
that section 12-38.1-111 (1)(n) 12-260-114 (1)(l) is applicable, or that there
is reasonable cause to believe that the applicant has committed any of the
acts set forth in section 12-38.1-111 12-260-114 as grounds for discipline,
it may deny the applicant a certificate. When the board denies a certificate,
it shall comply with the following procedures:
(a) The provisions of section 24-4-104 C.R.S., shall apply, and the
board shall provide the applicant with a written statement that sets forth the
basis for the board's determination.
(b) If the applicant requests a hearing pursuant to section 24-4-104
(9), C.R.S., the following shall apply:
(I) An applicant whose certification has been denied on the basis of
a lack of qualifications has the burden of proof to show that he THE
APPLICANT possesses the qualifications required under this article 260.
(II) For an applicant whose certification has been denied on the
basis of reasonable cause to believe that grounds for discipline exist, the
board has the burden of proof to show the commission of acts constituting
grounds for discipline under this article 260.
PAGE 1055-HOUSE BILL 19-1172
(c) If a hearing is conducted, the board shall affirm, modify, or
reverse its prior determination and action in accordance with the findings
resulting from such THE hearing.
(d) If an applicant who has requested a hearing pursuant to section
24-4-104 (9) C.R.S., fails to appear at such THE hearing, absent a
determination by the board that there was good cause for such THE failure
to appear, the board may affirm its prior action of withholding certification
without conducting a hearing on the matter.
(e) If the board withholds certification without a hearing in
accordance with the provisions of this section, it shall be immune from suit
concerning such THE withholding unless it has acted unreasonably or has
failed to act in good faith.
12-260-116. [Formerly 12-38.1-113] Mental and physical
competency of nurse aides. (1) If a certified nurse aide is determined by
a court of competent jurisdiction to have a mental health disorder, the board
shall automatically suspend his or her THE CERTIFIED NURSE AIDE'S
certification, and the suspension must continue until the certified nurse aide
is determined by the court to be restored to competency; duly discharged as
restored to competency; or otherwise determined to be competent in any
other manner provided by law.
(2) (a) If the board has reasonable cause to believe that a certified
nurse aide's physical or mental health has resulted in the nurse aide being
unable to practice with reasonable skill or that the practice of the nurse aide
is a threat to the safety of his or her patients, the board may require the
nurse aide to submit to a mental or physical examination by a physician or
other licensed health care provider designated by the board.
(b) If a nurse aide fails to submit to a mental or physical
examination, the board may suspend the nurse aide's certification until the
required examination or examinations are conducted.
(3) Every person who applies to the board for certification as a nurse
aide shall be deemed by virtue of such application to have given his consent
CONSENTED to undergo a physical or mental examination at any time if the
board so requests. Any request by the board to a nurse aide to submit to
such an THE examination shall be in writing and shall contain the basis upon
PAGE 1056-HOUSE BILL 19-1172
which the board determined that reasonable cause to believe the condition
specified in paragraph (a) of subsection (2) SUBSECTION (2)(a) of this
section exists.
(4) A certified nurse aide who has been requested to submit to a
physical or mental examination may provide the board with information
concerning his or her physical or mental health from a physician of the
nurse aide's own choice. The board may consider such THE information in
conjunction with, but not in lieu of, testimony and information provided by
the physician designated by the board to examine the nurse aide.
(5) The results of any mental or physical examination requested by
the board pursuant to this section shall not be used as evidence in any
proceeding except a proceeding conducted pursuant to this article 260. The
results of such THE examination shall not be deemed to be public records
and shall not be made available to the public.
12-260-117. [Formerly 12-38.1-114] Disciplinary proceedings -
hearing officers. (1) The board through the department of regulatory
agencies, may employ hearing officers to conduct hearings as provided by
this article or to conduct hearings on any matter within the board's
jurisdiction, upon such conditions and terms as the board determines to be
appropriate AS AUTHORIZED IN SECTION 12-20-403 (3).
(2) A proceeding for discipline of a certified nurse aide may be
commenced when the board has reasonable grounds to believe that a nurse
aide certified by the board has committed acts which THAT may violate the
provisions of this article 260.
(3) The license of a person certified by the board as a nurse aide may
be revoked or such THE person may otherwise be disciplined PURSUANT TO
SECTION 12-20-404 upon written findings by the board that the licensee has
committed acts that violate the provisions of this article 260.
(4) Any certified nurse aide disciplined under subsection (3) of this
section shall be notified by the board, by a certified letter to the most recent
address provided to the board by the certified nurse aide, no later than thirty
days following the date of the board's action, of the action taken, the
specific charges giving rise to the action, and the certified nurse aide's right
to request a hearing on the action taken.
PAGE 1057-HOUSE BILL 19-1172
(5) (a) Within thirty days after notification is sent by the board, the
certified nurse aide may file a written request with the board for a hearing
on the action taken. Upon receipt of the request, the board shall grant a
hearing to the certified nurse aide. If the certified nurse aide fails to file a
written request for a hearing within thirty days, the action of the board shall
be final on that date.
(b) (Deleted by amendment, L. 93, p. 1747, § 7, effective July 1,
1993.)
(6) The attendance of witnesses and the production of books, patient
records, papers, and other pertinent documents at the hearing may be
summoned by subpoenas issued by the board, which shall be served in the
manner provided by the Colorado rules of civil procedure for service of
subpoenas.
(7) (6) Disciplinary proceedings shall be conducted in the manner
prescribed by article 4 of title 24 C.R.S., and the hearing and opportunity
for review shall be conducted pursuant to said article by the board or a
hearing officer at the board's discretion AND SECTION 12-20-403.
(8) (7) Failure of the certified NURSE aide to appear at the hearing
without good cause shall be deemed a withdrawal of his or her request for
a hearing, and the board's action shall be final on that date. Failure, without
good cause, of the board to appear at the hearing shall be deemed cause to
dismiss the proceeding.
(9) (8) (a) No previously issued certificate to engage in practice as
a nurse aide shall be revoked or suspended except under the procedure set
forth in this section, except in emergency situations as provided by section
24-4-104. C.R.S.
(b) The denial of an application to renew an existing certificate shall
be treated in all respects as a revocation.
(10) (a) (9) The board or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board.
PAGE 1058-HOUSE BILL 19-1172
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings and
report them to the board. The A person providing documents SUBPOENAED
PURSUANT TO SECTION 12-20-403 (2) shall prepare them from the original
record and shall delete from the copy provided pursuant to the subpoena the
name of the patient, but the patient shall be identified by a numbered code
to be retained by the custodian of the records from which the copies were
made. Upon certification of the custodian that the copies are true and
complete except for the patient's name, they shall be deemed authentic,
subject to the right to inspect the originals for the limited purpose of
ascertaining the accuracy of the copies. No privilege of confidentiality shall
exist with respect to such THE copies, and no liability shall lie against the
board or the custodian or the custodian's authorized employee for furnishing
or using such THE copies in accordance with this subsection (10) (9).
(b) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(10.5) (10) When a complaint or investigation discloses an instance
of conduct that does not warrant formal action by the board and, in the
opinion of the board, the complaint should be dismissed, but the board has
noticed indications of possible errant conduct by the certificate holder that
could lead to serious consequences if not corrected, THE BOARD MAY ISSUE
AND SEND a confidential letter of concern may be issued and sent to the TO
A certificate holder UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION
12-20-404 (5).
(11) Any member of the board, any member of the board's staff, any
person acting as a witness or consultant to the board, any witness testifying
in a proceeding authorized under this article, and any person who lodges a
complaint pursuant to this article shall be immune from liability in any civil
action brought against him or her for acts occurring while acting in his or
her capacity as board member, staff, consultant, or witness, respectively, if
PAGE 1059-HOUSE BILL 19-1172
such individual was acting in good faith within the scope of his or her
respective capacity, made a reasonable effort to obtain the facts of the
matter as to which he or she acted, and acted in the reasonable belief that
the action taken by him or her was warranted by the facts. Any person
participating in good faith in the making of a complaint or report or
participating in any investigative or administrative proceeding pursuant to
this article shall be immune from any criminal or civil liability that
otherwise might result by reason of such participation.
(12) (11) An employer of a nurse aide shall report to the board any
disciplinary action taken against the nurse aide or any resignation in lieu of
a disciplinary action for conduct which THAT constitutes a violation of this
article 260.
(13) (12) Except when a decision to proceed with a disciplinary
action has been agreed upon by a majority of the board or its designee and
notice of formal complaint is drafted and served on the licensee by
first-class mail, any investigations, examinations, hearings, meetings, or any
other proceedings of the board related to discipline that are conducted
pursuant to the provisions of this section shall be exempt from the open
records provisions of article 72 of title 24 C.R.S., requiring that the
proceedings of the board be conducted publicly or that the minutes or
records of the board with respect to action of the board taken pursuant to the
provisions of this section be open to public inspection.
(14) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a certificate holder is
acting in a manner that is an imminent threat to the health and safety of the
public, or a person is acting or has acted without the required certificate, the
board may issue an order to cease and desist such activity. The order shall
set forth the statutes and rules alleged to have been violated, the facts
alleged to have constituted the violation, and the requirement that all
unlawful acts or uncertified practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (14), the respondent may
request a hearing on the question of whether acts or practices in violation
of this part 1 have occurred. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
PAGE 1060-HOUSE BILL 19-1172
(15) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this part 1, then, in addition to any specific powers
granted pursuant to this part 1, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or uncertified
practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (15) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (15) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (15). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (15) does not appear at
the hearing, the board may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(15) and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
PAGE 1061-HOUSE BILL 19-1172
certificate, or has or is about to engage in acts or practices constituting
violations of this part 1, a final cease-and-desist order may be issued,
directing such person to cease and desist from further unlawful acts or
uncertified practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (15), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(16) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any uncertified act or practice, any act or practice constituting a violation
of this part 1, any rule promulgated pursuant to this part 1, any order issued
pursuant to this part 1, or any act or practice constituting grounds for
administrative sanction pursuant to this part 1, the board may enter into a
stipulation with such person.
(17) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(18) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
order as provided in section 12-38.1-116.
(13) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-260-118. [Formerly 12-38.1-115] Surrender of certificate.
(1) Prior to the initiation of an investigation or hearing, any certified nurse
aide may surrender his THE AIDE'S certificate to practice as a nurse aide to
the board.
PAGE 1062-HOUSE BILL 19-1172
(2) Following the initiation of an investigation or hearing and upon
a finding that to conduct such an THE investigation or hearing would not be
in the public interest, the board may allow a certified nurse aide to surrender
his THE AIDE'S certificate to practice.
(3) The board shall not issue a certificate to a former holder of a
certificate whose certificate has been denied, revoked, or surrendered unless
a two-year waiting period has passed since the date of the surrender and the
applicant has met the requirements of this article 260, has successfully
repeated an approved education program, and has repeated and passed a
competency evaluation.
(4) The surrender of a certificate in accordance with this section
removes all rights and privileges to practice as a nurse aide, including the
right to apply for renewal of a certificate.
12-260-119. [Formerly 12-38.1-116] Judicial review. The court of
appeals shall have initial jurisdiction to SECTION 12-20-408 GOVERNS
JUDICIAL review OF all final actions and orders of the board that are subject
to judicial review. Such proceedings shall be conducted in accordance with
section 24-4-106 (11), C.R.S.
12-260-120. [Formerly 12-38.1-117] Exclusions. (1) This article
260 shall not be construed to affect or apply to:
(a) The gratuitous care of friends or family members;
(b) A person for hire who does not represent himself or herself as
or hold himself or herself out to the public as a certified nurse aide.
However, no person for hire who is not a nurse aide certified under this
article 260 shall perform the duties of or hold himself or herself out as being
able to perform the full duties of a certified nurse aide.
(c) Nursing assistance in the case of an emergency;
(d) A person who is directly employed by a medical facility while
acting within the scope and course of such employment for the first four
consecutive months of such THE person's employment at such THE medical
facility if such THE person is pursuing initial certification as a nurse aide. A
person may utilize this exclusion only once in any twelve-month period.
PAGE 1063-HOUSE BILL 19-1172
This exclusion shall not apply to any person who has allowed his or her
certification to lapse, had his or her certification as a nurse aide suspended
or revoked, or had his or her application for such certification denied.
(e) Any person licensed, certified, or registered by the state of
Colorado who is acting within the scope of such license, certificate, or
registration;
(f) Any person performing services pursuant to sections 12-38-132
12-255-131, 25.5-10-204 (2)(j), 27-10.5-103 (2)(i), C.R.S., and part 3 of
article 1.5 of title 25. C.R.S.
12-260-121. [Formerly 12-38.1-118] Unauthorized practices -
penalties.
(1) Repealed.
(2) Any person who practices or offers or attempts nursing aide
practice or medication administration without an active certificate of
authority issued under this article 260; practices in a medical facility as a
nurse aide except as provided in this article 260; uses any designation in
connection with his or her name that tends to imply that he or she is a
certified nurse aide unless he or she is so certified under this article 260;
practices as a nurse aide during any period when his or her certificate has
been suspended or revoked; or sells or fraudulently obtains or furnishes a
certificate to practice as a nurse aide or aids or abets therein commits a class
2 misdemeanor and shall be punished as provided in section 18-1.3-501
C.R.S., for the first offense, and any person committing a second or
subsequent offense commits a class 6 felony and shall be punished as
provided in section 18-1.3-401. C.R.S.
12-260-122. [Formerly 12-38.1-119] Injunctive proceedings. The
board may apply for injunctive relief through the attorney general in any
court of competent jurisdiction IN ACCORDANCE WITH SECTION 12-20-406
BUT ONLY to enjoin any person who does not possess a current valid
certificate as a nurse aide issued under the provisions of this article 260
from committing any act declared to be unlawful under or prohibited by this
article Such injunctive proceedings shall be in addition to and not in lieu of
all penalties and other remedies provided for in this article 260.
PAGE 1064-HOUSE BILL 19-1172
12-260-123. [Formerly 12-38.1-120] Repeal of article. This article
260 is repealed, effective September 1, 2020. Prior to such BEFORE THE
repeal, the certification functions of the state board of nursing shall be
reviewed as provided for in ARE SCHEDULED FOR REVIEW IN ACCORDANCE
WITH section 24-34-104. C.R.S.
ARTICLE 265
Nursing Home Administrators
12-265-101. [Formerly 12-39-101] Legislative declaration. The
general assembly declares that the intent of this article 265 is to provide a
measure of protection to the residents of nursing homes in this state who are
aged or who have disabilities by establishing a means to regulate nursing
home administrators to ensure quality administration and sound
management of nursing homes. It is also the intent of the general assembly
that the board of examiners of nursing home administrators be adequately
funded to carry out the duties and functions specified by this article 265 as
well as the legislative intent expressed in this section.
12-265-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 265.
12-265-103. [Formerly 12-39-102] Definitions. As used in this
article 265, unless the context otherwise requires:
(1) "Board" means the board of examiners of nursing home
administrators CREATED IN SECTION 12-265-106.
(2) "Nursing home administrator" means any individual licensed and
responsible for planning, organizing, directing, and controlling the
operation of a nursing home or who in fact performs such THESE functions,
whether or not such THESE functions are shared by one or more other
persons.
(3) "Nursing home administrator-in-training" means an individual
registered with the board pursuant to the provisions of this article 265.
(4) "Nursing home facility" shall have the same meaning as that set
forth in section 25-1-1002 C.R.S., and shall include nursing care facilities,
PAGE 1065-HOUSE BILL 19-1172
whether proprietary or nonprofit, which THAT are licensed under section
25-1.5-103 (1)(a)(I) C.R.S., or pursuant to the rules for nursing homes
promulgated by the department of public health and environment. The term
"nursing home" includes but is not limited to nursing homes owned or
administered by the state government or any agency or political subdivision
thereof.
(5) "Practice of nursing home administration" means the planning,
organizing, directing, and control of the operation of a nursing home.
(6) "Reasonable grounds" means facts and circumstances
sufficiently strong to warrant a prudent person to believe that the facts and
circumstances are true.
12-265-104. [Formerly 12-39-103] Administrator license
required. No person shall practice or offer to practice nursing home
administration in this state or use any title, sign, card, or device to indicate
that such THE person is a nursing home administrator, unless such THE
person has been duly licensed as a nursing home administrator as required
by this article 265.
12-265-105. [Formerly 12-39-103.5] State training school. The
nursing home administrator in each of the three state home and training
schools at Grand Junction, Pueblo, and Wheat Ridge is not required to be
the superintendent of such THE facility.
12-265-106. Board of examiners of nursing home administrators
- creation - subject to termination. (1) [Formerly 12-39-104 (1)] (a) The
board of examiners of nursing home administrators is hereby created in the
division. of professions and occupations in the department of regulatory
agencies. The board is composed of the following members appointed by
the governor:
(I) Three members who are practicing nursing home administrators
duly licensed under this article 265, at least one of whom shall be from
nonprofit facility administration; AND
(II) Repealed.
(III) (II) Three members shall be representative of the public at
PAGE 1066-HOUSE BILL 19-1172
large; except that upon the expiration of the term of office of the one
member of the board representing the public whose term expires on July 1,
2011, the board shall consist of Two members representative of the public
at large.
(b) No more than three of the members of the board shall be
officials or full-time employees of state government or local governments.
The term of office for each member of the board shall be four years. No
member of the board shall serve more than two consecutive terms. All the
members of the board shall be residents of this state.
(2) [Formerly 12-39-104.5] (1) (a) A nursing home administrator
is qualified to be appointed to the board if the person:
(a) (I) Is a legal resident of Colorado;
(b) (II) Is currently licensed as a nursing home administrator; and
(c) (III) Has been actively engaged as a licensed nursing home
administrator for at least three years.
(2) (b) Notwithstanding subsection (1) (2)(a) of this section, a
person convicted of a felony in Colorado or any other state or of violating
this article 265 or any law governing the practice of nursing home
administrators ADMINISTRATION shall not be appointed to or serve on the
board.
(3) [Formerly 12-39-104 (2)] (a) The governor shall make
appointments to the board. In making an appointment to fill a vacancy on
the board in the position of, or to fill the remainder of an unexpired term
for, a nursing home administrator who is from nonprofit facility
administration, as required by subparagraph (I) of paragraph (a) of
subsection (1) SUBSECTION (1)(a)(I) of this section, if the governor, after a
good-faith attempt, is unable to find a nursing home administrator candidate
who comes from nonprofit facility administration to fill the vacancy or
complete the unexpired term, the governor may appoint any qualified
nursing home administrator to complete the unexpired term or fill the
vacancy in that board position. If the appointment is to fill a vacancy, the
board member may serve the full term and is eligible for appointment for
a second term.
PAGE 1067-HOUSE BILL 19-1172
(b) The governor may remove any board member for negligence,
incompetency, unprofessional conduct, or willful misconduct. Actions
constituting neglect of duty include but are not limited to three unexcused
absences from scheduled meetings in any one calendar year. The governor
shall fill a vacancy in the membership of the board for the remainder of the
unexpired term. A member who is a practicing nursing home administrator
or long-term care professional shall serve for a full term only if, during such
THE term, such THE member is actively employed as a practicing member
of his or her profession without a lapse of employment greater than one
hundred twenty days.
(4) [Formerly 12-39-104 (3)] The board shall elect annually from
its membership a chair and vice-chair. The board shall hold two or more
meetings each year. At any meeting a majority shall constitute a quorum.
(5) [Formerly 12-39-104 (4)] The board shall exercise its powers
and perform its duties and functions specified by this article 265 under the
department, of regulatory agencies and the executive director, thereof and
the division of professions and occupations as if the same were transferred
to the department by a type 1 transfer, as such transfer is defined in the
"Administrative Organization Act of 1968", article 1 of title 24. C.R.S.
(6) [Formerly 12-39-104 (5)] The director of the division of
professions and occupations in the department of regulatory agencies may
appoint, subject to section 13 of article XII of the state constitution, a
program director to FOR the board. The program director shall not be a
member of the board, but shall have such THE powers and shall perform
such THE duties as are prescribed by law and the rules of the board.
Additional staff may be appointed by the director of the division of
professions and occupations to adequately assist the board and the program
director in keeping records and in the performance of their duties. These
employees, if any, shall be appointed and serve in accordance with section
13 of article XII of the state constitution.
12-265-107. Powers and duties of the board - rules.
(1) [Formerly 12-39-105 (1)] (a) The board has the following powers and
duties:
(I) (A) (a) To adopt rules defining standards of nursing home
administration, including the responsibilities and duties of nursing home
PAGE 1068-HOUSE BILL 19-1172
administrators, consistent with this article 265. The standards established
in the rules shall be met by individuals in order to receive and retain a
license and shall be designed to ensure that nursing home administrators are
qualified by education and training in the appropriate field to serve as
nursing home administrators.
(B) (b) To develop and apply appropriate techniques, including
examinations and investigations, for determining whether an individual
meets such THE standards ADOPTED UNDER SUBSECTION (1)(a) OF THIS
SECTION;
(II) (c) To issue licenses to individuals determined, after application
of such THE techniques, to meet such THE standards specified in
subparagraph (I) of this paragraph (a) SUBSECTION (1)(a) OF THIS SECTION;
(III) (d) To revoke, suspend, withhold, or refuse to renew any
license previously issued by the board, To TAKE DISCIPLINARY ACTION
AGAINST A LICENSEE IN ACCORDANCE WITH SECTION 12-20-404 OR place a
licensee or temporary license holder on probation or to issue a letter of
admonition to a licensee in accordance with section 12-39-111 (3) in any
case where the individual holding any such license is determined to have
failed to conform to the standards developed pursuant to subparagraph (I)
of this paragraph (a) SUBSECTION (1)(a) OF THIS SECTION or to have
committed an act that constitutes grounds for discipline as set forth in
section 12-39-111 12-265-113;
(IV) (e) To establish and carry out procedures designed to ensure
that individuals licensed as nursing home administrators will, during any
period that they serve as such, comply with the requirements of such THE
standards specified in subparagraph (I) of this paragraph (a) SUBSECTION
(1)(a) OF THIS SECTION;
(V) (f) (I) To conduct investigations, hold hearings, and take
evidence in all matters relating to the exercise and performance of the
powers and duties vested in the board and, in connection with any
investigation following the filing of a signed complaint, an investigation
initiated by the board, or any hearing, to administer oaths and issue
subpoenas compelling the attendance and testimony of witnesses and the
production of books, papers, or records relevant to an investigation or
hearing ACCORDANCE WITH SECTION 12-20-403.
PAGE 1069-HOUSE BILL 19-1172
(VI) (Deleted by amendment, L. 2009, (SB 09-169), ch. 225, p.
1023, § 6, effective May 4, 2009.)
(b) The board or an administrative law judge shall have the power
to administer oaths, take affirmations of witnesses, and issue subpoenas to
compel the attendance of witnesses and the production of all relevant
papers, books, records, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter coming before the board. The
board may appoint an administrative law judge pursuant to part 10 of article
30 of title 24, C.R.S., to take evidence and to make findings and report them
to the board.
(II) The A person providing documents SUBPOENAED PURSUANT TO
SECTION 12-20-403 (2) shall prepare them from the original record and shall
delete from the copy provided pursuant to the subpoena the name of the
resident, but shall identify the resident by a numbered code, to be retained
by the custodian of the records from which the copies were made. Upon
certification of the custodian that the copies are true and complete except
for the resident's name, they shall be deemed authentic, subject to the right
to inspect the originals for the limited purpose of ascertaining the accuracy
of the copies. No privilege of confidentiality shall exist with respect to the
copies, and no liability shall lie against the board, the custodian, or the
custodian's authorized employee for furnishing or using the copies in
accordance with this subsection (1).
(c) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(2) [Formerly 12-39-105 (3)] (a) The board shall develop rules,
with input from long-term care facility provider associations, the
department of public health and environment, the office of the state attorney
general, and consumer representatives, concerning factors to be considered
in determining performance that fails to meet generally accepted standards
PAGE 1070-HOUSE BILL 19-1172
for nursing home administrators and whether or not remedial or disciplinary
actions are warranted. The board may create an advisory committee to assist
the board in developing standards that describe the responsibilities and
duties of nursing home administrators.
(b) If, after an investigation, the board determines that there are
reasonable grounds to believe that the performance of a licensed
administrator is inconsistent with the health or safety of residents in the care
of the facility in which the administrator works and is contrary to standards
adopted by the board, the board may initiate disciplinary action as may be
warranted.
(3) [Formerly 12-39-105 (4)] The board shall have the authority to
make rules consistent with law as may be necessary for the proper
performance of its duties PURSUANT TO SECTION 12-20-204 and to take such
other actions as may be necessary to enable the state to meet the
requirements set forth in section 1908 of the federal "Social Security Act",
the federal rules REGULATIONS promulgated thereunder, and other pertinent
federal requirements.
(4) [Formerly 12-39-107.5] The board shall promulgate rules
defining the criteria for the education and experience necessary for
admittance to the administrator-in-training program. The board shall furnish
copies of the appropriate rules to members of the public upon request. Such
THE criteria for the education and experience necessary for admittance to
the administrator-in-training program shall not exceed successful
completion of two years of college level study in an accredited institution
of higher education in areas relating to health care or two years of
board-approved experience in nursing home administration or comparable
health management experience for each year of required education.
12-265-108. [Formerly 12-39-106] Qualifications for admission
to examination. (1) The board shall admit to examination for licensure as
a nursing home administrator any applicant who pays a fee as determined
by the board, who submits evidence of suitability prescribed by the board,
who is twenty-one years of age or older, and who provides written
documentation that the applicant meets one of the following requirements:
(a) The applicant has successfully completed the
administrator-in-training program pursuant to section 12-39-107
PAGE 1071-HOUSE BILL 19-1172
12-265-109; or
(b) The applicant has successfully completed a bachelor's degree or
higher degree in public health administration or health administration, a
master's degree in management or business administration, or any degree or
degrees deemed appropriate by the board; or
(c) (I) The applicant has successfully completed an associate's
degree or higher degree in a health-care-related field or a bachelor's degree
in business or public administration and has a minimum of one year of
experience in administration in a nursing home or hospital. For the purposes
of this section, a registered nurse who is a graduate of a three-year diploma
program meets the associate degree requirement.
(II) For purposes of the experience required by this paragraph (c)
SUBSECTION (1)(c), an applicant must have day-to-day, on-site responsibility
for supervising, directing, managing, monitoring, or exercising reasonable
control over subordinates for one year.
(2) If the applicant fails to provide evidence satisfactory to the board
that the applicant meets the requirements of subsection (1) of this section,
the applicant shall not be admitted to take the licensing examination, and
the applicant shall not be entitled to or be granted a license as a nursing
home administrator.
(3) (Deleted by amendment, L. 99, p. 361, § 4, effective July 1,
1999.)
12-265-109. [Formerly 12-39-107] Administrator-in-training -
rules. (1) The board may grant admission into the nursing home
administrator-in-training program to an applicant for a nursing home
administrator's license who meets the board's criteria for education and
experience, pursuant to section 12-39-107.5 12-265-107 (4). Upon
successful completion of the one-thousand-hour training period, the
applicant is eligible to take the examination.
(2) (Deleted by amendment, L. 2009, (SB 09-169), ch. 225, p. 1024,
§ 8, effective May 4, 2009.)
(3) (2) Every nursing home administrator-in-training shall register
PAGE 1072-HOUSE BILL 19-1172
the fact of such THE training with the board in accordance with the rules and
on forms provided by the board.
(4) (3) The board shall, by rule, establish a monitoring mechanism
that will provide oversight of the administrator-in-training program,
including a requirement that an administrator-in-training submit periodic
progress reports to the board.
(5) (Deleted by amendment, L. 99, p. 362, § 5, effective July 1,
1999.)
(6) (4) The board may waive any portion required by subsection (1)
of this section if it finds that the applicant has prior experience or training
sufficient to satisfy requirements established by rule of the board.
12-265-110. [Formerly 12-39-108] Licenses - temporary licenses
- renewal - fees - rules. (1) Any license issued by the board shall be valid
for a period determined pursuant to a schedule established by the director
of the division of professions and occupations within the department of
regulatory agencies and shall be renewed or reinstated pursuant to section
24-34-102 (8), C.R.S. The director of the division of professions and
occupations within the department of regulatory agencies may establish
renewal fees and delinquency fees for reinstatement pursuant to section
24-34-105, C.R.S. If a person fails to renew his or her license pursuant to
the schedule established by the director of the division of professions and
occupations, such license shall expire PURSUANT TO THIS ARTICLE 265 IS
SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
Any person whose license has expired shall be subject to the penalties
provided in this article 265 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
(2) Repealed.
(3) (2) Only an individual who has qualified as a licensed nursing
home administrator under the provisions of this article 265 and who holds
a valid current license pursuant to the provisions of this section has the
privilege of using the title "nursing home administrator" and the right and
the privilege of using the abbreviation "N.H.A." after such THE person's
name.
PAGE 1073-HOUSE BILL 19-1172
(4) (3) The board shall maintain a list of all licensed nursing home
administrators, which list shall show: The place of residence, the name and
age of each licensee, any action taken by the board, the number of the
license issued to the licensee, and such other pertinent information as the
board may deem necessary. The department OF REGULATORY AGENCIES
shall keep a list of applicants who are denied.
(5) (4) The board may issue a temporary license to an applicant for
a period not to exceed six months. The board shall promulgate rules and
regulations for the issuance of such a temporary license.
(6) (5) A temporary license shall be granted to an applicant who is
employed as a hospital administrator by a general hospital licensed or
certified by the department of public health and environment. Such THE
temporary permit LICENSE shall be granted for a period not to exceed twelve
months and shall be void at such time AS the license holder is no longer
employed by the general hospital.
(7) (6) The board shall establish, pursuant to section 24-34-105,
C.R.S. 12-20-105, and publish annually a schedule of fees for the licensing
of nursing home administrators.
(8) All moneys collected or received by the board shall be
transmitted to the state treasurer who shall credit the same as provided in
section 24-34-105, C.R.S., and the general assembly shall make annual
appropriations pursuant to said section for the expenditures of the board
incurred in the performance of its duties under this article, which
expenditures shall be made from such appropriations upon vouchers and
warrants drawn pursuant to law.
(9) No nursing home administrator who has had a license revoked
may apply for licensure before a one-year waiting period following the date
of such revocation and must comply with all requirements established by
rules and regulations of the board.
(10) (7) Each licensee shall, within thirty days, notify the board of
any conviction of a felony or the acceptance of a guilty plea or a plea of
nolo contendere to a felony.
12-265-111. [Formerly 12-39-109] Examinations. (1) The board
PAGE 1074-HOUSE BILL 19-1172
shall determine the subjects of the state examination for all applicants for
licensure as nursing home administrators.
(2) Examinations shall be held at least semiannually at such times
and places as the board shall designate. Any examination shall be prepared
or approved by the board.
(3) The board shall have the authority to select and administer a
national examination.
12-265-112. [Formerly 12-39-110] Endorsement - definitions.
(1) (a) The board shall issue a license to any person duly licensed to
practice nursing home administration in another state or territory of the
United States who:
(I) Provides written documentation verifying that the applicant has
passed a national examination administered by a nationally recognized
testing entity for nursing home administrators and has passed an
examination in another state; and
(II) Successfully completes the Colorado state examination provided
in section 12-39-109 12-265-111.
(b) For purposes of this section, "state or territory" includes the
District of Columbia and the commonwealth of Puerto Rico.
(2) An applicant for licensure under this section shall submit to the
board, in a manner prescribed by the board, all of the following:
(a) Evidence that the applicant holds a current, active license to
practice nursing home administration issued by a state or territory of the
United States other than Colorado. Such THE evidence shall include a
license history from the state or territory that issued the license, indicating
whether any disciplinary or other adverse actions are currently pending or
have ever been taken in connection with that license and the final
disposition of such THESE actions, if any. If an applicant is or has been
licensed in more than one state or territory other than Colorado, the
applicant shall submit a license history or similar record as described in this
paragraph (a) SUBSECTION (2)(a) from each such state or territory.
PAGE 1075-HOUSE BILL 19-1172
(b) A license history or similar record, as described in paragraph (a)
of this subsection (2) SUBSECTION (2)(a) OF THIS SECTION, relating to any
license or registration which THAT the applicant holds or has held in any
other health care occupation in any state or territory other than Colorado.
For purposes of this section, "health care occupation" includes without
limitation the practices of medicine, dentistry, psychiatry, psychology,
nursing, physical therapy, gerontology, chiropractic, podiatry, midwifery,
optometry, pharmacy, and any other practice in which individuals are
treated for medical or psychological problems or conditions, as well as the
rendition of any service supportive to or ancillary to those practices.
(c) (I) Verification that the applicant has been engaged in the
practice of nursing home administration, has taught in a health care
administration program, or has served as a member of a nursing home
survey or accreditation team for one year immediately preceding the date of
the receipt of the application, or has been engaged in one of the services
described in this subparagraph (I) SUBSECTION (2)(c)(I) for three of the five
years immediately preceding the date of the receipt of the application; or
(II) Evidence that the applicant has demonstrated competency as a
nursing home administrator as determined by the board.
12-265-113. [Formerly 12-39-111] Grounds for discipline.
(1) The board has the power to revoke, suspend, withhold, or refuse to
renew any license, to place on probation a licensee or temporary license
holder, or to issue a letter of admonition to a licensee in accordance with the
procedures set forth in subsection (3) of this section TAKE DISCIPLINARY OR
OTHER ACTION AS SPECIFIED IN SECTIONS 12-20-404 AND 12-265-107 (1)(d),
upon proof that the person:
(a) Has procured or attempted to procure a license by fraud, deceit,
misrepresentation, misleading omission, or material misstatement of fact;
(b) Has been convicted of a felony or pled guilty or nolo contendere
to a felony. A certified copy of the judgment of conviction by a court of
competent jurisdiction shall be prima facie evidence of such THE conviction.
In considering a possible revocation, suspension, or nonrenewal of a license
or temporary license, the board shall be governed by the provisions of
section SECTIONS 12-20-202 (5) AND 24-5-101. C.R.S.
PAGE 1076-HOUSE BILL 19-1172
(c) Has had a license to practice nursing home administration or any
other health care occupation suspended or revoked in any jurisdiction. A
certified copy of the order of suspension or revocation shall be prima facie
evidence of such THE suspension or revocation.
(d) Has violated or aided or abetted a violation of any provision of
this article 265, AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS
TITLE 12, any rule or regulation adopted under this article 265, or any lawful
order of the board;
(e) Has committed or engaged in any act or omission which THAT
fails to meet generally accepted standards for such nursing home
administration practice or licensure;
(f) Has falsified or made incorrect entries or failed to make essential
entries on resident records;
(g) Has an alcohol use disorder, as defined in section 27-81-102, or
a substance use disorder, as defined in section 27-82-102, abuses or engages
in the habitual or excessive use of any such habit-forming drug or any
controlled substance as defined in section 18-18-102 (5), or participates in
the unlawful use of controlled substances as specified in section 18-18-404;
except that the board has the discretion not to discipline the licensee if such
THE person is participating, in good faith, in a substance use disorder
treatment program approved by the board;
(h) Has a physical disability or an intellectual and developmental
disability that renders the licensee unable to practice nursing home
administration with reasonable skill and safety to the residents and that may
endanger the health or safety of persons under the licensee's care;
(i) Has violated the confidentiality of information or knowledge as
prescribed by law concerning any resident;
(j) Has violated section 18-13-119 C.R.S., concerning the abuse of
health insurance;
(k) Has failed to post in the nursing home facility in a conspicuous
place and in clearly legible type a notice giving the address and telephone
number of the board and stating that complaints may be made to the board;
PAGE 1077-HOUSE BILL 19-1172
(l) Has practiced as a nursing home administrator without a license;
(m) Has used in connection with the person's name any designations
tending to imply that the person is a licensed nursing home administrator,
unless the person in fact holds a valid license;
(n) Has practiced as a nursing home administrator during a period
when the person's license has been suspended or revoked; or
(o) Has sold, fraudulently obtained, or furnished a license to practice
as a nursing home administrator, or has aided or abetted therein.
(2) The board need not find that the actions which THAT are grounds
for discipline were willful or negligent, but it may consider the same in
determining the nature of disciplinary sanctions to be imposed.
(3) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
by the board but that should not be dismissed as being without merit, THE
BOARD MAY SEND a letter of admonition may be issued and sent, by certified
mail to the A licensee UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN
ACCORDANCE WITH SECTION 12-20-404 (4).
(b) When a letter of admonition is sent by the board, by certified
mail, to a licensee, such licensee shall be advised that he or she has the right
to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(4) If the board finds the charges proven and orders that discipline
be imposed, it may also require the licensee to participate in a treatment
program or course of training or education as a requirement for
reinstatement as may be needed to correct any deficiency found in the
hearing.
(5) When a complaint or an investigation discloses an instance of
PAGE 1078-HOUSE BILL 19-1172
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
12-265-114. [Formerly 12-39-112] Withholding or denial of
license - hearing. The board has the authority, pursuant to article 4 of title
24, C.R.S., to determine whether an applicant for a license or a temporary
license to practice as a nursing home administrator possesses the
qualifications required by this article 265, or whether there are reasonable
grounds to believe that such THE applicant has done any of the acts set forth
in section 12-39-111 12-265-113 as grounds for discipline. As used in this
section, "applicant" does not include a person seeking the renewal of a
license.
12-265-115. [Formerly 12-39-113] Mental and physical
examination of licensees. (1) (a) If the board has reasonable grounds to
believe that a licensee or temporary license holder is unable to practice with
reasonable skill and safety to residents because of a condition described in
section 12-39-111 (1)(g) or (1)(h) 12-265-113 (1)(g) OR (1)(h), it may
require the person to submit to a mental or physical examination by a
physician or other licensed health care professional it designates. Upon the
failure of the person to submit to the mental or physical examination, unless
due to circumstances beyond the person's control, the board may suspend
the person's license until the person submits to the required examinations.
(b) Every licensee or temporary license holder, by engaging in the
practice of nursing home administration in this state or by applying for the
renewal of a license or temporary license, shall be deemed to have given
consent to submit to a mental or physical examination when so directed in
writing by the board. The direction to submit to such an examination shall
contain the basis of the board's reasonable grounds to believe that the
licensee is unable to practice with reasonable skill and safety to residents
because of a condition described in section 12-39-111 (1)(g) or (1)(h)
12-265-113 (1)(g) OR (1)(h). The licensee shall be deemed to have waived
all objections to the admissibility of the examining physician's or other
licensed health care professional's testimony or examination reports on the
ground of privileged communication.
(2) Nothing in this section shall prevent the licensee from submitting
testimony or examination reports of a physician or other licensed health care
PAGE 1079-HOUSE BILL 19-1172
professional designated by the licensee that pertains to a condition described
in section 12-39-111 (1)(g) or (1)(h) 12-265-113 (1)(g) OR (1)(h) that may
be considered by the board in conjunction with, but not in lieu of, testimony
and examination reports of the physician or other licensed health care
professional designated by the board.
(3) The results of any mental or physical examination ordered by the
board shall not be used as evidence in any proceeding other than one before
the board and shall not be deemed public records nor made available to the
public.
12-265-116. [Formerly 12-39-114] Disciplinary proceedings -
administrative law judge - judicial review - publicly recorded votes.
(1) The board, through the department of regulatory agencies, has the
authority to designate an administrative law judge to conduct hearings on
any matter within the board's jurisdiction. Any designated administrative
law judge shall have the powers and duties set forth in article 4 of title 24,
C.R.S., and shall be appointed pursuant to part 10 of article 30 of title 24,
C.R.S.
(2) (1) Disciplinary proceedings may be commenced when the board
has reasonable grounds to believe that a licensee under the board's
jurisdiction has committed acts in violation of section 12-39-111
12-265-113.
(3) (2) Disciplinary proceedings shall be conducted in the manner
prescribed by SECTION 12-20-403 AND article 4 of title 24, C.R.S., and the
hearing and opportunity for review shall be conducted pursuant to said
article THOSE LAWS by the board or an administrative law judge, at the
board's discretion.
(4) (3) No previously issued license to engage in the practice of
nursing home administration shall be revoked or suspended until a hearing
has been conducted pursuant to section 24-4-105 C.R.S., or, for emergency
situations, pursuant to section 24-4-104 (4). C.R.S. The denial of an
application to renew an existing license shall be treated in all respects as a
revocation.
(5) Any person participating in good faith in the making of a
complaint or report or participating in any investigative or administrative
PAGE 1080-HOUSE BILL 19-1172
proceeding pursuant to this article shall be immune from any liability, civil
or criminal, that otherwise might result by reason of such action.
(6) (4) (a) Complaints, investigations, hearings, meetings, or any
other proceedings of the board conducted pursuant to the provisions of this
article 39 265 and relating to disciplinary proceedings are exempt from the
provision of any law requiring that proceedings of the board be conducted
publicly or that the minutes or records of the board with respect to action of
the board taken pursuant to the provisions of this article 39 265 be open to
public inspection; except that this exemption applies only when the board,
or an administrative law judge acting on behalf of the board, specifically
determines that it is in the best interest of a complainant or other recipient
of services to keep such THE proceedings or documents relating thereto
closed to the public, or if the licensee is violating section 12-39-111 (1)(g)
12-265-113 (1)(g), participating in good faith in a substance use disorder
treatment program approved by the board or designed by the board to end
any addiction or dependency specified in said THAT section, and the licensee
has not violated any provisions of the board order regarding participation
in such a treatment program. If the board determines that it is in the best
interest of a complainant or other recipient of services to keep such THE
proceedings or documents relating thereto closed to the public, then the
final action of the board is open to the public without disclosing the name
of the client or other recipient.
(b) SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF final board
actions and orders appropriate for judicial review. may be judicially
reviewed in the court of appeals in accordance with section 24-4-106 (11).
(7) (5) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, THE BOARD MAY SEND a confidential
letter of concern may be issued and sent to the TO A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(8) (6) All votes to impose discipline or dismiss a complaint must
be recorded in the board's publicly available minutes and indicate how each
board member voted on the question.
PAGE 1081-HOUSE BILL 19-1172
12-265-117. [Formerly 12-39-115] Temporary advisory
committees - immunity. (1) The board may appoint temporary advisory
committees, including temporary professional review committees, to assist
in the performance of its duties with respect to individual investigations.
Each temporary advisory committee shall consist of at least three licensees
who have expertise in the area under review. Members of temporary
advisory committees shall receive no compensation for their services but
shall be reimbursed for the actual and necessary expenses incurred in the
performance of their duties.
(2) If a professional review committee is established pursuant to
subsection (1) of this section to investigate the quality of care being given
by a person licensed pursuant to this article such 265, THE committee shall
include in its membership at least three persons licensed in the same
category as the licensee under review, but such THE committee may be
authorized to act only by the board.
(3) IN ADDITION TO THE PERSONS SPECIFIED IN SECTION 12-20-402,
any member of the board or of a professional review committee, any
member of the board's or committee's staff, any person acting as a witness
or consultant to the board or committee, any witness testifying in a
proceeding authorized under this article 265, and any person who lodges a
complaint pursuant to this article shall be immune from liability in any civil
action brought against him or her for acts occurring while acting in his or
her capacity as board or committee member, staff, consultant, or witness,
respectively, if such individual was acting in good faith within the scope of
his or her respective capacity, made a reasonable effort to obtain the facts
of the matter as to which he or she acted, and acted in the reasonable belief
that the action taken by him or her was warranted by the facts. Any person
participating in good faith in lodging a complaint or participating in any
investigative or administrative proceeding pursuant to this article shall be
immune from any civil or criminal liability that may result from such
participation 265 IS GRANTED THE SAME IMMUNITY, AND IS SUBJECT TO THE
SAME CONDITIONS FOR IMMUNITY, AS SPECIFIED IN SECTION 12-20-402.
12-265-118. [Formerly 12-39-116] Unauthorized practice -
penalties.
(1) Repealed.
PAGE 1082-HOUSE BILL 19-1172
(2) Any person who practices or offers or attempts to practice as a
nursing home administrator without an active license issued under this
article commits a class 2 misdemeanor and shall be punished as provided
in section 18-1.3-501, C.R.S., for the first offense, and any person who
commits a second or subsequent offense commits a class 6 felony and shall
be punished as provided in section 18-1.3-401, C.R.S. 265 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-265-119. [Formerly 12-39-117] Cease-and-desist orders.
(1) (a) If it appears to the board, based upon credible evidence as presented
in a written complaint by any person, that a licensee is acting in a manner
that is an imminent threat to the health and safety of the public, or a person
is acting or has acted without the required license, the board may issue an
order to cease and desist such activity. The order shall set forth the statutes
and rules alleged to have been violated, the facts alleged to have constituted
the violation, and the requirement that all unlawful acts or unlicensed
practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (1), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(2) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (2) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (2) shall
constitute notice thereof to the person.
PAGE 1083-HOUSE BILL 19-1172
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (2). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (2) does not appear at the
hearing, the board may present evidence that notification was properly sent
or served upon such person pursuant to paragraph (b) of this subsection (2)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license, or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued,
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (2), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom such order has been issued. The
final order issued pursuant to subparagraph (III) of this paragraph (c) shall
be effective when issued and shall be a final order for purposes of judicial
review.
(3) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
PAGE 1084-HOUSE BILL 19-1172
administrative sanction pursuant to this article, the board may enter into a
stipulation with such person.
(4) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(5) A person aggrieved by the final cease-and-desist order may seek
judicial review of the board's determination or of the board's final order as
provided in section 12-39-114 (6).
THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-265-120. [Formerly 12-39-118] Injunctive proceedings. The
board in the name of the people of the state of Colorado, may apply for MAY
SEEK injunctive relief through the attorney general or the district attorney
in any court of competent jurisdiction IN ACCORDANCE WITH SECTION
12-20-406, BUT ONLY to enjoin any person who does not possess a currently
valid or active nursing home administrator's license from committing any
act declared to be unlawful or prohibited by this article 265. In any action
taken pursuant to this section, the court shall not require the board to plead
or prove irreparable injury or inadequacy of a remedy at law or to post a
bond. If it is established that the defendant has been or is committing an act
declared to be unlawful or prohibited by this article, the court or any judge
thereof shall enter a decree perpetually enjoining said defendant from
further committing such act. In the case of a violation of any injunction
issued under the provisions of this section, the court or any judge thereof
may summarily try and punish the offender for contempt of court. Such
injunctive proceedings shall be in addition to, and not in lieu of, all
penalties and other remedies provided in this article POST A BOND.
12-265-121. [Formerly 12-39-119] Administration of nursing
homes relying on treatment by spiritual means. A person who serves as
an administrator of a nursing home conducted exclusively for persons who
rely upon treatment by spiritual means alone, through prayer in accordance
PAGE 1085-HOUSE BILL 19-1172
with the creed or tenets of a church or religious denomination, shall be
exempt from the provisions of this article 265.
12-265-122. [Formerly 12-39-120] Records. The board shall keep
formal records of all complaints it receives and of the final disposition of
such THE complaints. The board shall be responsible for implementing a
tracking system to facilitate the retrieval of such THE records.
12-265-123. [Formerly 12-39-121] Repeal of article. (1) This
article 39 265 is repealed, effective September 1, 2023.
(2) Prior to BEFORE the repeal, the licensing functions of the board
of examiners of nursing home administrators are scheduled for review in
accordance with section 24-34-104.
ARTICLE 270
Occupational Therapists and
Occupational Therapy Assistants
12-270-101. [Formerly 12-40.5-101] Short title. THE SHORT TITLE
OF this article shall be known and may be cited as 270 IS the "Occupational
Therapy Practice Act".
12-270-102. [Formerly 12-40.5-102] Legislative declaration.
(1) The general assembly hereby finds, determines, and declares that:
(a) Occupational therapy services are provided for the purpose of
promoting health and wellness to those who have or are at risk for
developing an illness, injury, disease, disorder, condition, impairment,
disability, activity limitation, or participation restriction;
(b) Occupational therapy addresses the physical, cognitive,
psychosocial, sensory, and other aspects of performance in a variety of
contexts to support engagement in everyday life activities that affect health,
well-being, and quality of life;
(c) This act ARTICLE 270 is necessary to:
(I) Safeguard the public health, safety, and welfare; and
PAGE 1086-HOUSE BILL 19-1172
(II) Protect the public from incompetent, unethical, or unauthorized
persons.
(2) The general assembly further determines that it is the purpose of
this act ARTICLE 270 to regulate persons who are representing themselves
as occupational therapists AND OCCUPATIONAL THERAPY ASSISTANTS and
who are performing services that constitute occupational therapy.
12-270-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 270.
12-270-104. [Formerly 12-40.5-103] Definitions. As used in this
article 270, unless the context otherwise requires:
(1) "Activities of daily living" means activities that are oriented
toward taking care of one's own body, such as bathing, showering, bowel
and bladder management, dressing, eating, feeding, functional mobility,
personal device care, personal hygiene and grooming, sexual activity, sleep,
rest, and toilet hygiene.
(2) "Aide" means a person who is not licensed by the director and
who provides supportive services to occupational therapists and
occupational therapy assistants.
(3) "Department" means the department of regulatory agencies.
(4) "Director" means the director of the division of professions and
occupations.
(5) "Division" means the division of professions and occupations in
the department of regulatory agencies created in section 24-34-102, C.R.S.
(6) (3) "Instrumental activities of daily living" means activities that
are oriented toward interacting with the environment and that may be
complex. These activities are generally optional in nature and may be
delegated to another person. "Instrumental activities of daily living" include
care of others, care of pets, child-rearing, communication device use,
community mobility, financial management, health management and
maintenance, home establishment and management, meal preparation and
PAGE 1087-HOUSE BILL 19-1172
cleanup, safety procedures and emergency responses, and shopping.
(6.5) "Licensee" means a person licensed under this article as an
occupational therapist or occupational therapy assistant.
(7) (4) "Low vision rehabilitation services" means the evaluation,
diagnosis, management, and care of the low vision patient in visual acuity
and visual field as it affects the patient's occupational performance,
including low vision rehabilitation therapy, education, and interdisciplinary
consultation.
(8) (5) "Occupational therapist" means a person licensed to practice
occupational therapy under this article 270.
(9) (6) "Occupational therapy" means the therapeutic use of
everyday life activities with individuals or groups for the purpose of
participation in roles and situations in home, school, workplace, community,
and other settings. The practice of occupational therapy includes:
(a) Methods or strategies selected to direct the process of
interventions such as:
(I) Establishment, remediation, or restoration of a skill or ability that
has not yet developed or is impaired;
(II) Compensation, modification, or adaptation of an activity or
environment to enhance performance;
(III) Maintenance and enhancement of capabilities without which
performance of everyday life activities would decline;
(IV) Promotion of health and wellness to enable or enhance
performance in everyday life activities; and
(V) Prevention of barriers to performance, including disability
prevention;
(b) Evaluation of factors affecting activities of daily living,
instrumental activities of daily living, education, work, play, leisure, and
social participation, including:
PAGE 1088-HOUSE BILL 19-1172
(I) Client factors, including body functions such as neuromuscular,
sensory, visual, perceptual, and cognitive functions, and body structures
such as cardiovascular, digestive, integumentary, and genitourinary systems;
(II) Habits, routines, roles, and behavior patterns;
(III) Cultural, physical, environmental, social, and spiritual contexts
and activity demands that affect performance; and
(IV) Performance skills, including motor, process, and
communication and interaction skills;
(c) Interventions and procedures to promote or enhance safety and
performance in activities of daily living, instrumental activities of daily
living, education, work, play, leisure, and social participation, including:
(I) Therapeutic use of occupations, exercises, and activities;
(II) Training in self-care, self-management, home management, and
community and work reintegration;
(III) Identification, development, remediation, or compensation of
physical, cognitive, neuromuscular, sensory functions, sensory processing,
and behavioral skills;
(IV) Therapeutic use of self, including a person's personality,
insights, perceptions, and judgments, as part of the therapeutic process;
(V) Education and training of individuals, including family
members, caregivers, and others;
(VI) Care coordination, case management, and transition services;
(VII) Consultative services to groups, programs, organizations, or
communities;
(VIII) Modification of environments such as home, work, school,
or community and adaptation of processes, including the application of
ergonomic principles;
PAGE 1089-HOUSE BILL 19-1172
(IX) Assessment, design, fabrication, application, fitting, and
training in assistive technology and adaptive and orthotic devices and
training in the use of prosthetic devices, excluding glasses, contact lenses,
or other prescriptive devices to correct vision unless prescribed by an
optometrist;
(X) Assessment, recommendation, and training in techniques to
enhance functional mobility, including wheelchair management;
(XI) Driver rehabilitation and community mobility;
(XII) Management of feeding, eating, and swallowing to enable
eating and feeding performance;
(XIII) Application of physical agent modalities and therapeutic
procedures such as wound management; techniques to enhance sensory,
perceptual, and cognitive processing; and manual techniques to enhance
performance skills; and
(XIV) The use of telehealth pursuant to rules as may be adopted by
the director.
(10) (7) "Occupational therapy assistant" means a person licensed
under this article 270 to practice occupational therapy under the supervision
of and in partnership with an occupational therapist.
(11) Repealed.
(12) (8) "Supervision" means the giving of aid, directions, and
instructions that are adequate to ensure the safety and welfare of clients
during the provision of occupational therapy by the occupational therapist
designated as the supervisor. Responsible direction and supervision by the
occupational therapist shall include consideration of factors such as level
of skill, the establishment of service competency, experience, work setting
demands, the complexity and stability of the client population, and other
factors. Supervision is a collaborative process for responsible, periodic
review and inspection of all aspects of occupational therapy services, and
the occupational therapist is legally accountable for occupational therapy
services provided by the occupational therapy assistant and the aide.
PAGE 1090-HOUSE BILL 19-1172
(13) (9) "Vision therapy services" means the assessment, diagnosis,
treatment, and management of a patient with vision therapy, visual training,
visual rehabilitation, orthoptics, or eye exercises.
12-270-105. [Formerly 12-40.5-104] Use of titles restricted.
(1) Only a person licensed as an occupational therapist may use the title
"occupational therapist licensed", "licensed occupational therapist",
"occupational therapist", or "doctor of occupational therapy" or use the
abbreviation "O.T.", "O.T.D.", "O.T.R.", "O.T./L.", "O.T.D./L.", or
"O.T.R./L.", or any other generally accepted terms, letters, or figures that
indicate that the person is an occupational therapist.
(2) Only a person licensed as an occupational therapy assistant may
use the title "occupational therapy assistant licensed" or "licensed
occupational therapy assistant", use the abbreviation "O.T.A./L." or
"C.O.T.A./L.", or use any other generally accepted terms, letters, or figures
indicating that the person is an occupational therapy assistant.
12-270-106. [Formerly 12-40.5-105] License required -
occupational therapists - occupational therapy assistants.
(1) Repealed.
(2) (1) (a) On and after June 1, 2014, except as otherwise provided
in this article 270, a person shall not practice occupational therapy or
represent himself or herself as being able to practice occupational therapy
in this state without possessing a valid license issued by the director in
accordance with this article 270 and rules adopted pursuant to this article
270.
(b) On June 1, 2014, each active occupational therapy registration
becomes an active occupational therapy license by operation of law. The
conversion from registration to licensure does not:
(I) Affect any prior discipline, limitation, or condition imposed by
the director on an occupational therapist's registration;
(II) Limit the director's authority over any registrant; or
(III) Affect any pending investigation or administrative proceeding.
PAGE 1091-HOUSE BILL 19-1172
(c) The director shall treat any application for an occupational
therapy registration pending on June 1, 2014, as an application for licensure,
which application is subject to the requirements established by the director.
(3) (2) On and after June 1, 2014, except as otherwise provided in
this article 270, a person shall not practice as an occupational therapy
assistant or represent himself or herself as being able to practice as an
occupational therapy assistant in this state without possessing a valid license
issued by the director in accordance with this article 270 and any rules
adopted under this article 270.
12-270-107. [Formerly 12-40.5-106] Licensure of occupational
therapists - application - qualifications - rules. (1) Educational and
experiential requirements. Every applicant for a license as an occupational
therapist must have:
(a) Successfully completed the academic requirements of an
educational program for occupational therapists that is offered by an
institution of higher education and accredited by a national, regional, or
state agency recognized by the United States secretary of education, or
another such program accredited thereby and approved by the director;
(b) Successfully completed a minimum period of supervised
fieldwork experience required by the recognized educational institution
where the applicant met the academic requirements described in paragraph
(a) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION. The minimum
period of fieldwork experience for an occupational therapist is twenty-four
weeks of supervised fieldwork experience or satisfaction of any generally
recognized past standards that identified minimum fieldwork requirements
at the time of graduation.
(2) Application. (a) When an applicant has fulfilled the
requirements of subsection (1) of this section, the applicant may apply for
examination and licensure upon payment of a fee in an amount determined
by the director. A person who fails an examination may apply for
reexamination upon payment of a fee in an amount determined by the
director.
(b) The application shall be in the form and manner designated by
the director.
PAGE 1092-HOUSE BILL 19-1172
(3) Examination. Each applicant shall pass a nationally recognized
examination approved by the director that measures the minimum level of
competence necessary for public health, safety, and welfare.
(4) Licensure. When an applicant has fulfilled the requirements of
subsections (1) to (3) of this section, the director shall issue a license to the
applicant; except that the director may deny a license if the applicant has
committed any act that would be grounds for disciplinary action under
section 12-40.5-110 12-270-114.
(5) Licensure by endorsement. (a) An applicant for licensure by
endorsement must file an application and pay a fee as prescribed by the
director and must hold a current, valid license or registration in a
jurisdiction that requires qualifications substantially equivalent to those
required by subsection (1) of this section for licensure.
(b) An applicant for licensure by endorsement must submit with the
application verification that the applicant has actively practiced for a period
of time determined by rules of the director or otherwise maintained
competency as determined by the director.
(c) Upon receipt of all documents required by paragraphs (a) and (b)
of this subsection (5) SUBSECTIONS (5)(a) AND (5)(b) OF THIS SECTION, the
director shall review the application and make a determination of the
applicant's qualification to be licensed by endorsement.
(d) The director may deny the application for licensure by
endorsement if the applicant has committed an act that would be grounds
for disciplinary action under section 12-40.5-110 12-270-114.
(6) License renewal. (a) An occupational therapist must renew his
or her license issued under this article according to a schedule of renewal
dates established by the director. The occupational therapist must submit an
application in the form and manner designated by the director and shall pay
a renewal fee in an amount determined by the director.
(b) Licenses ISSUED PURSUANT TO THIS SECTION are renewed or
reinstated in accordance with the schedule established by the director, and
the director shall grant a renewal or reinstatement pursuant to section
24-34-102 (8), C.R.S. The director may establish renewal fees and
PAGE 1093-HOUSE BILL 19-1172
delinquency fees for reinstatement pursuant to section 24-34-105, C.R.S. If
an occupational therapist fails to renew his or her license pursuant to the
schedule established by the director, the license expires SUBJECT TO THE
RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). Any person whose
license expires is subject to the penalties provided in this article 270 or
section 24-34-102 (8), C.R.S., for reinstatement 12-20-202 (1).
(7) Fees. All fees collected under this article shall be determined,
collected, and appropriated in the same manner as set forth in section
24-34-105, C.R.S., and periodically adjusted in accordance with section
24-75-402, C.R.S.
12-270-108. [Formerly 12-40.5-106.5] Occupational therapy
assistants - licensure - application - qualifications - rules.
(1) Educational and experiential requirements. Every applicant for a
license as an occupational therapy assistant must have:
(a) Successfully completed the academic requirements of an
educational program for occupational therapy assistants that is offered by
an institution of higher education and accredited by a national, regional, or
state agency recognized by the United States secretary of education, or
another such program accredited thereby and approved by the director;
(b) Successfully completed a minimum period of supervised
fieldwork experience required by the recognized educational institution
where the applicant met the academic requirements described in paragraph
(a) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION. The minimum
period of fieldwork experience for an occupational therapy assistant is
sixteen weeks of supervised fieldwork experience or satisfaction of any
generally recognized past standards that identified minimum fieldwork
requirements at the time of graduation.
(2) Application. (a) When an applicant has fulfilled the
requirements of subsection (1) of this section, the applicant may apply for
licensure upon payment of a fee in an amount determined by the director.
(b) The applicant must submit an application in the form and manner
designated by the director.
PAGE 1094-HOUSE BILL 19-1172
(3) Examination. Each applicant must pass a nationally recognized
examination, approved by the director, that measures the minimum level of
competence necessary for public health, safety, and welfare.
(4) Licensure. When an applicant has fulfilled the requirements of
subsections (1) to (3) of this section, the director shall issue a license to the
applicant; except that the director may deny a license if the applicant has
committed any act that would be grounds for disciplinary action under
section 12-40.5-110 12-270-114.
(5) Licensure by endorsement. (a) An applicant for licensure by
endorsement must file an application and pay a fee as prescribed by the
director and must hold a current, valid license or registration in a
jurisdiction that requires qualifications substantially equivalent to those
required for licensure by subsection (1) of this section.
(b) An applicant for licensure by endorsement must submit with the
application verification that the applicant has actively practiced as an
occupational therapy assistant for a period of time determined by rules of
the director or otherwise maintained competency as an occupational therapy
assistant as determined by the director.
(c) Upon receipt of all documents required by paragraphs (a) and (b)
of this subsection (5) SUBSECTIONS (5)(a) AND (5)(b) OF THIS SECTION, the
director shall review the application and make a determination of the
applicant's qualification to be licensed by endorsement as an occupational
therapy assistant.
(d) The director may deny the license if the applicant has committed
an act that would be grounds for disciplinary action under section
12-40.5-110 12-270-114.
(6) License renewal. (a) An occupational therapy assistant must
renew his or her license issued under this article according to a schedule of
renewal dates established by the director. The occupational therapy assistant
must submit an application in the form and manner designated by the
director and shall pay a renewal fee in an amount determined by the
director.
(b) Licenses ISSUED PURSUANT TO THIS SECTION are renewed or
PAGE 1095-HOUSE BILL 19-1172
reinstated in accordance with the schedule established by the director, and
the director shall grant a renewal or reinstatement pursuant to section
24-34-102 (8), C.R.S. The director may establish renewal fees and
delinquency fees for reinstatement pursuant to section 24-34-105, C.R.S. If
an occupational therapy assistant fails to renew his or her license pursuant
to the schedule established by the director, the license expires SUBJECT TO
THE RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). Any person whose
license expires is subject to the penalties provided in this article 270 or
section 24-34-102 (8), C.R.S., for reinstatement 12-20-202 (1).
12-270-109. [Formerly 12-40.5-107] Supervision of occupational
therapy assistants and aides. (1) An occupational therapy assistant may
practice only under the supervision of an occupational therapist who is
licensed to practice occupational therapy in this state. The occupational
therapist is responsible for occupational therapy evaluation, appropriate
reassessment, treatment planning, interventions, and discharge from
occupational therapy services based on standard professional guidelines.
Supervision of an occupational therapy assistant by an occupational
therapist is a shared responsibility. The supervising occupational therapist
and the supervised occupational therapy assistant have legal and ethical
responsibility for ongoing management of supervision, including providing,
requesting, giving, or obtaining supervision. The supervising occupational
therapist shall determine the frequency, level, and nature of supervision
with input from the occupational therapy assistant and shall base the
supervision determination on a variety of factors, including the clients'
required level of care, the treatment plan, and the experience and pertinent
skills of the occupational therapy assistant.
(2) The supervising occupational therapist shall supervise the
occupational therapy assistant in a manner that ensures that the occupational
therapy assistant:
(a) Does not initiate or alter a treatment program without prior
evaluation by and approval of the supervising occupational therapist;
(b) Obtains prior approval of the supervising occupational therapist
before making adjustments to a specific treatment procedure; and
(c) Does not interpret data beyond the scope of the occupational
PAGE 1096-HOUSE BILL 19-1172
therapy assistant's education and training.
(3) An aide shall function only under the guidance, responsibility,
and supervision of an occupational therapist or occupational therapy
assistant. The aide shall perform only specifically selected tasks for which
the aide has been trained and has demonstrated competence to the
occupational therapist or occupational therapy assistant. The supervising
occupational therapist or occupational therapy assistant shall supervise the
aide in a manner that ensures compliance with this subsection (3) and is
subject to discipline under section 12-40.5-110 12-270-114 for failure to
properly supervise an aide.
12-270-110. [Formerly 12-40.5-108] Scope of article - exclusions.
(1) This article 270 does not prevent or restrict the practice, services, or
activities of:
(a) A person licensed or otherwise regulated in this state by any
other law from engaging in his or her profession or occupation as defined
in the PART OR article under which he or she is licensed;
(b) A person pursuing a course of study leading to a degree in
occupational therapy at an educational institution with an accredited
occupational therapy program if that person is designated by a title that
clearly indicates his or her status as a student and if he or she acts under
appropriate instruction and supervision;
(c) A person fulfilling the supervised fieldwork experience
requirements of section 12-40.5-106 (1) 12-270-107 (1) if the experience
constitutes a part of the experience necessary to meet the requirement of
section 12-40.5-106 (1) 12-270-107 (1) and the person acts under
appropriate supervision; or
(d) Occupational therapy in this state by any legally qualified
occupational therapist from another state or country when providing
services on behalf of a temporarily absent occupational therapist licensed
in this state, so long as the unlicensed occupational therapist is acting in
accordance with rules established by the director. The unlicensed practice
must not be of more than four weeks' duration, and a person shall not
undertake unlicensed practice more than once in any twelve-month period.
PAGE 1097-HOUSE BILL 19-1172
12-270-111. [Formerly 12-40.5-109] Limitations on authority.
Nothing in this article 270 shall be construed to authorize an occupational
therapist to engage in the practice of medicine, as defined in section
12-36-106 12-240-107; physical therapy, as defined in article 41 285 of this
title 12; vision therapy services or low vision rehabilitation services, except
under the referral, prescription, supervision, or comanagement of an
ophthalmologist or optometrist; or any other form of healing except as
authorized by this article 270.
12-270-112. [Formerly 12-40.5-109.3] Continuing professional
competency - definition. (1) (a) Each occupational therapist and
occupational therapy assistant shall maintain continuing professional
competency to practice occupational therapy.
(b) The director shall establish a continuing professional
competency program that includes, at a minimum, the following elements:
(I) A self-assessment of the knowledge and skills of a licensee
seeking to renew or reinstate a license;
(II) Development, execution, and documentation of a learning plan
based on the self-assessment described in subparagraph (I) of this paragraph
(b) SUBSECTION (1)(b)(I) OF THIS SECTION; and
(III) Periodic demonstration of knowledge and skills through
documentation of activities necessary to ensure at least minimal ability to
safely practice the profession; except that an occupational therapist or
occupational therapy assistant licensed pursuant to this article 270 need not
retake the examination required by section 12-40.5-106 (3) or 12-40.5-106.5
(3) 12-270-107 (3) OR 12-270-108 (3), respectively, for initial licensure.
(2) A licensee satisfies the continuing competency requirements of
this section if the licensee meets the continuing professional competency
requirements of one of the following entities:
(a) An accrediting body approved by the director; or
(b) An entity approved by the director.
(3) (a) After the program is established, a licensee must satisfy the
PAGE 1098-HOUSE BILL 19-1172
requirements of the program in order to renew or reinstate a license to
practice occupational therapy.
(b) The requirements of this section apply to individual occupational
therapists and occupational therapy assistants, and nothing in this section
requires a person who employs or contracts with an occupational therapist
or occupational therapy assistant to comply with this section.
(4) Records of assessments or other documentation developed or
submitted in connection with the continuing professional competency
program:
(a) Are confidential and not subject to inspection by the public or
discovery in connection with a civil action against an occupational therapist,
occupational therapy assistant, or other professional regulated under this
title 12; and
(b) May be used only by the director and only for the purpose of
determining whether a licensee is maintaining continuing professional
competency to engage in the profession.
(5) As used in this section, "continuing professional competency"
means the ongoing ability of a licensee to learn, integrate, and apply the
knowledge, skill, and judgment to practice occupational therapy according
to generally accepted standards and professional ethical standards.
12-270-113. [Formerly 12-40.5-109.5] Protection of medical
records - licensee's obligations - verification of compliance -
noncompliance grounds for discipline - rules. (1) Each occupational
therapist and occupational therapy assistant responsible for patient records
shall develop a written plan to ensure the security of patient medical
records. The plan must address at least the following:
(a) The storage and proper disposal of patient medical records;
(b) The disposition of patient medical records if the licensee dies,
retires, or otherwise ceases to practice or provide occupational therapy
services to patients; and
(c) The method by which patients may access or obtain their medical
PAGE 1099-HOUSE BILL 19-1172
records promptly if any of the events described in paragraph (b) of this
subsection (1) SUBSECTION (1)(b) OF THIS SECTION occurs.
(2) A licensee shall inform each patient in writing of the method by
which the patient may access or obtain his or her THE PATIENT'S medical
records if an event described in paragraph (b) of subsection (1) SUBSECTION
(1)(b) of this section occurs.
(3) Upon initial licensure under this article 270 and upon renewal of
a license, the applicant or licensee shall attest to the director that he or she
THE LICENSEE has developed a plan in compliance with this section.
(4) A licensee who fails to comply with this section is subject to
discipline in accordance with section 12-40.5-110 12-270-114.
(5) The director may adopt rules reasonably necessary to implement
this section.
12-270-114. [Formerly 12-40.5-110] Grounds for discipline -
disciplinary proceedings - definitions - judicial review. (1) The director
may take disciplinary action against a licensee if the director finds that the
licensee has represented himself or herself as a licensed occupational
therapist or occupational therapy assistant after the expiration, suspension,
or revocation of his or her license.
(2) The director may revoke, suspend, deny, or refuse to renew a
license; place a licensee on probation; issue a letter of admonition to a
licensee; TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN SECTION
12-20-404 AGAINST, or issue a cease-and-desist order UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405 to, a licensee in accordance with this section, upon
proof that the licensee:
(a) Has engaged in a sexual act with a person receiving services
while a therapeutic relationship existed or within six months immediately
following termination of the therapeutic relationship. For the purposes of
this paragraph (a) SUBSECTION (2)(a):
(I) "Sexual act" means sexual contact, sexual intrusion, or sexual
penetration, as defined in section 18-3-401. C.R.S.
PAGE 1100-HOUSE BILL 19-1172
(II) "Therapeutic relationship" means the period beginning with the
initial evaluation and ending upon the written termination of treatment.
(b) Has falsified information in an application or has attempted to
obtain or has obtained a license by fraud, deception, or misrepresentation;
(c) Is an excessive or habitual user or abuser of alcohol or
habit-forming drugs or is a habitual user of a controlled substance, as
defined in section 18-18-102 C.R.S. (5), or other drugs having similar
effects; except that the director has the discretion not to discipline the
licensee if he or she is participating in good faith in a program to end such
THE use or abuse that the director has approved;
(d) (I) Has failed to notify the director, as required by section
12-40.5-114.5 12-30-108 (1), of a physical condition, a physical illness, or
a behavioral, mental health, or substance use disorder that impacts the
licensee's ability to provide occupational therapy services with reasonable
skill and safety or that may endanger the health or safety of individuals
receiving services;
(II) Has failed to act within the limitations created by a physical
illness, a physical condition, or a behavioral, mental health, or substance use
disorder that renders the person unable to practice occupational therapy with
reasonable skill and safety or that may endanger the health or safety of
persons under his or her care; or
(III) Has failed to comply with the limitations agreed to under a
confidential agreement entered INTO pursuant to section 12-40.5-114.5
SECTIONS 12-30-108 AND 12-270-118;
(e) Has violated this article or aided or abetted or knowingly
permitted any person to violate this article 270, AN APPLICABLE PROVISION
OF ARTICLE 20 OR 30 OF THIS TITLE 12, a rule adopted under this article 270,
or any lawful order of the director;
(f) Had a license or registration suspended or revoked for actions
that are a violation of this article 270;
(g) Has been convicted of or pled guilty or nolo contendere to a
felony or committed an act specified in section 12-40.5-111 12-270-115. A
PAGE 1101-HOUSE BILL 19-1172
certified copy of the judgment of a court of competent jurisdiction of the
conviction or plea shall be conclusive evidence of the conviction or plea. In
considering the disciplinary action, the director shall be governed by section
SECTIONS 12-20-202 (5) AND 24-5-101. C.R.S.
(h) Has fraudulently obtained, furnished, or sold any occupational
therapy diploma, certificate, license, or renewal of a license or record, or
aided or abetted such act;
(i) Has failed to notify the director of the suspension or revocation
of the person's past or currently held license, certificate, or registration
required to practice occupational therapy in this or any other jurisdiction;
(j) Has refused to submit to a physical or mental examination when
ordered by the director pursuant to section 12-40.5-114 12-270-117;
(k) Has engaged in any of the following activities and practices:
(I) Ordering or performing, without clinical justification,
demonstrably unnecessary laboratory tests or studies;
(II) Administering treatment, without clinical justification, that is
demonstrably unnecessary; or
(III) An act or omission that is contrary to generally accepted
standards of the practice of occupational therapy;
(l) Has failed to provide adequate or proper supervision of a licensed
occupational therapy assistant, of an aide, or of any unlicensed person in the
occupational therapy practice; or
(m) Has otherwise violated this article 270 or any lawful order or
rule of the director.
(3) Except as otherwise provided in subsection (2) of this section,
the director need not find that the actions that are grounds for discipline
were willful but may consider whether such THE actions were willful when
determining the nature of disciplinary sanctions to be imposed.
(4) (a) The director may commence a proceeding to discipline a
PAGE 1102-HOUSE BILL 19-1172
licensee when the director has reasonable grounds to believe that the
licensee has committed an act enumerated in this section or has violated a
lawful order or rule of the director.
(b) In any proceeding under this section, the director may accept as
evidence of grounds for disciplinary action any disciplinary action taken
against a licensee or registrant in another jurisdiction if the violation that
prompted the disciplinary action in the other jurisdiction would be grounds
for disciplinary action under this article 270.
(5) Disciplinary proceedings shall be conducted in accordance with
SECTION 12-20-403 AND article 4 of title 24. C.R.S., and the hearing and
opportunity for review shall be conducted pursuant to that article by the
director or by an administrative law judge, at the director's discretion. The
director has the authority to exercise all powers and duties conferred by this
article 270 during the disciplinary proceedings.
(6) (a) No later than thirty days following the date of the director's
action, an occupational therapist A LICENSEE disciplined under this section
shall be notified by the director, by a certified letter to the most recent
address provided to the director by the occupational therapist LICENSEE, of
the action taken, the specific charges giving rise to the action, and the
occupational therapist's LICENSEE'S right to request a hearing on the action
taken.
(b) Within thirty days after notification is sent by the director, the
occupational therapist LICENSEE may file a written request with the director
for a hearing on the action taken. Upon receipt of the request, the director
shall grant a hearing to the occupational therapist LICENSEE. If the
occupational therapist LICENSEE fails to file a written request for a hearing
within thirty days, the action of the director shall be final on that date.
(c) Failure of the occupational therapist LICENSEE to appear at the
hearing without good cause shall be deemed a withdrawal of his or her
request for a hearing, and the director's action shall be final on that date.
Failure, without good cause, of the director to appear at the hearing shall be
deemed cause to dismiss the proceeding.
(7) (a) The director may request the attorney general to seek an
injunction in any court of competent jurisdiction, ACCORDANCE WITH
PAGE 1103-HOUSE BILL 19-1172
SECTION 12-20-406 to enjoin a person from committing an act prohibited by
this article When seeking an injunction under this paragraph (a), the
attorney general shall not be required to allege or prove the inadequacy of
any remedy at law or that substantial or irreparable damage is likely to result
from a continued violation of this article 270.
(b) [Relocated to 12-20-403 (1) and (2)]
(c) [Relocated to 12-20-403 (3)]
(8) (a) The director, the director's staff, any person acting as a
witness or consultant to the director, any witness testifying in a proceeding
authorized under this article, and any person who lodges a complaint
pursuant to this article shall be immune from liability in any civil action
brought against him or her for acts occurring while acting in his or her
capacity as director, staff, consultant, or witness, respectively, if such
individual was acting in good faith within the scope of his or her respective
capacity, made a reasonable effort to obtain the facts of the matter as to
which he or she acted, and acted in the reasonable belief that the action
taken by him or her was warranted by the facts.
(b) A person participating in good faith in making a complaint or
report or in an investigative or administrative proceeding pursuant to this
section shall be immune from any civil or criminal liability that otherwise
might result by reason of the participation.
(8) IN ACCORDANCE WITH SECTION 12-20-403, THIS ARTICLE 270,
AND ARTICLE 4 OF TITLE 24, THE DIRECTOR IS AUTHORIZED TO INVESTIGATE,
HOLD HEARINGS, AND GATHER EVIDENCE IN ALL MATTERS RELATED TO THE
EXERCISE AND PERFORMANCE OF THE POWERS AND DUTIES OF THE DIRECTOR.
(9) A final action of the director is subject to judicial review by the
court of appeals pursuant to section 24-4-106 (11), C.R.S. 12-20-408.
(10) An employer of an occupational therapist A LICENSEE shall
report to the director any disciplinary action taken against the occupational
therapist LICENSEE or the resignation of the occupational therapist LICENSEE
in lieu of disciplinary action for conduct that violates this article 270.
(11) When a complaint or an investigation discloses an instance of
PAGE 1104-HOUSE BILL 19-1172
misconduct that, in the opinion of the director, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(12) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a licensee is acting
in a manner that is an imminent threat to the health and safety of the public,
or a person is acting or has acted without the required license, the director
may issue an order to cease and desist the activity. The director shall set
forth in the order the statutes and rules alleged to have been violated, the
facts alleged to have constituted the violation, and the requirement that all
unlawful acts or unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (12), the respondent may
request a hearing on the question of whether acts or practices in violation
of this article have occurred. The hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(13) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a person has violated
any other provision of this article, in addition to any specific powers granted
pursuant to this article, the director may issue to the person an order to show
cause as to why the director should not issue a final order directing the
person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (13) shall be notified promptly
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. The notice may be served on the person against
whom the order has been issued by personal service, by first-class, postage
prepaid United States mail, or in another manner as may be practicable.
Personal service or mailing of an order or document pursuant to this
paragraph (b) shall constitute notice of the order to the person.
(c) (I) The hearing on an order to show cause shall be held no sooner
than ten and no later than forty-five calendar days after the date of
transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (13). The hearing may be continued by
PAGE 1105-HOUSE BILL 19-1172
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing be held later than sixty calendar days after the date
of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (13) does not appear at
the hearing, the director may present evidence that notification was properly
sent or served on the person pursuant to paragraph (b) of this subsection
(13) and such other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required license, or has engaged or is about to engage in acts or practices
constituting violations of this article, the director may issue a final
cease-and-desist order directing the person to cease and desist from further
unlawful acts or unlicensed practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (13), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(14) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged or is about to engage in
an unlicensed act or practice; an act or practice constituting a violation of
this article, a rule promulgated pursuant to this article, or an order issued
pursuant to this article; or an act or practice constituting grounds for
administrative sanction pursuant to this article, the director may enter into
a stipulation with the person.
(15) If any person fails to comply with a final cease-and-desist order
PAGE 1106-HOUSE BILL 19-1172
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(16) A person aggrieved by the final cease-and-desist order may
seek judicial review of the director's determination or of the director's final
order as provided in subsection (9) of this section.
(11) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
(17) (12) (a) When a complaint or investigation discloses an
instance of misconduct that, in the opinion of the director, does not warrant
formal action but should not be dismissed as being without merit, The
director may send a letter of admonition to the A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH SECTION
12-20-404 (4).
(b) When the director sends a letter of admonition to a licensee, the
director shall notify the licensee of the licensee's right to request in writing,
within twenty days after receipt of the letter, that formal disciplinary
proceedings be initiated to adjudicate the propriety of the conduct described
in the letter of admonition.
(c) If the licensee timely requests adjudication, the director shall
vacate the letter of admonition and process the matter by means of formal
disciplinary proceedings.
(18) (13) When a complaint or investigation discloses an instance
of conduct that does not warrant formal action by the director and, in the
opinion of the director, should be dismissed, but the director has noticed
conduct by the licensee that could lead to serious consequences if not
corrected, The director may send a confidential letter of concern to the A
licensee UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(19) Any person whose license is revoked or who surrenders his or
her license to avoid discipline under this section is ineligible to apply for a
PAGE 1107-HOUSE BILL 19-1172
license under this article for at least two years after the date the license is
revoked or surrendered.
12-270-115. [Formerly 12-40.5-111] Unauthorized practice -
penalties. A person who practices or offers or attempts to practice
occupational therapy without an active license as required by and issued
under this article 270 for occupational therapists or occupational therapy
assistants commits a class 2 misdemeanor and shall be punished as provided
in section 18-1.3-501, C.R.S., for the first offense. For the second or any
subsequent offense, the person commits a class 1 misdemeanor and shall be
punished as provided in section 18-1.3-501, C.R.S. IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(b).
12-270-116. [Formerly 12-40.5-112] Rule-making authority. The
director shall promulgate rules as necessary for the administration of this
article PURSUANT TO SECTION 12-20-204.
12-270-117. [Formerly 12-40.5-114] Mental and physical
examination of licensees. (1) If the director has reasonable cause to
believe that a licensee is unable to practice with reasonable skill and safety,
the director may order the licensee to take a mental or physical examination
administered by a physician or other licensed health care professional
designated by the director. Except where due to circumstances beyond the
licensee's control, if the licensee fails or refuses to undergo a mental or
physical examination, the director may suspend the licensee's license until
the director has made a determination of the licensee's fitness to practice.
The director shall proceed with an order for examination and shall make his
or her determination in a timely manner.
(2) In an order requiring a licensee to undergo a mental or physical
examination, the director shall state the basis of the director's reasonable
cause to believe that the licensee is unable to practice with reasonable skill
and safety. For purposes of a disciplinary proceeding authorized under this
article 270, the licensee is deemed to have waived all objections to the
admissibility of the examining physician's or licensed health care
professional's testimony or examination reports on the grounds that they are
privileged communication.
(3) The licensee may submit to the director testimony or
examination reports from a physician chosen by the licensee and pertaining
PAGE 1108-HOUSE BILL 19-1172
to any condition that the director has alleged may preclude the licensee from
practicing with reasonable skill and safety. The director may consider the
testimony and reports submitted by the licensee in conjunction with, but not
in lieu of, testimony and examination reports of the physician designated by
the director.
(4) The results of a mental or physical examination ordered by the
director shall not be used as evidence in any proceeding other than one
before the director and shall not be deemed a public record or made
available to the public.
12-270-118. [Formerly 12-40.5-114.5] Confidential agreement to
limit practice. (1) If an occupational therapist or occupational therapy
assistant has a physical illness; a physical condition; or a behavioral or
mental health disorder that renders the person unable to practice
occupational therapy with reasonable skill and safety to clients, the
occupational therapist or occupational therapy assistant shall notify the
director of the physical illness; the physical condition; or the behavioral or
mental health disorder in a manner and within a period determined by the
director. The director may require the occupational therapist or occupational
therapy assistant to submit to an examination to evaluate the extent of the
physical illness; the physical condition; or the behavioral or mental health
disorder and its impact on the occupational therapist's or occupational
therapy assistant's ability to practice occupational therapy with reasonable
skill and safety to clients.
(2) (a) Upon determining that an occupational therapist or
occupational therapy assistant with a physical illness; a physical condition;
or a behavioral or mental health disorder is able to render limited services
with reasonable skill and safety to clients, the director may enter into a
confidential agreement with the occupational therapist or occupational
therapy assistant in which the occupational therapist or occupational therapy
assistant agrees to limit his or her practice based on the restrictions imposed
by the physical illness; the physical condition; or the behavioral or mental
health disorder, as determined by the director.
(b) As part of the agreement, the occupational therapist or
occupational therapy assistant is subject to periodic reevaluation or
monitoring as determined appropriate by the director.
PAGE 1109-HOUSE BILL 19-1172
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(3) By entering into an agreement with the director pursuant to this
section to limit his or her practice, an occupational therapist or occupational
therapy assistant is not engaging in activities that are grounds for discipline
pursuant to section 12-40.5-110. The agreement does not constitute a
restriction or discipline by the director. However, if the occupational
therapist or occupational therapy assistant fails to comply with the terms of
the agreement, the failure constitutes a prohibited activity pursuant to
section 12-40.5-110 (2)(d), and the occupational therapist or occupational
therapy assistant is subject to discipline in accordance with section
12-40.5-110.
(4) This section does not apply to an occupational therapist or
occupational therapy assistant subject to discipline for prohibited activities
as described in section 12-40.5-110 (2)(c).
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO
LIMIT PRACTICE APPLIES TO THIS ARTICLE 270.
12-270-119. [Formerly 12-40.5-114.7] Professional liability
insurance required - rules. (1) A person shall not practice occupational
therapy unless the person purchases and maintains, or is covered by,
professional liability insurance in an amount determined by the director by
rule that covers all acts within the scope of practice of the occupational
therapist or occupational therapy assistant.
(2) This section does not apply to an occupational therapist or
occupational therapy assistant who is a public employee acting within the
course and scope of the public employee's duties and who is granted
immunity under the "Colorado Governmental Immunity Act", article 10 of
title 24. C.R.S.
12-270-120. [Formerly 12-40.5-115] Repeal of article - review of
functions. This article 270 is repealed, effective September 1, 2020. Prior
to BEFORE the repeal, the department of regulatory agencies shall review the
director's powers, duties, and functions under this article as provided in
section 270 ARE SCHEDULED FOR REVIEW IN ACCORDANCE WITH SECTION
24-34-104. C.R.S.
PAGE 1110-HOUSE BILL 19-1172
ARTICLE 275
Optometrists
12-275-101. [Formerly 12-40-101] Legislative declaration. The
practice of optometry in the state of Colorado is declared to affect the public
health and safety and is subject to regulation and control in the public
interest. Optometry is declared to be a learned profession, and it is further
declared to be a matter of public interest and concern that the practice of
optometry as defined in this article 275 be limited to qualified persons
having been examined and meeting this state's minimum acceptable level
of competence and having been admitted to the practice of optometry under
the provisions of this article 275. The priority of this article 275 shall be to
protect the consumers of the services provided through appropriate
disciplinary procedures. This article 275 shall be liberally construed to carry
out these objects and purposes in accordance with this declaration of policy.
12-275-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 275.
12-275-103. [Formerly 12-40-102] Practice of optometry defined
- prescribing drugs - therapeutic optometrist. (1) (a) AS USED IN THIS
ARTICLE 275, the "practice of optometry" means the evaluation, diagnosis,
prevention, or treatment of diseases, disorders, or conditions of the vision
system, eyes, and adjacent and associated structures, including the use or
prescription of lenses, prisms, vision therapy, vision rehabilitation, and
prescription or nonprescription drugs including schedule II controlled
narcotic substances limited to hydrocodone combination drugs and schedule
III, IV, and V controlled narcotic substances for ocular disease, so long as
an optometrist is practicing within the scope of his or her education as is
commonly taught in accredited schools and colleges of optometry and is
practicing in accordance with applicable federal and Colorado law and
board rules.
(b) The following are part of the practice of optometry:
(I) The removal of superficial foreign bodies from the human eye or
its appendages;
(II) Postoperative care in the following situations:
PAGE 1111-HOUSE BILL 19-1172
(A) With referral from a physician;
(B) If ninety days have expired after the surgery unless the physician
justifies medically indicated reasons for extending the postoperative period;
and
(C) If the patient has been released by the physician;
(III) The treatment of anterior uveitis;
(IV) The treatment of glaucoma with all topical and oral
antiglaucoma drugs;
(V) Epilation;
(VI) Dilation and irrigation of the lacrimal system;
(VII) Punctal plug insertion and removal;
(VIII) Anterior corneal puncture;
(IX) Corneal scraping for cultures;
(X) Debridement of corneal epithelium; and
(XI) Removal of corneal epithelium.
(c) Any person who is engaged in the prescribing or performing
without referral of visual training or orthoptics; the prescribing of any
contact lenses, including plano or cosmetic contact lenses; the fitting or
adaptation of such contact lenses to the human eye; the use of scientific
instruments to train the visual system or any abnormal condition of the eyes
for the correction or improvement of, or the relief to, the visual function, or
who holds oneself out as being able to do so, is engaged in the practice of
optometry.
(d) The "practice of optometry" does not include:
(I) Surgery of or injections into the globe, orbit, eyelids, or ocular
adnexa. "Surgery" means any procedure in which human tissue is cut,
PAGE 1112-HOUSE BILL 19-1172
altered, or otherwise infiltrated by mechanical or laser means.
(II) The use of schedule I or II narcotics, except for hydrocodone
combination drugs;
(III) Treatment of posterior uveitis; or
(IV) The use of injectable drugs, except for the use of an
epinephrine auto-injector to counteract anaphylactic reaction.
(2) A licensed optometrist who uses or prescribes prescription or
nonprescription drugs shall provide the same level and standard of care to
his or her patients as the standard of care provided by an ophthalmologist
using or prescribing the same drugs.
(3) A therapeutic optometrist is an optometrist licensed pursuant to
this article 275 who meets the requirements of section 12-40-109.5 (1.5)
and (3) 12-275-113 (2) AND (4). A licensed optometrist shall not use
prescription or nonprescription drugs for treatment of eye disease or
disorder or for any therapeutic purpose unless he or she is a therapeutic
optometrist.
(4) (Deleted by amendment, L. 2011, (SB 11-094), ch. 129, p. 443,
§ 10, effective April 22, 2011.)
(5) (a) (Deleted by amendment, L. 2011, (SB 11-094), ch. 129, p.
443, § 10, effective April 22, 2011.)
(b) (4) Nothing in this section prohibits an optometrist from
charging a fee for prescribing, adjusting, fitting, adapting, or dispensing
drugs for ophthalmic purposes and ophthalmic devices, such as contact
lenses, that are classified by the federal food and drug administration as a
drug or device, as long as the drug prescribed, dispensed, or delivered by
the ophthalmic device is not a schedule I or II controlled substance, with the
exception of hydrocodone combination drugs.
(6) (Deleted by amendment, L. 2011, (SB 11-094), ch. 129, p. 443,
§ 10, effective April 22, 2011.)
(7) (a) (5) An optometrist who meets the requirements established
PAGE 1113-HOUSE BILL 19-1172
by the board pursuant to sections 12-40-107 (1)(n) and 12-40-109.5 (3)
12-275-108 (1)(h) AND 12-275-113 (4) may treat anterior uveitis and
glaucoma.
(b) (Deleted by amendment, L. 2002, p. 60, § 5, effective July 1,
2002.)
12-275-104. [Formerly 12-40-103] Proprietor defined. (1) The
term "proprietor", as used in this article 275, includes any person, group,
association, or corporation not licensed under this article 275 who:
(a) For financial gain, employs optometrists in the operation of an
optometry office;
(b) Places, directly or indirectly, in possession of an optometrist
such materials or equipment as may be necessary for the operation of an
optometrist's office on the basis of any fee splitting, income division, profit
sharing, or similar agreement or on any basis that has the effect of any such
agreement, but the term "proprietor" does not include the bona fide seller
of optometry equipment or material secured by chattel mortgage,
conditional sales contract, or other title retention agreements or the bona
fide leasing of such THE equipment by the manufacturer or by his or her THE
MANUFACTURER'S franchised dealer; or
(c) Under the guise of a rental percentage lease or sublease or other
leasing or rental arrangement, participates in the direction and control of a
licensee's practice and business or in the receipts or profits accruing
therefrom, but a bona fide percentage sale lease basing the rental of the
premises let upon a percentage of gross income of not to exceed the
reasonable, going rate for like quarters and location, as determined by the
board after investigation, shall not be deemed an avoidance of the
provisions of this section. Certified copies of all such leasing and rental
arrangements and renewals thereof shall be filed with the board by the
licensee within thirty days after execution.
12-275-105. [Formerly 12-40-104] Persons entitled to practice
optometry - title protection of optometrists. It shall be unlawful for any
person to practice optometry in this state except those who are duly licensed
optometrists before July 1, 1961, pursuant to the law of this state and those
who are duly licensed optometrists pursuant to the provisions of this article
PAGE 1114-HOUSE BILL 19-1172
275. A person licensed as an optometrist pursuant to the provisions of this
article 275 may use the title "optometrist", the initials "O.D.", or the term
"doctor of optometry". No other person shall use the title "optometrist",
"O.D.", "doctor of optometry", or any other word or abbreviation to indicate
or induce others to believe that one is licensed to practice optometry in this
state.
12-275-106. [Formerly 12-40-105] Persons excluded from
operation of this article. (1) This article 275 does not apply to:
(a) Professional practice by a physician or surgeon licensed to
practice medicine under the laws of the state of Colorado and ancillary or
technical assistants working under the direction of any such A LICENSED
physician or surgeon, with the exception of the fitting of contact lenses
which THAT must be done under the physician's or surgeon's direct
supervision;
(b) The practice of optometry in the discharge of their official duties
by optometrists or physicians and surgeons in the service of the United
States armed forces, public health service, Coast Guard, or veterans
administration;
(c) Opticians, persons, firms, and corporations who THAT duplicate
or repair spectacles or eyeglasses; opticians, persons, firms, and
corporations who THAT supply or sell spectacles, eyeglasses, or ophthalmic
lenses, including but not limited to contact lenses, if such THE spectacles,
eyeglasses, and ophthalmic lenses are provided pursuant to a valid
prescription;
(d) Persons serving a postdoctorate residency or an optometry
student internship under the supervision of an optometrist licensed in
Colorado as part of a curriculum from an accredited college of optometry.
12-275-107. [Formerly 12-40-106] State board of optometry -
created - members. (1) (a) The state board of optometry, referred to in this
article 275 as the "board", IS HEREBY CREATED AND is under the supervision
and control of the division of professions and occupations as provided by
section 24-34-102, C.R.S. 12-20-103 (2). The board consists of five
optometrists and two members-at-large, to be appointed by the governor to
serve for terms of four years; except that no person shall be appointed to
PAGE 1115-HOUSE BILL 19-1172
serve more than two consecutive terms. Each member of the board, except
for the members-at-large, must have been actually engaged and licensed in
the practice of optometry in Colorado for the five years preceding the
member's appointment. At least one of the two members-at-large must not
be a member or representative of, nor have any direct interest in, any
profession, agency, or institution providing health services.
(b) Any four members of the board constitute a quorum for the
purpose of holding examinations, granting licenses, or transacting any
business connected with the board.
(c) The governor shall fill a vacancy in the membership of the board
for the remainder of the unexpired term. The governor may remove a
member of the board for misconduct, incompetency, or neglect of duty.
(d) A board member having a personal or private interest in any
matter before the board shall disclose such THAT fact to the board and shall
not participate in related discussions or votes.
(2) The board shall organize annually by electing one of its members
as president and one as vice-president.
(3) (a) Repealed.
(b) (Deleted by amendment, L. 92, p. 2021, § 5, effective July 1,
1992.)
12-275-108. Powers and duties of the board - rules - limitation
on authority. (1) [Formerly 12-40-107 (1)] In addition to all other powers
and duties conferred upon the board by this article 275, the board has the
following powers and duties:
(a) To determine acceptability of scores from tests administered by
any approved or accredited national testing organization;
(b) To prescribe ADOPT rules to carry out effectively the provisions
of this article PURSUANT TO SECTION 12-20-204. The board shall set the
passing score of any examination at a minimum acceptable level of
competence for the practice of optometry.
PAGE 1116-HOUSE BILL 19-1172
(c) Repealed.
(d) (c) To grant licenses in conformity with this article 275 to such
applicants as have been found qualified;
(e) and (f) Repealed.
(g) To adopt and promulgate such rules and regulations as the board
may deem necessary or proper to carry out the provisions and purposes of
this article;
(h) Repealed.
(i) (Deleted by amendment, L. 92, p. 2022, § 6, effective July 1,
1992.)
(j) (d) To aid the several district attorneys of this state in the
enforcement of this article 275 and in the prosecution of all persons, firms,
associations, or corporations charged with the violation of any of its
provisions;
(k) (e) To establish programs of education for optometrists wishing
to enter new, proven, and generally accepted areas of lawful practice
involving techniques for which they have not received appropriate
education;
(l) (f) To prepare and distribute to consumers as is reasonably
necessary written communication providing information concerning the
board and the regulation of optometry in Colorado;
(m) (I) (g) To make investigations, hold hearings, and take evidence
IN ACCORDANCE WITH SECTION 12-20-403 in all matters relating to the
exercise and performance of the powers and duties vested in the board;
(II) The board or an administrative law judge shall have the power
to administer oaths, take affirmations of witnesses, and issue subpoenas to
compel the attendance of witnesses and the production of all relevant
papers, books, records, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter coming before the board. The
board may appoint an administrative law judge pursuant to part 10 of article
PAGE 1117-HOUSE BILL 19-1172
30 of title 24, C.R.S., to take evidence and to make findings and report them
to the board.
(III) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(n) (h) To prescribe rules authorizing optometrists to utilize
therapeutic procedures and therapeutic techniques in the practice of
optometry. as defined in section 12-40-102. These rules shall in no way
expand the practice of optometry, as defined in section 12-40-102 nor shall
such THE rules include the use of therapeutic or cosmetic lasers. Such THE
rules shall specify approved programs of education offered by an
accreditation organization recognized or approved by the Commission on
Recognition of Postsecondary Accreditation or the United States department
of education or their successors.
(2) [Formerly 12-40-107.5] The authority granted the board under
the provisions of this article 275 shall not be construed to authorize the
board to arbitrate or adjudicate fee disputes between licensees or between
a licensee and any other party.
12-275-109. [Formerly 12-40-107.2] Volunteer optometrist
license. (1) A person licensed to practice optometry pursuant to this article
275 may apply to the board for volunteer licensure status. The board shall
designate the form and manner of the application. The board may:
(a) Grant the application by issuing a volunteer license; or
(b) Deny the application if the licensee has been disciplined for any
of the causes set forth in section 12-40-118 12-275-120.
(2) A person applying for a license under this section:
PAGE 1118-HOUSE BILL 19-1172
(a) Must either:
(I) Hold an active and unrestricted license to practice optometry in
Colorado and be in active practice in this state; or
(II) Have been on inactive status pursuant to article 70 of this title
SECTION 12-20-203 for not more than two years; and
(b) Shall:
(I) Pay a reduced license fee in lieu of the fee authorized by section
24-34-105, C.R.S. 12-20-105. The director shall reduce the volunteer
optometrist license fee from the license fee charged pursuant to section
12-40-113 (1)(a) SECTIONS 12-20-202 AND 12-275-115 (1).
(II) Attest that, after a date certain, the applicant will no longer earn
income as an optometrist;
(III) Maintain liability insurance as provided in section 12-40-126
12-275-128; and
(IV) Comply with the continuing education requirements established
in section 12-40-113 (1)(f) 12-275-115 (3); except that the board may
establish lesser continuing education requirements for volunteer licensees.
(3) The face of each volunteer license issued pursuant to this section
shall plainly indicate the volunteer status of the licensee.
(4) The board may conduct disciplinary proceedings pursuant to
section 12-40-119 12-275-122 against any person licensed under this
section for an act committed while the person was licensed pursuant to this
section.
(5) A person licensed under this section may apply to the board for
a return to active licensure status by filing an application in the form and
manner designated by the board. The board may approve such THE
application and issue a license to practice optometry or may deny the
application if the licensee has been disciplined for or engaged in any of the
activities set forth in section 12-40-118 12-275-120.
PAGE 1119-HOUSE BILL 19-1172
(6) An optometrist with a volunteer license shall provide optometry
services only if the services are performed on a limited basis for no fee or
other compensation.
12-275-110. [Formerly 12-40-108] Application for license -
licensure by endorsement - rules. (1) A person who desires to practice
optometry in the state may file with the board an application for a license,
giving the information required in a form and manner approved by the
board. The applicant shall demonstrate that he or she THE APPLICANT
possesses the following qualifications:
(a) The applicant has attained the age of twenty-one years.
(b) The applicant has graduated with the degree of doctor of
optometry from a school or college of optometry accredited by a regional
or professional accreditation organization that is recognized or approved by
the Council on postsecondary FOR HIGHER EDUCATION Accreditation or the
United States secretary of education. The board has the authority, upon its
investigation and approval of the standards thereof, to approve any other
college of optometry.
(c) The applicant has successfully passed the written examination
of the National Board of Examiners in Optometry. The board shall have the
authority, upon its investigation and approval of the examination standards,
to approve some body other than the National Board of Examiners in
Optometry as the examining body.
(c.5) Repealed.
(d) The applicant does not have an alcohol use disorder, as defined
in section 27-81-102, or a substance use disorder, as defined in section
27-82-102, or has not habitually or excessively used or abused alcohol,
habit-forming drugs, or controlled substances as defined in section
18-18-102 (5).
(e) After July 1, 1988, the applicant has satisfied the requirements
of section 12-40-109.5 12-275-113 or equivalent requirements approved by
the board, including passing a standardized national examination in the
treatment and management of ocular disease.
PAGE 1120-HOUSE BILL 19-1172
(f) After July 1, 1996, the applicant has satisfied the requirements
of section 12-40-109.5 (3) 12-275-113 (4) or equivalent requirements
approved by the board, including passing a standardized national
examination in the treatment and management of ocular disease.
(2) (Deleted by amendment, L. 2011, (SB 11-094), ch. 129, p. 446,
§ 14, effective April 22, 2011.)
(3) (2) (a) The board may issue a license by endorsement to engage
in the practice of optometry to an applicant who:
(I) (A) Is currently licensed and is in practice and good standing in
another state or territory of the United States or in a foreign country if the
applicant presents proof satisfactory to the board at the time of application
for a Colorado license by endorsement;
(B) Pays a fee as prescribed by the board; and
(II) (A) Possesses credentials and qualifications that are
substantially equivalent to requirements for licensure by examination; or
(B) Has demonstrated competency as an optometrist as determined
by the board.
(b) The board shall specify by rule what shall constitute substantially
equivalent credentials and qualifications or competency.
12-275-111. [Formerly 12-40-108.5] Current licensees - treatment
and therapeutic practice. On and after July 1, 1988, a person who is
licensed under this article 275 as an optometrist on June 30, 1988, and who
is otherwise qualified under this article 275 may use prescription or
nonprescription drugs for examination purposes. However, such THE
optometrist may use prescription or nonprescription drugs for treatment of
eye disease or disorder or for any therapeutic purpose only if he or she THE
OPTOMETRIST meets the requirements of section 12-40-109.5 (1.5) and (3)
12-275-113 (2) AND (4) on or after July 1, 1988.
12-275-112. [Formerly 12-40-109] Examination - licenses.
(1) The applicant shall take and submit test scores from the board-approved
exam. The examination shall be of such a character as to test the
PAGE 1121-HOUSE BILL 19-1172
qualifications of the applicant to practice optometry.
(2) Each person who makes a passing grade on the practical and
clinical examination and who is otherwise qualified shall be granted a
license signed by the board. The license provided for in this section shall be
in such form and wording as may be adopted by the board. The optometrist
shall display his or her THE license for viewing by his or her patients, as
provided in section 12-40-115 12-275-117. An application for initial
licensure as an optometrist shall be accompanied by a processing fee in an
amount to be determined by the board pursuant to section 24-34-105, C.R.S.
12-20-105.
(3) Any person denied a license under this article 275 and believing
himself OR HERSELF aggrieved thereby may pursue the remedy for review
as provided under article 4 of title 24 C.R.S., if such IF THE action is
instituted within a period of sixty days after the date of denial.
(4) A person who fails to pass the examination provided for in this
section may retake the examination the next time said THE examination is
given.
12-275-113. [Formerly 12-40-109.5] Use of prescription and
nonprescription drugs - limits on opioid prescriptions - repeal.
(1) Notwithstanding section 12-42.5-118 12-280-120, a licensed
optometrist may purchase, possess, and administer prescription or
nonprescription drugs for examination purposes only if, after July 1, 1983,
the optometrist has complied with the following minimum requirements:
Successful completion, by attendance and examination, of at least fifty-five
classroom hours of study in general, ocular, and clinical pharmacology
which THAT must have been completed within twenty-four months
preceding the application for certification; except that, in the event that such
THE classroom hours have been completed since 1976, only six of such THE
classroom hours must have been completed within twenty-four months
preceding the application for certification. The courses shall be offered by
an institution that is accredited by a regional or professional accreditation
organization recognized or approved by the Council on postsecondary FOR
HIGHER Education ACCREDITATION or the United States department of
education or their successors.
(1.5) (2) Notwithstanding section 12-42.5-118 12-280-120, a
PAGE 1122-HOUSE BILL 19-1172
licensed optometrist may purchase, possess, administer, and prescribe
prescription or nonprescription drugs for treatment on and after July 1,
1988, only if the optometrist has complied with the following minimum
requirements within twenty-four months preceding the application for
certification: Successful completion, by attendance and examination, of at
least sixty classroom hours of study in ocular pharmacology, clinical
pharmacology, therapeutics, and anterior segment disease; and successful
completion by attendance and examination of at least sixty hours of
approved supervised clinical training in the examination, diagnosis, and
treatment of conditions of the human eye and its appendages. The courses
shall be offered by an institution that is accredited by a regional or
professional accreditation organization recognized or approved by the
Council of postsecondary FOR HIGHER Education ACCREDITATION or the
United States department of education or their successors.
(2) (3) The optometrist shall successfully complete a course in
cardiopulmonary resuscitation within twenty-four months before using
prescription or nonprescription drugs and shall pass a written and clinical
examination approved by the board.
(3) (4) In addition to the requirements of section 12-40-108.5
12-275-111, each therapeutic optometrist shall meet all requirements
prescribed by the board before commencing treatment of glaucoma or
anterior uveitis.
(4) (5) (a) An optometrist shall not prescribe more than a seven-day
supply of an opioid to a patient who has not had an opioid prescription in
the last twelve months by that optometrist, and may exercise discretion to
include a second fill for a seven-day supply. The limits on initial prescribing
do not apply if, in the judgment of the optometrist, the patient: IS SUBJECT
TO THE LIMITATIONS ON PRESCRIBING OPIOIDS SPECIFIED IN SECTION
12-30-109.
(I) Has chronic pain that typically lasts longer than ninety days or
past the time of normal healing, as determined by the optometrist, or
following transfer of care from another optometrist who prescribed an
opioid to the patient;
(II) Has been diagnosed with cancer and is experiencing
cancer-related pain; or
PAGE 1123-HOUSE BILL 19-1172
(III) Is experiencing post-surgical pain that, because of the nature
of the procedure, is expected to last more than fourteen days.
(b) Prior to prescribing the second fill of any opioid prescription
pursuant to this section, an optometrist must comply with the requirements
of section 12-42.5-404 (3.6). Failure to comply with section 12-42.5-404
(3.6) constitutes unprofessional conduct under section 12-40-118 only if the
optometrist repeatedly fails to comply.
(c) An optometrist licensed pursuant to this article 40 may prescribe
opioids electronically.
(d) A violation of this subsection (4) does not create a private right
of action or serve as the basis of a cause of action. A violation of this
section does not constitute negligence per se or contributory negligence per
se and does not alone establish a standard of care. Compliance with this
section does not alone establish an absolute defense to any alleged breach
of the standard of care.
(e) (b) This subsection (4) (5) is repealed, effective September 1,
2021.
12-275-114. [Formerly 12-40-109.7] Prescriptions - requirement
to advise patients. (1) An optometrist licensed under this article 275 may
advise the optometrist's patients of their option to have the symptom or
purpose for which a prescription is being issued included on the prescription
order.
(2) An optometrist's failure to advise a patient under subsection (1)
of this section shall not be grounds for any disciplinary action against the
optometrist's professional license issued under this article 275.
12-275-115. [Formerly 12-40-113] License renewal -
questionnaire - continuing education. (1) (a) On or before a date
designated pursuant to a schedule established by the director of the division
of professions and occupations within the department of regulatory
agencies, licenses shall be renewed or reinstated pursuant to section
24-34-102 (8), C.R.S. The director of the division of professions and
occupations within the department of regulatory agencies may establish
renewal fees and delinquency fees for reinstatement pursuant to section
PAGE 1124-HOUSE BILL 19-1172
24-34-105, C.R.S. If a person fails to renew his or her license pursuant to
the schedule established by the director of the division of professions and
occupations, such license shall expire LICENSES ISSUED UNDER THIS ARTICLE
275 ARE SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
Any person whose license has expired shall be subject to the penalties
provided in this article 275 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
(b) (2) The board shall establish a questionnaire to accompany the
renewal form. Said THE questionnaire shall be designed to determine if the
licensee has acted in violation of or has been disciplined for actions that
might be considered as violations of this article 275 or that might make the
licensee unfit to practice optometry with reasonable care and safety. Failure
of the applicant to answer the questionnaire accurately shall be considered
unprofessional conduct as specified in section 12-40-118 12-275-120.
(c) Repealed.
(d) and (e) (Deleted by amendment, L. 2004, p. 1841, § 89, effective
August 4, 2004.)
(f) (3) Effective April 1, 1993, in addition to all other requirements
of this section for license renewal, the board shall require that each
optometrist seeking to renew a license shall have completed twenty-four
hours of board-approved continuing education. Any optometrist desiring to
renew a license to practice optometry in this state shall submit to the board
the information the board believes is necessary to show that the optometrist
has fulfilled the continuing education requirements of this paragraph (f)
SUBSECTION (3). Implementation of this paragraph (f) SUBSECTION (3) shall
occur within existing appropriations.
(2) Repealed.
12-275-116. [Formerly 12-40-114] Change of address.
(1) and (2) Repealed.
(3) Every person licensed under this article 275 shall notify the
board in writing within thirty days of any change in mailing address.
PAGE 1125-HOUSE BILL 19-1172
12-275-117. [Formerly 12-40-115] Licenses to be displayed. Every
practitioner of optometry shall post and keep conspicuously displayed his
or her license in the office wherein he or she THE OPTOMETRIST practices.
If an optometrist practices at several locations in the state, the optometrist
shall display his or her license number and name in a manner that can be
easily recognized by his or her patients. Each association of persons who
engage in the practice of optometry under the name of a partnership,
association, or any other title shall cause to be displayed and kept in a
conspicuous place at the entrance of its place of business the name of each
person engaged or employed in said THE partnership or association in the
practice of optometry.
12-275-118. [Formerly 12-40-116] Records to be kept by the
board. The board shall keep a record of all persons to whom licenses have
been granted under this article 275. A copy of said THE records, certified by
the board, shall be admitted in any of the courts of this state, in lieu of the
originals, as prima facie evidence of the facts contained in said THE records.
A copy of said THE records certified by the board of a person charged with
a violation of any of the provisions of this article 275 shall be evidence that
such THE person has not been licensed to practice optometry.
12-275-119. [Formerly 12-40-117] Patient's exercise of free
choice - release of patient records - rules. (1) No person shall interfere
with any patient's exercise of free choice in the selection of practitioners
licensed to perform examinations for refractions and visual training or
corrections within the field for which their respective licenses entitle them
to practice.
(2) An optometrist shall release to a patient all medical records
pursuant to section 25-1-802. C.R.S.
(3) The optometrist shall release to the patient, upon written request,
a valid, written contact lens prescription at the time the optometrist would
otherwise replace a contact lens without any additional preliminary
examination or fitting. The board shall promulgate rules and regulations
defining the components of a valid written contact lens prescription.
12-275-120. [Formerly 12-40-118] Unprofessional conduct -
definitions. (1) The term "unprofessional conduct", as used in this article
40 275, means:
PAGE 1126-HOUSE BILL 19-1172
(a) Deceiving or attempting to deceive the board or its agents with
reference to any proper matter under investigation by the board;
(b) Publishing or circulating, directly or indirectly, any fraudulent,
false, deceitful, or misleading claims or statements relating to optometry
services or ophthalmic materials or devices;
(c) Employing or offering compensation or merchandise of value to
any salesman SALESPERSON, runner, patient, or other person as an
inducement to secure his or her services or assistance in the solicitation of
patronage for the performing, rendering, supplying, or selling of optometry
services or ophthalmic materials or devices;
(d) Resorting to fraud, misrepresentation, or deception in applying
for, securing, renewing, or seeking reinstatement of a license or in taking
any examination provided for in this article 275;
(e) The habitual or excessive use or abuse of alcohol, a
habit-forming drug, or any controlled substance as defined in section
18-18-102 (5); C.R.S.;
(f) (Deleted by amendment, L. 2002, p. 62, § 11, effective July 1,
2002.)
(g) Repealed.
(h) (f) Disobeying the lawful rule or order of the board or its
officers;
(i) (g) Practicing optometry while ONE'S license is suspended;
(j) (h) Practicing optometry as the partner, agent, or employee of or
in joint venture or arrangement with any proprietor or with any person who
does not hold a license to practice optometry within this state, except as
permitted in section 12-40-122 12-275-124. Any licensee holding a license
to practice optometry in this state may accept employment from any person,
partnership, association, or corporation to examine and prescribe for the
employees of such THE person, partnership, association, or corporation.
(k) (i) An act or omission constituting grossly negligent optometry
PAGE 1127-HOUSE BILL 19-1172
practice or two or more acts or omissions that fail to meet generally
accepted standards of optometry practice;
(l) (j) Sharing any professional fees with any person, partnership, or
corporation which THAT sends or refers patients to him OR HER, except with
licensed optometrists with whom he OR SHE may be associated in practice;
(m) (k) Failing to:
(I) Notify the board, in a manner and within a period determined by
the board, of a physical illness, a physical condition, or a behavioral, mental
health, or substance use disorder that renders an optometrist unable to treat
with reasonable skill and safety or that may endanger the health and safety
of persons under his or her THE OPTOMETRIST'S care;
(II) Act within the limitations created by a physical illness, a
physical condition, or a behavioral, mental health, or substance use disorder
that renders an optometrist unable to treat with reasonable skill and safety
or that may endanger the health and safety of persons under his or her THE
OPTOMETRIST'S care; or
(III) Practice within the limitations created by the physical illness,
the physical condition, or the behavioral, mental health, or substance use
disorder as specified in a confidential agreement between the optometrist
and the board entered into pursuant to section 12-40-118.5 (5). SECTIONS
12-30-108 AND 12-275-121 (5);
(n) (l) Failing to refer a patient to the appropriate health care
practitioner when the services required by the patient are beyond the scope
of competency of the optometrist or the scope of practice of optometry;
(o) (m) Aiding or abetting, in the practice of optometry, any person
not licensed to practice optometry as defined under this article 275 or any
person whose license to practice is suspended;
(p) (n) Interfering with the free choice of any person selecting a
physician or other health care practitioner;
(q) (o) Any disciplinary action against a licensee to practice
optometry in another state or country, which action shall be deemed to be
PAGE 1128-HOUSE BILL 19-1172
prima facie evidence of unprofessional conduct if the grounds for the
disciplinary action would be unprofessional conduct or otherwise constitute
a violation of any provision of this article 275;
(r) (p) Failing to notify the board of a malpractice final judgment or
settlement within thirty days;
(s) (q) Any act or omission which THAT fails to meet generally
accepted standards of care whether or not actual injury to a patient is
established;
(t) (r) Conviction of a felony or the acceptance of a plea of guilty or
nolo contendere, or a plea resulting in a deferred sentence to a felony;
(u) (s) Representing that a noncorrectable condition can be
permanently corrected;
(v) (t) Knowingly making any false or fraudulent statement, written
or oral, in connection with the practice of optometry, including falsifying
or making incorrect essential entries or failing to make essential entries on
patient records;
(w) (u) Conduct which THAT is likely to deceive or defraud the
public;
(x) Repealed.
(y) (v) Negligent malpractice;
(z) (Deleted by amendment, L. 92, p. 2026, § 12, effective July 1,
1992.)
(aa) (w) (I) Violation of abuse of health insurance pursuant to
section 18-13-119; C.R.S.; or
(II) Advertising through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the licensee will
perform any act prohibited by section 18-13-119 (3); C.R.S.;
(bb) (x) Administering, dispensing, or prescribing any prescription
PAGE 1129-HOUSE BILL 19-1172
drug, as defined in section 12-42.5-102 (34) 12-280-103 (42), or any
controlled substance, as defined in section 18-18-102 (5), C.R.S., other than
in the course of legitimate professional practice;
(cc) Repealed.
(dd) (y) Engaging in any of the following activities and practices:
(I) Repeatedly ordering or performing demonstrably unnecessary
laboratory tests or studies that lack clinical justification;
(II) Administering treatment that is demonstrably unnecessary and
lacks clinical justification; or
(III) Ordering or performing any service, X ray, or treatment that is
contrary to recognized standards of the practice of optometry, as interpreted
by the board, and lacks clinical justification;
(ee) (z) Committing a fraudulent insurance act, as defined in section
10-1-128; C.R.S.;
(ff) (aa) Failing to report to the board any optometrist known to have
violated or, upon information or belief, believed to have violated any of the
provisions of this article 275;
(gg) (bb) Failing to report to the board any surrender of a license to,
or any adverse action taken against a licensee by another licensing agency
in another state, territory, or country, any governmental agency, any law
enforcement agency, or any court for acts of conduct that would constitute
grounds for discipline under the provisions of this article 275;
(hh) (cc) Engaging in a sexual act with a patient while a
patient-optometrist relationship exists. For the purposes of this paragraph
(hh), SUBSECTION (1)(cc):
(I) "Patient-optometrist relationship" means that period of time
beginning with the initial evaluation through the termination of treatment;
For the purposes of this paragraph (hh), AND
(II) "Sexual act" means sexual contact, sexual intrusion, or sexual
PAGE 1130-HOUSE BILL 19-1172
penetration as defined in section 18-3-401. C.R.S.
(ii) (dd) Failing to provide a patient with copies of patient medical
records as required by section 25-1-802; C.R.S.;
(jj) (ee) Failing to provide a patient with a valid written contact lens
prescription as required by section 12-40-117 (3) 12-275-119 (3);
(kk) (ff) A violation of any provision of this article 275 OR AN
APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12;
(ll) (gg) Practicing beyond the scope of education and training
prescribed by rules adopted by the board;
(mm) (hh) Failing to respond in an honest, materially responsive,
and timely manner to a complaint pursuant to section 12-40-119 (1)(b)
12-275-122 (1)(b).
12-275-121. [Formerly 12-40-118.5] Mental and physical
examination of licensees - confidential agreements to limit practice.
(1) If the board has reasonable cause to believe that a licensee is unable to
practice with reasonable skill and safety, the board may require the licensee
to submit to a mental or physical examination by a physician or qualified
health care provider designated by the board. If the licensee refuses to
undergo a mental or physical examination, unless due to circumstances
beyond the licensee's control, the board may suspend the licensee's license
until an examination has occurred, the results of the examination are known,
and the board has made a determination of the licensee's fitness to practice.
The board shall proceed with the order for examination and the
determination in a timely manner.
(2) An order to a licensee pursuant to subsection (1) of this section
to undergo a mental or physical examination shall contain the basis of the
board's reasonable cause to believe that the licensee is unable to practice
with reasonable skill and safety. For the purposes of any disciplinary
proceeding authorized under this article 275, the licensee shall be deemed
to have waived all objections to the admissibility of the examining
physician's testimony or examination reports on the ground that they are
privileged communications.
PAGE 1131-HOUSE BILL 19-1172
(3) The licensee may submit to the board testimony or examination
reports from a physician chosen by such THE licensee and pertaining to any
condition which THAT the board has alleged may preclude the licensee from
practicing with reasonable skill and safety. These may be considered by the
board in conjunction with, but not in lieu of, testimony and examination
reports of the physician designated by the board.
(4) The results of any mental or physical examination ordered by the
board shall not be used as evidence in any proceeding other than one before
the board and shall not be deemed public records nor made available to the
public.
(5) (a) The board may enter into an agreement IN ACCORDANCE WITH
SECTION 12-30-108 with an optometrist whose practice is or may be affected
by a physical illness, a physical condition, or a behavioral or mental health
disorder that renders the optometrist unable to treat with reasonable skill
and safety or that may endanger the health and safety of persons under the
care of any THE optometrist if:
(I) The board believes that one or more limitations of the
optometrist's practice would both enable the optometrist to treat with
reasonable skill and safety and would protect the health and safety of
persons under the care of the optometrist; and
(II) The optometrist enters into an enforceable agreement with the
board to so limit the optometrist's practice.
(b) An agreement entered into pursuant to this subsection (5)
(I) is confidential and not subject to disclosure pursuant to the
"Colorado Open Records Act", part 2 of article 72 of title 24, C.R.S.; and
(II) may include provisions for monitoring and reevaluation of the
optometrist. The parties may modify or dissolve the agreement as necessary
based on the results of the monitoring or reevaluation.
(c) The board may require the licensee to submit to an examination
pursuant to this section to evaluate the extent of the physical illness, the
physical condition, or the behavioral or mental health disorder and its
impact on the licensee's ability to practice with reasonable skill and with
PAGE 1132-HOUSE BILL 19-1172
safety to patients.
(d) By entering into an agreement with the board pursuant to this
section to limit his or her practice, the licensee is not engaging in
unprofessional conduct. The agreement is an administrative action and does
not constitute a restriction or discipline by the board. However, if the
licensee fails to comply with an agreement entered into pursuant to this
section, the failure constitutes unprofessional conduct pursuant to section
12-40-118 and the licensee becomes subject to discipline in accordance
with section 12-40-119.
(e) (c) For purposes of this subsection (5), "physical illness, physical
condition, or behavioral or mental health disorder" does not include the
habitual or excessive use or abuse of alcohol, a habit-forming drug, or any
controlled substance as defined in section 18-18-102 (5).
12-275-122. [Formerly 12-40-119] Discipline - procedure -
professional review - reconsideration and review of action by board -
rules. (1) (a) With respect to licenses issued pursuant to this article 275, the
board may:
(I) Impose probation, with or without supervision, on a licensee,
issue a letter of admonition to a licensee, or suspend, revoke, or refuse to
renew any license provided for by this article OR TAKE DISCIPLINARY OR
OTHER ACTION AS AUTHORIZED IN SECTION 12-20-404, for any reason stated
in section 12-40-118 12-275-120 or for violating any term of probation of
the board;
(II) Summarily suspend a license upon the failure of the licensee to
comply with any condition of a stipulation or order imposed by the board
until the licensee complies with the condition, unless compliance is beyond
the control of the licensee; and
(III) Impose a fine not to exceed five thousand dollars on a licensee
for a violation of this article 275 or a rule promulgated pursuant to this
article 275 other than a violation related to a standard of practice. The board
shall, by rule, promulgate a fining schedule with lesser amounts for first
violations and increasing amounts for subsequent violations of this
subparagraph (III) SUBSECTION (1)(a)(III).
PAGE 1133-HOUSE BILL 19-1172
(b) Upon its own motion or upon a signed complaint, an
investigation may be made if there is reasonable cause to believe that an
optometrist licensed by the board has committed an act of unprofessional
conduct pursuant to section 12-40-118 12-275-120 or, while under
probation, has violated the terms of the probation.
(c) If a licensee requests a hearing to dispute formal board action or
if the board finds such probability great and a hearing is conducted, such
THE hearing shall be conducted in accordance with the provisions of section
SECTIONS 12-20-403 AND 24-4-105. C.R.S.
(d) The board may revoke, suspend, deny, issue, reissue, or reinstate
licenses granted pursuant to this article 275 or under the previous laws of
this state, and the board may take such other intermediate action as may be
deemed necessary under the circumstances of each case pursuant to this
section.
(2) (a) to (c) Repealed.
(d) The hearing shall be conducted in accordance with the
provisions of section 24-4-105, C.R.S.; except that the board may use an
administrative law judge, who shall perform all of those functions indicated
in section 24-4-105 (4), C.R.S.
(e) (2) The SECTION 12-20-408 GOVERNS JUDICIAL REVIEW OF AN
action of the board in refusing to grant or renew, revoking, or suspending
a license, issuing a letter of admonition, or placing a licensee on probation
or under supervision pursuant to subsection (1) (1)(a)(I) of this section. may
be reviewed by the court of appeals by appropriate proceedings under
section 24-4-106 (11), C.R.S.
(f) (I) (3) When a complaint or investigation discloses an instance
of misconduct that, in the opinion of the board, does not warrant formal
action by the board but that should not be dismissed as being without merit,
THE BOARD MAY SEND a letter of admonition may be issued and sent, by
certified mail to the A licensee UNDER THE CIRCUMSTANCES SPECIFIED IN
AND IN ACCORDANCE WITH SECTION 12-20-404 (4).
(II) When a letter of admonition is sent by the board, by certified
mail, to a licensee, such licensee shall be advised that he or she has the right
PAGE 1134-HOUSE BILL 19-1172
to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(III) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(2.1) (4) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, THE BOARD MAY SEND a confidential
letter of concern may be issued and sent to the TO A licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(2.3) No person whose license is revoked by the board may reapply
for a new license under the provisions of this article for at least two years
after any such revocation.
(2.5) Any person participating in good faith in the making of a
complaint or report or participating in any investigative or administrative
proceeding pursuant to this section shall be immune from any liability, civil
or criminal, that otherwise might result by reason of such action.
(3) (a) Repealed.
(b) (5) IN ADDITION TO THE PERSONS SPECIFIED IN SECTION
12-20-402, any member of the board or of a professional review committee
authorized by the board, any member of the board's or committee's staff,
AND any person acting as a witness or consultant to the board or committee,
any witness testifying in a proceeding authorized under this article, and any
person who lodges a complaint pursuant to this article shall be immune
from liability in any civil action brought against him or her for acts
occurring while acting in his or her capacity as board or committee member,
staff, consultant, or witness, respectively, if such individual was acting in
good faith within the scope of his or her respective capacity, made a
reasonable effort to obtain the facts of the matter as to which he or she
acted, and acted in the reasonable belief that the action taken by him or her
was warranted by the facts. Any person participating in good faith in
PAGE 1135-HOUSE BILL 19-1172
lodging a complaint or participating in any investigative or administrative
proceeding pursuant to this article shall be immune from any civil or
criminal liability that may result from such participation COMMITTEE IS
GRANTED THE SAME IMMUNITY, AND IS SUBJECT TO THE SAME CONDITIONS
FOR IMMUNITY, AS SPECIFIED IN SECTION 12-20-402.
(4) (6) (a) The board, on its own motion or upon application, at any
time after the refusal to grant a license, the imposition of any discipline, or
the ordering of probation, as provided in this section AND SECTION
12-20-404, may reconsider its prior action and grant, reinstate, or restore
such THE license, terminate probation, or reduce the severity of its prior
disciplinary action. The taking of any such further action, or the holding of
a hearing with respect thereto, rests in the sole discretion of the board.
(b) Upon the receipt of such THE application, it may be forwarded
to the attorney general for such investigation as may be deemed necessary.
The proceedings shall be governed by the applicable provisions governing
formal hearings in disciplinary proceedings. The attorney general may
present evidence bearing upon the matters in issue, and the burden shall be
upon the applicant seeking reinstatement to establish the averments of the
application as specified in section 24-4-105 (7). C.R.S. No application for
reinstatement or for modification of a prior order shall be accepted unless
the applicant deposits with the board all amounts unpaid under any prior
order of the board.
(5) (7) Upon dismissal of a complaint which THAT has gone to
hearing, the board shall notify the complainant that he or she may receive
a copy of the investigation report and the response of the optometrist or
other person alleged to have violated the act upon payment of costs of
copying and mailing such information.
(6) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(7) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public,
or a person is acting or has acted without the required license, the board
PAGE 1136-HOUSE BILL 19-1172
may issue an order to cease and desist such activity. The order shall set forth
the statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (7), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(8) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the board may issue to such person an order
to show cause as to why the board should not issue a final order directing
such person to cease and desist from the unlawful act or unlicensed practice.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (8) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (8) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (8). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (8) does not appear at the
hearing, the board may present evidence that notification was properly sent
PAGE 1137-HOUSE BILL 19-1172
or served upon such person pursuant to paragraph (b) of this subsection (8)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue such order within ten days after the
board's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued,
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (8), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued, and shall be a final order for purposes of
judicial review.
(9) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the board may enter into a
stipulation with such person.
(10) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(11) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
PAGE 1138-HOUSE BILL 19-1172
order in a court of competent jurisdiction.
(8) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-275-123. Use or sale of forged or invalid certificate, degree,
or license. (1) [Formerly 12-40-120] It is unlawful for any person to use
or attempt to use as his or her THE PERSON'S own a diploma of an optometry
school or college, or a license of another person, or a forged diploma or
license, or any forged or false identification.
(2) [Formerly 12-40-121 (1)] It is unlawful:
(a) To sell or offer to sell a diploma conferring an optometry degree
or a license granted pursuant to this article 275 or prior optometry practice
laws;
(b) To procure a diploma or license with intent that it be used as
evidence of the right to practice optometry by a person other than the one
upon whom it was conferred or to whom such THE license was granted;
(c) With fraudulent intent to alter such THE diploma or license or to
use or attempt to use it when it is so altered.
12-275-124. [Formerly 12-40-122] Corporate practice prohibited
- exceptions. The practice of optometry in a corporate capacity is
prohibited, but this prohibition does not apply to a professional corporation
formed pursuant to this article 275 or to an optometry practice carried on by
a nonprofit organization operating to assist indigent persons.
12-275-125. [Formerly 12-40-123] Enforcement - injunction -
defense. (1) When the board has reasonable cause to believe that any
person is violating any provision of this article 275 or any lawful rule or
regulation issued under this article 275, it may, in addition to all actions
provided for in this article 275 and without prejudice thereto, enter an order
IN ACCORDANCE WITH SECTION 12-20-405 requiring such THE person to
desist or refrain from such THE violation. An action may be brought on the
relation of the people of the state of Colorado by the attorney general and
ADDITIONALLY, the board MAY SEEK INJUNCTIVE RELIEF IN ACCORDANCE
PAGE 1139-HOUSE BILL 19-1172
WITH SECTION 12-20-406 to enjoin such THE person from engaging in or
continuing such THE violation or from doing any act in furtherance thereof.
In any such action an order or judgment may be entered awarding such
preliminary or final injunction as may be deemed proper OF THE VIOLATION.
(2) When legal actions are instituted against a board member or
authorized personnel for acts occurring while acting in their official
capacities and such THE actions are free of malice, fraud, or willful neglect
of duty, the member or employee served shall forthwith transmit any
process served upon him OR HER to the attorney general who shall furnish
counsel and defend against such THE action without cost to the board
member or employee.
12-275-126. [Formerly 12-40-124] Unauthorized practice -
penalties. Any person who practices or offers or attempts to practice
optometry without an active license issued under this article commits a class
2 misdemeanor and shall be punished as provided in section 18-1.3-501,
C.R.S., for the first offense, and any person who commits a second or any
subsequent offense commits a class 6 felony and shall be punished as
provided in section 18-1.3-401, C.R.S. 275 IS SUBJECT TO PENALTIES
PURSUANT TO SECTION 12-20-407 (1)(a).
12-275-127. [Formerly 12-40-125] Professional service
corporations, limited liability companies, and registered limited
liability partnerships for the practice of optometry - definitions.
(1) Persons licensed to practice optometry by the board may form
professional service corporations for the practice of optometry under the
"Colorado Corporation Code", if such "COLORADO BUSINESS CORPORATION
ACT", ARTICLES 101 TO 117 OF TITLE 7, IF THE corporations are organized
and operated in accordance with the provisions of this section. The articles
of incorporation of such THE corporations shall contain provisions
complying with the following requirements:
(a) The name of the corporation shall contain the words
"professional company" or "professional corporation" or abbreviations
thereof.
(b) The corporation shall be organized solely for the purposes of
conducting the practice of optometry only through persons licensed by the
board to practice optometry in the state of Colorado.
PAGE 1140-HOUSE BILL 19-1172
(c) The corporation may exercise the powers and privileges
conferred upon corporations by the laws of Colorado only in furtherance of
and subject to its corporate purpose.
(d) All shareholders of the corporation shall be persons who are
licensed by the board to practice optometry in the state of Colorado and who
at all times own their shares in their own right. They shall be individuals
who, except for illness, accident, and time spent in the armed services, on
vacations, and on leaves of absence not to exceed one year, are actively
engaged in the practice of optometry in the offices of the corporation.
(e) Provisions shall be made requiring any shareholder who ceases
to be or for any reason is ineligible to be a shareholder to dispose of all his
THE SHAREHOLDER'S shares forthwith, either to the corporation or to any
person having the qualifications described in paragraph (d) of this
subsection (1) SUBSECTION (1)(d) OF THIS SECTION.
(f) The president shall be a shareholder and a director, and, to the
extent possible, all other directors and officers shall be persons having the
qualifications described in paragraph (d) of this subsection (1) SUBSECTION
(1)(d) OF THIS SECTION. Lay directors and officers shall not exercise any
authority whatsoever over professional matters as defined in this article 275
or in the rules and regulations as promulgated by the board.
(g) The articles of incorporation shall provide, and all shareholders
of the corporation shall agree, that all shareholders of the corporation shall
be jointly and severally liable for all acts, errors, and omissions of the
employees of the corporation or that all shareholders of the corporation
shall be jointly and severally liable for all acts, errors, and omissions of the
employees of the corporation except during periods of time when the
corporation shall maintain in good standing professional liability insurance
which THAT shall meet the following minimum standards:
(I) The insurance shall insure the corporation against liability
imposed upon the corporation by law in the performance of professional
services for others by those officers and employees of the corporation who
are licensed by the board to practice optometry.
(II) Such THE policies shall insure the corporation against liability
imposed upon it by law for damages arising out of the acts, errors, and
PAGE 1141-HOUSE BILL 19-1172
omissions of all nonprofessional employees.
(III) The insurance shall be in an amount for each claim of at least
fifty thousand dollars multiplied by the number of persons licensed to
practice optometry employed by the corporation; the policy may provide for
an aggregate maximum limit of liability per year for all claims of one
hundred fifty thousand dollars also multiplied by the number of persons
licensed to practice optometry employed by the corporation; but no firm
shall be required to carry insurance in excess of three hundred thousand
dollars for each claim with an aggregate maximum limit of liability for all
claims during the year of nine hundred thousand dollars.
(IV) The policy may provide that it does not apply to: Any
dishonest, fraudulent, criminal, or malicious act or omission of the insured
corporation or any stockholder or employee thereof; the conduct of any
business enterprise, as distinguished from the practice of optometry, in
which the insured corporation under this section is not permitted to engage
but which THAT nevertheless may be owned by the insured corporation or
in which the insured corporation may be a partner or which THAT may be
controlled, operated, or managed by the insured corporation in its own or
in a fiduciary capacity including the ownership, maintenance, or use of any
property in connection therewith, when not resulting from breach of
professional duty, bodily injury to, or sickness, disease, or death of any
person, or to injury to or destruction of any tangible property, including the
loss of use thereof; and the policy may contain reasonable provisions with
respect to policy periods, territory, claims, conditions, and other usual
matters.
(2) Repealed.
(3) (2) The corporation shall do nothing which THAT, if done by a
person employed by it and licensed to practice optometry in the state of
Colorado, would violate the standards of professional conduct, as provided
for in this article 275. Any violation by the corporation of this section shall
be grounds for the board to terminate or suspend its right to practice
optometry.
(4) (3) Nothing in this section shall be deemed to diminish or change
the obligation of each person employed by the corporation and licensed to
practice optometry in this state to conduct his THE LICENSEE'S practice in
PAGE 1142-HOUSE BILL 19-1172
accordance with the standards of professional conduct provided for in this
article 275. Any person licensed by the board to practice optometry who by
act or omission causes the corporation to act or fail to act in a way which
THAT violates such THE standards of professional conduct, including any
provision of this section, shall be deemed personally responsible for such
THE act or omission and shall be subject to discipline therefor.
(5) (4) A professional service corporation may adopt a pension,
CASH PROFIT SHARING, DEFERRED profit sharing, (whether cash or deferred),
health and accident insurance, or welfare plan for all or part of its
employees including lay employees, if such THE plan does not require or
result in the sharing of specific or identifiable fees with lay employees and
if any payments made to lay employees, or into any such plan in behalf of
lay employees, are based upon their compensation or length of service, or
both, rather than the amount of fees or income received.
(6) (5) Except as provided in this section, corporations shall not
practice optometry.
(7) (6) As used in this section, unless the context otherwise requires:
(a) "Articles of incorporation" includes operating agreements of
limited liability companies and partnership agreements of registered limited
liability partnerships.
(b) "Corporation" includes a limited liability company organized
under the "Colorado Limited Liability Company Act", article 80 of title 7,
C.R.S., and a limited liability partnership registered under section 7-60-144
or 7-64-1002. C.R.S.
(c) "Director" and "officer" of a corporation includes a member and
a manager of a limited liability company and a partner in a registered
limited liability partnership.
(d) "Employees" includes employees, members, and managers of a
limited liability company and employees and partners of a registered limited
liability partnership.
(e) "Share" includes a member's rights in a limited liability company
and a partner's rights in a registered limited liability partnership.
PAGE 1143-HOUSE BILL 19-1172
(f) "Shareholder" includes a member of a limited liability company
and a partner in a registered limited liability partnership.
12-275-128. [Formerly 12-40-126] Financial responsibility - rules.
(1) Every optometrist who provides health care services within the state of
Colorado shall establish financial responsibility as follows:
(a) By maintaining commercial professional liability insurance
coverage with an insurance company authorized to do business in this state
in a minimum indemnity amount of one million dollars per incident and
three million dollars annual aggregate per year; or
(b) By maintaining a surety bond in a form acceptable to the
commissioner of insurance in the amounts set forth in paragraph (a) of this
subsection (1) SUBSECTION (1)(a) OF THIS SECTION; or
(c) By depositing cash or cash equivalents as security with the
commissioner of insurance in the amounts set forth in paragraph (a) of this
subsection (1) SUBSECTION (1)(a) OF THIS SECTION; or
(d) By providing any other security acceptable to the commissioner
of insurance, which may include approved plans of self-insurance.
(2) (a) The board may, by rule, establish lesser financial
responsibility standards than those required in subsection (1) of this section
for classes of license holders who have an inactive license or who render
limited or occasional optometry services because of administrative or other
nonclinical duties, partial or complete retirement, or for other reasons that
render the limits provided in paragraph (a) of subsection (1) SUBSECTION
(1)(a) of this section unreasonable or unattainable.
(b) Nothing in this section precludes or otherwise prohibits a
licensed optometrist from rendering appropriate patient care on an
occasional basis when the circumstances surrounding the need for such care
so warrant.
(3) Each optometrist, as a condition of receiving and maintaining an
active license to provide optometry services in this state, shall furnish the
board evidence of compliance with subsection (1) of this section. No license
shall be issued or renewed unless such evidence of compliance has been
PAGE 1144-HOUSE BILL 19-1172
furnished.
(4) Notwithstanding the amounts specified in subsection (1) of this
section, if the board receives two or more reports concerning any
optometrist pursuant to section 12-40-127 12-275-129 during any one-year
period, the minimum financial responsibility requirement shall be two times
the amount specified in subsection (1) of this section. However, upon
motion filed by the optometrist and the presentation of sufficient evidence
to the board that one or more such reports involved an action or claim which
THAT did not represent any substantial failure to adhere to accepted
professional standards of care, the board may reduce such THE additional
amount to that which would be fair and conscionable.
(5) Repealed.
12-275-129. [Formerly 12-40-127] Judgments and settlements -
reporting. Any final judgment, settlement, or arbitration award against an
optometrist for malpractice shall be reported within fourteen days by such
THE optometrist's malpractice insurance carrier in accordance with section
10-1-125 C.R.S., or by such THE optometrist if no commercial malpractice
insurance coverage is involved to the board for review, investigation, and,
where appropriate, disciplinary or other action. Any optometrist who
knowingly fails to report as required by this section shall be subject to a
civil penalty of not more than two thousand five hundred dollars. Such THE
penalty shall be determined and collected in an action brought by the board
in the district court in the city and county of Denver, which court shall have
exclusive jurisdiction in such matters. All penalties collected pursuant to
this section shall be transmitted to the state treasurer, who shall credit the
same to the general fund.
12-275-130. [Formerly 12-40-128] Repeal of article - subject to
sunset law. (1) This article 275 is repealed, effective September 1, 2022.
BEFORE THE REPEAL, THE FUNCTIONS OF THE BOARD PERFORMED PURSUANT
TO THIS ARTICLE 275 ARE SCHEDULED FOR REVIEW IN ACCORDANCE WITH
SECTION 24-34-104.
(2) The provisions of section 24-34-104, C.R.S., concerning the
termination schedule for regulatory bodies of the state unless extended as
provided in that section, are applicable to the functions performed pursuant
to this article.
PAGE 1145-HOUSE BILL 19-1172
ARTICLE 280
Pharmacists, Pharmacy Businesses, and Pharmaceuticals
PART 1
GENERAL PROVISIONS
12-280-101. [Formerly 12-42.5-101] Public interest - rules. The
practice of pharmacy is a professional practice affecting the public health,
safety, and welfare and is subject to regulation and control in the public
interest. It is a matter of public interest and concern that the practice of
pharmacy, as defined in this article 280, merits and receives the confidence
of the public, and that only qualified persons be permitted to practice
pharmacy in this state. This article 280 is liberally construed to carry out
these objects and purposes. Pursuant to these standards and obligations, the
state board of pharmacy may adopt rules of professional conduct in
accordance with article 4 of title 24. C.R.S.
12-280-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 280.
12-280-103. [Formerly 12-42.5-102] Definitions - rules. As used
in this article 42.5 280, unless the context otherwise requires or the term is
otherwise defined in another part of this article 42.5 280:
(1) "Administer" means the direct application of a drug to the body
of a patient or research subject by injection, inhalation, ingestion, or any
other method.
(2) "Advertise" means to publish or display information about
prescription prices or drugs in any medium.
(3) "Anabolic steroid" has the same meaning as set forth in section
18-18-102 (3). C.R.S.
(3.5) (4) "Authorized distributor of record" means a wholesaler with
whom a manufacturer has established an ongoing relationship to distribute
the manufacturer's prescription drug. For purposes of this subsection (3.5)
(4), an ongoing relationship is deemed to exist between a wholesaler and a
manufacturer when the wholesaler, including any affiliated group of the
PAGE 1146-HOUSE BILL 19-1172
wholesaler as defined in section 1504 of the federal "Internal Revenue Code
of 1986", AS AMENDED, complies with the following:
(a) The wholesaler has a written agreement currently in effect with
the manufacturer evidencing such THE ongoing relationship; and
(b) The wholesaler is listed on the manufacturer's current list of
authorized distributors of record, which list is updated by the manufacturer
on no less than a monthly basis.
(3.7) (5) "Biological product" has the same meaning as "biological
product", as defined SET FORTH in 42 U.S.C. sec. 262 (i)(1).
(4) (6) "Board" means the state board of pharmacy CREATED IN
SECTION 12-280-104.
(5) (7) "Bureau" means the drug enforcement administration, or its
successor agency, of the United States department of justice.
(6) (8) "Casual sale" means a transfer, delivery, or distribution to a
corporation, individual, or other entity, other than a consumer, entitled to
possess prescription drugs; except that the amount of drugs transferred,
delivered, or distributed in such THIS manner by any registered prescription
drug outlet or hospital other outlet shall not exceed ten percent of the total
number of dosage units of drugs dispensed and distributed on an annual
basis by such THE outlet.
(6.5) (9) "Chain pharmacy warehouse" means a physical location for
prescription drugs that serves as a central warehouse and performs
intracompany sales or transfers of prescription drugs to a group of chain
pharmacies or other chain pharmacy warehouses that are under common
ownership or control. Notwithstanding any other provision of this article
280, a chain pharmacy warehouse receiving distributions on behalf of, or
making distributions to, an intracompany pharmacy need not be an
authorized distributor of record to be part of the normal distribution
channel.
(7) (10) (a) "Compounding" means the preparation, mixing,
assembling, packaging, or labeling of a drug or device:
PAGE 1147-HOUSE BILL 19-1172
(I) As the result of a practitioner's prescription drug order, chart
order, or initiative, based on the relationship between the practitioner,
patient, and pharmacist in the course of professional practice; or
(II) For the purpose of, or as an incident to, research, teaching, or
chemical analysis and not for sale or dispensing.
(b) "Compounding" also includes the preparation of drugs or devices
in anticipation of prescription drug orders based on routine, regularly
observed prescribing patterns.
(8) (11) "Controlled substance" shall have the same meaning as in
section 18-18-102 (5). C.R.S.
(9) (12) "Delivery" means the actual, constructive, or attempted
transfer of a drug or device from one person to another, whether or not for
consideration.
(10) (13) "Device" means an instrument, apparatus, implement,
machine, contrivance, implant, or similar or related article that is required
under federal law to bear the label, "Caution: federal law requires
dispensing by or on the order of a physician." "Device" also includes any
component part of, or accessory or attachment to, any such article, whether
or not the component part, accessory, or attachment is separately so labeled.
(11) (14) "Dispense" means to interpret, evaluate, and implement a
prescription drug order or chart order, including the preparation of a drug
or device for a patient or patient's agent in a suitable container appropriately
labeled for subsequent administration to or use by a patient.
(12) (15) "Distribution" means the transfer of a drug or device other
than by administering or dispensing.
(13) (16) (a) "Drug" means:
(I) Substances recognized as drugs in the official compendia;
(II) Substances intended for use in the diagnosis, cure, mitigation,
treatment, or prevention of disease in individuals or animals;
PAGE 1148-HOUSE BILL 19-1172
(III) Substances, other than food, intended to affect the structure or
any function of the body of individuals or animals; and
(IV) Substances intended for use as a component of any substance
specified in subparagraph (I), (II), or (III) of this paragraph (a) SUBSECTION
(16)(a)(I), (16)(a)(II), OR (16)(a)(III) OF THIS SECTION.
(b) "Drug" does not include devices or their components, parts, or
accessories.
(13.5) (17) "FDA" means the federal food and drug administration.
(14) (18) "Generic drug type" means the chemical or generic name,
as determined by the United States Adopted Names (USAN) COUNCIL and
accepted by the federal food and drug administration (FDA) FDA, of those
drug products having exactly the same active chemical ingredients in
exactly the same strength and quantity.
(15) (19) "Hospital" means a general hospital or specialty hospital
having a license or certificate of compliance issued by the department of
public health and environment.
(16) (20) "Hospital satellite pharmacy" means a satellite that
registers pursuant to section 12-42.5-117 (10) 12-280-119 (10) for the
purpose of administration of drugs to patients while being treated in the
facility.
(16.5) (21) "Interchangeable", in reference to a biological product,
means:
(a) "Interchangeable" or "interchangeability", as determined by the
FDA pursuant to 42 U.S.C. sec. 262 (k)(4); or
(b) That the FDA has deemed the biological product therapeutically
equivalent to another biological product, as set forth in the latest edition or
supplement of the FDA Approved Drug Products with Therapeutic
Equivalence Evaluations, also referred to as the "Orange Book".
(17) (22) "Intern" means a person who is:
PAGE 1149-HOUSE BILL 19-1172
(a) (I) Enrolled in a professional degree program of a school or
college of pharmacy that has been approved by the board;
(II) Currently licensed by the board to engage in the practice of
pharmacy; and
(III) Satisfactorily progressing toward meeting the requirements for
licensure as a pharmacist;
(b) Repealed.
(c) (b) A graduate of an approved professional degree program of
a school or college of pharmacy or a graduate who has established
education equivalency by obtaining a board-approved foreign pharmacy
graduate certification and who is currently licensed by the board for the
purpose of obtaining practical experience as a requirement for licensure as
a pharmacist; or
(d) (c) A qualified applicant awaiting examination for licensure as
a pharmacist or meeting board requirements for licensure.
(18) (23) "Labeling" means the process of preparing and affixing a
label to any drug container, exclusive, however, of the labeling by a
manufacturer, packer, or distributor of a nonprescription drug or
commercially packaged legend drug or device. Any such label shall include
all information required by federal and state law or regulation.
(19) (24) "Location" means the physical confines of an individual
building or at the same address.
(19.5) (25) "Long-term care facility" means a nursing facility, as
defined in section 25.5-4-103 (14), C.R.S., that is licensed pursuant to
section 25-1.5-103. C.R.S.
(20) (26) "Manufacture" means to cultivate, grow, or prepare by
other process drugs for sale to wholesalers or other persons entitled to
purchase drugs other than the ultimate user, but "manufacture" does not
include the compounding and dispensing of a prescription drug pursuant to
a prescription order.
PAGE 1150-HOUSE BILL 19-1172
(20.5) (27) "Manufacturer's exclusive distributor" means a person
who contracts with a manufacturer to provide or coordinate warehousing,
distribution, or other services on behalf of a manufacturer and who takes
title to the manufacturer's prescription drug but who does not have general
responsibility to direct the sale or disposition of the manufacturer's
prescription drug. To be considered part of the normal distribution channel,
as defined in section 12-42.5-301 (6) 12-280-301 (6), a manufacturer's
exclusive distributor shall be an authorized distributor of record.
(21) (28) "Nonprescription drug" means a drug that may be sold
without a prescription and that is labeled for use by the consumer in
accordance with the requirements of the law and rules of this state and the
federal government.
(22) (29) "Nuclear pharmacy" means a specialized pharmacy that
deals with the preparation and delivery of radioactive material as defined
in section 25-11-101. C.R.S.
(23) (30) "Official compendia" means the official United States
pharmacopeia, national formulary, homeopathic pharmacopoeia of the
United States, or any supplements thereto.
(24) (31) "Order" means:
(a) A prescription order that is any order, other than a chart order,
authorizing the dispensing of a single drug or device that is written,
mechanically produced, computer generated and signed by the practitioner,
transmitted electronically or by facsimile, or produced by other means of
communication by a practitioner to a licensed pharmacy or pharmacist and
that includes the name or identification of the patient, the date, the symptom
or purpose for which the drug is being prescribed, if included by the
practitioner at the patient's authorization, and sufficient information for
compounding, dispensing, and labeling; or
(b) A chart order, which is an order for inpatient drugs or
medications that are to be dispensed by a pharmacist, or by a pharmacy
intern under the direct supervision of a pharmacist, and administered by an
authorized person only during the patient's stay in a hospital, medical clinic
operated by a hospital, ambulatory surgical center, hospice, or long-term
care facility. The chart order shall contain the name of the patient and the
PAGE 1151-HOUSE BILL 19-1172
medicine ordered and such THE directions as the practitioner may prescribe
concerning strength, dosage, frequency, and route of administration.
(25) (32) "Other outlet" means:
(a) A hospital that does not operate a registered pharmacy, a rural
health clinic, a federally qualified health center, as defined in section 1861
(aa)(4) of the federal "Social Security Act", 42 U.S.C. sec. 1395x (aa)(4),
a family planning clinic, an acute treatment unit licensed by the department
of public health and environment, a school, a jail, a county or district public
health agency, a community health clinic, a university, or a college that:
(I) Has facilities in this state registered pursuant to this article 280;
and
(II) Engages in the compounding, dispensing, and delivery of drugs
or devices;
(b) An ambulatory surgical center licensed pursuant to part 1 of
article 3 of title 25, C.R.S., a medical clinic operated by a hospital, or a
hospice licensed pursuant to part 1 of article 3 of title 25, C.R.S., that:
(I) Has facilities in this state registered pursuant to this article 280;
and
(II) Engages in the compounding, dispensing, and delivery of drugs
or devices for administration to patients while being treated in the facility;
or
(c) A telepharmacy outlet.
(26) (33) "Patient counseling" means the oral communication by a
pharmacist or intern of information to the patient or caregiver in order to
improve therapy by ensuring proper use of drugs and devices.
(27) (34) "Pharmaceutical care" means the provision of drug therapy
and other pharmaceutical patient care services by a pharmacist intended to
achieve outcomes related to the cure or prevention of a disease, elimination
or reduction of a patient's symptoms, or arresting or slowing of a disease
process. In addition to the preparation, dispensing, and distribution of
PAGE 1152-HOUSE BILL 19-1172
medications, "pharmaceutical care" may include assessment and evaluation
of the patient's medication-related needs and development and
communication of a therapeutic plan with defined outcomes in consultation
with the patient and the patient's other health care professionals to attain the
desired outcome. This function includes efforts to prevent, detect, and
resolve medication-related problems for individual patients.
"Pharmaceutical care" does not include prescriptive authority; except that
a pharmacist may prescribe only over-the-counter medications to a recipient
under the "Colorado Medical Assistance Act" as authorized pursuant to
section 25.5-5-322 or pursuant to a collaborative pharmacy practice
agreement as defined in section 12-42.5-601 (1)(b) 12-280-601 (1)(b).
(28) (35) "Pharmacist" means an individual licensed by this state to
engage in the practice of pharmacy.
(29) (36) "Pharmacist manager" means an individual, licensed in this
state as a pharmacist, who has direct control of the pharmaceutical affairs
of a prescription drug outlet, and who is not the manager of any other
prescription drug outlet.
(29.5) (37) "Pharmacy buying cooperative warehouse" means a
permanent physical location that acts as a central warehouse for prescription
drugs and from which sales of prescription drugs are made to an exclusive
group of pharmacies that are members or member owners of the buying
cooperative operating the warehouse.
(30) (38) "Pharmacy technician" means an unlicensed person who
performs those functions set forth in paragraph (b) of subsection (31)
SUBSECTION (39)(b) of this section under the supervision of a pharmacist.
(31) (39) "Practice of pharmacy" means:
(a) The interpretation, evaluation, implementation, and dispensing
of orders; participation in drug and device selection, drug administration,
drug regimen reviews, and drug or drug-related research; provision of
patient counseling; and the provision of those acts or services necessary to
provide pharmaceutical care in all areas of patient care;
(b) (I) The preparation, mixing, assembling, packaging, labeling, or
delivery of a drug or device;
PAGE 1153-HOUSE BILL 19-1172
(II) Proper and safe storage of drugs or devices; and
(III) The maintenance of proper records for such THE drugs and
devices; and
(c) The provision of a therapeutic interchange selection or a
therapeutically equivalent selection to a patient if, during the patient's stay
at a nursing care facility or a long-term acute care hospital licensed under
part 1 of article 3 of title 25, C.R.S., the selection has been approved for the
patient:
(I) In accordance with written guidelines and procedures for making
therapeutic interchange or therapeutically equivalent selections, as
developed by a quality assessment and assurance committee that includes
a pharmacist licensed under this article 280 and is formed by the nursing
care facility or the long-term acute care hospital in accordance with 42 CFR
483.75; (o); and
(II) By one of the following health care providers:
(A) A physician licensed under article 36 240 of this title 12;
(B) A physician assistant licensed under section 12-36-107.4
12-240-113, if the physician assistant is under the supervision of a licensed
physician; or
(C) An advanced practice nurse prescriber licensed as a professional
nurse under section 12-38-111 12-255-110, registered as an advanced
practice nurse under section 12-38-111.5 12-255-111, and authorized to
prescribe controlled substances or prescription drugs pursuant to section
12-38-111.6 12-255-112, if the advanced practice nurse prescriber has
developed an articulated plan to maintain ongoing collaboration with
physicians and other health care professionals.
(32) (40) "Practitioner" means a person authorized by law to
prescribe any drug or device, acting within the scope of such THE authority,
including a pharmacist who is participating within the parameters of a
statewide drug therapy protocol pursuant to a collaborative pharmacy
practice agreement as defined in section 12-42.5-601 (1)(b) 12-280-601
(1)(b), or prescribing over-the-counter medications pursuant to section
PAGE 1154-HOUSE BILL 19-1172
25.5-5-322.
(33) (41) "Prescription" means the finished product of the
dispensing of a prescription order in an appropriately labeled and suitable
container.
(34) (42) "Prescription drug" means a drug that:
(a) Is required by any applicable federal or state law or rule to be
dispensed only pursuant to an order;
(b) Is restricted by any applicable federal or state law or rule to use
by practitioners only; or
(c) Prior to being dispensed or delivered, is required under federal
law to be labeled with one of the following statements:
(I) "Rx only"; or
(II) "Caution: Federal law restricts this drug to use by or on the
order of a licensed veterinarian."
(35) (43) "Prescription drug outlet" or "pharmacy" means any
pharmacy outlet registered pursuant to this article 280 where prescriptions
are compounded and dispensed. "Prescription drug outlet" includes, without
limitation, a compounding prescription drug outlet registered pursuant to
section 12-42.5-117 (9) 12-280-119 (9) or specialized prescription drug
outlet registered pursuant to section 12-42.5-117 (11) 12-280-119 (11).
(36) (44) "Refill" means the compounding and dispensing of any
drug pursuant to a previously executed order.
(36.3) (45) "Repackage" means repackaging or otherwise changing
the container, wrapper, or labeling to further the distribution of a
prescription drug, excluding repackaging or labeling completed by the
pharmacist responsible for dispensing product to the patient.
(36.5) (46) "Repackager" means a person who repackages
prescription drugs.
PAGE 1155-HOUSE BILL 19-1172
(37) (47) "Sample" means any prescription drug given free of charge
to any practitioner for any reason except for a bona fide research program.
(38) (48) "Satellite" means an area outside the prescription drug
outlet where pharmaceutical care and services are provided and that is in the
same location.
(39) (49) "Supervision" means that a licensed pharmacist is on the
location and readily available to consult with and assist unlicensed
personnel performing tasks described in paragraph (b) of subsection (31)
SUBSECTION (39)(b) of this section. If the unlicensed person is a pharmacy
technician located at a registered telepharmacy outlet, the licensed
pharmacist need not be physically present at the telepharmacy outlet as long
as the licensed pharmacist is connected to the telepharmacy outlet via
computer link, video link, and audio link, or via other telecommunication
equipment of equivalent functionality, and is readily available to consult
with and assist the pharmacy technician in performing tasks described in
paragraph (b) of subsection (31) SUBSECTION (39)(b) of this section.
(39.5) (50) (a) "Telepharmacy outlet" means a remote pharmacy site
that:
(I) Is registered as an other outlet under this article 280;
(II) At the time of registration, is located more than twenty miles
from the nearest prescription drug outlet and from any other telepharmacy
outlet registered under this article 280;
(III) Is connected via computer link, video link, and audio link, or
via other functionally equivalent telecommunication equipment, with a
central pharmacy that is registered under this article 280; and
(IV) Has a pharmacy technician on site who, under the remote
supervision of a licensed pharmacist located at the central pharmacy,
performs the tasks described in paragraph (b) of subsection (31)
SUBSECTION (39)(b) of this section.
(b) The board may adopt rules as necessary to specify additional
criteria for a telepharmacy outlet that the board deems necessary.
PAGE 1156-HOUSE BILL 19-1172
(39.7) (51) "Therapeutic interchange" means the substitution of one
drug for another drug with similar therapeutic effects.
(40) (52) "Therapeutically equivalent" or "equivalent" means those
compounds containing the identical active chemical ingredients of identical
strength, quantity, and dosage form and of the same generic drug type,
which, when administered in the same amounts, will provide the same
therapeutic effect as evidenced by the control of a symptom or disease.
(41) (53) "Ultimate user" means a person who lawfully possesses a
prescription drug for his or her own use, for the use of a member of the
person's household, or for use in administering to an animal owned by the
person or a member of his or her household.
(42) (54) (a) "Wholesale distribution" means distribution of
prescription drugs to persons or entities other than a consumer or patient.
(b) "Wholesale distribution" does not include:
(I) Intracompany sales or transfers of prescription drugs, including
a transaction or transfer between a division, subsidiary, parent, or affiliated
or related company under common ownership or control of an entity;
(II) The sale, purchase, distribution, trade, or transfer of a
prescription drug or offer to sell, purchase, distribute, trade, or transfer a
prescription drug for emergency medical reasons or during a state or
national declaration of emergency;
(III) The sale or transfer of a drug for medical reasons by a retail
pharmacy to another retail pharmacy to alleviate a temporary shortage;
(IV) The distribution of prescription drug samples by a
manufacturer's representative;
(V) Drug returns, when conducted by a hospital, health care entity,
or charitable institution in accordance with 21 CFR 203.23;
(VI) The sale of minimal quantities of prescription drugs by retail
pharmacies to licensed practitioners for office use;
PAGE 1157-HOUSE BILL 19-1172
(VII) A retail pharmacy's delivery of prescription drugs to a patient
or patient's agent pursuant to the lawful order of a licensed practitioner;
(VIII) The sale, transfer, merger, or consolidation of all or part of
the business of a pharmacy or pharmacies from or with another pharmacy
or pharmacies, whether accomplished as a purchase and sale of stock or
business assets;
(IX) The direct sale, purchase, distribution, trade, or transfer of a
prescription drug from a manufacturer to an authorized distributor of record
to one additional authorized distributor of record but only if an authorized
distributor of record that purchases a prescription drug from an authorized
distributor of record that purchased the prescription drug directly from the
manufacturer:
(A) Provides the supplying authorized distributor of record with a
verifiable statement that the product is unavailable from the manufacturer;
and
(B) Receives a verifiable statement from the supplying authorized
distributor of record that the product was purchased directly from the
manufacturer;
(X) The delivery of, or offer to deliver, a prescription drug by a
common carrier solely in the common carrier's usual course of business of
transporting prescription drugs where the common carrier does not store,
warehouse, or take legal ownership of the prescription drug;
(XI) The sale or transfer from a retail pharmacy or chain pharmacy
warehouse of expired, damaged, returned, or recalled prescription drugs to
the original manufacturer or to a third-party returns processor;
(XII) The sale or transfer of compounded drugs compounded by a
retail pharmacy as defined in subsection (7) (10) of this section and as
authorized by section 12-42.5-118 (6)(b) 12-280-120 (6)(b);
(XIII) The transfer of prescription drugs within Colorado purchased
with public funds by the department of public health and environment,
created in section 25-1-102, C.R.S., or a district or county public health
agency, created pursuant to section 25-1-506, C.R.S., and procured by a
PAGE 1158-HOUSE BILL 19-1172
physician licensed in Colorado who is either the executive director or the
chief medical officer appointed pursuant to section 25-1-105 C.R.S., or a
public health director or medical officer of a county or district public health
agency selected pursuant to section 25-1-508 (5)(c)(I). C.R.S. The transfers
may only be made to the department of public health and environment
pursuant to the Colorado medical license of the executive director or chief
medical officer, a district or county public health agency pursuant to the
Colorado medical license of the public health director or medical officer,
or a physician licensed in Colorado.
(XIV) The distribution of naloxone;
(XV) The distribution, donation, or sale by a manufacturer or
wholesaler of a stock supply of epinephrine auto-injectors to public schools
or nonpublic schools for emergency use by designated school personnel in
accordance with the requirements of section 22-1-119.5, C.R.S., or to other
entities for emergency use in accordance with the requirements of article 47
of title 25. C.R.S.
(43) (55) "Wholesaler" means a person engaged in the wholesale
distribution of prescription drugs to persons, other than consumers, who are
entitled to possess prescription drugs, including: Repackagers; own-label
distributors; private-label distributors; jobbers; brokers; warehouses,
including manufacturers' and distributors' warehouses; manufacturers'
exclusive distributors; authorized distributors of record; drug wholesalers
or distributors; independent wholesale drug traders; pharmacy buying
cooperative warehouses; retail pharmacies that conduct wholesale
distribution; and chain pharmacy warehouses that conduct wholesale
distribution.
12-280-104. [Formerly 12-42.5-103] State board of pharmacy -
creation - subject to termination - repeal of parts. (1) The responsibility
for enforcement of this article 280 is vested in the state board of pharmacy,
which is hereby created. The board has all of the duties, powers, and
authority specifically granted by and necessary to the enforcement of this
article 280, as well as other duties, powers, and authority as may be granted
by statute from time to time. Except as otherwise provided to the contrary,
the board shall exercise all its duties, powers, and authority in accordance
with the "State Administrative Procedure Act", article 4 of title 24. C.R.S.
PAGE 1159-HOUSE BILL 19-1172
(2) The board shall exercise its powers and perform its duties and
functions specified by this article 280 under the department of regulatory
agencies and the executive director of the department as if the same were
transferred to the department by a type 1 transfer, as is defined in the
"Administrative Organization Act of 1968", article 1 of title 24. C.R.S.
(3) (a) Section 24-34-104, C.R.S., concerning the termination
schedule for regulatory bodies of the state, unless extended as provided in
that section, applies to the state board of pharmacy created by this section.
(b) Parts 1 to 3 of this article 280 are repealed, effective September
1, 2021. Prior to BEFORE the repeal, the department of regulatory agencies
shall review the board and the regulation of the practice of pharmacy
pursuant to parts 1 to 3 of this article as provided in 280 ARE SCHEDULED
FOR REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
12-280-105. [Formerly 12-42.5-104] Membership of board -
removal - compensation - meetings. (1) (a) The board is composed of five
licensed pharmacists, each having at least five years' experience in this state
and actively engaged in the practice of pharmacy in this state, and two
nonpharmacists who have no financial interest in the practice of pharmacy.
(b) The governor shall make all appointments to the board in
accordance with this section.
(c) For purposes of achieving a balance in the membership on the
board, the governor shall consider:
(I) Whether the appointee's home is in:
(A) An urban or rural location; and
(B) An area already represented geographically by another appointee
on the board; and
(II) The type of practice of the appointee so that various types of
practices are represented on the board.
(d) (I) The term of office of each member is four years.
PAGE 1160-HOUSE BILL 19-1172
(II) In the case of an appointment to fill a vacancy, the appointee
shall complete the unexpired term of the former board member.
(III) No member of the board may serve more than two consecutive
full terms.
(e) No more than four members of the board shall be members of the
same major political party.
(f) The governor shall appoint the pharmacist members in a manner
to ensure that the term of one member expires July 1 of each year.
(2) The governor may remove any board member for misconduct,
incompetence, or neglect of duty.
(3) Each member of the board shall receive the compensation
provided for in section 24-34-102 (13), C.R.S. 12-20-103 (6).
(4) The board shall hold meetings at least once every four months
at the times and places fixed by the board. At one meeting, the board shall
elect a president and a vice-president. A majority of the members of the
board constitutes a quorum for the conduct of business, and, except as
otherwise provided in this part 1, all actions of the board must be by a
majority of a quorum. The board shall give full and timely notice of all
meetings of the board pursuant to any requirements of state laws. All board
meetings and hearings are open to the public; except that the board may
conduct any portion of its meetings in executive session closed to the
public, as may be permitted by law.
12-280-106. [Formerly 12-42.5-104.5] Veterinary pharmaceutical
advisory committee - creation - appointments - rules - repeal.
(1) (a) (I) There is created in the department of regulatory agencies the
veterinary pharmaceutical advisory committee comprised of three members,
each appointed by the state veterinarian who serves under the commissioner
of agriculture pursuant to section 35-50-104 C.R.S., as follows:
(A) One member who is a licensed veterinarian who predominantly
works on large animals, having at least five years' experience in this state,
in good standing, and actively engaged in the practice of veterinary
medicine;
PAGE 1161-HOUSE BILL 19-1172
(B) One member who is either a licensed pharmaceutical wholesaler
engaged in the distribution of animal drugs, having at least five years'
experience in this state, in good standing, and actively engaged in the
practice of wholesale pharmacy or a licensed veterinarian, having at least
five years' experience in this state, in good standing, and actively engaged
in the practice of veterinary medicine, but who is not both a pharmaceutical
wholesaler and a veterinarian; and
(C) One member who has a background in agriculture and who is
not a pharmacist, pharmaceutical wholesaler, or veterinarian.
(II) The state veterinarian shall choose a person who does not do
business along the front range for at least one of the professional
appointments on the advisory committee.
(b) The members of the advisory committee serve three-year terms;
except that the state veterinarian shall appoint one of the initial members of
the advisory committee for a two-year term. If there is a vacancy on the
advisory committee, the state veterinarian shall appoint a successor to fill
the unexpired portion of the member's term.
(c) (I) The advisory committee shall elect a member to serve as chair
of the advisory committee. The advisory committee shall meet as required
by the board in accordance with subsection (2) of this section.
(II) Members of the advisory committee serve without compensation
or reimbursement of expenses.
(III) A member of the advisory committee shall not perform an
official act that:
(A) May provide a direct economic benefit to a business or other
undertaking in which the member has a direct or substantial financial
interest; or
(B) Involves a person with whom the member has engaged in a
substantial number of business transactions.
(d) The department of regulatory agencies shall provide staff
assistance to the advisory committee.
PAGE 1162-HOUSE BILL 19-1172
(2) (a) Unless a matter presented to the board constitutes an
emergency requiring prompt resolution, the board shall refer the following
matters that concern veterinary pharmaceuticals to the advisory committee
for a recommendation on how the board should proceed on the matter:
(I) Whether and to what extent action, if any, should be taken on an
investigation into or complaint of an alleged violation of this article 280,
including whether to:
(A) Suspend or revoke a license or registration;
(B) Impose a fine against a licensee or registrant, whether the
violation is egregious, and the amount of any fine recommended;
(C) Seek a restraining order or injunction in civil court against a
person; or
(D) Pursue other disciplinary action against a licensee, registrant, or
other person;
(II) Review of license and registration applications and renewal,
reactivation, and reinstatement applications; and
(III) Promulgation of rules.
(b) Upon being referred a matter by the board, the advisory
committee shall meet, in person or by teleconference, as soon as practicable
to review the matter. The board shall share all documents, recordings, and
other materials that are relevant to the matter referred with the advisory
committee for the advisory committee's review of the matter. The advisory
committee shall treat all shared materials as confidential. The advisory
committee shall provide the board a written recommendation on how the
board should proceed on the matter referred, setting forth its findings and
conclusions. At the advisory committee's discretion, the advisory committee
may also present its recommendations to the board in person or by
teleconference.
(c) The board shall adopt the advisory committee's recommendation
on a referred matter unless the board determines that there exists material
and substantial evidence or information related to the matter that warrants
PAGE 1163-HOUSE BILL 19-1172
a resolution of the matter that is distinct from the advisory committee's
recommendation. If the board deviates from the advisory committee's
recommendation, the board shall make a record of the reasons for the
deviation.
(3) The board, in consultation with the state veterinarian, may
promulgate rules to implement this section.
(4) (a) This section is repealed, effective September 1, 2026.
(b) Before the repeal, of this section, the department of regulatory
agencies shall review the advisory committee pursuant to IS SCHEDULED FOR
REVIEW IN ACCORDANCE WITH section 2-3-1203. C.R.S.
12-280-107. [Formerly 12-42.5-105] Rules. (1) The board shall
make, adopt, amend, or repeal rules in accordance with article 4 of title 24
C.R.S., AND SECTION 12-20-204 that the board deems necessary for the
proper administration and enforcement of the responsibilities and duties
delegated to the board by this article 280, including those relating to nuclear
pharmacies.
(2) On or before January 1, 2016, the board shall adopt or amend
rules as necessary to permit the dispensing of an opiate antagonist in
accordance with section 12-42.5-120 (3) SECTIONS 12-30-110 AND
12-280-123 (3).
12-280-108. [Formerly 12-42.5-106] Powers and duties. (1) The
board shall:
(a) Inspect, or direct inspectors who are licensed pharmacists to
inspect, all outlets and investigate violations of this article 280;
(b) Prescribe forms and receive applications for licensure and
registration and grant, renew, reactivate, and reinstate licenses and
registrations;
(c) Deny, suspend, or revoke licenses or registrations;
(d) Apply to the courts for and obtain in accordance with the
Colorado rules of civil procedure restraining orders and injunctions IN
PAGE 1164-HOUSE BILL 19-1172
ACCORDANCE WITH SECTION 12-20-406 to enjoin violations of the laws that
the board is empowered to enforce;
(e) Administer examinations to, and determine the qualifications and
fitness of, applicants for licensure or registration;
(f) Keep a record of:
(I) All licenses, registrations, and license and registration renewals,
reactivations, and reinstatements for a reasonable period;
(II) All suspensions, revocations, and any other disciplinary actions;
and
(III) Its own proceedings;
(g) Collect all fees prescribed by this article 280 AND SECTION
12-20-105;
(h) Fine registrants when consistent with the provisions of this
article 280 and the rules adopted pursuant to this article 280;
(i) (I) Conduct investigations, hold hearings, and take evidence in
all matters relating to the exercise and performance of the powers and duties
of the board IN ACCORDANCE WITH SECTION 12-20-403;
(II) (A) The board or an administrative law judge may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing, investigation,
accusation, or other matter before the board.
(B) The board may appoint an administrative law judge pursuant to
part 10 of article 30 of title 24, C.R.S., to take evidence, make findings, and
report the findings to the board.
(III) Upon failure of any witness to comply with a subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board with
notice to the subpoenaed person or licensee, may issue to the person or
PAGE 1165-HOUSE BILL 19-1172
licensee an order requiring that person or licensee to appear before the
board; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence touching the matter
under investigation or in question. The court may hold the person or
licensee in contempt of court for failure to obey the order of the court.
(j) Review and approve or reject applications for participation in the
pharmacy peer health assistance diversion program pursuant to part 2 of this
article 280 and perform any other functions that were performed by the
rehabilitation evaluation committee prior to its repeal.
(2) The board has other duties, powers, and authority as may be
necessary to enforce this article 280 and the rules adopted pursuant to this
article 280.
(3) The board may:
(a) Adopt a seal to be used only in the manner the board prescribes;
(b) Promulgate rules governing the compounding of pharmaceutical
products, which rules must address the following:
(I) Training and qualifications;
(II) Quality control;
(III) Internal operating procedures;
(IV) Procurement of compounding materials;
(V) Formulation, documentation, and testing requirements;
(VI) Equipment standards;
(VII) Facility standards; and
(VIII) A recall system.
(4) (a) (I) Whenever a duly authorized agent of the board finds or
has probable cause to believe that, in any registered outlet, any drug,
PAGE 1166-HOUSE BILL 19-1172
nonprescription drug, or device is adulterated or misbranded within the
meaning of the "Colorado Food and Drug Act", part 4 of article 5 of title 25,
C.R.S., the agent shall affix to the article a tag or other appropriate marking
giving notice:
(A) That the article is, or is suspected of being, adulterated or
misbranded;
(B) That the article has been detained or embargoed; and
(C) Warning all persons not to remove or dispose of the article by
sale or otherwise until the board, its agent, or the court gives provision for
removal or disposal.
(II) No person shall remove or dispose of an embargoed article by
sale or otherwise without the permission of the board or its agent or, after
summary proceedings have been instituted, without permission from the
court.
(b) If the board or the court removes the embargo, neither the board
nor the state is liable for damages because of the embargo if the court finds
that there was probable cause for the embargo.
(c) When an agent finds that an article detained or embargoed under
paragraph (a) of this subsection (4) SUBSECTION (4)(a) OF THIS SECTION is
adulterated or misbranded, the agent shall petition the judge of the district
court in whose jurisdiction the article is detained or embargoed for an order
for condemnation of the article. When the agent finds that an article so
detained or embargoed is not adulterated or misbranded, he or she shall
remove the tag or other marking.
(d) (I) If the court finds that a detained or embargoed article is
adulterated or misbranded, except as provided in subparagraph (II) of this
paragraph (d) SUBSECTION (4)(d)(II) OF THIS SECTION, the court shall order
the article, after entry of the decree, to be destroyed at the expense of the
owner of the article under the supervision of the agent. The owner of the
article or the owner's agent shall bear all court costs and fees, storage, and
other proper expense.
(II) When the owner can correct the adulteration or misbranding by
PAGE 1167-HOUSE BILL 19-1172
proper labeling or processing of the article, after entry of the decree and
after the owner has paid the costs, fees, and expenses and has posted a good
and sufficient bond, conditioned that the article be properly labeled or
processed, the court may direct, by order, that the article be delivered to the
owner for proper labeling or processing under the supervision of an agent.
The owner shall pay the expense of the agent's supervision. The bond must
be returned to the owner of the article once the board represents to the court
that the article is no longer in violation of the embargo and that the owner
has paid the expenses of supervision.
(e) It is the duty of the attorney general or the district attorney to
whom the board reports any violation of this subsection (4) to institute
appropriate proceedings in the proper courts without delay and to prosecute
the matter in the manner required by law. Nothing in this paragraph (e)
SUBSECTION (4)(e) requires the board to report violations when the board
believes the public interest will be adequately served in the circumstances
by a suitable written notice or warning.
12-280-109. [Formerly 12-42.5-107] Drugs, devices, and other
materials. (1) The board is responsible for the control and regulation of
drugs, including the following:
(a) The regulation of the sale at retail and the dispensing of drugs;
(b) The specification of minimum professional and technical
equipment, environment, supplies, and procedures for the compounding or
dispensing of medications and drugs;
(c) The control of the purity and quality of drugs.
(2) The board is responsible for the control and regulation of the
sale of devices at retail; except that the board shall not regulate the sale of
any disposable veterinary device. The board may also exempt from
regulation veterinary devices:
(a) That are regulated by the FDA; or
(b) For which the board determines regulation is unnecessary.
12-280-110. [Formerly 12-42.5-108] Publications. The board shall
PAGE 1168-HOUSE BILL 19-1172
issue its publications that are circulated in quantity outside the executive
branch in accordance with section 24-1-136. C.R.S. The board shall
circulate its publications to all registered prescription drug outlets that will
be directly affected by the publications.
12-280-111. [Formerly 12-42.5-109] Reporting - malpractice
claims. (1) Each insurance company licensed to do business in this state
and engaged in the writing of malpractice insurance for licensed
pharmacists and pharmacies, and each pharmacist or pharmacy that
self-insures, shall send to the board, in the form prescribed by the board,
information relating to each malpractice claim against a licensed pharmacist
that is settled or in which judgment is rendered against the insured.
(2) The insurance company or self-insured pharmacist or pharmacy
shall provide information relating to each malpractice claim as is deemed
necessary by the board to conduct a further investigation and hearing.
(3) Information relating to each malpractice claim provided by
insurance companies or self-insured pharmacists or pharmacies is exempt
from the provisions of any law requiring that the proceedings of the board
be conducted publicly or that the minutes or records of the board be open
to public inspection unless the board takes final disciplinary action. The
board may use the information in any formal hearing involving a licensee
or registrant.
12-280-112. [Formerly 12-42.5-110] Fees. (1) The director of the
division of professions and occupations shall determine, and the board shall
collect, fees pursuant to section 24-34-105, C.R.S., 12-20-105 for the
following licenses and registrations:
(a) For certifying to another state the grades of a person who has
taken the pharmacist examination in this state;
(b) For the initial licensure, upon examination, as a pharmacist, as
provided in section 12-42.5-112 (4) 12-280-114 (4);
(c) For the initial licensure, without examination and upon
presentation of evidence of licensure in another state, as a pharmacist, as
provided in section 12-42.5-112 (8) 12-280-114 (8);
PAGE 1169-HOUSE BILL 19-1172
(d) For the renewal of a license as a licensed pharmacist, as
provided in section 12-42.5-114 (1) 12-280-116 (1);
(e) For reinstatement as a licensed pharmacist, as provided in section
12-42.5-114 (2) 12-280-116 (2);
(f) For the transfer of a prescription drug outlet registration to a new
owner, as provided in section 12-42.5-116 (2) 12-280-118 (2);
(g) For the transfer of a manager's name, as provided in section
12-42.5-116 (1) 12-280-118 (1);
(h) For the issuance of a duplicate certificate to a licensed
pharmacist;
(i) For the initial licensure as a pharmacy intern;
(j) For the issuance of a duplicate license of a pharmacy intern;
(k) For the transfer of a prescription drug outlet registration to a new
location, as provided in section 12-42.5-116 (2) 12-280-118 (2);
(l) For reissuing a prescription drug outlet registration in a new store
name, without change of owner or manager, as provided in section
12-42.5-116 (2) 12-280-118 (2);
(m) For the initial registration or the renewal of the registration of
a prescription drug outlet, as provided in section 12-42.5-116 (2)
12-280-118 (2);
(n) For the initial certificate evidencing licensure for all
pharmacists;
(o) For the initial and renewal registration of all other outlets under
section 12-42.5-117 12-280-119 not covered in this section;
(p) For the initial and renewal registration of all nonresident
prescription drug outlets under section 12-42.5-130 12-280-133;
(q) For the initial and renewal registration of humane societies and
PAGE 1170-HOUSE BILL 19-1172
animal control agencies pursuant to section 12-42.5-117 (12) 12-280-119
(12).
(2) Any pharmacist licensed in Colorado for fifty years or more as
a pharmacist is exempt from the payment of fees under this article 280 and
is allowed to practice as a licensed pharmacist.
12-280-113. [Formerly 12-42.5-111] Approval of schools. (1) A
school or college of pharmacy that is approved by the board as a school or
college of pharmacy from which graduation is required in order for the
graduate of the school or college of pharmacy to apply for a license as a
pharmacist must meet the requirements set forth by the board.
(2) The board may utilize the facilities, reports, requirements, and
recommendations of any recognized accrediting organization in determining
the requirements for a school or college of pharmacy.
(3) The board shall maintain a list of approved schools or colleges.
12-280-114. [Formerly 12-42.5-112] Licensure or registrations -
applicability - applications - licensure requirements - rules. (1) This
article 280 applies to all persons in this state engaged in the practice of
pharmacy and to all outlets in this state engaged in the manufacture,
dispensing, production, sale, and distribution of drugs, devices, and other
materials used in the treatment of injury, illness, and disease.
(2) (a) Every applicant for a license under this article 280 must read
and write the English language, or if the applicant is a partnership, each
member of the partnership must read and write the English language. If the
applicant is a Colorado corporation, the corporation must be in good
standing, and if the applicant is a foreign corporation, it must be qualified
to do business in this state.
(b) The board shall issue the appropriate registration to each
manufacturer and wholesaler that meets the requirements of this article 280
unless the board determines that the issuance of the registration would be
inconsistent with the public interest. In determining the public interest, the
board shall consider the following factors:
(I) Maintenance of effective controls against diversion of controlled
PAGE 1171-HOUSE BILL 19-1172
substances into illegitimate medical, scientific, or industrial channels;
(II) Compliance with applicable state and local laws;
(III) Any conviction of the applicant under any federal or state law
relating to a controlled substance;
(IV) Past experience in the manufacture or distribution of controlled
substances and the existence in the applicant's establishment of effective
controls against diversion;
(V) Any false or fraudulent information in an application filed under
this part 1;
(VI) Suspension or revocation of the applicant's federal registration
to manufacture, distribute, or dispense a controlled substance as authorized
by federal law; and
(VII) Any other factors relevant to and consistent with the public
peace, health, and safety.
(3) Every applicant for a license or registration under this article 280
shall make written application in the manner and form prescribed by the
board, setting forth the applicant's name and address, the applicant's
qualifications for the license or registration, and other information required
by the board. The applicant shall submit with the application the required
fee, and, if the applicant is required to take an examination, the applicant
shall appear for examination at the time and place fixed by the board.
(4) (a) (I) An applicant who has graduated from a school or college
of pharmacy approved by the board may take an examination before the
board.
(II) The examination must be designed fairly to test the applicant's
knowledge of pharmacy and other related subjects and must be in a form
approved by the board. The examination cannot be administered orally.
(III) An applicant for licensure by examination shall have completed
an internship as prescribed by the board.
PAGE 1172-HOUSE BILL 19-1172
(b) A person who produces evidence satisfactory to the board that
the person has graduated and obtained a degree from a school of pharmacy
outside the United States and has passed a foreign graduate equivalency test
given or approved by the board may apply to take the examination set forth
in paragraph (a) of this subsection (4) SUBSECTION (4)(a) OF THIS SECTION.
(5) Every applicant for licensure as a pharmacist, whether by
examination, transfer of license, reactivation, or reinstatement, shall take a
jurisprudence examination approved by the board that tests such THE
applicant's knowledge of the laws of this state.
(6) No applicant shall exercise the privileges of licensure or
registration until the board grants the license or registration.
(7) The board may require any applicant for licensure to display
written or oral competency in English. The board may utilize a standardized
test to determine language proficiency.
(8) A person licensed by examination and in good standing in
another state may apply for a license transfer. The board shall designate a
clearinghouse for license transfer applicants, and a person applying for a
license transfer shall apply through the clearinghouse designated by the
board.
(9) The board shall adopt rules as necessary to ensure that any
person who manufactures drugs and any wholesaler of drugs possesses the
minimum qualifications required for wholesale drug distributors pursuant
to the federal "Prescription Drug Marketing Act of 1987", 21 U.S.C. sec.
353, as amended.
(10) A person whose license has been revoked shall not reapply for
licensure earlier than two years after the effective date of the revocation.
(11) (10) Issuance of a license or registration under this section and
section 12-42.5-117 12-280-119 does not entitle a licensee or registered
facility or outlet to wholesale, manufacture, distribute, dispense, or
professionally use controlled substances beyond the scope of his or her THE
LICENSEE'S OR REGISTRANT'S federal registration.
12-280-115. [Formerly 12-42.5-113] Exemptions from licensure
PAGE 1173-HOUSE BILL 19-1172
- hospital residency programs - home renal dialysis - research
companies. (1) The board is authorized to approve hospital residency
programs in the practice of pharmacy. Persons accepted into an approved
hospital residency program who are licensed to practice pharmacy in
another state are exempt from the licensing requirements of this article 280
so long as their practice is limited to participation in the residency program.
(2) This article 280 does not apply to the sale or delivery of a
dialysis solution if all of the following conditions are met:
(a) The sale or delivery is made directly by the manufacturer to a
person with chronic kidney failure or to the designee of the person;
(b) The sale or delivery is for the purpose of self-administration by
the person pursuant to an order by a physician lawfully practicing in this
state; and
(c) The solution is sold or delivered in original packages, properly
labeled, and unadulterated in accordance with the requirements of the
"Colorado Food and Drug Act", part 4 of article 5 of title 25, C.R.S., and
the "Federal Food, Drug, and Cosmetic Act", 21 U.S.C. SEC. 301 ET SEQ., AS
AMENDED.
(3) A manufacturer that must obtain a prescription drug or device
solely for use in its research, development, or testing procedures and that
does not further distribute the drug or device may apply to the board for a
waiver of registration pursuant to this subsection (3). The board may grant
a waiver if the manufacturer submits to the board the name of the drug or
device it requires and an affidavit certifying that the drug or device will
only be used for necessary research, development, or testing procedures and
will not be further distributed. A waiver granted pursuant to this subsection
(3) does not apply to a controlled substance, as defined in section 18-18-102
(5), C.R.S., or in federal law.
(4) An employee of a facility, as defined in section 25-1.5-301,
C.R.S., who is administering and monitoring medications to persons under
the care or jurisdiction of the facility pursuant to part 3 of article 1.5 of title
25 C.R.S., need not be licensed by the board to lawfully possess controlled
substances under this article 280.
PAGE 1174-HOUSE BILL 19-1172
12-280-116. [Formerly 12-42.5-114] Expiration and renewal of
licenses or registrations. (1) All licenses and registrations expire pursuant
to a schedule established by the director of the division of professions and
occupations within the department of regulatory agencies and must be
renewed or reinstated pursuant to section 24-34-102 (8), C.R.S. The director
of the division of professions and occupations may establish renewal fees
and delinquency fees for reinstatement pursuant to section 24-34-105,
C.R.S. If a person fails to renew his or her license or registration pursuant
to the schedule established by the director of the division of professions and
occupations, the license or registration expires ISSUED PURSUANT TO THIS
ARTICLE 280 ARE SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT,
AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND
(2). Any person whose license or registration expires is subject to the
penalties provided in this article 280 or section 24-34-102 (8), C.R.S.
12-20-202 (1).
(2) A pharmacist who fails to renew his or her license on or before
the applicable renewal time may have his or her license reinstated IN
ACCORDANCE WITH SECTION 12-20-202 (2) for the remainder of the current
renewal period by filing a proper application, satisfying the board that the
pharmacist is fully qualified to practice, and paying the reinstatement fee as
provided in section 12-42.5-110 (1)(e) 12-280-112 (1)(e) and all delinquent
fees.
(3) Except for good cause shown, the board shall not grant a license
to a pharmacy intern more than two years after the applicant has ceased to
be an enrolled student in a college or school of pharmacy approved by the
board.
12-280-117. [Formerly 12-42.5-115] Continuing education -
exceptions - inactive status. (1) Except as permitted in subsections (2) and
(3) of this section, the board shall not renew, reinstate, or reactivate the
license of any pharmacist until the pharmacist presents evidence that he or
she has completed twenty-four hours of approved continuing
pharmaceutical education within the preceding two years. Subject to
subsection (9) of this section, the evidence may be provided by checking a
sign-off box on the license renewal application.
(2) (a) The board may renew the license of a pharmacist who
presents acceptable evidence that the pharmacist was unable to comply with
PAGE 1175-HOUSE BILL 19-1172
subsection (1) of this section.
(b) The board may grant a six-month compliance extension to
pharmacists who are unable to comply with subsection (1) of this section.
(3) The board may renew the license for the first renewal period
following the issuance of the original license without requiring a pharmacist
to complete any continuing pharmaceutical education if the pharmacist
obtains a license within one year after the completion of the pharmacist's
pharmaceutical education.
(4) To qualify for continuing education credit, a program of
continuing pharmaceutical education must be currently approved by the
Accreditation Council on pharmaceutical FOR PHARMACY Education or an
equivalent accrediting body as determined by the board.
(5) Each program of continuing pharmaceutical education must
consist of at least one continuing education unit, which is one hour of
participation in an organized continuing educational experience, including
postgraduate studies, institutes, seminars, lectures, conferences, workshops,
correspondence courses, cassette programs, programmed learning courses,
audiovisual programs, internet programs, and any other form of presentation
that is accredited.
(6) Any aspect of the practice of pharmacy may be the subject of a
program of continuing pharmaceutical education, including pharmaceutics,
compounding, pharmacology, pharmaceutical chemistry, biochemistry,
physiology, microbiology, pharmacy administration, and professional
practice management.
(7) A program of continuing pharmaceutical education may include
the following:
(a) A definite stated objective;
(b) Presentation in an organized manner; and
(c) A method of program evaluation that is suitable to the type of
program being presented.
PAGE 1176-HOUSE BILL 19-1172
(8) A program of continuing pharmaceutical education must meet
the requirements as established by the accrediting body.
(9) The board may annually audit up to five percent of the
pharmacists licensed and residing in Colorado to determine compliance
with this section.
(10) If a licensed pharmacist fails to obtain the twenty-four hours of
approved continuing pharmaceutical education, the pharmacist's license
becomes inactive. An inactive licensee is not required to comply with any
continuing pharmaceutical education requirement so long as the licensee
remains inactive, but the licensee must continue to pay applicable fees,
including renewal fees. The board shall note "inactive status" on the face of
any license it issues to a licensee while the licensee remains inactive.
Should an inactive pharmacist wish to resume the practice of pharmacy
after being placed on an inactive list, the pharmacist shall file an application
to activate his or her license, pay the license renewal fee, and, subject to
subsections (2) and (3) of this section, meet the twenty-four-hour continuing
education requirement. If a licensed pharmacist engages in the practice of
pharmacy while on inactive status, that conduct may be grounds for license
revocation under this article 280.
12-280-118. [Formerly 12-42.5-116] Prescription drug outlet
under charge of pharmacist. (1) (a) A prescription drug outlet must be
under the direct charge of a pharmacist manager. A proprietor who is not a
pharmacist shall comply with this requirement and shall provide a manager
who is a pharmacist.
(b) The registration of any prescription drug outlet becomes void if
the pharmacist manager in whose name the prescription drug outlet
registration was issued ceases to be engaged as the manager. The owner
shall close the prescription drug outlet unless the owner:
(I) Employs a new pharmacist manager; and
(II) Within thirty days after termination of the former manager's
employment:
(A) Applies to transfer the registration to the new pharmacist
manager; and
PAGE 1177-HOUSE BILL 19-1172
(B) Pays the registration transfer fee.
(c) At the time the pharmacist manager in whose name the
registration was obtained ceases to be employed as the pharmacist manager,
he or she shall immediately report to the board the fact that he or she is no
longer manager of the prescription drug outlet. The pharmacist manager is
responsible as the manager until the cessation of employment is reported.
The proprietor of the prescription drug outlet shall also notify the board of
the termination of managership.
(2) A prescription drug outlet shall not commence business until it
applies to the board for a registration and receives from the board a
registration showing the name of the proprietor and the name of the
manager. Upon transfer of the ownership of a prescription drug outlet, the
new proprietor shall submit to the board an application to transfer the
registration of the prescription drug outlet, and, upon approval of the
transfer by the board, the board shall transfer the registration to the new
proprietor. Upon the change of name or location of a prescription drug
outlet, the registrant shall submit an application to change the name or
location and the applicable fee, and, upon approval of the application, the
board shall issue a new registration showing the new name or new location.
(3) (a) A prescription drug outlet operated by the state of Colorado
or any political subdivision of the state is not required to be registered but,
in lieu of a registration, must apply to the board, on a form approved by the
board, for a certificate of compliance. The board shall determine whether
the prescription drug outlet is operated in accordance with the laws of this
state and the rules of the board. If the board determines that the prescription
drug outlet is operated in accordance with state laws and board rules, except
for the holding of a prescription drug outlet registration, the board shall
issue a certificate of compliance, which certificate expires and may be
renewed in accordance with section 24-34-102 (8), C.R.S. 12-20-202 (1).
Once the board issues the certificate of compliance, the prescription drug
outlet has the rights and privileges of, and is treated in all respects as, a
registered prescription drug outlet. The provisions of this article 280 with
respect to the denial, suspension, or revocation of a prescription drug outlet
registration apply to a certificate of compliance.
(b) An outlet as recognized in section 12-42.5-117 (1)(d)
12-280-119 (1)(d) need not be under the direct charge of a pharmacist, but
PAGE 1178-HOUSE BILL 19-1172
a licensed pharmacist shall either initially interpret all prescription orders
compounded or dispensed from the outlet or provide written protocols for
compounding and dispensing by unlicensed persons. An outlet qualifying
for registration under this paragraph (b) SUBSECTION (3)(b) may also apply
to the board for a waiver of the requirements concerning physical space,
equipment, inventory, or business hours as necessary and consistent with
the outlet's limited public welfare purpose. In determining the granting or
denial of a waiver application, the board shall ensure that the public interest
criteria set forth in section 12-42.5-101 12-280-101 are satisfied. All other
provisions of this article 280, except as specifically waived by the board,
apply to the outlet.
(4) Every outlet and every pharmacist and pharmacy intern regularly
practicing shall conspicuously display the registration and license,
respectively, within the premises of the place of practice or outlet.
(5) The pharmacist responsible for the prescription order or chart
order may delegate certain specific tasks described in section 12-42.5-102
(31)(b) 12-280-103 (39)(b) to a person who is not a pharmacist or pharmacy
intern but who is an unlicensed assistant under the pharmacist's supervision
if, in the pharmacist's professional judgment, the delegation is appropriate;
except that the pharmacist shall not make the delegation if the delegation
jeopardizes the public health, safety, or welfare, is prohibited by rule of the
board, or violates section 12-42.5-126 (1) 12-280-129 (1).
12-280-119. [Formerly 12-42.5-117] Registration of facilities -
rules. (1) All outlets with facilities in this state shall register with the board
in one of the following classifications:
(a) Prescription drug outlet;
(b) Wholesale drug outlet;
(c) Manufacturing drug outlet;
(d) Any other outlet, as may be authorized by this article 280 or that
meets the definition of outlet as set forth in section 12-42.5-102 (25)
12-280-103 (32).
(2) The board shall establish, by rule, criteria, consistent with
PAGE 1179-HOUSE BILL 19-1172
section 12-42.5-112 12-280-114 and with the public interest as set forth in
section 12-42.5-101 12-280-101, that an outlet that has employees or
personnel engaged in the practice of pharmacy must meet to qualify for
registration in each classification.
(3) The board shall specify by rule the registration procedures
applicants must follow, including the specifications for application for
registration and the information needed.
(4) Registrations issued by the board pursuant to this section are
transferable or assignable only pursuant to this article 280 and rules
established by the board.
(5) It is lawful for a person to sell and distribute nonprescription
drugs. Any person engaged in the sale and distribution of nonprescription
drugs is not improperly engaged in the practice of pharmacy, and the board
shall not promulgate any rule pursuant to this article 280 that permits the
sale of nonprescription drugs only by a licensed pharmacist or only under
the supervision of a licensed pharmacist or that would otherwise apply to
or interfere with the sale and distribution of nonprescription drugs.
(6) The board shall accept the licensure or certification of nursing
care facilities and intermediate care facilities required by the department of
public health and environment as sufficient registration under this section.
(7) A separate registration is required under this section for any area
outside the outlet that is not a satellite where pharmaceutical care and
services are provided and for any area outside the outlet that is under
different ownership from the outlet.
(8) No hospital outlet filling inpatient chart orders shall sell or
otherwise transfer any portion of its prescription drug inventory to another
registered outlet for sale or dispensing at retail. This subsection (8) does not
limit any transfer of prescription drugs for the hospital's own use or limit the
ability of a hospital outlet to engage in a casual sale.
(9) (a) Subject to paragraph (b) of this subsection (9) SUBSECTION
(9)(b) OF THIS SECTION, a prescription drug outlet may register as a
compounding prescription drug outlet.
PAGE 1180-HOUSE BILL 19-1172
(b) The board shall not register a facility as a compounding
prescription drug outlet unless:
(I) The facility has been accredited by a board-approved
compounding accreditation entity to be within acceptable parameters to
compound more than ten percent of the facility's total sales; and
(II) Ownership of the facility is vested solely in a pharmacist.
(c) To be approved by the board to accredit a compounding
prescription drug outlet, a compounding accreditation entity shall be, at a
minimum, a scientific organization with expertise in compounding
medications.
(10) (a) On or after January 1, 2013, A satellite shall register as a
hospital satellite pharmacy if the satellite:
(I) Is located in a facility that is under the same management and
control as the building or site where the prescription drug outlet is located;
and
(II) Has a different address than the prescription drug outlet.
(b) The board shall adopt rules as necessary to implement this
subsection (10). At a minimum, the rules must set forth the manner in which
a satellite is to apply for a hospital satellite pharmacy registration and the
limits on the distance of satellites from the main prescription drug outlet.
(11) On or after January 1, 2013, A prescription drug outlet may
register as a specialized prescription drug outlet if it engages in the
compounding, dispensing, and delivery of drugs and devices to, or the
provision of pharmaceutical care to residents of, a long-term care facility.
The board shall adopt rules as necessary to implement this subsection (11).
(12) (a) A humane society that is duly registered with the secretary
of state and has been in existence and in business for at least five years in
this state as a nonprofit corporation, or an animal control agency that is
operated by a unit of government, shall register with the board.
(b) The board may issue a limited license to a humane society or
PAGE 1181-HOUSE BILL 19-1172
animal control agency to perform the activities described in section
12-42.5-118 (17) 12-280-120 (17).
(c) The board shall adopt rules as necessary to ensure strict
compliance with this subsection (12) and section 12-42.5-118 (17)
12-280-120 (17) and, in conjunction with the state board of veterinary
medicine, shall develop criteria for training individuals in the administration
of the drug or combination of drugs.
(d) Nothing in this subsection (12) applies to a licensed veterinarian.
(13) A facility or outlet applying for a registration under this section
shall have adequate and proper facilities for the handling and storage of
controlled substances and shall maintain proper control over the controlled
substances to ensure the controlled substances are not illegally dispensed or
distributed.
(14) The board shall not issue a registration under this section to a
manufacturer or distributor of marijuana or marijuana concentrate, as those
terms are defined in section 27-80-203 (15) and (16), C.R.S., respectively.
12-280-120. [Formerly 12-42.5-118] Compounding - dispensing
- sale of drugs and devices - rules - definition. (1) Except as otherwise
provided in this section or part 2 of article 80 of title 27, C.R.S., no drug,
controlled substance, or device shall be sold, compounded, dispensed,
given, received, or held in possession unless it is sold, compounded,
dispensed, given, or received in accordance with this section.
(2) Except as provided in subsection (7) of this section, a
manufacturer of drugs may sell or give any drug to:
(a) Any wholesaler of drugs;
(b) A licensed hospital;
(c) An other outlet;
(d) A registered prescription drug outlet; or
(e) Any practitioner authorized by law to prescribe the drugs.
PAGE 1182-HOUSE BILL 19-1172
(3) (a) A wholesaler may sell or give any drug or device to:
(I) Another wholesaler of drugs or devices;
(II) Any licensed hospital;
(III) A registered prescription drug outlet;
(IV) An other outlet; or
(V) Any practitioner authorized by law to prescribe the drugs or
devices.
(b) A wholesaler may sell or deliver to a person responsible for the
control of an animal a drug intended for veterinary use for that animal only
if a licensed veterinarian has issued, prior to such THE sale or delivery, a
written prescription order for the drug in the course of an existing, valid
veterinarian-client-patient relationship as defined in section 12-64-103
(15.5) 12-315-104 (19); except that, if the prescription order is for a drug
that is not a controlled substance or is a controlled substance listed on
schedule III, IV, or V, the licensed veterinarian may issue an oral
prescription order for that drug. If the licensed veterinarian issues an oral
prescription order for a controlled substance listed on schedule III, IV, or
V, the licensed veterinarian shall provide a written prescription to the
wholesaler within three business days after issuing the oral order.
(4) Only a registered prescription drug outlet or other outlet
registered pursuant to section 12-42.5-117 (1)(d) 12-280-119 (1)(d) may
compound or dispense a prescription. Initial interpretation and final
evaluation, as defined by the board, may be conducted at a location other
than a registered prescription drug outlet or other outlet registered pursuant
to this article 280 in accordance with rules adopted by the board.
(5) (a) A registered prescription drug or licensed hospital other
outlet may:
(I) Make a casual sale or loan of or give a drug to another registered
outlet or to a wholesaler of drugs;
(II) Sell or give a drug to a practitioner authorized by law to
PAGE 1183-HOUSE BILL 19-1172
prescribe the drug;
(III) Supply an emergency kit or starter dose, as defined by the board
by rule, to:
(A) Any facility approved by the board for receipt of an emergency
kit;
(B) Any home health agency licensed by the department of public
health and environment and approved by the board for receipt of an
emergency kit;
(C) Any licensed hospice approved by the board for receipt of an
emergency kit in compliance with subsection (12) of this section; and
(D) Any acute treatment unit licensed by the department of public
health and environment and approved by the board for receipt of an
emergency kit.
(b) In the case of a county or district public health agency that
operates registered other outlets, one registered other outlet may make a
casual sale of a drug to another registered other outlet if:
(I) The drug is sold in the original sealed container in which it was
originally received from the wholesaler;
(II) A casual sale is not made to a registered other outlet that is not
owned or operated by that county or district public health agency; and
(III) The amount sold does not exceed the ten percent limit
established by section 12-42.5-102 (6) 12-280-103 (8).
(c) Pursuant to section 17-1-113.1, C.R.S., the department of
corrections may transfer, deliver, or distribute to a corporation, individual,
or other entity entitled to possess prescription drugs, other than a consumer,
prescription drugs in an amount that is less than, equal to, or in excess of
five percent of the total number of dosage units of drugs dispensed and
distributed on an annual basis.
(6) (a) A practitioner may personally compound and dispense for
PAGE 1184-HOUSE BILL 19-1172
any patient under the practitioner's care any drug that the practitioner is
authorized to prescribe and that the practitioner deems desirable or
necessary in the treatment of any condition being treated by the practitioner,
and the practitioner is exempt from all provisions of this article 280 except
section 12-42.5-126 12-280-129.
(b) (I) The board shall promulgate rules authorizing a prescription
drug outlet located in this state to compound drugs for office use by a
practitioner or for use by a hospital located in this state. The rules must limit
the amount of drugs a prescription drug outlet may compound and distribute
to a practitioner or hospital pursuant to this paragraph (b) SUBSECTION
(6)(b) to no more than ten percent of the total number of drug dosage units
dispensed and distributed on an annual basis by the outlet.
(II) (A) The ten percent limitation set forth in subparagraph (I) of
this paragraph (b) SUBSECTION (6)(b)(I) OF THIS SECTION applies to a
compounded drug for veterinary use that a prescription drug outlet
distributes in Colorado.
(B) For purposes of this subparagraph (II) SUBSECTION (6)(b)(II), a
"prescription drug outlet" includes a nonresident pharmacy outlet registered
or licensed pursuant to this article 280 where prescriptions are compounded
and dispensed, but only if the nonresident pharmacy outlet has provided the
board with a copy of the most recent inspection of the nonresident
pharmacy outlet by the agency that regulates pharmaceuticals in the state of
residence and a copy of the most recent inspection received from a
board-approved third-party entity that inspects pharmacy outlets, for which
third-party inspection the nonresident pharmacy outlet shall obtain and pay
for on an annual basis, and the board approves the inspection reports as
satisfactorily demonstrating proof of compliance with the board's own
inspection procedure and standards.
(c) Nothing in this section prohibits an optometrist licensed pursuant
to article 40 275 of this title 12 or a physician licensed pursuant to article
36 240 of this title 12 from charging a fee for prescribing, adjusting, fitting,
adapting, or dispensing drugs for ophthalmic purposes and ophthalmic
devices, such as contact lenses, that are classified by the federal food and
drug administration FDA as a drug or device, as long as the activity is
within the scope of practice of the optometrist pursuant to article 40 275 of
this title 12 or the scope of practice of the physician pursuant to article 36
PAGE 1185-HOUSE BILL 19-1172
240 of this title 12.
(7) Distribution of any sample may be made only upon written
receipt from a practitioner, and the receipt must be given specifically for
each drug or drug strength received.
(8) It is lawful for the vendor of any drug or device to repurchase the
drug or device from the vendee to correct an error, to retire an outdated
article, or for other good reason, under rules the board may adopt to protect
consumers of drugs and devices against the possibility of obtaining unsafe
or contaminated drugs or devices.
(9) A duly authorized agent or employee of an outlet registered by
the board is not deemed to be in possession of a drug or device in violation
of this section if he or she is in possession of the drug or device for the sole
purpose of carrying out the authority granted by this section to his or her
principal or employer.
(10) Any hospital employee or agent authorized by law to administer
or dispense medications may dispense a twenty-four-hour supply of drugs
on the specific order of a practitioner to a registered emergency room
patient.
(11) The original, duplicate, or electronic or mechanical facsimile
of a chart order by the physician or lawfully designated agent constitutes a
valid authorization to a pharmacist or pharmacy intern to dispense to a
hospitalized patient for administration the amounts of the drugs as will
enable an authorized person to administer to the patient the drug ordered by
the practitioner. The practitioner is responsible for verifying the accuracy
of any chart order he or she transmitted to anyone other than a pharmacist
or pharmacist intern within forty-eight hours of the transmittal.
(12) Any facility approved by the board, any home health agency
certified by the department of public health and environment and approved
by the board, and any licensed hospice approved by the board may maintain
emergency drugs provided and owned by a prescription drug outlet,
consisting of drugs and quantities as established by the board.
(13) An intern under the direct and immediate supervision of a
pharmacist may engage in the practice of pharmacy. An intern, as defined
PAGE 1186-HOUSE BILL 19-1172
in section 12-42.5-102 (17)(a) 12-280-103 (22)(a), engaged in the practice
of pharmacy within the curriculum of a school or college of pharmacy in
accordance with section 12-42.5-102 (17)(a) 12-280-103 (22)(a), may be
supervised by a manufacturer registered pursuant to section 12-42.5-112
12-280-114 or by another regulated individual as provided for in rules
adopted by the board.
(14) A manufacturer or wholesaler of prescription drugs shall not
sell or give any prescription drug, as provided in subsections (2) and (3) of
this section, to a licensed hospital or registered outlet or to any practitioner
unless the prescription drug stock container bears a label containing the
name and place of business of the manufacturer of the finished dosage form
of the drug and, if different from the manufacturer, the name and place of
business of the packer or distributor.
(15) (a) A compounding prescription drug outlet registered pursuant
to section 12-42.5-117 (9) 12-280-119 (9) may dispense and distribute
compounded drugs without limitation to practitioners or to prescription drug
outlets under common ownership with the pharmacist who owns the
compounding prescription drug outlet.
(b) The following may distribute compounded and prepackaged
medications, without limitation, to pharmacies and other outlets under
common ownership of the entity:
(I) A prescription drug outlet owned and operated by a hospital that
is accredited by the Joint Commission on accreditation of healthcare
organizations or a successor organization;
(II) A prescription drug outlet operated by a health maintenance
organization, as defined in section 10-16-102; C.R.S.; and
(III) The Colorado department of corrections.
(c) (I) A prescription drug outlet shall not compound drugs that are
commercially available except as provided in subparagraph (II) of this
paragraph (c) SUBSECTION (15)(c)(II) OF THIS SECTION.
(II) A pharmacist may compound a commercially available drug if
the compounded drug is significantly different from the commercially
PAGE 1187-HOUSE BILL 19-1172
available drug or if use of the compounded drug is in the best medical
interest of the patient, based upon the practitioner's drug order, including
the removal of a dye that causes an allergic reaction. If the pharmacist
compounds a drug in lieu of a commercially available product, the
pharmacist shall notify the patient of that fact.
(16) A prescription drug outlet may allow a licensed pharmacist to
remove immunizations and vaccines from the prescription drug outlet for
the purpose of administration by a licensed pharmacist, or an intern under
the supervision of a pharmacist certified in immunization, pursuant to rules
promulgated by the board. The board shall promulgate rules regarding the
storage, transportation, and record keeping of immunizations and vaccines
that are administered off-site.
(17) (a) A humane society or animal control agency that is registered
with the board pursuant to section 12-42.5-117 (12) 12-280-119 (12) is
authorized to:
(I) Purchase, possess, and administer sodium pentobarbital, or
sodium pentobarbital in combination with other prescription drugs that are
medically recognized for euthanasia, to euthanize injured, sick, homeless,
or unwanted pets and animals; and
(II) Purchase, possess, and administer drugs commonly used for the
chemical capture of animals for control purposes or to sedate or immobilize
pet animals immediately prior to euthanasia.
(b) A society or agency registered pursuant to section 12-42.5-117
(12) 12-280-119 (12) shall not permit a person to administer scheduled
controlled substances, sodium pentobarbital, or sodium pentobarbital in
combination with other noncontrolled prescription drugs that are medically
recognized for euthanasia unless the person has demonstrated adequate
knowledge of the potential hazards and proper techniques to be used in
administering the drug or combination of drugs.
(18) Persons registered as required under this part 1, or otherwise
licensed or registered as required by federal law, may possess, manufacture,
distribute, dispense, or administer controlled substances only to the extent
authorized by their registrations or federal registrations or licenses and in
conformity with this article 280 and with article 18 of title 18. C.R.S.
PAGE 1188-HOUSE BILL 19-1172
12-280-121. [Formerly 12-42.5-118.5] Compounding drugs for
office use by a veterinarian - rules - definitions. (1) A registered
prescription drug outlet may compound and distribute a drug to a licensed
veterinarian so that the veterinarian may maintain the drug as part of the
veterinarian's office stock.
(2) (a) A veterinarian may dispense a compounded drug maintained
as part of the veterinarian's office stock pursuant to subsection (1) of this
section only if:
(I) The compounded drug is necessary for the treatment of an animal
patient's emergency condition; and
(II) As determined by the veterinarian, the veterinarian cannot
access, in a timely manner, the compounded drug through a registered
prescription drug outlet.
(b) A veterinarian shall not dispense a compounded drug pursuant
to this section in an amount greater than the amount required to treat an
animal patient's emergency condition for five days.
(3) A licensed veterinarian shall not administer or dispense a
compounded drug maintained for office stock pursuant to this section or for
office use pursuant to section 12-42.5-118 (6)(b)(II) 12-280-120 (6)(b)(II)
without a valid veterinarian-client-patient relationship in place at the time
of administering the compounded drug to an animal patient or dispensing
the compounded drug to a client.
(4) To compound and distribute a controlled substance pursuant to
this section or section 12-42.5-118 (6)(b)(II) 12-280-120 (6)(b)(II), a
registered prescription drug outlet shall possess a valid manufacturing
registration from the federal drug enforcement administration.
(5) As used in this section, unless the context otherwise requires:
(a) "Client" has the same meaning as set forth in section 12-64-103
(4.3) 12-315-104 (4).
(b) "Office stock" means the storage of a compounded drug:
PAGE 1189-HOUSE BILL 19-1172
(I) That was distributed or sold by a registered prescription drug
outlet to a veterinarian;
(II) Without a specific animal patient indicated to receive the
compounded drug; and
(III) That the veterinarian may subsequently administer to an animal
patient or dispense to a client.
(c) Repealed.
(d) (c) (I) "Prescription drug outlet" means any:
(A) Resident or nonresident pharmacy outlet registered or licensed
pursuant to this article 280 where prescriptions are compounded and
dispensed; or
(B) Federally owned and operated pharmacy registered with the
federal drug enforcement administration.
(II) Notwithstanding subparagraph (I) of this paragraph (d)
SUBSECTION (5)(c)(I) OF THIS SECTION, "prescription drug outlet" does not
include a nonresident pharmacy outlet unless the nonresident pharmacy
outlet has provided the board with a copy of the most recent inspection of
the nonresident pharmacy by the agency that regulates pharmaceuticals in
the state of residence and a copy of the most recent inspection received
from a board-approved third-party entity that inspects pharmacy outlets, for
which third-party inspection the nonresident pharmacy outlet shall obtain
and pay for on an annual basis, and the board approves the inspection
reports as satisfactorily demonstrating proof of compliance with the board's
own inspection procedure and standards.
(6) The board may promulgate rules as necessary concerning
compounded veterinary pharmaceuticals pursuant to this section and section
12-42.5-118 (6)(b)(II) 12-280-120 (6)(b)(II).
12-280-122. [Formerly 12-42.5-119] Limited authority to delegate
activities constituting practice of pharmacy to pharmacy interns or
pharmacy technicians. (1) A pharmacist may supervise up to six persons
who are either pharmacy interns or pharmacy technicians, of whom no more
PAGE 1190-HOUSE BILL 19-1172
than two may be pharmacy interns. If three or more pharmacy technicians
are on duty, the majority must be certified by a nationally recognized
certification board, possess a degree from an accredited pharmacy
technician training program, or have completed five hundred hours of
experiential training in duties described in section 12-42.5-102 (31)(b)
12-280-103 (39)(b) at the pharmacy as certified by the pharmacist manager
within eighteen months of hire.
(2) The pharmacy shall retain documentation verifying the training
for review by the pharmacist responsible for the final check on prescriptions
filled by the pharmacy technician and shall make the documentation
available for inspection by the board.
(3) The supervision ratio specified in subsection (1) of this section
does not include other ancillary personnel who may be in the prescription
drug outlet but who are not performing duties described in section
12-42.5-102 (31)(b) 12-280-103 (39)(b) that are delegated to the interns or
pharmacy technicians.
12-280-123. [Formerly 12-42.5-120] Prescription required -
exception - dispensing opiate antagonists. (1) Except as provided in
section 18-18-414 C.R.S., and subsections (2) and (3) of this section, an
order is required prior to dispensing any prescription drug. Orders shall be
readily retrievable within the appropriate statute of limitations.
(2) A pharmacist may refill a prescription order for any prescription
drug without the practitioner's authorization when all reasonable efforts to
contact the practitioner have failed and when, in the pharmacist's
professional judgment, continuation of the medication is necessary for the
patient's health, safety, and welfare. The prescription refill may only be in
an amount sufficient to maintain the patient until the practitioner can be
contacted, but in no event may a refill under this subsection (2) continue
medication beyond seventy-two hours. However, if the practitioner states
on the prescription that no emergency filling of the prescription is
permitted, then the pharmacist shall not issue any medication that is not
authorized by the prescription. Neither a prescription drug outlet nor a
pharmacist is liable as a result of refusing to refill a prescription pursuant
to this subsection (2).
(3) (a) A pharmacist may dispense, pursuant to an order or standing
PAGE 1191-HOUSE BILL 19-1172
orders and protocols, an opiate antagonist to:
(I) An individual at risk of experiencing an opiate-related drug
overdose event;
(II) A family member, friend, or other person in a position to assist
an individual at risk of experiencing an opiate-related drug overdose event;
(III) An employee or volunteer of a harm reduction organization; or
(IV) A first responder.
(b) A pharmacist who dispenses an opiate antagonist pursuant to this
subsection (3) is strongly encouraged to educate persons receiving the
opiate antagonist on the use of an opiate antagonist for overdose, including
instruction concerning risk factors for overdose, recognizing an overdose,
calling emergency medical services, rescue breathing, and administering an
opiate antagonist.
(c) (I) A pharmacist does not engage in unprofessional conduct
pursuant to section 12-42.5-123 if the pharmacist dispenses, pursuant to an
order or standing orders and protocols, an opiate antagonist in a good-faith
effort to assist:
(A) An individual who is at risk of experiencing an opiate-related
drug overdose event;
(B) A family member, friend, or other person who is in a position
to assist an individual who is at risk of experiencing an opiate-related drug
overdose event; or
(C) A first responder or an employee or volunteer of a harm
reduction organization in responding to, treating, or otherwise assisting an
individual who is experiencing or is at risk of experiencing an opiate-related
drug overdose event or a friend, family member, or other person in a
position to assist an at-risk individual.
(II) A pharmacist who dispenses an opiate antagonist in accordance
with this section is not subject to civil liability or criminal prosecution, as
specified in sections 13-21-108.7 (4) and 18-1-712 (3), C.R.S., respectively.
PAGE 1192-HOUSE BILL 19-1172
(III) This subsection (3) does not establish a duty or standard of care
regarding the dispensing of an opiate antagonist.
(d) [Relocated to 12-30-110 (1)(b), (2)(b), and (4)(b)]
(e) As used in this section:
(I) "First responder" means:
(A) A peace officer, as defined in section 16-2.5-101, C.R.S.;
(B) A firefighter, as defined in section 29-5-203 (10), C.R.S.; or
(C) A volunteer firefighter, as defined in section 31-30-1102 (9),
C.R.S.
(II) "Harm reduction organization" means an organization that
provides services, including medical care, counseling, homeless services,
or drug treatment, to individuals at risk of experiencing an opiate-related
drug overdose event or to the friends and family members of an at-risk
individual.
(III) "Opiate" has the same meaning as set forth in section
18-18-102 (21), C.R.S.
(IV) "Opiate antagonist" means naloxone hydrochloride or any
similarly acting drug that is not a controlled substance and that is approved
by the federal food and drug administration for the treatment of a drug
overdose.
(V) "Opiate-related drug overdose event" means an acute condition,
including a decreased level of consciousness or respiratory depression, that:
(A) Results from the consumption or use of a controlled substance
or another substance with which a controlled substance was combined;
(B) A layperson would reasonably believe to be caused by an
opiate-related drug overdose event; and
(C) Requires medical assistance.
PAGE 1193-HOUSE BILL 19-1172
(VI) "Protocol" means a specific written plan for a course of
medical treatment containing a written set of specific directions created by
a physician, group of physicians, hospital medical committee, pharmacy and
therapeutics committee, or other similar practitioners or groups of
practitioners with expertise in the use of opiate antagonists.
(VII) "Standing order" means a prescription order written by a
practitioner that is not specific to and does not identify a particular patient.
(3) A PHARMACIST MAY DISPENSE AN OPIATE ANTAGONIST IN
ACCORDANCE WITH SECTION 12-30-110.
12-280-124. [Formerly 12-42.5-121] Labeling. (1) A prescription
drug dispensed pursuant to an order must be labeled as follows:
(a) Drugs compounded and dispensed pursuant to a chart order for
a patient in a hospital must bear a label containing the name of the outlet,
the name and location of the patient, the identification of the drug, and,
when applicable, any suitable control numbers, the expiration date, any
warnings, and any precautionary statements.
(b) (I) If the prescription is for an anabolic steroid, the purpose for
which the anabolic steroid is being prescribed must appear on the label.
(II) If the prescription is for any drug other than an anabolic steroid,
the symptom or purpose for which the drug is being prescribed must appear
on the label, if, after being advised by the practitioner, the patient or the
patient's authorized representative so requests. If the practitioner does not
provide the symptom or purpose for which a drug is being prescribed, the
pharmacist may fill the prescription order without contacting the
practitioner, patient, or patient's representative, unless the prescription is for
an anabolic steroid.
(2) Except as otherwise required by law, any drug dispensed
pursuant to a prescription order must bear a label prepared and placed on or
securely attached to the medicine container stating at least the name and
address of the prescription drug outlet, the serial number and the date of the
prescription or of its dispensing, the name of the drug dispensed unless
otherwise requested by the practitioner, the name of the practitioner, the
name of the patient, and, if stated in the prescription, the directions for use
PAGE 1194-HOUSE BILL 19-1172
and cautionary statements, if any, contained in the prescription.
12-280-125. [Formerly 12-42.5-122] Substitution of prescribed
drugs authorized - when - conditions. (1) (a) A pharmacist filling a
prescription order for a specific drug by brand or proprietary name may
substitute an equivalent drug product if the substituted drug product is the
same generic drug type and, in the pharmacist's professional judgment, the
substituted drug product is therapeutically equivalent, is interchangeable
with the prescribed drug, and is permitted to be moved in interstate
commerce. A pharmacist making a substitution shall assume the same
responsibility for selecting the dispensed drug product as he or she would
incur in filling a prescription for a drug product prescribed by a generic
name; except that the pharmacist is charged with notice and knowledge of
the FDA list of approved drug substances and manufacturers that is
published periodically.
(b) (I) A pharmacist filling a prescription order for a specific
biological product may substitute an interchangeable biological product for
the prescribed biologic only if:
(A) The FDA has determined that the biological product to be
substituted is interchangeable with the prescribed biological product; and
(B) The practitioner has not indicated, in the manner described in
subsection (2) of this section, that the pharmacist shall not substitute an
interchangeable biological product for the prescribed biological product.
(II) Within a reasonable time after dispensing a biological product,
the dispensing pharmacist or his or her designee shall communicate to the
prescribing practitioner the specific biological product dispensed to the
patient, including the name and manufacturer of the biological product. The
pharmacist or designee shall communicate the information to the
prescribing practitioner by making an entry into an interoperable electronic
medical records system, through electronic prescribing technology, or
through a pharmacy record that the prescribing practitioner can access
electronically. Otherwise, the pharmacist or his or her designee shall
communicate to the prescribing practitioner the name and manufacturer of
the biological product dispensed to the patient using facsimile, telephone,
electronic transmission, or other prevailing means except when:
PAGE 1195-HOUSE BILL 19-1172
(A) There is no FDA-approved interchangeable biological product
for the prescribed biological product; or
(B) A refill prescription is not changed from the biological product
dispensed on the prior filling of the prescription.
(III) The pharmacy from which the biological product was dispensed
must retain a written or electronic record of the dispensed biological
product for at least two years after the substitution.
(IV) This paragraph (b) SUBSECTION (1)(b) does not apply to the
administration of vaccines and immunizations as outlined in board rules.
(2) (a) If, in the opinion of the practitioner, it is in the best interest
of the patient that the pharmacist not substitute an equivalent drug or
interchangeable biological product for the specific drug or biological
product he or she prescribed, the practitioner may convey this information
to the pharmacist in any of the following manners:
(I) Initialing by hand or electronically a preprinted box that states
"dispense as written" or "DAW";
(II) Signing by hand or electronically a preprinted box stating "do
not substitute" or "dispense as written"; or
(III) Orally, if the practitioner communicates the prescription orally
to the pharmacist.
(b) The practitioner shall not transmit by facsimile his or her
handwritten signature, nor preprint his or her initials, to indicate "dispense
as written".
(3) (a) If a pharmacist makes a substitution pursuant to subsection
(1) of this section, the pharmacist shall communicate the substitution to the
purchaser in writing and orally, label the container with the name of the
drug or biological product dispensed, and indicate on the file copy of the
prescription both the name of the prescribed drug or biological product and
the name of the drug or biological product dispensed in lieu of the
prescribed drug or prescribed biological product.
PAGE 1196-HOUSE BILL 19-1172
(b) The pharmacist is not required to communicate a substitution to
institutionalized patients.
(4) Except as provided in subsection (5) of this section, the
pharmacist shall not substitute a drug or interchangeable biological product
as provided in this section unless the drug or interchangeable biological
product substituted costs the purchaser less than the drug or biological
product prescribed. The prescription shall be priced for a drug, other than
a biological product, as if it had been prescribed generically.
(5) If a prescription drug outlet does not have in stock the prescribed
drug or biological product and the only equivalent drug or interchangeable
biological product in stock is higher priced, the pharmacist, with the consent
of the purchaser, may substitute the higher priced drug or interchangeable
biological product. This subsection (5) applies only to a prescription drug
outlet located in a town, as defined in section 31-1-101 (13). C.R.S.
(6) The board shall maintain on its website a link to the FDA
resource, if one is available, that identifies all biological products approved
as interchangeable with specific biological products.
12-280-126. [Formerly 12-42.5-123] Unprofessional conduct -
grounds for discipline. (1) The board may suspend, revoke, refuse to
renew, or otherwise discipline any license or registration issued by it TAKE
DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN SECTION 12-20-404,
after a hearing held in accordance with the provisions of this section
SECTIONS 12-20-403 AND 12-280-127, upon proof that the licensee or
registrant:
(a) Is guilty of misrepresentation, fraud, or deceit in procuring,
attempting to procure, or renewing a license or registration;
(b) Is guilty of the commission of a felony or has had accepted by
a court a plea of guilty or nolo contendere to a felony or has received a
deferred judgment and sentence for a felony;
(c) Has violated:
(I) Any of the provisions of this article 280, including commission
of an act declared unlawful in section 12-42.5-126 12-280-129, OR AN
PAGE 1197-HOUSE BILL 19-1172
APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12;
(II) The lawful rules of the board; or
(III) Any state or federal law pertaining to drugs;
(d) Is unfit or incompetent by reason of negligence or habits, or for
any other cause, to practice pharmacy;
(e) Has an alcohol use disorder, as defined in section 27-81-102, or
a substance use disorder, as defined in section 27-82-102, or engages in the
habitual or excessive use or abuse of alcohol, a habit-forming drug, or a
controlled substance, as defined in section 18-18-102 (5);
(f) Knowingly permits a person not licensed as a pharmacist or
pharmacy intern to engage in the practice of pharmacy;
(g) Has had his or her license to practice pharmacy in another state
revoked or suspended, or is otherwise disciplined or has committed acts in
any other state that would subject him or her to disciplinary action in this
state;
(h) Has engaged in advertising that is misleading, deceptive, or
false;
(i) Has dispensed a schedule III, IV, or V controlled substance order
as listed in sections 18-18-205 to 18-18-207 C.R.S., more than six months
after the date of issue of the order;
(j) Has engaged in the practice of pharmacy while on inactive status;
(k) Has failed to meet generally accepted standards of pharmacy
practice;
(l) Fails or has failed to permit the board or its agents to conduct a
lawful inspection;
(m) Has violated any lawful board order;
(n) Has committed any fraudulent insurance act as defined in section
PAGE 1198-HOUSE BILL 19-1172
10-1-128; C.R.S.;
(o) Has willfully deceived or attempted to deceive the board or its
agents with regard to any matter under investigation by the board;
(p) Has failed to notify the board of any criminal conviction or
deferred judgment within thirty days after the conviction or judgment;
(q) Has failed to notify the board of any discipline against his or her
license in another state within thirty days after the discipline;
(r) (I) Has failed to notify the board of a physical illness, a physical
condition, or a behavioral, mental health, or substance use disorder that
affects the person's ability to treat clients with reasonable skill and safety or
that may endanger the health or safety of persons under his or her care;
(II) Has failed to act within the limitations created by a physical
illness, a physical condition, or a behavioral, mental health, or substance use
disorder that renders the person unable to practice pharmacy with
reasonable skill and safety or that may endanger the health or safety of
persons under his or her care; or
(III) Has failed to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-42.5-134 SECTIONS
12-30-108 AND 12-280-136;
(s) Has had his or her federal registration to manufacture, distribute,
or dispense a controlled substance suspended or revoked.
(2) In considering the conviction of a crime, the board is governed
by section SECTIONS 12-20-202 (5) AND 24-5-101. C.R.S.
(3) Repealed.
12-280-127. [Formerly 12-42.5-124] Disciplinary actions.
(1) (a) The board may deny or discipline an applicant, licensee, or
registrant TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN SECTION
12-20-404 when the board determines that the applicant, licensee, or
registrant has engaged in activities that are grounds for discipline UNDER
SECTION 12-280-126.
PAGE 1199-HOUSE BILL 19-1172
(b) The board may suspend or revoke a registration issued pursuant
to section 12-42.5-117 (12) 12-280-119 (12) upon determination that the
person administering a drug or combination of drugs to an animal has not
demonstrated adequate knowledge required by sections 12-42.5-117 (12)
12-280-119 (12) and 12-42.5-118 (17) 12-280-120 (17).
(2) (a) Proceedings for the denial, suspension, or revocation of a
license or registration and any judicial review of a suspension or revocation
must be conducted in accordance with article 4 of title 24 C.R.S., and the
board or, at the board's discretion, an administrative law judge, shall
conduct the hearing and opportunity for review AND SECTIONS 12-20-403
AND 12-20-408.
(b) Upon finding that grounds for discipline pursuant to section
12-42.5-123 12-280-126 exist, IN ADDITION TO THE DISCIPLINARY ACTIONS
SPECIFIED IN SECTION 12-20-404 (1), the board may impose one or more of
the following penalties on a person who holds or is seeking a new or
renewal license or registration:
(I) Suspension of the offender's license or registration for a period
to be determined by the board;
(II) Revocation of the offender's license or registration;
(III) (I) Restriction of the offender's license or registration to
prohibit the offender from performing certain acts or from practicing
pharmacy in a particular manner for a period to be determined by the board;
(IV) Refusal to renew the offender's license or registration;
(V) (II) Placement of the offender on probation and supervision by
the board for a period to be determined by the board; OR
(VI) (III) Suspension of the registration of the outlet that is owned
by or employs the offender for a period to be determined by the board.
(c) The board may limit revocation or suspension of a registration
to the particular controlled substance which THAT was the basis for
revocation or suspension.
PAGE 1200-HOUSE BILL 19-1172
(d) If the board suspends or revokes a registration, the board may
place all controlled substances owned or possessed by the registrant at the
time of the suspension or on the effective date of the revocation order under
seal. The board may not dispose of substances under seal until the time for
making an appeal has elapsed or until all appeals have been concluded,
unless a court orders otherwise or orders the sale of any perishable
controlled substances and the deposit of the proceeds with the court. When
a revocation becomes final, all controlled substances may be forfeited to the
state.
(e) The board shall promptly notify the bureau and the appropriate
professional licensing agency, if any, of all charges and the final disposition
of the charges and of all forfeitures of a controlled substance.
(3) The board may also include in any disciplinary order that allows
the licensee or registrant to continue to practice conditions that the board
deems appropriate to assure that the licensee or registrant is physically,
mentally, morally, and otherwise qualified to practice pharmacy in
accordance with the generally accepted professional standards of practice,
including any or all of the following:
(a) Requiring the licensee or registrant to submit to examinations
that the board may order to determine the licensee's physical or mental
condition or professional qualifications;
(b) Requiring the licensee to take therapy courses of training or
education that the board deems necessary to correct deficiencies found
either in the hearing or by examinations required pursuant to paragraph (a)
of this subsection (3) SUBSECTION (3)(a) OF THIS SECTION;
(c) Requiring the review or supervision of the licensee's practice to
determine the quality of and correct deficiencies in his or her THE
LICENSEE'S practice; and
(d) Imposing restrictions upon the nature of the licensee's practice
to assure that he or she THE LICENSEE does not practice beyond the limits of
his or her THE LICENSEE'S capabilities.
(4) Upon failure of the licensee or registrant to comply with any
conditions imposed by the board pursuant to subsection (3) of this section,
PAGE 1201-HOUSE BILL 19-1172
unless due to conditions beyond the licensee's or registrant's control, the
board may order suspension of the license or registration in this state until
the licensee or registrant complies with the conditions.
(5) (a) (I) Except as provided in subparagraphs (II) and (III) of this
paragraph (a) SUBSECTIONS (5)(b) AND (5)(c) OF THIS SECTION, in addition
to any other penalty the board may impose pursuant to this section, the
board may fine any registrant violating this article 280 or any rules
promulgated pursuant to this article 280 not less than five hundred dollars
and not more than five thousand dollars for each violation.
(II) (b) In addition to any other penalty the board may impose
pursuant to this section, the board may fine a registrant violating part 4 of
this article 280 not less than five hundred dollars and not more than one
thousand dollars for the first time the board imposes a fine, not more than
two thousand dollars for the second time the board imposes a fine, and not
more than five thousand dollars for a third or subsequent time the board
imposes a fine. If a registrant violates an agreement to refrain from
committing subsequent violations of part 4 of this article 280, the board
may impose a fine of not more than one thousand dollars for each violation
of the agreement.
(III) (A) (c) (I) The board, after providing notice and an opportunity
to be heard, may fine a registrant who distributes a veterinary drug in
violation of this article 280 not less than fifty dollars nor more than five
hundred dollars for each violation, with a maximum aggregated fine of five
thousand dollars for multiple violations; except that, if, after considering the
recommendations of the advisory committee created in section
12-42.5-104.5 12-280-106, the board determines that the registrant has
committed one or more egregious violations, the board may fine the
registrant in accordance with subparagraph (I) of this paragraph (a)
SUBSECTION (5)(a) OF THIS SECTION.
(B) (II) In setting a fine, the board shall consider the registrant's
ability to pay. If the board determines that paying the fine would cause the
registrant an undue hardship, the board shall waive the fine.
(b) The board shall transmit any moneys collected as administrative
fines pursuant to this subsection (5) to the state treasurer for credit to the
general fund.
PAGE 1202-HOUSE BILL 19-1172
(6) (a) When a complaint or an investigation discloses an instance
of misconduct that, in the opinion of the board, does not warrant formal
action by the board but should not be dismissed as being without merit, The
board may send a letter of admonition by certified mail to the A licensee or
registrant against whom the complaint was made or who was the subject of
investigation and, UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN
ACCORDANCE WITH SECTION 12-20-404 (4). In the case of a complaint, THE
BOARD may send a copy of the letter of admonition to the person making the
complaint.
(b) When the board sends a letter of admonition to a licensee or
registrant complained against, the board shall include in the letter a
statement advising the licensee or registrant that the licensee or registrant
has the right to request in writing, within twenty days after receipt of the
letter, that the board initiate formal disciplinary proceedings to adjudicate
the propriety of the conduct upon which the letter of admonition is based.
(c) If the licensee or registrant timely requests adjudication, the
letter of admonition is vacated, and the board shall process the matter by
means of formal disciplinary proceedings.
(7) (a) When a complaint or an investigation discloses an instance
of conduct that does not warrant formal action by the board but the board
determines that the conduct could warrant action if continued, The board
may send a confidential letter of concern to the A licensee or registrant
against whom the complaint was made or who was the subject of
investigation UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404
(5). If a complaint precipitated the investigation, the board shall send a
response to the person making the complaint.
(b) A confidential letter of concern is not discipline.
(8) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
board shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution.
(9) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee or registrant
is acting in a manner that is an imminent threat to the health and safety of
PAGE 1203-HOUSE BILL 19-1172
the public or a person is acting or has acted without the required license or
registration, the board may issue an order to cease and desist the activity.
The board shall set forth in the order the statutes and rules alleged to have
been violated, the facts alleged to have constituted the violation, and the
requirement that all unlawful acts or unlicensed or unregistered practices
immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (9), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. The board shall conduct the hearing pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(10) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the board may issue to the person an order
to show cause as to why the board should not issue a final order directing
the person to cease and desist from the unlawful act or unlicensed or
unregistered practice.
(b) The board shall promptly notify a person against whom the
board has issued an order to show cause pursuant to paragraph (a) of this
subsection (10) of the issuance of the order and shall include in the notice
a copy of the order, the factual and legal basis for the order, and the date set
by the board for a hearing on the order. The board may serve the notice
upon the person against whom the order is issued by personal service, by
first-class United States mail, postage prepaid, or as may be practicable.
Personal service or mailing of an order or document pursuant to this
subsection (10) constitutes notice to the person.
(c) (I) The board shall commence the hearing on an order to show
cause no sooner than ten and no later than forty-five calendar days after the
date of transmission or service of the notification by the board as provided
in paragraph (b) of this subsection (10). The board may continue the hearing
by agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the board commence the hearing later than sixty calendar days
after the date of transmission or service of the notification.
PAGE 1204-HOUSE BILL 19-1172
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (10) does not appear at
the hearing, the board may present evidence that notification was properly
sent or served upon the person pursuant to paragraph (b) of this subsection
(10) and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order becomes final as to that person by operation of law. The hearing
must be conducted pursuant to sections 24-4-104 and 24-4-105, C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license or registration or has or is about to engage in acts or practices
constituting violations of this article, the board may issue a final
cease-and-desist order directing the person to cease and desist from further
unlawful acts or unlicensed or unregistered practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (10), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
is effective when issued and is a final order for purposes of judicial review.
(11) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed or unregistered act or practice, any act or practice
constituting a violation of this article, any rule promulgated pursuant to this
article, or any order issued pursuant to this article, or any act or practice
constituting grounds for administrative sanction pursuant to this article, the
board may enter into a stipulation with the person.
(12) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(13) A person aggrieved by the final cease-and-desist order may
PAGE 1205-HOUSE BILL 19-1172
seek judicial review of the board's determination or of the board's final
order as provided in section 12-42.5-125.
(8) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-280-128. [Similar to 12-42.5-125] Judicial review. SECTION
12-20-408 GOVERNS JUDICIAL REVIEW OF ALL FINAL ACTIONS AND ORDERS
OF THE BOARD THAT ARE SUBJECT TO JUDICIAL REVIEW.
12-280-129. [Formerly 12-42.5-126] Unlawful acts - civil fines.
(1) It is unlawful:
(a) To practice pharmacy without a license;
(b) To obtain or dispense or to procure the administration of a drug
by fraud, deceit, misrepresentation, or subterfuge, by the forgery or
alteration of an order, or by the use of a false name or the giving of a false
address;
(c) To willfully make a false statement in any order, report,
application, or record required by this article 280;
(d) To falsely assume the title of or falsely represent that one is a
pharmacist, practitioner, or registered outlet;
(e) To make or utter a false or forged order;
(f) To affix a false or forged label to a package or receptacle
containing drugs;
(g) To sell, compound, dispense, give, receive, or possess any drug
or device unless it was sold, compounded, dispensed, given, or received in
accordance with sections 12-42.5-118 12-280-120 to 12-42.5-122
12-280-125;
(h) Except as provided in section 12-42.5-122 12-280-125, to
dispense a different drug or brand of drug in place of the drug or brand
ordered or prescribed without the oral or written permission of the
PAGE 1206-HOUSE BILL 19-1172
practitioner ordering or prescribing the drug;
(i) To manufacture, process, pack, distribute, sell, dispense, or give
a drug, or the container or labeling of the drug, that, without authorization,
bears the trademark, trade name, or other identifying mark, imprint, or
device, or any likeness thereof, of a drug manufacturer, processor, packer,
or distributor other than the person who in fact manufactured, processed,
packed, or distributed such THE drug, container, or label and that thereby
falsely purports or is represented to be the product of or to have been
packed or distributed by such THE other drug manufacturer, processor,
packer, or distributor;
(j) For an employer or an employer's agent or employee to coerce a
pharmacist to dispense a prescription drug against the professional
judgment of the pharmacist;
(k) For an employer, an employer's agent or employee, or a
pharmacist to use or coerce to be used nonpharmacist personnel in any
position or task that would require the nonpharmacist to practice pharmacy
or to make a judgmental decision using pharmaceutical knowledge or in
violation of the delegatory restrictions enumerated in section 12-42.5-116
(5) 12-280-118 (5);
(l) To dispense any drug without complying with the labeling, drug
identification, and container requirements imposed by law;
(m) (I) To possess, sell, dispense, give, receive, or administer a drug
or device that is adulterated or misbranded within the meaning of the
"Colorado Food and Drug Act", part 4 of article 5 of title 25, or is a
counterfeit drug.
(II) As used in this subsection (1)(m), "counterfeit drug" means a
drug, or the container or labeling of a drug, that, without authorization,
bears the trademark, trade name, or other identifying mark, imprint, or
device or any likeness thereof of a drug manufacturer, processor, packer, or
distributor other than the person who in fact manufactured, processed,
packed, or distributed the drug and that falsely purports or is represented to
be the product of, or to have been packed or distributed by, the drug
manufacturer, processor, packer, or distributor whose trademark, trade
name, or other identifying mark, imprint, or device or likeness thereof
PAGE 1207-HOUSE BILL 19-1172
appears on the drug or its container or labeling.
(2) In addition to any other penalties that may be imposed under this
part 1, a person who engages in an unlawful act under this section may be
punished by a civil fine of not less than one thousand dollars and not more
than ten thousand dollars for each violation. Fines imposed and paid under
this section shall be deposited in the general fund IN ACCORDANCE WITH
SECTION 12-20-404 (6).
12-280-130. [Formerly 12-42.5-127] Unauthorized practice -
penalties. Any person who practices or offers or attempts to practice
pharmacy without an active license issued under this article commits a class
2 misdemeanor and shall be punished as provided in section 18-1.3-501,
C.R.S., for the first offense, and any person committing a second or
subsequent offense commits a class 6 felony and shall be punished as
provided in section 18-1.3-401, C.R.S. 280 IS SUBJECT TO PENALTIES
PURSUANT TO SECTION 12-20-407 (1)(a).
12-280-131. [Formerly 12-42.5-128] New drugs - when sales
permissible. (1) No person shall sell, deliver, offer for sale, hold for sale,
or give away any new drug not authorized to move in interstate commerce
under appropriate federal law.
(2) This section does not apply to a drug intended solely for
investigational use by experts qualified by scientific training and experience
to investigate the safety and effectiveness of drugs if the drug is plainly
labeled to be for investigational use only.
12-280-132. [Formerly 12-42.5-129] Advertising of prescription
drug prices. A prescription drug outlet may advertise its prices for
prescription drugs. If the drug is advertised by its brand or proprietary
name, the prescription drug outlet shall also include its generic name in the
advertisement.
12-280-133. [Formerly 12-42.5-130] Nonresident prescription
drug outlet - registration - rules. (1) Any prescription drug outlet located
outside this state that ships, mails, or delivers, in any manner, drugs or
devices into this state is a nonresident prescription drug outlet and shall
register with the board and disclose to the board the following:
PAGE 1208-HOUSE BILL 19-1172
(a) The location, names, and titles of all principal entity officers and
all pharmacists who are dispensing drugs or devices to the residents of this
state. The nonresident prescription drug outlet shall submit a report
containing this information to the board on an annual basis and within thirty
days after any change of office, officer, or pharmacist.
(b) A verification that it complies with all lawful directions and
requests for information from the regulatory or licensing agency of the state
in which it is licensed as well as with all requests for information made by
the board pursuant to this section. The nonresident prescription drug outlet
shall maintain at all times a valid, unexpired license, permit, or registration
to conduct the prescription drug outlet in compliance with the laws of the
state in which it is a resident. As a prerequisite to registering with the board,
the nonresident prescription drug outlet shall submit a copy of the most
recent inspection report resulting from an inspection conducted by the
regulatory or licensing agency of the state in which it is located.
(2) The registration requirements of this section apply only to a
nonresident prescription drug outlet that only ships, mails, or delivers, in
any manner, drugs and devices into this state pursuant to a prescription
order.
(3) A nonresident prescription drug outlet doing business in this
state that has not obtained a registration shall not conduct the business of
selling or distributing drugs in this state without first registering as a
nonresident prescription drug outlet. A nonresident prescription drug outlet
shall make application for a nonresident prescription drug outlet registration
on a form furnished by the board. The board may require such THE
information as it deems necessary to carry out the purpose of this section.
(4) (a) The board may deny, revoke, or suspend a nonresident
prescription drug outlet registration for failure to comply with this section
or with any rule promulgated by the board.
(b) The board may deny, revoke, or suspend a nonresident
prescription drug outlet registration if the nonresident prescription drug
outlet's license or registration has been revoked or not renewed for
noncompliance with the laws of the state in which it is a resident.
12-280-134. [Formerly 12-42.5-131] Records. (1) (a) All persons
PAGE 1209-HOUSE BILL 19-1172
licensed or registered under this article 280 shall keep and maintain records
of the receipt, distribution, or other disposal of prescription drugs or
controlled substances, shall make the records available to the board upon
request for inspection, copying, verification, or any other purpose, and shall
retain the records for two years or for a period otherwise required by law.
(b) The board may permit a wholesaler to maintain a portion of its
records at a central location that is different from the storage facility of the
wholesaler. If the board grants the permission, the wholesaler shall make
available all relevant records within forty-eight hours after a request for
inspection, copying, verification, or any other purpose by the board. The
wholesaler shall make all other records that are available for immediate
access readily available to the board.
(2) A wholesaler shall establish and maintain inventories and
records of all transactions regarding the receipt and distribution of
prescription drugs. A wholesaler shall make its records available to the
board in accordance with subsection (1) of this section. A wholesaler shall
include the following information in its records:
(a) The source of the prescription drugs, including the name and
principal address of the seller or transferor of the prescription drugs and the
address of the location from which the prescription drugs were shipped;
(b) The identity and quantity of the drugs received, distributed, or
disposed of by the wholesale distributor; and
(c) The dates of receipt, distribution, or other disposition of the
prescription drugs.
(3) The record of any controlled substance distributed, administered,
dispensed, or otherwise used must show the date the controlled substance
was distributed, administered, dispensed, used, or otherwise disposed of, the
name and address of the person to whom or for whose use the controlled
substance was distributed, administered, dispensed, used, or otherwise
disposed of, and the kind and quantity of the controlled substance.
(4) Manufacturing records of controlled substances must include the
kind and quantity of controlled substances produced or removed from
process of manufacture and the dates of production or removal from process
PAGE 1210-HOUSE BILL 19-1172
of manufacture.
(5) A person who maintains a record required by federal law that
contains substantially the same information as set forth in subsections (1)
to (4) of this section is deemed to comply with the record-keeping
requirements of this section.
(6) A person required to maintain records pursuant to this section
shall keep a record of any controlled substance lost, destroyed, or stolen, the
kind and quantity of the controlled substance, and the date of the loss,
destruction, or theft.
(7) Prescription drug outlets shall report thefts of controlled
substances to the proper law enforcement agencies and to the board within
thirty days after the occurrence of the thefts.
(8) A person licensed, registered, or otherwise authorized under this
article 280 or other laws of this state shall distribute, administer, dispense,
use, or otherwise dispose of controlled substances listed in schedule I or II
of part 2 of article 18 of title 18 C.R.S., only pursuant to an order form.
Compliance with the provisions of federal law respecting order forms is
deemed compliance with this section.
(9) Prescriptions, orders, and records required by this part 1 and
stocks of controlled substances are open for inspection only to federal, state,
county, and municipal officers whose duty it is to enforce the laws of this
state or of the United States relating to controlled substances or the
regulation of practitioners. No officer having knowledge by virtue of his or
her office, of a prescription, order, or record shall divulge his or her
knowledge, except in connection with a prosecution or proceeding in court
or before a licensing or registration board or officer to which prosecution
or proceeding the person to whom the prescriptions, orders, or records relate
is a party.
12-280-135. [Formerly 12-42.5-133] Unused medication - licensed
facilities - correctional facilities - reuse - definitions - rules. (1) As used
in this section, unless the context otherwise requires:
(a) "Correctional facility" means a facility under the supervision of
the United States, the department of corrections, or a similar state agency
PAGE 1211-HOUSE BILL 19-1172
or department in a state other than Colorado in which persons are or may be
lawfully held in custody as a result of conviction of a crime; a jail or an
adult detention center of a county, city, or city and county; and a private
contract prison operated by a state, county, city, or city and county.
(a.5) (b) "Licensed facility" means a hospital, hospital unit,
community mental health center, acute treatment unit, hospice, nursing care
facility, assisted living residence, or any other facility that is required to be
licensed pursuant to section 25-3-101, C.R.S., or a licensed long-term care
facility as defined in section 25-1-124 (2.5)(b). C.R.S.
(b) (c) "Medical device" means an instrument, apparatus,
implement, machine, contrivance, implant, or similar or related article that
is required to be labeled pursuant to 21 CFR part 801.
(c) (d) "Medical supply" means a consumable supply item that is
disposable and not intended for reuse.
(d) (e) "Medication" means a prescription that is not a controlled
substance.
(2) (a) (I) If donated by the patient, resident, or the patient's or
resident's next of kin, a licensed facility may return unused medications or
medical supplies and used or unused medical devices to a pharmacist within
the licensed facility or a prescription drug outlet in order for the materials
to be redispensed to another patient or donated to a nonprofit entity that has
the legal authority to possess the materials or to a practitioner authorized by
law to dispense the materials.
(II) (A) A licensed facility or a prescription drug outlet may donate
materials to a nonprofit entity that has legal authority to possess the
materials or to a person legally authorized to dispense the materials. A
licensed pharmacist shall review the process of donating the unused
medications to the nonprofit entity.
(B) Nothing in this subparagraph (II) SUBSECTION (2)(a)(II): Creates
or abrogates any liability on behalf of a prescription drug manufacturer for
the storage, donation, acceptance, or dispensing of a medication or product;
or creates any civil cause of action against a prescription drug manufacturer
in addition to that which is available under applicable law.
PAGE 1212-HOUSE BILL 19-1172
(C) A person or entity is not subject to civil or criminal liability or
professional disciplinary action for donating, accepting, dispensing, or
facilitating the donation of materials in good faith, without negligence, and
in compliance with this section.
(III) A correctional facility may return unused medications or
medical supplies and used or unused medical devices to the pharmacist
within the correctional facility or a prescription drug outlet in order for the
medication to be redispensed to another patient or donated to a nonprofit
entity that has the legal authority to possess the materials or to a practitioner
authorized by law to prescribe the materials.
(b) Medications are only available to be dispensed to another person
or donated to a nonprofit entity under this section if the medications are:
(I) Liquid and the vial is still sealed and properly stored;
(II) Individually packaged and the packaging has not been damaged;
or
(III) In the original, unopened, sealed, and tamper-evident unit dose
packaging.
(c) The following medications may not be donated:
(I) Medications packaged in traditional brown or amber pill bottles;
(II) Controlled substances;
(III) Medications that require refrigeration, freezing, or special
storage;
(IV) Medications that require special registration with the
manufacturer; or
(V) Medications that are adulterated or misbranded, as determined
by a person legally authorized to dispense the medications on behalf of the
nonprofit entity.
(3) Medication dispensed or donated pursuant to this section must
PAGE 1213-HOUSE BILL 19-1172
not be expired. A medication shall not be dispensed that will expire before
the use by the patient based on the prescribing practitioner's directions for
use.
(3.5) (4) Medication, medical supplies, and medical devices donated
pursuant to this section may not be resold for profit. The entity that receives
the donated materials may charge the end user a handling fee, which FEE
shall not exceed the amount specified by rule of the board.
(4) (5) The board shall adopt rules that allow a pharmacist to
redispense medication pursuant to this section and section 25.5-5-502
C.R.S., and to donate medication pursuant to this section.
(5) (6) Nothing in this section or section 25.5-5-502 C.R.S., creates
or abrogates any liability on behalf of a prescription drug manufacturer for
the storage, donation, acceptance, or dispensing of an unused donated
medication or creates any civil cause of action against a prescription drug
manufacturer in addition to that which is available under applicable law.
12-280-136. [Formerly 12-42.5-134] Confidential agreement to
limit practice. (1) If a pharmacist or intern has a physical illness; a
physical condition; or a behavioral or mental health disorder that renders the
person unable to practice pharmacy with reasonable skill and safety to
clients, the pharmacist or intern shall notify the board of the physical illness;
the physical condition; or the behavioral or mental health disorder in a
manner and within a period determined by the board. The board may require
the pharmacist or intern to submit to an examination or refer the pharmacist
or intern to the pharmacy peer health assistance diversion program
established in part 2 of this article 42.5 to evaluate the extent of the physical
illness; the physical condition; or the behavioral or mental health disorder
and its impact on the pharmacist's or intern's ability to practice pharmacy
with reasonable skill and safety to clients.
(2) (a) Upon determining that a pharmacist or intern with a physical
illness; a physical condition; or a behavioral or mental health disorder is
able to render limited services with reasonable skill and safety to clients, the
board may enter into a confidential agreement with the pharmacist or intern
in which the pharmacist or intern agrees to limit his or her practice based on
the restrictions imposed by the physical illness; the physical condition; or
the behavioral or mental health disorder, as determined by the board.
PAGE 1214-HOUSE BILL 19-1172
(b) As part of the agreement, the pharmacist or intern is subject to
periodic reevaluations or monitoring as determined appropriate by the
board. The board may refer the pharmacist or intern to the pharmacy peer
health assistance diversion program for reevaluation or monitoring.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(3) By entering into an agreement with the board pursuant to this
section to limit his or her practice, a pharmacist or intern is not engaging in
activities prohibited pursuant to section 12-42.5-123. The agreement does
not constitute a restriction or discipline by the board. However, if the
pharmacist or intern fails to comply with the terms of an agreement entered
into pursuant to this section, the failure constitutes a prohibited activity
pursuant to section 12-42.5-123 (1)(r), and the pharmacist or intern is
subject to discipline in accordance with section 12-42.5-124.
(1) EXCEPT AS SPECIFIED IN SUBSECTION (2) OF THIS SECTION,
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO LIMIT
PRACTICE APPLIES TO THIS ARTICLE 280.
(4) (2) This section does AND SECTION 12-30-108 DO not apply to a
pharmacist or intern subject to discipline for prohibited activities as
described in section 12-42.5-123 (1)(e) 12-280-126 (1)(e).
PART 2
PHARMACY PEER HEALTH ASSISTANCE
DIVERSION PROGRAM
12-280-201. [Formerly 12-42.5-201] Legislative declaration.
(1) The general assembly finds, determines, and declares that the creation
of a pharmacy peer health assistance diversion program for those persons
subject to the jurisdiction of the board will serve to safeguard the life,
health, property, and public welfare of the people of this state. A pharmacy
peer health assistance diversion program will help practitioners
experiencing impaired practice due to psychiatric, psychological, or
emotional problems; excessive alcohol or drug use; or alcohol or substance
use disorders. The general assembly further declares that a pharmacy peer
health assistance diversion program will protect the privacy and welfare of
those persons who provide services and at the same time assist the board in
PAGE 1215-HOUSE BILL 19-1172
carrying out its duties and responsibilities to ensure that only qualified
persons are allowed to engage in providing those services that are under the
jurisdiction of the board.
(2) It is the intent of the general assembly that the pharmacy peer
health assistance diversion program and its related procedures be utilized
by the board in conjunction with, or as an alternative to, the use of
disciplinary proceedings by the board, which proceedings are by their nature
time-consuming and costly to the people of this state. The pharmacy peer
health assistance diversion program is hereby established to alleviate the
need for disciplinary proceedings, while at the same time providing
safeguards that protect the public health, safety, and welfare. The general
assembly further declares that it intends that the board will act to implement
the provisions of this article 280.
12-280-202. [Formerly 12-42.5-202] Definitions. As used in this
part 2, unless the context otherwise requires:
(1) "Impaired practice" means a licensee's inability to meet the
requirements of the laws of this state and the rules of the board governing
his or her practice when the licensee's cognitive, interpersonal, or
psychomotor skills are affected by psychiatric, psychological, or emotional
problems; excessive alcohol or drug use; or alcohol or substance use
disorders.
(2) "Licensee" means any pharmacist or intern who is licensed by
the board.
(3) (2) "Peer health assistance organization" means an organization
that provides a formal, structured program that meets the requirements
specified in this part 2 and is administered by appropriate professionals for
the purpose of assisting licensees experiencing impaired practice to obtain
evaluation, treatment, short-term counseling, monitoring of progress, and
ongoing support for the purpose of arresting and treating the licensee's
psychiatric, psychological, or emotional problems; excessive alcohol or
drug use; or alcohol or substance use disorders.
12-280-203. [Formerly 12-42.5-203] Pharmacy peer health
assistance fund. (1) There is hereby created in the state treasury the
pharmacy peer health assistance fund. The fund consists of moneys MONEY
PAGE 1216-HOUSE BILL 19-1172
collected by the board and credited to the fund pursuant to subsection (2)
of this section. Any interest earned on the investment of moneys MONEY in
the fund must be credited at least annually to the fund.
(2) (a) As a condition of licensure and licensure renewal in this
state, every applicant shall pay to the administering entity that has been
selected by the board pursuant to this section an amount set by the board not
to exceed fifty-six dollars biennially. The amount must be used to support
designated providers that have been selected by the board to provide
assistance to pharmacists and interns needing help in dealing with physical,
emotional, psychiatric, or psychological problems or behavioral, mental
health, or substance use disorders that may be detrimental to their ability to
practice.
(b) The board shall select one or more peer health assistance
organizations as designated providers. To be eligible for designation by the
board a peer health assistance diversion program shall:
(I) Provide for the education of pharmacists and interns with respect
to the recognition and prevention of physical, emotional, and psychological
problems and provide for intervention when necessary or under
circumstances that may be established by rules promulgated by the board;
(II) Offer assistance to a pharmacist or intern in identifying physical,
emotional, or psychological problems;
(III) Evaluate the extent of physical, emotional, or psychological
problems and refer the pharmacist or intern for appropriate treatment;
(IV) Monitor the status of a pharmacist or intern who has been
referred for treatment;
(V) Provide counseling and support for the pharmacist or intern and
for the family of any pharmacist or intern referred for treatment;
(VI) Agree to receive referrals from the board;
(VII) Agree to make their services available to all licensed Colorado
pharmacists and interns.
PAGE 1217-HOUSE BILL 19-1172
(c) The administering entity must be a qualified, nonprofit, private
foundation that is qualified under section 501 (c)(3) of the federal "Internal
Revenue Code of 1986", as amended, and must be dedicated to providing
support for charitable, benevolent, educational, and scientific purposes that
are related to pharmaceutical education, pharmaceutical research and
science, and other pharmaceutical charitable purposes.
(d) The responsibilities of the administering entity are:
(I) To collect the required annual payments, directly or through the
board;
(II) To verify to the board, in a manner acceptable to the board, the
names of all pharmacist and intern applicants who have paid the fee set by
the board;
(III) To distribute the moneys MONEY collected, less expenses, to the
designated provider, as directed by the board;
(IV) To provide an annual accounting to the board of all amounts
collected, expenses incurred, and amounts disbursed; and
(V) To post a surety performance bond in an amount specified by
the board to secure performance under the requirements of this section. The
administering entity may recover the actual administrative costs incurred in
performing its duties under this section in an amount not to exceed ten
percent of the total amount collected.
(e) The board, at its discretion, may collect the required annual
payments payable to the administering entity for the benefit of the
administering entity and shall transfer all such THE payments to the
administering entity. All required annual payments collected or due to the
board for each fiscal year are custodial funds that are not subject to
appropriation by the general assembly, and the funds do not constitute state
fiscal year spending for purposes of section 20 of article X of the state
constitution.
12-280-204. [Formerly 12-42.5-204] Eligibility - participants.
(1) Any licensee may apply to the board for participation in a qualified peer
health assistance diversion program.
PAGE 1218-HOUSE BILL 19-1172
(2) In order to be eligible for participation, a licensee shall:
(a) Acknowledge the existence or the potential existence of a
psychiatric, psychological, or emotional problem; excessive alcohol or drug
use; or an alcohol use disorder, as defined in section 27-81-102, or a
substance use disorder, as defined in section 27-82-102;
(b) After a full explanation of the operation and requirements of the
peer health assistance diversion program, agree to voluntarily participate in
the program and agree in writing to participate in the program of the peer
health assistance organization designated by the board.
(3) Notwithstanding the provisions of this section, the board may
summarily suspend the license of any licensee who is referred to a peer
health assistance diversion program by the board and who fails to attend or
to complete the program. If the board summarily suspends the license, the
board shall schedule a hearing on the suspension, which shall be conducted
in accordance with section 24-4-105. C.R.S.
12-280-205. [Formerly 12-42.5-205] Liability. Nothing in this part
2 creates any liability of the board, members of the board, or the state of
Colorado for the actions of the board in making awards to pharmacy peer
health assistance organizations or in designating licensees to participate in
the programs of pharmacy peer health assistance organizations. No civil
action may be brought or maintained against the board, its members, or the
state for an injury alleged to have been the result of an act or omission of a
licensee participating in or referred to a state-funded program provided by
a pharmacy peer health assistance organization. However, the state remains
liable under the "Colorado Governmental Immunity Act", article 10 of title
24, C.R.S., if an injury alleged to have been the result of an act or omission
of a licensee participating in or referred to a state-funded peer health
assistance diversion program occurred while the licensee was performing
duties as an employee of the state.
12-280-206. [Formerly 12-42.5-206] Immunity. Any member of
the board acting pursuant to this part 2 is immune from suit in any civil
action if the member acted in good faith within the scope of the function of
the board, made a reasonable effort to obtain the facts of the matter as to
which the member acted, and acted in the reasonable belief that the action
taken by the member was warranted by the facts UNDER THE SAME
PAGE 1219-HOUSE BILL 19-1172
CONDITIONS FOR IMMUNITY AS SPECIFIED IN SECTION 12-20-402 (1).
PART 3
WHOLESALERS
12-280-301. [Formerly 12-42.5-301] Definitions. As used in this
part 3, unless the context otherwise requires:
(1) "Authentication" means the process of affirmatively verifying
that each transaction listed on a pedigree has occurred before any wholesale
distribution of a prescription drug occurs.
(2) "Board-registered outlet" means a prescription drug outlet, an
other outlet, a nonresident prescription drug outlet, a wholesaler, or a
manufacturer.
(3) "Designated representative" means a person authorized by a
licensed wholesaler to act as a representative for the wholesaler.
(4) "Drop shipment" means the sale by a manufacturer of the
manufacturer's prescription drug, that manufacturer's third-party logistics
provider, or that manufacturer's exclusive distributor to a wholesaler
whereby the wholesaler takes title to, but not possession of, the prescription
drug and the wholesaler invoices the board-registered outlet or practitioner
authorized by law to prescribe the prescription drug and the
board-registered outlet or the practitioner authorized by law to prescribe the
prescription drug receives delivery of the prescription drug directly from the
manufacturer of such THE drug, that manufacturer's third-party logistics
provider, or that manufacturer's exclusive distributor.
(5) "Facility" means a facility of a wholesaler where prescription
drugs are stored, handled, repackaged, or offered for sale.
(6) "Normal distribution channel" means a chain of custody for a
prescription drug that goes directly or by drop shipment from a
manufacturer of the prescription drug to:
(a) (I) A wholesaler to a pharmacy to a patient or other designated
persons authorized by law to dispense or administer a prescription drug to
a patient;
PAGE 1220-HOUSE BILL 19-1172
(II) A wholesaler to a chain pharmacy warehouse to their
intracompany pharmacies to a patient;
(III) A chain pharmacy warehouse to its intracompany pharmacies
to a patient; or
(IV) A pharmacy to a patient; or
(b) A manufacturer's colicensed partner, third-party logistics
provider, or exclusive distributor to a wholesaler to a pharmacy to a patient
or other designated persons authorized by law to dispense or administer
such THE PRESCRIPTION drug to a patient; or
(c) A manufacturer's colicensed partner, or that manufacturer's
third-party logistics provider, or exclusive distributor to a wholesaler to a
chain pharmacy warehouse to that chain pharmacy warehouse's
intracompany pharmacy to a patient or other designated persons authorized
by law to dispense or administer such THE PRESCRIPTION drug to a patient;
or
(d) A wholesaler to a pharmacy buying cooperative warehouse to a
pharmacy that is a member or member owner of the cooperative to a patient
or other designated person authorized by law to dispense or administer the
prescription drug to a patient.
(7) "Pedigree" means a document or electronic file containing
information that records each distribution of any given prescription drug
that leaves the normal distribution channel.
(8) "Third-party logistics provider" means anyone who contracts
with a manufacturer to provide or coordinate warehousing, distribution, or
other services on behalf of a manufacturer but does not take title to a
prescription drug or have general responsibility to direct the prescription
drug's sale or disposition.
12-280-302. [Formerly 12-42.5-302] Exemptions - definition.
(1) (a) The board may exempt a pharmacy benefits entity from the
requirements of sections 12-42.5-303 12-280-303 and 12-42.5-304
12-280-304 if the entity's purchases are solely from a manufacturer or a
wholesale distributor in the normal distribution channel, and any subsequent
PAGE 1221-HOUSE BILL 19-1172
sales or further distributions are to entities other than a wholesaler within
the normal distribution channel.
(b) For the purposes of this section, "pharmacy benefits entity"
means an entity that is not engaged in the activities of a chain pharmacy
warehouse but that assists in the administration of pharmacy benefits under
contracts with insurers or to a company under common ownership with that
entity.
(2) The board may exempt a wholesaler from any requirement of
this part 3 if the wholesaler exclusively distributes animal health medicines.
The board may exempt a wholesaler that distributes animal health
medicines from the requirements of section 12-42.5-306 12-280-306.
(3) The board shall exempt from the requirements of sections
12-42.5-303 12-280-303 and 12-42.5-304 12-280-304:
(a) A licensed wholesaler operated by a nonprofit organization
exempt from taxation under section 501 (c)(3) of the federal "Internal
Revenue Code of 1986", as amended, that engages only in intracompany
sales or transfers of prescription drugs to licensed other outlets or
pharmacies that are controlled by, or under common ownership or control
with, the wholesaler and that purchase drugs directly from the manufacturer
or the manufacturer's authorized distributor of record for distribution or
transfer to the wholesaler's licensed other outlets, pharmacies, or other areas
authorized by state law;
(b) A licensed wholesaler operated by a hospital, a state agency, or
a political subdivision if the entity purchases drugs directly from a
manufacturer or a manufacturer's authorized distributor of record and if any
further distribution is to authorized licensed entities within its own network.
12-280-303. [Formerly 12-42.5-303] Wholesaler license
requirements - rules. (1) (a) A wholesaler that resides in this state must
be licensed by the board. A wholesaler that does not reside in this state must
be licensed in this state prior to engaging in the wholesale distribution of
prescription drugs in this state. The board shall exempt a manufacturer and
that manufacturer's third-party logistics providers to the extent involving
that manufacturer's drugs under contract from any licensing qualifications
and other requirements, including the requirements in subparagraphs (VI)
PAGE 1222-HOUSE BILL 19-1172
and (VII) of paragraph (a) of subsection (3) SUBSECTIONS (3)(a)(VI) AND
(3)(a)(VII) of this section, subsections (4) to (6) of this section, and section
12-42.5-304 12-280-304, to the extent the requirements are not required by
federal law or regulation, unless the particular requirements are deemed
necessary and appropriate following rule-making by the board.
(b) A manufacturer's exclusive distributor and pharmacy buying
cooperative warehouse must be licensed by the board as a wholesaler
pursuant to this part 3. A third-party logistics provider must be licensed by
the board as a wholesale distributor pursuant to this part 3.
(2) (a) The board may adopt rules to approve an accreditation body
to evaluate a wholesaler's operations to determine compliance with
professional standards and any other applicable laws and to perform
inspections of each facility and location where the wholesaler conducts
wholesale distribution operations.
(b) An applicant for a license shall pay any fee required by the
accreditation body or the board and comply with any rules promulgated by
the board.
(c) The board shall not issue or renew a license to a wholesaler who
does not comply with this part 3.
(3) (a) An applicant for a wholesaler license shall provide to the
board the following information, and any other information deemed
appropriate by the board on a form provided by the board:
(I) The name, full business address, and telephone number of the
applicant;
(II) The trade and business names used by the applicant;
(III) The addresses, telephone numbers, and names of the contact
persons for all facilities used by the applicant for the storage, handling, and
distribution of prescription drugs;
(IV) The type of ownership or operation of the applicant;
(V) The names of the owner and the operator of the applicant,
PAGE 1223-HOUSE BILL 19-1172
including:
(A) The name of each partner if the applicant is a partnership;
(B) The name and title of each officer and director, the name of the
corporation, and the state of incorporation, if the applicant is a corporation;
(C) The name of the limited liability company, if the applicant is a
limited liability company, and the name of the parent company, if any, and
the state of incorporation or formation of both; or
(D) The name of the sole proprietor and the business entity if the
applicant is a sole proprietorship;
(VI) A list of the licenses and permits issued to the applicant by any
other state that authorizes the applicant to purchase or possess prescription
drugs; and
(VII) The name of the applicant's designated representative for the
facility, the fingerprints of the designated representative, and a personal
information statement for the designated representative that includes
information as required by the board, including but not limited to the
information in subsection (5) of this section.
(b) A licensee shall complete and return a form approved by the
board at each renewal period. The board may suspend or revoke the license
of a wholesaler if the board determines that the wholesaler no longer
qualifies for a license.
(4) Prior to issuing a wholesaler license to an applicant, the board,
the regulatory oversight body from another state, or A board-approved
accreditation body may conduct a physical inspection of the facility at the
business address provided by the applicant. Nothing in this subsection (4)
shall preclude the board from inspecting a wholesaler.
(5) The designated representative of an applicant for a wholesaler
license shall:
(a) Be at least twenty-one years of age;
PAGE 1224-HOUSE BILL 19-1172
(b) Have at least three years of full-time employment history with
a pharmacy or a wholesaler in a capacity related to the dispensing and
distribution of and the record keeping related to prescription drugs;
(c) Be employed by the applicant in a full-time managerial position;
(d) Be actively involved in and aware of the actual daily operation
of the wholesaler;
(e) Be physically present at the facility of the applicant during
regular business hours, except when the absence of the designated
representative is authorized, including, but not limited to, sick leave and
vacation leave;
(f) Serve in the capacity of a designated representative for only one
applicant or wholesaler at a time, except where more than one licensed
wholesaler is co-located in the same facility and the wholesalers are
members of an affiliated group as defined by section 1504 of the federal
"Internal Revenue Code of 1986", AS AMENDED;
(g) Not have any convictions under federal, state, or local law
relating to wholesale or retail prescription drug distribution or a controlled
substance, as defined in section 18-18-102 (5); C.R.S.;
(h) Not have any felony convictions pursuant to federal, state, or
local law; and
(i) Update all of the information required in this part 3 whenever
changes occur.
(6) A wholesaler shall obtain a license for each facility it uses for
the distribution of prescription drugs.
12-280-304. [Formerly 12-42.5-304] Criminal history record
check. Prior to submission of an application, each designated representative
must have his or her fingerprints taken by a local law enforcement agency
or any third party approved by the Colorado bureau of investigation for the
purpose of obtaining a fingerprint-based criminal history record check. If
an approved third party takes the person's fingerprints, the fingerprints may
be electronically captured using Colorado bureau of investigation-approved
PAGE 1225-HOUSE BILL 19-1172
livescan equipment. Third-party vendors shall not keep the applicant
information for more than thirty days unless requested to do so by the
applicant. The designated representative shall submit payment by certified
check or money order for the fingerprints and for the actual costs of the
record check at the time the fingerprints are submitted to the Colorado
bureau of investigation. Upon receipt of fingerprints and receipt of the
payment for costs, the Colorado bureau of investigation shall conduct a state
and national fingerprint-based criminal history record check utilizing
records of the Colorado bureau of investigation and the federal bureau of
investigation.
12-280-305. [Formerly 12-42.5-305] Restrictions on transactions.
(1) A wholesaler shall accept prescription drug returns or exchanges from
a pharmacy or a chain pharmacy warehouse pursuant to the terms and
conditions of the agreement between the wholesale distributor and the
pharmacy or chain pharmacy warehouse. The receiving wholesale
distributor shall distribute returns or exchanges of expired, damaged,
recalled, or otherwise unsaleable pharmaceutical product only to the
original manufacturer or to a third-party returns processor. The returns or
exchanges of prescription drugs, saleable or unsaleable, including any
redistribution by a receiving wholesaler, are not subject to the pedigree
requirements of section 12-42.5-306, 12-280-306 so long as the drugs are
exempt from the pedigree requirement of the federal food and drug
administration's currently applicable "Prescription Drug Marketing Act of
1987" guidance. The pharmacies, chain pharmacy warehouses, and
pharmacy buying cooperative warehouses are responsible for ensuring that
the prescription drugs returned are what they purport to be and shall ensure
that those returned prescription drugs were stored under proper conditions
since their receipt. Wholesalers are responsible for policing their returns
process and helping to ensure that their operations are secure and do not
permit the entry of adulterated or counterfeit product. A pharmacist shall
not knowingly return a medication that is not what it purports to be.
(2) A manufacturer or wholesaler shall furnish prescription drugs
only to a board-registered outlet or practitioner authorized by law to
prescribe the drugs. Before furnishing prescription drugs to a person or
entity not known to the manufacturer or wholesaler, the manufacturer or
wholesaler shall affirmatively verify that the person or entity is legally
authorized to receive the prescription drugs by contacting the board.
PAGE 1226-HOUSE BILL 19-1172
(3) A manufacturer or wholesaler may furnish prescription drugs to
a hospital pharmacy receiving area if a pharmacist or authorized receiving
agent signs, at the time of delivery, a receipt showing the type and quantity
of the prescription drug received. The pharmacist or authorized receiving
agent shall report any discrepancy between the receipt and the type and
quantity of the prescription drug actually received to the delivering
manufacturer or wholesaler by the next business day after the delivery to the
pharmacy receiving area.
(4) A manufacturer or wholesaler shall not accept payment for, or
allow the use of, a person's or entity's credit to establish an account for the
purchase of prescription drugs from any person other than the owner of
record, the chief executive officer, or the chief financial officer listed on the
license of a person or entity legally authorized to receive prescription drugs.
An account established for the purchase of prescription drugs must bear the
name of the licensee. This subsection (4) does not apply to standard
ordering and purchasing business practices between a chain pharmacy
warehouse, a wholesaler, and a manufacturer.
12-280-306. [Formerly 12-42.5-306] Records - study -
authentication - pedigree - rules. (1) A wholesaler shall establish and
maintain inventories and records of all transactions regarding the receipt
and distribution or other disposition of prescription drugs. The records must
include the pedigree for each wholesale distribution of a prescription drug
that occurs outside the normal distribution channel.
(2) A wholesaler in the possession of a pedigree for a prescription
drug shall verify that each transaction on the pedigree has occurred prior to
distributing the prescription drug.
(3) A pedigree shall include all necessary identifying information
concerning each sale in the chain of distribution of the product from the
manufacturer or the first authorized distributor of record through the
acquisition and sale by a wholesaler until final sale to a pharmacy or other
person dispensing or administering the prescription drug. The pedigree shall
include, at a minimum:
(a) The name, address, telephone number, and, if available, the
electronic mail address of each owner of the prescription drug and each
wholesaler of the drug;
PAGE 1227-HOUSE BILL 19-1172
(b) The name and address of each location from which the
prescription drug was shipped, if different from that of the owner;
(c) The transaction dates;
(d) Certification that each recipient has authenticated the pedigree;
(e) The name of the prescription drug;
(f) The dosage form and strength of the prescription drug;
(g) The size and number of containers;
(h) The lot number of the prescription drug; and
(i) The name of the manufacturer of the finished dosage form.
(4) A purchaser or wholesaler shall maintain each pedigree for three
years after the date of the sale or transfer of the prescription drug and shall
make the pedigree available for inspection or use within five business days
upon the request of an authorized law enforcement officer or an authorized
agent of the board.
(5) This section does not apply to a retail pharmacy or chain
pharmacy warehouse if the retail pharmacy or chain pharmacy warehouse
does not engage in the wholesale distribution of prescription drugs.
(6) The board shall adopt rules as necessary for the implementation
of this part 3.
12-280-307. [Formerly 12-42.5-307] Penalty. (1) A person who
engages in the wholesale distribution of prescription drugs in violation of
this part 3 is subject to a penalty of up to fifty thousand dollars.
(2) A person who knowingly engages in the wholesale distribution
of prescription drugs in violation of this part 3 is subject to a penalty of up
to five hundred thousand dollars.
PART 4
ELECTRONIC MONITORING OF PRESCRIPTION DRUGS
PAGE 1228-HOUSE BILL 19-1172
12-280-401. [Formerly 12-42.5-401] Legislative declaration.
(1) The general assembly finds, determines, and declares that:
(a) Prescription drug misuse occurs in this country to an extent that
exceeds or rivals the abuse of illicit drugs;
(b) Prescription drug misuse occurs at times due to the deception of
the authorized practitioners where patients seek controlled substances for
treatment and the practitioner is unaware of the patient's other medical
providers and treatments;
(c) Electronic monitoring of prescriptions for controlled substances
provides a mechanism whereby practitioners can discover the extent of each
patient's requests for drugs and whether other providers have prescribed
similar substances during a similar period of time;
(d) Electronic monitoring of prescriptions for controlled substances
provides a mechanism for law enforcement officials and regulatory boards
to efficiently investigate practitioner behavior that is potentially harmful to
the public.
12-280-402. [Formerly 12-42.5-402] Definitions. As used in this
part 4, unless the context otherwise requires:
(1) "Board" means the state board of pharmacy created in section
12-42.5-103.
(1.5) (1) "Controlled substance" means any schedule II, III, IV, or
V drug as listed in sections 18-18-204, 18-18-205, 18-18-206, and
18-18-207. C.R.S.
(2) "Division" means the division of professions and occupations in
the department of regulatory agencies.
(3) (2) "Drug abuse" or "abuse" means utilization of a controlled
substance for nonmedical purposes or in a manner that does not meet
generally accepted standards of medical practice.
(4) (3) "Prescription drug outlet" or "pharmacy" means:
PAGE 1229-HOUSE BILL 19-1172
(a) Any resident or nonresident pharmacy outlet registered or
licensed pursuant to this article 280 where prescriptions are compounded
and dispensed; and
(b) Any federally owned and operated pharmacy registered with the
federal drug enforcement administration.
(5) (4) "Program" means the electronic prescription drug monitoring
program developed or procured by the board in accordance with section
12-42.5-403 12-280-403.
12-280-403. [Formerly 12-42.5-403] Prescription drug use
monitoring program - registration required - rules. (1) The board shall
develop or procure a prescription controlled substance electronic program
to track information regarding prescriptions for controlled substances
dispensed in Colorado, including the following information:
(a) The date the prescription was dispensed;
(b) The name of the patient and the practitioner;
(c) The name and amount of the controlled substance;
(d) The method of payment;
(e) The name of the dispensing pharmacy; and
(f) Any other data elements necessary to determine whether a patient
is visiting multiple practitioners or pharmacies, or both, to receive the same
or similar medication.
(1.5) (2) (a) By January 1, 2015, or by an earlier date determined by
the director, of the division, every practitioner in this state who holds a
current registration issued by the federal drug enforcement administration
and every pharmacist shall register and maintain a user account with the
program.
(b) When registering with the program or at any time thereafter, a
practitioner or pharmacist may authorize up to three designees to access the
program under section 12-42.5-404 (3)(b), (3)(c), or (3)(d) 12-280-404
PAGE 1230-HOUSE BILL 19-1172
(3)(b), (3)(d), OR (3)(f), as applicable, on behalf of the practitioner or
pharmacist if:
(I) (A) The authorized designee of the practitioner is employed by,
or is under contract with, the same professional practice as the practitioner;
or
(B) The authorized designee of the pharmacist is employed by, or
is under contract with, the same prescription drug outlet as the pharmacist;
and
(II) The practitioner or pharmacist takes reasonable steps to ensure
that the designee is sufficiently competent in the use of the program; and
(III) The practitioner or pharmacist remains responsible for:
(A) Ensuring that access to the program by the practitioner's
designee is limited to the purposes authorized in section 12-42.5-404 (3)(b)
or (3)(c) 12-280-404 (3)(b) OR (3)(d) or that access to the program by the
pharmacist's designee is limited to the purposes authorized in section
12-42.5-404 (3)(d) 12-280-404 (3)(f), as the case may be, and that access
to the program occurs in a manner that protects the confidentiality of the
information obtained from the program; and
(B) Any negligent breach of confidentiality of information obtained
from the program by the practitioner's or pharmacist's designee.
(c) A practitioner or pharmacist is subject to penalties pursuant to
section 12-42.5-406 12-280-406 for violating the requirements of paragraph
(b) of this subsection (1.5) SUBSECTION (2)(b) OF THIS SECTION.
(d) Any individual authorized as a designee of a practitioner or
pharmacist pursuant to paragraph (b) of this subsection (1.5) SUBSECTION
(2)(b) OF THIS SECTION shall register as a designee of a practitioner or
pharmacist with the program for program data access in accordance with
section 12-42.5-404 (3)(b), (3)(c), or (3)(d) 12-280-404 (3)(b), (3)(d), OR
(3)(f), as applicable, and board rules.
(2) (3) Each practitioner and each dispensing pharmacy shall
disclose to a patient receiving a controlled substance that his or her
PAGE 1231-HOUSE BILL 19-1172
identifying prescription information will be entered into the program
database and may be accessed for limited purposes by specified individuals.
(3) (4) The board shall establish a method and format for
prescription drug outlets to convey the necessary information to the board
or its designee. The method must not require more than a one-time entry of
data per patient per prescription by a prescription drug outlet.
(4) (5) The division may contract with any individual or public or
private agency or organization in carrying out the data collection and
processing duties required by this part 4.
12-280-404. [Formerly 12-42.5-404] Program operation - access
- rules - definitions - repeal. (1) The board shall operate and maintain the
program.
(2) The board shall adopt all rules necessary to implement the
program.
(3) The program is available for query only to the following persons
or groups of persons:
(a) Board staff responsible for administering the program;
(b) Any practitioner with the statutory authority to prescribe
controlled substances, or an individual designated by the practitioner to act
on his or her behalf in accordance with section 12-42.5-403 (1.5)(b)
12-280-403 (2)(b), to the extent the query relates to a current patient of the
practitioner. The practitioner or his or her designee shall identify his or her
area of health care specialty or practice upon the initial query of the
program.
(b.5) (c) (I) Any veterinarian with statutory authority to prescribe
controlled substances, to the extent the query relates to a current patient or
to a client and if the veterinarian, in the exercise of professional judgment,
has a reasonable basis to suspect the client has committed drug abuse or has
mistreated an animal.
(II) As used in this subsection (3)(b.5) (3)(c):
PAGE 1232-HOUSE BILL 19-1172
(A) "Client" has the same meaning as set forth in section 12-64-103
(4.3) 12-315-104 (4).
(B) "Mistreat" has the same meaning as set forth in section
35-42-103 (9).
(C) "Patient" has the same meaning as set forth in section 12-64-103
(9.7) 12-315-104 (13).
(c) (d) A practitioner, or an individual designated by the practitioner
to act on his or her behalf in accordance with section 12-42.5-403 (1.5)(b)
12-280-403 (2)(b), engaged in a legitimate program to monitor a patient's
drug abuse;
(c.5) (e) The medical director, or his or her designee, at a facility
that treats substance use disorders with controlled substances, if an
individual in treatment at the facility gives permission to the facility to
access his or her program records;
(d) (f) A pharmacist, an individual designated by a pharmacist in
accordance with section 12-42.5-403 (1.5)(b) 12-280-403 (2)(b) to act on
his or her behalf, or a pharmacist licensed in another state, to the extent the
information requested relates specifically to a current patient to whom the
pharmacist is dispensing or considering dispensing a controlled substance
or prescription drug or a patient to whom the pharmacist is currently
providing clinical patient care services;
(e) (g) Law enforcement officials so long as the information
released is specific to an individual patient, pharmacy, or practitioner and
is part of a bona fide investigation, and the request for information is
accompanied by an official court order or subpoena;
(f) (h) The individual who is the recipient of a controlled substance
prescription so long as the information released is specific to the individual;
(g) (i) State regulatory boards within the division and the director,
of the division so long as the information released is specific to an
individual practitioner and is part of a bona fide investigation, and the
request for information is accompanied by an official court order or
subpoena;
PAGE 1233-HOUSE BILL 19-1172
(h) (j) A resident physician with an active physician training license
issued by the Colorado medical board pursuant to section 12-36-122
12-240-128 and under the supervision of a licensed physician;
(i) (k) The department of public health and environment for
purposes of population-level analysis, but any use of program data by the
department is subject to the federal "Health Insurance Portability and
Accountability Act of 1996", Pub.L. 104-191, as amended, and
implementing federal regulations, including the requirement to remove any
identifying data unless exempted from the requirement.
(3.6) (4) (a) Each practitioner or his or her designee shall query the
program prior to prescribing the second fill for an opioid unless the patient
receiving the prescription:
(I) Is receiving the opioid in a hospital, skilled nursing facility,
residential facility, or correctional facility;
(II) Has been diagnosed with cancer and is experiencing
cancer-related pain;
(III) Is undergoing palliative care or hospice care;
(IV) Is experiencing post-surgical pain that, because of the nature
of the procedure, is expected to last more than fourteen days;
(V) Is receiving treatment during a natural disaster or during an
incident where mass casualties have taken place; or
(VI) Has received only a single dose to relieve pain for a single test
or procedure.
(b) The program must use industry standards to allow providers or
their designees direct access to data from within an electronic health record
to the extent that the query relates to a current patient of the practitioner.
(c) A practitioner or his or her designee complies with this
subsection (3.6) (4) if he or she attempts to access the program prior to
prescribing the second fill for an opioid, and the program is not available
or is inaccessible due to technical failure.
PAGE 1234-HOUSE BILL 19-1172
(d) A violation of this subsection (3.6) (4) does not create a private
right of action or serve as the basis of a cause of action. A violation of this
section SUBSECTION (4) does not constitute negligence per se or contributory
negligence per se and does not alone establish a standard of care.
Compliance with this section SUBSECTION (4) does not alone establish an
absolute defense to any alleged breach of the standard of care.
(e) This subsection (3.6) (4) is repealed, effective September 1,
2021.
(4) (5) The board shall not charge a practitioner or pharmacy who
transmits data in compliance with the operation and maintenance of the
program a fee for the transmission of the data.
(5) (6) The board, the department of public health and environment,
or the department of health care policy and financing, pursuant to a written
agreement that ensures compliance with this part 4, may provide data to
qualified personnel of a public or private entity for the purpose of bona fide
research or education so long as the data does not identify a recipient of, a
practitioner who prescribed, or a prescription drug outlet that dispensed, a
prescription drug.
(6) (7) The board shall provide a means of sharing information
about individuals whose information is recorded in the program with
out-of-state health care practitioners and law enforcement officials that
meet the requirements of paragraph (b), (c), or (e) of subsection (3)
SUBSECTION (3)(b), (3)(d), OR (3)(g) of this section.
(7) (8) The board shall develop criteria for indicators of misuse,
abuse, and diversion of controlled substances and, based on those criteria,
provide unsolicited reports of dispensed controlled substances to
prescribing practitioners and dispensing pharmacies for purposes of
education and intervention to prevent and reduce occurrences of controlled
substance misuse, abuse, and diversion. In developing the criteria, the board
shall consult with the Colorado dental board, Colorado medical board, state
board of nursing, state board of optometry, Colorado podiatry board, and
state board of veterinary medicine.
(8) (9) Reports generated by the program and provided to
prescribing practitioners for purposes of information, education, and
PAGE 1235-HOUSE BILL 19-1172
intervention to prevent and reduce occurrences of controlled substance
misuse, abuse, and diversion are:
(a) Not public records under the "Colorado Open Records Act", part
2 of article 72 of title 24;
(b) Not discoverable in any criminal or administrative proceeding
against a prescribing practitioner; and
(c) Not admissible in any civil, criminal, or administrative
proceeding against a prescribing practitioner.
12-280-405. [Formerly 12-42.5-405] Prescription drug
monitoring fund - creation - gifts, grants, and donations - report - fee.
(1) The board may seek and accept funds MONEY from any public or private
entity for the purposes of implementing and maintaining the program. The
board shall transmit any funds MONEY it receives to the state treasurer, who
shall credit the same MONEY to the prescription drug monitoring fund,
which fund is hereby created. The moneys MONEY in the fund are IS subject
to annual appropriation by the general assembly for the sole purpose of
implementing and maintaining the program. The moneys MONEY in the fund
must not be transferred to or revert to the general fund at the end of any
fiscal year.
(2) After implementing the program, the board shall seek gifts,
grants, and donations on an annual basis for the purpose of maintaining the
program. The board shall report annually to the health and human services
committee of the senate and the health and environment INSURANCE
committee of the house of representatives, or any successor committees,
regarding the gifts, grants, and donations requested, of whom they were
requested, and the amounts received.
(3) If, based upon the appropriations for the direct and indirect costs
of the program, there are IS insufficient funds MONEY to maintain the
program, the division may collect an annual fee of no more than seventeen
dollars and fifty cents for the fiscal years 2011-12 and 2012-13, twenty
dollars for the fiscal years 2013-14 and 2014-15, and twenty-five dollars for
each fiscal year thereafter, from an individual who holds a license from the
division that authorizes him or her to prescribe a controlled substance, as
defined in section 18-18-102 (5). C.R.S. The division shall set the fee
PAGE 1236-HOUSE BILL 19-1172
pursuant to section 24-34-105, C.R.S., 12-20-105 and shall collect the fee
in conjunction with the license renewal fees collected pursuant to section
24-34-105, C.R.S. Moneys 12-20-105. MONEY collected pursuant to this
subsection (3) are IS credited to the prescription drug monitoring fund
created in subsection (1) of this section.
12-280-406. [Formerly 12-42.5-406] Violations - penalties. A
person who knowingly releases, obtains, or attempts to obtain information
from the program in violation of this part 4 shall be punished by a civil fine
of not less than one thousand dollars and not more than ten thousand dollars
for each violation. Fines paid shall be deposited in the general fund IN
ACCORDANCE WITH SECTION 12-20-404 (6).
12-280-407. [Formerly 12-42.5-407] Prescription drug outlets -
prescribers - responsibilities - liability. (1) A prescription drug outlet
shall submit information in the manner required by the board.
(2) A practitioner who has, in good faith, written a prescription for
a controlled substance to a patient is not liable for information submitted to
the program. A practitioner or prescription drug outlet who has, in good
faith, submitted the required information to the program is not liable for
participation in the program.
12-280-408. [Formerly 12-42.5-408] Exemption - waiver. (1) A
hospital licensed or certified pursuant to section 25-1.5-103, C.R.S., a
prescription drug outlet located within the hospital that is dispensing a
controlled substance for a chart order or dispensing less than or equal to a
twenty-four-hour supply of a controlled substance, and emergency medical
services personnel certified pursuant to section 25-3.5-203 C.R.S., are
exempt from the reporting provisions of this part 4. A hospital prescription
drug outlet licensed pursuant to section 12-42.5-112 12-280-114 shall
comply with the provisions of this part 4 for controlled substances
dispensed for outpatient care that have more than a twenty-four-hour
supply.
(2) A prescription drug outlet that does not report controlled
substance data to the program due to a lack of electronic automation of the
outlet's business may apply to the board for a waiver from the reporting
requirements.
PAGE 1237-HOUSE BILL 19-1172
12-280-409. [Formerly 12-42.5-408.5] Examination and analysis
of prescription drug monitoring program - recommendations to
executive director. (1) The executive director of the department of
regulatory agencies shall create a prescription drug monitoring program task
force or consult with and request assistance from the Colorado team
assembled by the governor's office to develop a strategic plan to reduce
prescription drug misuse, or its successor group, in order to:
(a) Examine issues, opportunities, and weaknesses of the program,
including how personal information is secured in the program and whether
inclusion of personal identifying information in the program and access to
that information is necessary; and
(b) Make recommendations to the executive director on ways to
make the program a more effective tool for practitioners and pharmacists
in order to reduce prescription drug misuse in this state.
(2) If the executive director convenes a task force or obtains
assistance from the Colorado team, the applicable group shall submit annual
reports to the executive director and the general assembly detailing its
findings and recommendations. Notwithstanding section 24-1-136 (11),
C.R.S., the requirement in this section to report to the general assembly
continues indefinitely.
(3) If the executive director convenes a task force, the members of
the task force serve on a voluntary basis and are not entitled to
compensation or expense reimbursement.
12-280-410. [Formerly 12-42.5-409] Repeal of part. This part 4 is
repealed, effective July 1, 2021. Prior to its BEFORE THE repeal, the
department of regulatory agencies shall review the functions of the board
and the program under this part 4 as provided in ARE SCHEDULED FOR
REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
PART 5
THERAPEUTIC INTERCHANGE AND
THERAPEUTICALLY EQUIVALENT SECTIONS
12-280-501. [Formerly 12-42.5-501] Written guidelines and
procedures for making therapeutic interchange and therapeutically
PAGE 1238-HOUSE BILL 19-1172
equivalent selections. (1) If a nursing care facility or a long-term acute
care hospital licensed under part 1 of article 3 of title 25 C.R.S., has a
quality assessment and assurance committee that includes a pharmacist
licensed under this article 280 and is established in accordance with 42 CFR
483.75, (o), the quality assessment and assurance committee may establish
a facility list with written guidelines and procedures for making therapeutic
interchange and therapeutically equivalent selections from the list.
(2) If a nursing care facility or a long-term acute care hospital
licensed under part 1 of article 3 of title 25 C.R.S., does not have a quality
assessment and assurance committee that includes a pharmacist licensed
under this article 280 and is established in accordance with 42 CFR 483.75,
(o), the facility may form such a committee to establish a facility list with
written guidelines and procedures for making therapeutic interchange and
therapeutically equivalent selections from the list.
12-280-502. [Formerly 12-42.5-502] Therapeutic interchange and
therapeutically equivalent selections for nursing care facility or
long-term acute care hospital patients - rules. (1) A pharmacy used by
a nursing care facility or a long-term acute care hospital licensed under part
1 of article 3 of title 25 C.R.S., may make a therapeutic interchange or a
therapeutically equivalent selection for a patient if, during the patient's stay
at the facility, the selection has been approved for the patient:
(a) In accordance with written guidelines and procedures for making
therapeutic interchange or therapeutically equivalent selections, as
maintained in a current and readily available manner at the dispensing
prescription drug outlet and as developed by a quality assessment and
assurance committee that includes a pharmacist licensed under this article
280 and is formed by the facility in accordance with 42 CFR 483.75; (o);
and
(b) By one of the following health care providers:
(I) A physician licensed under article 36 240 of this title 12;
(II) A physician assistant licensed under section 12-36-107.4
12-240-113, if the physician assistant is under the supervision of a licensed
physician; or
PAGE 1239-HOUSE BILL 19-1172
(III) An advanced practice nurse prescriber licensed as a
professional nurse under section 12-38-111 12-255-110, registered as an
advanced practice nurse under section 12-38-111.5 12-255-111, and
authorized to prescribe controlled substances or prescription drugs pursuant
to section 12-38-111.6 12-255-112, if the advanced practice nurse
prescriber has developed an articulated plan to maintain ongoing
collaboration with physicians and other health care professionals.
(2) The board may adopt rules as necessary to implement this part
5.
PART 6
COLLABORATIVE PHARMACY PRACTICE
12-280-601. [Formerly 12-42.5-601] Definitions. As used in this
part 6:
(1) (a) "Collaborative pharmacy practice agreement" means a
written and signed agreement entered into voluntarily between one or more
pharmacists licensed pursuant to this article 280 and one or more physicians
or advanced practice nurses licensed in this state, which statement grants
authority to the pharmacist or pharmacists to provide evidence-based health
care services to one or more patients pursuant to a specific treatment
protocol delegated to a pharmacist or pharmacists by the physician or
advanced practice nurse.
(b) A "collaborative pharmacy practice agreement" may also mean
a statewide drug therapy protocol developed by the board, the Colorado
medical board, and the state board of nursing in collaboration with the
department of public health and environment for public health care services.
12-280-602. [Formerly 12-42.5-602] Collaborative pharmacy
practice agreements - pharmacist requirements. (1) A pharmacist may
enter into a collaborative pharmacy practice agreement with one or more
physicians if:
(a) The pharmacist:
(I) Holds a current license to practice in Colorado;
(b) (II) The pharmacist Is engaged in the practice of pharmacy;
PAGE 1240-HOUSE BILL 19-1172
(c) (III) The pharmacist Has earned a doctorate of pharmacy degree
or completed at least five years of experience as a licensed pharmacist;
(d) (IV) The pharmacist Carries adequate professional liability
insurance as determined by the board; AND
(e) (V) The pharmacist Agrees to devote a portion of his or her
practice to collaborative pharmacy practice; and
(f) (b) There is a process in place for the physician or advanced
practice nurse and the pharmacist to communicate and document changes
to the patient's medical record.
(2) Unless a statewide protocol is in place, a pharmacist may not
enter into a collaborative pharmacy practice agreement with a physician or
advanced practice nurse if the physician or advanced practice nurse does not
have an established relationship with the patient or patients who will be
served by the pharmacist under the collaborative pharmacy practice
agreement.
(3) For a pharmacist to provide health care services under a
statewide protocol, a process must be in place for the pharmacist to
communicate with a patient's primary care provider and document changes
to the patient's medical record. If the patient does not have a primary care
provider, or is unable to provide contact information for his or her primary
care provider, the pharmacist shall provide the patient with a written record
of the drugs or devices furnished and advise the patient to consult an
appropriate health care professional of the patient's choice.
(4) A collaborative practice agreement between a physician and a
pharmacist, as permitted by this article 280, does not change the
employment status of any party to the agreement, does not create an
employer-employee relationship under any circumstance, and may not be
used to confer upon or deny to any person the status of a public employee
as described in the "Colorado Governmental Immunity Act", created in
article 10 of title 24. C.R.S.
(5) A pharmacist or pharmacy shall not employ a physician or
advanced practice nurse for the sole purpose of forming a collaborative
practice agreement.
PAGE 1241-HOUSE BILL 19-1172
12-280-603. [Formerly 12-42.5-603] Rules. The board, in
conjunction with the Colorado medical board created in section 12-36-103,
12-240-105 and the state board of nursing created in section 12-38-104
12-255-105, shall promulgate rules to implement this section PART 6. The
rules must include the health care services and any statewide protocols that
are authorized to be part of the collaborative pharmacy practice agreements.
ARTICLE 285
Physical Therapists and Physical Therapist Assistants
PART 1
PHYSICAL THERAPISTS
12-285-101. [Formerly 12-41-101] Short title. THE SHORT TITLE OF
this article shall be known and may be cited as 285 IS the "Physical Therapy
Practice Act".
12-285-102. [Formerly 12-41-102] Legislative declaration.
(1) The general assembly hereby finds and declares that:
(a) The practice of physical therapy by any person who does not
possess a valid license issued under this article 41 285 is inimical to the
general public welfare. It is not, however, the intent of this article 41 285
to restrict the practice of any person duly licensed under other laws of this
state from practicing within such THE person's scope of competency and
authority under such THOSE laws.
(b) Physical therapy practice consists of patient and client
management, which includes physical therapy diagnosis and prognosis to
optimize physical function, movement, performance, health, quality of life,
and well-being across the life-span and also includes contributions to public
health services aimed at improving the health of the population; and
(c) The professional scope of physical therapy practice evolves in
response to innovation, research, collaboration, and change in societal
needs.
(2) Repealed.
12-285-103. Applicability of common provisions. ARTICLES 1, 20,
PAGE 1242-HOUSE BILL 19-1172
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 285.
12-285-104. [Formerly 12-41-103] Definitions. As used in this
article 41 285, unless the context otherwise requires:
(1) "Accredited physical therapy program" means a program of
instruction in physical therapy which THAT is accredited as set forth in
section 12-41-107 (1)(a)(II) 12-285-110 (1)(a)(I).
(1.3) (2) "Adverse action" means disciplinary action taken by the
board based upon misconduct, unacceptable performance, or a combination
of both, and includes any action taken pursuant to the following:
(a) Section 12-41-116 12-285-122, except for any action taken
pursuant to subsection (3.5) (4) of that section;
(b) Section 12-41-122 12-285-129;
(c) Section 12-41-123 12-285-130;
(d) Section 12-41-211 12-285-212, except for any action taken
pursuant to subsection (4) of that section;
(e) Section 12-41-217 12-285-218; and
(f) Section 12-41-218 12-285-219.
(1.5) (3) "Board" means the physical therapy board created in
section 12-41-103.3 12-285-105.
(2) "Director" means the director of the division of professions and
occupations in the department of regulatory agencies.
(3) "Executive director" means the executive director of the
department of regulatory agencies.
(4) Repealed.
(5) (4) "Physical therapist" means a person who is licensed to
PAGE 1243-HOUSE BILL 19-1172
practice physical therapy. The terms "physiotherapist" and "physical therapy
technician" are synonymous with the term "physical therapist".
(5.5) (5) "Physical therapist assistant" means a person who is
required to be certified under part 2 of this article 285 and who assists a
physical therapist in selected components of physical therapy.
(6) (a) (I) "Physical therapy" means the examination, physical
therapy diagnosis, treatment, or instruction of patients and clients to detect,
assess, prevent, correct, alleviate, or limit physical disability, movement
dysfunction, bodily malfunction, or pain from injury, disease, and other
bodily conditions.
(II) For purposes of this article 285, "physical therapy" includes:
(A) The administration, evaluation, and interpretation of tests and
measurements of bodily functions and structures;
(B) The planning, administration, evaluation, and modification of
treatment and instruction;
(C) The use of physical agents, measures, activities, and devices for
preventive and therapeutic purposes, subject to the requirements of section
12-41-113 12-285-116;
(D) The administration of topical and aerosol medications consistent
with the scope of physical therapy practice subject to the requirements of
section 12-41-113 12-285-116;
(E) The provision of consultative, educational, and other advisory
services for the purpose of reducing the incidence and severity of physical
disability, movement dysfunction, bodily malfunction, and pain; and
(F) General wound care, including the assessment and management
of skin lesions, surgical incisions, open wounds, and areas of potential skin
breakdown in order to maintain or restore the integumentary system.
(b) For the purposes of subsection (6)(a)(II) of this section:
(I) "Physical agents" includes, but is not limited to, heat, cold, water,
PAGE 1244-HOUSE BILL 19-1172
air, sound, light, compression, electricity, and electromagnetic energy.
(II) (A) "Physical measures, activities, and devices" includes
resistive, active, and passive exercise, with or without devices; joint
mobilization; mechanical stimulation; biofeedback; dry needling; postural
drainage; traction; positioning; massage; splinting; training in locomotion;
other functional activities, with or without assistive devices; and correction
of posture, body mechanics, and gait.
(B) "Biofeedback", as used in this subparagraph (II) SUBSECTION
(6)(b)(II), means the use of monitoring instruments by a physical therapist
to detect and amplify internal physiological processes for the purpose of
neuromuscular rehabilitation.
(III) "Tests and measurements" includes, but is not limited to, tests
of muscle strength, force, endurance, and tone; reflexes and automatic
reactions; movement skill and accuracy; joint motion, mobility, and
stability; sensation and perception; peripheral nerve integrity; locomotor
skill, stability, and endurance; activities of daily living; cardiac, pulmonary,
and vascular functions; fit, function, and comfort of prosthetic, orthotic, and
other assistive devices; posture and body mechanics; limb length,
circumference, and volume; thoracic excursion and breathing patterns; vital
signs; nature and locus of pain and conditions under which pain varies;
photosensitivity; and physical home and work environments.
(7) "Physical therapy compact commission" means the national
administrative body whose membership consists of all states that have
enacted the "Interstate Physical Therapy Licensure Compact Act", and as
enacted in this state in part 37 of article 60 of title 24.
12-285-105. [Formerly 12-41-103.3] Physical therapy board -
created. (1) (a) The state physical therapy board is hereby created as the
agency for regulation of the practice of physical therapy in this state and to
carry out the purposes of this article 41 285. The board consists of: Four
physical therapist members; one physical therapist assistant, unless a
physical therapist assistant cannot be found, in which case the governor may
appoint an additional physical therapist to the board; and two members from
the public at large. Each member of the board is to be appointed by the
governor for terms of four years. A member shall not serve more than two
consecutive terms of four years. The governor shall give due consideration
PAGE 1245-HOUSE BILL 19-1172
to having a geographic, political, urban, and rural balance among the board
members.
(b) Each member of the board receives the compensation provided
for in section 24-34-102 (13), C.R.S.
(c) (b) The board exercises its powers and performs its duties and
functions under the division of professions and occupations as if the
powers, duties, and functions were transferred to the division by a type 1
transfer, as defined in the "Administrative Organization Act of 1968",
article 1 of title 24. C.R.S. The division shall provide necessary
management support to the board under section 24-34-102, C.R.S.
12-20-103 (2).
(d) Repealed.
(2) A person is qualified to be appointed to the board if the person:
(a) Is a legal resident of Colorado; and
(b) Is currently licensed in good standing, with no restrictions, as a
physical therapist and actively engaged in the practice of physical therapy
in this state for at least five years preceding his or her appointment, if
fulfilling the position of physical therapist on the board.
(3) Should a vacancy occur in any board membership before the
expiration of the member's term, the governor shall fill such THE vacancy
by appointment for the remainder of the term in the same manner as in the
case of original appointments. A member of the board shall remain on the
board until his or her successor has been appointed. A member may be
removed by the governor for misconduct, incompetence, or neglect of duty.
12-285-106. Powers and duties of board - reports - publications
- rules - interstate compact - limitation on authority. (1) [Formerly
12-41-103.6 (1)(a)] The board shall administer and enforce this article 285
and rules adopted under this article 285.
(2) [Formerly 12-41-103.6 (2)] In addition to any other powers and
duties given the board by this article 41 285, the board has the following
powers and duties:
PAGE 1246-HOUSE BILL 19-1172
(a) To evaluate the qualifications of applicants for licensure,
administer examinations, issue and renew licenses and permits authorized
under this article 285, and to take disciplinary actions authorized under this
article 285 AND SECTION 12-20-404;
(b) To adopt all reasonable and necessary rules PURSUANT TO
SECTION 12-20-204 for the administration and enforcement of this article
285, including rules regarding:
(I) The supervision of unlicensed persons by physical therapists,
taking into account the education and training of the unlicensed individuals;
and
(II) Physical therapy of animals, including, without limitation,
educational and clinical requirements for the performance of physical
therapy of animals and the procedure for handling complaints to the
department of regulatory agencies regarding physical therapy of animals. In
adopting such rules, the board shall consult with the state board of
veterinary medicine established by section 12-64-105 12-315-106.
(c) (I) To conduct hearings IN ACCORDANCE WITH SECTION
12-20-403 upon charges for discipline of a licensee and cause the
prosecution and enjoinder, IN ACCORDANCE WITH SECTION 12-20-406, of all
persons violating this article 285;
(II) (A) To administer oaths, take affirmations of witnesses, and
issue subpoenas to compel the attendance of witnesses and the production
of all relevant papers, books, records, documentary evidence, and materials
in any hearing, investigation, accusation, or other matter coming before the
board. The board may appoint an administrative law judge pursuant to part
10 of article 30 of title 24, C.R.S., to take evidence and to make findings
and report them to the board.
(B) Upon failure of a witness to comply with a subpoena or process,
the district court of the county in which the subpoenaed person or licensee
resides or conducts business, upon application by the board with notice to
the subpoenaed person or licensee, may issue to the person or licensee an
order requiring that person or licensee to appear before the board; to
produce the relevant papers, books, records, documentary evidence, or
materials if so ordered; or to give evidence touching the matter under
PAGE 1247-HOUSE BILL 19-1172
investigation or in question. The court may punish a failure to obey its order
as a contempt of court.
(d) To maintain a register listing the name of every physical
therapist, including the contact address, last-known place of residence, and
the license number of each licensee;
(e) To promote consumer protection and consumer education by
such means as the board finds appropriate;
(f) To facilitate Colorado's participation in the "Interstate Physical
Therapy Licensure Compact Act", part 37 of article 60 of title 24, as
follows:
(I) Appoint a qualified delegate to serve on the physical therapy
compact commission;
(II) Participate fully in the physical therapy compact commission
data system;
(III) Obtain a set of fingerprints from an applicant for initial
licensure or certification and forward the fingerprints to the Colorado
bureau of investigation for the purpose of obtaining a fingerprint-based
criminal history record check. Upon receipt of fingerprints and payment for
the costs, the Colorado bureau of investigation shall conduct a state and
national fingerprint-based criminal history record check using records of the
Colorado bureau of investigation, the federal bureau of investigation, or
other appropriate federal agency. The board is the authorized agency to
receive information regarding the result of a national criminal history record
check. The applicant whose fingerprints are checked shall pay the actual
costs of the state and national fingerprint-based criminal history record
check.
(IV) Notify the physical therapy compact commission of any
adverse action taken by the board; and
(V) Approve payment of assessments levied by the physical therapy
compact commission to cover the cost of the operations and activities of the
commission and its staff.
PAGE 1248-HOUSE BILL 19-1172
(3) [Formerly 12-41-127] The authority granted the board by this
article 285 does not authorize the board to arbitrate or adjudicate fee
disputes between licensees or between a licensee and any other party.
12-285-107. [Formerly 12-41-104] Use of titles restricted. A
person licensed as a physical therapist may use the title "physical therapist"
or the letters "P.T." or any other generally accepted terms, letters, or figures
which THAT indicate that the person is a physical therapist. No other person
shall be so designated or shall use the terms "physical therapist", "licensed
physical therapist", "physiotherapist", or "physical therapy technician", or
the letters "P.T." or "L.P.T."
12-285-108. [Formerly 12-41-105] Limitations on authority.
(1) Nothing in this article 285 authorizes a physical therapist to perform
any of the following acts:
(a) Practice of medicine, surgery, or any other form of healing
except as authorized by the provisions of this article 285; or
(b) Use of roentgen rays and radioactive materials for therapeutic
purposes; the use of electricity for surgical purposes; or the diagnosis of
disease.
(2) Nothing in this section prevents a physical therapist from making
a physical therapy diagnosis within the physical therapist's scope of
practice.
12-285-109. [Formerly 12-41-106] License required. Except as
otherwise provided by this article 285, any person who practices physical
therapy or who represents oneself HIMSELF OR HERSELF as being able to
practice physical therapy in this state must possess a valid license under this
article 285.
12-285-110. [Formerly 12-41-107] Licensure by examination.
(1) Every applicant for a license by examination shall:
(a) Successfully complete a physical therapy program:
(I) That is accredited by a nationally recognized accrediting agency;
or
PAGE 1249-HOUSE BILL 19-1172
(II) That the board has determined to be substantially equivalent.
The general assembly intends that this determination be liberally construed
to ensure qualified applicants seeking licensure under this article 285 the
right to take the qualifying examination. The general assembly does not
intend for technical barriers to be used to deny such applicants the right to
take the examination.
(b) Pass a written examination that is:
(I) Approved by the board; and
(II) A national examination accredited by a nationally recognized
accrediting agency;
(c) Submit an application in the form and manner designated by the
director; and
(d) Pay a fee in an amount determined by the director.
(2) The board may refuse to permit an applicant to take the
examination if the application is incomplete, if the applicant is not qualified
to sit for the examination, or if the applicant has committed any act which
THAT would be grounds for disciplinary action under section 12-41-115
12-285-120.
(3) When the applicant has fulfilled all the requirements of
subsection (1) of this section, the board shall issue a license to the applicant;
except that the board may deny the license if the applicant has committed
an act which THAT would be grounds for disciplinary action under section
12-41-115 12-285-120.
12-285-111. [Formerly 12-41-107.5] Provisional license - fee.
(1) The board may issue a provisional license to practice as a physical
therapist to a person who:
(a) Submits an application and pays a fee as determined by the
director; and
(b) Successfully completes a physical therapy program that meets
the educational requirements in section 12-41-107 (1)(a) 12-285-110 (1)(a).
PAGE 1250-HOUSE BILL 19-1172
(2) A person who holds a provisional license may only practice
under the supervision of a physical therapist actively licensed in this state.
(3) A provisional license issued pursuant to this section expires no
later than one hundred twenty days after the date it was issued. A
provisional license may only be issued one time and is not subject to section
12-41-112 12-285-114.
12-285-112. [Formerly 12-41-109] Licensure by endorsement.
(1) An applicant for licensure by endorsement shall:
(a) Possess a valid license in good standing from another state or
territory of the United States;
(b) Submit an application in the form and manner designated by the
director; and
(c) Pay a fee in an amount determined by the director.
(2) Upon receipt of all documents required by subsection (1) of this
section, the director shall review the application and determine if the
applicant is qualified to be licensed by endorsement.
(3) The board shall issue a license if the applicant fulfills the
requirements of subsection (1) of this section and meets any one of the
following qualifying standards: enumerated in paragraphs (a) to (c) of this
subsection (3):
(a) The applicant graduated from an accredited program within the
past two years and passed an examination substantially equivalent to that
specified in section 12-41-107 (1)(b) 12-285-110 (1)(b);
(b) The applicant has practiced as a licensed physical therapist for
at least two of the five years immediately preceding the date of the
application;
(c) The applicant has:
(I) Not practiced as a licensed physical therapist at least two of the
last five years immediately preceding the date of the receipt of the
PAGE 1251-HOUSE BILL 19-1172
application; and:
(I) (II) The applicant Passed an examination in another jurisdiction
that is substantially equivalent to the examination specified in section
12-41-107 (1)(b), 12-285-110 (1)(b); and
(III) has Demonstrated competency through successful completion
of an internship or demonstrated competency as a physical therapist by
fulfilling the requirements established by rules of the board.
(II) (Deleted by amendment, L. 2010, (HB 10-1175), ch. 46, p. 175,
§ 6, effective July 1, 2011.)
(4) (Deleted by amendment, L. 2011, (SB 11-169), ch. 172, p. 614,
§ 11, effective July 1, 2011.)
(5) (4) The board may deny a license if the applicant has committed
an act which THAT would be grounds for disciplinary action under section
12-41-115 12-285-120.
12-285-113. [Formerly 12-41-111] Licensing of foreign-trained
applicants. (1) Every foreign-trained applicant for licensing shall:
(a) Have received education and training in physical therapy
substantially equivalent to the education and training required at accredited
physical therapy programs in the United States;
(b) Possess an active, valid license in good standing or other
authorization to practice physical therapy from an appropriate authority in
the country where the foreign-trained applicant is practicing or has
practiced;
(c) Pass a written examination approved by the board in accordance
with section 12-41-107 (1)(b) 12-285-110 (1)(b);
(d) Submit an application in the form and manner designated by the
director; and
(e) Pay an application fee in an amount determined by the director.
PAGE 1252-HOUSE BILL 19-1172
(2) Upon receipt of all documents required by subsection (1) of this
section, the director shall review the application and determine if the
applicant is qualified to be licensed.
(3) When the applicant has fulfilled all requirements of subsection
(1) of this section, the board shall issue a license to the applicant; except
that the board may deny the application if the applicant has committed an
act which THAT would be grounds for disciplinary action under section
12-41-115 12-285-120.
12-285-114. [Formerly 12-41-112] Expiration and renewal of
licenses. An applicant for licensure shall pay license, renewal, and
reinstatement fees established by the director in the same manner as is
authorized in section 24-34-105, C.R.S. A licensee shall renew a license in
accordance with a schedule established by the director pursuant to section
24-34-102 (8), C.R.S. The director may establish renewal fees and
delinquency fees for reinstatement under section 24-34-105, C.R.S. If a
person fails to renew a license pursuant to the schedule established by the
director, the license expires LICENSES ISSUED PURSUANT TO THIS ARTICLE
285 ARE SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
A person whose license has expired is subject to the penalties provided in
this article 285 and section 24-34-102 (8), C.R.S. 12-20-202 (1).
12-285-115. [Formerly 12-41-112.5] Inactive license - rules. A
physical therapist may request that the board inactivate or activate the
physical therapist's license. The board shall promulgate rules governing the
activation and inactivation of licenses. Notwithstanding any law to the
contrary, the board's rules may limit the applicability of statutory
requirements for maintaining professional liability insurance and continuing
professional competence for a licensee whose license is currently inactive.
The board need not reactivate an inactive license if the physical therapist
has committed any act that would be grounds for disciplinary action under
section 12-41-115 12-285-120. A physical therapist whose license is
currently inactive shall not practice physical therapy.
12-285-116. [Formerly 12-41-113] Special practice authorities
and requirements - definition - rules. (1) Supervising persons not
licensed as a physical therapist. A physical therapist may supervise up to
four individuals at one time who are not physical therapists, including
PAGE 1253-HOUSE BILL 19-1172
certified nurse aides, to assist in the therapist's clinical practice; except that
this limit does not include student physical therapists and student physical
therapist assistants supervised by a physical therapist for educational
purposes. The board shall promulgate rules governing the required
supervision. This subsection (1) does not affect or limit the independent
practice or judgment of other professions regulated under this title 12. For
purposes of this subsection (1), a "physical therapist assistant" means a
person certified under part 2 of this article 285.
(2) Administration of medications. Physical therapists or physical
therapist assistants under the direct supervision of a physical therapist may
administer topical and aerosol medications when they are consistent with
the scope of physical therapy practice and when any such medication is
prescribed by a licensed health care practitioner who is authorized to
prescribe such THAT medication. A prescription or order shall be required
for each such administration.
(3) Wound debridement. A physical therapist is authorized to
perform wound debridement under a physician's order or the order of a
physician assistant authorized under section 12-36-106 (5) 12-240-107 (6)
when debridement is consistent with the scope of physical therapy practice.
The performance of wound debridement does not violate the prohibition
against performing surgery pursuant to section 12-41-105 (1)(a) 12-285-108
(1)(a).
(4) Physical therapy of animals. (a) A physical therapist is
authorized to perform physical therapy of animals when such THE physical
therapy of animals is consistent with the scope of physical therapy practice.
In recognition of the special authority granted by this subsection (4), the
performance of physical therapy of animals in accordance with this
subsection (4) shall not constitute the practice of veterinary medicine, as
defined in section 12-64-103 12-315-104 (14), nor shall it be deemed a
violation of section 12-64-104 12-315-105.
(b) In recognition of the emerging field of physical therapy of
animals, before commencing physical therapy of an animal, a physical
therapist shall obtain veterinary medical clearance of the animal by a
veterinarian licensed under article 64 315 of this title 12.
(5) Dry needling. (a) A physical therapist is authorized to perform
PAGE 1254-HOUSE BILL 19-1172
dry needling if the physical therapist:
(I) Has the knowledge, skill, ability, and documented competency
to perform the act;
(II) Has successfully completed a dry needling course of study that
meets the supervision, educational, and clinical prerequisites; and
(III) Obtains one written informed consent from each patient for dry
needling, including information concerning potential benefits and risks of
dry needling.
(b) The board shall promulgate rules to update the requirements for
a physical therapist to perform dry needling in order to ensure adequate
protection of the public. Prior to promulgating the initial update of the rules,
the board shall seek input from the Colorado medical board created in
section 12-36-103 (1) 12-240-105 (1) and from the director.
(c) The performance of dry needling in accordance with this section
is not the performance PRACTICE of acupuncture as defined in section
12-29.5-102 12-200-103 and is not a violation of section 12-29.5-105
12-200-108.
12-285-117. [Formerly 12-41-114] Scope of article - exclusions.
(1) Nothing contained in this article 41 285 prohibits:
(a) The practice of physical therapy by students enrolled in an
accredited physical therapy or physical therapist assistant program and
performing under the direct supervision of a physical therapist currently
licensed in this state;
(b) (Deleted by amendment, L. 2001, p. 1254, § 9, effective July 1,
2001.)
(c) (b) The practice of physical therapy in this state by any legally
qualified physical therapist from another state or country whose
employment requires such THE physical therapist to accompany and care for
a patient temporarily residing in this state, but such THE physical therapist
shall not provide physical therapy services for any other individuals nor
shall such THE person represent or hold himself OR HERSELF out as a
PAGE 1255-HOUSE BILL 19-1172
physical therapist licensed to practice in this state;
(d) (c) The administration of massage, external baths, or exercise
that is not a part of a physical therapy regimen;
(e) (d) Any person registered, certified, or licensed in this state
under any other law from engaging in the practice for which such THE
person is registered, certified, or licensed;
(f) (e) The practice of physical therapy in this state by a legally
qualified physical therapist from another state or country when providing
services in the absence of a physical therapist licensed in this state, so long
as the unlicensed physical therapist is acting in accordance with rules
established by the board. A person shall not practice without a license under
this paragraph (f) SUBSECTION (1)(e) for more than four weeks' duration or
more than once in any twelve-month period.
(g) (f) The practice of physical therapy in this state by a legally
qualified physical therapist from another state or country for the purpose of
participating in an educational program of not more than sixteen weeks'
duration;
(h) (g) The provision of physical therapy services in this state by an
individual from another country who is engaged in a physical
therapy-related educational program if the program is sponsored by an
institution, agency, or individual approved by the board, the program is
under the direction and supervision of a physical therapist licensed in this
state, and the program does not exceed twelve consecutive months' duration
without the specific approval of the board;
(i) (h) The practice of any physical therapist licensed in this state or
any other state or territory of the United States who is employed by the
United States government or any bureau, division, or agency thereof while
within the course and scope of the physical therapist's official duties.
12-285-118. [Formerly 12-41-114.5] Professional liability
insurance required - rules. (1) Except as provided in subsection (2) of
this section, a person shall not practice physical therapy unless the person
purchases and maintains professional liability insurance of at least one
million dollars per claim and at least three million dollars per year for all
PAGE 1256-HOUSE BILL 19-1172
claims, unless the corporation that employs the physical therapist maintains
the insurance required by section 12-41-124 12-285-131 if the insurance
covers at least one million dollars per claim and at least three million dollars
per year.
(2) The board may by rule establish lesser financial responsibility
standards for a class of physical therapists whose practice does not require
the level of public protection established by subsection (1) of this section.
The board shall not establish greater financial responsibility standards than
those established in subsection (1) of this section.
(3) This section does not apply to a physical therapist who is a
public employee acting within the course and scope of the public
employee's duties and who is granted immunity under the "Colorado
Governmental Immunity Act", article 10 of title 24. C.R.S.
12-285-119. [Formerly 12-41-114.6] Continuing professional
competency - definition - rules. (1) (a) A licensed physical therapist shall
maintain continuing professional competency to practice.
(b) The board shall adopt rules establishing a continuing
professional competency program. The rules shall set forth the following
elements:
(I) A self-assessment of the knowledge and skills of a physical
therapist seeking to renew or reinstate a license;
(II) Development, execution, and documentation of a learning plan
based on the assessment; and
(III) Periodic demonstration of knowledge and skills through
documentation of professional development activities necessary to ensure
at least minimal ability to safely practice the profession; except that a
licensed physical therapist need not retake any examination required by
section 12-41-107 12-285-110 for initial licensure.
(c) The board shall establish that a licensed physical therapist
satisfies the continuing competency requirements of this section if the
physical therapist meets the continuing professional competency
requirements of one of the following entities:
PAGE 1257-HOUSE BILL 19-1172
(I) A state department, including continuing professional
competency requirements imposed through a contractual arrangement with
a provider;
(II) An accrediting body recognized by the board; or
(III) An entity approved by the board.
(d) (I) After the program is established, a licensed physical therapist
shall satisfy the requirements of the program in order to renew or reinstate
a license to practice physical therapy.
(II) The requirements of this section apply to individual licensed
physical therapists, and nothing in this section requires a person who
employs or contracts with a physical therapist to comply with the
requirements of this section.
(e) Professional development activities must be measured by a
contact-hour-to-credit-hour ratio.
(2) Records of assessments or other documentation developed or
submitted in connection with the continuing professional competency
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a licensed physical
therapist. A person or the board shall not use the records or documents
unless used by the board to determine whether a licensed physical therapist
is maintaining continuing professional competency to engage in the
profession.
(3) As used in this section, "continuing professional competency"
means the ongoing ability of a physical therapist to learn, integrate, and
apply the knowledge, skill, and judgment to practice as a physical therapist
according to generally accepted standards and professional ethical
standards.
12-285-120. [Formerly 12-41-115] Grounds for disciplinary
action - definitions. (1) The board may take disciplinary action in
accordance with section 12-41-116 SECTIONS 12-20-404 AND 12-285-122
against a person who has:
PAGE 1258-HOUSE BILL 19-1172
(a) Committed any act which THAT does not meet generally accepted
standards of physical therapy practice or failed to perform an act necessary
to meet generally accepted standards of physical therapy practice;
(b) Engaged in a sexual act with a patient while a patient-physical
therapist relationship exists. For the purposes of this paragraph (b),
SUBSECTION (1)(b):
(I) "Patient-physical therapist relationship" means that period of
time beginning with the initial evaluation through the termination of
treatment.
(II) For the purposes of this paragraph (b), "Sexual act" means
sexual contact, sexual intrusion, or sexual penetration as defined in section
18-3-401. C.R.S.
(c) Failed to refer a patient to the appropriate licensed health care
professional when the services required by the patient are beyond the level
of competence of the physical therapist or beyond the scope of physical
therapy practice;
(d) Abandoned a patient by any means, including failure to provide
a referral to another physical therapist or to another appropriate health care
professional when the referral was necessary to meet generally accepted
standards of physical therapy care;
(e) Failed to provide adequate or proper supervision when utilizing
certified physical therapist assistants, unlicensed persons, or persons with
a provisional license in a physical therapy practice;
(f) Failed to make essential entries on patient records or falsified or
made incorrect entries of an essential nature on patient records;
(g) Engaged in any of the following activities and practices:
Ordering or performance, without clinical justification, of demonstrably
unnecessary laboratory tests or studies; the administration, without clinical
justification, of treatment that is demonstrably unnecessary; or ordering or
performing, without clinical justification, any service, X ray, or treatment
that is contrary to recognized standards of the practice of physical therapy
as interpreted by the board;
PAGE 1259-HOUSE BILL 19-1172
(h) (I) Committed abuse of health insurance as set forth in section
18-13-119 (3); C.R.S.; or
(II) Advertised through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the licensee will
perform any act prohibited by section 18-13-119 (3); C.R.S.;
(i) Committed a fraudulent insurance act, as defined in section
10-1-128; C.R.S.;
(j) Offered, given, or received commissions, rebates, or other forms
of remuneration for the referral of clients; except that a licensee may pay an
independent advertising or marketing agent compensation for advertising
or marketing services rendered by an agent on the licensee's behalf,
including compensation for referrals of clients identified through such THE
services on a per-client basis;
(k) Falsified information in any application or attempted to obtain
or obtained a license by fraud, deception, or misrepresentation;
(l) Engaged in the habitual or excessive use or abuse of alcohol, a
habit-forming drug, or a controlled substance as defined in section
18-18-102 (5); C.R.S.;
(m) (I) Failed to notify the board, as required by section 12-41-118.5
12-30-108 (1), of a physical illness, a physical condition, or a behavioral,
mental health, or substance use disorder that impacts the licensee's ability
to perform physical therapy with reasonable skill and safety to patients;
(II) Failed to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the licensee unable to perform physical therapy with
reasonable skill and safety to the patient; or
(III) Failed to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-41-118.5 SECTIONS
12-30-108 AND 12-285-125;
(n) Refused to submit to a physical or mental examination when so
ordered by the board pursuant to section 12-41-118 12-285-124;
PAGE 1260-HOUSE BILL 19-1172
(o) Failed to notify the board in writing of the entry of a final
judgment by a court of competent jurisdiction against the licensee for
malpractice of physical therapy or a settlement by the licensee in response
to charges or allegations of malpractice of physical therapy, which notice
must be given within ninety days after the entry of judgment or settlement
and, in the case of a judgment, must contain the name of the court, the case
number, and the names of all parties to the action;
(p) Violated or aided or abetted a violation of this article 285, AN
APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12, a rule
adopted under this article 285, or a lawful order of the board;
(q) Been convicted of, pled guilty, or pled nolo contendere to any
crime related to the licensee's practice of physical therapy or a felony or
committed an act specified in section 12-41-121 12-285-128. A certified
copy of the judgment of a court of competent jurisdiction of such THE
conviction or plea is conclusive evidence of such THE conviction or plea. In
considering the disciplinary action, the board is governed by section
SECTIONS 12-20-202 (5) AND 24-5-101. C.R.S.
(r) Fraudulently obtained, furnished, or sold any physical therapy
diploma, certificate, license, renewal of license, or record, or aided or
abetted any such act;
(s) Advertised, represented, or held himself or herself out, in any
manner, as a physical therapist or practiced physical therapy without a
license or unless otherwise authorized under this article 285;
(t) Used in connection with the person's name any designation
tending to imply that the person is a physical therapist without being
licensed under this article 285;
(u) Practiced physical therapy during the time the person's license
was inactive, expired, suspended, or revoked;
(v) Failed to maintain the insurance required by section 12-41-114.5
12-285-118 or a rule promulgated thereunder;
(w) Failed to respond in an honest, materially responsive, and timely
manner to a complaint issued under this article 285;
PAGE 1261-HOUSE BILL 19-1172
(x) Failed to know the contents of this part 1 and any rules
promulgated under this part 1; or
(y) Failed to either:
(I) Confirm that a patient is under the care of a physician or other
health care professional for the underlying medical condition when
providing general wound care within the scope of the physical therapist's
practice; or
(II) Refer the patient to a physician or other appropriate health care
professional for the treatment of the underlying medical condition when
providing general wound care within the scope of the physical therapist's
practice; OR
(z) Failed to report an adverse action, the surrender of a license, or
other discipline taken in another jurisdiction.
12-285-121. [Formerly 12-41-115.5] Protection of medical
records - licensee's obligations - verification of compliance - rules.
(1) Each licensed physical therapist responsible for patient records shall
develop a written plan to ensure the security of patient medical records. The
plan must address at least the following:
(a) The storage and proper disposal of patient medical records;
(b) The disposition of patient medical records in the event the
licensee dies, retires, or otherwise ceases to practice or provide physical
therapy care to patients; and
(c) The method by which patients may access or obtain their medical
records promptly if any of the events described in paragraph (b) of this
subsection (1) SUBSECTION (1)(b) OF THIS SECTION occurs.
(2) Upon initial licensure under this part 1 and upon renewal of a
license, the applicant or licensee shall attest to the board that he or she has
developed a plan in compliance with this section.
(3) A licensee shall inform each patient in writing of the method by
which the patient may access or obtain his or her medical records if an event
PAGE 1262-HOUSE BILL 19-1172
described in paragraph (b) of subsection (1) SUBSECTION (1)(b) of this
section occurs.
(4) The board may adopt rules reasonably necessary to implement
this section.
12-285-122. [Formerly 12-41-116] Disciplinary actions.
(1) (a) The board, in accordance with article 4 of title 24 C.R.S. AND
SECTION 12-20-403, may issue letters of admonition; deny, refuse to renew,
suspend, or revoke any license; place a licensee on probation; TAKE
DISCIPLINARY OR OTHER ACTION AS SPECIFIED IN SECTION 12-20-404 or
impose public censure or a fine, if the board or the board's designee
determines after notice and the opportunity for a hearing that the licensee
has committed an act specified in section 12-41-115 12-285-120.
(b) (Deleted by amendment, L. 2011, (SB 11-169), ch. 172, p. 621,
§ 21, effective July 1, 2011.)
(c) (b) In the case of a deliberate and willful violation of this article
285 or if the public health, safety, and welfare require emergency action, the
board may take disciplinary action on an emergency basis under sections
24-4-104 and 24-4-105. C.R.S.
(2) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
but should not be dismissed as being without merit, The board may send a
letter of admonition to the A licensee UNDER THE CIRCUMSTANCES SPECIFIED
IN AND IN ACCORDANCE WITH SECTION 12-20-404 (4).
(b) When the board sends a letter of admonition to a licensee, the
board shall notify the licensee of the licensee's right to request in writing,
within twenty days after receipt of the letter, that formal disciplinary
proceedings be initiated to adjudicate the propriety of the conduct described
in the letter of admonition.
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(3) In any disciplinary order that allows a physical therapist to
PAGE 1263-HOUSE BILL 19-1172
continue to practice, the board may impose upon the licensee such
conditions as the board deems appropriate to ensure that the physical
therapist is physically, mentally, and professionally qualified to practice
physical therapy in accordance with generally accepted professional
standards. Such THE conditions may include any or all of the following:
(a) Examination of the physical therapist to determine his or her
mental or physical condition, as provided in section 12-41-118 12-285-124,
or to determine professional qualifications;
(b) Any therapy, training, or education that the board believes
necessary to correct deficiencies found either in a proceeding in compliance
with section 24-34-106 C.R.S., or through an examination under paragraph
(a) of this subsection (3) SUBSECTION (3)(a) OF THIS SECTION;
(c) A review or supervision of a licensee's practice that the board
finds necessary to identify and correct deficiencies therein;
(d) Restrictions upon the nature and scope of practice to ensure that
the licensee does not practice beyond the limits of the licensee's capabilities.
(3.5) (4) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, The board may send a confidential
letter of concern to the A licensee UNDER THE CIRCUMSTANCES SPECIFIED IN
SECTION 12-20-404 (5).
(4) (5) The board may take disciplinary action against a physical
therapist for failure to comply with any of the conditions imposed by the
board under subsection (3) of this section.
(5) A person whose license has expired is subject to the penalties
provided in this article and section 24-34-102 (8), C.R.S.
(6) A person whose license to practice physical therapy is revoked
or who surrenders his or her license to avoid discipline is not eligible to
apply for a license for two years after the license is revoked or surrendered.
The two-year waiting period SPECIFIED IN SECTION 12-20-404 (3) applies to
PAGE 1264-HOUSE BILL 19-1172
a person whose license to practice physical therapy, or to practice any other
health care occupation, is revoked by any other legally qualified board or
regulatory entity.
12-285-123. [Formerly 12-41-117] Disciplinary proceedings -
investigations - judicial review. (1) The board may commence a
proceeding for the discipline of a licensee IN ACCORDANCE WITH SECTION
12-20-403 when the board has reasonable grounds to believe that a licensee
has committed an act enumerated in section 12-41-115 12-285-120.
(2) In any proceeding held under this section, the board may accept
as prima facie evidence of grounds for disciplinary action any disciplinary
action taken against a licensee from another jurisdiction if the violation that
prompted the disciplinary action in that jurisdiction would be grounds for
disciplinary action under this article 285.
(3) (a) The board may investigate potential grounds for disciplinary
action upon its own motion or when the board is informed of THE dismissal
of a person licensed under this article 285 if the dismissal was for a matter
constituting a violation of this article 285.
(b) A person who supervises a physical therapist shall report to the
board when the physical therapist has been dismissed because of
incompetence in physical therapy or failure to comply with this article 285.
A physical therapist who is aware that another physical therapist is violating
this article 285 shall report such THE violation to the board.
(4) (Deleted by amendment, L. 2004, p. 1844, § 93, effective August
4, 2004.)
(5) (a) The board or an administrative law judge may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing, investigation,
accusation, or other matter coming before the board pursuant to this article.
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings and
report them to the board.
(b) Upon failure of a witness to comply with a subpoena or process,
PAGE 1265-HOUSE BILL 19-1172
the district court of the county in which the subpoenaed person or licensee
resides or conducts business, upon application by the board with notice to
the subpoenaed person or licensee, may issue to the person or licensee an
order requiring that person or licensee to appear before the board; to
produce the relevant papers, books, records, documentary evidence, or
materials if so ordered; or to give evidence touching the matter under
investigation or in question. Failure to obey the order of the court may be
punished by the court as a contempt of court.
(6) (4) The board may keep any investigation authorized under this
article 285 closed until the results of such THE investigation are known and
either the complaint is dismissed or notice of hearing and charges are served
upon the licensee.
(7) (a) The board, the director's staff, a witness or consultant to the
board, a witness testifying in a proceeding authorized under this article, and
a person who lodges a complaint under this article is immune from liability
in a civil action brought against him or her for acts occurring while acting
in his or her capacity as board member, staff, consultant, witness, or
complainant, respectively, if such individual was acting in good faith within
the scope of his or her respective capacity, made a reasonable effort to
obtain the facts of the matter as to which he or she acted, and acted in the
reasonable belief that the action taken by him or her was warranted by the
facts.
(b) Any person participating in good faith in the making of a
complaint or report or participating in any investigative or administrative
proceeding pursuant to this section shall be immune from any liability, civil
or criminal, that otherwise might result by reason of such participation.
(8) (5) The board, through the department, of regulatory agencies,
may employ administrative law judges appointed pursuant to part 10 of
article 30 of title 24, C.R.S., on a full-time or part-time basis, to conduct
hearings under this article or on any matter within the board's jurisdiction
upon such conditions and terms as the board may determine 285 IN
ACCORDANCE WITH SECTION 12-20-403 (3).
(9) (6) Final action of the board may be judicially reviewed by the
court of appeals by appropriate proceedings under section 24-4-106 (11),
C.R.S. IN ACCORDANCE WITH SECTION 12-20-408, and judicial proceedings
PAGE 1266-HOUSE BILL 19-1172
for the enforcement of an order of the board may be instituted in accordance
with section 24-4-106. C.R.S.
(10) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(11) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a licensee is acting in
a manner that is an imminent threat to the health and safety of the public,
or a person is acting or has acted without the required license, the board
may issue an order to cease and desist such activity. The order must set
forth the statutes and rules alleged to have been violated, the facts alleged
to have constituted the violation, and the requirement that all unlawful acts
or unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (11), the respondent may
request a hearing on the question of whether acts or practices in violation
of this article have occurred. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(12) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person, that a person has violated
this article, then, in addition to any specific powers granted pursuant to this
article, the board may issue to such person an order to show cause as to why
the board should not issue a final order directing such person to cease and
desist from the unlawful act or unlicensed practice.
(b) The board shall promptly notify a person against whom an order
to show cause has been issued under paragraph (a) of this subsection (12)
of the issuance of the order, along with a copy of the order, the factual and
legal basis for the order, and the date set by the board for a hearing on the
order. The board may serve the notice by personal service, by first-class
United States mail, postage prepaid, or as may be practicable upon any
person against whom such order is issued. Personal service or mailing of an
order or document pursuant to this subsection (12) constitutes notice thereof
to the person.
PAGE 1267-HOUSE BILL 19-1172
(c) (I) The board shall commence a hearing on an order to show
cause no sooner than ten and no later than forty-five calendar days after the
date of transmission or service of the notification by the board as provided
in paragraph (b) of this subsection (12). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event is the hearing to commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (12) does not appear at
the hearing, the board may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(12) and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order becomes final as to that person by operation of law. The board
shall conduct the hearing in accordance with sections 24-4-104 and
24-4-105, C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license, or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued,
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (12), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
is effective when issued and is a final order for purposes of judicial review.
(13) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the board may enter into a
PAGE 1268-HOUSE BILL 19-1172
stipulation with such person.
(14) If a person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to bring
suit for a temporary restraining order and for injunctive relief to prevent any
further or continued violation of the final order. Upon receiving the request,
the attorney general or district attorney shall bring the suit as requested.
(15) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
order as provided in subsection (9) of this section.
(7) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-285-124. [Formerly 12-41-118] Mental and physical
examination of licensees. (1) If the board has reasonable cause to believe
that a licensee is unable to practice with reasonable skill and safety, the
board may require the licensee to take a mental or physical examination by
a health care provider designated by the board. If the licensee refuses to
undergo such a mental or physical examination, unless due to circumstances
beyond the licensee's control, the board may suspend such THE licensee's
license until the results of the examination are known and the board has
made a determination of the licensee's fitness to practice. The board shall
proceed with an order for examination and determination in a timely
manner.
(2) An order issued to a licensee under subsection (1) of this section
to undergo a mental or physical examination must contain the basis of the
board's reasonable cause to believe that the licensee is unable to practice
with reasonable skill and safety. For the purposes of a disciplinary
proceeding authorized by this article 285, the licensee is deemed to have
waived all objections to the admissibility of the examining health care
provider's testimony or examination reports on the ground that they are
privileged communications.
(3) The licensee may submit to the board testimony or examination
reports from a health care provider chosen by such THE licensee pertaining
PAGE 1269-HOUSE BILL 19-1172
to the condition that the board has alleged may preclude the licensee from
practicing with reasonable skill and safety. These may be considered by the
board in conjunction with, but not in lieu of, testimony and examination
reports of the health care provider designated by the board.
(4) A person shall not use the results of any mental or physical
examination ordered by the board as evidence in any proceeding other than
one before the board. The examination results are not public records and are
not available to the public.
12-285-125. [Formerly 12-41-118.5] Confidential agreements.
(1) If a physical therapist suffers from a physical illness; a physical
condition; or a behavioral or mental health disorder rendering the licensee
unable to practice physical therapy or practice as a physical therapist with
reasonable skill and patient safety, the physical therapist shall notify the
board of the physical illness; the physical condition; or the behavioral or
mental health disorder in a manner and within a period of time determined
by the board. The board may require the licensee to submit to an
examination or to evaluate the extent of the physical illness; the physical
condition; or the behavioral or mental health disorder and its impact on the
licensee's ability to practice with reasonable skill and safety to patients.
(2) (a) Upon determining that a physical therapist with a physical
illness; a physical condition; or a behavioral or mental health disorder is
able to render limited physical therapy with reasonable skill and patient
safety, the board may enter into a confidential agreement with the physical
therapist in which the physical therapist agrees to limit his or her practice
based on the restrictions imposed by the physical illness; the physical
condition; or the behavioral or mental health disorder, as determined by the
board.
(b) The agreement must specify that the licensee is subject to
periodic reevaluations or monitoring as determined appropriate by the
board.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(d) By entering into an agreement with the board under this
subsection (2) to limit his or her practice, the licensee is not engaging in
PAGE 1270-HOUSE BILL 19-1172
unprofessional conduct. The agreement is an administrative action and does
not constitute a restriction or discipline by the board. However, if the
licensee fails to comply with the terms of an agreement entered into
pursuant to this subsection (2), the failure constitutes grounds for
disciplinary action under section 12-41-115 (1)(m) and the licensee is
subject to discipline in accordance with section 12-41-116.
(3) This section does not apply to a licensee subject to discipline
under section 12-41-115 (1)(l).
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO
LIMIT PRACTICE APPLIES TO THIS ARTICLE 285.
12-285-126. [Formerly 12-41-119] Professional review
committees - immunity. (1) A professional review committee may be
established pursuant to this section to investigate the quality of care being
given by a person licensed under this article 285. It shall include in its
membership at least three persons licensed under this article 285, but such
THE committee may be authorized to act only by:
(a) The board;
(b) A society or an association of physical therapists whose
membership includes not less than one-third of the persons licensed
pursuant to this article 285 and residing in this state if the licensee whose
services are the subject of review is a member of such THE society or
association; or
(c) A hospital licensed pursuant to part 1 of article 3 of title 25
C.R.S., or certified pursuant to section 25-1.5-103 (1)(a)(II); C.R.S.; except
that the professional review committee shall include in its membership at
least a two-thirds majority of persons licensed under this article Such 285.
THE review committee may function under the quality management
provisions of section 25-3-109. C.R.S.
(2) Any professional review committee established pursuant to
subsection (1) of this section shall report to the board any adverse findings
that would constitute a possible violation of this article 285.
(3) The board IN ADDITION TO THE PERSONS SPECIFIED IN SECTION
PAGE 1271-HOUSE BILL 19-1172
12-20-402, a member of a professional review committee authorized by the
board, a member of the board's or committee's staff, a person acting as a
witness or consultant to the board or committee, a witness testifying in a
proceeding authorized under this article 285, and a person who lodges a
complaint pursuant to this article is immune from liability in any civil action
brought against him or her for acts occurring while acting in his or her
capacity as board or committee member, staff, consultant, or witness if the
individual was acting in good faith within the scope of his or her respective
capacity, made a reasonable effort to obtain the facts of the matter as to
which he or she acted, and acted in the reasonable belief that the action
taken by him or her was warranted by the facts. Any person participating in
good faith in lodging a complaint or participating in any investigative or
administrative proceeding pursuant to this article is immune from any civil
or criminal liability that may result from such participation 285 IS GRANTED
THE SAME IMMUNITY, AND IS SUBJECT TO THE SAME CONDITIONS FOR
IMMUNITY, AS SPECIFIED IN SECTION 12-20-402.
12-285-127. [Formerly 12-41-120] Reports by insurance
companies. (1) (a) Each insurance company licensed to do business in this
state and engaged in the writing of malpractice insurance for physical
therapists shall send to the board information about any malpractice claim
that involves a physical therapist and is settled or in which judgment is
rendered against the insured.
(b) In addition, the insurance company shall submit supplementary
reports containing the disposition of the claim to the board within ninety
days after settlement or judgment.
(2) Regardless of the disposition of any claim, the insurance
company shall provide such information as the board finds reasonably
necessary to conduct its own investigation and hearing.
12-285-128. [Formerly 12-41-121] Unauthorized practice -
penalties.
(1) Repealed.
(2) Any person who practices or offers or attempts to practice
physical therapy without an active license issued under this article commits
a class 2 misdemeanor and shall be punished as provided in section
PAGE 1272-HOUSE BILL 19-1172
18-1.3-501, C.R.S., for the first offense, and for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 285 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(3) and (4) (Deleted by amendment, L. 2006, p. 91, § 41, effective
August 7, 2006.)
12-285-129. [Formerly 12-41-122] Violation - fines.
(1) Notwithstanding section 12-41-121 12-285-128, the board may assess
a fine for a violation of this article 285 or any rule adopted under this article
285.
(2) Such THE fine shall not be greater than one thousand dollars. and
shall be transmitted to the state treasurer, who shall credit the same to the
general fund.
(3) All fines shall be imposed in accordance with the provisions of
section 24-4-105, C.R.S., but shall not be considered a substitute or waiver
of the criminal penalties.
12-285-130. [Formerly 12-41-123] Injunctive proceedings. The
board may in the name of the people of Colorado, through the attorney
general of Colorado, apply for an injunction to a court IN ACCORDANCE
WITH SECTION 12-20-406, BUT ONLY to enjoin a person from committing an
act declared to be a misdemeanor by this article If it is established that the
defendant has been or is committing an act declared to be a misdemeanor
by this article, the court shall enter a decree perpetually enjoining the
defendant from further committing the act. If a person violates an injunction
issued under this section, the court may try and punish the offender for
contempt of court. An injunction proceeding is in addition to, and not in lieu
of, all penalties and other remedies provided in this article 285 OR SECTION
12-20-407 (1)(a).
12-285-131. [Formerly 12-41-124] Professional service
corporations, limited liability companies, and registered limited
liability partnerships for the practice of physical therapy - definitions.
(1) Physical therapists may form professional service corporations for the
practice of physical therapy under the "Colorado Business Corporation
Act", articles 101 to 117 of title 7, C.R.S., if such IF THE corporations are
PAGE 1273-HOUSE BILL 19-1172
organized and operated in accordance with this section. The articles of
incorporation of such THE corporations must contain provisions complying
with the following requirements:
(a) The name of the corporation shall contain the words
"professional company" or "professional corporation" or abbreviations
thereof.
(b) The corporation must be organized solely for the purposes of
conducting the practice of physical therapy only through persons licensed
by the board to practice physical therapy.
(c) The corporation may exercise the powers and privileges
conferred upon corporations by the laws of Colorado only in furtherance of
and subject to its corporate purpose.
(d) (I) Except as provided in subparagraph (II) of this paragraph (d)
SUBSECTION (1)(d)(II) OF THIS SECTION, all shareholders of the corporation
must be persons licensed by the board to practice physical therapy and who
at all times own their shares in their own right. With the exception of
illness, accident, or time spent in the armed services, on vacations, or on
leaves of absence not to exceed one year, the individuals must be actively
engaged in the practice of physical therapy in the offices of the corporation.
(II) If a person licensed to practice physical therapy who was a
shareholder of the corporation dies, an unlicensed heir to the deceased
shareholder may become a shareholder of the corporation for up to two
years. Unless the heir is the only shareholder of the corporation, the heir
who becomes a shareholder is a nonvoting shareholder. If the heir of the
deceased shareholder ceases to be a shareholder, the owner who received
the stocks from the shareholder shall dispose of the shares in accordance
with the provisions required by paragraph (e) of this subsection (1)
SUBSECTION (1)(e) OF THIS SECTION. An heir who is not licensed under this
article 285 shall not exercise any authority over professional or clinical
matters.
(e) Provisions shall be made requiring any shareholder who ceases
to be or for any reason is ineligible to be a shareholder to dispose of all such
shares forthwith, either to the corporation or to any person having the
qualifications described in paragraph (d) of this subsection (1) SUBSECTION
PAGE 1274-HOUSE BILL 19-1172
(1)(d) OF THIS SECTION.
(f) The president shall be a shareholder and a director, and, to the
extent possible, all other directors and officers shall be persons having the
qualifications described in paragraph (d) of this subsection (1) SUBSECTION
(1)(d) OF THIS SECTION. Lay directors and officers shall not exercise any
authority whatsoever over professional matters.
(g) The articles of incorporation must provide, and all shareholders
of the corporation shall agree, that all shareholders of the corporation are
jointly and severally liable for all acts, errors, and omissions of the
employees of the corporation or that all shareholders of the corporation are
jointly and severally liable for all acts, errors, and omissions of the
employees of the corporation except when the shareholders maintain
professional liability insurance that meets the standards of section
12-14-114.5 12-285-118 or when the corporation maintains professional
liability insurance that meets the following minimum standards:
(I) The insurer shall insure the corporation against liability imposed
upon the corporation by law for damages resulting from any claim made
against the corporation arising out of the performance of professional
services for others by those officers and employees of the corporation who
are licensed by the board to practice physical therapy.
(II) The policies must insure the corporation against liability
imposed upon it by law for damages arising out of the acts, errors, and
omissions of all nonprofessional employees.
(III) The insurance policy must provide for an amount for each
claim of at least one hundred thousand dollars multiplied by the number of
persons licensed to practice physical therapy employed by the corporation.
The policy must provide for an aggregate top limit of liability per year for
all claims of three hundred thousand dollars also multiplied by the number
of persons licensed to practice physical therapy employed by the
corporation, but no firm is required to carry insurance in excess of three
hundred thousand dollars for each claim with an aggregate top limit of
liability for all claims during the year of nine hundred thousand dollars.
(IV) The policy may provide that it does not apply to:
PAGE 1275-HOUSE BILL 19-1172
(A) A dishonest, fraudulent, criminal, or malicious act or omission
of the insured corporation or any stockholder or employee thereof;
(B) The conduct of any business enterprise, not including the
practice of physical therapy, in which the insured corporation under this
section is not permitted to engage but that nevertheless may be owned by
the insured corporation, in which the insured corporation may be a partner,
or that may be controlled, operated, or managed by the insured corporation
in its own or in a fiduciary capacity, including the ownership, maintenance,
or use of any property in connection therewith, when not resulting from
breach of professional duty, bodily injury to, or sickness, disease, or death
of any person, or to injury to or destruction of any tangible property,
including the loss of use thereof; and
(V) The policy may contain reasonable provisions with respect to
policy periods, territory, claims, conditions, and other usual matters.
(2) The corporation shall do nothing that, if done by a person
licensed to practice physical therapy and employed by the corporation,
would constitute any ground for disciplinary action, as set forth in section
12-41-115 12-285-120. Any violation by the corporation of this section is
grounds for the board to terminate or suspend its right to practice physical
therapy.
(3) Nothing in this section diminishes or changes the obligation of
each person licensed to practice physical therapy employed by the
corporation to practice in accordance with the standards of professional
conduct under this article 285 and rules adopted under this article 285.
Physical therapists who by act or omission cause the corporation to act or
fail to act in a way that violates the standards of professional conduct,
including any provision of this section, are personally responsible for the
violation and subject to discipline for the violation.
(4) A professional service corporation may adopt a pension, CASH
PROFIT SHARING, DEFERRED profit sharing, (whether cash or deferred),
health and accident insurance, or welfare plan for all or part of its
employees, including lay employees, if such THE plan does not require or
result in the sharing of specific or identifiable fees with lay employees and
if any payments made to lay employees or into any such plan on behalf of
lay employees are based upon their compensation or length of service, or
PAGE 1276-HOUSE BILL 19-1172
both, rather than the amount of fees or income received.
(5) (a) Except as provided in this section, corporations shall not
practice physical therapy.
(b) The corporate practice of physical therapy does not include
physical therapists employed by a certified or licensed hospital, licensed
skilled nursing facility, certified home health agency, licensed hospice,
certified comprehensive outpatient rehabilitation facility, certified
rehabilitation agency, authorized health maintenance organization,
accredited educational entity, organization providing care for the elderly
under section 25.5-5-412, C.R.S., or other entity wholly owned and
operated by a governmental unit or agency if:
(I) The relationship created by the employment does not affect the
ability of the physical therapist to exercise his or her independent judgment
in the practice of the profession;
(II) The physical therapist's independent judgment in the practice of
the profession is in fact unaffected by the relationship;
(III) The policies of the entity employing the physical therapist
contain a procedure by which complaints by a physical therapist alleging a
violation of this paragraph (b) SUBSECTION (5)(b) may be heard and
resolved;
(IV) The physical therapist is not required to exclusively refer any
patient to a particular provider or supplier; except that nothing in this
subparagraph (IV) SUBSECTION (5)(b)(IV) shall invalidate the policy
provisions of a contract between a physical therapist and his or her
intermediary or the managed care provisions of a health coverage plan; and
(V) The physical therapist is not required to take any other action he
or she determines not to be in the patient's best interest.
(c) The provisions of paragraph (b) of this subsection (5)
SUBSECTION (5)(b) OF THIS SECTION shall apply to professional service
corporations, limited liability companies, and registered limited liability
partnerships formed for the practice of physical therapy in accordance with
this section regardless of the date of formation of the entity.
PAGE 1277-HOUSE BILL 19-1172
(d) A physical therapist employed by an entity described in
paragraph (b) of this subsection (5) SUBSECTION (5)(b) OF THIS SECTION
shall be an employee of the entity for purposes of liability for all acts,
errors, and omissions of the employee.
(6) As used in this section, unless the context otherwise requires:
(a) "Articles of incorporation" includes operating agreements of
limited liability companies and partnership agreements of registered limited
liability partnerships.
(a.5) "Carrier" has the same meaning as set forth in section
10-16-102 (8), C.R.S.
(b) "Corporation" includes a limited liability company organized
under the "Colorado Limited Liability Company Act", article 80 of title 7,
C.R.S., and a limited liability partnership registered under section 7-60-144
or 7-64-1002. C.R.S.
(c) "Director" and "officer" of a corporation includes a member and
a manager of a limited liability company and a partner in a registered
limited liability partnership.
(d) "Employees" includes employees, members, and managers of a
limited liability company and employees and partners of a registered limited
liability partnership.
(d.3) "Health benefit plan" has the same meaning as set forth in
section 10-16-102 (32), C.R.S.
(d.5) (e) "President" includes all managers, if any, of a limited
liability company and all partners in a registered limited liability
partnership.
(e) (f) "Share" includes a member's rights in a limited liability
company and a partner's rights in a registered limited liability partnership.
(f) (g) "Shareholder" includes a member of a limited liability
company and a partner in a registered limited liability partnership.
PAGE 1278-HOUSE BILL 19-1172
12-285-132. [Formerly 12-41-130] Repeal of part.
(1) Repealed.
(2) (a) This part 1 and the licensing functions of the board as set
forth in this part 1 are repealed, effective September 1, 2024.
(b) Before the repeal, the licensing functions of the board are
scheduled for review in accordance with section 24-34-104.
PART 2
PHYSICAL THERAPIST ASSISTANTS
12-285-201. Additional board authority - rules. (1) [Formerly
12-41-201 (1)] In addition to all other powers and duties given to the board
by law, the board may:
(a) Certify physical therapist assistants to practice;
(b) Evaluate the qualifications of applicants for certification, issue
and renew the certifications authorized under this part 2, and take the
disciplinary actions authorized under this part 2 AND SECTION 12-20-404;
(c) Conduct hearings IN ACCORDANCE WITH SECTION 12-20-403
upon charges for discipline of a certified physical therapist assistant and
cause the prosecution and enjoinder, IN ACCORDANCE WITH SECTION
12-20-406, of all persons violating this part 2;
(d) Administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board;
(e) Appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings and
report them to the board; and
(f) (d) Establish fines under section 12-41-122 12-285-129.
(2) [Formerly 12-41-201 (3)] The board may promulgate rules
PAGE 1279-HOUSE BILL 19-1172
necessary PURSUANT TO SECTION 12-20-204 to implement, administer, and
enforce this part 2.
(3) [Formerly 12-41-219] The authority granted to the board by this
part 2 does not authorize the board to arbitrate or adjudicate fee disputes
between physical therapist assistants or between a physical therapist
assistant and another party.
12-285-202. [Formerly 12-41-202] Use of titles restricted. A
person certified as a physical therapist assistant may use the title "physical
therapist assistant" or the letters "P.T.A." or any other generally accepted
terms, letters, or figures that indicate that the person is a physical therapist
assistant. No other person shall use the terms "physical therapist assistant",
"certified physical therapist assistant", or any letters or words that indicate
that the person is a physical therapist assistant.
12-285-203. [Formerly 12-41-203] Limitations on authority.
(1) Nothing in this part 2 authorizes a physical therapist assistant to
perform any of the following acts:
(a) Practice of medicine, surgery, or any other form of healing
except as authorized by this part 2; or
(b) Use of roentgen rays and radioactive materials for therapeutic
purposes, use of electricity for surgical purposes, or diagnosis of disease.
(2) A physical therapist assistant shall not practice physical therapy
unless the assistant works under the supervision of a licensed physical
therapist.
12-285-204. [Formerly 12-41-204] Certification required.
Effective June 1, 2012, except as otherwise provided by this part 2, a person
who practices as a physical therapist assistant or who represents oneself
HIMSELF OR HERSELF as being able to practice as a physical therapist
assistant in this state must possess a valid certification issued by the board
under this part 2 and rules adopted under this part 2.
12-285-205. [Formerly 12-41-205] Certification by examination.
(1) Every applicant for a certification by examination shall:
PAGE 1280-HOUSE BILL 19-1172
(a) (I) Have successfully completed a physical therapist assistant
program accredited by the Commission on Accreditation in Physical
Therapy Education or any comparable organization as determined by the
board; or
(II) Qualify to take the physical therapy examination established
under section 12-41-107 12-285-110;
(b) Pass a written examination that is:
(I) Approved by the board; and
(II) A national examination accredited by a nationally recognized
accrediting agency;
(c) Submit an application in the form and manner designated by the
director; and
(d) Pay a fee in an amount determined by the director.
(2) The board may refuse to permit an applicant to take the
examination if the application is incomplete or indicates that the applicant
is not qualified to sit for the examination, or if the applicant has committed
any act that would be grounds for disciplinary action under section
12-41-210 12-285-211.
(3) When the applicant has fulfilled all the requirements of
subsection (1) of this section, the board shall issue a certification to the
applicant; except that the board may deny certification if the applicant has
committed an act that would be grounds for disciplinary action under
section 12-41-210 12-285-211.
(4) Repealed.
12-285-206. [Formerly 12-41-206] Certification by endorsement.
(1) An applicant for certification by endorsement shall:
(a) Possess a valid license, certification, or registration in good
standing from another state or territory of the United States;
PAGE 1281-HOUSE BILL 19-1172
(b) Submit an application in the form and manner designated by the
director; and
(c) Pay a fee in an amount determined by the director.
(2) Upon receipt of all documents required by subsection (1) of this
section, the director shall review the application and make a determination
of the applicant's qualification to be certified by endorsement.
(3) The board shall issue a certification if the applicant fulfills the
requirements of subsection (1) of this section and meets any one of the
following qualifying standards:
(a) The applicant graduated from an accredited program within the
past two years and passed an examination substantially equivalent to the
examination specified in section 12-41-205 (1)(b) 12-285-205 (1)(b);
(b) The applicant has practiced as a licensed, certified, or registered
physical therapist assistant for at least two of the five years immediately
preceding the date of the application; or
(c) The applicant has passed an examination in another jurisdiction
that is substantially equivalent to the examination specified in section
12-41-205 (1)(b) 12-285-205 (1)(b), and has demonstrated competency
through successful completion of an internship or demonstrated competency
as a physical therapist assistant by fulfilling the requirements established by
rules of the board.
(4) The board may deny certification if the applicant has committed
an act that would be grounds for disciplinary action under section
12-41-210 12-285-211.
12-285-207. [Formerly 12-41-207] Certification of
foreign-trained applicants. (1) Every foreign-trained applicant for
certification shall:
(a) Have received education and training as a physical therapist
assistant that is substantially equivalent to the education and training
required by accredited physical therapist assistant programs in the United
States;
PAGE 1282-HOUSE BILL 19-1172
(b) Possess an active, valid license, certification, or registration in
good standing or other authorization to practice as a physical therapist
assistant from an appropriate authority in the country where the
foreign-trained applicant is practicing or has practiced;
(c) Pass a written examination approved by the board in accordance
with section 12-41-205 (1)(b) 12-285-205 (1)(b);
(d) Submit an application in the form and manner designated by the
director; and
(e) Pay an application fee in an amount determined by the director.
(2) Upon receipt of all documents and the fee required by subsection
(1) of this section, the director shall review the application and determine
if the applicant is qualified to be certified.
(3) When the applicant has fulfilled all the requirements of
subsection (1) of this section, the board shall issue a certification to the
applicant; except that the board may deny the application if the applicant
has committed an act that would be grounds for disciplinary action under
section 12-41-210 12-285-211.
12-285-208. [Formerly 12-41-208] Expiration and renewal of
certification. An applicant for certification shall pay certification, renewal,
and reinstatement fees established by the director in the same manner as is
authorized in section 24-34-105, C.R.S. A certified physical therapist
assistant shall renew a certification in accordance with a schedule
established by the director pursuant to section 24-34-102 (8), C.R.S. The
director may establish renewal fees and delinquency fees for reinstatement
under section 24-34-105, C.R.S. If a person fails to renew a certification
pursuant to the schedule established by the director, the certification expires
CERTIFICATIONS ISSUED PURSUANT TO THIS PART 2 ARE SUBJECT TO THE
RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). A person whose
certification has expired is subject to the penalties provided in this part 2
and section 24-34-102 (8), C.R.S. 12-20-202 (1).
12-285-209. [Formerly 12-41-208.5] Continuing professional
competency - rules - definition. (1) (a) A certified physical therapist
PAGE 1283-HOUSE BILL 19-1172
assistant shall maintain continuing professional competency to practice.
(b) The board shall adopt rules establishing a continuing
professional competency program. The rules shall set forth the following
elements:
(I) A self-assessment of the knowledge and skills of a physical
therapist assistant seeking to renew or reinstate a certification;
(II) Development, execution, and documentation of a learning plan
based on the assessment; and
(III) Periodic demonstration of knowledge and skills through
documentation of professional development activities necessary to ensure
at least minimal ability to safely practice the profession; except that a
physical therapist assistant need not retake any examination required by
section 12-41-205 12-285-205 for initial certification.
(c) The board shall establish that a certified physical therapist
assistant satisfies the continuing competency requirements of this section
if the certified physical therapist assistant meets the continuing professional
competency requirements of one of the following entities:
(I) An accrediting body recognized by the board; or
(II) An entity approved by the board.
(d) (I) After the program is established, a physical therapist assistant
shall satisfy the requirements of the program in order to renew or reinstate
a certification to practice as a certified physical therapist assistant.
(II) The requirements of this section apply to individual certified
physical therapist assistants, and nothing in this section requires a person
who employs or contracts with a certified physical therapist assistant to
comply with the requirements of this section.
(e) Professional development activities must be measured by a
contact-hour-to-credit-hour ratio.
(2) Records of assessments or other documentation developed or
PAGE 1284-HOUSE BILL 19-1172
submitted in connection with the continuing professional competency
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a certified physical
therapist assistant. A person or the board shall not use the records or
documents unless used by the board to determine whether a certified
physical therapist assistant is maintaining continuing professional
competency to engage in the profession.
(3) As used in this section, "continuing professional competency"
means the ongoing ability of a certified physical therapist assistant to learn,
integrate, and apply the knowledge, skill, and judgment to practice as a
certified physical therapist assistant according to generally accepted
standards and professional ethical standards.
12-285-210. [Formerly 12-41-209] Scope of part 2 - exclusions.
(1) This part 2 does not prohibit:
(a) Practice as a physical therapist assistant in this state by a legally
qualified physical therapist assistant from another state or country whose
employment requires the physical therapist assistant to accompany and care
for a patient temporarily residing in this state, but the physical therapist
assistant shall not provide physical therapy services for another individual,
nor shall the person represent or hold himself or herself out as a physical
therapist assistant certified to practice in this state;
(b) The administration of massage, external baths, or exercise that
is not a part of a physical therapy regimen;
(c) A person registered, certified, or licensed in this state under any
other law from engaging in the practice for which the person is registered,
certified, or licensed;
(d) Practice as a physical therapist assistant in this state by a legally
qualified physical therapist assistant from another state or country for the
purpose of participating in an educational program of not more than sixteen
weeks' duration;
(e) The practice of a physical therapist assistant licensed, certified,
or registered in this or any other state or territory of the United States who
is employed by the United States government or a bureau, division, or
PAGE 1285-HOUSE BILL 19-1172
agency thereof while within the course and scope of the physical therapist
assistant's duties; or
(f) The performance of noninvasive debridement, such as autolytic
and enzymatic debridement treatment.
12-285-211. [Formerly 12-41-210] Grounds for disciplinary
action. (1) The board may take disciplinary action in accordance with
section 12-41-211 SECTIONS 12-20-404 AND 12-285-212 against a person
who has:
(a) Committed an act that does not meet generally accepted
standards of physical therapist assistant practice or failed to perform an act
necessary to meet generally accepted standards of physical therapist
assistant practice;
(b) Engaged in sexual contact, sexual intrusion, or sexual
penetration, as defined in section 18-3-401, C.R.S., with a patient during the
period of time beginning with the initial evaluation through the termination
of treatment;
(c) Abandoned a patient by any means;
(d) Failed to make essential entries on patient records or falsified or
made incorrect entries of an essential nature on patient records;
(e) (I) Committed abuse of health insurance as set forth in section
18-13-119; C.R.S.; or
(II) Advertised through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the certified physical
therapist assistant will perform an act prohibited by section 18-13-119;
C.R.S.;
(f) Committed a fraudulent insurance act, as defined in section
10-1-128; C.R.S.;
(g) Falsified information in any application or attempted to obtain
or obtained a certification by fraud, deception, or misrepresentation;
PAGE 1286-HOUSE BILL 19-1172
(h) Engaged in the habitual or excessive use or abuse of alcohol, a
habit-forming drug, or a controlled substance as defined in section
18-18-102 (5); C.R.S.;
(i) (I) Failed to notify the board, as required by section 12-41-214
12-30-108 (1), of a physical illness, a physical condition, or a behavioral,
mental health, or substance use disorder that impacts the certified physical
therapist assistant's ability to perform physical therapy with reasonable skill
and safety to patients;
(II) Failed to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the certified physical therapist assistant unable to
perform physical therapy with reasonable skill and safety to the patient; or
(III) Failed to comply with the limitations agreed to under a
confidential agreement entered into under section 12-41-214 SECTIONS
12-30-108 AND 12-285-215;
(j) Refused to submit to a physical or mental examination when so
ordered by the board under section 12-41-213 12-285-214;
(k) Failed to notify the board in writing of the entry of a final
judgment by a court of competent jurisdiction against the certified physical
therapist assistant for malpractice or a settlement by the certified physical
therapist assistant in response to charges or allegations of malpractice,
which notice must be given within ninety days after the entry of judgment
or settlement and, in the case of a judgment, must contain the name of the
court, the case number, and the names of all parties to the action;
(l) Violated or aided or abetted a violation of this part 2, AN
APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12, a rule
adopted under this part 2, or a lawful order of the board;
(m) Been convicted of, pled guilty, or pled nolo contendere to a
crime related to the certified physical therapist assistant's practice or a
felony or committed an act specified in section 12-41-216 12-285-217. A
certified copy of the judgment of a court of competent jurisdiction of the
conviction or plea is conclusive evidence of the conviction or plea. In
considering the disciplinary action, the board is governed by section
PAGE 1287-HOUSE BILL 19-1172
SECTIONS 12-20-202 (5) AND 24-5-101. C.R.S.
(n) Fraudulently obtained, furnished, or sold a physical therapist
assistant diploma, certificate, renewal of certificate, or record, or aided or
abetted any such act;
(o) Represented, or held himself or herself out as, in any manner, a
physical therapist assistant or practiced as a physical therapist assistant
without a certification, unless otherwise authorized under this part 2;
(p) Used in connection with the person's name a designation
implying that the person is a physical therapist assistant without being
certified under this part 2;
(q) Practiced as a physical therapist assistant during the time the
person's certification was expired, suspended, or revoked; or
(r) Failed to respond in an honest, materially responsive, and timely
manner to a complaint issued under this part 2.
12-285-212. [Formerly 12-41-211] Disciplinary actions.
(1) (a) The board, in accordance with article 4 of title 24 C.R.S. AND
SECTION 12-20-403, may issue letters of admonition; deny, refuse to renew,
suspend, or revoke a certification; place a certified physical therapist
assistant on probation; TAKE DISCIPLINARY OR OTHER ACTION AS SPECIFIED
IN SECTION 12-20-404 or impose public censure or a fine, if the board or the
board's designee determines after notice and the opportunity for a hearing
that the certified physical therapist assistant has committed an act specified
in section 12-41-210 12-285-211.
(b) In the case of a deliberate and willful violation of this part 2 or
if the public health, safety, and welfare require emergency action, the board
may take disciplinary action on an emergency basis under sections 24-4-104
and 24-4-105. C.R.S.
(2) (a) When a complaint or investigation discloses an instance of
misconduct that, in the opinion of the board, does not warrant formal action
but should not be dismissed as being without merit, The board may send a
letter of admonition to the A certified physical therapist assistant UNDER THE
CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH SECTION
PAGE 1288-HOUSE BILL 19-1172
12-20-404 (4).
(b) When the board sends a letter of admonition to a certified
physical therapist assistant, the board shall notify the certified physical
therapist assistant of his or her right to request in writing, within twenty
days after receipt of the letter, that formal disciplinary proceedings be
initiated to adjudicate the propriety of the conduct described in the letter of
admonition.
(c) If the request for adjudication is timely made, the letter of
admonition is vacated and the matter must be processed by means of formal
disciplinary proceedings.
(3) In a disciplinary order that allows a certified physical therapist
assistant to continue to practice, the board may impose upon the certified
physical therapist assistant conditions that the board deems appropriate to
ensure that the certified physical therapist assistant is physically, mentally,
and professionally qualified to practice in accordance with generally
accepted professional standards. The conditions may include the following:
(a) Examination of the certified physical therapist assistant to
determine his or her mental or physical condition, as provided in section
12-41-213 12-285-214, or to determine professional qualifications;
(b) Any therapy, training, or education that the board believes
necessary to correct deficiencies found either in a proceeding in compliance
with section 24-34-106 C.R.S., or through an examination under paragraph
(a) of this subsection (3) SUBSECTION (3)(a) OF THIS SECTION;
(c) A review or supervision of a certified physical therapist
assistant's practice that the board finds necessary to identify and correct
deficiencies therein; or
(d) Restrictions upon the nature and scope of practice to ensure that
the certified physical therapist assistant does not practice beyond the limits
of the certified physical therapist assistant's capabilities.
(4) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
PAGE 1289-HOUSE BILL 19-1172
indications of possible errant conduct by the certified physical therapist
assistant that could lead to serious consequences if not corrected, The board
may send a confidential letter of concern to the A certified physical therapist
assistant UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(5) The board may take disciplinary action against a certified
physical therapist assistant for failure to comply with any of the conditions
imposed by the board under subsection (3) of this section.
(6) A person whose certification has expired is subject to the
penalties provided in this part 2 and section 24-34-102 (8), C.R.S.
(7) (6) A physical therapist assistant whose certification is revoked
or who surrenders his or her certification to avoid discipline is not eligible
to apply for a certification for two years after the certification is revoked or
surrendered. The two-year waiting period SPECIFIED IN SECTION 12-20-404
(3) applies to a person whose certification as a physical therapist assistant
is revoked by any other legally qualified board or regulatory entity.
12-285-213. [Formerly 12-41-212] Disciplinary proceedings -
investigations - judicial review. (1) The board may commence a
proceeding for the discipline of a physical therapist assistant IN
ACCORDANCE WITH SECTION 12-20-403 when the board has reasonable
grounds to believe that a physical therapist assistant has committed an act
enumerated in section 12-41-210 12-285-211.
(2) In a proceeding held under this section, the board may accept as
prima facie evidence of grounds for disciplinary action any disciplinary
action taken against a physical therapist assistant from another jurisdiction
if the violation that prompted the disciplinary action in that jurisdiction
would be grounds for disciplinary action under this part 2.
(3) (a) The board may investigate potential grounds for disciplinary
action upon its own motion or when the board is informed of dismissal of
a person certified under this part 2 if the dismissal was for a matter
constituting a violation of this part 2.
(b) A person who supervises a physical therapist assistant shall
report to the board when the physical therapist assistant has been dismissed
because of incompetence or failure to comply with this part 2. A certified
PAGE 1290-HOUSE BILL 19-1172
physical therapist assistant who is aware that another person is violating this
part 2 shall report the violation to the board.
(4) (a) The board or an administrative law judge may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing, investigation,
accusation, or other matter coming before the board under this part 2. The
board may appoint an administrative law judge pursuant to part 10 of article
30 of title 24, C.R.S., to take evidence and to make findings and report them
to the board.
(b) Upon failure of a witness to comply with a subpoena or process,
the district court of the county in which the subpoenaed person or certified
physical therapist assistant resides or conducts business, upon application
by the board with notice to the subpoenaed person or certified physical
therapist assistant, may issue an order requiring that person or certified
physical therapist assistant to appear before the board; to produce the
relevant papers, books, records, documentary evidence, or materials if so
ordered; or to give evidence touching the matter under investigation or in
question. Failure to obey the order of the court may be punished by the
court as a contempt of court.
(5) (4) The board may keep any investigation authorized under this
part 2 closed until the results of the investigation are known and either the
complaint is dismissed or notice of hearing and charges are served upon the
certified physical therapist assistant.
(6) (a) The board, the director's staff, a witness or consultant to the
board, a witness testifying in a proceeding authorized under this part 2, or
a person who lodges a complaint under this part 2 is immune from liability
in a civil action brought against him or her for acts occurring while acting
in his or her capacity as a board member, staff member, consultant, witness,
or complainant if the individual was acting in good faith within the scope
of his or her respective capacity, made a reasonable effort to obtain the facts
of the matter as to which he or she acted, and acted with the reasonable
belief that the action taken was warranted by the facts.
(b) A person making a complaint or report in good faith or
participating in any investigative or administrative proceeding pursuant to
PAGE 1291-HOUSE BILL 19-1172
this section is immune from any liability, civil or criminal, that otherwise
might result by reason of the participation.
(7) (5) The board, through the department, of regulatory agencies,
may employ administrative law judges appointed pursuant to part 10 of
article 30 of title 24, C.R.S., on a full-time or part-time basis, to conduct
hearings under this part 2 or on any matter within the board's jurisdiction
upon the conditions and terms as the board may determine IN ACCORDANCE
WITH SECTION 12-20-403.
(8) (6) Final action of the board may be judicially reviewed by the
court of appeals by appropriate proceedings under section 24-4-106 (11),
C.R.S. IN ACCORDANCE WITH SECTION 12-20-408, and judicial proceedings
for the enforcement of an order of the board may be instituted in accordance
with section 24-4-106. C.R.S.
(9) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
board shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution.
(10) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint, that a certified physical therapist assistant
is acting in a manner that is an imminent threat to the health and safety of
the public, or a person is acting or has acted without the required
certification, the board may issue an order to cease and desist the activity.
The order must set forth the statutes and rules alleged to have been violated,
the facts alleged to have constituted the violation, and the requirement that
all unlawful acts or uncertified practices immediately cease.
(b) Within ten days after service of the order to cease and desist
under paragraph (a) of this subsection (10), the respondent may request a
hearing on the question of whether acts or practices in violation of this part
2 have occurred. The hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(11) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint, that a person has violated this part 2, then,
in addition to any specific powers granted under this part 2, the board may
issue to the person an order to show cause as to why the board should not
PAGE 1292-HOUSE BILL 19-1172
issue a final order directing the person to cease and desist from the unlawful
act or uncertified practice.
(b) The board shall promptly notify a person against whom an order
to show cause has been issued under paragraph (a) of this subsection (11)
of the issuance of the order, along with a copy of the order, the factual and
legal basis for the order, and the date set by the board for a hearing on the
order. The board may serve the notice by personal service, by first-class
United States mail, postage prepaid, or as may be practicable upon the
person against whom the order is issued. Personal service or mailing of an
order or document pursuant to this subsection (11) constitutes notice thereof
to the person.
(c) (I) The board shall commence a hearing on an order to show
cause no sooner than ten and no later than forty-five calendar days after the
date of transmission or service of the notification by the board as provided
in paragraph (b) of this subsection (11). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event is the hearing to commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (11) does not appear at
the hearing, the board may present evidence that notification was properly
sent or served upon the person under paragraph (b) of this subsection (11)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order becomes final as to that person by operation of law. The board
shall conduct the hearing in accordance with sections 24-4-104 and
24-4-105, C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
certification, or has or is about to engage in acts or practices constituting
violations of this part 2, the board may issue a final cease-and-desist order,
directing the person to cease and desist from further unlawful acts or
uncertified practices.
PAGE 1293-HOUSE BILL 19-1172
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (11), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued under subparagraph (III) of this paragraph (c) is
effective when issued and is a final order for purposes of judicial review.
(12) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any uncertified act or practice, any act or practice constituting a violation
of this part 2, a rule promulgated under this part 2, an order issued under
this part 2, or an act or practice constituting grounds for administrative
sanction under this part 2, the board may enter into a stipulation with the
person.
(13) If a person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to bring
suit for a temporary restraining order and for injunctive relief to prevent any
further or continued violation of the final order. Upon receiving the request,
the attorney general or district attorney shall bring the suit as requested.
(7) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
12-285-214. [Formerly 12-41-213] Mental and physical
examination of certified physical therapist assistants. (1) If the board
has reasonable cause to believe that a certified physical therapist assistant
is unable to practice with reasonable skill and safety, the board may require
the certified physical therapist assistant to take a mental or physical
examination by a health care provider designated by the board. If the
certified physical therapist assistant refuses to undergo the mental or
physical examination, unless due to circumstances beyond the certified
physical therapist assistant's control, the board may suspend the certified
physical therapist assistant's certification until the results of the examination
are known and the board has made a determination of the certified physical
therapist assistant's fitness to practice. The board shall proceed with an
order for examination and determination in a timely manner.
PAGE 1294-HOUSE BILL 19-1172
(2) An order issued to a certified physical therapist assistant under
subsection (1) of this section to undergo a mental or physical examination
must contain the basis of the board's reasonable cause to believe that the
certified physical therapist assistant is unable to practice with reasonable
skill and safety. For the purposes of a disciplinary proceeding authorized by
this part 2, the certified physical therapist assistant is deemed to have
waived all objections to the admissibility of the examining health care
provider's testimony or examination reports on the ground that they are
privileged communications.
(3) The certified physical therapist assistant may submit to the board
testimony or examination reports from a health care provider chosen by the
certified physical therapist assistant pertaining to the condition that the
board has alleged may preclude the certified physical therapist assistant
from practicing with reasonable skill and safety. The board may consider
such THE testimony or examination reports in conjunction with, but not in
lieu of, testimony and examination reports of the health care provider
designated by the board.
(4) A person shall not use the results of any mental or physical
examination ordered by the board as evidence in any proceeding other than
one before the board. The examination results are not public records and are
not available to the public.
12-285-215. [Formerly 12-41-214] Confidential agreements.
(1) If a certified physical therapist assistant suffers from a physical illness;
a physical condition; or a behavioral or mental health disorder rendering the
certified physical therapist assistant unable to practice with reasonable skill
and patient safety, the certified physical therapist assistant shall notify the
board of the physical illness; the physical condition; or the behavioral or
mental health disorder in a manner and within a period of time determined
by the board. The board may require the certified physical therapist assistant
to submit to an examination, or the board may evaluate the extent of the
physical illness; the physical condition; or the behavioral or mental health
disorder and its impact on the certified physical therapist assistant's ability
to practice with reasonable skill and safety to patients.
(2) (a) Upon determining that a certified physical therapist assistant
with a physical illness; a physical condition; or a behavioral or mental
health disorder is able to render limited physical therapy with reasonable
PAGE 1295-HOUSE BILL 19-1172
skill and patient safety, the board may enter into a confidential agreement
with the certified physical therapist assistant in which the certified physical
therapist assistant agrees to limit his or her practice based on the restrictions
imposed by the physical illness; the physical condition; or the behavioral or
mental health disorder, as determined by the board.
(b) The agreement must specify that the certified physical therapist
assistant is subject to periodic reevaluations or monitoring as determined
appropriate by the board.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(d) By entering into an agreement with the board under this
subsection (2) to limit his or her practice, the certified physical therapist
assistant is not engaging in unprofessional conduct. The agreement is an
administrative action and does not constitute a restriction or discipline by
the board. However, if the certified physical therapist assistant fails to
comply with the terms of an agreement entered into pursuant to this
subsection (2), the failure constitutes grounds for disciplinary action under
section 12-41-210 (1)(i) and the certified physical therapist assistant is
subject to discipline in accordance with section 12-41-211.
(3) This section does not apply to a physical therapist assistant
subject to discipline under section 12-41-210 (1)(h).
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO
LIMIT PRACTICE APPLIES TO THIS PART 2.
12-285-216. [Formerly 12-41-215] Reports by insurance
companies. (1) (a) Each insurance company licensed to do business in this
state and engaged in the writing of malpractice insurance for physical
therapist assistants shall send to the board information about any
malpractice claim that involves a physical therapist assistant and is settled
or in which judgment is rendered against the insured.
(b) In addition, the insurance company shall submit supplementary
reports containing the disposition of the claim to the board within ninety
days after settlement or judgment.
PAGE 1296-HOUSE BILL 19-1172
(2) Regardless of the disposition of any claim, the insurance
company shall provide such information as the board finds reasonably
necessary to conduct its own investigation and hearing.
12-285-217. [Similar to 12-41-216] Unauthorized practice -
penalties. ANY PERSON WHO VIOLATES SECTION 12-285-202 OR 12-285-203
WITHOUT AN ACTIVE CERTIFICATION ISSUED UNDER THIS PART 2 IS SUBJECT
TO PENALTIES PURSUANT TO SECTION 12-20-407 (1)(d).
12-285-218. [Formerly 12-41-217] Violation - fines.
(1) Notwithstanding section 12-41-216 12-285-217, the board may assess
a fine for a violation of this part 2 or a rule adopted under this part 2.
(2) The fine shall not be greater than one thousand dollars. and shall
be transmitted to the state treasurer, who shall credit the same to the general
fund.
(3) All fines must be imposed in accordance with section 24-4-105
C.R.S., but are not a substitute or waiver of a criminal penalty.
12-285-219. [Formerly 12-41-218] Injunctive proceedings. The
board may in the name of the people of the state of Colorado, through the
attorney general of Colorado, apply for an injunction to a court IN
ACCORDANCE WITH SECTION 12-20-406, BUT ONLY to enjoin a person from
committing an act declared to be a misdemeanor by this part 2 If it is
established that the defendant has been or is committing an act declared to
be a misdemeanor by this part 2, the court shall enter a decree perpetually
enjoining the defendant from further committing the act. If a person violates
an injunction issued under this section, the court may try and punish the
offender for contempt of court. An injunction proceeding is in addition to,
and not in lieu of, all penalties and other remedies provided in this part 2 OR
SECTION 12-20-407 (1)(d).
12-285-220. [Formerly 12-41-221] Repeal of part. This part 2 is
repealed, effective September 1, 2024. Before its THE repeal, the functions
of the physical therapy board in regulating physical therapist assistants
under this part 2 are scheduled for review in accordance with section
24-34-104.
ARTICLE 290
PAGE 1297-HOUSE BILL 19-1172
Podiatrists
PART 1
GENERAL PROVISIONS
12-290-101. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 290.
12-290-102. [Formerly 12-32-101] Definitions. As used in this
article 290, unless the context otherwise requires:
(1) "BOARD" MEANS THE COLORADO PODIATRY BOARD ESTABLISHED
PURSUANT TO SECTION 12-290-105.
(1) "Podiatric medicine" means the practice of podiatry.
(2) "Podiatric physician" or "podiatrist" means any person who
practices podiatry.
(3) (a) "Practice of podiatry" OR "PODIATRIC MEDICINE" means:
(I) Holding out one's self to the public as being able to treat,
prescribe for, palliate, correct, or prevent any disease, ailment, pain, injury,
deformity, or physical condition of the human toe, foot, ankle, tendons that
insert into the foot, and soft tissue below the mid-calf, by the use of any
medical, surgical, mechanical, manipulative, or electrical treatment,
including complications thereof consistent with such THE scope of practice;
(II) Suggesting, recommending, prescribing, or administering any
podiatric form of treatment, operation, or healing for the intended palliation,
relief, or cure of any disease, ailment, injury, condition, or defect of the
human toe, foot, ankle, tendons that insert into the foot, and soft tissue
wounds below the mid-calf, including complications thereof consistent with
such THE scope of practice; and
(III) Maintaining an office or other place for the purpose of
examining and treating persons afflicted with disease, injury, or defect of
the human toe, foot, ankle, tendons that insert into the foot, and soft tissue
wounds below the mid-calf, including the complications thereof consistent
PAGE 1298-HOUSE BILL 19-1172
with such THE scope of practice.
(b) The "practice of podiatry" does not include the amputation of the
foot or the administration of an anesthetic other than a local anesthetic.
(c) A podiatrist may only treat a soft tissue wound below the
mid-calf if the patient is being treated by a physician for his or her
underlying medical condition or if the podiatrist refers the patient to a
physician for further treatment of the underlying medical condition.
(4) "Soft tissue wound" means a lesion to the musculoskeletal
junction that include dermal and sub-dermal tissue that do not involve bone
removal or repair or muscle transfer.
12-290-103. [Formerly 12-32-101.5] Podiatric surgery.
(1) Surgical procedures on the ankle below the level of the dermis may be
performed by a podiatrist licensed before July 1, 2010, in this state who:
(a) Is certified by the American Board of Podiatric Surgery or its
successor organization;
(b) Is performing surgery under the direct supervision of a licensed
podiatrist certified by the American Board of Podiatric Surgery or its
successor organization; except that, if the supervising podiatrist is licensed
on or after July 1, 2010, the supervising podiatrist shall be certified in
reconstructive rearfoot/ankle surgery or foot and ankle surgery by the
American Board of Podiatric Surgery or its successor organization; or
(c) Is performing surgery under the direct supervision of a person
licensed to practice medicine and certified by the American Board of
Orthopedic ORTHOPAEDIC Surgery or its successor organization or by the
American Osteopathic Board of Orthopedic Surgery or its successor
organization.
(2) Surgical procedures on the ankle below the level of the dermis
may be performed by a podiatrist licensed on or after July 1, 2010, in this
state who:
(a) Is certified in reconstructive rearfoot/ankle surgery or foot and
ankle surgery by the American Board of Podiatric Surgery or its successor
PAGE 1299-HOUSE BILL 19-1172
organization;
(b) Is performing surgery under the direct supervision of a licensed
podiatrist certified by the American Board of Podiatric Surgery or its
successor organization; except that, if the supervising podiatrist is licensed
on or after July 1, 2010, the supervising podiatrist shall be certified in
reconstructive rearfoot/ankle surgery or foot and ankle surgery by the
American Board of Podiatric Surgery or its successor organization;
(c) Is performing surgery under the direct supervision of a person
licensed to practice medicine and certified by the American Board of
Orthopedic ORTHOPAEDIC Surgery or its successor organization or by the
American Osteopathic Board of Orthopedic Surgery or its successor
organization; or
(d) Has completed a three-year surgical residency approved by the
Colorado podiatry board.
12-290-104. [Formerly 12-32-102] Podiatry license required -
professional liability insurance required - exceptions - rules. (1) (a) It
is unlawful for any person to practice podiatry within the state of Colorado
who does not hold a license to practice medicine issued by the Colorado
medical board PURSUANT TO ARTICLE 240 OF THIS TITLE 12 or a license to
practice podiatry issued by the Colorado podiatry board as provided by this
article 290.
(b) A podiatry training license is required for a person serving IN an
approved residency program Such persons shall be licensed MUST OBTAIN
A PODIATRY TRAINING LICENSE ISSUED by the Colorado podiatry board
pursuant to section 12-32-107.4 12-290-110. As used in this section
SUBSECTION (1)(b), an "approved residency" is a residency in a hospital
conforming to the minimum standards for residency training established or
approved by the Colorado podiatry board, which has the authority, upon its
own investigation, to approve any residency.
(2) It is unlawful for any person to practice podiatry within the state
of Colorado unless such THE person purchases and maintains professional
liability insurance as follows:
(a) If such THE person performs surgical procedures, professional
PAGE 1300-HOUSE BILL 19-1172
liability insurance shall be maintained in an amount not less than one
million dollars per claim and three million dollars per year for all claims.
(b) The Colorado podiatry board shall by rule establish financial
responsibility standards for podiatrists who do not perform podiatric
surgical procedures and who sign an affidavit attesting to such THAT fact.
The board may determine that no professional liability insurance
requirements apply to such THE persons or may impose standards which
THAT shall not in any event exceed those prescribed in paragraph (a) of this
subsection (2) SUBSECTION (2)(a) OF THIS SECTION.
12-290-105. [Formerly 12-32-103] Appointment of members of
podiatry board - terms - repeal of article. (1) THE COLORADO PODIATRY
BOARD IS HEREBY ESTABLISHED. The governor shall appoint the members
of the Colorado podiatry board. The board shall consist of four podiatrist
members and one member from the public at large. The member from the
public shall not be a licensed health care professional or be employed by or
benefit financially from the health care industry. The terms of the members
of the board shall be four years. The governor may remove any member of
the board for misconduct, incompetency, or neglect of duty. Members of the
board shall remain in office until their successors are appointed.
(2) The Colorado podiatry board shall elect biennially from its
membership a president and a vice-president. A majority of the board shall
constitute a quorum for the transaction of all business.
(3) Members of the Colorado podiatry board shall be immune from
suit in any action, civil or criminal, based upon any disciplinary proceedings
or other official acts performed in good faith as members of such THE
board.
(4) (a) The provisions of section 24-34-104, C.R.S., concerning the
termination schedule for regulatory bodies of the state unless extended as
provided in that section, are applicable to the Colorado podiatry board
created by this section.
(b) This article 290 is repealed, effective July 1, 2019. BEFORE THE
REPEAL, THE FUNCTIONS OF THE BOARD ARE SCHEDULED FOR REVIEW IN
ACCORDANCE WITH SECTION 24-34-104.
PAGE 1301-HOUSE BILL 19-1172
12-290-106. Powers and duties of board - limitation on authority
- rules. (1) [Formerly 12-32-104 (1)] The Colorado podiatry board shall
regulate the practice of podiatry. The board shall exercise, subject to the
provisions of this article 290, the following powers and duties:
(a) Adopt promulgate, and from time to time revise such rules and
regulations as may be necessary to enable it to carry out the provisions of
this article RULES PURSUANT TO SECTION 12-20-204, INCLUDING RULES
GOVERNING ADVERTISING BY LICENSEES TO PREVENT THE USE OF
MISLEADING, DECEPTIVE, OR FALSE ADVERTISING;
(b) Examine, license, and renew licenses of duly qualified podiatric
applicants;
(c) Conduct hearings upon complaints concerning the disciplining
of podiatrists;
(d) (I) (c) Make investigations, hold hearings, INCLUDING HEARINGS
UPON COMPLAINTS CONCERNING DISCIPLINING PODIATRISTS, and take
evidence IN ACCORDANCE WITH SECTION 12-20-403 in all matters relating
to the exercise and performance of the powers and duties vested in the
board;
(II) The board or an administrative law judge may administer oaths,
take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing, investigation,
accusation, or other matter coming before the board. The board may appoint
an administrative law judge pursuant to part 10 of article 30 of title 24,
C.R.S., to take evidence and to make findings and report them to the board.
(III) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
PAGE 1302-HOUSE BILL 19-1172
(e) (d) Cause the prosecution of and seek injunctions IN
ACCORDANCE WITH SECTION 12-20-406 against all persons violating this
article 290; AND
(f) (e) Approve or refuse to approve podiatric colleges. and
(g) Adopt regulations governing advertising by licensees to prevent
the use of advertising which is misleading, deceptive, or false.
(2) [Formerly 12-32-104.5] The authority granted the board under
the provisions of this article 290 shall not be construed to authorize the
board to arbitrate or adjudicate fee disputes between licensees or between
a licensee and any other party.
12-290-107. [Formerly 12-32-105] Examination as to
qualifications - rules. (1) Every person desiring to practice podiatry in this
state shall be examined as to his or her THE PERSON'S qualifications, except
as otherwise provided in this article 290. Each applicant shall submit, in a
manner approved by the Colorado podiatry board, an application containing
satisfactory proof that said THE applicant:
(a) Is AT LEAST twenty-one years of age;
(b) Is a graduate of a school of podiatry at which not less than a
two-year prepodiatry course and a four-year course of podiatry is required
and that is recognized and approved by the Colorado podiatry board;
(c) Has completed one year of a residency program approved by the
Colorado podiatry board as established by rules promulgated by the board;
and
(d) In the two years immediately preceding the date the application
is received by the Colorado podiatry board, has been enrolled in podiatric
medical school or in a residency program, has passed the national
examination, has been engaged in the active practice of podiatry as defined
by the board, or can otherwise demonstrate competency as determined by
the board.
(2) and (3) (Deleted by amendment, L. 2010, (HB 10-1224), ch. 420,
p. 2149, § 8, effective July 1, 2010.)
PAGE 1303-HOUSE BILL 19-1172
12-290-108. [Formerly 12-32-107] Issuance, revocation, or
suspension of license - probation - unprofessional conduct - definitions
- immunity in professional review. (1) (a) If the Colorado podiatry board
determines that an applicant possesses the qualifications required by this
article 290, has paid a fee to be determined and collected pursuant to section
24-34-105, C.R.S. 12-20-105, and is entitled to a license to practice
podiatry, the board shall issue such THE license.
(b) If the Colorado podiatry board determines that an applicant for
a license to practice podiatry does not possess the qualifications required by
this article 290 or that he or she THE APPLICANT has done any of the acts
defined in subsection (3) of this section as unprofessional conduct, it THE
BOARD may refrain from issuing a license, and the applicant may proceed
as provided in section 24-4-104 (9). C.R.S.
(2) The Colorado podiatry board may refuse to issue or may revoke,
suspend, or refuse to renew the license to practice podiatry issued to any
person; or the board may issue a letter of admonition or a letter of concern
to or place on probation any person who, while holding such a license,
BOARD MAY TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN
SECTION 12-20-404 AGAINST A LICENSEE WHO is guilty of any
unprofessional conduct.
(3) "Unprofessional conduct" as used in this article 290 means:
(a) Repealed.
(b) (a) Resorting to fraud, misrepresentation, or material deception,
or making a misleading omission, in applying for, securing, renewing, or
seeking reinstatement of a license to practice podiatry in this state or any
other state, in applying for professional liability coverage required pursuant
to section 12-32-109.5 12-290-118 or for privileges at a hospital or other
health care facility, or in taking the examination required in this article 290;
(c) and (d) Repealed.
(e) (b) Conviction of a felony or any crime that would constitute a
violation of this article 290. For purposes of this paragraph (e) SUBSECTION
(3)(b), "conviction" includes the entry of a plea of guilty or nolo contendere
or the imposition of a deferred sentence.
PAGE 1304-HOUSE BILL 19-1172
(f) (c) Habitual or excessive use or abuse of alcohol or controlled
substances;
(g) Repealed.
(h) (d) Aiding or abetting in the practice of podiatry any person not
licensed to practice podiatry or any person whose license to practice
podiatry is suspended;
(i) (e) Any act or omission which THAT fails to meet generally
accepted standards of the practice of podiatry;
(j) (f) (I) Except as otherwise provided in section 25-3-103.7,
C.R.S., practicing podiatry as:
(A) The partner, agent, or employee of, or in joint venture with, any
person who does not hold a license to practice podiatry within this state; or
practicing podiatry as
(B) An employee of, or in joint venture with, any partnership or
association any of whose partners or associates do not hold a license to
practice podiatry within this state; or practicing podiatry as
(C) An employee of, or in joint venture with, any corporation other
than a professional service corporation for the practice of podiatry as
provided for in sections 12-32-109 (4) and 12-32-109.5 12-290-116 (5) AND
12-290-118.
(II) Any licensee holding a license to practice podiatry in this state
may accept employment from any person, partnership, association, or
corporation to examine and treat the employees of such THE person,
partnership, association, or corporation.
(k) (g) Violating, or attempting to violate, directly or indirectly, or
assisting in or abetting the violation of, or conspiring to violate any
provision or term of this article 290, AN APPLICABLE PROVISION OF ARTICLE
20 OR 30 OF THIS TITLE 12, any rule or regulation promulgated by the board
pursuant to this article 290, or any final agency order;
(l) and (m) Repealed.
PAGE 1305-HOUSE BILL 19-1172
(n) (h) Administering, dispensing, or prescribing any habit-forming
drug or any controlled substance, as defined in section 18-18-102 (5),
C.R.S., other than in the course of legitimate professional practice, which
includes only prescriptions related to the scope of podiatric medicine; as
defined in section 12-32-101 (3)(a);
(o) (i) Conviction of violation of any federal or state law regulating
the possession, distribution, or use of any controlled substance, as defined
in section 18-18-102 (5). C.R.S., and, For the purposes of this paragraph (o)
SUBSECTION (3)(i), a plea of guilty or a plea of nolo contendere accepted by
the court shall be considered as a conviction.
(p) (j) Such THE physical or mental disability as to render the
licensee unable to perform podiatry with reasonable skill and with safety to
the patient;
(q) (k) Advertising which THAT is misleading, deceptive, or false;
(r) (l) (I) Violation or abuse of health insurance pursuant to section
18-13-119; C.R.S.; or
(II) Advertising through newspapers, magazines, circulars, direct
mail, directories, radio, television, or otherwise that the licensee will
perform any act prohibited by section 18-13-119 (3); C.R.S.;
(s) (m) Engaging in a sexual act with a patient during the course of
patient care or during the six-month period immediately following the
termination of such care. "Sexual act", as used in this paragraph (s)
SUBSECTION (3)(m), means sexual contact, sexual intrusion, or sexual
penetration as defined in section 18-3-401. C.R.S.
(t) (n) Performing any procedure in the course of patient care
beyond the podiatrist's training and competence. This paragraph (t)
SUBSECTION (3)(n) shall not be construed to authorize a licensed podiatrist
to act beyond the scope of THE PRACTICE OF podiatry. as defined by section
12-32-101 (3).
(u) (o) Engaging in any of the following activities and practices:
Willful and repeated ordering or performance, without clinical justification,
of demonstrably unnecessary laboratory tests or studies; the administration,
PAGE 1306-HOUSE BILL 19-1172
without clinical justification, of treatment which THAT is demonstrably
unnecessary; the failure to obtain consultations or perform referrals when
failing to do so is not consistent with the standard of care for the profession;
or ordering or performing, without clinical justification, any service, X ray,
or treatment which THAT is contrary to recognized standards of the practice
of podiatry as interpreted by the board;
(v) (p) Falsifying or repeatedly making incorrect essential entries or
repeatedly failing to make essential entries on patient records;
(w) (q) Committing a fraudulent insurance act, as defined in section
10-1-128; C.R.S.;
(x) (Deleted by amendment, L. 95, p. 220, § 3, effective July 1,
1995.)
(y) (r) Refusing to complete and submit the renewal questionnaire,
or failing to report all of the relevant facts, or falsifying any information on
the questionnaire as required pursuant to section 12-32-111 12-290-119;
(z) (s) Failing to report to the board any podiatrist known to have
violated or, upon information or belief, believed to have violated any of the
provisions of this subsection (3);
(aa) (t) Dividing fees or compensation or billing for services
performed by an unlicensed person as prohibited by section 12-32-117
12-290-122;
(bb) (u) Failing to report to the Colorado podiatry board within
thirty days any adverse action taken against the licensee by another
licensing agency in another state, territory, or country OR any peer review
body, any health care institution, any professional or medical society or
association, any governmental agency, any law enforcement agency, or any
court for acts of conduct that would constitute grounds for action as
described in this article 290;
(cc) (v) Failing to report to the board the surrender of a license or
other authorization to practice medicine in another state or jurisdiction or
the surrender of membership on any medical staff or in any medical or
professional association or society while under investigation by any of those
PAGE 1307-HOUSE BILL 19-1172
authorities or bodies for acts or conduct similar to acts or conduct that
would constitute grounds for action as defined in this article 290;
(dd) (w) Violating the provisions of section 8-42-101 (3.6); C.R.S.;
(ee) (x) Any violation of the provisions of section 12-32-202
12-290-202 or any rule or regulation of the board adopted pursuant to said
THAT section;
(ff) (y) Failing to respond in an honest, materially responsive, and
timely manner to a complaint issued pursuant to section 12-32-108.3
12-290-113.
(3.5) (4) The discipline of a licensee for acts related to the practice
of podiatry in another state, territory, or country shall be deemed
unprofessional conduct. For purposes of this subsection (3.5) (4),
"discipline" includes any sanction required to be reported pursuant to 45
CFR 60.8. This subsection (3.5) (4) shall apply only to disciplinary action
based upon acts or omissions in such THE other state, territory, or country
substantially as defined as unprofessional conduct pursuant to subsection
(3) of this section.
(4) (5) (a) If a professional review committee is established pursuant
to this section to investigate the quality of care being given by a person
licensed pursuant to this article 290, it shall include in its membership at
least three persons licensed under this article 290, but such THE committee
may be authorized to act only by:
(I) The Colorado podiatry board; or
(II) A society or an association of persons licensed pursuant to this
article 290 whose membership includes not less than one-third of the
persons licensed pursuant to this article 290 residing in this state if the
licensee whose services are the subject of review is a member of such THE
society or association.
(b) IN ADDITION TO THE PERSONS SPECIFIED IN SECTION 12-20-402,
any member of the board or professional review committee, any member of
the board's staff, any member of the professional review committee's staff,
any person acting as a witness or consultant to the board or committee, any
PAGE 1308-HOUSE BILL 19-1172
witness testifying in a proceeding authorized under this article 290, and any
person who lodges a complaint pursuant to this article shall be immune
from liability in any civil action brought against him or her for acts
occurring while acting in his or her capacity as board member, committee
member, staff, consultant, or witness, respectively, if such individual was
acting in good faith within the scope of his or her respective capacity, made
a reasonable effort to obtain the facts of the matter as to which he or she
acted, and acted in the reasonable belief that the action taken by him or her
was warranted by the facts. Any person participating in good faith in
lodging a complaint or participating in any investigative or administrative
proceeding pursuant to this article shall be immune from any civil or
criminal liability that may result from such participation 290 IS GRANTED
THE SAME IMMUNITY, AND IS SUBJECT TO THE SAME CONDITIONS FOR
IMMUNITY, AS SPECIFIED IN SECTION 12-20-402.
(5) To prevent the use of advertising which is misleading, deceptive,
or false, the Colorado podiatry board may adopt regulations governing
advertising by podiatrists.
12-290-109. [Formerly 12-32-107.2] Volunteer podiatrist license.
(1) Any person licensed to practice podiatry pursuant to this article 290
may apply to the Colorado podiatry board for volunteer licensure status.
Any such THE application shall be in the form and manner designated by the
board. The board may grant such VOLUNTEER LICENSURE status by issuing
a volunteer license, or it THE BOARD may deny the application if the licensee
has been disciplined for any of the causes set forth in section 12-32-107
12-290-108.
(2) Any person applying for a license under this section shall:
(a) Attest that, after a date certain, the applicant no longer earns
income as a podiatrist;
(b) Pay the license fee authorized by section 24-34-105, C.R.S.
12-20-105. The volunteer podiatrist license fee shall be reduced from the
license fee.
(c) Maintain liability insurance as provided in section 12-32-102
12-290-104.
PAGE 1309-HOUSE BILL 19-1172
(3) The volunteer status of a licensee shall be plainly indicated on
the face of any volunteer license issued pursuant to this section.
(4) The Colorado podiatry board is authorized to conduct
disciplinary proceedings pursuant to section 12-32-108.3 12-290-113
against any person licensed under this section for an act committed while
such THE person was licensed pursuant to this section.
(5) Any person licensed under this section may apply to the
Colorado podiatry board for a return to active licensure status by filing an
application in the form and manner designated by the board. The board may
approve such THE application and issue a license to practice podiatry or may
deny the application if the licensee has been disciplined for or engaged in
any of the activities set forth in section 12-32-107 12-290-108.
(6) A podiatrist with a volunteer license shall only provide podiatry
services if the services are performed on a limited basis for no fee or other
compensation.
12-290-110. [Formerly 12-32-107.4] Podiatry training license.
(1) The Colorado podiatry board shall issue a podiatry training license to
an applicant who has:
(a) Graduated from a podiatric medical school approved by the
Colorado podiatry board;
(b) Passed the part I and part II examinations by the National Board
of Podiatric Medical Examiners or its successor organization; and
(c) Been accepted into a podiatric residency program in Colorado.
(2) At least thirty days prior to the date the applicant begins the
residency program, the applicant shall submit a statement to the Colorado
podiatry board from the residency director of an approved residency
program in Colorado that states the applicant meets the necessary
qualifications and that the residency program accepts responsibility for the
applicant's training while in the program.
(3) Where feasible, the applicant shall submit a completed
application, on a form approved by the Colorado podiatry board, on or
PAGE 1310-HOUSE BILL 19-1172
before the date on which the applicant begins the approved residency. A
podiatry training license granted pursuant to this section shall expire if a
completed application is not received by the board within sixty days after
the applicant begins the approved residency.
(4) The Colorado podiatry board may refuse to issue a podiatric
training license to an applicant who does not have the necessary
qualifications, who has engaged in unprofessional conduct pursuant to
section 12-32-107 12-290-108, or who has been disciplined by a licensing
board in another jurisdiction.
(5) A person with a podiatric training license shall only practice
podiatry under the supervision of a licensed podiatrist or a physician
licensed to practice medicine within the residency program. A person with
a podiatry training license shall not delegate podiatric or medical services
to a person who is not licensed to practice podiatry or medicine and shall
not have the authority to supervise physician assistants.
(6) The podiatry training license shall not be renewed and shall
expire:
(a) No later than three years after the date the license is issued;
(b) If the training licensee is no longer participating in the residency
program; or
(c) When the training licensee receives a license to practice podiatry
pursuant to section 12-32-107 12-290-108.
12-290-111. [Formerly 12-32-107.5] Prescriptions - requirement
to advise patients - limit on opioid prescriptions - repeal. (1) A
podiatrist licensed under this article 290 may advise the podiatrist's patients
of their option to have the symptom or purpose for which a prescription is
being issued included on the prescription order.
(2) A podiatrist's failure to advise a patient under subsection (1) of
this section shall not be grounds for any disciplinary action against the
podiatrist's professional license issued under this article 290. Failure to
advise a patient pursuant to subsection (1) of this section shall not be
grounds for any civil action against a podiatrist in a negligence or tort
PAGE 1311-HOUSE BILL 19-1172
action, nor shall such THE failure be evidence in any civil action against a
podiatrist.
(3) (a) A podiatrist shall not prescribe more than a seven-day supply
of an opioid to a patient who has not had an opioid prescription in the last
twelve months by that podiatrist, and may exercise discretion to include a
second fill for a seven-day supply. The limits on initial prescribing do not
apply if, in the judgment of the podiatrist, the patient: IS SUBJECT TO THE
LIMITATIONS ON PRESCRIBING OPIOIDS SPECIFIED IN SECTION 12-30-109.
(I) Has chronic pain that typically lasts longer than ninety days or
past the time of normal healing, as determined by the podiatrist, or
following transfer of care from another podiatrist who prescribed an opioid
to the patient;
(II) Has been diagnosed with cancer and is experiencing
cancer-related pain; or
(III) Is experiencing post-surgical pain that, because of the nature
of the procedure, is expected to last more than fourteen days.
(b) Prior to prescribing the second fill of any opioid prescription
pursuant to this section, a podiatrist must comply with the requirements of
section 12-42.5-404 (3.6). Failure to comply with section 12-42.5-404 (3.6)
constitutes unprofessional conduct under section 12-32-107 only if the
podiatrist repeatedly fails to comply.
(c) A podiatrist licensed pursuant to this article 32 may prescribe
opioids electronically.
(d) A violation of this subsection (3) does not create a private right
of action or serve as the basis of a cause of action. A violation of this
section does not constitute negligence per se or contributory negligence per
se and does not alone establish a standard of care. Compliance with this
section does not alone establish an absolute defense to any alleged breach
of the standard of care.
(e) (b) This subsection (3) is repealed, effective September 1, 2021.
12-290-112. [Formerly 12-32-108] Licensure by endorsement -
PAGE 1312-HOUSE BILL 19-1172
rules - definition. (1) The Colorado podiatry board may issue a license by
endorsement to engage in the practice of podiatry in this state to any
applicant who has a license in good standing as a podiatrist under the laws
of another jurisdiction if the applicant presents proof satisfactory to the
board that, at the time of application for a Colorado license by endorsement,
the applicant possesses credentials and qualifications that are substantially
equivalent to requirements in Colorado for licensure by examination, and
that in the two years immediately preceding the date of the application the
applicant has been engaged in the active practice of podiatry as defined by
the board or can otherwise demonstrate competency as determined by the
board. The board may specify by rule what shall constitute substantially
equivalent credentials and qualifications.
(2) A fee to be set by the board shall be charged for registration by
endorsement.
(3) "In good standing", as used in subsection (1) of this section,
means a license that has not been revoked or suspended or against which
there are no current disciplinary or adverse actions.
12-290-113. [Formerly 12-32-108.3] Disciplinary action by board.
(1) In the discharge of its duties, the Colorado podiatry board may enlist the
assistance of other persons licensed to practice podiatry or medicine in this
state. Podiatrists have the duty to report to the board any podiatrist known,
or upon information and belief, to have violated any of the provisions of
section 12-32-107 (3) 12-290-108 (3).
(2) (a) Complaints in writing relating to the conduct of any podiatrist
licensed or authorized to practice podiatry in this state may be made by any
person or may be initiated by the Colorado podiatry board on its own
motion. The podiatrist complained of shall be given notice by first-class
mail of the nature of all matters complained of within thirty days of the
receipt of the complaint or initiation of the complaint by the Colorado
podiatry board and shall be given thirty days to make explanation or answer
thereto.
(b) The Colorado podiatry board shall cause an investigation to be
made when the board is informed of:
(I) Disciplinary actions taken by hospitals to suspend or revoke the
PAGE 1313-HOUSE BILL 19-1172
privileges of a podiatrist and reported to such THE board pursuant to section
25-3-107; C.R.S.;
(II) Disciplinary actions taken by a professional review committee
established pursuant to section 12-32-107 (4) 12-290-108 (5) against a
podiatrist;
(III) An instance of a malpractice settlement or judgment against a
podiatrist reported to the board pursuant to section 10-1-124; C.R.S.; or
(IV) Podiatrists who have been allowed to resign from hospitals for
unprofessional conduct. Such THE hospitals shall report THOSE
RESIGNATIONS to the board.
(c) On completion of an investigation, the board shall make a
finding that:
(I) The complaint is without merit and no further action need be
taken with reference thereto;
(II) There is no reasonable cause to warrant further action with
reference thereto;
(III) (A) When a THE complaint or investigation discloses an
instance of misconduct that, in the opinion of the board, does not warrant
formal action by the board but that should not be dismissed as being without
merit, IN WHICH CASE THE BOARD MAY SEND a letter of admonition may be
issued and sent, by certified mail to the licensee IN ACCORDANCE WITH
SECTION 12-20-404 (4);
(B) When a letter of admonition is sent by the board, by certified
mail, to a licensee, such licensee shall be advised that he or she has the right
to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(C) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
PAGE 1314-HOUSE BILL 19-1172
(IV) (A) The investigation discloses facts that warrant further
proceedings by formal complaint, as provided in subsection (3) of this
section, in which event the complaint shall be referred to the attorney
general for preparation and filing of a formal complaint; OR
(B) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(V) The investigation discloses an instance of conduct which THAT,
in the opinion of the board, does not warrant formal action but in which the
board has noticed indications of possible errant conduct by the licensee that
could lead to serious consequences if not corrected, in which case THE
BOARD SHALL SEND a confidential letter of concern shall be sent IN
ACCORDANCE WITH SECTION 12-20-404 (5) to the podiatrist against whom
a complaint was made. If the board learns of second or subsequent actions
of the same or similar nature by the licensee, the board shall not issue a
confidential letter of concern but shall take such other course of action as
it deems appropriate.
(d) Repealed.
(3) (a) All formal complaints seeking disciplinary action against a
podiatrist shall be filed with the Colorado podiatry board. A formal
complaint shall set forth the charges with sufficient particularity as to
inform the podiatrist clearly and specifically of the acts of unprofessional
conduct with which he or she THE PODIATRIST is charged.
(b) The board may include in any disciplinary order placing a
podiatrist on probation such THE conditions as the board may deem
appropriate to assure that the podiatrist is physically, mentally, and
otherwise qualified to practice podiatry in accordance with generally
accepted professional standards of practice, including any or all of the
following:
(I) Submission by the podiatrist to such examinations as the board
may order to determine his or her THE PODIATRIST'S physical or mental
condition or his or her THE PODIATRIST'S professional qualifications;
PAGE 1315-HOUSE BILL 19-1172
(II) The taking by him or her of such TAKING therapy or courses of
training or education as may be needed to correct deficiencies found either
in the hearing or by such THE examinations;
(III) The Review or supervision of his or her THE PODIATRIST'S
practice as may be necessary to determine the quality of his or her THE
PODIATRIST'S practice and to correct deficiencies therein; and
(IV) The imposition of restrictions upon the nature of his or her THE
PODIATRIST'S practice to assure that he or she THE PODIATRIST does not
practice beyond the limits of his or her THE PODIATRIST'S capabilities.
(c) Upon the failure of a licensee to comply with any conditions
imposed by the Colorado podiatry board pursuant to paragraph (b) of this
subsection (3) SUBSECTION (3)(b) OF THIS SECTION, unless compliance is
beyond the control of the licensee, the board may suspend the license of the
licensee until the licensee complies with the conditions of the board.
(4) The board, through the department, of regulatory agencies, may
employ administrative law judges, on a full-time or part-time basis, to
conduct hearings as provided by this article 290 or on any matter within the
board's jurisdiction upon such THE conditions and terms as the board may
determine.
(5) The attendance of witnesses and the production of books, patient
records, papers, and other pertinent documents at the hearing may be
summoned by subpoenas issued by the board, which shall be served in the
manner provided by the Colorado rules of civil procedure for service of
subpoenas.
(6) (5) Disciplinary proceedings and hearings shall be conducted in
the manner prescribed by SECTION 12-20-403 AND article 4 of title 24,
C.R.S., and the hearing and opportunity for review shall be conducted
pursuant to said article THOSE LAWS by the board or an administrative law
judge at the board's discretion.
(7) (6) (a) The board or an administrative law judge shall have the
power to administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
PAGE 1316-HOUSE BILL 19-1172
hearing, investigation, accusation, or other matter coming before the board.
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings and
report them to the board. The A person providing such copies OF RECORDS
SUBPOENAED PURSUANT TO SECTION 12-20-403 (2) shall prepare them THE
COPIES from the original record and shall delete from the copy provided
pursuant to the subpoena the name of the patient, but shall identify the
patient by a numbered code, to be retained by the custodian of the records
from which the copies were made.
(b) Upon certification of the custodian that the copies are true and
complete except for the patient's name, they THE COPIES shall be deemed
authentic, subject to the right to inspect the originals for the limited purpose
of ascertaining the accuracy of the copies. No privilege of confidentiality
shall exist with respect to such THE copies, and no liability shall lie against
the board or the custodian or his or her THE CUSTODIAN'S authorized
employee for furnishing or using such THE copies in accordance with this
subsection (7) (6).
(b) Upon failure of any witness to comply with such subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board or
director with notice to the subpoenaed person or licensee, may issue to the
person or licensee an order requiring that person or licensee to appear
before the board or director; to produce the relevant papers, books, records,
documentary evidence, or materials if so ordered; or to give evidence
touching the matter under investigation or in question. Failure to obey the
order of the court may be punished by the court as a contempt of court.
(8) (Deleted by amendment, L. 2010, (HB 10-1224), ch. 420, p.
2154, § 13, effective July 1, 2010.)
(9) (7) Upon the expiration of the term of suspension, the license
shall be reinstated by the Colorado podiatry board if the holder of the
license furnishes the board with evidence that he or she THE HOLDER has
complied with all terms of the suspension. If the evidence shows he or she
THE HOLDER has not complied with all terms of the suspension, the board
shall continue the suspension or revoke the license at a hearing, notice of
which and the procedure at which shall be as provided in this section.
PAGE 1317-HOUSE BILL 19-1172
(10) (8) If a person holding a license to practice podiatry in this state
is determined to be mentally incompetent or insane by a court of competent
jurisdiction and a court enters, pursuant to part 3 or 4 of article 14 of title
15 or section 27-65-109 (4) or 27-65-127, C.R.S., an order specifically
finding that the mental incompetency or insanity is of such a degree that the
person holding a license is incapable of continuing to practice podiatry, his
or her THE license shall automatically be suspended by the board, and,
anything in this article 290 to the contrary notwithstanding, the suspension
shall continue until the licensee is found by such THE court to be competent
to practice podiatry.
(11) (9) (a) If the Colorado podiatry board has reasonable cause to
believe that a person licensed to practice podiatry in this state is unable to
practice podiatry with reasonable skill and safety to patients because of a
condition described in section 12-32-107 (3)(f) or (3)(p), it 12-290-108
(3)(c) OR (3)(j), THE BOARD may require the licensee to submit to mental or
physical examinations by physicians designated by the board. Upon the
failure of the licensee to submit to the mental or physical examinations,
unless due to circumstances beyond his or her control, the board may
suspend the licensee's license to practice podiatry in this state until such
time as he or she submits to the required examinations and the board has
made a determination on the ability of the licensee based on the results of
the examinations. The board shall ensure that all examinations are
conducted and evaluated in a timely manner.
(b) Every person licensed to practice podiatry in this state shall be
deemed, by so practicing or by applying for registration of his or her license
to practice podiatry in this state, to have given his or her consent to submit
to mental or physical examinations when directed in writing by the board
and, further, to have waived all objections to the admissibility of the
examining physician's testimony or examination reports on the ground of
privileged communication.
(c) The results of any mental or physical examination ordered by the
board shall not be used as evidence in any proceeding other than before the
Colorado podiatry board.
(12) (10) Investigations and examinations of the Colorado podiatry
board conducted pursuant to the provisions of this section shall be exempt
from the provisions of any law requiring that proceedings of the board be
PAGE 1318-HOUSE BILL 19-1172
conducted publicly or that the minutes or records of the board with respect
to action of the board taken pursuant to the provisions of this subsection
(12) (10) be open to public inspection. Any proceedings with regard to a
licensee who is in violation of section 12-32-107 (3)(f) 12-290-108 (3)(c)
and who is participating in good faith in a rehabilitation program designed
to alleviate the conditions specified in section 12-32-107 (3)(f) which
12-290-108 (3)(c) THAT has been approved by the board are also exempt
from any such requirements of law.
(13) (11) A person licensed to practice podiatry or medicine who,
at the request of the Colorado podiatry board, examines another person
licensed to practice podiatry shall be immune from suit for damages by the
person examined if the examining person conducted the examination and
made his or her findings or A diagnosis in good faith.
(14) Repealed.
(15) (a) If it appears to the Colorado podiatry board, based upon
credible evidence as presented in a written complaint by any person, that a
licensee is acting in a manner that is an imminent threat to the health and
safety of the public or a person is acting or has acted without the required
license, the board may issue an order to cease and desist such activity. The
order shall set forth the statutes and rules alleged to have been violated, the
facts alleged to have constituted the violation, and the requirement that all
unlawful acts or unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (15), the respondent may
request a hearing on the question of whether acts or practices in violation
of this part 1 have occurred. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(16) (a) If it appears to the Colorado podiatry board, based upon
credible evidence as presented in a written complaint by any person, that a
person has violated any other portion of this part 1, then, in addition to any
specific powers granted pursuant to this part 1, the board may issue to such
person an order to show cause as to why the board should not issue a final
order directing such person to cease and desist from the unlawful act or
unlicensed practice.
PAGE 1319-HOUSE BILL 19-1172
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (16) shall be promptly notified
by the Colorado podiatry board of the issuance of the order, along with a
copy of the order, the factual and legal basis for the order, and the date set
by the board for a hearing on the order. Such notice may be served by
personal service, by first-class United States mail, postage prepaid, or as
may be practicable upon any person against whom such order is issued.
Personal service or mailing of an order or document pursuant to this
subsection (16) shall constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the Colorado podiatry board
as provided in paragraph (b) of this subsection (16). The hearing may be
continued by agreement of the parties based upon the complexity of the
matter, number of parties to the matter, and legal issues presented in the
matter, but in no event shall the hearing commence later than sixty calendar
days after the date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (16) does not appear at
the hearing, the Colorado podiatry board may present evidence that
notification was properly sent or served upon such person pursuant to
paragraph (b) of this subsection (16) and such other evidence related to the
matter as the board deems appropriate. The board shall issue the order
within ten days after the board's determination related to reasonable
attempts to notify the respondent, and the order shall become final as to that
person by operation of law. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(III) If the Colorado podiatry board reasonably finds that the person
against whom the order to show cause was issued is acting or has acted
without the required license or has or is about to engage in acts or practices
constituting violations of this part 1, a final cease-and-desist order may be
issued directing such person to cease and desist from further unlawful acts
or unlicensed practices.
(IV) The Colorado podiatry board shall provide notice, in the
manner set forth in paragraph (b) of this subsection (16), of the final
cease-and-desist order within ten calendar days after the hearing conducted
PAGE 1320-HOUSE BILL 19-1172
pursuant to this paragraph (c) to each person against whom the final order
has been issued. The final order issued pursuant to subparagraph (III) of this
paragraph (c) shall be effective when issued and shall be a final order for
purposes of judicial review.
(17) If it appears to the Colorado podiatry board, based upon
credible evidence presented to the board, that a person has engaged in or is
about to engage in any unlicensed act or practice, any act or practice
constituting a violation of this part 1, any rule promulgated pursuant to this
part 1, any order issued pursuant to this part 1, or any act or practice
constituting grounds for administrative sanction pursuant to this part 1, the
board may enter into a stipulation with such person.
(18) If any person fails to comply with a final cease-and-desist order
or a stipulation, the Colorado podiatry board may request the attorney
general or the district attorney for the judicial district in which the alleged
violation exists to bring, and if so requested such attorney shall bring, suit
for a temporary restraining order and for injunctive relief to prevent any
further or continued violation of the final order.
(19) A person aggrieved by the final cease-and-desist order may
seek judicial review of the Colorado podiatry board's determination or of
the board's final order as provided in section 12-32-108.7.
(12) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405.
(20) (13) The Colorado podiatry board may impose a fine, not to
exceed five thousand dollars, for a violation of this article All fines
collected pursuant to this subsection (20) shall be transferred to the state
treasurer, who shall credit the moneys to the general fund 290.
12-290-114. [Formerly 12-32-108.5] Reconsideration and review
of action of board. (1) The Colorado podiatry board, on its own motion or
upon application in accordance with subsection (3) of this section
12-20-404 (3), at any time after the refusal to grant a license, the imposition
of any discipline as provided in section 12-32-108.3 12-290-113, or the
ordering of probation as provided in section 12-32-107 (2) 12-20-404
(1)(b), may reconsider its prior action and grant, reinstate, or restore such
PAGE 1321-HOUSE BILL 19-1172
THE license or terminate probation or reduce the severity of its prior
disciplinary action. The taking of any such further action, or the holding of
a hearing with respect thereto, shall rest in the sole discretion of the board.
(2) Upon the receipt of the application, it may be forwarded to the
attorney general for such investigation as may be deemed necessary. A copy
of the application and the report of investigation shall be forwarded to the
board, which shall consider the same and report its findings and
conclusions. The proceedings shall be governed by the applicable
provisions governing formal hearings in disciplinary proceedings. The
attorney general may present evidence bearing upon the matters in issue,
and the burden shall be upon the applicant seeking reinstatement to
establish the averments of his or her IN THE application as specified in
section 24-4-105 (7). C.R.S. No application for reinstatement or for
modification of a prior order shall be accepted unless the applicant deposits
with the board all amounts unpaid under any prior order of the board.
(3) No licensee whose license is revoked shall be allowed to apply
for reinstatement of such license earlier than two years after the effective
date of the revocation.
12-290-115. [Formerly 12-32-108.7] Judicial review. The court of
appeals shall have initial jurisdiction to review SECTION 12-20-408
GOVERNS JUDICIAL REVIEW OF all final actions and orders OF THE BOARD
that are subject to judicial review. of the Colorado podiatry board. Such
proceedings shall be conducted in accordance with section 24-4-106 (11),
C.R.S.
12-290-116. [Formerly 12-32-109] Unauthorized practice -
penalties - exclusions. (1) Any person who practices or offers or attempts
to practice podiatry within this state without an active license issued under
this article commits a class 2 misdemeanor and shall be punished as
provided in section 18-1.3-501, C.R.S., for the first offense, and, for the
second or any subsequent offense, the person commits a class 6 felony and
shall be punished as provided in section 18-1.3-401, C.R.S. 290 IS SUBJECT
TO PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(1.5) (2) Any person who presents as his or her THE PERSON'S own
the diploma, license, certificate, or credentials of another, or who gives
either false or forged evidence of any kind to the Colorado podiatry board,
PAGE 1322-HOUSE BILL 19-1172
or any member thereof, in connection with an application for a license to
practice podiatry, or who practices podiatry under a false or assumed name,
or who falsely impersonates another licensee of a like or different name
commits a class 6 felony and shall be punished as provided in section
18-1.3-401. C.R.S.
(2) (3) No A person shall NOT advertise in any form or hold himself
or herself out to the public as a podiatrist, or, in any sign or any
advertisement, use the word "podiatrist", "foot specialist", "foot
correctionist", "foot expert", "practipedist", "podologist", or any other terms
or letters indicating or implying that he or she THE PERSON is a podiatrist or
that he or she THE PERSON practices or holds himself or herself out as
practicing podiatry or foot correction in any manner, without having, at the
time of so doing, a valid, unsuspended, and unrevoked license as required
by this article 290.
(3) (4) No podiatrist shall willfully cause the public to believe that
he or she THE PODIATRIST has qualifications extending beyond the limits of
this article 290, and no podiatrist shall willfully sign his or her THE
PODIATRIST'S name using the prefix "Doctor" or "Dr." without following his
or her THE PODIATRIST'S name with "podiatrist", "Doctor of Podiatric
Medicine", or "D.P.M." No podiatrist shall use the title "podiatric
physician" unless such THE title is followed by the words "practice limited
to treatment of the foot and ankle".
(4) (5) The conduct of the practice of podiatry in a corporate
capacity is hereby prohibited, but such THE prohibition shall not be
construed to prevent the practice of podiatry by a professional service
corporation whose stockholders are restricted solely to licensed podiatrists.
Any such A professional service corporation may exercise such THE powers
and shall be subject to such THE limitations and requirements, insofar as
applicable, as are provided in section 12-32-109.5 12-290-118, relating to
professional service corporations for the practice of podiatry.
(5) (6) The provisions of this article 290 shall not:
(a) Apply to any physician licensed to practice medicine or surgery,
any regularly commissioned surgeon of the United States armed forces or
United States public health service, or any licensed osteopath;
PAGE 1323-HOUSE BILL 19-1172
(6) (b) The provisions of this article shall not Be construed to
prohibit the recommending, advertising, fitting, adjusting, or sale of
corrective shoes, arch supports, or similar mechanical appliances and foot
remedies by retail dealers and manufacturers;
(7) (c) The provisions of this article shall not Be construed to
prohibit, or to require a license for, the rendering of services under the
personal and responsible direction and supervision of a person licensed to
practice podiatry, and this exemption shall not apply to persons otherwise
qualified to practice podiatry but not licensed to practice in this state; OR
(8) (d) The provisions of this article shall not Be construed to
prohibit, or to require a license for, the rendering of nursing services by
registered or other nurses in the lawful discharge of their duties pursuant to
article 38 255 of this title 12.
12-290-117. [Formerly 12-32-109.3] Use of physician assistants
- rules. (1) A person licensed under the laws of this state to practice
podiatry may delegate to a physician assistant licensed by the Colorado
medical board pursuant to section 12-36-107.4 12-240-113 the authority to
perform acts that constitute the practice of podiatry to the extent and in the
manner authorized by rules promulgated by the Colorado podiatry board.
Such THE acts shall be consistent with sound practices of podiatry. Each
prescription for a controlled substance, as defined in section 18-18-102 (5),
C.R.S., issued by a physician assistant must have the name of the physician
assistant's supervising podiatrist printed on the prescription. For all other
prescriptions issued by a physician assistant, the name and address of the
health facility and, if the health facility is a multi-speciality organization,
the name and address of the speciality clinic within the health facility where
the physician assistant is practicing must be imprinted on the prescription.
Nothing in this section limits the ability of otherwise licensed health
personnel to perform delegated acts. The dispensing of prescription
medication by a physician assistant is subject to section 12-42.5-118 (6)
12-280-120 (6).
(2) If the authority to perform an act is delegated pursuant to
subsection (1) of this section, the act shall not be performed except under
the personal and responsible direction and supervision of a person licensed
under the laws of this state to practice podiatry, and said THE person shall
not be responsible for the direction and supervision of more than four
PAGE 1324-HOUSE BILL 19-1172
physician assistants at any one time without specific approval of the
COLORADO PODIATRY board. The board may define appropriate direction
and supervision pursuant to rules.
(3) The provisions of sections 12-36-106 (5) 12-240-107 (6) and
12-36-107.4 12-240-113 governing physician assistants under the
"Colorado Medical Practice Act" shall apply to physician assistants under
this section.
12-290-118. [Formerly 12-32-109.5] Professional service
corporations, limited liability companies, and registered limited
liability partnerships for the practice of podiatry - definitions.
(1) Persons licensed to practice podiatry by the Colorado podiatry board
may form professional service corporations for the practice of podiatry
under the "Colorado Corporation Code", if such "COLORADO BUSINESS
CORPORATION ACT", ARTICLES 101 TO 117 OF TITLE 7, IF THE corporations
are organized and operated in accordance with the provisions of this
section. The articles of incorporation of such PROFESSIONAL SERVICE
corporations shall contain provisions complying with the following
requirements:
(a) The name of the corporation shall contain the words
"professional company" or "professional corporation" or abbreviations
thereof.
(b) The corporation shall be organized solely for the purposes of
conducting the practice of podiatry only through persons licensed by the
Colorado podiatry board to practice podiatry in the state of Colorado.
(c) The corporation may exercise the powers and privileges
conferred upon corporations by the laws of Colorado only in furtherance of
and subject to its corporate purpose.
(d) All shareholders of the corporation shall be persons licensed by
the Colorado podiatry board to practice podiatry in the state of Colorado,
and who at all times own their shares in their own right. They shall be
individuals who, except for illness, accident, time spent in the armed
services, on vacations, and on leaves of absence not to exceed one year, are
actively engaged in the practice of podiatry in the offices of the corporation.
PAGE 1325-HOUSE BILL 19-1172
(e) Provisions shall be made requiring any shareholder who ceases
to be or for any reason is ineligible to be a shareholder to dispose of all his
or her THE SHAREHOLDER'S shares immediately, either to the corporation or
to any person having the qualifications described in paragraph (d) of this
subsection (1) SUBSECTION (1)(d) OF THIS SECTION.
(f) The president shall be a shareholder and a director and, to the
extent possible, all other directors and officers shall be persons having the
qualifications described in paragraph (d) of this subsection (1) SUBSECTION
(1)(d) OF THIS SECTION. Lay directors and officers shall not exercise any
authority whatsoever over professional matters. Notwithstanding sections
7-108-103 to 7-108-106, C.R.S., relating to the terms of office of directors,
a professional service corporation for the practice of podiatry may provide
in the articles of incorporation or the bylaws that the directors may have
terms of office of up to six years and that the directors may be divided into
either two or three classes, each class to be as nearly equal in number as
possible, with the terms of each class staggered to provide for the periodic,
but not annual, election of less than all the directors.
(g) The articles of incorporation shall provide and all shareholders
of the corporation shall agree that all shareholders of the corporation shall
be jointly and severally liable for all acts, errors, and omissions of the
employees of the corporation or that all shareholders of the corporation
shall be jointly and severally liable for all acts, errors, and omissions of the
employees of the corporation except during periods of time when each
person licensed by the Colorado podiatry board to practice podiatry in
Colorado who is a shareholder or any employee of the corporation has a
professional liability policy insuring himself or herself THE LICENSEE and
all employees who are not licensed to practice podiatry who act at his or her
THE LICENSEE'S direction in the amount of fifty thousand dollars for each
claim and an aggregate top limit of liability per year for all claims of one
hundred fifty thousand dollars or the corporation maintains in good standing
professional liability insurance, which shall meet the following minimum
standards:
(I) The insurance shall insure the corporation against liability
imposed upon the corporation by law for damages resulting from any claim
made against the corporation arising out of the performance of professional
services for others by those officers and employees of the corporation who
are licensed by the Colorado podiatry board to practice podiatry.
PAGE 1326-HOUSE BILL 19-1172
(II) Such THE policies shall insure the corporation against liability
imposed upon it by law for damages arising out of the acts, errors, and
omissions of all nonprofessional employees.
(III) The insurance shall be in an amount for each claim of at least
fifty thousand dollars multiplied by the number of persons licensed to
practice podiatry employed by the corporation. The policy may provide for
an aggregate top limit of liability per year for all claims of one hundred fifty
thousand dollars also multiplied by the number of persons licensed to
practice podiatry employed by the corporation, but no firm shall be required
to carry insurance in excess of three hundred thousand dollars for each
claim with an aggregate top limit of liability for all claims during the year
of nine hundred thousand dollars.
(IV) The policy may provide that it does not apply to: Any
dishonest, fraudulent, criminal, or malicious act or omission of the insured
corporation or any stockholder or employee thereof; the conduct of any
business enterprise, as distinguished from the practice of podiatry, in which
the insured corporation under this section is not permitted to engage but
which THAT nevertheless may be owned by the insured corporation or in
which the insured corporation may be a partner or which THAT may be
controlled, operated, or managed by the insured corporation in its own or
in a fiduciary capacity, including the ownership, maintenance, or use of any
property in connection therewith; when not resulting from breach of
professional duty, bodily injury to, or sickness, disease, or death of any
person, or to injury to or destruction of any tangible property, including the
loss of use thereof; and such THE policy may contain reasonable provisions
with respect to policy periods, territory, claims, conditions, and other usual
matters.
(2) (a) The corporation shall do nothing which THAT, if done by a
person licensed to practice podiatry in the state of Colorado employed by
it, would violate the standards of professional conduct as provided for in
section 12-32-107 (3) 12-290-108 (3). Any violation by the corporation of
this section shall be grounds for the Colorado podiatry board to terminate
or suspend its right to practice podiatry.
(b) The provisions of paragraph (b) of subsection (5) SUBSECTION
(5)(b) of this section shall apply to the employment of a podiatrist by a
professional service corporation, limited liability company, or registered
PAGE 1327-HOUSE BILL 19-1172
limited liability partnership formed for the practice of podiatry in
accordance with this section regardless of the date of formation of the
entity.
(3) Nothing in this section shall be deemed to diminish or change
the obligation of each person licensed to practice podiatry employed by the
corporation to conduct his or her practice in accordance with the standards
of professional conduct provided for in section 12-32-107 (3) 12-290-108
(3). Any person licensed by the Colorado podiatry board to practice podiatry
who by act or omission causes the corporation to act or fail to act in a way
that violates such THE standards of professional conduct, including any
provision of this section, shall be deemed personally responsible for the act
or omission and shall be subject to discipline for the act or omission.
(4) A professional service corporation may adopt a pension, CASH
PROFIT SHARING, DEFERRED profit sharing, (whether cash or deferred),
health and accident, insurance, or welfare plan for all or part of its
employees including lay employees if such THE plan does not require or
result in the sharing of specific or identifiable fees with lay employees, and
if any payments made to lay employees, or into any such plan in behalf of
lay employees, are based upon their compensation or length of service, or
both, rather than the amount of fees or income received.
(5) (a) Except as provided in this section, corporations shall not
practice podiatry.
(b) Employment of a podiatrist by a certified or licensed hospital,
licensed skilled nursing facility, certified home health agency, licensed
hospice, certified comprehensive outpatient rehabilitation facility, certified
rehabilitation agency, authorized health maintenance organization,
accredited educational entity, or other entity wholly owned and operated by
any governmental unit or agency shall not be considered the corporate
practice of podiatry if:
(I) The relationship created by the employment does not affect the
ability of the podiatrist to exercise his or her independent judgment in the
practice of the profession;
(II) The podiatrist's independent judgment in the practice of the
profession is in fact unaffected by the relationship;
PAGE 1328-HOUSE BILL 19-1172
(III) The policies of the entity employing the podiatrist contain a
procedure by which complaints by a podiatrist alleging a violation of this
paragraph (b) SUBSECTION (5)(b) may be heard and resolved;
(IV) The podiatrist is not required to exclusively refer any patient
to a particular provider or supplier; except that nothing in this subparagraph
(IV) SUBSECTION (5)(b)(IV) shall invalidate the policy provisions of a
contract between a podiatrist and his or her intermediary or the managed
care provisions of a health coverage plan; and
(V) The podiatrist is not required to take any other action he or she
determines not to be in the patient's best interest.
(c) A podiatrist employed by an entity described in paragraph (b) of
this subsection (5) SUBSECTION (5)(b) OF THIS SECTION shall be an employee
of the entity for purposes of liability for all acts, errors, and omissions of the
employee.
(6) As used in this section, unless the context otherwise requires:
(a) "Articles of incorporation" includes operating agreements of
limited liability companies and partnership agreements of registered limited
liability partnerships.
(b) "Corporation" includes a limited liability company organized
under the "Colorado Limited Liability Company Act", article 80 of title 7,
C.R.S., and a limited liability partnership registered under section 7-60-144
or 7-64-1002. C.R.S.
(c) "Director" and "officer" of a corporation includes a member and
a manager of a limited liability company and a partner in a registered
limited liability partnership.
(d) "Employees" includes employees, members, and managers of a
limited liability company and employees and partners of a registered limited
liability partnership.
(d.5) "Health benefit plan" has the same meaning as set forth in
section 10-16-102 (32), C.R.S.
PAGE 1329-HOUSE BILL 19-1172
(e) "Share" includes a member's rights in a limited liability company
and a partner's rights in a registered limited liability partnership.
(f) "Shareholder" includes a member of a limited liability company
and a partner in a registered limited liability partnership.
12-290-119. [Formerly 12-32-111] Renewal of license - continuing
education - professional development program - rules - renewal
questionnaire. (1) (a) The Colorado podiatry board shall set reasonable
continuing education requirements for THE renewal of A license, but in no
event shall the board require more than fourteen hours' credit of continuing
education per year. A podiatrist desiring to renew his or her license to
practice podiatry shall submit to the Colorado podiatry board the
information the board believes necessary to show that he or she THE
PODIATRIST has fulfilled the board's continuing education requirements and
a fee to be determined and collected pursuant to section 24-34-105, C.R.S.
12-20-105.
(b) On or before the 2013 podiatrist license renewal cycle, the
Colorado podiatry THE board shall promulgate rules and implement an
ongoing professional development program that shall be developed in
conjunction with statewide professional associations that represent
podiatrists. The professional development program may include the
continuing education requirements in paragraph (a) of this subsection (1)
SUBSECTION (1)(a) OF THIS SECTION.
(1.5) (2) The board shall establish a questionnaire to accompany the
renewal form. The questionnaire shall be designed to determine if the
licensee has acted in violation of, or has been disciplined for actions that
might be construed as violations of, this article 290 or that may make the
licensee unfit to practice podiatry with reasonable care and safety. The
failure of an applicant to answer the questionnaire accurately shall
constitute unprofessional conduct pursuant to section 12-32-107
12-290-108.
(2) (3) No license to practice podiatry that has been delinquent for
more than two years shall be renewed unless the applicant demonstrates to
the Colorado podiatry board his or her BOARD THE APPLICANT'S continued
professional competence.
PAGE 1330-HOUSE BILL 19-1172
(3) (Deleted by amendment, L. 2010, (HB 10-1224), ch. 420, p.
2158, § 19, effective July 1, 2010.)
(4) Renewal or reinstatement of a license shall be pursuant to a
schedule established by the director of the division of professions and
occupations within the department of regulatory agencies, and a license
shall be renewed or reinstated pursuant to section 24-34-102 (8), C.R.S. The
director may establish renewal fees and delinquency fees for reinstatement
pursuant to section 24-34-105, C.R.S. If a person fails to renew his or her
license pursuant to the schedule established by the director, the license shall
expire LICENSES ISSUED PURSUANT TO THIS ARTICLE 290 ARE SUBJECT TO
THE RENEWAL, EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE
PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2). A person whose
license has expired shall be subject to the penalties provided in this article
290 or in section 24-34-102 (8), C.R.S. 12-20-202 (1). The board shall
establish the criteria for reinstatement of a license.
12-290-120. [Formerly 12-32-113] Injunctive proceedings. The
Colorado podiatry board, in the name of the people of the state of Colorado,
may apply for THE BOARD MAY SEEK injunctive relief through the attorney
general in any court of competent jurisdiction IN ACCORDANCE WITH
SECTION 12-20-406, BUT ONLY to enjoin any person who does not possess
a currently valid or active podiatry license from committing any act declared
to be unlawful or prohibited by this article If it is established that the
defendant has been or is committing an act declared to be unlawful or
prohibited by this article, the court or any judge thereof shall enter a decree
perpetually enjoining said defendant from further committing such act. In
the case of a violation of any injunction issued under the provisions of this
section, the court or any judge thereof may summarily try and punish the
offender for contempt of court. Such injunctive proceedings shall be in
addition to, and not in lieu of, all penalties and other remedies provided for
in this article 290.
12-290-121. [Formerly 12-32-114] Duplicates of license. The
Colorado podiatry board is authorized to issue a duplicate license to any
person to whom a license to practice podiatry in this state has been issued,
upon application, properly verified by oath, establishing to the satisfaction
of the board that the original license has been lost or destroyed and upon
payment to the board of a fee to be determined by rule adopted by the board.
No person shall be entitled to a duplicate license unless he or she THE
PAGE 1331-HOUSE BILL 19-1172
PERSON is a licensee in good standing.
12-290-122. Division of fees prohibited - penalty - recovery of
fees illegally paid. (1) [Formerly 12-32-117 (1)] A LICENSEE COMMITS A
CLASS 3 MISDEMEANOR AND SHALL BE PUNISHED AS PROVIDED IN SECTION
18-1.3-501 if any person holding a license issued by the Colorado podiatry
board THE LICENSEE:
(a) Divides any fee or compensation received or charged for services
rendered by him or her THE PERSON as such A licensee or agrees to divide
any such THE fee or compensation with any person, firm, association, or
corporation as pay or compensation to such THE other person for:
(I) Sending or bringing any patient or other person to such THE
licensee; or for
(II) Recommending such THE licensee to any person; or for
(III) Being instrumental in any manner in causing any person to
engage such THE licensee in his or her THE LICENSEE'S professional
capacity; or if any such licensee shall
(b) Either directly or indirectly pay PAYS or compensate
COMPENSATES or agree AGREES to pay or compensate any person, firm,
association, or corporation for:
(I) Sending or bringing any patient or other person to such THE
licensee for examination or treatment; or for
(II) Recommending such THE licensee to any person; or for
(III) Being instrumental in causing any person to engage such THE
licensee in his or her THE LICENSEE'S professional capacity; or if any such
licensee,
(c) In his or her THE LICENSEE'S professional capacity and in his or
her THE LICENSEE'S own name or behalf, shall make or present MAKES OR
PRESENTS a bill or request REQUESTS a payment for services rendered by any
person other than the licensee. such licensee commits a class 3
misdemeanor and shall be punished as provided in section 18-1.3-501,
PAGE 1332-HOUSE BILL 19-1172
C.R.S.
(2) [Formerly 12-32-118] If any A licensee, in violation of
SUBSECTION (1) OF THIS section, 12-32-117, divides or agrees to divide any
fee or compensation received by him or her THE LICENSEE for services
rendered in his or her THE LICENSEE'S professional capacity with any person,
the person who has paid such THE fee or compensation to the licensee may
recover the amount unlawfully paid or agreed to be paid from either the
licensee or from the person to whom the fee or compensation has been paid,
by an action to be instituted within two years after the date on which the fee
or compensation was divided or agreed to be divided.
PART 2
SAFETY TRAINING FOR UNLICENSED
X-RAY TECHNICIANS
12-290-201. [Formerly 12-32-201] Legislative declaration.
(1) The general assembly hereby finds, determines, and declares that public
exposure to the hazards of ionizing radiation used for diagnostic purposes
should be minimized wherever possible. Accordingly, the general assembly
finds, determines, and declares that for any podiatric physician or podiatrist
to allow an untrained person to operate a machine source of ionizing
radiation, including without limitation a device commonly known as an
"X-ray machine", or to administer such radiation to a patient for diagnostic
purposes is a threat to the public health and safety.
(2) It is the intent of the general assembly that podiatric physicians
or podiatrists utilizing unlicensed persons in their practices provide those
persons with a minimum level of education and training before allowing
them to operate machine sources of ionizing radiation; however, it is not the
general assembly's intent to discourage education and training beyond this
minimum. It is further the intent of the general assembly that established
minimum training and education requirements correspond as closely as
possible to the requirements of each particular work setting as determined
by the Colorado podiatry board pursuant to this part 2.
(3) The general assembly seeks to ensure, and accordingly declares
its intent, that in promulgating the rules and regulations authorized by this
part 2, the Colorado podiatry board will make every effort, consistent with
its other statutory duties, to avoid creating a shortage of qualified
PAGE 1333-HOUSE BILL 19-1172
individuals to operate machine sources of ionizing radiation for beneficial
medical purposes in any area of the state.
12-290-202. [Formerly 12-32-202] Board authorized to issue
rules. (1) (a) The Colorado podiatry board shall adopt rules and regulations
prescribing minimum standards for the qualifications, education, and
training of unlicensed persons operating machine sources of ionizing
radiation and administering such THE radiation to patients for diagnostic
podiatric use. No NEITHER A podiatric physician nor A podiatrist shall allow
any unlicensed person to operate a machine source of ionizing radiation or
to administer such radiation to any patient unless such THE person has met
the standards then in effect under rules and regulations adopted pursuant to
this section. The board may adopt rules and regulations allowing a grace
period in which newly hired operators of machine sources of ionizing
radiation shall receive the training required pursuant to this section.
(b) For purposes of this part 2, "unlicensed person" means any
person who does not hold a current and active license entitling the person
to practice podiatry under the provisions of this article 290.
(2) The Colorado podiatry board shall seek the assistance of licensed
podiatrists in developing and formulating the rules and regulations
promulgated pursuant to this section.
(3) The required number of hours of training and education for all
unlicensed persons operating machine sources of ionizing radiation and
administering such radiation to patients shall be established by the board by
rule on or before July 1, 1992. This standard shall apply to all persons in
podiatric settings other than hospitals and similar facilities licensed by the
department of public health and environment pursuant to section
25-1.5-103. C.R.S. Such THE training and education may be obtained
through programs approved by the appropriate authority of any state or
through equivalent programs and training experience including on-the-job
training as determined by the board.
ARTICLE 295
Psychiatric Technicians
12-295-101. [Formerly 12-42-101] Legislative declaration. It is
declared to be the policy of the state of Colorado that, in order to safeguard
PAGE 1334-HOUSE BILL 19-1172
life, health, property, and the public welfare of the people of the state of
Colorado, and in order to protect the people of the state of Colorado against
unauthorized, unqualified, and improper application of interpersonal
psychiatric nursing relationships, it is necessary that a proper regulatory
authority be established, and adequately provided for. Any person who
practices as a psychiatric technician without qualifying for proper
registration, and without submitting to the regulations provided in this
article 295, endangers the public health thereby.
12-295-102. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 295.
12-295-103. [Formerly 12-42-102] Definitions. As used in this
article 42 295, unless the context otherwise requires:
(1) "Accredited psychiatric technician education program" means a
course of training conducted by a school for the training of psychiatric
technicians carrying out the basic curriculum prescribed by this article 295
and accredited by the board.
(2) "Board" means the state board of nursing CREATED IN SECTION
12-255-105.
(3) "Person" includes an individual, firm, partnership, association,
or corporation.
(4) The "Practice as a psychiatric technician" means the
performance for compensation of selected acts requiring interpersonal and
technical skills and includes the administering of selected treatments and
selected medications prescribed by a licensed physician or dentist, in the
care of and in the observation and recognition of symptoms and reactions
of a patient with a behavioral or mental health disorder or an intellectual
and developmental disability under the direction of a licensed physician and
the supervision of a registered professional nurse. The selected acts in the
care of a patient with a behavioral or mental health disorder or an
intellectual and developmental disability must not require the substantial
specialized skill, judgment, and knowledge required in professional nursing.
12-295-104. [Formerly 12-42-103] State board of nursing - repeal
PAGE 1335-HOUSE BILL 19-1172
of article - review of licensing and regulation functions. (1) The
licensing and regulation of psychiatric technicians shall be under the control
of the board.
(2) (a) This article 295 is repealed, effective July 1, 2019.
(b) Prior to such BEFORE THE repeal, the licensure and regulation
functions of the state board of nursing shall be reviewed as provided in
BOARD ARE SCHEDULED FOR REVIEW IN ACCORDANCE WITH section
24-34-104. C.R.S.
12-295-105. [Formerly 12-42-104] Application for license.
(1) Every applicant for license as a psychiatric technician shall file a
written application on forms provided by the board.
(2) Every applicant shall accompany his THE application with a
license fee established pursuant to section 24-34-105, C.R.S. 12-20-105,
together with a statement of whether or not he THE APPLICANT has been
convicted of a felony or a misdemeanor involving moral turpitude.
(3) Every person licensed under this article 295 shall be known as
a licensed psychiatric technician and may place the letters "L.P.T." after his
OR HER name. Said THE term or said THE abbreviation shall not be used to
identify anyone not licensed under this article 295. The terms "psychiatric
technician", "psychiatric aide", "trained psychiatric technician", or
"graduate psychiatric technician" shall for the purposes of this article 295
be deemed synonymous with the term "psychiatric technician", and none of
said THE terms shall be used to identify anyone not licensed under this
article 295.
12-295-106. [Formerly 12-42-105] License by examination.
(1) Every applicant for license by examination shall submit written
evidence, verified by oath, and satisfactory to the board that said THE
applicant:
(a) Has not committed an act which THAT would be grounds for
disciplinary action against a licensee under this article 295;
(b) Has completed a four-year high school course or the equivalent
thereof; and
PAGE 1336-HOUSE BILL 19-1172
(c) Has completed the required accredited psychiatric technician
educational program and holds a diploma from a state-accredited program.
12-295-107. Examinations - issuance of license after
examination. (1) [Formerly 12-42-106 (1)] All applicants, unless licensed
by endorsement, shall be required to pass a written examination.
(2) [Formerly 12-42-106 (2)] Examinations shall be held within the
state, at least once a year, at such times and places as the board shall
determine.
(3) [Formerly 12-42-107] The board shall issue a license to each
applicant who passes the examination and who is not otherwise disqualified
to receive a license under the provisions of this article 295.
12-295-108. [Formerly 12-42-109] License by endorsement. The
board may issue a license without examination to an applicant who is
licensed or otherwise registered as a psychiatric technician by another state
or a territory of the United States if the requirements for license or
registration in such THE OTHER state or territory are substantially equal to
the requirements in this article 295; but in no event shall an applicant be
required to meet qualifications higher than those in force in this state at the
time of his OR HER application for license in this state. Every applicant
under this section shall state under oath that he OR SHE has not committed
an act which THAT would be grounds for disciplinary action under this
article 295 and that he THE APPLICANT has completed a four-year high
school course of study or the equivalent thereof.
12-295-109. [Formerly 12-42-111] Accredited psychiatric
technician educational program. (1) (a) Any institution within the state
of Colorado desiring to conduct an accredited preservice psychiatric
technician educational program may apply to the board and submit evidence
that it is prepared to carry out a psychiatric technician curriculum that
contains theoretical content and clinical practice to prepare the psychiatric
technician student to care for clients with intellectual and developmental
disabilities or behavioral or mental health disorders in institutional and
community settings.
(b) Content in a psychiatric technician educational program must
include but is not limited to:
PAGE 1337-HOUSE BILL 19-1172
(I) Fundamental nursing principles and skills;
(II) Growth and developmental and other physical and behavioral
skills;
(III) Intellectual and developmental disabilities theory and
rehabilitation nursing principles and skills if the technician is to be licensed
to care for clients with intellectual and developmental disabilities; and
(IV) Psychopathology and psychiatric nursing principles and skills
if the technician is to be licensed to care for clients with behavioral or
mental health disorders.
(2) A survey of the institution and its entire psychiatric technician
educational program shall be made by the executive secretary or other
authorized board employee. Such THE survey may be conducted in
conjunction with an authorized consultant appointed by the board. The
persons making such THE survey shall submit a written report of the survey
to the board. One or more board members may participate in any such
survey.
(3) If the requirements of this article 42 295 for an accredited
psychiatric technician educational program are met, the institution must be
accredited as a psychiatric technician educational program for psychiatric
technicians for work with patients with mental health disorders or
intellectual and developmental disabilities, for so long as such THE
institution meets the requirements of this article 42 295.
(4) The board shall examine, from time to time, the accredited
psychiatric technician educational programs of all institutions in the state
having such programs. Such THE examinations shall be made by the
executive secretary or other authorized representative of the board, and the
results thereof shall be submitted to the board in the form of written reports.
If the board determines that an institution having an accredited psychiatric
technician educational program is not maintaining the standards required by
this article 295, notice thereof in writing specifying the defect shall be
served on such THE institution by certified mail, postage prepaid, return
receipt requested. If the institution receiving such THE notice fails within
one year after mailing of such THE notice to correct the conditions
complained of therein, its authority to conduct an accredited psychiatric
PAGE 1338-HOUSE BILL 19-1172
technician educational program shall be revoked by the board. An
institution shall have the right, at any time before the expiration of one year
from the date it receives such THE notice, to demand and be granted a
hearing before the board. In case of such A demand, no action shall be taken
by the board until after the hearing.
12-295-110. [Formerly 12-42-112] Renewal of license. (1) To
renew A license issued pursuant to this article a licensee shall submit an
application for renewal pursuant to a schedule established by the director
of the division of professions and occupations within the department of
regulatory agencies, and the license shall be renewed or reinstated pursuant
to section 24-34-102 (8), C.R.S. The director of the division of professions
and occupations may establish renewal fees and delinquency fees for
reinstatement pursuant to section 24-34-105, C.R.S. If a person fails to
renew his or her license pursuant to the schedule established by the director
of the division of professions and occupations, such license shall expire 295
IS SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
Any person whose license has expired shall be subject to the penalties
provided in this article 295 or section 24-34-102 (8), C.R.S. 12-20-202 (1).
(2) (Deleted by amendment, L. 2004, p. 1848, § 99, effective August
4, 2004.)
(3) (2) A person who is not engaged as a psychiatric technician in
the state shall not be required to pay a renewal fee for so long as he THE
PERSON does not so practice, but shall notify the board of his THE PERSON'S
inactive status in writing. Prior to resumption of the practice as a psychiatric
technician, such THE person shall be required to notify the board and remit
a renewal fee for the current annual period. After a five-year period in an
inactive status, such THE license may be renewed only by complying with
the provisions in this article 295 relating to the issuance of an original
license.
12-295-111. [Formerly 12-42-113] Grounds for discipline.
(1) "Grounds for discipline", as used in this article 42 295, means any
action by any person who:
(a) Has procured or attempted to procure a license by fraud, deceit,
misrepresentation, misleading omission, or material misstatement of fact;
PAGE 1339-HOUSE BILL 19-1172
(b) (I) Has been convicted of a felony or any crime that would
constitute a violation of this article 295.
(II) (A) For purposes of this paragraph (b), a conviction SUBSECTION
(1)(b), "CONVICTED" includes a plea of guilty or nolo contendere or the
imposition of IMPOSING a sentence that is deferred prior to final sentencing
or dismissal with prejudice.
(B) (III) A certified copy of the judgment of a court of competent
jurisdiction of such THE conviction or plea shall be prima facie evidence of
such THE conviction.
(III) Repealed.
(c) Has willfully or negligently acted in a manner inconsistent with
the health or safety of persons INDIVIDUALS under his THE PERSON'S care;
(d) Has had a license to practice as a psychiatric technician or any
other health care occupation suspended or revoked in any jurisdiction. A
certified copy of the order of suspension or revocation shall be prima facie
evidence of such THE suspension or revocation.
(e) Has violated any provision of this article or has aided or
knowingly permitted any person to violate any provision of this article 295
OR AN APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12;
(f) Has negligently or willfully practiced as a psychiatric technician
in a manner which THAT fails to meet generally accepted standards for such
THE practice;
(g) Has negligently or willfully violated any order OR rule or
regulation of the board pertaining to practice or licensure as a psychiatric
technician;
(h) Has falsified or in a negligent manner made incorrect entries or
failed to make essential entries on patient records;
(i) Has an alcohol use disorder, as defined in section 27-81-102, or
a substance use disorder, as defined in section 27-82-102, is a habitual user
of controlled substances, as defined in section 18-18-102 (5), or other drugs
PAGE 1340-HOUSE BILL 19-1172
having similar effects, or is diverting controlled substances, as defined in
section 18-18-102 (5), or other drugs having similar effects from the
licensee's place of employment; except that the board has the discretion not
to discipline the licensee if such THE licensee is participating in good faith
in an alcohol or substance use disorder treatment program approved by the
board;
(j) Has a physical disability or an intellectual and developmental
disability that renders him or her unable to practice as a psychiatric
technician with reasonable skill and safety to the patients and which THAT
may endanger the health or safety of persons PATIENTS under his or her THE
PERSON'S care;
(k) Has violated the confidentiality of information or knowledge as
prescribed by law concerning any patient;
(l) Has engaged in any conduct which THAT would constitute a
crime as defined in title 18, C.R.S., and which conduct relates to such THE
person's employment as a psychiatric technician;
(m) Willfully fails to respond in a materially factual and timely
manner to a complaint issued pursuant to section 12-38-116.5 (3)
12-255-119 (3);
(n) Fraudulently obtains, sells, transfers, or furnishes any psychiatric
technician diploma, license, renewal of license, or record, or aids or abets
another in such THE activity;
(o) Advertises, represents, or holds himself or herself out in any
manner as a psychiatric technician or practices as a psychiatric technician
without having a license to practice as a psychiatric technician issued under
this article 295;
(p) Uses in connection with his or her name any designation tending
to imply that he or she is a licensed psychiatric technician without having
a license issued under this article 295; or
(q) Practices as a psychiatric technician during the time his or her
license is suspended or revoked.
PAGE 1341-HOUSE BILL 19-1172
(2) to (6) Repealed.
12-295-112. [Formerly 12-42-114] Withholding or denial of
license - hearing. (1) The board is empowered to determine summarily
whether an applicant for a license to practice as a psychiatric technician
possesses the qualifications required by this article 295 or whether there is
probable cause to believe that an applicant has done any of the acts set forth
in section 12-42-113 12-295-111 as grounds for discipline. As used in this
section, "applicant" does not include a renewal applicant.
(2) If the board determines that an applicant does not possess the
qualifications required by this article 295 or that probable cause exists to
believe that an applicant has done any of the acts set forth in section
12-42-113 12-295-111, the board may withhold or deny the applicant a
license. In such instance, the provisions of section 24-4-104 (9) C.R.S.,
shall apply, and the board shall provide such THE applicant with a statement
in writing setting forth the basis of the board's determination that the
applicant does not possess the qualifications required by this article 295 or
the factual basis for probable cause that the applicant has done any of the
acts set forth in section 12-42-113 12-295-111.
(3) If the applicant requests a hearing pursuant to the provisions of
section 24-4-104 (9) C.R.S., and fails to appear without good cause at such
THE hearing, the board may affirm its prior action of withholding or denial
without conducting a hearing.
(4) Following a hearing, the board shall affirm, modify, or reverse
its prior action in accordance with its findings at such THE hearing.
(5) No action shall lie against the board for the withholding or denial
of DENYING a license without a hearing in accordance with the provisions
of this section if the board acted reasonably and in good faith.
(6) At such THE hearing, the applicant shall have the burden of proof
to show that he OR SHE possesses the qualifications required for licensure
under this article 295. The board shall have the burden of proof to show
commission of acts set forth in section 12-42-113 12-295-111.
12-295-113. [Formerly 12-42-115.3] Disciplinary proceedings.
Disciplinary proceedings under this article 295 shall be conducted pursuant
PAGE 1342-HOUSE BILL 19-1172
to section 12-38-116.5 12-255-119.
12-295-114. [Formerly 12-42-115.5] Immunity in professional
review. (1) If a professional review committee is established pursuant to
section 12-38-109 12-255-108 to investigate the quality of care being given
by a person licensed pursuant to this article 295, it shall include in its
membership at least three persons licensed in the same category as the
licensee under review, but such THE committee may be authorized to act
only by the board.
(2) IN ADDITION TO THE PERSONS SPECIFIED IN SECTION 12-20-402,
any member of the board or of a professional review committee, any
member of the board's or A committee's staff, any person acting as a witness
or consultant to the board or A committee, any witness testifying in a
proceeding authorized under this article 295, and any person who lodges a
complaint pursuant to this article shall be immune from liability in any civil
action brought against him or her for acts occurring while acting in his or
her capacity as board or committee member, staff, consultant, or witness,
respectively, if such individual was acting in good faith within the scope of
his or her respective capacity, made a reasonable effort to obtain the facts
of the matter as to which he or she acted, and acted in the reasonable belief
that the action taken by him or her was warranted by the facts. Any person
participating in good faith in lodging a complaint or participating in any
investigative or administrative proceeding pursuant to this article shall be
immune from any civil or criminal liability that may result from such
participation 295 IS GRANTED THE SAME IMMUNITY, AND IS SUBJECT TO THE
SAME CONDITIONS FOR IMMUNITY, AS SPECIFIED IN SECTION 12-20-402.
12-295-115. [Formerly 12-42-115.7] Surrender of license.
(1) Prior to the initiation of an investigation or hearing, any licensee may
surrender his OR HER license to practice as a psychiatric technician.
(2) Following the initiation of an investigation or hearing and upon
a finding that to do so would be in the public interest, the board may allow
a licensee to surrender his OR HER license to practice.
(3) The board shall not issue a license to a former licensee whose
license has been surrendered unless the licensee meets all of the
requirements of this article 295 for a new applicant, including the passing
of an examination.
PAGE 1343-HOUSE BILL 19-1172
(4) The surrender of a license in accordance with this section
removes all rights and privileges to practice as a psychiatric technician,
including renewal of a license.
12-295-116. [Formerly 12-42-115.9] Judicial review. The court of
appeals shall have initial jurisdiction to SECTION 12-20-408 GOVERNS
JUDICIAL review OF all final actions and orders OF THE BOARD that are
subject to judicial review. of the board. Such proceedings shall be
conducted in accordance with section 24-4-106 (11), C.R.S.
12-295-117. Exclusions. (1) [Formerly 12-42-116 (1)] This article
42 295 does not affect or apply to the gratuitous care of a person with a
behavioral or mental health disorder by friends or members of the family or
to any person taking care of a person with a behavioral or mental health
disorder for hire who does not represent himself or herself or hold himself
or herself out to the public as a trained or licensed psychiatric technician;
but a person for hire shall not hold himself or herself out as or perform the
full duties of a psychiatric technician who is not a psychiatric technician
licensed under the provisions of this article 42 295.
(2) [Formerly 12-42-116 (2)] This article 295 shall not be construed
to prohibit:
(a) The practice as a psychiatric technician by students enrolled in
an accredited psychiatric technician educational program or by graduates of
such AN accredited psychiatric technician educational program pending the
results of the first licensing examination scheduled by the board following
their graduation;
(b) [Formerly 12-42-116 (3)(a)] Practical nursing; subsidiary
workers in hospitals or similarly related institutions from assisting in the
nursing care of patients where adequate medical and nursing supervision is
provided;
(c) [Similar to 12-42-116 (3)(a)] SUBSIDIARY WORKERS IN
HOSPITALS OR SIMILARLY RELATED INSTITUTIONS FROM ASSISTING IN THE
NURSING CARE OF PATIENTS WHERE ADEQUATE MEDICAL AND NURSING
SUPERVISION IS PROVIDED;
(d) [Formerly 12-42-116 (3)(b)] Subsidiary workers in the offices
PAGE 1344-HOUSE BILL 19-1172
of persons licensed to practice medicine or dentistry in this state from
assisting in the care of patients under the personal and responsible
supervision and direction of such THOSE persons; or
(e) [Formerly 12-42-116 (3)(c)] The practice of any legally qualified
psychiatric technician of this state or another state who is employed by the
United States government or any bureau, division, or agency thereof while
in the discharge of his OR HER official duties.
(3) [Formerly 12-42-117] No provision of this article 295 shall be
construed as applying to any sanitarium, nursing home, or rest home
conducted in accordance with the practice of the tenets of any religious
denomination in which persons of good faith rely solely upon spiritual
means or prayer in the free exercise of religion to prevent or cure disease.
12-295-118. Unauthorized practice - penalties. (1) [Formerly
12-42-118] The practice as a psychiatric technician by any person who has
not been issued a license under the provisions of this article 295, or whose
license has been suspended or revoked, or has expired, is hereby declared
to be inimical to the general public welfare and to constitute a public
nuisance.
(2) [Formerly 12-42-119 (2)] Any person who practices or offers or
attempts to practice as a psychiatric technician without an active license
issued under this article commits a class 2 misdemeanor and shall be
punished as provided in section 18-1.3-501, C.R.S., for the first offense, and
for the second or any subsequent offense, the person commits a class 6
felony and shall be punished as provided in section 18-1.3-401, C.R.S. 295
IS SUBJECT TO PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-295-119. Professional nursing and the practice of a
psychiatric technician - other groups. (1) [Formerly 12-42-120] Nothing
in this article 295 shall be construed:
(a) As conferring any authority to practice medicine or professional
nursing or to undertake the treatment or care of disease, pain, injury,
deformity, or physical or mental condition in violation of the law of this
state; OR
(b) [Formerly 12-42-121] Nothing in this article shall be construed
PAGE 1345-HOUSE BILL 19-1172
To enlarge or detract from the rights, powers, and duties of any other
licensed business, occupation, or profession.
ARTICLE 300
Respiratory Therapists
12-300-101. [Formerly 12-41.5-101] Short title. THE SHORT TITLE
OF this article shall be known and may be cited as 300 IS the "Respiratory
Therapy Practice Act".
12-300-102. [Formerly 12-41.5-102] Legislative declaration. The
general assembly hereby finds, determines, and declares that the practice of
respiratory therapy in the state of Colorado affects the public health, safety,
and welfare of its citizens and must be subject to regulation and control to
protect the public from the unqualified practice of respiratory therapy and
from unprofessional conduct. The general assembly further recognizes the
practice of respiratory therapy to be a dynamic and changing art and science
that is continually evolving to include new ideas and ever more
sophisticated techniques in patient care.
12-300-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 300.
12-300-104. [Formerly 12-41.5-103] Definitions. As used in this
article 300, unless the context otherwise requires:
(1) "Director" means the director of the division of professions and
occupations in the department of regulatory agencies.
(2) "Division" means the division of professions and occupations in
the department of regulatory agencies created in section 24-34-102, C.R.S.
(3) "Licensee" means a respiratory therapist licensed pursuant to this
article.
(4) (1) "Medical director" means a licensed physician who holds
such title in any inpatient or outpatient facility, department, or home care
agency, and who is responsible for the quality, safety, and appropriateness
of the respiratory therapy provided.
PAGE 1346-HOUSE BILL 19-1172
(5) (2) "Respiratory therapist" means a person who is licensed to
practice respiratory therapy pursuant to this article 300.
(6) (3) "Respiratory therapy" means providing therapy, management,
rehabilitation, support services for diagnostic evaluation, and care of
patients with deficiencies and abnormalities which THAT affect the
pulmonary system under the overall direction of a medical director.
Respiratory therapy includes the following:
(a) Direct and indirect pulmonary care services that are safe, aseptic,
preventive, and restorative to the patient;
(b) The teaching or instruction of the techniques and skill of
respiratory care whether or not in a formal educational setting;
(c) Direct and indirect respiratory care services including but not
limited to the administration of pharmacological, diagnostic, and therapeutic
agents related to respiratory care procedures necessary to implement a
treatment, disease prevention, and pulmonary rehabilitative or diagnostic
regimen prescribed by a physician or advanced practice nurse;
(d) Observation and monitoring of signs, symptoms, reactions,
general behavior, and general physical response to respiratory care
treatment and diagnostic testing for:
(I) The determination of whether such signs, symptoms, reactions,
behavior, or general response exhibit abnormal characteristics; or
(II) The implementation based on observed abnormalities of
appropriate reporting, referral, or respiratory care protocols or changes in
treatment regimen pursuant to a prescription by a physician or advanced
practice nurse or the initiation of emergency procedures;
(e) The diagnostic and therapeutic use of the following in
accordance with the prescription of a physician or advanced practice nurse:
Administration of medical gases, exclusive of general anesthesia; aerosols;
humidification; environmental control systems and biomedical therapy;
pharmacologic agents related to respiratory care procedures; mechanical or
physiological ventilatory support; bronchopulmonary hygiene; respiratory
protocol and evaluation; cardiopulmonary resuscitation; maintenance of the
PAGE 1347-HOUSE BILL 19-1172
natural airways; insertion and maintenance of artificial airways; diagnostic
and testing techniques required for implementation of respiratory care
protocols; collection of
specimens from the respiratory tract; or analysis of blood gases and
respiratory secretions and participation in cardiopulmonary research; and
(f) The transcription and implementation of the written and verbal
orders of a physician pertaining to the practice of respiratory care.
12-300-105. [Formerly 12-41.5-104] Use of titles restricted. A
respiratory therapist, but no other person, may use the title "licensed
respiratory therapist" or the letters "L.R.T."
12-300-106. [Formerly 12-41.5-105] Limitations on authority.
Nothing in this article 300 shall be construed as authorizing a respiratory
therapist to perform the practice of medicine, surgery, or any other form of
healing except as authorized by the provisions of this article 300.
12-300-107. [Formerly 12-41.5-106] License - reciprocity -
effectiveness - fee. (1) An applicant for a license to practice respiratory
therapy shall submit to the director evidence that he or she is credentialed
by a national respiratory therapy credentialing body, as determined by the
director, as a certified or registered respiratory therapist and shall pay a fee
as determined by the director. The director shall maintain on file the
standards of practice for examination and accreditation by the national
respiratory therapy credentialing body determined by the director pursuant
to this subsection (1) and make the standards available to the public.
(2) The director shall issue a license to practice respiratory therapy
to an applicant who otherwise meets the qualifications set forth in this
article 300 and who submits satisfactory proof and certifies under penalty
of perjury that the applicant is either:
(a) Currently in possession of an unrestricted license in good
standing to practice respiratory therapy under the laws of another state or
territory of the United States or foreign country, if the qualifications of the
applicant are deemed by the director to be substantially equivalent to those
required by this state, and whether the applicant has ever had a disciplinary
action taken in regard to the applicant's license to practice respiratory
PAGE 1348-HOUSE BILL 19-1172
therapy in another state;
(b) Holding credentials conferred by a national respiratory therapy
credentialing body, as determined by the director, which credentials have
not been suspended or revoked; or
(c) Functioning in the capacity of a respiratory therapist as of July
1, 2000, and has successfully passed, no later than July 1, 2001, the
certification or registration examination of a national respiratory therapy
credentialing body, as determined by the director.
12-300-108. [Formerly 12-41.5-107] Renewal of license. (1) At
least sixty calendar days prior to the expiration of a license, the director
shall notify the licensee of the pending expiration. The director shall make
an expiration notice and a renewal form available to the licensee. Before the
expiration date, the licensee shall complete the renewal form and return it
to the division with the renewal fee.
(2) Upon receipt of the completed renewal form and the renewal fee,
the director shall issue a license for the current renewal period pursuant to
a schedule established by the director, and such renewal or reinstatement
shall be granted pursuant to section 24-34-102 (8), C.R.S. The director may
establish renewal fees and delinquency fees for reinstatement pursuant to
section 24-34-105, C.R.S. If a person fails to renew his or her license
pursuant to the schedule established by the director of the division of
professions and occupations, such license shall expire LICENSES ISSUED
PURSUANT TO THIS ARTICLE 300 ARE SUBJECT TO THE RENEWAL,
EXPIRATION, REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED
IN SECTION 12-20-202 (1) AND (2). Any person whose license has expired
shall be subject to the penalties provided in this article 300 or section
24-34-102 (8), C.R.S. 12-20-202 (1).
(3) (Deleted by amendment, L. 2004, p. 1846, § 96, effective August
4, 2004.)
12-300-109. [Formerly 12-41.5-109] Grounds for action -
disciplinary proceedings. (1) The director may take disciplinary action
against a licensee if the director finds that such THE person has represented
himself or herself to be a licensed respiratory therapist after the expiration
or suspension of his or her license.
PAGE 1349-HOUSE BILL 19-1172
(2) The director has the power to revoke, suspend, deny, or refuse
to renew a license, place on probation a licensee, or issue a letter of
admonition to TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN
SECTION 12-20-404 AGAINST a licensee in accordance with subsections (3),
(4), (5), and (6) (4), (5), (6), AND (8) of this section upon proof that the
person:
(a) Has procured or attempted to procure a license by fraud, deceit,
misrepresentation, misleading omission, or material misstatement of fact;
(b) (I) Has been convicted of or has entered and had accepted by a
court a plea of guilty or nolo contendere to:
(A) A felony pursuant to section 18-1.3-401; C.R.S.; or
(B) Any crime as defined in title 18 C.R.S., that relates to such THE
person's employment as a respiratory therapist.
(II) A certified copy of the judgment of a court of competent
jurisdiction of such THE conviction or plea shall be prima facie evidence of
such THE conviction. In conjunction with any disciplinary proceeding
pertaining to this paragraph (b) SUBSECTION (2)(b), the director shall be
governed by section 24-5-101, C.R.S. SECTIONS 12-20-202 (5) AND
24-5-101.
(c) Has willfully or negligently acted in a manner inconsistent with
the health or safety of persons under his or her care;
(d) Has had a license to practice respiratory therapy or any other
health care occupation suspended, revoked, or otherwise subjected to
discipline in any jurisdiction. A certified copy of the order of suspension,
revocation, or discipline shall be prima facie evidence of such THE
suspension, revocation, or discipline.
(e) Has violated this article or has aided or knowingly permitted any
person to violate this article 300 OR AN APPLICABLE PROVISION OF ARTICLE
20 OR 30 OF THIS TITLE 12;
(f) Practiced respiratory therapy in a manner which THAT failed to
meet generally accepted standards for respiratory therapists;
PAGE 1350-HOUSE BILL 19-1172
(g) Has negligently or willfully violated any order or rule of the
director pertaining to the practice or licensure of respiratory therapy;
(h) Has an alcohol use disorder, as defined in section 27-81-102, or
a substance use disorder, as defined in section 27-82-102, or is an excessive
or habitual user or abuser of alcohol or habit-forming drugs or is a habitual
user of a controlled substance, as defined in section 18-18-102 (5), or other
drugs having similar effects; except that the director has the discretion not
to discipline the license holder if he or she is participating in good faith in
an alcohol or substance use disorder treatment program approved by the
director;
(i) (I) Has failed to notify the director, as required by section
12-41.5-109.7 12-30-108 (1), of a physical condition, a physical illness, or
a behavioral, mental health, or substance use disorder that affects the
licensee's ability to practice respiratory therapy with reasonable skill and
safety or that may endanger the health or safety of persons under his or her
care;
(II) Has failed to act within the limitations created by a physical
condition, a physical illness, or a behavioral, mental health, or substance use
disorder that renders the person unable to practice respiratory therapy with
reasonable skill and safety or that might endanger the health or safety of
persons under his or her care; or
(III) Has failed to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-41.5-109.7 SECTIONS
12-30-108 AND 12-300-111;
(j) Has committed:
(I) A fraudulent insurance act as defined in section 10-1-128;
C.R.S.;
(II) An abuse of health insurance, as set forth in section 18-13-119,
C.R.S., or advertised through any medium that he or she will perform an act
prohibited by section 18-13-119 (3); C.R.S.;
(k) Has engaged in any of the following activities or practices:
PAGE 1351-HOUSE BILL 19-1172
(I) Willful and repeated ordering and performance, without
justification, of demonstrably unnecessary laboratory tests or studies;
(II) Administering treatment that is demonstrably unnecessary,
without clinical justification;
(III) Failing to obtain consultations or perform referrals when failing
to do so is inconsistent with the standard of care for the profession; or
(IV) Ordering or performing, without clinical justification, a service,
procedure, or treatment that is contrary to recognized standards of the
practice of respiratory therapy as interpreted by the director;
(l) Has practiced respiratory therapy without possessing a valid
license issued by the director in accordance with this article 300 and any
rules adopted under this article 300;
(m) Has used in connection with his or her name any designation
that implies that he or she is a certified, registered, or licensed respiratory
therapist, unless the person is licensed pursuant to this article 300;
(n) Has practiced respiratory therapy as a licensed respiratory
therapist during the time that his or her license was suspended, revoked, or
expired;
(o) Has sold, fraudulently obtained, or furnished a license to practice
as a licensed respiratory therapist, or has aided or abetted such THE activity;
(p) Has failed to notify the director of the suspension, probation, or
revocation of any of the person's past or currently held licenses, certificates,
or registrations required to practice respiratory therapy in this or any other
jurisdiction;
(q) Has knowingly employed any person who is not licensed in the
practice of respiratory therapy in the capacity of a respiratory therapist;
(r) Has failed to respond in a timely manner to a complaint issued
under this article 300; or
(s) Has refused to submit to a physical or mental examination when
PAGE 1352-HOUSE BILL 19-1172
ordered by the director pursuant to section 12-41.5-109.5 12-300-110.
(2.5) (3) The director shall revoke, suspend, deny, or refuse to renew
a license, place a licensee on probation, or issue a cease-and-desist order or
letter of admonition to a licensee in accordance with subsections (3), (4),
(5), and (6) (4), (5), (6), AND (8) of this section upon proof that the person:
(a) Has falsified or repeatedly made incorrect essential entries or
repeatedly failed to make essential entries on patient records;
(b) Has practiced outside of or beyond the person's area of training,
experience, or competence.
(3) (4) Except as otherwise provided in subsection (2) of this
section, the director need not find that the actions that are grounds for
discipline were willful but may consider whether such THE actions were
willful when determining the nature of disciplinary sanctions to be imposed.
(4) (5) A disciplinary proceeding may be commenced when the
director has reasonable grounds to believe that a licensee has committed
acts that may violate this section.
(5) (6) Disciplinary proceedings shall be conducted pursuant to
SECTION 12-20-403 AND article 4 of title 24. C.R.S., and the hearing and
opportunity for review shall be conducted pursuant to such article by the
director or by an administrative law judge, at the director's discretion. The
director has the authority to exercise all powers and duties conferred by this
article during such disciplinary proceedings.
(5.5) (7) (a) The director may request the attorney general to seek an
injunction in any court of competent jurisdiction, ACCORDANCE WITH
SECTION 12-20-406 to enjoin any person from committing any act prohibited
by this article When seeking an injunction under this paragraph (a), the
attorney general shall not be required to allege or prove the inadequacy of
any remedy at law or that substantial or irreparable damage is likely to result
from a continued violation of this article 300.
(b) (I) In accordance with the provisions of article 4 of title 24,
C.R.S., and this article 300, AND SECTION 12-20-403, the director is
authorized to investigate, hold hearings, and gather evidence in all matters
PAGE 1353-HOUSE BILL 19-1172
related to the exercise and performance of the powers and duties of the
director.
(II) The director or an administrative law judge may administer
oaths, take affirmations of witnesses, and issue subpoenas to compel the
attendance of witnesses and the production of all relevant papers, books,
records, documentary evidence, and materials in any hearing, investigation,
accusation, or other matter coming before the director. The director may
appoint an administrative law judge pursuant to part 10 of article 30 of title
24, C.R.S., to take evidence and to make findings and report them to the
director.
(III) Upon failure of any witness to comply with a subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the director with
notice to the subpoenaed person or licensee, may issue to the person or
licensee an order requiring that person or licensee to appear before the
director; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence touching the matter
under investigation or in question. If the person or licensee fails to obey the
order of the court, the court may hold the person or licensee in contempt of
court.
(6) (8) If the director finds the charges proved and orders that
discipline be imposed, the director may require, as a condition of
reinstatement, that the licensee take such therapy or courses of training or
education as may be needed to correct any deficiency found.
(7) (9) A final action of the director may be judicially reviewed by
the court of appeals in accordance with section 24-4-106 (11), C.R.S.
12-20-408, and judicial proceedings for the enforcement of an order of the
director may be instituted in accordance with section 24-4-106. C.R.S.
(8) (a) The director, the director's staff, any person acting as a
witness or consultant to the director, any witness testifying in a proceeding
authorized under this article, and any person who lodges a complaint
pursuant to this article shall be immune from liability in any civil action
brought against him or her for acts occurring while acting in his or her
capacity as director, staff, consultant, or witness, respectively, if such
individual was acting in good faith within the scope of his or her respective
PAGE 1354-HOUSE BILL 19-1172
capacity, made a reasonable effort to obtain the facts of the matter as to
which he or she acted, and acted in the reasonable belief that the action
taken by him or her was warranted by the facts.
(b) A person who in good faith makes a complaint or report or
participates in an investigative or administrative proceeding pursuant to this
article shall be immune from liability, civil or criminal, that otherwise might
result from such participation.
(9) (10) An employer of a respiratory therapist shall report to the
director any disciplinary action taken against such THE therapist or the
resignation of such THE therapist in lieu of disciplinary action for conduct
that violates this article 300.
(10) (11) (a) Investigations, examinations, hearings, meetings, and
other proceedings of the director conducted pursuant to this section shall be
exempt from any law that requires:
(I) Such THE proceedings to be conducted publicly; or
(II) The minutes or records of the director, with respect to action
taken pursuant to this section, to be open to the public.
(b) Paragraph (a) of this subsection (10) SUBSECTION (11)(a) OF THIS
SECTION shall not apply after the director has made a decision to proceed
with a disciplinary action and has served by first-class mail a notice of
formal complaint on the licensee.
(11) (12) (a) When a complaint or investigation discloses an
instance of misconduct that, in the opinion of the director, does not warrant
formal action by the director but that should not be dismissed as being
without merit, The director may issue and send a letter of admonition to the
A licensee UNDER THE CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE
WITH SECTION 12-20-404 (4).
(b) When the director sends a letter of admonition to a licensee, the
letter must advise the licensee that he or she has the right to request in
writing, within twenty days after receipt of the letter, that the director
initiate formal disciplinary proceedings to adjudicate the propriety of the
conduct upon which the letter of admonition is based.
PAGE 1355-HOUSE BILL 19-1172
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(11.5) (13) When a complaint or investigation discloses an instance
of conduct that does not warrant formal action by the director and, in the
opinion of the director, the complaint should be dismissed, but the director
has noticed indications of possible errant conduct by the licensee that could
lead to serious consequences if not corrected, THE DIRECTOR MAY SEND a
confidential letter of concern may be issued and sent to the TO A licensee
UNDER THE CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(12) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(13) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a licensee is acting
in a manner that is an imminent threat to the health and safety of the public,
or a person is acting or has acted without the required license, the director
may issue an order to cease and desist such activity. The order shall set forth
the statutes and rules alleged to have been violated, the facts alleged to have
constituted the violation, and the requirement that all unlawful acts or
unlicensed practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (13), the respondent may
request a hearing on the question of whether acts or practices in violation
of this article have occurred. Such hearing shall be conducted pursuant to
sections 24-4-104 and 24-4-105, C.R.S.
(14) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a person has violated
any other portion of this article, then, in addition to any specific powers
granted pursuant to this article, the director may issue to such person an
order to show cause as to why the director should not issue a final order
directing such person to cease and desist from the unlawful act or
unlicensed practice.
PAGE 1356-HOUSE BILL 19-1172
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (14) shall be promptly notified
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order issued. Personal service or
mailing of an order or document pursuant to this subsection (14) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (14). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (14) does not appear at
the hearing, the director may present evidence that notification was properly
sent or served upon such person pursuant to paragraph (b) of this subsection
(14) and such other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required license, or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued,
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (14), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
PAGE 1357-HOUSE BILL 19-1172
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(15) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the director may enter into
a stipulation with such person.
(16) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(17) A person aggrieved by the final cease-and-desist order may
seek judicial review of the director's determination or of the director's final
order as provided in subsection (7) of this section.
(18) A respiratory therapist whose license is revoked or who
surrenders his or her license to avoid discipline under this section is not
eligible to apply for a license under this article for two years after the
license is revoked or surrendered.
(14) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
12-300-110. [Formerly 12-41.5-109.5] Mental and physical
examination of licensees. (1) (a) If the director has reasonable cause to
believe that a licensee is unable to practice with reasonable skill and safety
to clients, the director may order the licensee to submit to a mental or
physical examination administered by a physician or other licensed health
care professional designated by the director.
PAGE 1358-HOUSE BILL 19-1172
(b) If a licensee refuses to submit to a mental or physical
examination that has been properly ordered by the director pursuant to
subsection (2) of this section, and the refusal is not due to circumstances
beyond the licensee's control:
(I) The refusal constitutes grounds for discipline pursuant to section
12-41.5-109 (2)(s) 12-300-109 (2)(s); and
(II) The director may suspend the licensee's license in accordance
with section 12-41.5-109 12-300-109 until:
(A) The licensee submits to the examination and the results of the
examination are known; and
(B) The director has made a determination of the licensee's fitness
to practice.
(c) The director shall proceed with an order for examination and
determination of a licensee's fitness to practice in a timely manner.
(2) In an order to a licensee pursuant to subsection (1) of this section
to undergo a mental or physical examination, the director shall include the
basis of the director's reasonable cause to believe that the licensee is unable
to practice with reasonable skill and safety. For purposes of any disciplinary
proceeding authorized under this article 300, the licensee is deemed to have
waived all objections to the admissibility of the examining physician's
testimony or examination reports on the ground that they are privileged
communications.
(3) The licensee may submit to the director testimony or
examination reports from a physician or other licensed health care
professional chosen by the licensee and pertaining to any condition that the
director has alleged might preclude the licensee from practicing with
reasonable skill and safety. The director may consider the testimony or
examination reports in conjunction with, but not in lieu of, testimony and
examination reports of the physician or other licensed health care
professional designated by the director.
(4) The results of a mental or physical examination ordered by the
director must not be used as evidence in any proceeding other than one
PAGE 1359-HOUSE BILL 19-1172
before the director, are not public records, and must not be made available
to the public.
12-300-111. [Formerly 12-41.5-109.7] Confidential agreement to
limit practice. (1) If a respiratory therapist has a physical illness; a
physical condition; or a behavioral or mental health disorder that renders the
person unable to practice respiratory therapy with reasonable skill and
safety to clients, the respiratory therapist shall notify the director of the
physical illness; the physical condition; or the behavioral or mental health
disorder in a manner and within a period determined by the director. The
director may require the respiratory therapist to submit to an examination
to evaluate the extent of the physical illness; the physical condition; or the
behavioral or mental health disorder and its effect on the respiratory
therapist's ability to practice respiratory therapy with reasonable skill and
safety to clients.
(2) (a) Upon determining that a respiratory therapist with a physical
illness; a physical condition; or a behavioral or mental health disorder is
able to render limited services with reasonable skill and safety to clients, the
director may enter into a confidential agreement with the respiratory
therapist in which the respiratory therapist agrees to limit his or her practice
based on the restrictions imposed by the physical illness; the physical
condition; or the behavioral or mental health disorder, as determined by the
director.
(b) As part of the agreement, the respiratory therapist is subject to
periodic reevaluation or monitoring as determined appropriate by the
director.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(3) By entering into an agreement with the director pursuant to this
section to limit his or her practice, a respiratory therapist is not engaging in
activities that are grounds for discipline pursuant to section 12-41.5-109.
The agreement does not constitute a restriction or discipline by the director.
However, if the respiratory therapist fails to comply with the terms of the
agreement, the failure constitutes a prohibited activity pursuant to section
12-41.5-109 (2)(i), and the respiratory therapist is subject to discipline in
accordance with section 12-41.5-109.
PAGE 1360-HOUSE BILL 19-1172
(1) EXCEPT AS SPECIFIED IN SUBSECTION (2) OF THIS SECTION,
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO LIMIT
PRACTICE APPLIES TO THIS ARTICLE 300.
(4) (2) This section does AND SECTION 12-30-108 DO not apply to a
respiratory therapist subject to discipline for prohibited activities as
described in section 12-41.5-109 (2)(h) 12-300-109 (2)(h).
12-300-112. [Formerly 12-41.5-110] Exceptions.
(1) Repealed.
(2) (1) This article 300 does not prohibit:
(a) (I) Any practice of respiratory therapy that is an integral part of
a program of study by students enrolled in an accredited respiratory therapy
program. Students enrolled in respiratory therapy education programs shall
be identified as "student respiratory therapists" and shall only provide
respiratory therapy under direct supervision of a respiratory therapist on the
premises who is available for prompt consultation or treatment.
(II) The practice of respiratory therapy by pulmonary function
technology students or polysomnographic technology students that is an
integral part of a program of study that leads to certification or registration
for their respective disciplines. Students enrolled in such THOSE programs
shall be identified as "student pulmonary functions technologists" or
"student polysomnographic technologists" and shall practice only under the
direct supervision of a respiratory therapist or physician or under the
supervision of an individual exempted from the provisions of this article
300 pursuant to paragraph (g) of this subsection (2) SUBSECTION (1)(g) OF
THIS SECTION.
(III) The practice of respiratory therapy by polysomnographic
technologists who are not registered by or do not hold credentials from a
nationally recognized organization, but such THOSE polysomnographic
technologists shall only practice under the supervision of a respiratory
therapist, a physician, or an individual exempted from the provisions of this
article 300 pursuant to paragraph (g) of this subsection (2) SUBSECTION
(1)(g) OF THIS SECTION.
PAGE 1361-HOUSE BILL 19-1172
(b) Self-therapy by a patient or gratuitous therapy by a friend or
family member who does not represent himself or herself to be a respiratory
therapist;
(c) Any service provided during an emergency that may be included
in the definition of the practice of respiratory therapy;
(d) Respiratory therapy services rendered in the course of assigned
duties of persons serving in the military or persons working in federal
facilities;
(e) Respiratory therapy services rendered in the course of assigned
duties of persons delivering oxygen supplies, including the inspection and
maintenance of associated apparatus by a person who does not represent
himself or herself as a respiratory therapist;
(f) Any person registered, certified, or licensed in this state under
this title 12 from engaging in the practice for which such THE person is
registered, certified, or licensed;
(g) The practice of procedures that fall within the definition of
respiratory therapy by certified pulmonary function technologists, registered
pulmonary function technologists, registered polysomnographic
technologists, or others who hold credentials from a nationally recognized
organization as determined by the director; except that the scope of practice
of a registered polysomnographic technologist must not exceed oxygen
titration with pulse oximetry and noninvasive positive pressure ventilation
titration;
(h) The instruction or training of persons to administer emergency
oxygen during an aquatic emergency, when such THE instruction or training
is provided by an individual who has been certified to conduct such THE
instruction or training by a nationally recognized certifying agency; or
(i) The practice by an unlicensed person of procedures that fall
within the definition of respiratory therapy but that do not require the
unlicensed person to perform an assessment, to perform an invasive
procedure as defined by the director, or to alter care beyond the scope of
approved protocols, so long as the unlicensed person is under supervision
as determined appropriate by the respiratory therapist and after such THE
PAGE 1362-HOUSE BILL 19-1172
respiratory therapist has considered all of the following:
(I) The health status and mental and physical stability of the
individual receiving care;
(II) The complexity of the procedures;
(III) The training and competence of the unlicensed person;
(IV) The proximity and availability of the respiratory therapist when
the procedures are performed;
(V) The degree of supervision required for the unlicensed person;
(VI) The length and number of times that the procedure may be
performed; and
(VII) The predictability of the outcome of the procedure.
12-300-113. [Formerly 12-41.5-111] Practice of medicine
prohibited. Subject to section 12-36-106 (3)(m) 12-240-107 (3)(m),
nothing in this article 300 shall be construed to permit the practice of
medicine as defined in section 12-36-106 12-240-107.
12-300-114. [Formerly 12-41.5-112] Unauthorized practice -
penalties.
(1) Repealed.
(2) A person who practices or offers or attempts to practice
respiratory therapy without an active license issued under this article
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 300 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
12-300-115. [Formerly 12-41.5-113] Rule-making authority. The
director shall promulgate such rules as are necessary or convenient for the
administration of this article RULES PURSUANT TO SECTION 12-20-204.
PAGE 1363-HOUSE BILL 19-1172
12-300-116. [Formerly 12-41.5-115] Repeal of article -
termination of functions. (1) This article 300 is repealed, effective
September 1, 2024. Prior to BEFORE the repeal, the department of regulatory
agencies shall review the licensure functions of the director pursuant to
UNDER THIS ARTICLE 300 ARE SCHEDULED FOR REVIEW IN ACCORDANCE
WITH section 24-34-104. C.R.S.
(2) (Deleted by amendment, L. 2015.)
ARTICLE 305
Speech-language Pathologists
12-305-101. [Formerly 12-43.7-101] Short title. THE SHORT TITLE
OF this article shall be known and may be cited as 305 IS the
"Speech-language Pathology Practice Act".
12-305-102. [Formerly 12-43.7-102] Legislative declaration.
(1) The general assembly hereby finds, determines, and declares that:
(a) Speech-language pathology services are provided for the purpose
of improving the abilities of those who have congenital or acquired speech,
language, cognitive, feeding, and swallowing deficits;
(b) Speech-language pathologists provide specific therapy and
treatments that are related to the effects of medical or dental diagnoses or
congenital, genetic, or developmental conditions but do not provide medical
or dental procedures, medications, or interventions that constitute the
practice of medicine or dentistry;
(c) The professional roles and activities in speech-language
pathology include clinical and educational services, which include
evaluation, assessment, planning, and treatment; prevention and advocacy;
education; administration; and research;
(d) This article 305 is necessary to safeguard public health, safety,
and welfare and to protect the public from incompetent, unethical, or
unauthorized persons.
(2) The general assembly further determines that it is the purpose of
this article 305 to:
PAGE 1364-HOUSE BILL 19-1172
(a) Regulate persons who are representing or holding themselves out
as speech-language pathologists or who are performing services that
constitute speech-language pathology; and
(b) Exclude from regulation under this article 305 those school
speech-language pathologists who are paid solely by an administrative unit
or state-operated program.
12-305-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 305.
12-305-104. [Formerly 12-43.7-103] Definitions. As used in this
article 305, unless the context otherwise requires:
(1) "Administrative unit" has the same meaning as set forth in
section 22-20-103 (1). C.R.S.
(2) "Department" means the department of regulatory agencies.
(3) "Director" means the director of the division of professions and
occupations or the director's designee.
(4) "Division" means the division of professions and occupations in
the department created in section 24-34-102, C.R.S.
(5) (2) "School speech-language pathologist" means a person
licensed by the department of education to provide speech-language
pathology services that are paid for by an administrative unit or a
state-operated program. "School speech-language pathologist" includes a
school speech-language pathology assistant authorized by the department
of education pursuant to section 22-60.5-111 (10) C.R.S., to provide
speech-language pathology services that are paid for by an administrative
unit or a state-operated program.
(6) (3) "Speech-language pathologist" or "certificate holder" means
a person certified to practice speech-language pathology under this article
305.
(7) (4) (a) "Speech-language pathology" means the application of
PAGE 1365-HOUSE BILL 19-1172
principles, methods, and procedures related to the development, disorders,
and effectiveness of human communication and related functions, which
includes providing prevention, screening, consultation, assessment or
evaluation, treatment, intervention, management, counseling, collaboration,
and referral services for disorders of:
(I) Speech, such as speech sound production, fluency, resonance,
and voice;
(II) Language, such as phonology, morphology, syntax, semantics,
pragmatic and social communication skills, and literacy skills;
(III) Feeding and swallowing; and
(IV) Cognitive aspects of communication, such as attention,
memory, executive functioning, and problem solving.
(b) "Speech-language pathology" also includes establishing
augmentative and alternative communication techniques and strategies,
including the following:
(I) Developing, selecting, and prescribing augmentative or
alternative communication systems and devices, such as speech generating
devices;
(II) Providing services to individuals with hearing loss and their
families, such as auditory training, speech reading, or speech and language
intervention secondary to hearing loss;
(III) Screening individuals for hearing loss or middle ear pathology
using conventional pure-tone air conduction methods, including otoscopic
inspection, otoacoustic emissions, or screening tympanometry;
(IV) Using instrumentation such as videofluroscopy, endoscopy, or
stroboscopy to observe, collect data, and measure parameters of
communication and swallowing;
(V) Selecting, fitting, and establishing effective use of prosthetic or
adaptive devices for communication, swallowing, or other upper
aerodigestive functions, not including sensory devices used by individuals
PAGE 1366-HOUSE BILL 19-1172
with hearing loss or the orthodontic movement of teeth for the purpose of
correction of speech pathology conditions; and
(VI) Providing services to modify or enhance communication
performance, such as accent modification and personal or professional
communication efficacy.
(8) (5) "State-operated program" has the same meaning as set forth
in section 22-20-103 (28). C.R.S.
12-305-105. [Formerly 12-43.7-104] Use of titles restricted.
(1) Only a person required to be and who is certified as a speech-language
pathologist under this article 305 or licensed by the Colorado department of
education to provide speech-language pathology services may advertise as
or use the title "speech-language pathologist", "speech pathologist", "speech
therapist", "speech correctionist", "speech clinician", "language
pathologist", "voice therapist", "voice pathologist", "aphasiologist", or any
other generally accepted terms, letters, or figures that indicate that the
person is a certified speech-language pathologist.
(2) For a certificate holder who has successfully completed a
doctoral degree in communication sciences and disorders as described in
section 12-43.7-106 (1)(a) 12-305-107 (1)(a), a certification to practice
speech-language pathology issued pursuant to this article 305 entitles the
certificate holder to use the title "Doctor" or "Dr." when accompanied by
the terms "speech-language pathology" or the letters "S.L.P."
12-305-106. [Formerly 12-43.7-105] Certification required -
exception. (1) Except as otherwise provided in this article 43.7 305, on and
after July 1, 2013, a person shall not practice speech-language pathology or
represent or hold himself or herself out as being able to practice
speech-language pathology in this state without possessing a valid
certification issued by the director in accordance with this article 43.7 305
and any rules adopted under this article 43.7 305 or a special services
license issued by the department of education pursuant to section
22-60.5-210.
(2) A person described in section 12-43.7-108 (1) 12-305-110 (1) is
not required to obtain certification under this article 305.
PAGE 1367-HOUSE BILL 19-1172
12-305-107. [Formerly 12-43.7-106] Certification - application -
qualifications - provisional certification - renewal - fees - rules.
(1) Educational and experiential requirements. Every applicant for a
certification as a speech-language pathologist must have:
(a) Successfully completed a master's or higher degree in
communication sciences and disorders granted by an accredited institution
of higher education recognized by the United States department of
education;
(b) Successfully completed a speech-language pathology clinical
fellowship approved by the director, as documented by the supervising
clinician or a national certifying body approved by the director; and
(c) Passed the appropriate examination and clinical fellowships
adopted by the director.
(2) Application. When an applicant has fulfilled the requirements
of subsection (1) of this section, the applicant may apply for certification in
the manner required by the director. The applicant shall submit an
application fee with his or her THE application in an amount determined by
the director. Additionally, if the applicant will provide speech-language
pathology services to patients, the applicant shall submit to the director
proof that the applicant has purchased and is maintaining or is covered by
professional liability insurance in an amount determined by the director by
rule.
(3) Certification. (a) Except as provided in paragraph (b) of this
subsection (3) SUBSECTION (3)(b) OF THIS SECTION, when an applicant has
fulfilled the requirements of subsections (1) and (2) of this section, the
director shall issue a certification to the applicant.
(b) The director may deny a certification if the applicant has
committed any act that would be grounds for disciplinary action under
section 12-43.7-110 12-305-112.
(4) Certification by endorsement. (a) An applicant for
certification by endorsement shall file an application and pay a fee as
determined by the director and shall hold a current, valid license or
certification in a jurisdiction that requires qualifications substantially
PAGE 1368-HOUSE BILL 19-1172
equivalent to those required for certification by subsection (1) of this
section.
(b) An applicant for certification by endorsement shall submit with
the application verification that the applicant has actively practiced for a
period of time determined by rules of the director or otherwise maintained
competency as determined by the director. Additionally, if the applicant will
provide speech-language pathology services to patients, the applicant shall
submit to the director proof that the applicant has purchased and is
maintaining or is covered by professional liability insurance in an amount
determined by the director by rule.
(c) Upon receipt of all documents required by paragraphs (a) and (b)
of this subsection (4) SUBSECTIONS (4)(a) AND (4)(b) OF THIS SECTION, the
director shall review the application and make a determination of the
applicant's qualification to be certified by endorsement.
(d) The director may deny the certification by endorsement if the
applicant has committed an act that would be grounds for disciplinary
action under section 12-43.7-110 12-305-112.
(5) Certification renewal. (a) A certificate holder shall renew the
certification issued under this article according to a schedule of renewal
dates established by the director. The certificate holder shall submit an
application in the manner required by the director and shall pay a renewal
fee in an amount determined by the director.
(b) Certifications shall be renewed or reinstated in accordance with
the schedule established by the director, and the renewal or reinstatement
shall be granted pursuant to section 24-34-102 (8), C.R.S. The director may
establish renewal fees and delinquency fees for reinstatement pursuant to
section 24-34-105, C.R.S. If a certificate holder fails to renew his or her
certification pursuant to the schedule established by the director, the
certification expires CERTIFICATIONS ISSUED PURSUANT TO THIS ARTICLE
305 ARE SUBJECT TO THE RENEWAL, EXPIRATION, REINSTATEMENT, AND
DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION 12-20-202 (1) AND (2).
Any person whose certification has expired and who continues to practice
speech-language pathology is subject to the penalties provided in this article
305 or section 24-34-102 (8), C.R.S., 12-20-202 (1) for reinstatement.
PAGE 1369-HOUSE BILL 19-1172
(6) Fees. (a) The director shall establish and collect fees under this
article pursuant to section 24-34-105, C.R.S., and shall base the fees
charged to speech-language pathologists certified under this article on the
cost to administer the program divided by the total number of
speech-language pathologists, as required by section 24-34-105, C.R.S. All
fees collected under this article shall be determined, collected, and
appropriated in the same manner as set forth in section 24-34-105, C.R.S.,
and periodically adjusted in accordance with section 24-75-402, C.R.S.
(b) Except as otherwise provided in this article, the division shall
transmit all fees collected pursuant to this article to the state treasurer, who
shall credit the fees to the division of professions and occupations cash fund
created pursuant to section 24-34-105 (2)(b), C.R.S. The general assembly
shall make annual appropriations from the division of professions and
occupations cash fund for expenditures of the division incurred in the
performance of its duties under this article.
12-305-108. [Formerly 12-43.7-106.5] Provisional certification -
qualifications - application - expiration - practice. (1) Educational and
experiential requirements. An applicant for a provisional certification as
a speech-language pathologist must:
(a) Successfully complete a master's or higher degree in
communication sciences and disorders granted by an accredited institution
of higher education recognized by the United States department of
education; and
(b) Pass the appropriate examination and clinical fellowships
adopted by the director.
(2) Application. On or after September 1, 2015, an applicant may
apply for provisional certification in the manner required by the director.
The applicant shall submit an application fee with the application in an
amount determined by the director. If the applicant will provide
speech-language pathology services to patients, the applicant also shall
submit proof that he or she THE APPLICANT has purchased and is
maintaining or is covered by professional liability insurance in an amount
determined by the director by rule. Additionally, the applicant shall submit
a plan for the completion of a speech-language pathology clinical
fellowship, as specified in section 12-43.7-106 (1)(b) 12-305-107 (1)(b).
PAGE 1370-HOUSE BILL 19-1172
(3) Provisional certification. (a) Except as provided in paragraph
(b) of this subsection (3) SUBSECTION (3)(b) OF THIS SECTION, when an
applicant has fulfilled the requirements of subsections (1) and (2) of this
section, the director shall issue a provisional certification to the applicant.
(b) The director may deny a provisional certification if the applicant
has committed any act that would be grounds for disciplinary action under
section 12-43.7-110 12-305-112.
(4) Expiration of provisional certification. (a) A provisional
certification expires twenty-four months after issuance or upon the issuance
of certification to the applicant under section 12-43.7-106 12-305-107,
whichever occurs first.
(b) The director shall not renew a provisional certification.
(c) A provisional certificate holder may apply for certification in
accordance with section 12-43.7-106 12-305-107 upon completion of a
speech-language pathology clinical fellowship.
(5) Practice. A provisional certificate holder may practice
speech-language pathology only under the general supervision of a
speech-language pathologist who holds a certificate of clinical competence
and has passed the appropriate examination and clinical fellowships adopted
by the director.
12-305-109. [Formerly 12-43.7-107] Continuing professional
competency - rules - definition. (1) (a) A speech-language pathologist
shall maintain continuing professional competency to practice.
(b) The director shall establish a continuing professional
competency program that includes, at a minimum, the following elements:
(I) A self-assessment of the knowledge and skills of a
speech-language pathologist seeking to renew or reinstate a certification;
(II) Development, execution, and documentation of a learning plan
based on the assessment; and
(III) Periodic demonstration of knowledge and skills through
PAGE 1371-HOUSE BILL 19-1172
documentation of activities necessary to ensure at least minimal ability to
safely practice the profession; except that a speech-language pathologist
certified pursuant to this article 305 need not retake any examination
required by section 12-43.7-106 12-305-107 for initial certification.
(2) The director shall establish that a speech-language pathologist
satisfies the continuing competency requirements of this section if the
speech-language pathologist meets the continuing professional competency
requirements of one of the following entities:
(a) An accrediting body approved by the director; or
(b) An entity approved by the director.
(3) (a) After the program is established, a speech-language
pathologist shall satisfy the requirements of the program in order to renew
or reinstate a certification to practice speech-language pathology.
(b) The requirements of this section apply to individual
speech-language pathologists, and nothing in this section requires a person
who employs or contracts with a speech-language pathologist to comply
with this section.
(4) Records of assessments or other documentation developed or
submitted in connection with the continuing professional competency
program are confidential and not subject to inspection by the public or
discovery in connection with a civil action against a speech-language
pathologist or other professional regulated under this title 12. A person or
the director shall not use the records or documents unless used by the
director to determine whether a speech-language pathologist is maintaining
continuing professional competency to engage in the profession.
(5) As used in this section, "continuing professional competency"
means the ongoing ability of a speech-language pathologist to learn,
integrate, and apply the knowledge, skill, and judgment to practice as a
speech-language pathologist according to generally accepted standards and
professional ethical standards.
12-305-110. [Formerly 12-43.7-108] Scope of article - exclusions.
(1) This article 43.7 305 does not prevent or restrict the practice, services,
PAGE 1372-HOUSE BILL 19-1172
or activities of:
(a) A school speech-language pathologist whose compensation for
speech-language pathology services is paid solely by an administrative unit
or state-operated program;
(b) A person licensed or otherwise regulated in this state by any
other law from engaging in his or her profession or occupation as defined
in the law under which he or she THE PERSON is regulated;
(c) A person pursuing a course of study leading to a degree in
speech-language pathology at an educational institution with an accredited
speech-language pathology program if that person is designated by a title
that clearly indicates his or her THE PERSON'S status as a student and if he or
she THE PERSON acts under appropriate instruction and supervision;
(d) A person participating in good faith in a clinical fellowship if the
experience constitutes a part of the experience necessary to meet the
requirement of section 12-43.7-106 (1) 12-305-107 (1) and the person acts
under appropriate supervision;
(e) Any legally qualified speech-language pathologist from another
state or country when providing services on behalf of a temporarily absent
speech-language pathologist certified in this state, so long as the uncertified
speech-language pathologist is acting in accordance with rules adopted by
the director. The uncertified practice must not occur more than once in any
twelve-month period.
(f) A speech-language pathologist who possesses a special services
license issued by the department of education pursuant to section
22-60.5-210.
(2) Nothing in this article 305 requires or allows the department of
education, the department of health care policy and financing, or any other
state department to adopt or apply the standards contained in this article
305:
(a) As the standards for endorsing or otherwise authorizing school
speech-language pathologists to provide speech-language pathology
services that are paid for by an administrative unit or state-operated
PAGE 1373-HOUSE BILL 19-1172
program; or
(b) For purposes of determining whether medicaid reimbursement
may be obtained for speech-language pathology services.
(3) Nothing in this article 305 requires a professional licensed,
certified, registered, or otherwise regulated under this title 12 or title 22
C.R.S., to obtain certification under this article 305, or subjects the
professional to discipline under this article 305, for engaging in activities
that are within his or her professional THE PROFESSIONAL'S scope of
practice.
12-305-111. [Formerly 12-43.7-109] Limitations on authority.
Nothing in this article 305 authorizes a speech-language pathologist to
engage in the practice of medicine, as defined in section 12-36-106
12-240-107, dentistry, as defined in sections 12-35-103 (5) 12-220-104 (6)
and 12-35-113 12-220-110, or any other profession for which licensure,
certification, or registration is required by this article 305.
12-305-112. [Formerly 12-43.7-110] Grounds for discipline -
definitions. (1) The director may take disciplinary action against a
certificate holder pursuant to section 12-43.7-111 SECTIONS 12-20-404 AND
12-305-113 if the director finds that the certificate holder has represented
or held himself or herself out as a certified speech-language pathologist
after the expiration, suspension, or revocation of his or her certification.
(2) The director may revoke, suspend, or deny a certification, place
a certificate holder on probation, issue a letter of admonition or a
confidential letter of concern, impose a fine against a certificate holder,
TAKE DISCIPLINARY OR OTHER ACTION SPECIFIED IN SECTION 12-20-404 OR
12-305-113 or issue a cease-and-desist order to a certificate holder in
accordance with section 12-43.7-111 SECTIONS 12-20-405 AND 12-305-113
(8) upon proof that the certificate holder:
(a) Has engaged in a sexual act with a person receiving services
while a therapeutic relationship existed or within six months immediately
following termination of the therapeutic relationship in writing. For the
purposes of this paragraph (a) SUBSECTION (2)(a):
(I) "Sexual act" means sexual contact, sexual intrusion, or sexual
PAGE 1374-HOUSE BILL 19-1172
penetration, as defined in section 18-3-401. C.R.S.
(II) "Therapeutic relationship" means the period beginning with the
initial evaluation and ending upon the written termination of treatment.
(b) Has falsified information in an application or has attempted to
obtain or has obtained a certification by fraud, deception, or
misrepresentation;
(c) Has an alcohol use disorder, as defined in section 27-81-102, or
a substance use disorder, as defined in section 27-82-102, excessively or
habitually uses or abuses alcohol or habit-forming drugs, or habitually uses
a controlled substance, as defined in section 18-18-102 (5), or other drugs
having similar effects; except that the director has the discretion not to
discipline the certificate holder if he or she THE CERTIFICATE HOLDER is
participating in good faith in an alcohol or substance use disorder treatment
program approved by the director;
(d) (I) Failed to notify the director, as required by section
12-43.7-115 12-30-108 (1), of a physical illness, a physical condition, or a
behavioral, mental health, or substance use disorder that impacts the
speech-language pathologist's ability to perform speech-language pathology
with reasonable skill and safety to patients;
(II) Failed to act within the limitations created by a physical illness,
a physical condition, or a behavioral, mental health, or substance use
disorder that renders the certificate holder unable to perform
speech-language pathology with reasonable skill and safety to the patient;
or
(III) Failed to comply with the limitations agreed to under a
confidential agreement entered pursuant to section 12-43.7-115 SECTIONS
12-30-108 AND 12-305-117;
(e) Has violated this article or aided or abetted or knowingly
permitted any person to violate this article 305, AN APPLICABLE PROVISION
OF ARTICLE 20 OR 30 OF THIS TITLE 12, a rule adopted under this article 305,
or any lawful order of the director;
(f) Has failed to respond to a request or order of the director;
PAGE 1375-HOUSE BILL 19-1172
(g) Has been convicted of or pled guilty or nolo contendere to a
felony or any crime related to the certificate holder's practice of
speech-language pathology or has committed an act specified in section
12-43.7-112 12-305-114. A certified copy of the judgment of a court of
competent jurisdiction of the conviction or plea is conclusive evidence of
the conviction or plea. In considering the disciplinary action, the director is
governed by section SECTIONS 12-20-202 (5) AND 24-5-101. C.R.S.
(h) Has fraudulently obtained, furnished, or sold any
speech-language pathology diploma, certificate, certification, renewal of
certification, or record or aided or abetted such THE act;
(i) Has failed to notify the director of the suspension or revocation
of the person's past or currently held license, certificate, or certification
required to practice speech-language pathology in this or any other
jurisdiction;
(j) Has failed to respond in an honest, materially responsive, and
timely manner to a complaint against the certificate holder;
(k) Has resorted to fraud, misrepresentation, or deception in
applying for, securing, renewing, or seeking reinstatement of a certification
in this or any other state, in applying for professional liability coverage, or
in taking the examination required by this article 305;
(l) Has failed to refer a patient to the appropriate licensed, certified,
or registered health care professional when the services required by the
patient are beyond the level of competence of the speech-language
pathologist or beyond the scope of speech-language pathology practice;
(m) Has refused to submit to a physical or mental examination when
ordered by the director pursuant to section 12-43.7-114 12-305-116;
(n) Has failed to maintain or is not covered by professional liability
insurance as required by section 12-43.7-106 (2) or (4) 12-305-107 (2) OR
(4) in the amount determined by the director by rule;
(o) Has willfully or negligently acted in a manner inconsistent with
the health or safety of persons under his or her care;
PAGE 1376-HOUSE BILL 19-1172
(p) Has negligently or willfully practiced speech-language pathology
in a manner that fails to meet generally accepted standards for
speech-language pathology practice;
(q) Has failed to make essential entries on patient records or
falsified or made incorrect entries of an essential nature on patient records;
or
(r) Has otherwise violated any provision of this article 305 or lawful
order or rule of the director.
(3) Except as otherwise provided in subsection (2) of this section,
the director need not find that the actions that are grounds for discipline
were willful but may consider whether the actions were willful when
determining the nature of disciplinary sanctions to impose.
12-305-113. [Formerly 12-43.7-111] Disciplinary actions -
judicial review. (1) (a) The director may commence a proceeding to
discipline a certificate holder when the director has reasonable grounds to
believe that the certificate holder has committed an act enumerated in
section 12-43.7-110 12-305-112 or has violated a lawful order or rule of the
director.
(b) In any proceeding under this section, the director may accept as
evidence of grounds for disciplinary action any disciplinary action taken
against a certificate holder in another jurisdiction if the violation that
prompted the disciplinary action in the other jurisdiction would be grounds
for disciplinary action under this article 305.
(2) The director shall conduct disciplinary proceedings in
accordance with article 4 of title 24 C.R.S. AND SECTION 12-20-403, and the
director or an administrative law judge, as determined by the director, shall
conduct the hearing and opportunity for review pursuant to that article
THOSE LAWS. The director may exercise all powers and duties conferred by
this article 305 during the disciplinary proceedings.
(3) (a) The director may request the attorney general to seek an
injunction in any court of competent jurisdiction, ACCORDANCE WITH
SECTION 12-20-406 to enjoin a person from committing an act prohibited by
this article When seeking an injunction under this paragraph (a), the
PAGE 1377-HOUSE BILL 19-1172
attorney general is not required to allege or prove the inadequacy of any
remedy at law or that substantial or irreparable damage is likely to result
from a continued violation of this article 305.
(b) (I) In accordance with article 4 of title 24, C.R.S. SECTION
12-20-403, and this article 305, the director may investigate, hold hearings,
and gather evidence in all matters related to the exercise and performance
of the powers and duties of the director.
(II) In order to aid the director in any hearing or investigation
instituted pursuant to this section, the director or an administrative law
judge appointed pursuant to paragraph (c) of this subsection (3) may
administer oaths, take affirmations of witnesses, and issue subpoenas
compelling the attendance of witnesses and the production of all relevant
records, papers, books, documentary evidence, and materials in any hearing,
investigation, accusation, or other matter before the director or an
administrative law judge.
(III) Upon failure of any witness or certificate holder to comply with
a subpoena or process and upon application by the director with notice to
the subpoenaed person or certificate holder, the district court of the county
in which the subpoenaed person or certificate holder resides or conducts
business may issue an order requiring the person or certificate holder to
appear before the director; to produce the relevant papers, books, records,
documentary evidence, or materials; or to give evidence touching the matter
under investigation or in question. If the person or certificate holder fails to
obey the order of the court, the district court may hold the person or
certificate holder in contempt of court.
(c) The director may appoint an administrative law judge pursuant
to part 10 of article 30 of title 24, C.R.S., to conduct hearings, take
evidence, and make and report findings to the director.
(4) (a) The director, the director's staff, any person acting as a
witness or consultant to the director, any witness testifying in a proceeding
authorized under this article, and any person who lodges a complaint
pursuant to this article is immune from liability in any civil action brought
against him or her for acts occurring while acting in his or her capacity as
director, staff, consultant, witness, or complainant, respectively, if the
individual was acting in good faith within the scope of his or her respective
PAGE 1378-HOUSE BILL 19-1172
capacity, made a reasonable effort to obtain the facts of the matter as to
which he or she acted, and acted in the reasonable belief that his or her
action was warranted by the facts.
(b) A person participating in good faith in making a complaint or
report or in an investigative or administrative proceeding pursuant to this
section is immune from any civil or criminal liability that otherwise might
result by reason of the participation.
(5) (4) A final action of the director is subject to judicial review by
the court of appeals pursuant to section 24-4-106 (11), C.R.S. 12-20-408.
The director may institute a judicial proceeding in accordance with section
24-4-106 C.R.S., to enforce an order of the director.
(6) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
director shall not resolve the complaint by a deferred settlement, action,
judgment, or prosecution.
(7) (5) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the director and, in the
opinion of the director, the complaint should be dismissed, but the director
has noticed indications of possible errant conduct by the certificate holder
that could lead to serious consequences if not corrected, The director may
send a confidential letter of concern to the A certificate holder UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(8) (a) (6) When a complaint or investigation discloses an instance
of misconduct that, in the opinion of the director, does not warrant formal
action but should not be dismissed as being without merit, The director may
send a letter of admonition to the certificate holder UNDER THE
CIRCUMSTANCES SPECIFIED IN AND IN ACCORDANCE WITH SECTION
12-20-404 (4).
(b) When the director sends a letter of admonition to a certificate
holder, the director shall notify the certificate holder of his or her right to
request in writing, within twenty days after receipt of the letter, that the
director initiate formal disciplinary proceedings to adjudicate the propriety
of the conduct described in the letter of admonition.
PAGE 1379-HOUSE BILL 19-1172
(c) If the certificate holder timely requests adjudication, the director
shall vacate the letter of admonition and shall process the matter by means
of formal disciplinary proceedings.
(9) (7) The director may include in a disciplinary order that allows
the certificate holder to continue to practice on probation any conditions the
director deems appropriate to assure that the certificate holder is physically,
mentally, morally, and otherwise qualified to practice speech-language
pathology in accordance with generally accepted professional standards of
practice. If the certificate holder fails to comply with any conditions
imposed by the director pursuant to this subsection (9) (7), and the failure
to comply is not due to conditions beyond the certificate holder's control,
the director may order suspension of the certificate holder's certification to
practice speech-language pathology in this state until the certificate holder
complies with the conditions.
(10) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a certificate holder
is acting in a manner that is an imminent threat to the health and safety of
the public, or a person is acting or has acted without the required
certification, the director may issue an order to cease and desist the activity.
The order must set forth the statutes and rules alleged to have been violated,
the facts alleged to constitute the violation, and the requirement that all
unlawful acts or uncertified practices immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (10), the respondent may
request a hearing on the question of whether acts or practices in violation
of this article have occurred. The director shall conduct the hearing pursuant
to sections 24-4-104 and 24-4-105, C.R.S.
(11) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a person has violated
any other provision of this article, in addition to any specific powers granted
pursuant to this article, the director may issue to the person an order to show
cause as to why the director should not issue a final order directing the
person to cease and desist from the unlawful act or uncertified practice.
(b) The director shall promptly notify a person against whom he or
she issues an order to show cause pursuant to paragraph (a) of this
PAGE 1380-HOUSE BILL 19-1172
subsection (11) and shall include in the notice a copy of the order, a
statement of the factual and legal basis for the order, and the date set by the
director for a hearing on the order. The director may serve the notice on the
person against whom the order has been issued by personal service, by
first-class, postage prepaid United States mail, or in another manner as may
be practicable. Personal service or mailing of an order or document
pursuant to this paragraph (b) constitutes notice of the order to the person.
(c) (I) The director shall conduct the hearing on an order to show
cause no sooner than ten and no later than forty-five calendar days after the
date the director transmits or serves the notification as provided in
paragraph (b) of this subsection (11). The director may continue the hearing
by agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the director conduct the hearing later than sixty calendar days
after the date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (11) does not appear at
the hearing, the director may present evidence that notification was properly
sent or served on the person pursuant to paragraph (b) of this subsection
(11) and any other evidence related to the matter that the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order becomes final as to that person by operation of
law. The director shall conduct the hearing pursuant to sections 24-4-104
and 24-4-105, C.R.S.
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required certification, or has or is about to engage in acts or practices
constituting a violation of this article, the director may issue a final
cease-and-desist order directing the person to cease and desist from further
unlawful acts or uncertified practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (11), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order is issued. The
final order issued pursuant to subparagraph (III) of this paragraph (c) is
PAGE 1381-HOUSE BILL 19-1172
effective when issued and is a final order for purposes of judicial review.
(12) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged or is about to engage in
an uncertified act or practice; an act or practice constituting a violation of
this article, a rule promulgated pursuant to this article, or an order issued
pursuant to this article; or an act or practice constituting grounds for
administrative sanction pursuant to this article, the director may enter into
a stipulation with the person.
(13) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested the attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(14) A person aggrieved by the final cease-and-desist order may
seek judicial review of the director's determination or of the director's final
order as provided in subsection (5) of this section.
(15) Any person whose certification is revoked or who surrenders
his or her certification to avoid discipline is ineligible to apply for
certification under this article for at least two years after the date of
revocation of the certification. The director shall treat a subsequent
application for certification from a person whose certification was revoked
as an application for a new certification under this article.
(8) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
12-305-114. [Formerly 12-43.7-112] Unauthorized practice -
penalties. A person who practices or offers or attempts to practice
speech-language pathology without an active certification issued under this
article commits a class 2 misdemeanor and shall be punished as provided
in section 18-1.3-501, C.R.S., for the first offense. For the second or any
subsequent offense, the person commits a class 1 misdemeanor and shall be
punished as provided in section 18-1.3-501, C.R.S. 305 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(b).
PAGE 1382-HOUSE BILL 19-1172
12-305-115. [Formerly 12-43.7-113] Rule-making authority. The
director shall promulgate rules as necessary for the administration of this
article PURSUANT TO SECTION 12-20-204.
12-305-116. [Formerly 12-43.7-114] Mental and physical
examination of certificate holders. (1) If the director has reasonable cause
to believe that a certificate holder is unable to practice with reasonable skill
and safety, the director may order the certificate holder to take a mental or
physical examination administered by a physician or other licensed health
care professional designated by the director. Except where due to
circumstances beyond the certificate holder's control, if the certificate
holder fails or refuses to undergo a mental or physical examination, the
director may suspend the certificate holder's certification until the director
has made a determination of the certificate holder's fitness to practice. The
director shall proceed with an order for examination and shall make his or
her THE determination in a timely manner.
(2) The director shall include in an order requiring a certificate
holder to undergo a mental or physical examination the basis of the
director's reasonable cause to believe that the certificate holder is unable to
practice with reasonable skill and safety. For purposes of a disciplinary
proceeding authorized under this article 305, the certificate holder is
deemed to have waived all objections to the admissibility of the examining
physician's or licensed health care professional's testimony or examination
reports on the grounds that they are privileged communication.
(3) The certificate holder may submit to the director testimony or
examination reports from a physician chosen by the certificate holder and
pertaining to any condition that the director has alleged may preclude the
certificate holder from practicing with reasonable skill and safety. The
director may consider the testimony and reports submitted by the certificate
holder in conjunction with, but not in lieu of, the testimony and examination
reports of the physician designated by the director.
(4) The results of a mental or physical examination ordered by the
director shall not be used as evidence in any proceeding other than one
before the director, are not a public record, and are not available to the
public.
12-305-117. [Formerly 12-43.7-115] Confidential agreement to
PAGE 1383-HOUSE BILL 19-1172
limit practice. (1) If a speech-language pathologist suffers from a physical
illness; a physical condition; or a behavioral or mental health disorder that
renders him or her unable to practice speech-language pathology or practice
as a speech-language pathologist with reasonable skill and patient safety,
the speech-language pathologist shall notify the director of the physical
illness; the physical condition; or the behavioral or mental health disorder
in a manner and within a period of time determined by the director. The
director may require the speech-language pathologist to submit to an
examination to evaluate the extent of the physical illness; the physical
condition; or the behavioral or mental health disorder and its impact on the
speech-language pathologist's ability to practice with reasonable skill and
safety to patients.
(2) (a) Upon determining that a speech-language pathologist with a
physical illness; a physical condition; or a behavioral or mental health
disorder is able to render limited speech-language pathology services with
reasonable skill and patient safety, the director may enter into a confidential
agreement with the speech-language pathologist in which the
speech-language pathologist agrees to limit his or her practice based on the
restrictions imposed by the physical illness; the physical condition; or the
behavioral or mental health disorder, as determined by the director.
(b) The agreement must specify that the speech-language pathologist
is subject to periodic reevaluations or monitoring as determined appropriate
by the director.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or of monitoring.
(d) By entering into an agreement with the director pursuant to this
section to limit his or her practice, the speech-language pathologist is not
engaging in activities that constitute grounds for discipline pursuant to
section 12-43.7-110. The agreement is an administrative action and does not
constitute a restriction or discipline by the director. However, if the
speech-language pathologist fails to comply with the terms of an agreement
entered into pursuant to this section, the failure constitutes grounds for
disciplinary action under section 12-43.7-110 (2)(d), and the
speech-language pathologist is subject to discipline in accordance with
section 12-43.7-111.
PAGE 1384-HOUSE BILL 19-1172
(1) EXCEPT AS PROVIDED IN SUBSECTION (2) OF THIS SECTION,
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO LIMIT
PRACTICE APPLIES TO THIS ARTICLE 305.
(3) (2) This section does AND SECTION 12-30-108 DO not apply to a
licensee subject to discipline under section 12-43.7-110 (2)(c) 12-305-112
(2)(c).
12-305-118. [Formerly 12-43.7-116] Protection of medical
records - certificate holder's obligations - verification of compliance -
noncompliance grounds for discipline - rules. (1) Each speech-language
pathologist responsible for patient records shall develop a written plan to
ensure the security of patient medical records. The plan must address at
least the following:
(a) The storage and proper disposal of patient medical records;
(b) The disposition of patient medical records in the event the
certificate holder dies, retires, or otherwise ceases to practice or provide
speech-language pathology services to patients; and
(c) The method by which patients may access or obtain their medical
records promptly if any of the events described in paragraph (b) of this
subsection (1) SUBSECTION (1)(b) OF THIS SECTION occur.
(2) Upon initial certification under this article 305 and upon renewal
of a certification, the applicant or certificate holder shall attest to the
director that he or she has developed a plan in compliance with this section.
(3) A certificate holder shall inform each patient in writing of the
method by which the patient may access or obtain his or her medical records
if an event described in paragraph (b) of subsection (1) SUBSECTION (1)(b)
of this section occurs.
(4) A speech-language pathologist who fails to comply with this
section is subject to discipline in accordance with section 12-43.7-111
12-305-113.
(5) The director may adopt rules reasonably necessary to implement
this section.
PAGE 1385-HOUSE BILL 19-1172
12-305-119. [Formerly 12-43.7-118] Repeal of article - review of
functions. This article 43.7 305 is repealed, effective September 1, 2022.
Before its THE repeal, the director's powers, duties, and functions under this
article 43.7 305 are scheduled for review in accordance with section
24-34-104.
ARTICLE 310
Surgical Assistants and Surgical Technologists
12-310-101. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 310.
12-310-102. [Formerly 12-43.2-101] Definitions. As used in this
article 310, unless the context otherwise requires:
(1) "Database" means the database required by section 12-43.2-102
12-310-103.
(2) "Director" means the director of the division of professions and
occupations in the department of regulatory agencies or the director's
designee.
(3) (2) "Employer" means a health care institution as defined in
section 13-64-202, C.R.S., a health care professional as defined in section
13-64-202, C.R.S., or an entity who either employs a registrant or who
provides a registrant to a health care institution or health care professional
on a contractual basis.
(4) (3) "Register" means to record the information required by
section 12-43.2-102 (3)(b) in the database in a form and manner as
determined by the director. HAS THE MEANING ESTABLISHED IN SECTION
12-20-102 (11); EXCEPT THAT to be registered does not mean that the
registrant:
(a) Has any particular qualifications or professional competency; or
(b) Must be certified as a surgical assistant or surgical technologist.
(5) "Registrant" means a person required to be registered pursuant
PAGE 1386-HOUSE BILL 19-1172
to this article.
(6) (4) "Surgical assistant" means a person who performs certain
duties, including:
(a) Positioning the patient;
(b) Providing visualization of the operative site;
(c) Utilizing appropriate techniques to assist with hemostasis;
(d) Participating in volume replacement or autotransfusion
techniques as appropriate;
(e) Utilizing appropriate techniques to assist with closure of body
planes;
(f) Selecting and applying appropriate wound dressings;
(g) Providing assistance in securing drainage systems to tissue; and
(h) The duties specified in subsection (7) (5) of this section.
(7) (5) "Surgical technologist" means a person who performs certain
duties, including:
(a) Preparation of the operating or procedure room and the sterile
field for surgical procedures by sterilizing supplies, instruments, and
equipment;
(b) Preparation of the operating or procedure room for surgical
procedures by ensuring that surgical equipment is functioning properly and
safely; and
(c) Passing instruments, equipment, or supplies to a surgeon;
sponging or suctioning an operative site; preparing and cutting suture
material; holding retractors; transferring but not administering fluids or
drugs; assisting in counting sponges, needles, supplies, and instruments; and
performing other similar duties as directed during a surgical procedure.
PAGE 1387-HOUSE BILL 19-1172
12-310-103. [Formerly 12-43.2-102] Registration - penalty -
renewal - database - fees - rules. (1) On and after April 1, 2011:
(a) A person may not perform the duties of a surgical assistant or
surgical technologist unless the person is registered by the director. Prior to
registration, a person shall submit to a criminal history record check in the
form and manner as described in section 12-43.2-105.5 12-310-107.
(b) A person who performs the duties of a surgical assistant or
surgical technologist without being registered commits a class 2
misdemeanor and shall be punished as provided in section 18-1.3-501,
C.R.S., for the first offense, and for a second or subsequent offense, the
person commits a class 1 misdemeanor and shall be punished as provided
in section 18-1.3-501, C.R.S. UNDER THIS ARTICLE 310 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(b).
(2) (a) Registrations made pursuant to this article 310 are valid for
the period of time established by the director. Each registrant shall renew
his or her registration according to a schedule set by the director. If a
registrant does not renew his or her registration according to the schedule,
the registration expires. A person whose registration has expired shall not
perform the duties of a surgical assistant or surgical technologist until he or
she reinstates the registration SUBJECT TO THE RENEWAL, EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION
12-20-202 (1) AND (2). The director shall not reinstate the registration until
the person submits to a criminal history record check in the form and
manner as described in section 12-43.2-105.5 12-310-107.
(b) The director shall establish a process for renewal of registrations
and reinstatement of expired registrations. A person renewing or reinstating
a registration shall submit an application in the form and manner established
by the director.
(3) (a) The director shall maintain a database of all registrants. The
director shall charge a fee in the same manner as authorized in section
24-34-105, C.R.S., 12-20-105 for registration in the database. The director
shall transmit the fees to the state treasurer, who shall deposit them in the
division of professions and occupations cash fund created in section
24-34-105, C.R.S. The director shall use the fees for the administration of
this article.
PAGE 1388-HOUSE BILL 19-1172
(b) Each registrant shall provide for registration in the database: The
registrant's name; current address; educational and training qualifications;
all current employers; employers within the previous five years; the
jurisdictions other than Colorado in which the registrant is or has been
licensed, certified, or registered, if applicable; whether the registrant is
currently certified by a nationally accredited certifying organization and, if
so, which one; and any civil, criminal, or administrative action relating to
performing the duties of a surgical assistant or surgical technologist of
which the registrant was the subject in this or any other jurisdiction.
Registrants shall update such THEIR information in the database within thirty
days after any change and give the director written notice of any civil,
criminal, or administrative actions. When recording the information
required by this section, each registrant shall indicate whether he or she THE
REGISTRANT has been convicted of or entered a plea of guilty or nolo
contendere to any misdemeanor relating to drugs or alcohol or to any
felony.
(c) Information in the database shall be open to the public.
(4) The director shall promulgate rules necessary and convenient for
the administration of this article PURSUANT TO SECTION 12-20-204.
12-310-104. [Formerly 12-43.2-103] Scope of article - exclusion.
(1) This article 310 does not prevent or restrict the practice, services, or
activities of:
(a) A person licensed, otherwise regulated, or specifically exempted
in this state by any other law from engaging in his or her THE PERSON'S
profession or occupation as defined in the PART OR article under which he
or she THE PERSON is licensed or otherwise regulated or require a person
who is licensed, otherwise regulated, or specifically exempted pursuant to
articles 29 200 to 43.9 315 of this title 12 to register pursuant to this article
310; or
(b) A person pursuing a course of study in an accredited educational
surgical assistant or surgical technologist program if that person is
designated by a title that clearly indicates his or her THE PERSON'S status as
a student and if he or she THE PERSON acts under appropriate instruction and
supervision.
PAGE 1389-HOUSE BILL 19-1172
12-310-105. [Formerly 12-43.2-104] Employers - requirements
- references - legislative declaration - definition. (1) On and after April
1, 2011, an employer of a registrant shall:
(a) Check the database to verify that the person is registered in the
database before the person may perform the duties specified in section
12-43.2-101 (6) or (7) 12-310-102 (4) OR (5); and
(b) Give the director written notice within two weeks after a
disciplinary action or investigation that is based on conduct that constitutes
a violation of this article 310. For purposes of this paragraph (b)
SUBSECTION (1)(b), "disciplinary action" includes termination or resignation
of the registrant while under investigation or in lieu of investigation or
disciplinary action. The director shall establish a notification form on the
department's website.
(2) (a) The general assembly hereby finds, determines, and declares
that sections 8-2-110 and 8-2-111, C.R.S., which prohibit the maintenance
or use of blacklists, were enacted to protect employees from retribution and
harassment in the pursuit of their lawful activities. The general assembly
further finds, determines, and declares that these prohibitions against
blacklisting have in some instances been abused and have been used as a
shield by persons responsible for drug violations or patient endangerment.
(b) In response to a request by an employer, it shall not be unlawful
nor a violation of the prohibitions against blacklisting specified in section
8-2-110 or 8-2-111 C.R.S., for an employer, when acting in good faith, to
disclose information known about any involvement in drug diversion, drug
tampering, patient abuse, violation of drug or alcohol policies, or crimes of
violence, as listed in section 18-1.3-406 (2)(a), C.R.S., committed by a
registrant who is an employee or former employee of the responding
employer.
(c) The provision of employment information pursuant to paragraph
(b) of this subsection (2) SUBSECTION (2)(b) OF THIS SECTION does not
constitute a violation of the prohibition against blacklisting as provided in
sections 8-2-110 and 8-2-111, C.R.S., nor does it constitute an unfair labor
practice in violation of any provision of article 3 of title 8. C.R.S.
(d) (I) An employer who provides information pursuant to this
PAGE 1390-HOUSE BILL 19-1172
subsection (2) to a prospective employer of the registrant upon request of
the prospective employer or the registrant is immune from civil liability and
is not liable in civil damages for the disclosure or any consequences of the
disclosure; except that this immunity does not apply when the registrant
shows by a preponderance of the evidence both of the following:
(A) The information disclosed by the current or former employer
was false; and
(B) The employer providing the information knew or reasonably
should have known that the information was false.
(II) This subsection (2) applies to any employee, agent, or other
representative of the current or former employer who is authorized to
provide and who provides information in accordance with this subsection
(2).
(e) An employer or any officer, director, or employee thereof who
discloses information under this subsection (2) shall be presumed to be
acting in good faith unless it is shown by a preponderance of the evidence
that the employer, officer, director, or employee intentionally or recklessly
disclosed false information about the employee or former employee.
(f) Nothing in this subsection (2) shall be construed to abrogate or
contradict the provisions of part 1 of article 2 of title 8. C.R.S.
(3) An employer who requires a registrant applying for employment
to submit to a drug test shall forward to the director any confirmed positive
drug test results for a controlled substance that is not subject to a valid
prescription.
12-310-106. [Formerly 12-43.2-105] Grounds for discipline -
disciplinary proceedings - judicial review. (1) The director may take
disciplinary action against a registrant if the director finds that the registrant
has represented himself or herself as a registered surgical assistant or
technologist after the expiration, suspension, or revocation of his or her
registration.
(2) The director may revoke, suspend, deny, or refuse to renew a
registration TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN
PAGE 1391-HOUSE BILL 19-1172
SECTION 12-20-404 AGAINST, or issue a cease-and-desist order IN
ACCORDANCE WITH SECTION 12-20-405 to, a registrant in accordance with
this section AND SECTION 12-20-403, upon proof that the registrant:
(a) Has performed the duties of a surgical assistant or surgical
technologist without being registered;
(b) Has falsified information in an application or the database or has
attempted to obtain or has obtained a registration by fraud, deception, or
misrepresentation;
(c) Has an alcohol use disorder, as defined in section 27-81-102, or
a substance use disorder, as defined in section 27-82-102; is an excessive
or habitual user or abuser of alcohol or habit-forming drugs; or is a habitual
user of a controlled substance, as defined in section 18-18-102 (5), or other
drugs having similar effects;
(d) Has a physical condition or disability, a behavioral, mental
health, or substance use disorder, or an intellectual and developmental
disability that renders the registrant unable to perform his or her tasks with
reasonable skill and safety or that may endanger the health or safety of
individuals receiving services;
(e) Has violated this article or aided or abetted or knowingly
permitted any person to violate this article 310, AN APPLICABLE PROVISION
OF ARTICLE 20 OR 30 OF THIS TITLE 12, a rule adopted under this article 310,
or any lawful order of the director;
(f) Had a registration, license, or certification suspended, revoked,
or denied by another jurisdiction for actions that are a violation of this
article 310;
(g) Has been convicted of or pled guilty or nolo contendere to a
misdemeanor related to drugs or alcohol or a felony. A certified copy of the
judgment of a court of competent jurisdiction of the conviction or plea shall
be conclusive evidence of the conviction or plea. In considering the
disciplinary action, the director shall be governed by section 24-5-101,
C.R.S. SECTIONS 12-20-202 (5) AND 24-5-101.
(h) Has fraudulently obtained, furnished, or sold any surgical
PAGE 1392-HOUSE BILL 19-1172
assistant or surgical technologist diploma, certificate, registration, renewal
of registration, or record or aided or abetted such THE act;
(i) Has failed to notify the director of the suspension, revocation, or
denial of the person's past or currently held license, certificate, or
registration required to perform the duties of a surgical assistant or surgical
technologist in this or any other jurisdiction;
(j) Has refused to submit to a physical or mental examination when
ordered by the director pursuant to section 12-43.2-106 12-310-108; or
(k) Has otherwise violated any provision of this article 310 or lawful
order or rule of the director.
(3) (a) Except as otherwise provided in subsection (2) of this
section, the director need not find that the actions that are grounds for
discipline were willful but may consider whether such THE actions were
willful when determining the nature of disciplinary sanctions to be imposed.
(b) Upon the failure of a registrant to comply with any conditions
imposed by the director pursuant to subsection (2) of this section, unless
compliance is beyond the control of the registrant, the director may suspend
the registration of the registrant until the registrant complies with the
conditions of the director.
(4) (a) The director may commence a proceeding to discipline a
registrant when the director has reasonable grounds to believe that the
registrant has committed an act enumerated in this section or has violated
a lawful order or rule of the director.
(b) In any proceeding under this section, the director may accept as
evidence of grounds for disciplinary action any disciplinary action taken
against a registrant in another jurisdiction if the violation that prompted the
disciplinary action in the other jurisdiction would be grounds for
disciplinary action under this article 310.
(5) Disciplinary proceedings shall be conducted in accordance with
SECTION 12-20-403 AND article 4 of title 24. C.R.S., and the hearing and
opportunity for review shall be conducted pursuant to that article by the
director or by an administrative law judge, at the director's discretion. The
PAGE 1393-HOUSE BILL 19-1172
director has the authority to exercise all powers and duties conferred by this
article 310 during the disciplinary proceedings.
(6) (a) The director may request the attorney general to seek an
injunction in any court of competent jurisdiction, ACCORDANCE WITH
SECTION 12-20-406 to enjoin a person from committing an act prohibited by
this article When seeking an injunction under this paragraph (a), the
attorney general shall not be required to allege or prove the inadequacy of
any remedy at law or that substantial or irreparable damage is likely to result
from a continued violation of this article 310.
(b) (I) (7) In accordance with article 4 of title 24, C.R.S., and this
article 310, AND SECTION 12-20-403, the director is authorized to
investigate, hold hearings, and gather evidence in all matters related to the
exercise and performance of the powers and duties of the director.
(II) In order to aid the director in any hearing or investigation
instituted pursuant to this section, the director or an administrative law
judge appointed pursuant to paragraph (c) of this subsection (6) is
authorized to administer oaths, take affirmations of witnesses, and issue
subpoenas compelling the attendance of witnesses and the production of all
relevant records, papers, books, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter before the director or an
administrative law judge.
(III) Upon failure of any witness or registrant to comply with a
subpoena or process, the district court of the county in which the
subpoenaed person or registrant resides or conducts business, upon
application by the director with notice to the subpoenaed person or
registrant, may issue to the person or registrant an order requiring that
person or registrant to appear before the director; produce the relevant
papers, books, records, documentary evidence, or materials if so ordered;
or give evidence touching the matter under investigation or in question. If
the person or registrant fails to obey the order of the court, the person or
registrant may be held in contempt of court.
(c) The director may appoint an administrative law judge pursuant
to part 10 of article 30 of title 24, C.R.S., to conduct hearings, take
evidence, make findings, and report such findings to the director.
PAGE 1394-HOUSE BILL 19-1172
(7) (a) (8) The director, the director's staff, any person acting as a
witness or consultant to the director IN ADDITION TO THE PERSONS SPECIFIED
IN SECTION 12-20-402, an employer who notifies the director pursuant to
section 12-43.2-104 (1)(b), and any person who lodges a complaint pursuant
to this article shall be immune from liability in any civil action brought
against him or her for acts occurring while acting in his or her capacity as
director, staff, consultant, employer, or witness, respectively, if such person
was acting in good faith within the scope of his, her, or its respective
capacity, made a reasonable effort to obtain the facts of the matter as to
which he, she, or it acted, and acted in the reasonable belief that the action
taken by him, her, or it was warranted by the facts 12-310-105 (1)(b) IS
GRANTED THE SAME IMMUNITY, AND IS SUBJECT TO THE SAME CONDITIONS
FOR IMMUNITY, AS SPECIFIED IN SECTION 12-20-402.
(b) A person participating in good faith in making a complaint or
report or in an investigative or administrative proceeding pursuant to this
section shall be immune from any civil or criminal liability that otherwise
might result by reason of the participation.
(8) (9) A final action of the director is subject to judicial review by
the court of appeals pursuant to section 24-4-106 (11), C.R.S. 12-20-408.
(9) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the director, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(10) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a registrant is acting
in a manner that is an imminent threat to the health and safety of the public,
or a person is acting or has acted without the required registration, the
director may issue an order to cease and desist such activity. The order shall
set forth the statutes and rules alleged to have been violated, the facts
alleged to have constituted the violation, and the requirement that all
unlawful acts or the performance of unregistered activities immediately
cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (10), the respondent may
request a hearing on the question of whether acts in violation of this article
PAGE 1395-HOUSE BILL 19-1172
have occurred. The hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(11) (a) If it appears to the director, based upon credible evidence
as presented in a written complaint by any person, that a person has violated
any other provision of this article, in addition to any specific powers granted
pursuant to this article, the director may issue to the person an order to show
cause as to why the director should not issue a final order directing the
person to cease and desist from the unlawful act or unregistered activity.
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (11) shall be notified promptly
by the director of the issuance of the order, along with a copy of the order,
the factual and legal basis for the order, and the date set by the director for
a hearing on the order. The notice may be served on the person against
whom the order has been issued by personal service, by first-class, postage
prepaid United States mail, or in another manner as may be practicable.
Personal service or mailing of an order or document pursuant to this
paragraph (b) shall constitute notice of the order to the person.
(c) (I) The hearing on an order to show cause shall be held no sooner
than ten and no later than forty-five calendar days after the date of
transmission or service of the notification by the director as provided in
paragraph (b) of this subsection (11). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing be held later than sixty calendar days after the date
of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (11) does not appear at
the hearing, the director may present evidence that notification was properly
sent or served on the person pursuant to paragraph (b) of this subsection
(11) and such other evidence related to the matter as the director deems
appropriate. The director shall issue the order within ten days after the
director's determination related to reasonable attempts to notify the
respondent, and the order shall become final as to that person by operation
of law. Such hearing shall be conducted pursuant to sections 24-4-104 and
24-4-105, C.R.S.
PAGE 1396-HOUSE BILL 19-1172
(III) If the director reasonably finds that the person against whom
the order to show cause was issued is acting or has acted without the
required registration, or has or is about to engage in acts or practices
constituting violations of this article, a final cease-and-desist order may be
issued, directing the person to cease and desist from further unlawful acts
or unregistered practices.
(IV) The director shall provide notice, in the manner set forth in
paragraph (b) of this subsection (11), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(12) If it appears to the director, based upon credible evidence
presented to the director, that a person has engaged or is about to engage in
an unregistered act or practice; an act or practice constituting a violation of
this article, a rule promulgated pursuant to this article, or an order issued
pursuant to this article; or an act or practice constituting grounds for
administrative sanction pursuant to this article, the director may enter into
a stipulation with the person.
(13) If any person fails to comply with a final cease-and-desist order
or a stipulation, the director may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(14) A person aggrieved by the final cease-and-desist order may
seek judicial review of the director's determination or of the director's final
order as provided in subsection (8) of this section.
(10) THE DIRECTOR MAY ISSUE CEASE-AND-DESIST ORDERS UNDER
THE CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES
SPECIFIED IN SECTION 12-20-405.
(15) (11) The director shall notify the chief medical officer of the
department of public health and environment within thirty days after taking
PAGE 1397-HOUSE BILL 19-1172
action regarding conduct of a registrant that violates either this article 310
or any applicable requirement of title 25 C.R.S., and post a notice of such
THE action on the division's website.
12-310-107. [Formerly 12-43.2-105.5] Criminal history record
check required. Each applicant for registration must have his or her THE
APPLICANT'S fingerprints taken by a local law enforcement agency or any
third party approved by the Colorado bureau of investigation for the
purpose of obtaining a fingerprint-based criminal history record check. If
an approved third party takes the person's APPLICANT'S fingerprints, the
fingerprints may be electronically captured using Colorado bureau of
investigation-approved livescan equipment. Third-party vendors shall not
keep the applicant information for more than thirty days unless requested
to do so by the applicant. The applicant shall submit payment by certified
check or money order for the fingerprints and for the actual costs of the
record check at the time the fingerprints are submitted to the Colorado
bureau of investigation. Upon receipt of fingerprints and receipt of the
payment for costs, the Colorado bureau of investigation shall conduct a state
and national fingerprint-based criminal history record check utilizing
records of the Colorado bureau of investigation and the federal bureau of
investigation and shall forward the results of the criminal history record
check to the director.
12-310-108. [Formerly 12-43.2-106] Mental and physical
examination. (1) If the director has reasonable cause to believe that a
registrant is unable to perform the duties of a surgical assistant or surgical
technologist, as appropriate, with reasonable skill and safety, the director
may order the registrant to undergo a mental or physical examination
administered by a physician or other licensed health care professional
designated by the director. Unless due to circumstances beyond the
registrant's control, if the registrant refuses to undergo a mental or physical
examination, the director may suspend the registrant's registration until the
results of the examination are known and the director has made a
determination of the registrant's fitness to perform the duties of a surgical
assistant or surgical technologist. The director shall proceed with an order
for examination and shall make his or her determination in a timely manner.
(2) An order requiring a registrant to undergo a mental or physical
examination shall contain the basis of the director's reasonable cause to
believe that the registrant is unable to work with reasonable skill and safety.
PAGE 1398-HOUSE BILL 19-1172
For purposes of a disciplinary proceeding authorized under this article 310,
the registrant shall be deemed to have waived all objections to the
admissibility of the examining physician's or other licensed health care
professional's testimony or examination reports on the ground that they are
privileged communications.
(3) The registrant may submit to the director testimony or
examination reports from a physician or other licensed health care
professional chosen by the registrant and pertaining to any condition that the
director has alleged may preclude the registrant from working with
reasonable skill and safety. The testimony and reports submitted by the
registrant may be considered by the director in conjunction with, but not in
lieu of, testimony and examination reports from the physician or other
licensed health care professional designated by the director.
(4) The results of a mental or physical examination ordered by the
director shall not be used as evidence in any proceeding other than one
before the director and shall not be deemed a public record or made
available to the public.
12-310-109. [Formerly 12-43.2-107] Repeal of article. This article
310 is repealed, effective September 1, 2021. Prior to such BEFORE THE
repeal, the registration of surgical assistants and surgical technologists shall
be reviewed as provided in IS SCHEDULED FOR REVIEW IN ACCORDANCE
WITH section 24-34-104. C.R.S.
ARTICLE 315
Veterinarians
12-315-101. [Formerly 12-64-101] Short title. THE SHORT TITLE OF
this article shall be known and may be cited as 315 IS the "Colorado
Veterinary Practice Act".
12-315-102. [Formerly 12-64-102] Legislative declaration. This
article 315 is enacted as an exercise of the police powers of the state to
promote the public health, safety, and welfare by safeguarding the people
of this state against incompetent, dishonest, or unprincipled practitioners of
veterinary medicine. It is hereby declared that the practice of veterinary
medicine is a privilege conferred upon persons possessed of the personal
and professional qualifications specified in this article 315.
PAGE 1399-HOUSE BILL 19-1172
12-315-103. Applicability of common provisions. ARTICLES 1, 20,
AND 30 OF THIS TITLE 12 APPLY, ACCORDING TO THEIR TERMS, TO THIS
ARTICLE 315.
12-315-104. [Formerly 12-64-103] Definitions. As used in this
article 315, unless the context otherwise requires:
(1) "Animal" means any animal other than human, and said THE
term includes fowl, birds, amphibians, fish, and reptiles, wild or domestic,
living or dead.
(2) (Deleted by amendment, L. 91, p. 1467, § 1, effective July 1,
1991.)
(3) (2) "Artificial insemination" means the collection of semen and
the fertilization of, or attempted fertilization of, the ova of the female
animal by placing or implanting, by artificial means, in the genital tract of
the female animal the semen obtained from the male animal which THAT
will subsequently be used, or attempted to be used, to impregnate the
female.
(4) (3) "Board" means the state board of veterinary medicine
CREATED IN SECTION 12-315-106.
(4.3) (4) "Client" means the patient's owner, the owner's agent, or
a person responsible for the patient.
(4.5) (5) "Complainant" means the board or any other person who
initiates a proceeding.
(5) (6) "Direct supervision" means the supervising licensed
veterinarian is readily available on the premises where the patient is being
treated.
(5.1) (7) "Dispense" means to provide a drug or device, other than
by distribution, bearing a label stating the name of the veterinarian, the date
dispensed, directions for use, all cautionary statements, withdrawal time, if
appropriate, the identity of the animal, and the owner's name.
(5.2) (8) "Distribute" or "distribution" means to provide a drug or
PAGE 1400-HOUSE BILL 19-1172
device in the manufacturer's original package to the client-patient.
(6) (9) "Hearing" means any proceeding initiated before the board
in which the legal rights, duties, privileges, or immunities of a specific party
or parties are determined.
(6.5) (10) "Immediate supervision" means the supervising licensed
veterinarian and any person being supervised are in direct contact with the
patient.
(7) "License" means any grant of authority issued by the board to a
person to engage in the practice of veterinary medicine.
(8) (Deleted by amendment, L. 91, p. 1467, § 1, effective July 1,
1991.)
(9) (11) "Licensed veterinarian" means a person licensed pursuant
to this article 315.
(9.5) (12) "Ova transplantation" means a technique by which
fertilized embryos are collected from a donor female and transferred to a
recipient female that serves as a surrogate mother for the remainder of the
pregnancy.
(9.7) (13) "Patient" means an animal that is examined or treated by
a licensed veterinarian and includes herds, flocks, litters, and other groups
of animals.
(10) (14) "Practice of veterinary medicine" means any of the
following:
(a) The diagnosing, treating, correcting, changing, relieving, or
preventing of animal disease, deformity, defect, injury, or other physical or
mental conditions, including the prescription or administration of any drug,
medicine, biologic, apparatus, application, anesthetic, or other therapeutic
or diagnostic substance or technique and the use of any manual or
mechanical procedure for artificial insemination, for ova transplantation, for
testing for pregnancy, or for correcting sterility or infertility or to render
advice or recommendation with regard thereto;
PAGE 1401-HOUSE BILL 19-1172
(b) The representation, directly or indirectly, publicly or privately,
of an ability and willingness to do an act described in paragraph (a) of this
subsection (10) SUBSECTION (14)(a) OF THIS SECTION;
(c) The use of any title, words, abbreviation, or letters in a manner
or under circumstances which THAT induce the belief that a person using
them is qualified to do any act described in paragraph (a) of this subsection
(10) SUBSECTION (14)(a) OF THIS SECTION;
(d) The application of principles of environmental sanitation, food
inspection, environmental pollution control, animal nutrition, zoonotic
disease control, and disaster medicine as applied to an act described in
paragraph (a) of this subsection (10) SUBSECTION (14)(a) OF THIS SECTION.
(11) "Respondent" means any person against whom a proceeding is
initiated.
(12) (15) "Rule" means any regulation, standard, or statement of
policy adopted by the board to implement, interpret, or clarify the law which
THAT it enforces and administers and which THAT governs its duties,
functions, organization, and procedure.
(13) (16) "School of veterinary medicine" means any veterinary
school or department of a legally organized college or university whose
course of study in the art and science of veterinary medicine has been
approved by the board.
(14) (17) "Unprofessional or unethical conduct" includes, but is not
limited to, conduct of a character likely to deceive or defraud the public;
false or misleading advertising; obtaining any fee or compensation by fraud
or misrepresentation; sharing office space with any person illegally
practicing veterinary medicine; employing either indirectly or directly any
unlicensed person to practice veterinary medicine or to render any
veterinary services except as provided in this article 315; or the violation of
any rules adopted by the board which THAT provide a code of professional
ethics to be followed and carried out by persons licensed under this article
315.
(15) (18) "Veterinarian" means a person who has received a doctor's
degree in veterinary medicine, or its equivalent, from a school of veterinary
PAGE 1402-HOUSE BILL 19-1172
medicine.
(15.5) (19) "Veterinarian-client-patient relationship" means that
relationship established when:
(a) The veterinarian has assumed the responsibility for making
medical judgments regarding the health of an animal and the need for
medical treatment, and the owner or other caretaker has agreed to follow the
instruction of the veterinarian;
(b) There is sufficient knowledge of an animal by the veterinarian
to initiate at least a general or preliminary diagnosis of the medical
condition of the animal, which means that the veterinarian has recently seen
and is personally acquainted with the keeping and care of the animal by
virtue of an examination of the animal or by medically appropriate and
timely visits to the premises where the animal is kept; and
(c) The practicing veterinarian is readily available, or has arranged
for emergency coverage, for follow-up evaluation in the event of adverse
reactions or failure of the treatment regimen.
(16) (20) "Veterinary medicine" includes veterinary surgery,
obstetrics, dentistry, and all other branches or specialties of animal
medicine.
(17) (21) "Veterinary premises" or "premises" means a veterinary
office, hospital, clinic, or temporary location in which WHERE veterinary
medicine is being practiced by or under the direction and supervision of a
licensed veterinarian.
(18) (22) "Veterinary student" is a veterinary medical student who
is enrolled in a school of veterinary medicine.
(19) (23) "Veterinary student preceptor" is a veterinary medical
student enrolled in a preceptor program in a school of veterinary medicine.
which has such a program.
(20) (Deleted by amendment, L. 2011, (SB 11-091), ch. 207, p. 891,
§ 11, effective July 1, 2011.)
PAGE 1403-HOUSE BILL 19-1172
12-315-105. [Formerly 12-64-104] License requirements and
exceptions - definitions - rules. (1) No person may practice veterinary
medicine in this state if the person is not a licensed veterinarian. No person
may practice artificial insemination or ova transplantation of cattle or other
animal species in this state except in accordance with section 12-64-105
(9)(c) 12-315-106 (5)(c). This article 315 does not prohibit:
(a) An employee of the federal, state, or local government from
performing his or her THE EMPLOYEE'S official duties;
(b) A person who is a regular student in an approved school of
veterinary medicine from performing duties or actions assigned by his or
her THE STUDENT'S instructors or working under the direct supervision of a
licensed veterinarian;
(c) A person from advising with respect to, or performing acts which
THAT are, accepted livestock management practices;
(d) A veterinarian regularly licensed in another state from consulting
with a licensed veterinarian in this state;
(e) Any merchant or manufacturer from selling, at his or her THE
PERSON'S regular place of business, medicines, feed, appliances, or other
products used in the prevention or treatment of animal diseases;
(f) (I) Except as provided in subparagraph (II) of this paragraph (f)
SUBSECTION (1)(f)(II) OF THIS SECTION and subject to subsection (2) of this
section, the owner of an animal and the owner's employees from caring for
and treating the animal belonging to such THE owner.
(II) Subparagraph (I) of this paragraph (f) SUBSECTION (1)(f)(I) OF
THIS SECTION does not apply in cases where the ownership of the animal
was transferred for purposes of circumventing this article 315 or where the
primary reason for hiring the employee is to circumvent this article 315.
(g) A person from lecturing or giving instructions or demonstrations
at a school of veterinary medicine or in connection with a continuing
education course or seminar for veterinarians;
(h) Any person from selling or applying any pesticide, insecticide,
PAGE 1404-HOUSE BILL 19-1172
or herbicide;
(i) Any person from engaging in bona fide scientific research which
THAT reasonably requires experimentation involving animals or commercial
production of biologics or animal medicines;
(j) Any person from performing duties other than diagnosis,
prescription, surgery, or initiating treatment under the direction and
supervision of a licensed veterinarian who shall be responsible for such THE
person's performance;
(k) A veterinary student or veterinary student preceptor from
performing those acts permitted by this article 315;
(l) Any person otherwise appropriately licensed or approved by the
state from performing the functions described in section 12-64-103 (10)(d)
12-315-104 (14)(d);
(m) (Deleted by amendment, L. 2011, (SB 11-091), ch. 207, p. 883,
§ 4, effective July 1, 2011.)
(n) (Deleted by amendment, L. 91, p. 1468, § 2, effective July 1,
1991.)
(o) (m) Any person from performing massage on an animal in
accordance with section 12-35.5-110 (1)(f) 12-235-110 (1)(f);
(p) (n) The practice of animal chiropractic pursuant to section
12-33-127 12-215-127;
(q) (o) The practice of animal physical therapy pursuant to section
12-41-113 (4) 12-285-116 (4);
(r) (p) Any person from assisting in a surgical procedure under the
immediate supervision of a licensed veterinarian, who is responsible for the
person's performance.
(2) (a) Notwithstanding paragraph (f) of subsection (1) SUBSECTION
(1)(f) of this section and except as permitted by paragraph (j) of subsection
(1) SUBSECTION (1)(j) of this section, a person who is not a licensed
PAGE 1405-HOUSE BILL 19-1172
veterinarian shall not administer, distribute, dispense, or prescribe
prescription drugs. Except as provided in paragraph (b) of this subsection
(2), SUBSECTION (2)(b) OF THIS SECTION, a licensed veterinarian must have
a veterinarian-client-patient relationship with the animal and its owner or
other caretaker in order to administer, distribute, dispense, or prescribe
prescription drugs to or for an animal.
(b) (I) In an emergency situation where a licensed veterinarian who
has a veterinarian-client-patient relationship prescribes a prescription drug
that the licensed veterinarian does not have in stock and is not available at
a local pharmacy, another licensed veterinarian who does not have a
veterinarian-client-patient relationship with the animal and owner or other
caretaker may administer, distribute, or dispense the prescription drug to the
animal based on the examining veterinarian's expertise and
veterinarian-client-patient relationship.
(II) The board shall adopt rules defining what constitutes an
emergency situation under which this paragraph (b) SUBSECTION (2)(b)
would apply, including a requirement that failure to administer, distribute,
or dispense the prescription drug threatens the health and well-being of the
animal and requiring detailed records documenting the emergency
circumstances that include at least the following:
(A) A requirement that the examining veterinarian with the
veterinarian-client-patient relationship document the emergency and the
immediate need for the prescription drug;
(B) A requirement that the examining veterinarian with the
veterinarian-client-patient relationship document his or her THE
VETERINARIAN'S efforts to obtain the prescription drug from a local
pharmacy, including documentation of contact with at least one pharmacy
in the general proximity of the examination location that does not have the
prescription drug immediately available; and
(C) A requirement that the licensed veterinarian who administers,
distributes, or dispenses the prescription drug document the date the
prescription is administered, distributed, or dispensed.
(III) A veterinarian who administers, distributes, dispenses, or
prescribes a prescription drug in accordance with this paragraph (b)
PAGE 1406-HOUSE BILL 19-1172
SUBSECTION (2)(b) is not subject to discipline pursuant to section 12-64-111
(1)(aa) 12-315-112 (1)(y) if the veterinarian satisfies the requirements of
this paragraph (b) SUBSECTION (2)(b) and the rules adopted by the board.
(2.5) (3) If a veterinarian complies with the requirements of section
12-42.5-118.5 12-280-121, the veterinarian may maintain an office stock of
compounded drugs. AS USED IN THIS SUBSECTION (3), "OFFICE STOCK" HAS
THE SAME MEANING AS SET FORTH IN SECTION 12-280-121 (5)(b).
(3) (4) (a) As used in this subsection (3) (4), unless the context
otherwise requires:
(I) "Cat" means a small, domesticated feline animal that is kept as
a pet. "Cat" does not include a nondomesticated wild animal.
(II) "Dog" means any canine animal owned for domestic,
companionship, service, therapeutic, or assistance purposes.
(III) "Emergency medical service provider" means an emergency
medical service provider who is certified or licensed by the department of
public health and environment, created under section 25-1-102. C.R.S.
(IV) "Employer" means an entity or organization that employs or
enlists the services of an emergency medical service provider, regardless of
whether the provider is paid or is a volunteer. The employer may be a
public, private, for-profit, or nonprofit organization or entity; or a special
district.
(IV.5) "Office stock" has the same meaning as set forth in section
12-42.5-118.5 (5)(b).
(V) "Preveterinary emergency care" means the immediate medical
stabilization of a dog or cat by an emergency medical service provider, in
an emergency to which the emergency medical service provider is
responding, through means including oxygen, fluids, medications, or
bandaging, with the intent of enabling the dog or cat to be treated by a
veterinarian. "Preveterinary emergency care" does not include care provided
in response to an emergency call made solely for the purpose of tending to
an injured dog or cat unless a person's life could be in danger attempting to
save the life of a dog or cat.
PAGE 1407-HOUSE BILL 19-1172
(b) Notwithstanding any other provision of law, an emergency
medical service provider may provide preveterinary emergency care to dogs
and cats to the extent the provider has received commensurate training and
is authorized by the employer to provide the care. The provision of
preveterinary emergency care to dogs and cats by emergency medical
service providers in accordance with this paragraph (b) SUBSECTION (4)(b)
is not a violation of this article 315. Requirements governing the
circumstances under which emergency medical service providers may
provide preveterinary emergency care to dogs and cats may be specified in
the employer's policies governing the provision of care.
(c) Notwithstanding any other provision of law, nothing in
paragraph (b) of this subsection (3) SUBSECTION (4)(b) OF THIS SECTION
imposes upon an emergency medical service provider any obligation to
provide care to a dog or cat or to provide care to a dog or cat before a
person.
12-315-106. [Formerly 12-64-105] Board of veterinary medicine
- creation - powers - rules. (1) The governor shall appoint THERE IS
HEREBY CREATED a state board of veterinary medicine consisting of seven
members APPOINTED BY THE GOVERNOR. Each member shall be appointed
for a term of four years. The governor shall appoint members of the board
from qualified persons as described in subsection (2) of this section. The
governor shall appoint members to fill vacancies on the board caused by
death, resignation, or removal for the balance of the unexpired term. No
person shall serve more than two consecutive four-year terms. A person
appointed to serve out the balance of an unexpired term may be reappointed
for an additional consecutive four-year term. Members of the board may
remain on the board until a successor is appointed.
(2) The governor shall appoint five members to the board who are
graduates of a school of veterinary medicine, who are residents of this state,
and who have been licensed to practice veterinary medicine in this state for
the five years preceding the time of the appointment. The governor shall
appoint two members to the board from the public at large who have no
financial or professional association with the veterinary profession.
(3) Repealed.
(4) (Deleted by amendment, L. 91, p. 1469, § 3, effective July 1,
PAGE 1408-HOUSE BILL 19-1172
1991.)
(5) (3) The governor may remove a member of the board for
misconduct, incompetence, or neglect of duty or other sufficient cause.
(6) (4) The board shall meet at least once each quarter during the
year at a time and place fixed by the board. Other meetings may be called
from time to time by the president of the board. Except as otherwise
provided, a majority of the board constitutes a quorum. Meetings shall be
conducted as provided in article 6 of title 24. C.R.S.
(7) (Deleted by amendment, L. 91, p. 1469, § 3, effective July 1,
1991.)
(8) All moneys collected or received by the board, except as
provided in section 12-64-111 (4), shall be transmitted to the state treasurer,
who shall credit the same pursuant to section 24-34-105, C.R.S., and the
general assembly shall make annual appropriations pursuant to said section
for the expenditures of the board incurred in the performance of its duties
under this article, which expenditures shall be made from such
appropriations upon vouchers and warrants drawn pursuant to law.
(9) (5) The board has the power to:
(a) Examine and determine the qualifications and fitness of
applicants for a license to practice veterinary medicine in this state;
(b) PURSUANT TO SECTION 12-20-404, issue, renew, deny, suspend,
or revoke licenses to practice veterinary medicine in the state or otherwise
discipline or fine, or both, licensees consistent with this article 315 and the
rules adopted by the board under this article 315;
(c) Regulate artificial insemination and ova transplantation of cattle
or other animal species by establishing rules and regulations for standards
of practice, including rules relating to methods and procedures for safe
artificial insemination and ova transplantation;
(d) Establish, pursuant to section 24-34-105, C.R.S. 12-20-105, and
publish annually a schedule of fees for licensing and registration of
veterinarians. The board shall base the fee on its anticipated financial
PAGE 1409-HOUSE BILL 19-1172
requirements for the year.
(e) (I) Conduct investigations DISCIPLINARY PROCEEDINGS IN
ACCORDANCE WITH SECTION 12-20-403;
(II) Administer oaths, take affirmations of witnesses, and issue
subpoenas to compel the attendance of witnesses and the production of all
relevant papers, books, records, documentary evidence, and materials in any
hearing, investigation, accusation, or other matter coming before the board.
The board may appoint an administrative law judge pursuant to part 10 of
article 30 of title 24, C.R.S., to take evidence and to make findings and
report them to the board pursuant to paragraph (f) of this subsection (9).
(III) Upon failure of a witness to comply with a subpoena or
process, the district court of the county in which the subpoenaed person or
licensee resides or conducts business, upon application by the board and
with notice to the subpoenaed person or licensee, may issue to the person
or licensee an order requiring that person or licensee to appear before the
board; to produce the relevant papers, books, records, documentary
evidence, or materials if so ordered; or to give evidence touching the matter
under investigation or in question. Failure to obey the order of the court
may be punished by the court as a contempt of court.
(f) Hold hearings on all matters properly brought before the board.
An administrative law judge may conduct all hearings for denying,
suspending, or revoking a license or for any other similar matter properly
brought before the board and assigned by the board to the administrative
law judge, subject to appropriations made to the department of personnel.
An administrative law judge shall be appointed pursuant to part 10 of article
30 of title 24, C.R.S. Disciplinary and punitive actions of the board shall be
made public.
(g) (Deleted by amendment, L. 91, p. 1469, § 3, effective July 1,
1991.)
(h) (Deleted by amendment, L. 2011, (SB 11-091), ch. 207, p. 889,
§ 9, effective July 1, 2011.)
(i) (f) Bring proceedings in the courts for the enforcement of this
article 315 or any regulations RULES made by the board;
PAGE 1410-HOUSE BILL 19-1172
(j) (g) Adopt, amend, or repeal rules necessary for the administration
and enforcement of this article IN ACCORDANCE WITH SECTION 12-20-204.
The board shall adopt rules to establish a uniform system and schedule of
fines that it may impose on licensees for violations of this article 315 or of
rules adopted pursuant to this article 315.
(k) (Deleted by amendment, L. 91, p. 1469, § 3, effective July 1,
1991.)
(l) (h) Issue a cease-and-desist order IN ACCORDANCE WITH SECTION
12-20-405;
(m) (i) Impose fines against corporations in accordance with section
12-64-123 (2) 12-315-122 (2).
(10) (6) The board may, at any time, inspect veterinary premises to
assure that they are clean and sanitary.
(11) (7) The powers of the board are granted to enable the board to
effectively supervise the practice of veterinary medicine and are to be
construed liberally to accomplish this objective.
(12) (Deleted by amendment, L. 91, p. 1469, § 3, effective July 1,
1991.)
(13) (8) The board shall consult with the state physical therapy
board created in section 12-41-103.3 12-285-105 concerning rules that the
board intends to adopt with regard to physical therapy of animals.
12-315-107. [Formerly 12-64-107] Application for license -
qualifications. (1) Any person twenty-one years of age or older desiring
a license to practice veterinary medicine in this state shall apply for the
license in a manner approved by the board.
(2) (Deleted by amendment, L. 91, p. 1470, 5, effective July 1,
1991.)
(3) (2) In the application for licensure, the applicant shall
demonstrate that he or she THE APPLICANT has:
PAGE 1411-HOUSE BILL 19-1172
(a) (I) Graduated from an accredited school of veterinary medicine;
or
(II) Graduated from a nonaccredited school of veterinary medicine
and received a certificate from a national program approved by the board
that assesses educational equivalency of graduates from nonaccredited
schools of veterinary medicine; and
(b) Passed an examination approved by the board by rule.
(c) (Deleted by amendment, L. 2011, (SB 11-091), ch. 207, p. 893,
§ 16, effective July 1, 2011.)
(4) (3) The board may deny a license or may grant a license subject
to terms of probation if the board determines that an applicant for a license:
(a) Does not possess the qualifications required by this article 315;
(b) Has engaged in conduct that constitutes grounds for discipline
pursuant to section 12-64-111 (1) 12-315-112 (1);
(c) Has been disciplined in another state or jurisdiction with respect
to his or her THE APPLICANT'S license to practice veterinary medicine in that
state or jurisdiction; or
(d) Has not actively practiced veterinary medicine for the two-year
period immediately preceding the date of receipt of the application or has
not otherwise maintained continued competence, as determined by the
board.
(5) (4) If the board denies a license to an applicant or grants a
license subject to terms of probation, the applicant may seek review of the
board's decision pursuant to section 24-4-104 (9); C.R.S.; except that, by
accepting a license that is subject to probationary terms, the applicant
waives any remedies available pursuant to section 24-4-104 (9). C.R.S.
12-315-108. [Formerly 12-64-107.5] Academic license. (1) A
veterinarian who is employed at a school of veterinary medicine in this state
and who practices veterinary medicine in the course of his or her THE
VETERINARIAN'S employment responsibilities shall either apply, in a manner
PAGE 1412-HOUSE BILL 19-1172
approved by the board, for an academic license in accordance with this
section or shall otherwise become licensed pursuant to sections 12-64-107
12-315-107 and 12-64-108 12-315-109.
(2) A person who applies for an academic license shall submit proof
to the board that he or she THE PERSON:
(a) Graduated from a school of veterinary medicine located in the
United States or another country; and
(b) Is employed by an accredited school of veterinary medicine in
this state.
(3) An applicant for an academic license shall not be required to
comply with the requirements of sections 12-64-107 12-315-107 and
12-64-108 12-315-109.
(4) An academic license shall authorize the licensee to practice
veterinary medicine only while engaged in the performance of his or her
THE LICENSEE'S official duties as a university employee. An academic
licensee may not use an academic license to practice veterinary medicine
outside of his or her THE LICENSEE'S academic responsibilities.
(5) In addition to the requirements of this section, an applicant for
an academic license shall complete all procedures for academic licensing
established by the board to become licensed.
12-315-109. [Formerly 12-64-108] License by endorsement -
rules. The board may issue a license by endorsement to engage in the
practice of veterinary medicine in this state to an applicant who has a
license in good standing as a veterinarian in another jurisdiction if the
applicant presents proof satisfactory to the board that, at the time of
application for a Colorado license by endorsement, the applicant possesses
credentials and qualifications that are substantially equivalent to the
Colorado requirements for licensure set forth in section 12-64-107
12-315-107. The board may specify, by rule, what constitutes substantially
equivalent credentials and qualifications.
12-315-110. [Formerly 12-64-110] License renewal - waiver -
rules - continuing education.
PAGE 1413-HOUSE BILL 19-1172
(1) (Deleted by amendment, L. 2004, p. 1859, § 118, effective
August 4, 2004.)
(2) (1) All licenses must be renewed or reinstated pursuant to a
schedule established by the director of the division of professions and
occupations within the department of regulatory agencies pursuant to
section 24-34-102 (8), C.R.S. The director of the division of professions
and occupations within the department of regulatory agencies may establish
renewal fees and delinquency fees for renewal and fees for reinstatement
pursuant to section 24-34-105, C.R.S. If a person fails to renew his or her
license pursuant to the schedule established by the director of the division
of professions and occupations, the license expires ISSUED PURSUANT TO
THIS ARTICLE 315 ARE SUBJECT TO THE RENEWAL, EXPIRATION,
REINSTATEMENT, AND DELINQUENCY FEE PROVISIONS SPECIFIED IN SECTION
12-20-202 (1) AND (2). A person whose license expires is subject to the
penalties provided in this article 315 or section 24-34-102 (8), C.R.S.
12-20-202 (1).
(3) (2) The board, by rule, may waive a licensed veterinarian's
renewal fee while he or she THE LICENSEE is on active duty with any branch
of the armed services of the United States. The period during which the
renewal fee is waived cannot exceed the longer of three years or the
duration of a national emergency.
(4) (3) (a) In order to obtain license renewal, each licensee, except
as otherwise provided, must complete a board-approved veterinary
continuing educational program of at least thirty-two hours biennially. The
courses may be taken at any time during the period since the license was last
renewed and before the license is due to be renewed. The licensee shall
provide satisfactory proof of the completion of all delinquent continuing
education requirements. For good cause, the board may prescribe the type
and character of continuing education courses to be taken by any doctor of
veterinary medicine in order to comply with the requirements of this article
315.
(b) The board shall have the authority to excuse licensees, as groups
or individuals, from biennially continuing educational requirements for a
good and sufficient reason.
(c) The board may employ qualified personnel to aid in the
PAGE 1414-HOUSE BILL 19-1172
implementation of this section.
12-315-111. [Formerly 12-64-110.5] Inactive license. (1) Upon
notice to the board, a person licensed to practice veterinary medicine shall
have his or her THE PERSON'S license transferred to inactive status. If a
person whose license is in inactive status wishes to resume the practice of
veterinary medicine, he or she THE PERSON shall apply to the board in a
form and manner approved by the board and shall demonstrate, to the
satisfaction of the board, continued competency to practice veterinary
medicine. The board may approve the application and issue a license or may
deny the application pursuant to section 12-64-107 (4) 12-315-107 (3).
(2) The board may pursue disciplinary proceedings pursuant to
section 12-64-111 12-315-112 against a veterinarian whose license is in
inactive status pursuant to this section for conduct that violates this article
315 that the person engages in while in inactive status.
(3) (Deleted by amendment, L. 2011, (SB 11-091), ch. 207, p. 895,
§ 20, effective July 1, 2011.)
12-315-112. [Formerly 12-64-111] Discipline of licensees.
(1) Upon receipt of a signed complaint by a complainant or upon its own
motion, the board may proceed to a hearing in conformity with section
12-64-112 12-315-113. After a hearing, and by a concurrence of a majority
of members, the board may deny a license to an applicant or revoke or
suspend the license of, place on probation, or otherwise discipline or fine,
TAKE DISCIPLINARY OR OTHER ACTION AS AUTHORIZED IN SECTION
12-20-404 AGAINST AN APPLICANT OR a licensed veterinarian for any of the
following reasons:
(a) Violation of any of the provisions of this article 315, AN
APPLICABLE PROVISION OF ARTICLE 20 OR 30 OF THIS TITLE 12, or any of the
rules of the board;
(a.5) (b) Violation of section 12-42.5-118.5 12-280-121 or any rules
of the STATE BOARD OF pharmacy board promulgated pursuant to that
section;
(b) (c) Fraud, misrepresentation, or deception in attempting to obtain
or in obtaining a license;
PAGE 1415-HOUSE BILL 19-1172
(c) (Deleted by amendment, L. 2011, (SB 11-091), ch. 207, p. 890,
§ 10, effective July 1, 2011.)
(d) Fraud, deception, misrepresentation, or dishonest or illegal
practices in or connected with the practice of veterinary medicine;
(e) Misrepresentation in the inspection of food for human
consumption;
(f) Fraudulent issuance or use of any health certificate, vaccination
certificate, test chart, or blank form used in the practice of veterinary
medicine to prevent the dissemination of animal disease, transportation of
diseased animals, or the sale of inedible products of animal origin for
human consumption;
(g) Fraud or dishonesty in the application or reporting of any test for
disease in animals;
(h) Failure to keep veterinary premises and equipment in a clean and
sanitary condition;
(i) Refusal to permit the board to inspect veterinary premises during
business hours;
(j) Use of advertising or solicitation which THAT is false or
misleading;
(k) Incompetence, negligence, or other malpractice in the practice
of veterinary medicine;
(l) Unprofessional or unethical conduct or engaging in practices in
connection with the practice of veterinary medicine that are in violation of
generally accepted standards of veterinary practice as defined in this article
315 or prescribed by the rules of the board;
(m) Willful making of any false statement as to any material matter
in any oath or affidavit which THAT is required by this article 315;
(n) (Deleted by amendment, L. 91, p. 1474, § 10, effective July 1,
1991.)
PAGE 1416-HOUSE BILL 19-1172
(o) (n) Conviction of a charge of cruelty to animals;
(p) (o) Conviction of a violation of the "Uniform Controlled
Substances Act of 2013", article 18 of title 18, C.R.S., the federal
"Controlled Substances Act", 21 U.S.C. SEC 801 ET SEQ., AS AMENDED, or
the federal "Controlled Substances Import and Export Act", 21 U.S.C. SEC.
951 ET SEQ., AS AMENDED, or any of them;
(q) (p) Conviction of a crime in the courts of this state or of a crime
in any other state, any territory, or any other country for an offense related
to the conduct regulated by this article 315, regardless of whether the
sentence is deferred. For the purposes of this paragraph (q) SUBSECTION
(1)(p), a plea of guilty or a plea of nolo contendere accepted by the court
shall be considered as a conviction.
(r) (q) Conviction upon charges which THAT involve the unlawful
practice of veterinary medicine, and, based upon a record of such THE
conviction, without any other testimony, the board may take temporary
disciplinary action, even though an appeal for review by a higher court may
be pending;
(s) (r) Permitting another to use his or her THE LICENSEE'S license for
the purpose of treating or offering to treat sick, injured, or afflicted animals;
(t) (s) Practicing veterinary medicine under a false or assumed name,
or impersonating another practitioner of a like, similar, or different name;
(u) (t) Maintenance of a professional or business connection with
any other person who continues to violate any of the provisions of this
article 315 or rules of the board after ten days following receipt of the
board's written request for termination of such THE connection;
(v) (u) Habitual or excessive use or abuse of alcohol beverages, a
habit-forming drug, or a controlled substance as defined in section
18-18-102 (5); C.R.S.;
(w) (v) A determination that he or she THE INDIVIDUAL is mentally
incompetent by a court of competent jurisdiction and such THE court has
entered, pursuant to part 3 or part 4 of article 14 of title 15 or section
27-65-109 (4) or 27-65-127, C.R.S., an order specifically finding that the
PAGE 1417-HOUSE BILL 19-1172
mental incompetency is of such a degree that he or she THE INDIVIDUAL is
incapable of continuing to practice veterinary medicine;
(x) (w) Engaging in the practice of veterinary medicine while in
inactive status or while the person's license is expired;
(y) (Deleted by amendment, L. 2011, (SB 11-091), ch. 207, p. 890,
§ 10, effective July 1, 2011.)
(z) (x) Failing to report a known violation of any of the provisions
of this section;
(aa) (y) Administering, dispensing, distributing, or prescribing any
prescription drug other than in the course of a veterinarian-client-patient
relationship, except in accordance with section 12-64-104 (2)(b)
12-315-105 (2)(b);
(bb) (z) An act or omission which THAT fails to meet generally
accepted standards of veterinary practice;
(cc) (aa) Practicing or performing services beyond a licensee's scope
of competence;
(dd) (bb) Engaging in any act prohibited in article 42.5 280 of this
title 12;
(ee) (cc) Failure to respond to a complaint against the licensed
veterinarian;
(ff) (dd) Failure to provide to the board an updated mailing address
and other contact information as required by the board within thirty days
after a change in the information;
(gg) (ee) Failure to properly supervise a veterinary student or
veterinary staff;
(hh) (ff) Failure to provide a written prescription to a wholesaler
within three business days after issuing an oral prescription order, as
required by section 12-42.5-118 (3)(b) 12-280-120 (3)(b);
PAGE 1418-HOUSE BILL 19-1172
(ii) (gg) Failure to comply with terms agreed to under a confidential
agreement entered into under section 12-64-126 SECTIONS 12-30-108 AND
12-315-125.
(1.5) (2) (a) When a complaint or investigation discloses an instance
of misconduct that, in the opinion of the board, does not warrant formal
action by the board but that should not be dismissed as being without merit,
THE BOARD MAY SEND a letter of admonition, may be issued and sent, by
certified mail, to the A licensee UNDER THE CIRCUMSTANCES SPECIFIED IN
AND IN ACCORDANCE WITH SECTION 12-20-404 (4).
(b) When a letter of admonition is sent by the board, by certified
mail, to a licensee, such licensee shall be advised that he or she has the right
to request in writing, within twenty days after receipt of the letter, that
formal disciplinary proceedings be initiated to adjudicate the propriety of
the conduct upon which the letter of admonition is based.
(c) If the request for adjudication is timely made, the letter of
admonition shall be deemed vacated and the matter shall be processed by
means of formal disciplinary proceedings.
(1.7) (3) When a complaint or investigation discloses an instance of
conduct that does not warrant formal action by the board and, in the opinion
of the board, the complaint should be dismissed, but the board has noticed
indications of possible errant conduct by the licensee that could lead to
serious consequences if not corrected, THE BOARD MAY SEND a confidential
letter of concern may be issued and sent to the licensee UNDER THE
CIRCUMSTANCES SPECIFIED IN SECTION 12-20-404 (5).
(2) (4) The record of conviction of a felony in a court of competent
jurisdiction shall be sufficient evidence for such THE disciplinary action to
be taken as may be deemed proper by the board. For the purposes of this
article 315, a conviction shall be deemed to be a conviction which THAT has
been upheld by the highest appellate court having jurisdiction or a
conviction upon which the time for filing an appeal has passed.
(2.5) (5) With respect to denying the issuance of a veterinary license
or to taking disciplinary action against a veterinarian, the board may accept
as prima facie evidence of grounds for such THE action any federal or state
action taken against a veterinarian from another jurisdiction if the violation
PAGE 1419-HOUSE BILL 19-1172
which THAT prompted the disciplinary action in such THE jurisdiction would
constitute grounds for disciplinary action under this section.
(3) Repealed.
(4) (6) In addition to any other penalty that may be imposed pursuant
to this section, any person violating any provision of this article 315 or any
rules promulgated pursuant to this article 315 may be fined not less than one
hundred dollars nor more than one thousand dollars for any such violation.
Any moneys collected pursuant to this subsection (4) shall be transmitted
to the state treasurer, who shall credit the moneys to the general fund.
(5) When a complaint or an investigation discloses an instance of
misconduct that, in the opinion of the board, warrants formal action, the
complaint shall not be resolved by a deferred settlement, action, judgment,
or prosecution.
(6) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person or on the board's own
motion, that a licensed veterinarian is acting in a manner that is an imminent
threat to the health and safety of the public, or a person is acting or has
acted without the required license, the board may issue an order to cease
and desist such activity. The order must set forth the statutes and rules
alleged to have been violated, the facts alleged to have constituted the
violation, and the requirement that all unlawful acts or unlicensed practices
immediately cease.
(b) Within ten days after service of the order to cease and desist
pursuant to paragraph (a) of this subsection (6), the respondent may request
a hearing on the question of whether acts or practices in violation of this
article have occurred. Such hearing shall be conducted pursuant to sections
24-4-104 and 24-4-105, C.R.S.
(7) (a) If it appears to the board, based upon credible evidence as
presented in a written complaint by any person or on the board's own
motion, that a person has violated any other portion of this article, in
addition to any specific powers granted pursuant to this article, the board
may issue to the person an order to show cause why the board should not
issue a final order directing the person to cease and desist from the unlawful
act or unlicensed practice.
PAGE 1420-HOUSE BILL 19-1172
(b) A person against whom an order to show cause has been issued
pursuant to paragraph (a) of this subsection (7) shall be promptly notified
by the board of the issuance of the order, along with a copy of the order, the
factual and legal basis for the order, and the date set by the board for a
hearing on the order. Such notice may be served by personal service, by
first-class United States mail, postage prepaid, or as may be practicable
upon any person against whom such order is issued. Personal service or
mailing of an order or document pursuant to this subsection (7) shall
constitute notice thereof to the person.
(c) (I) The hearing on an order to show cause shall be commenced
no sooner than ten and no later than forty-five calendar days after the date
of transmission or service of the notification by the board as provided in
paragraph (b) of this subsection (7). The hearing may be continued by
agreement of all parties based upon the complexity of the matter, number
of parties to the matter, and legal issues presented in the matter, but in no
event shall the hearing commence later than sixty calendar days after the
date of transmission or service of the notification.
(II) If a person against whom an order to show cause has been
issued pursuant to paragraph (a) of this subsection (7) does not appear at the
hearing, the board may present evidence that notification was properly sent
or served upon such person pursuant to paragraph (b) of this subsection (7)
and such other evidence related to the matter as the board deems
appropriate. The board shall issue the order within ten days after the board's
determination related to reasonable attempts to notify the respondent, and
the order shall become final as to that person by operation of law. Such
hearing shall be conducted pursuant to sections 24-4-104 and 24-4-105,
C.R.S.
(III) If the board reasonably finds that the person against whom the
order to show cause was issued is acting or has acted without the required
license, or has or is about to engage in acts or practices constituting
violations of this article, a final cease-and-desist order may be issued,
directing such person to cease and desist from further unlawful acts or
unlicensed practices.
(IV) The board shall provide notice, in the manner set forth in
paragraph (b) of this subsection (7), of the final cease-and-desist order
within ten calendar days after the hearing conducted pursuant to this
PAGE 1421-HOUSE BILL 19-1172
paragraph (c) to each person against whom the final order has been issued.
The final order issued pursuant to subparagraph (III) of this paragraph (c)
shall be effective when issued and shall be a final order for purposes of
judicial review.
(8) If it appears to the board, based upon credible evidence
presented to the board, that a person has engaged in or is about to engage
in any unlicensed act or practice, any act or practice constituting a violation
of this article, any rule promulgated pursuant to this article, any order issued
pursuant to this article, or any act or practice constituting grounds for
administrative sanction pursuant to this article, the board may enter into a
stipulation with such person.
(9) If any person fails to comply with a final cease-and-desist order
or a stipulation, the board may request the attorney general or the district
attorney for the judicial district in which the alleged violation exists to
bring, and if so requested such attorney shall bring, suit for a temporary
restraining order and for injunctive relief to prevent any further or continued
violation of the final order.
(10) A person aggrieved by the final cease-and-desist order may
seek judicial review of the board's determination or of the board's final
order in a court of competent jurisdiction.
(7) THE BOARD MAY ISSUE CEASE-AND-DESIST ORDERS UNDER THE
CIRCUMSTANCES AND IN ACCORDANCE WITH THE PROCEDURES SPECIFIED IN
SECTION 12-20-405; EXCEPT THAT THE BOARD MAY ALSO ISSUE A
CEASE-AND-DESIST ORDER ON ITS OWN MOTION.
(11) (8) The board may suspend the license of a veterinarian who
fails to comply with an order of the board issued in accordance with this
section. The board may impose the license suspension until the licensee
complies with the board's order.
12-315-113. [Formerly 12-64-112] Hearing procedure - judicial
review.
(1) Repealed.
(2) Hearings shall be conducted in conformity with sections
PAGE 1422-HOUSE BILL 19-1172
24-4-105 and 24-4-106, C.R.S. The court of appeals shall have initial
jurisdiction to SECTION 12-20-403 AND ARTICLE 4 OF TITLE 24. SECTION
12-20-408 GOVERNS JUDICIAL review OF all final agency actions and orders.
pursuant to section 24-4-106 (11), C.R.S.
12-315-114. [Formerly 12-64-114] Unauthorized practice -
penalties. (1) No person who practices veterinary medicine without a
currently valid license may receive any compensation for services so
rendered.
(2) Any person who practices or offers or attempts to practice
veterinary medicine without an active license issued under this article
commits a class 2 misdemeanor and shall be punished as provided in section
18-1.3-501, C.R.S., for the first offense, and for the second or any
subsequent offense, the person commits a class 6 felony and shall be
punished as provided in section 18-1.3-401, C.R.S. 315 IS SUBJECT TO
PENALTIES PURSUANT TO SECTION 12-20-407 (1)(a).
(3) The board or a citizen of this state may bring an action to enjoin
a person from practicing veterinary medicine without a currently valid
license. If the court finds that the person is violating, or is threatening to
violate, this article 315, it may enter an injunction restraining him or her
from such THE unlawful acts.
(4) The successful maintenance of an action based on any one of the
remedies set forth in this section shall in no way prejudice the prosecution
of an action based on any other of the remedies.
12-315-115. [Formerly 12-64-115] Abandonment of animals -
definition. (1) An animal placed in the custody of a licensed veterinarian
for treatment, boarding, or other care that is unclaimed by its owner or his
or her THE OWNER'S agent for more than ten days after written notice, by
certified mail, return receipt requested, is given to the addressee at his or her
THE last-known address is deemed to be abandoned and may be turned over
to the nearest humane society or animal shelter or disposed of in a manner
deemed appropriate by the custodian.
(2) The giving of notice to the owner, or the agent of the owner, of
such THE animal by the licensed veterinarian, as provided in subsection (1)
of this section, shall relieve the licensed veterinarian and any custodian to
PAGE 1423-HOUSE BILL 19-1172
whom such THE animal may be given of any further liability for disposal.
Such THE procedure by the licensed veterinarian shall not constitute
grounds for disciplining procedure under this article 315.
(3) For the purpose of this article 315, the term "abandoned" means
to forsake entirely, or to neglect or refuse to provide or perform the legal
obligations for care and support of an animal by its owner or his or her THE
OWNER'S agent. Abandonment constitutes the relinquishment of all rights
and claims by the owner to the animal.
12-315-116. [Formerly 12-64-116] Veterinary students. (1) All
duties performed by a veterinary student must be under the direct
supervision of a licensed veterinarian. If the student does not conform to the
following requirements, the licensed veterinarian is in violation of this
article 315. A veterinary student may:
(a) Administer drugs only under the direct supervision of a licensed
veterinarian; and
(b) Perform surgery, only if he or she THE STUDENT is competent and
has the necessary training and experience, under the direct supervision of
a licensed veterinarian.
(c) and (d) (Deleted by amendment, L. 2011, (SB 11-091), ch. 207,
p. 897, § 23, effective July 1, 2011.)
(2) It is unlawful for a veterinary student to participate in the
operation of a branch office, clinic, or allied establishment unless the
veterinary student is under the direct supervision of a licensed veterinarian.
12-315-117. [Formerly 12-64-118] Emergency care or treatment.
A licensed veterinarian who in good faith administers emergency care or
treatment, or euthanasia for humane reasons, to an animal, without
compensation, either voluntarily or at the request of a state or local
governmental officer or employee, is not liable for civil damages for
good-faith acts in the administration of such THE care or treatment. This
immunity does not apply in the event of a wanton or reckless disregard of
the rights of the owner of the animal.
12-315-118. [Formerly 12-64-119] Review of board of veterinary
PAGE 1424-HOUSE BILL 19-1172
medicine - repeal of article. This article 315 is repealed, effective
September 1, 2022. Prior to such BEFORE THE repeal, the state board of
veterinary medicine shall be reviewed as provided for in IS SCHEDULED FOR
REVIEW IN ACCORDANCE WITH section 24-34-104. C.R.S.
12-315-119. [Formerly 12-64-120] Veterinary records in custody
of animal care providers - definition - rules. (1) As used in this section,
unless the context otherwise requires, "animal care provider" means any
veterinary practice or veterinary hospital, including the veterinary teaching
hospital at Colorado state university, that provides veterinary care or
treatment to animals.
(2) Animal care providers shall make available the veterinary
records in their custody as follows:
(a) The owner of an animal or the owner's designated representative
shall have reasonable access to such THE animal's records for inspection;
(b) The owner or the owner's designated representative may obtain
a summary of such THE animal's records upon request, following
termination of care or treatment; and
(c) Copies of veterinary records, including digital records, digital
images, diagnostic quality X rays, CT SCANs, MRIs, or other films, shall
be furnished to:
(I) The owner or the owner's designated representative upon
payment of reasonable costs; and
(II) Local law enforcement authorities and the bureau of animal
protection in the department of agriculture in connection with an
investigation of animal cruelty pursuant to section 18-9-202 C.R.S., or
animal fighting pursuant to section 18-9-204. C.R.S.
(3) (a) Records concerning an animal's care are available to the
public unless a veterinary-patient-client privilege exists with respect to such
THE animal, as provided in section 24-72-204 (3)(a)(XIV). C.R.S.
(b) All practicing veterinarians in this state shall maintain accurate
records for every new or existing veterinarian-client-patient relationship. as
PAGE 1425-HOUSE BILL 19-1172
defined in section 12-64-103 (15.5). In the animal patient records, the
licensed veterinarian shall justify and describe the assessment, diagnosis,
and treatment administered or prescribed and all medications and dosages
prescribed in a legible, written, printed, or electronically prepared document
that is unalterable. The licensed veterinarian shall prepare the records in a
manner that allows any subsequent evaluation of the same animal patient
record to yield comprehensive medical, patient, and veterinarian identifying
information. Licensed veterinarians shall maintain animal patient records
for a minimum of three years after the animal patient's last medical
examination.
(c) The board shall promulgate rules including, but not limited to,
RULES SETTING FORTH criteria by which animal patient records may be
adapted in the case of herds, flocks, litters, large volume, or specialty
veterinary practices and THAT identify exceptions to paragraph (a) of this
subsection (3) SUBSECTION (3)(a) OF THIS SECTION, if necessary, for
veterinarians rendering emergency care or treatment.
12-315-120. [Formerly 12-64-121] Reporting requirements -
immunity for reporting - veterinary-patient-client privilege
inapplicable. (1) A licensed veterinarian who, during the course of
attending or treating an animal, has reasonable cause to know or suspect
that the animal has been subjected to cruelty in violation of section
18-9-202, C.R.S., or subjected to animal fighting in violation of section
18-9-204, C.R.S., shall report or cause a report to be made of the animal
cruelty or animal fighting to a local law enforcement agency or the bureau
of animal protection.
(2) A licensed veterinarian shall not knowingly make a false report
of animal cruelty or animal fighting to a local law enforcement agency or
to the bureau of animal protection.
(3) A licensed veterinarian who willfully violates the provisions of
subsection (1) or (2) of this section commits a class 1 petty offense,
punishable as provided in section 18-1.3-503. C.R.S.
(4) A licensed veterinarian who in good faith reports a suspected
incident of animal cruelty or animal fighting to the proper authorities in
accordance with subsection (1) of this section shall be immune from
liability in any civil or criminal action brought against the veterinarian for
PAGE 1426-HOUSE BILL 19-1172
reporting the incident. In any civil or criminal proceeding in which the
liability of a veterinarian for reporting an incident described in subsection
(1) of this section is at issue, the good faith of the veterinarian shall be
presumed.
(5) The veterinary-patient-client privilege described in section
24-72-204 (3)(a)(XIV) C.R.S., may not be asserted for the purpose of
excluding or refusing evidence or testimony in a prosecution for an act of
animal cruelty under section 18-9-202 C.R.S., or for an act of animal
fighting under section 18-9-204. C.R.S.
12-315-121. [Formerly 12-64-122] Corporate structure for the
practice of veterinary medicine - definitions. (1) A licensed veterinarian
shall not practice veterinary medicine in or through a corporation except in
accordance with this section.
(2) One or more persons may form or own shares in a corporation
for the practice of veterinary medicine if the corporation is organized and
operated in accordance with this section. A corporation formed pursuant to
this section may exercise the powers and privileges conferred upon
corporations by the laws of Colorado.
(3) The practice of veterinary medicine by a corporation pursuant to
this section must be performed by or under the supervision of a licensed
veterinarian. Lay directors, officers, and shareholders of the corporation
shall not exercise any authority whatsoever over the independent medical
judgment of licensed veterinarians performing or supervising the practice
of veterinary medicine by or on behalf of the corporation.
(4) The corporation shall not engage in any act or omission that, if
engaged in by a licensed veterinarian employed by the corporation, would
violate section 12-64-111 (1) 12-315-112 (1). A violation of section
12-64-111 (1) 12-315-112 (1) is grounds for the board to discipline a
licensee pursuant to section 12-64-111 12-315-112.
(5) Nothing in this section diminishes or changes the obligation of
each licensed veterinarian employed by the corporation to conduct his or her
the LICENSEE'S practice so as not to violate section 12-64-111 (1)
12-315-112 (1). A licensed veterinarian who, by act or omission, causes the
corporation to act or fail to act in a way that violates section 12-64-111 (1)
PAGE 1427-HOUSE BILL 19-1172
12-315-112 (1) or any provision of this section is personally responsible for
such THE act or omission and is subject to discipline for the act or omission.
(6) Nothing in this section modifies the veterinarian-patient-client
privilege specified in section 24-72-204 (3)(a)(XIV). C.R.S.
(7) As used in this section, unless the context otherwise requires:
(a) "Corporation" means a domestic entity, as defined in section
7-90-102 (13), C.R.S., a foreign entity, as defined in section 7-90-102 (23),
C.R.S., registered to do business in Colorado, or a sole proprietorship.
(b) "Director" and "officer" of a corporation includes a member and
a manager of a limited liability company and a partner in a registered
limited liability partnership.
(c) "Shareholder" includes a member of a limited liability company
and a partner in a registered limited liability partnership.
12-315-122. [Formerly 12-64-123] Veterinary premises - licensed
veterinarian responsible for veterinary medical decisions. (1) At all
times when a patient is present on a veterinary premises, a licensed
veterinarian must be designated as responsible for the veterinary medical
decisions and care provided to the patient.
(2) At all times when a patient is present on a veterinary premises,
a licensed veterinarian must be designated as responsible for the premises.
The board may fine a corporation organized and operated in accordance
with section 12-64-122 12-315-121 that owns or operates a veterinary
premises up to one thousand dollars per day for each day the corporation
fails to have a licensed veterinarian designated as responsible for the
veterinary premises.
12-315-123. [Formerly 12-64-124] Veterinarian peer health
assistance program - fees - administration - rules. (1) (a) On and after
July 1, 2011, As a condition of licensure and renewal in this state, every
veterinarian applying for a new license or to renew his or her THE
VETERINARIAN'S license shall pay to the board, for use by the administering
entity selected by the board pursuant to this subsection (1), an amount not
to exceed forty dollars per year, which maximum amount may be adjusted
PAGE 1428-HOUSE BILL 19-1172
on January 1, 2012, and annually thereafter by the board to reflect changes
in the United States bureau of statistics consumer price index for the
Denver-Boulder consolidated metropolitan statistical area
DENVER-AURORA-LAKEWOOD for all urban consumers or goods, or its
successor index. The board shall forward the fee to the chosen
administering entity for use in supporting designated providers selected by
the board to provide assistance to veterinarians needing help in dealing with
physical, emotional, or psychological conditions that may be detrimental to
their ability to practice veterinary medicine.
(b) The board shall select one or more peer health assistance
programs as designated providers. To be eligible for designation by the
board, a peer health assistance program must:
(I) Provide for the education of veterinarians with respect to the
recognition and prevention of physical, emotional, and psychological
conditions and provide for intervention when necessary or under
circumstances established by the board by rule;
(II) Offer assistance to a veterinarian in identifying physical,
emotional, or psychological conditions;
(III) Evaluate the extent of physical, emotional, or psychological
conditions and refer the veterinarian for appropriate treatment;
(IV) Monitor the status of a veterinarian who has been referred for
treatment;
(V) Provide counseling and support for the veterinarian and for the
family of any veterinarian referred for treatment;
(VI) Agree to receive referrals from the board; and
(VII) Agree to make its services available to all licensed Colorado
veterinarians.
(c) The board may select an entity to administer the veterinarian peer
health assistance program. An administering entity must be a nonprofit
private foundation that is qualified under section 501 (c)(3) of the federal
"Internal Revenue Code of 1986", as amended, and that is dedicated to
PAGE 1429-HOUSE BILL 19-1172
providing support for charitable, benevolent, educational, and scientific
purposes that are related to veterinary medicine, veterinary medical
education, veterinary medical research and science, and other veterinary
medical charitable purposes.
(d) The administering entity shall:
(I) Distribute the moneys MONEY collected by the board, less
expenses, to the designated provider, as directed by the board;
(II) Provide an annual accounting to the board of all amounts
collected, expenses incurred, and amounts disbursed; and
(III) Post a surety performance bond in an amount specified by the
board to secure performance under the requirements of this section. The
administering entity may recover the actual administrative costs incurred in
performing its duties under this section in an amount not to exceed ten
percent of the total amount collected.
(e) The board shall collect the required annual payments payable to
the administering entity for the benefit of the administering entity and shall
transfer all such THE payments to the administering entity. All required
annual payments collected or due to the board for each fiscal year are
custodial funds that are not subject to appropriation by the general
assembly, and the distribution of payments to the administering entity or
expenditure of the payments by the administering entity does not constitute
state fiscal year spending for purposes of section 20 of article X of the state
constitution.
(2) (a) Upon receipt of a signed complaint by a complainant, the
board may require any veterinarian to participate in a peer health assistance
program and to enter into a stipulation with the board pursuant to section
12-64-111 (8) 12-20-405 (3) before participating in the program. The
agreement must contain specific requirements and goals to be met by the
participant, including the conditions under which the program will be
successfully completed or terminated, and a provision that a failure to
comply with the requirements and goals are to be promptly reported to the
board and that such failure will result in disciplinary action by the board.
(b) Notwithstanding sections 12-64-111 12-315-112 and 24-4-104,
PAGE 1430-HOUSE BILL 19-1172
C.R.S., the board may immediately suspend the license of any veterinarian
who is referred to a peer health assistance program by the board and who
fails to attend or to complete the program. If the veterinarian objects to the
suspension, he or she THE VETERINARIAN may submit a written request to
the board for a formal hearing on the suspension within ten days after
receiving notice of the suspension, and the board shall grant the request. In
the hearing, the veterinarian bears the burden of proving that his or her THE
VETERINARIAN'S license should not be suspended.
(c) Any veterinarian who self-refers and is accepted into a peer
health assistance program shall affirm that, to the best of his or her THE
VETERINARIAN'S knowledge, information, and belief, he or she THE
VETERINARIAN knows of no instance in which he or she has violated this
article 315 or the rules of the board, except in those instances affected by
the veterinarian's physical, emotional, or psychological conditions.
(3) Nothing in this section creates any liability on the board or the
state of Colorado for the actions of the board in making grants to peer
health assistance programs, and no civil action may be brought or
maintained against the board or the state for an injury alleged to have been
the result of the activities of any state-funded peer health assistance
program or the result of an act or omission of a veterinarian participating in
or referred by a state-funded peer health assistance program. However, the
state remains liable under the "Colorado Governmental Immunity Act",
article 10 of title 24, C.R.S., if an injury alleged to have been the result of
an act or omission of a veterinarian participating in or referred by a
state-funded peer health assistance program occurred while such THE
veterinarian was performing duties as an employee of the state.
(4) The board may promulgate rules necessary to implement this
section.
12-315-124. [Formerly 12-64-125] Mental health and substance
use disorder evaluations of licensees. (1) (a) (I) If, upon receipt of a
signed complaint by a complainant, the board has reasonable cause to
believe that a licensed veterinarian is unable to practice veterinary medicine
with reasonable skill and safety to patients or clients due to a behavioral,
mental health, or substance use disorder, the board may require in writing
that the licensed veterinarian submit to an examination to evaluate:
PAGE 1431-HOUSE BILL 19-1172
(A) The existence and extent of the behavioral, mental health, or
substance use disorder; and
(B) Any impact the behavioral, mental health, or substance use
disorder has on the licensed veterinarian's ability to practice veterinary
medicine with reasonable skill and safety to patients and clients.
(II) A qualified professional employed by or contracting with a
veterinarian peer health assistance program that the board has selected as
a designated provider under section 12-64-124 12-315-123 shall conduct an
examination required by subparagraph (I) of this paragraph (a) SUBSECTION
(1)(a)(I) OF THIS SECTION.
(b) If a licensed veterinarian fails to submit to an examination
required under paragraph (a) of this subsection (1) SUBSECTION (1)(a) OF
THIS SECTION, the board may suspend the licensed veterinarian's license to
practice veterinary medicine until the licensed veterinarian submits to the
examination; however, if the licensed veterinarian demonstrates to the
satisfaction of the board that his or her THE failure to submit to the
examination is due to circumstances beyond his or her THE LICENSED
VETERINARIAN'S control, the board shall not suspend the licensed
veterinarian's license.
(2) Every person licensed to practice veterinary medicine in this
state is deemed, by practicing or applying for a renewal of the person's
license, to have:
(a) Given his or her consent to submit to an examination that the
board may require under subsection (1) of this section; and
(b) Waived an objection to the admissibility of the examining
professional's testimony or examination reports at a board hearing on
grounds that the testimony or reports are privileged communications.
(3) (a) A person shall not use the results of an examination ordered
under subsection (1) of this section as evidence in any proceeding other than
a proceeding before the board.
(b) Except as provided in paragraph (a) of this subsection (3),
SUBSECTION (3)(a) OF THIS SECTION, any examination results, the fact that
PAGE 1432-HOUSE BILL 19-1172
the examination was administered, and the complaint that prompted the
examination shall be kept confidential. They are not public records and are
not available to the public.
12-315-125. [Formerly 12-64-126] Confidential agreement to
limit practice. (1) (a) If the board determines that a licensed veterinarian
who submitted to an examination under section 12-64-125 is able to render
limited services with reasonable skill and safety to patients and clients, the
board may enter into a confidential agreement with the licensed veterinarian
in which the licensed veterinarian agrees to limit his or her practice based
on the restrictions imposed by the illness, condition, or disorder, as
determined by the board.
(b) As part of the agreement, the licensed veterinarian is subject to
periodic reevaluations or monitoring, as determined appropriate by the
board.
(c) The parties may modify or dissolve the agreement as necessary
based on the results of a reevaluation or monitoring.
(2) By entering into an agreement with the board under this section
to limit his or her practice, a licensed veterinarian is not engaging in
conduct that is grounds for discipline under section 12-64-111. The
agreement does not constitute a restriction or discipline by the board;
however, if the licensed veterinarian fails to comply with the terms of an
agreement entered into under this section, the failure constitutes grounds for
disciplinary action under section 12-64-111 (1)(ii), and the licensed
veterinarian is subject to discipline under section 12-64-111.
(3) This section does not apply to a licensed veterinarian subject to
discipline for habitual or excessive use or abuse of alcohol beverages, a
habit-forming drug, or a controlled substance as defined in section
18-18-102 (5), C.R.S.
SECTION 12-30-108 CONCERNING CONFIDENTIAL AGREEMENTS TO
LIMIT PRACTICE APPLIES TO THIS ARTICLE 315.
12-315-126. [Formerly 12-64-127] Prescription of opioids -
limitations - repeal. (1) (a) A veterinarian shall not prescribe more than a
seven-day supply of an opioid to a patient who has not had an opioid
PAGE 1433-HOUSE BILL 19-1172
prescription in the last twelve months by that veterinarian, and may exercise
discretion to include a second fill for a seven-day supply. The limits on
initial prescribing do not apply if, in the judgment of the veterinarian, the
patient: IS SUBJECT TO THE LIMITATIONS ON PRESCRIBING OPIOIDS SPECIFIED
IN SECTION 12-30-109.
(I) Has chronic pain that typically lasts longer than ninety days or
past the time of normal healing, as determined by the veterinarian, or
following transfer of care from another veterinarian who prescribed an
opioid to the patient;
(II) Has been diagnosed with cancer and is experiencing
cancer-related pain; or
(III) Is experiencing post-surgical pain that, because of the nature
of the procedure, is expected to last more than fourteen days.
(b) Prior to prescribing the second fill of any opioid prescription
pursuant to this section, a veterinarian must comply with the requirements
of section 12-42.5-404 (3.6). Failure to comply with section 12-42.5-404
(3.6) constitutes grounds for discipline under section 12-64-111 only if the
veterinarian repeatedly fails to comply.
(2) A veterinarian licensed pursuant to this article 64 may prescribe
opioids electronically.
(3) A violation of this section does not create a private right of
action or serve as the basis of a cause of action. A violation of this section
does not constitute negligence per se or contributory negligence per se and
does not alone establish a standard of care. Compliance with this section
does not alone establish an absolute defense to any alleged breach of the
standard of care.
(4) (2) This section is repealed, effective September 1, 2021.
SECTION 2. In Colorado Revised Statutes, add with amended
and relocated provisions 24-1-138 as follows:
24-1-138. [Formerly 12-1.5-101] Mandatory donation of services
prohibited. (1) No A regulatory agency or other department, division,
PAGE 1434-HOUSE BILL 19-1172
agency, branch, instrumentality, or political subdivision of state government
shall NOT require:
(a) any A person practicing a regulated profession or occupation to
donate such THE person's professional services without compensation to any
other ANOTHER person as a condition of admission to or continued
licensure, in such OR OTHER AUTHORIZATION TO PRACTICE THE profession
or occupation; nor shall OR
(b) Payment of money in lieu of such uncompensated service. be
required.
(2) This section shall not be construed to prohibit the crediting of
required hours of continuing education in exchange for hours of donated
services by a person in a regulated profession or occupation.
SECTION 3. Repeal of relocated and nonrelocated provisions
in this act. In Colorado Revised Statutes, repeal 24-34-102, 24-34-103,
24-34-104.4, 24-34-105, 24-34-109, 24-34-110, 24-34-110.5, 24-34-112,
and part 7 of article 5 of title 25; except that 25-5-714 is not relocated.
SECTION 4. In Colorado Revised Statutes, 1-13.5-1011, amend
(1)(a) as follows:
1-13.5-1011. Emergency absentee voting - definition. (1) (a) If
an eligible elector is confined in a hospital or at his or her place of residence
on election day because of conditions arising after the closing day for
absentee voters' ballot applications, he or she may request, by a written
statement signed by him or her, that the designated election official send
him or her an emergency absentee voter's ballot. The designated election
official shall deliver the emergency absentee voter's ballot, with the word
"emergency" stamped or written on the stubs of the ballot, at his or her
office, during the regular hours of business, to any authorized representative
of the elector possessing a written statement from the voter's physician,
physician assistant authorized under section 12-36-106 (5), C.R.S.
12-240-107 (6), advanced practice nurse, or nurse practitioner that the voter
will be confined in a hospital or his or her place of residence on election
day. The authorized representative shall acknowledge receipt of the
emergency absentee voter's ballot with his or her signature, name, and
address.
PAGE 1435-HOUSE BILL 19-1172
SECTION 5. In Colorado Revised Statutes, 2-3-1203, amend
(11)(a)(I), (13)(a)(I), and (17)(a)(III) as follows:
2-3-1203. Sunset review of advisory committees - legislative
declaration - definition - repeal. (11) (a) The following statutory
authorizations for the designated advisory committees will repeal on
September 1, 2020:
(I) The nurse-physician advisory task force for Colorado health care
created in section 24-34-109, C.R.S. 12-30-105.
(13) (a) The following statutory authorizations for the designated
advisory committees are scheduled for repeal on September 1, 2022:
(I) The advisory group appointed by the director of the primary care
office pursuant to section 24-34-110.5 (3), C.R.S. 12-30-106 (3);
(17) (a) The following statutory authorizations for the designated
advisory committees will repeal on September 1, 2026:
(III) The veterinary pharmaceutical advisory committee, created in
section 12-42.5-104.5, C.R.S. 12-280-106.
SECTION 6. In Colorado Revised Statutes, 5-9.5-103, amend
(6)(b)(II) as follows:
5-9.5-103. Definitions. As used in this article 9.5, unless the context
otherwise requires:
(6) (b) "Refund anticipation loan facilitator" does not include a
person validly:
(II) Practicing as a certified public accountant licensed under article
2 ARTICLE 100 of title 12; C.R.S.; or
SECTION 7. In Colorado Revised Statutes, 6-1-102, amend (11.5)
and (11.7)(b)(III) as follows:
6-1-102. Definitions. As used in this article 1, unless the context
otherwise requires:
PAGE 1436-HOUSE BILL 19-1172
(11.5) "Time share" means a time share estate, as defined in section
38-33-110 (5), C.R.S., a time share use, as defined in section 12-61-401 (4),
C.R.S. 12-10-501 (4), or any campground or recreational membership
which THAT does not constitute the transfer of an interest in real property.
(11.7) (b) "Time share resale entity" does not include:
(III) Real estate brokers operating within the scope of activities
specified in section 12-61-101 (2), C.R.S., 12-10-201 (6) with respect to a
time share resale transaction as long as the real estate broker does not
collect a fee in advance. To the extent a real estate broker is engaged in
activities outside the scope of activities specified in section 12-61-101 (2),
C.R.S. 12-10-201 (6), collects an advance fee, or has an affiliated business
arrangement with a party to a time share resale transaction, this exemption
does not apply.
SECTION 8. In Colorado Revised Statutes, 6-1-105, amend
(1)(aaa) and (1)(bbb) as follows:
6-1-105. Deceptive trade practices. (1) A person engages in a
deceptive trade practice when, in the course of the person's business,
vocation, or occupation, the person:
(aaa) Violates any provision of section 12-61-904.5, C.R.S.
12-10-710;
(bbb) Violates any provision of section 12-61-905.5, C.R.S.
12-10-713;
SECTION 9. In Colorado Revised Statutes, amend 6-1-114 as
follows:
6-1-114. Criminal penalties. Upon a first conviction, any person
who promotes a pyramid promotional scheme in this state or who violates
article 5.5 ARTICLE 230 of title 12 C.R.S., OR section 6-1-701 or section
6-1-717 is guilty of a class 1 misdemeanor, as defined in section
18-1.3-501, C.R.S., and, upon a second or subsequent conviction for a
violation of article 5.5 ARTICLE 230 of title 12 C.R.S., or section 6-1-701,
is guilty of a class 6 felony, as defined in section 18-1.3-401. C.R.S.
PAGE 1437-HOUSE BILL 19-1172
SECTION 10. In Colorado Revised Statutes, 6-1-501, amend (7)(a)
as follows:
6-1-501. Definitions. As used in this part 5, unless the context
otherwise requires:
(7) "Facilitative device" means a device that has a retail price equal
to or greater than one hundred dollars and that is exclusively designed and
manufactured to assist a person with a disability with such person's specific
disability, through the use of facilitative technology, to be self-sufficient or
to maintain or improve that person's quality of life. "Facilitative device"
does not include wheelchairs as that term is defined in section 6-1-402 (17).
"Facilitative device" does include:
(a) Telephone communication devices for the hearing impaired and
other facilitative listening devices except for hearing aids, as defined in
section 12-29.9-101 (5), C.R.S. 12-210-102 (2), and surgically implanted
hearing devices, as defined in section 12-29.9-101 (8), C.R.S. 12-210-102
(4);
SECTION 11. In Colorado Revised Statutes, 6-1-707, amend
(1)(d)(I) as follows:
6-1-707. Use of title or degree - deceptive trade practice. (1) A
person engages in a deceptive trade practice when, in the course of such
person's business, vocation, or occupation, such person:
(d) (I) Claims either orally or in writing to be a "certified optician"
or "certified opticien", unless such person holds a current certificate of
competence issued by the American Board of Opticianry. Each certificate
shall be prominently displayed or maintained in such person's place of
business and made available for immediate inspection and review by any
consumer or agent of the state of Colorado. No person may associate a
service, product, or business name with the title "certified optician" unless
such person holds the required certificate of competence. This paragraph (d)
SUBSECTION (1)(d) shall not apply to persons authorized under article 36 or
40 ARTICLE 240 OR 275 of title 12 C.R.S., to practice medicine or
optometry.
SECTION 12. In Colorado Revised Statutes, 6-1-724, amend
PAGE 1438-HOUSE BILL 19-1172
(6)(g)(II), (6)(i), (6)(k), (6)(n)(II), (6)(o), (6)(q), and (9)(a) as follows:
6-1-724. Unlicensed alternative health care practitioners -
deceptive trade practices - short title - legislative declaration -
definitions. (6) A complementary and alternative health care practitioner
providing complementary and alternative health care services under this
section who is not licensed, certified, or registered by the state shall not:
(g) Perform enemas or colonic irrigation unless the complementary
and alternative health care practitioner:
(II) Discloses that he or she is not a physician licensed pursuant to
article 36 ARTICLE 240 of title 12; C.R.S.; and
(i) Practice psychotherapy, as defined in section 12-43-201 (9),
C.R.S. 12-245-202 (14);
(k) Provide optometric procedures or interventions that constitute
the practice of optometry, as defined in article 40 ARTICLE 275 of title 12;
C.R.S.;
(n) Treat a child who is two years of age or older but less than eight
years of age unless the complementary and alternative health care
practitioner:
(II) Discloses that he or she is not a physician licensed pursuant to
article 36 ARTICLE 240 of title 12; C.R.S.;
(o) Provide dental procedures or interventions that constitute the
practice of dentistry, as defined in article 35 ARTICLE 220 of title 12; C.R.S.;
(q) Practice or represent that he or she is practicing massage or
massage therapy as defined in article 35.5 ARTICLE 235 of title 12; C.R.S.;
(9) (a) A complementary and alternative health care practitioner who
renders complementary and alternative health care services consistent with
this section is not engaging in the practice of medicine, as defined in article
36 ARTICLE 240 of title 12, C.R.S., and is not violating the "Colorado
Medical Practice Act", article 36 ARTICLE 240 of title 12, C.R.S., as long as
the complementary and alternative health care practitioner does not engage
PAGE 1439-HOUSE BILL 19-1172
in an act prohibited in subsection (6) of this section.
SECTION 13. In Colorado Revised Statutes, 6-1-1103, amend
(4)(b)(VII) as follows:
6-1-1103. Definitions. As used in this part 11, unless the context
otherwise requires:
(4) (b) The term "foreclosure consultant" does not include:
(VII) A person licensed as a real estate broker under article 61
ARTICLE 10 of title 12 C.R.S., while the person engages in any activity for
which the person is licensed; or
SECTION 14. In Colorado Revised Statutes, 6-4-108, amend (3)
as follows:
6-4-108. Exemptions. (3) A professional review committee
constituted and conducting its reviews and activities in accordance with the
provisions of part 1 of article 36.5 PART 2 OF ARTICLE 30 of title 12, C.R.S.,
or the members thereof, shall not be held nor construed to be illegal
combinations or conspiracies in restraint of trade under this article ARTICLE
4.
SECTION 15. In Colorado Revised Statutes, 6-18-303, amend (2)
introductory portion as follows:
6-18-303. Effect on scope of practice - limited exception to
prohibitions on corporate practice of licensed health care providers.
(2) Any provision of article 29.5, 32, or 33 ARTICLE 200, 215, OR 290 of
title 12, C.R.S., or any of the provisions of articles 35, 36, and 38 to 43
ARTICLES 220, 240, 245, 255 TO 285, 295, AND 300 of title 12, C.R.S.,
prohibiting the practice of any licensed or certificated health care profession
as the partner, agent, or employee of or in joint venture with a person who
does not hold a license or certificate to practice such profession within this
state shall not apply to professional practice if a professional is participating
in a provider network organized pursuant to this part 3 and:
SECTION 16. In Colorado Revised Statutes, 6-23-101, amend (2)
as follows:
PAGE 1440-HOUSE BILL 19-1172
6-23-101. Definitions. As used in this section:
(2) "Direct primary health care provider" means an individual or
legal entity that is licensed under article 36 or 38 ARTICLE 240 OR 255 of
title 12 to provide primary care services in this state and who enters into a
direct primary care agreement. "Direct primary health care provider"
includes an individual primary care provider or other legal entity, alone or
with others professionally associated with the individual or other legal
entity.
SECTION 17. In Colorado Revised Statutes, 8-2-111.6, amend (5)
as follows:
8-2-111.6. Health care employers - immunity from civil liability
- requirements - exception to blacklisting prohibition - legislative
declaration. (5) For the purposes of this section, "health care worker"
means any person registered, certified, or licensed pursuant to articles 29.5
to 43.2 of title 12, C.R.S. ARTICLES 200 TO 225, 235 TO 300, AND 310 OF
TITLE 12 or article 3.5 of title 25, C.R.S., or any person who interacts
directly with a patient or assists with the patient care process, who is
currently employed by, or is a prospective employee of, the employer
making the inquiry.
SECTION 18. In Colorado Revised Statutes, 8-2-113, amend (3)(a)
as follows:
8-2-113. Unlawful to intimidate worker - agreement not to
compete. (3) (a) Any covenant not to compete provision of an employment,
partnership, or corporate agreement between physicians that restricts the
right of a physician to practice medicine, as defined in section 12-36-106
12-240-107, upon termination of the agreement, is void; except that all
other provisions of the agreement enforceable at law, including provisions
that require the payment of damages in an amount that is reasonably related
to the injury suffered by reason of termination of the agreement, are
enforceable. Provisions of a covenant not to compete that require the
payment of damages upon termination of the agreement may include
damages related to competition.
SECTION 19. In Colorado Revised Statutes, 8-2-123, amend
(1)(d) and (5) as follows:
PAGE 1441-HOUSE BILL 19-1172
8-2-123. Health care workers - retaliation prohibited -
definitions. (1) As used in this section:
(d) "Health care worker" means any person certified, registered, or
licensed pursuant to article 22, 29.5, 32, 33, 35, 36, or 37, or 38 to 43
ARTICLE 200, 215, 220, 225, 240, 245, OR 255 TO 300 of title 12 C.R.S., or
certified pursuant to section 25-3.5-203. C.R.S.
(5) Nothing in this section shall be construed to preempt existing
laws, regulations, or rules pertaining to patient care, including professional
review proceedings for health professionals or for physicians pursuant to
part 1 of article 36.5 PART 2 OF ARTICLE 30 of title 12, C.R.S., or quality and
safety standards for a health care facility licensed pursuant to section
25-3-101. C.R.S.
SECTION 20. In Colorado Revised Statutes, 8-40-301, amend
(1)(a) as follows:
8-40-301. Scope of term "employee" - definition.
(1) (a) "Employee" excludes any person employed by a passenger tramway
area operator, as defined in section 25-5-702 (1) 12-150-103 (1), or other
employer, while participating in recreational activity, who at such time is
relieved of and is not performing any duties of employment, regardless of
whether such person is utilizing, by discount or otherwise, a pass, ticket,
license, permit, or other device as an emolument of employment.
SECTION 21. In Colorado Revised Statutes, 8-41-401, amend (5)
as follows:
8-41-401. Lessor contractor-out deemed employer - liability -
recovery. (5) The provisions of this section shall not apply to licensed real
estate brokers and licensed real estate sales agents, as regulated in article 61
ARTICLE 10 of title 12, C.R.S., who are excluded from the definition of
employee pursuant to section 8-40-301 (2).
SECTION 22. In Colorado Revised Statutes, 8-42-101, amend
(3.5)(a)(I)(A) and (3.5)(a)(I)(B) as follows:
8-42-101. Employer must furnish medical aid - approval of plan
- fee schedule - contracting for treatment - no recovery from employee
PAGE 1442-HOUSE BILL 19-1172
- medical treatment guidelines - accreditation of physicians and other
medical providers - rules - repeal. (3.5) (a) (I) (A) "Physician" means, for
the purposes of the level I and level II accreditation programs, a physician
licensed under the "Colorado Medical Practice Act". For the purposes of
level I accreditation only and not level II accreditation, "physician" means
a dentist licensed under the "Dental Practice Act", article 35 ARTICLE 220
of title 12; C.R.S.; a podiatrist licensed under article 32 ARTICLE 290 of title
12; C.R.S.; and a chiropractor licensed under article 33 ARTICLE 215 of title
12. C.R.S.
(B) A physician assistant licensed under the "Colorado Medical
Practice Act", article 36 ARTICLE 240 of title 12, C.R.S., may receive level
I accreditation. In order for a level I accredited physician assistant to
perform medical services requiring level I accreditation, a level I accredited
physician must delegate the performance of those medical services to the
level I accredited physician assistant.
SECTION 23. In Colorado Revised Statutes, 8-43-404, amend (7)
as follows:
8-43-404. Examination - refusal - personal responsibility -
physicians to testify and furnish results - injured worker right to select
treating physicians - injured worker right to third-party
communications - definitions - rules. (7) An employer or insurer shall not
be liable for treatment provided pursuant to article 41 ARTICLE 285 of title
12, C.R.S., unless such treatment has been prescribed by an authorized
treating physician.
SECTION 24. In Colorado Revised Statutes, 8-43-603, amend (5)
as follows:
8-43-603. Definitions. As used in this part 6, unless the context
otherwise requires:
(5) "Provider" means a physician licensed under the "Colorado
Medical Practice Act", article 36 ARTICLE 240 of title 12, C.R.S., or a clinic
that provides health care pursuant to articles 40 to 47 of this title TITLE 8.
SECTION 25. In Colorado Revised Statutes, 8-73-107, amend
(1)(c)(I)(E) as follows:
PAGE 1443-HOUSE BILL 19-1172
8-73-107. Eligibility conditions - penalty. (1) Any unemployed
individual shall be eligible to receive benefits with respect to any week only
if the division finds that:
(c) (I) The individual is able to work and is available for all work
deemed suitable pursuant to the provisions of section 8-73-108, and, with
respect thereto:
(E) If an individual left employment because of health-related
reasons, the division may require a written medical statement issued by a
licensed practicing physician or licensed practicing physician assistant
authorized under section 12-36-106 (5), C.R.S., 12-240-107 (6) addressing
any matters related to health.
SECTION 26. In Colorado Revised Statutes, 8-73-108, amend
(4)(b)(I), (4)(b)(II), (4)(b)(III), and (4)(b)(IV)(B) as follows:
8-73-108. Benefit awards - repeal. (4) Full award. An individual
separated from a job must be given a full award of benefits if the division
determines that any of the following reasons and pertinent related
conditions exist. The determination of whether or not the separation from
employment must result in a full award of benefits is the responsibility of
the division. The following reasons must be considered, along with any
other factors that may be pertinent to such determination:
(b) (I) The health of the worker is such that the worker is separated
from his or her employment and must refrain from working for a period of
time that exceeds the greater of the employer's medical leave of absence
policy or the provisions of the federal "Family and Medical Leave Act of
1993", if applicable, or the worker's health is such that the worker must seek
a new occupation, or the health of the worker or the worker's spouse,
partner in a civil union, or dependent child is such that the worker must
leave the vicinity of the worker's employment; except that, if the health of
the worker or the worker's spouse, partner in a civil union, or dependent
child has caused the separation from work, the worker, in order to be
entitled to a full award, must have complied with the following
requirements: Informed the worker's employer in writing, if the employer
has posted or given actual advance notice of this writing requirement, of the
condition of the worker's health or the health of the worker's spouse, partner
in a civil union, or dependent child prior to separation from employment
PAGE 1444-HOUSE BILL 19-1172
and allowed the employer the opportunity to make reasonable
accommodations for the worker's condition; substantiated the cause by a
competent written medical statement issued by a licensed practicing
physician or physician assistant authorized under section 12-36-106 (5),
C.R.S., 12-240-107 (6) prior to the date of separation from employment
when so requested by the employer prior to the date of separation from
employment or within a reasonable period thereafter; submitted himself or
herself or the worker's spouse, partner in a civil union, or dependent child
to an examination by a licensed practicing physician or licensed practicing
physician assistant authorized under section 12-36-106 (5), C.R.S.,
12-240-107 (6) selected and paid by the interested employer when so
requested by the employer prior to the date of separation from employment
or within a reasonable period thereafter; or provided the division, when so
requested, with a written medical statement issued by a licensed practicing
physician or licensed practicing physician assistant authorized under section
12-36-106 (5), C.R.S. 12-240-107 (6). For purposes of providing the
medical statement or submitting to an examination for an employer, "a
reasonable period thereafter" includes the time before adjudication by either
a deputy or referee of the division. An award of benefits pursuant to this
subparagraph (I) SUBSECTION (4)(b)(I) includes benefits to a worker who,
either voluntarily or involuntarily, is separated from employment because
of pregnancy and who otherwise satisfies the requirements of this
subparagraph (I) SUBSECTION (4)(b)(I).
(II) In the event of an injury or sudden illness of the worker which
THAT would preclude verbal or written notification of the employer prior to
such occurrence, the failure of the worker to notify the employer prior to
such occurrence will not in itself constitute a reason for the denial of
benefits if the worker has notified the employer at the earliest practicable
time after such occurrence. Such notice shall be given no later than two
working days following such occurrence unless the worker's physician or
physician assistant authorized under section 12-36-106 (5), C.R.S.,
12-240-107 (6) provides a written statement to the employer within one
week after the employer's request that the worker's condition made giving
such notice impracticable and substantiating the illness or injury.
(III) Any physician or physician assistant authorized under section
12-36-106 (5), C.R.S., 12-240-107 (6) who makes or is present at any
examination required under these provisions shall testify as to the results of
his THE PHYSICIAN'S OR PHYSICIAN ASSISTANT'S examination; except that no
PAGE 1445-HOUSE BILL 19-1172
such physician or physician assistant shall be required to disclose any
confidential communication imparted to him or her for the purpose of
treatment which THAT is not necessary to a proper understanding of the
case.
(IV) The off-the-job or on-the-job use of not medically prescribed
intoxicating beverages or controlled substances, as defined in section
18-18-102 (5), may be reason for a determination for a full award pursuant
to this subsection (4)(b), but only if:
(B) The worker has substantiated the alcohol or substance use
disorder by a competent written medical statement issued by a physician
licensed to practice medicine pursuant to article 36 ARTICLE 240 of title 12,
or by a licensed physician assistant authorized under section 12-36-106 (5)
12-240-107 (6), or has substantiated the successful completion of, or
ongoing participation in, a treatment program as described in subsection
(4)(b)(IV)(C) of this section within four weeks after the claimant's
admission. The substantiation must be in writing to the division and signed
by an authorized representative of the approved treatment program.
SECTION 27. In Colorado Revised Statutes, 9-1.5-102, amend
(3.7) as follows:
9-1.5-102. Definitions. As used in this article 1.5, unless the context
otherwise requires:
(3.7) "Licensed professional engineer" means a professional
engineer as defined in section 12-25-102 12-120-202 (7).
SECTION 28. In Colorado Revised Statutes, 9-5.5-104, amend (2)
introductory portion and (2)(q) as follows:
9-5.5-104. Scope. (2) This article ARTICLE 5.5 does not apply to the
following:
(q) A passenger tramway AS defined in section 25-5-702, C.R.S.
12-150-103 (5);
SECTION 29. In Colorado Revised Statutes, 10-1-121, amend (1)
as follows:
PAGE 1446-HOUSE BILL 19-1172
10-1-121. Reporting of malpractice claims against physical
therapists. (1) Each insurance company licensed to do business in this
state and engaged in the writing of malpractice insurance for physical
therapists licensed under article 41 ARTICLE 285 of title 12 C.R.S., shall
send to the director of the division of professions and occupations, in the
department of regulatory agencies, in the form prescribed by the
commissioner of insurance, information relating to each claim involving
physical therapy malpractice or against any such physical therapist that is
settled or in which judgment is rendered against the insured.
SECTION 30. In Colorado Revised Statutes, amend 10-1-125.5 as
follows:
10-1-125.5. Reporting of malpractice claims against
naturopathic doctors. Each insurance company licensed to do business in
this state and engaged in writing malpractice insurance for naturopathic
doctors registered under article 37.3 ARTICLE 250 of title 12 shall send to the
director of the division of professions and occupations in the department of
regulatory agencies, in the form prescribed by the commissioner,
information relating to each malpractice claim against a registered
naturopathic doctor that is settled or in which judgment is rendered against
the insured naturopathic doctor. The insurance company shall include any
information the director determines necessary to enable the director to
conduct a further investigation and hearing.
SECTION 31. In Colorado Revised Statutes, 10-1-128, amend (1)
as follows:
10-1-128. Fraudulent insurance acts - immunity for furnishing
information relating to suspected insurance fraud - legislative
declaration. (1) For purposes of this title TITLE 10, articles 40 to 47 of title
8, C.R.S., and articles 6, 7, 29.5, 32, 33, 35, 36, 38, 40, 41, 41.5, and 43
ARTICLES 200, 215, 220, 240, 245, 255, 275, 285, 290, AND 300 of title 12,
C.R.S. AND ARTICLE 20 OF TITLE 44, a fraudulent insurance act is committed
if a person knowingly and with intent to defraud presents, causes to be
presented, or prepares with knowledge or belief that it will be presented to
or by an insurer, a purported insurer, or any producer thereof any written
statement as part or in support of an application for the issuance or the
rating of an insurance policy or a claim for payment or other benefit
pursuant to an insurance policy that he or she THE PERSON knows to contain
PAGE 1447-HOUSE BILL 19-1172
false information concerning any fact material thereto or if he or she THE
PERSON knowingly and with intent to defraud or mislead conceals
information concerning any fact material thereto. For purposes of this
section, "written statement" includes a patient medical record as such term
is defined in section 18-4-412 (2)(a) C.R.S., and any bill for medical
services.
SECTION 32. In Colorado Revised Statutes, 10-3-903, amend
(2)(g) as follows:
10-3-903. Definition of transacting insurance business. (2) This
section does not apply to:
(g) The transaction of business by a home warranty service company
pursuant to part 6 of article 61 PART 9 OF ARTICLE 10 of title 12; C.R.S.;
SECTION 33. In Colorado Revised Statutes, 10-3-1104, amend
(1)(q) as follows:
10-3-1104. Unfair methods of competition - unfair or deceptive
acts or practices. (1) The following are defined as unfair methods of
competition and unfair or deceptive acts or practices in the business of
insurance:
(q) Increasing the premiums unilaterally or decreasing the coverage
benefits on renewal of a policy of insurance, increasing the premium on
new policies, or failing to issue an insurance policy to barbers,
cosmetologists, estheticians, nail technicians, barbershops, or beauty salons,
as regulated in article 8 ARTICLE 105 of title 12, C.R.S., regardless of the
type of risk insured against, based solely on the decision of the general
assembly to stop mandatory inspections of the places of business of such
insureds;
SECTION 34. In Colorado Revised Statutes, 10-4-634, amend (1)
as follows:
10-4-634. Assignment of payment for covered benefits. (1) On
and after thirty days after April 5, 2004, A policy of motor vehicle insurance
coverage pursuant to this part 6 shall allow, but not require, an insured
under the policy to assign, in writing, payments due under medical
PAGE 1448-HOUSE BILL 19-1172
payments coverage of the policy to a licensed hospital or other licensed
health care provider, an occupational therapist as defined in section
12-40.5-103, C.R.S. 12-270-104 (5), or a massage therapist as defined in
section 12-35.5-103 (8), C.R.S. 12-235-104 (5), for services provided to the
insured that are covered under the policy.
SECTION 35. In Colorado Revised Statutes, 10-4-635, amend
(5)(d) as follows:
10-4-635. Medical payments coverage - definitions. (5) As used
in this section:
(d) "Licensed health care provider" shall have the same meaning as
set forth in section 10-4-601, and also includes an occupational therapist as
defined in section 12-40.5-103 (8), C.R.S. 12-270-104 (5).
SECTION 36. In Colorado Revised Statutes, amend 10-4-637 as
follows:
10-4-637. No discrimination by profession. Reimbursement for
lawfully performed health care services covered by a policy providing
medical payments coverage under a motor vehicle policy issued pursuant
to this part 6 shall not be denied when such services are a covered benefit
and rendered within the scope of practice for a licensed health care
provider, a massage therapist, as defined in section 12-35.5-103, C.R.S.
12-235-104 (5), or an occupational therapist, as defined in section
12-40.5-103, C.R.S. 12-270-104 (5), performing the services.
SECTION 37. In Colorado Revised Statutes, 10-4-1602, amend
(1)(f) as follows:
10-4-1602. Exemptions. (1) The following items are exempt from
this part 16:
(f) Home warranty service contracts governed by part 6 of article 61
PART 9 OF ARTICLE 10 of title 12; C.R.S.;
SECTION 38. In Colorado Revised Statutes, 10-11-124, amend (2)
as follows:
PAGE 1449-HOUSE BILL 19-1172
10-11-124. Affiliated business arrangements - rules -
investigative information shared with division of real estate. (2) The
commissioner may promulgate rules concerning the creation and conduct
of an affiliated business arrangement, including, but not limited to, rules
defining what constitutes a sham affiliated business arrangement. Nothing
in this subsection (2) shall be construed to increase a fee or create a
licensure program for affiliated business arrangements. The commissioner
shall adopt the rules, policies, or guidelines issued by the United States
department of housing and urban development concerning the federal "Real
Estate Settlement Procedures Act of 1974", as amended, 12 U.S.C. sec.
2601 et seq. Rules adopted by the commissioner shall be at least as stringent
as the federal rules and shall ensure that consumers are adequately informed
about affiliated business arrangements. The commissioner shall consult with
the real estate commission pursuant to section 12-61-113.2 (5), C.R.S.,
12-10-218 (5) concerning rules the real estate commission may promulgate
concerning affiliated business arrangements. Neither the rules promulgated
by the commissioner nor the real estate commission may create a conflicting
regulatory burden on an affiliated business arrangement.
SECTION 39. In Colorado Revised Statutes, 10-15-102, amend the
introductory portion and (8.5) as follows:
10-15-102. Definitions. As used in this article ARTICLE 15, unless
the context otherwise requires:
(8.5) "Funeral goods" has the same meaning as in section
12-54-102, C.R.S. 12-135-103 (17).
SECTION 40. In Colorado Revised Statutes, 10-16-102, amend
(54) as follows:
10-16-102. Definitions. As used in this article 16, unless the context
otherwise requires:
(54) "Prepaid dental care services" means services included in the
practice of dentistry, as defined in article 35 ARTICLE 220 of title 12, C.R.S.,
that are provided to enrollees under a prepaid dental care plan.
SECTION 41. In Colorado Revised Statutes, 10-16-104, amend
(1.4)(a)(VIII), (1.4)(a)(IX), (1.4)(a)(X), (1.4)(a)(XI), and (19)(b)
PAGE 1450-HOUSE BILL 19-1172
introductory portion as follows:
10-16-104. Mandatory coverage provisions - definitions - rules.
(1.4) Autism spectrum disorders. (a) As used in this subsection (1.4),
unless the context otherwise requires:
(VIII) "Pharmacy care" means medications prescribed by a
physician licensed by the Colorado medical board under the "Colorado
Medical Practice Act", article 36 ARTICLE 240 of title 12. C.R.S.
(IX) "Psychiatric care" means direct or consultative services
provided by a psychiatrist licensed by the Colorado medical board under the
"Colorado Medical Practice Act", article 36 ARTICLE 240 of title 12. C.R.S.
(X) "Psychological care" means direct or consultative services
provided by a psychologist licensed by the state board of psychologist
examiners pursuant to part 3 of article 43 ARTICLE 245 of title 12 C.R.S., or
a social worker licensed by the state board of social work examiners
pursuant to part 4 of article 43 ARTICLE 245 of title 12. C.R.S.
(XI) "Therapeutic care" means services provided by a speech
therapist; an occupational therapist or occupational therapy assistant
licensed to practice occupational therapy pursuant to article 40.5 ARTICLE
270 of title 12; C.R.S.; a physical therapist licensed to practice physical
therapy pursuant to article 41 ARTICLE 285 of title 12; C.R.S.; or an autism
services provider. "Therapeutic care" includes, but is not limited to, speech,
occupational, and applied behavior analytic and physical therapies.
(19) Hearing aids for children - legislative declaration. (b) Any
health benefit plan that provides hospital, surgical, or medical expense
insurance, except supplemental policies covering a specified disease or
other limited benefit, must provide coverage for hearing aids for minor
children who have a hearing loss that has been verified by a physician
licensed pursuant to article 36 ARTICLE 240 of title 12 C.R.S., and by an
audiologist licensed pursuant to article 29.9 ARTICLE 210 of title 12. C.R.S.
The hearing aids must be medically appropriate to meet the needs of the
child according to accepted professional standards. Coverage must include
the purchase of the following:
SECTION 42. In Colorado Revised Statutes, 10-16-104.2, amend
PAGE 1451-HOUSE BILL 19-1172
(2)(a) as follows:
10-16-104.2. Coverage for contraception - definitions. (2) As
used in this section:
(a) "Dispensing entity" means a prescription drug outlet, pharmacy,
or other facility registered by the state board of pharmacy under part 1 of
article 42.5 ARTICLE 280 of title 12.
SECTION 43. In Colorado Revised Statutes, 10-16-106.7, amend
(1)(a) as follows:
10-16-106.7. Assignment of health insurance benefits.
(1) (a) Any carrier that provides health coverage to a covered person shall
allow, but not require, such covered person under the policy to assign, in
writing, payments due under the policy to a licensed hospital, other licensed
health care provider, an occupational therapist as defined in section
12-40.5-103, C.R.S. 12-270-104 (5), or a massage therapist as defined in
section 12-35.5-103 (8), C.R.S. 12-235-104 (5), also referred to in this
section as the "provider", for services provided to the covered person that
are covered under the policy.
SECTION 44. In Colorado Revised Statutes, 10-16-113, amend
(1)(c) as follows:
10-16-113. Procedure for denial of benefits - internal review -
rules. (1) (c) If a carrier denies a benefit because the treatment is an
excluded benefit and the claimant presents evidence from a medical
professional licensed pursuant to the "Colorado Medical Practice Act",
article 36 ARTICLE 240 of title 12, C.R.S., or, for dental plans only, a dentist
licensed pursuant to the "Dental Practice Act", article 35 ARTICLE 220 of
title 12, C.R.S., acting within his or her scope of practice, that there is a
reasonable medical basis that the contractual exclusion does not apply to the
denied benefit, such evidence establishes that the benefit denial is subject
to the appeals process pursuant to this section and section 10-16-113.5.
SECTION 45. In Colorado Revised Statutes, 10-16-121.5, amend
(1) introductory portion as follows:
10-16-121.5. Prohibited contract provisions in contracts between
PAGE 1452-HOUSE BILL 19-1172
carriers and providers for dental services - definition. (1) A contract
between a carrier and a dentist licensed to practice under article 35 ARTICLE
220 of title 12 must not require, directly or indirectly, that a dentist who is
a participating provider provide services to a covered person at a fee set by,
or subject to the approval of, the carrier unless:
SECTION 46. In Colorado Revised Statutes, 10-16-121.7, amend
(4)(c) as follows:
10-16-121.7. Prohibited contract provisions in contracts between
carriers and eye care providers - definitions. (4) For purposes of this
section:
(c) "Eye care provider" means:
(I) An optometrist licensed to practice under article 40 ARTICLE 275
of title 12; or
(II) An ophthalmologist licensed to practice under article 36
ARTICLE 240 of title 12.
SECTION 47. In Colorado Revised Statutes, 10-16-122.5, amend
(6) as follows:
10-16-122.5. Pharmacy benefit manager - audit of pharmacies.
(6) As used in this section, "pharmacy" includes any entity authorized
under article 42.5 ARTICLE 280 of title 12 C.R.S., to dispense prescription
drugs.
SECTION 48. In Colorado Revised Statutes, 10-16-122.7, amend
(3)(a) as follows:
10-16-122.7. Disclosures between pharmacists and patients -
carrier prohibitions - short title - legislative declaration - preemption
by federal law. (3) A carrier that has a contract with a pharmacy or
pharmacist, or a pharmacy benefit management firm acting on behalf of a
carrier, shall not:
(a) Prohibit a pharmacy or pharmacist from providing a covered
person information on the amount of the covered person's cost share for the
PAGE 1453-HOUSE BILL 19-1172
covered person's prescription drug and the clinical efficacy of a more
affordable alternative drug that is therapeutically equivalent, as defined in
section 12-42.5-102 (40) 12-280-103 (52), to the prescribed drug if one is
available;
SECTION 49. In Colorado Revised Statutes, 10-16-135, amend (5)
as follows:
10-16-135. Health benefit plan information cards - rules -
standardization - contents. (5) Licensed or certified hospitals and
physicians licensed pursuant to article 36 ARTICLE 240 of title 12 C.R.S.,
shall use the standardized, printed card provided to covered persons and
children's basic health plan enrollees and, once implemented, shall use the
standardized electronic technology for accessing information about the
coverage available under a health benefit plan or the children's basic health
plan for a covered person or enrollee to whom health care services are or
will be provided by the hospital or physician.
SECTION 50. In Colorado Revised Statutes, 10-16-139, amend
(1), (2)(b)(II), (2)(c)(IV), (2)(d)(I), (3)(a) introductory portion, (3)(a)(I),
(3)(b)(IV), (3)(c), and (4)(a) as follows:
10-16-139. Access to care - rules. (1) Access to obstetricians and
gynecologists. A health benefit plan that is delivered, issued, renewed, or
reinstated in this state on or after January 1, 2014, that provides coverage
for reproductive health or gynecological care shall not be delivered, issued,
renewed, or reinstated unless the plan provides a woman covered by the
plan direct access to an obstetrician, a gynecologist, a physician assistant
authorized under section 12-36-106 (5), C.R.S. 12-240-107 (6), or an
advanced practice nurse who is a certified nurse midwife pursuant to section
12-38-111.5, C.R.S. 12-255-111, participating and available under the plan
for her reproductive health care or gynecological care.
(2) Eye care services. (b) A carrier offering a health coverage plan
or managed care plan shall not:
(II) Require an eye care provider to hold hospital privileges as a
condition of participation as a provider under the health coverage plan or
managed care plan, unless an eye care provider is licensed pursuant to
article 36 ARTICLE 240 of title 12; C.R.S.; or
PAGE 1454-HOUSE BILL 19-1172
(c) This subsection (2) does not:
(IV) Increase or decrease the scope of the practice of optometry as
defined in section 12-40-102, C.R.S. 12-275-103;
(d) As used in this subsection (2), unless the context otherwise
requires:
(I) "Eye care provider" means a participating provider who is an
optometrist licensed to practice optometry pursuant to article 40 ARTICLE
275 of title 12 C.R.S., or an ophthalmologist licensed to practice medicine
pursuant to article 36 ARTICLE 240 of title 12. C.R.S.
(3) Treatment of intractable pain. (a) A service or indemnity
contract issued or renewed on or after January 1, 1998, by any entity subject
to part 2, 3, or 4 of this article ARTICLE 16 shall disclose in the contract and
in information on coverage presented to consumers whether the health
coverage plan or managed care plan provides coverage for treatment of
intractable pain. If the contract is silent on coverage of intractable pain, the
contract is presumed to offer coverage for the treatment of intractable pain.
If the contract is silent or if the plan specifically includes coverage for the
treatment of intractable pain, the plan shall provide access to the treatment
for any individual covered by the plan either:
(I) By a primary care physician or physician assistant authorized
under section 12-36-106 (5), C.R.S. 12-240-107 (6), so long as the
physician or physician assistant has demonstrated interest and documented
experience in pain management and has a practice that includes up-to-date
pain treatment;
(b) The commissioner may promulgate rules to implement and
administer this subsection (3) that include the following issues:
(IV) Actions that constitute improper penalties imposed upon a
primary care physician or physician assistant authorized under section
12-36-106 (5), C.R.S., 12-240-107 (6) as a result of referrals made pursuant
to this section; and
(c) For purposes of this subsection (3), "intractable pain" means a
pain state in which the cause of the pain cannot be removed and for which,
PAGE 1455-HOUSE BILL 19-1172
in the generally accepted course of medical practice, relief or cure of the
cause of the pain is impossible or has not been found after reasonable
efforts, including evaluation by the attending physician or physician
assistant authorized under section 12-36-106 (5), C.R.S., 12-240-107 (6)
and one or more physicians specializing in the treatment of the area, system,
or organ of the body perceived as the source of the pain.
(4) Access to pediatric care. (a) If a carrier offering an individual
or small employer health benefit plan requires or provides for the
designation of a participating primary health care professional, the carrier
shall permit the parent or legal guardian of each covered person who is a
child to designate any participating physician or physician assistant
authorized under section 12-36-106 (5), C.R.S., 12-240-107 (6) who
specializes in pediatrics as the child's primary health care professional if the
pediatrician or physician assistant is available to accept the child.
SECTION 51. In Colorado Revised Statutes, amend 10-16-143.5
as follows:
10-16-143.5. Pharmacy reimbursement - substance use disorders
- injections. If a pharmacy has entered into a collaborative pharmacy
practice agreement with one or more physicians pursuant to section
12-42.5-602 12-280-602 to administer injectable antagonist medication for
medication-assisted treatment for substance use disorders, the pharmacy
administering the drug shall receive an enhanced dispensing fee.
SECTION 52. In Colorado Revised Statutes, 10-16-144, amend
(1)(a) as follows:
10-16-144. Health care services provided by pharmacists.
(1) Any health benefit plan, except supplemental policies covering a
specified disease or other limited benefit, that provides hospital, surgical,
or medical expense insurance may provide coverage for health care services
under a specific treatment protocol provided by a pharmacist if:
(a) The pharmacist meets the requirements in part 6 of article 42.5
ARTICLE 280 of title 12; C.R.S.;
SECTION 53. In Colorado Revised Statutes, amend 10-16-146 as
follows:
PAGE 1456-HOUSE BILL 19-1172
10-16-146. Periodic updates to provider directory. Each carrier
shall, at least every thirty days, update its provider directory as posted on the
carrier's website in accordance with the information contained on the
websites maintained by the applicable health care prescriber board, as that
term is defined in section 24-34-112 12-30-104, to remove a provider
whose license has been revoked or suspended by the applicable health care
prescriber board.
SECTION 54. In Colorado Revised Statutes, 10-16-503, amend (1)
introductory portion and (1)(d)(I) as follows:
10-16-503. Application for certificate of authority. (1) An
application for a certificate of authority to operate as a prepaid dental care
plan organization formed under part 1 of this article ARTICLE 16 and this
part 5 shall be filed with the commissioner on a form prescribed by the
commissioner. Such application shall be verified by an officer or authorized
representative of the applicant and shall set forth, or be accompanied by, the
following:
(d) If the prepaid dental care plan organization is a corporation,
evidence that the board of directors of such corporation includes:
(I) Dentists, duly licensed pursuant to article 35 ARTICLE 220 of title
12, C.R.S., who have contracted with the corporation to render dental care
services to enrollees;
SECTION 55. In Colorado Revised Statutes, 10-16-704, amend
(2)(b)(II) introductory portion, (2)(b)(II)(B), and (2)(l) as follows:
10-16-704. Network adequacy - rules - legislative declaration.
(2) (b) (II) Subparagraph (I) of this paragraph (b) SUBSECTION (2)(b)(I) OF
THIS SECTION shall not apply to:
(B) Cases in which the covered person is so severely ill or impaired
that such person is unable to move from place to place without the aide of
a mechanical device; has a physical or mental condition, verified by a
physician licensed to practice medicine in this state or practicing medicine
pursuant to section 12-36-106 (3)(i), C.R.S. 12-240-107 (3)(i), that
substantially limits the person's ability to move from place to place; or
suffers from a physical hardship such that travel would threaten the safety
PAGE 1457-HOUSE BILL 19-1172
or welfare of the covered person as verified by the covered person's
in-network treating physician. Decisions in which a carrier contests the
covered person's ability to travel may be appealed pursuant to section
10-16-113 or 10-16-113.5.
(l) The provisions of paragraph (i) of this subsection (2) SUBSECTION
(2)(i) OF THIS SECTION shall not apply to cases in which the covered person
is so severely ill or impaired that such person is unable to move from place
to place without the aid of a mechanical device; has a physical or mental
condition, verified by a physician licensed to practice medicine in this state
or practicing medicine pursuant to section 12-36-106 (3)(i), C.R.S.
12-240-107 (3)(i), that substantially limits the person's ability to move from
place to place; or suffers from a physical hardship such that travel would
threaten the safety or welfare of the covered person as verified by the
covered person's in-network treating physician. Decisions in which a carrier
contests the covered person's ability to travel may be appealed pursuant to
section 10-16-113 or 10-16-113.5.
SECTION 56. In Colorado Revised Statutes, 11-10.5-112, amend
(4) as follows:
11-10.5-112. Annual fees and assessments. (4) In setting fees, the
banking board shall apply the standards imposed on boards and
commissions of the division of professions and occupations in the
department of regulatory agencies for determining the amount of fees
pursuant to the provisions of section 24-34-105 (2)(b) and (2)(c), C.R.S.
12-20-105.
SECTION 57. In Colorado Revised Statutes, 11-35-101, amend (1)
as follows:
11-35-101. Alternatives to surety bonds permitted -
requirements - definition. (1) The requirement of a surety bond as a
condition to licensure or authority to conduct business or perform duties in
this state provided in sections 5-16-124 (1), 6-16-104.6, 12-61-907
12-10-717, 23-64-121 (1), 33-4-101 (1), 33-12-104 (1), 35-55-104 (1),
37-91-107 (2) and (3), 38-29-119 (2), 39-21-105, 39-27-104 (2)(a), (2)(b),
(2)(c), (2)(d), (2)(e), (2.1)(a), (2.1)(b), (2.1)(c), (2.5)(a), and (2.5)(b),
39-28-105 (1), 42-6-115 (3), 42-7-301 (6), 44-20-112, 44-20-113,
44-20-114, 44-20-412, and 44-20-413 may be satisfied by a savings account
PAGE 1458-HOUSE BILL 19-1172
or deposit in or a certificate of deposit issued by a state or national bank
doing business in this state or by a savings account or deposit in or a
certificate of deposit issued by a state or federal savings and loan
association doing business in this state. The savings account, deposit, or
certificate of deposit must be in the amount specified by statute, if any, and
must be assigned to the appropriate state agency for the use of the people
of the state of Colorado. The aggregate liability of the bank or savings and
loan association must in no event exceed the amount of the deposit. For the
purposes of the sections referred to in this section, "bond" includes the
savings account, deposit, or certificate of deposit authorized by this section.
SECTION 58. In Colorado Revised Statutes, 11-44-101.6, amend
(4) and (9) as follows:
11-44-101.6. Financial services board - creation. (4) Each
member of the board shall receive the same per diem compensation and
reimbursement of expenses as those provided for members of boards and
commissions in the division of professions and occupations pursuant to
section 24-34-102 (13), C.R.S. 12-20-103 (6). Payment for all such
expenses and allowances shall be made upon vouchers therefor, which shall
be filed with the department of personnel.
(9) The board shall elect a chair from among its members to serve
for a term not exceeding two years, as determined by the board. No chair
shall be eligible to serve as such for more than two successive terms. In
addition to the amounts received pursuant to subsection (4) of this section,
the chair shall receive per diem compensation and reimbursement of
expenses in the amounts provided by section 24-34-102 (13), C.R.S.,
12-20-103 (6) for each day spent in attending to the duties of the board.
SECTION 59. In Colorado Revised Statutes, 11-51-402, amend (3)
as follows:
11-51-402. Exempt broker-dealers, sales representatives -
sanctions - exempt investment advisers and investment adviser
representatives. (3) Any real estate broker or salesman SALESPERSON
licensed pursuant to part 1 of article 61 PART 2 OF ARTICLE 10 of title 12
C.R.S., who is trading only in securities comprised of notes, bonds, or
evidences of indebtedness secured by mortgages or deeds of trust upon real
estate, where the broker or salesman SALESPERSON acts as the agent for the
PAGE 1459-HOUSE BILL 19-1172
buyer or seller of the real estate securing the note, bond, or evidence of
indebtedness being traded and is neither the issuer nor affiliated with or
under the direct or indirect control of the issuer or an affiliate of the issuer
of the note, bond, or evidence of indebtedness, is exempt from the license
requirement of section 11-51-401 (1).
SECTION 60. In Colorado Revised Statutes, 11-51-405, amend (2)
as follows:
11-51-405. Examinations and alternate qualifications. (2) An
applicant for a license as a broker-dealer or sales representative who is a
licensed real estate broker or salesman SALESPERSON pursuant to part 1 of
article 61 PART 2 OF ARTICLE 10 of title 12 C.R.S., and whose securities
activities in this state are limited to trading in securities comprised of notes,
bonds, or other evidences of indebtedness secured by mortgages or deeds
of trust upon real estate shall be excused from any examination requirement
under subsection (1) of this section.
SECTION 61. In Colorado Revised Statutes, 11-51-702.5, amend
(1)(b) as follows:
11-51-702.5. Securities board - creation - duties - repeal.
(1) There is hereby created the securities board within the department of
regulatory agencies which shall consist of five persons appointed by the
governor, subject to the consent and approval of the senate, as follows:
(b) One person certified as a certified public accountant pursuant to
article 2 ARTICLE 100 of title 12; C.R.S.; and
SECTION 62. In Colorado Revised Statutes, 11-59-103, amend the
introductory portion and (1) as follows:
11-59-103. Definitions. As used in this article ARTICLE 59, unless
the context otherwise requires:
(1) "Appraisal" shall have the same meaning as provided in section
12-61-702 (1), C.R.S. 12-10-602 (1).
SECTION 63. In Colorado Revised Statutes, 11-102-103, amend
(6) and (11) as follows:
PAGE 1460-HOUSE BILL 19-1172
11-102-103. Banking board - repeal. (6) Each member of the
banking board shall receive the same per diem compensation and
reimbursement of expenses as those provided for members of boards and
commissions in the division of professions and occupations pursuant to
section 24-34-102 (13), C.R.S. 12-20-103 (6). Payment for all such
expenses and allowances shall be made upon vouchers therefor, which shall
be filed with the department of personnel.
(11) The banking board shall elect a chairperson from among its
members to serve for a term not exceeding two years, as determined by the
banking board. No chairperson shall be eligible to serve as such for more
than two successive terms. In addition to the amounts received pursuant to
subsection (6) of this section, the chairperson shall receive per diem
compensation and reimbursement of expenses in the amounts provided by
section 24-34-102 (13), C.R.S., 12-20-103 (6) for each day spent in
attending to the duties of the banking board.
SECTION 64. In Colorado Revised Statutes, 11-105-401, amend
(1)(d) as follows:
11-105-401. Acquisition of property to satisfy indebtedness.
(1) A state bank may take property of any kind to satisfy, in whole or in
part, or to protect indebtedness previously created in good faith by it.
Property acquired by a state bank to apply on an indebtedness to a state
bank shall be held subject to the following limitations:
(d) The property shall be entered on the books at not more than cost
or fair market value, whichever is less, except as otherwise provided by the
banking board. Each bank maintaining property acquired to satisfy
indebtedness will obtain an initial written appraisal and subsequent
appraisals as to fair market value by a qualified independent appraiser or
such other person as the banking board may approve. Such subsequent
appraisals shall be obtained pursuant to rules of the state banking board;
except that, for purposes of this paragraph (d) SUBSECTION (1)(d), an
appraisal, as defined in section 12-61-702 (1), C.R.S. 12-10-602 (1), by an
appraiser certified, licensed, or registered pursuant to section 12-61-711,
C.R.S., 12-10-611 shall not be required on properties initially valued
pursuant to this paragraph (d) SUBSECTION (1)(d) at two hundred fifty
thousand dollars or less. If such appraiser or other person approved by the
banking board certifies in writing such appraiser's or other person's opinion
PAGE 1461-HOUSE BILL 19-1172
that the fair market value has not declined, this opinion may be substituted
for a subsequent appraisal.
SECTION 65. In Colorado Revised Statutes, 11-109-203, amend
(1) introductory portion, (1)(d), and (1)(h) as follows:
11-109-203. Activities not requiring a charter.
(1) Notwithstanding any other provision of this article ARTICLE 109 to the
contrary, a company does not engage in the trust business, or in any other
business in a manner requiring a charter, under this article ARTICLE 109 or
in an unauthorized trust activity by:
(d) Receiving and distributing rents and proceeds of sale as a
licensed real estate broker on behalf of a principal in a manner authorized
by the real estate commission pursuant to article 61 ARTICLE 10 of title 12;
C.R.S.;
(h) Rendering services customarily performed by a certified public
accountant in a manner authorized by article 2 ARTICLE 100 of title 12;
C.R.S.;
SECTION 66. In Colorado Revised Statutes, 13-4-102, amend
(2)(d), (2)(e), (2)(f), (2)(g), (2)(h), (2)(i), (2)(j), (2)(k), (2)(m), (2)(o), (2)(q),
(2)(r), (2)(s), (2)(v), (2)(bb), (2)(ff), (2)(hh), (2)(ii), and (2)(kk) as follows:
13-4-102. Jurisdiction. (2) The court of appeals has initial
jurisdiction to:
(d) Review all final actions and orders appropriate for judicial
review of the Colorado podiatry board, as provided in section 12-32-108.7,
C.R.S. 12-290-115;
(e) Review all final actions and orders appropriate for judicial
review of the Colorado state board of chiropractic examiners as provided
in section 12-33-121, C.R.S. 12-215-122;
(f) Review actions of the Colorado medical board in refusing to
grant or in revoking or suspending a license or in placing the holder thereof
on probation, as provided in section 12-36-119, C.R.S. 12-240-127;
PAGE 1462-HOUSE BILL 19-1172
(g) Review actions of the Colorado dental board in refusing to issue
or renew or in suspending or revoking a license to practice dentistry or
dental hygiene, as provided in section 12-35-130, C.R.S. 12-220-137;
(h) Review all final actions and orders appropriate for judicial
review of the STATE board of nursing as provided in articles 38 and 42
ARTICLES 255 AND 295 of title 12; C.R.S.;
(i) Review actions of the state board of optometry in refusing to
grant or renew, revoking, or suspending a license, issuing a letter of
admonition, or placing a licensee on probation or under supervision, as
provided by section 12-40-119 (2)(e), C.R.S. 12-275-122 (2);
(j) Review all final actions and orders appropriate for judicial
review of the director of the division of professions and occupations as
provided in article 41 ARTICLE 285 of title 12; C.R.S.;
(k) Review all final actions and orders appropriate for judicial
review of the state board of pharmacy, as provided in section 12-42.5-125,
C.R.S. 12-280-128;
(m) Review final decisions or orders of the Colorado real estate
commission, as provided in parts 1, 3, and 4 of article 61 PARTS 2 AND 5 OF
ARTICLE 10 of title 12; C.R.S.;
(o) Review all final actions and orders appropriate for judicial
review of the passenger tramway safety board, as provided in section
25-5-708, C.R.S. 12-150-109;
(q) Review final actions and orders appropriate for judicial review
of the state electrical board, as provided in article 23 ARTICLE 115 of title
12; C.R.S.;
(r) Review all final actions and orders appropriate for judicial
review of the state board of licensure for architects, professional engineers,
and professional land surveyors, as provided in section 12-25-309 (5),
C.R.S. 12-120-407 (4);
(s) Review final actions and orders of the boards, as defined in
section 12-43-201 (1), C.R.S. 12-245-202 (1), that are appropriate for
PAGE 1463-HOUSE BILL 19-1172
judicial review and final actions;
(v) Review final actions and orders of the director of the division of
professions and occupations appropriate for judicial review, as provided in
section 12-55.5-115, C.R.S. 12-145-116;
(bb) Review final actions taken pursuant to article 38.1 ARTICLE 260
of title 12 C.R.S., by the state board of nursing in the division of professions
and occupations in the department of regulatory agencies;
(ff) Review final actions and orders appropriate for judicial review
of the Colorado passenger tramway safety board, as provided in section
25-5-708, C.R.S. 12-150-109;
(hh) Review final actions and orders appropriate for judicial review
of the state board of veterinary medicine, as provided in section 12-64-112
(2), C.R.S. 12-315-113;
(ii) Review all final actions and orders appropriate for judicial
review of the director of the division of professions and occupations as
provided in section 12-37-107 (4), C.R.S. 12-225-109 (4);
(kk) Review all final actions and orders appropriate for judicial
review of the director of the division of professions and occupations in the
department of regulatory agencies, as provided in section 12-40.5-110,
C.R.S. 12-270-114 (9); and
SECTION 67. In Colorado Revised Statutes, 13-20-602, amend
(1)(a) as follows:
13-20-602. Actions against licensed professionals and
acupuncturists - certificate of review required. (1) (a) In every action for
damages or indemnity based upon the alleged professional negligence of an
acupuncturist regulated pursuant to article 29.5 ARTICLE 200 of title 12
C.R.S., or a licensed professional, the plaintiff's or complainant's attorney
shall file with the court a certificate of review for each acupuncturist or
licensed professional named as a party, as specified in subsection (3) of this
section, within sixty days after the service of the complaint, counterclaim,
or cross claim against such person unless the court determines that a longer
period is necessary for good cause shown.
PAGE 1464-HOUSE BILL 19-1172
SECTION 68. In Colorado Revised Statutes, 13-21-108.3, amend
(1) as follows:
13-21-108.3. Architects, building code officials, professional
engineers, and professional land surveyors rendering assistance during
emergency or disaster - qualified immunity from civil liability. (1) An
architect licensed pursuant to part 3 of article 25 PART 4 OF ARTICLE 120 of
title 12, C.R.S., a building code official, a professional engineer licensed
pursuant to part 1 of article 25 PART 2 OF ARTICLE 120 of title 12, C.R.S., or
a professional land surveyor licensed pursuant to part 2 of article 25 PART
3 OF ARTICLE 120 of title 12, C.R.S., who voluntarily and without
compensation provides architectural, damage assessment, engineering, or
surveying services, respectively, at the scene of an emergency shall not be
liable for any personal injury, wrongful death, property damage, or other
loss caused by an act or omission of the architect, building code official,
engineer, or surveyor in performing such services.
SECTION 69. In Colorado Revised Statutes, 13-21-108.7, amend
(2)(b)(I)(A), (3), and (4)(a) introductory portion as follows:
13-21-108.7. Persons rendering emergency assistance through
the administration of an opiate antagonist - limited immunity -
legislative declaration - definitions. (2) Definitions. As used in this
section, unless the context otherwise requires:
(b) (I) "Health care provider" means:
(A) A licensed physician, advanced practice nurse who has
prescriptive authority pursuant to section 12-38-111.6, C.R.S. 12-255-112,
physician assistant, or pharmacist; or
(3) General immunity. A person, other than a health care provider
or a health care facility, who acts in good faith to furnish or administer an
opiate antagonist to an individual the person believes to be suffering an
opiate-related drug overdose event or to an individual who is in a position
to assist the individual at risk of experiencing an opiate-related overdose
event is not liable for any civil damages for acts or omissions made as a
result of the act. This subsection (3) also applies to a first responder or an
employee or volunteer of a harm reduction organization acting in
accordance with section 12-42.5-120 (3)(d), C.R.S. 12-30-110 (1)(b), (2)(b),
PAGE 1465-HOUSE BILL 19-1172
AND (4)(b).
(4) Licensed prescribers and dispensers. (a) An individual who
is licensed by the state under title 12 C.R.S., and is permitted by section
12-36-117.7, 12-38-125.5, or 12-42.5-120 (3), C.R.S., 12-30-110 or by
other applicable law to prescribe or dispense an opiate antagonist is not
liable for any civil damages resulting from:
SECTION 70. In Colorado Revised Statutes, 13-21-113.7, amend
(4) as follows:
13-21-113.7. Immunity of volunteer firefighters, volunteers,
incident management teams, and their employers or organizations -
definitions - legislative declaration. (4) Nothing in this section alters the
protections set forth in section 12-64-118 12-315-117, 13-21-108,
13-21-115.5, or 24-33.5-1505. C.R.S.
SECTION 71. In Colorado Revised Statutes, 13-21-115.5, amend
(3)(c)(II) as follows:
13-21-115.5. Volunteer service act - immunity - exception for
operation of motor vehicles. (3) As used in this section, unless the context
otherwise requires:
(c) (II) "Volunteer" includes:
(A) A licensed physician, a licensed physician assistant, and a
licensed anesthesiologist assistant governed by article 36 ARTICLE 240 of
title 12 C.R.S., performing the practice of medicine, as defined in section
12-36-106, C.R.S. 12-240-107, as a volunteer for a nonprofit organization,
a nonprofit corporation, a governmental entity, or a hospital;
(B) A licensed chiropractor governed by article 33 ARTICLE 215 of
title 12 C.R.S., performing chiropractic, as defined in section 12-33-102,
C.R.S. 12-215-103 (4), as a volunteer for a nonprofit organization, a
nonprofit corporation, a governmental entity, or a hospital;
(C) A registered DIRECT-ENTRY midwife governed by article 37
ARTICLE 225 of title 12 C.R.S., performing the practice of direct-entry
midwifery, as defined in section 12-37-102, C.R.S. 12-225-103 (3), as a
PAGE 1466-HOUSE BILL 19-1172
volunteer for a nonprofit organization, a nonprofit corporation, a
governmental entity, or a hospital;
(D) A licensed nurse governed by the "Nurse Practice Act", article
38 ARTICLE 255 of title 12, C.R.S., performing the practice of practical
nursing or the practice of professional nursing, as defined in section
12-38-103 (9) and (10), C.R.S. 12-255-104 (9) AND (10), respectively, as a
volunteer for a nonprofit organization, a nonprofit corporation, a
governmental entity, or a hospital;
(E) A registered advance practice nurse governed by the "Nurse
Practice Act", article 38 ARTICLE 255 of title 12, C.R.S., performing nursing
tasks within the scope of the person's nursing license and performing
advanced practice under authority granted by the state board of nursing
pursuant to sections 12-38-111.5 and 12-38-111.6, C.R.S., 12-255-111 AND
12-255-112 as a volunteer for a nonprofit organization, a nonprofit
corporation, a governmental entity, or a hospital;
(F) A licensed retired volunteer nurse governed by the provisions of
article 38 ARTICLE 255 of title 12 C.R.S., performing volunteer nursing
tasks within the scope of the person's nursing license, as described in
section 12-38-112.5, C.R.S. 12-255-115, as a volunteer for a nonprofit
organization, a nonprofit corporation, a governmental entity, or a hospital;
(G) A certified nurse aide governed by the provisions of article 38.1
ARTICLE 260 of title 12 C.R.S., performing the practice of a nurse aide, as
defined in section 12-38.1-102 (5), C.R.S. 12-260-103 (7), as a volunteer
for a nonprofit organization, a nonprofit corporation, a governmental entity,
or a hospital;
(H) A licensed nursing home administrator and registered nursing
home administrator-in-training governed by the provisions of article 39
ARTICLE 265 of title 12 C.R.S., performing the practice of nursing home
administration, as defined in section 12-39-102 (5), C.R.S. 12-265-103 (5),
and the training of an administrator-in-training, as described in section
12-39-107, C.R.S. 12-265-109, as a volunteer for a nonprofit organization,
a nonprofit corporation, a governmental entity, or a hospital;
(I) A licensed optometrist governed by the provisions of article 40
ARTICLE 275 of title 12 C.R.S., performing the practice of optometry, as
PAGE 1467-HOUSE BILL 19-1172
defined in section 12-40-102, C.R.S. 12-275-103, as a volunteer for a
nonprofit organization, a nonprofit corporation, a governmental entity, or
a hospital;
(J) A licensed physical therapist governed by the "Physical Therapy
Practice Act", article 41 ARTICLE 285 of title 12, C.R.S., performing
physical therapy, as defined in section 12-41-103 (6), C.R.S. 12-285-104
(6), as a volunteer for a nonprofit organization, a nonprofit corporation, a
governmental entity, or a hospital;
(K) A licensed respiratory therapist governed by the "Respiratory
Therapy Practice Act", article 41.5 ARTICLE 300 of title 12, C.R.S.,
performing respiratory therapy, as defined in section 12-41.5-103 (6),
C.R.S. 12-300-104 (3), as a volunteer for a nonprofit organization, a
nonprofit corporation, a governmental entity, or a hospital;
(L) A licensed psychiatric technician governed by the provisions of
article 42 ARTICLE 295 of title 12 C.R.S., performing the practice as a
psychiatric technician, as defined in section 12-42-102 (4), C.R.S.
12-295-103 (4), as a volunteer for a nonprofit organization, a nonprofit
corporation, a governmental entity, or a hospital;
(M) A licensed psychologist governed by the provisions of article
43 ARTICLE 245 of title 12 C.R.S., performing the practice of psychology,
as defined in section 12-43-303, C.R.S. 12-245-303, as a volunteer for a
nonprofit organization, a nonprofit corporation, a governmental entity, or
a hospital;
(N) A licensed social worker and licensed clinical social worker
governed by the provisions of article 43 ARTICLE 245 of title 12 C.R.S.,
performing social work practice, as defined in section 12-43-403, C.R.S.
12-245-403, as a volunteer for a nonprofit organization, a nonprofit
corporation, a governmental entity, or a hospital;
(O) A licensed marriage and family therapist governed by the
provisions of article 43 ARTICLE 245 of title 12 C.R.S., performing marriage
and family therapy practice, as defined in section 12-43-503, C.R.S.
12-245-503, as a volunteer for a nonprofit organization, a nonprofit
corporation, a governmental entity, or a hospital;
PAGE 1468-HOUSE BILL 19-1172
(P) A licensed professional counselor governed by article 43
ARTICLE 245 of title 12 C.R.S., practicing professional counseling as
defined in section 12-43-602.5, C.R.S., 12-245-603 as a volunteer for a
nonprofit organization, a nonprofit corporation, a governmental entity, or
a hospital;
(Q) A licensed pharmacist governed by article 42.5 ARTICLE 280 of
title 12 C.R.S., performing the practice of pharmacy, as defined in section
12-42.5-102 (31), C.R.S. 12-280-103 (39), as a volunteer for a nonprofit
organization, a nonprofit corporation, a governmental entity, or a hospital;
(R) A licensed dentist or dental hygienist governed by article 35
ARTICLE 220 of title 12 C.R.S., performing the practice of dentistry or dental
hygiene, as defined in section 12-35-103, C.R.S., 12-220-104 and as
described in section 12-35-113, C.R.S. 12-220-110, as a volunteer for a
nonprofit organization, nonprofit corporation, governmental entity, or
hospital; or a dentist or dental hygienist who holds a license in good
standing from another state performing the practice of dentistry or dental
hygiene, as defined in section 12-35-103, C.R.S., 12-220-104 and as
described in section 12-35-113, C.R.S. 12-220-110, as a volunteer for a
nonprofit organization, nonprofit corporation, governmental entity, or
hospital pursuant to section 12-35-115 (1)(k), C.R.S. 12-220-112 (1)(j); and
(S) A licensed or certified addiction counselor governed by article
43 ARTICLE 245 of title 12 C.R.S., performing addiction counseling, as
defined in section 12-43-803, C.R.S. 12-245-803, as a volunteer for a
nonprofit organization, a nonprofit corporation, a governmental entity, or
a hospital.
SECTION 72. In Colorado Revised Statutes, 13-21-117, amend
(1)(b) as follows:
13-21-117. Civil liability - mental health providers - duty to
warn - definitions. (1) As used in this section, unless the context otherwise
requires:
(b) "Psychiatric nurse" means a registered professional nurse as
defined in section 12-38-103 (11), C.R.S. 12-255-104 (11) who, by virtue
of postgraduate education and additional nursing preparation, has gained
knowledge, judgment, and skill in psychiatric or mental health nursing.
PAGE 1469-HOUSE BILL 19-1172
SECTION 73. In Colorado Revised Statutes, amend 13-22-105 as
follows:
13-22-105. Minors - birth control services rendered by
physicians. Birth control procedures, supplies, and information may be
furnished by physicians licensed under article 36 ARTICLE 240 of title 12
C.R.S., to any minor who is pregnant, or a parent, or married, or who has
the consent of his THE MINOR'S parent or legal guardian, or who has been
referred for such services by another physician, a clergyman MEMBER OF
THE CLERGY, a family planning clinic, a school or institution of higher
education, or any agency or instrumentality of this state or any subdivision
thereof, or who requests and is in need of birth control procedures, supplies,
or information.
SECTION 74. In Colorado Revised Statutes, 13-64-403, amend
(12)(a)(II)(A) as follows:
13-64-403. Agreement for medical services - alternative
arbitration procedures - form of agreement - right to rescind. (12) For
the purposes of this section:
(a) (II) (A) Nothing in this paragraph (a) SUBSECTION (12)(a) shall
be construed to permit a professional service corporation, as described in
section 12-36-134, C.R.S. 12-240-138, to practice medicine.
SECTION 75. In Colorado Revised Statutes, 13-71-105, amend
(2)(c) and (2)(d) as follows:
13-71-105. Qualifications for juror service. (2) A prospective trial
or grand juror shall be disqualified, based on the following grounds:
(c) Inability, by reason of a physical or mental disability, to render
satisfactory juror service. Any person claiming this disqualification shall
submit a letter, if the jury commissioner requests it, from a licensed
physician, licensed physician assistant authorized under section 12-36-106
(5), C.R.S. 12-240-107 (6), licensed advanced practice nurse, or authorized
Christian science practitioner, stating the nature of the disability and an
opinion that such disability prevents the person from rendering satisfactory
juror service. The physician, physician assistant, licensed advanced practice
nurse, or authorized Christian science practitioner shall apply the following
PAGE 1470-HOUSE BILL 19-1172
guideline: A person shall be capable of rendering satisfactory juror service
if the person is able to perform a sedentary job requiring close attention for
three consecutive business days for six hours per day, with short breaks in
the morning and afternoon sessions.
(d) Sole responsibility for the daily care of an individual with a
permanent disability living in the same household to the extent that the
performance of juror service would cause a substantial risk of injury to the
health of the individual with a disability. Jurors who are regularly employed
at a location other than their households may not be disqualified for this
reason. Any person claiming this disqualification shall, if the jury
commissioner requests it, submit a letter from a licensed physician, licensed
physician assistant authorized under section 12-36-106 (5), C.R.S.
12-240-107 (6), licensed advanced practice nurse, or authorized Christian
science practitioner stating the name, address, and age of the individual with
a disability, the nature of care provided by the prospective juror, and an
opinion that the performance of juror service would cause a substantial risk
of injury to the individual with a disability.
SECTION 76. In Colorado Revised Statutes, 13-80-103.8, amend
(1)(a) as follows:
13-80-103.8. Limitation of civil forfeiture actions related to
criminal acts. (1) The following actions shall be commenced within five
years after the cause of action accrues, and not thereafter:
(a) All actions brought pursuant to section 12-55.5-110 (2), C.R.S.
12-145-113 (2);
SECTION 77. In Colorado Revised Statutes, 13-80-105, amend (2)
as follows:
13-80-105. Limitation of actions against land surveyors. (2) For
purposes of this section, "land survey" or "improvement survey" means any
survey conducted by or under the direction and control of a land surveyor
licensed pursuant to the provisions of part 2 of article 25 PART 3 OF ARTICLE
120 of title 12 C.R.S., and includes but is not limited to professional land
surveying, as defined in section 12-25-202 (6), C.R.S. 12-120-302 (5).
Nothing in this section shall be construed as extending the period or periods
provided by the laws of Colorado or by agreement of the parties for
PAGE 1471-HOUSE BILL 19-1172
bringing any action, nor shall this section be construed as creating any claim
for relief not existing or recognized on or before July 1, 1979.
SECTION 78. In Colorado Revised Statutes, 13-90-107, amend
(1)(f)(IV)(B), (1)(f)(V), (1)(g), and (3) as follows:
13-90-107. Who may not testify without consent - definitions.
(1) There are particular relations in which it is the policy of the law to
encourage confidence and to preserve it inviolate; therefore, a person shall
not be examined as a witness in the following cases:
(f) (IV) (B) At the request of either the client of the certified public
accountant or certified public accounting firm or the certified public
accountant or certified public accounting firm subject to the subpoena
pursuant to this subparagraph (IV) SUBSECTION (1)(f)(IV), a second
certified public accounting firm or certified public accountant with no
interest in the matter may review the report or working papers for
compliance with the provisions of article 2 ARTICLE 100 of title 12. C.R.S.
The second certified public accounting firm or certified public accountant
conducting the review must be approved by the board prior to beginning its
review. The approval of the second certified public accounting firm or
certified public accountant shall be in good faith. The written report issued
by a second certified public accounting firm or certified public accountant
shall be in lieu of a review by the board. Such report shall be limited to
matters directly related to the work performed by the certified public
accountant or certified public accounting firm being investigated and should
exclude specific references to client financial information. The party
requesting that a second certified public accounting firm or certified public
accountant review the reports and working papers shall pay any additional
expenses related to retaining the second certified public accounting firm or
certified public accountant by the party who made the request. The written
report of the second certified public accounting firm or certified public
accountant shall be submitted to the board. The board may use the findings
of the second certified public accounting firm or certified public accountant
as grounds for discipline pursuant to article 2 ARTICLE 100 of title 12.
C.R.S.
(V) Disclosure of information under subparagraph (III) or (IV) of
this paragraph (f) SUBSECTION (1)(f)(III) OR (1)(f)(IV) OF THIS SECTION
shall not waive or otherwise limit the confidentiality and privilege of such
PAGE 1472-HOUSE BILL 19-1172
information nor relieve any certified public accountant, any certified public
accounting firm, the Colorado state board of accountancy, or a person or
group authorized by such board of the obligation of confidentiality.
Disclosure which THAT is not in good faith of such information shall subject
the board, a member thereof, or its agent to civil liability pursuant to section
12-2-103 (6), C.R.S. 12-100-104 (4).
(g) A licensed psychologist, professional counselor, marriage and
family therapist, social worker, or addiction counselor, a registered
psychotherapist, a certified addiction counselor, a psychologist candidate
registered pursuant to section 12-43-304 (7), C.R.S. 12-245-304 (3), a
marriage and family therapist candidate registered pursuant to section
12-43-504 (5), C.R.S. 12-245-504 (4), a licensed professional counselor
candidate registered pursuant to section 12-43-603 (5), C.R.S. 12-245-604
(4), or a person described in section 12-43-215, C.R.S., 12-245-217 shall
not be examined without the consent of the licensee's, certificate holder's,
registrant's, candidate's, or person's client as to any communication made by
the client to the licensee, certificate holder, registrant, candidate, or person
or the licensee's, certificate holder's, registrant's, candidate's, or person's
advice given in the course of professional employment; nor shall any
secretary, stenographer, or clerk employed by a licensed psychologist,
professional counselor, marriage and family therapist, social worker, or
addiction counselor, a registered psychotherapist, a certified addiction
counselor, a psychologist candidate registered pursuant to section
12-43-304 (7), C.R.S. 12-245-304 (3), a marriage and family therapist
candidate registered pursuant to section 12-43-504 (5), C.R.S. 12-245-504
(4), a licensed professional counselor candidate registered pursuant to
section 12-43-603 (5), C.R.S. 12-245-604 (4), or a person described in
section 12-43-215, C.R.S., 12-245-217 be examined without the consent of
the employer of the secretary, stenographer, or clerk concerning any fact,
the knowledge of which the employee has acquired in such capacity; nor
shall any person who has participated in any psychotherapy, conducted
under the supervision of a person authorized by law to conduct such
therapy, including group therapy sessions, be examined concerning any
knowledge gained during the course of such therapy without the consent of
the person to whom the testimony sought relates.
(3) The provisions of paragraph (d) of subsection (1) SUBSECTION
(1)(d) of this section shall not apply to physicians required to make reports
in accordance with section 12-36-135, C.R.S. 12-240-139. In addition, the
PAGE 1473-HOUSE BILL 19-1172
provisions of paragraphs (d) and (g) of subsection (1) SUBSECTIONS (1)(d)
AND (1)(g) of this section shall not apply to physicians or psychologists
eligible to testify concerning a criminal defendant's mental condition
pursuant to section 16-8-103.6. C.R.S. Physicians and psychologists
testifying concerning a criminal defendant's mental condition pursuant to
section 16-8-103.6 C.R.S., do not fall under the attorney-client privilege in
paragraph (b) of subsection (1) SUBSECTION (1)(b) of this section.
SECTION 79. In Colorado Revised Statutes, 15-10-107, amend
(1)(a) as follows:
15-10-107. Evidence of death or status. (1) In addition to the rules
of evidence in courts of general jurisdiction, the following rules relating to
a court determination of death and status apply:
(a) Death occurs when an individual is determined dead under
section 12-36-136, C.R.S. 12-240-140.
SECTION 80. In Colorado Revised Statutes, 15-14-500.3, amend
(6) as follows:
15-14-500.3. Legislative declaration. (6) Parts 6 and 7 of this
article ARTICLE 14 do not abridge the right of any person to enter into a
verbal principal and agent relationship. A brokerage relationship between
a real estate broker and a seller, landlord, buyer, or tenant in a real estate
transaction established pursuant to part 8 of article 61 PART 4 OF ARTICLE 10
of title 12 C.R.S., shall be governed by the provisions of part 8 of article 61
PART 4 OF ARTICLE 10 of title 12 C.R.S., and not by parts 6 and 7 of this
article ARTICLE 14.
SECTION 81. In Colorado Revised Statutes, 15-18-103, amend the
introductory portion, (2), and (12) as follows:
15-18-103. Definitions. As used in this article ARTICLE 18, unless
the context otherwise requires:
(2) "Advanced practice nurse" means a nurse who is included in the
advanced practice registry pursuant to section 12-38-111.5, C.R.S.
12-255-111.
PAGE 1474-HOUSE BILL 19-1172
(12) "Physician" means a person duly licensed under the provisions
of article 36 ARTICLE 240 of title 12. C.R.S.
SECTION 82. In Colorado Revised Statutes, 15-18-113, amend (5)
as follows:
15-18-113. Penalties - refusal - transfer. (5) An attending
physician or advanced practice nurse who refuses to comply with the terms
of a declaration valid on its face shall transfer the care of the declarant to
another physician or advanced practice nurse who is willing to comply with
the declaration. Refusal of an attending physician or advanced practice
nurse to comply with a declaration and failure to transfer the care of the
declarant to another physician or advanced practice nurse shall constitute
unprofessional conduct as defined in section 12-36-117, C.R.S., 12-240-121
or grounds for discipline pursuant to section 12-38-117, C.R.S. 12-255-120.
SECTION 83. In Colorado Revised Statutes, 15-19-104, amend
(3)(c) as follows:
15-19-104. Declaration of disposition of last remains. (3) (c) If
article 54 ARTICLE 135 of title 12 conflicts with this part 1, this part 1 shall
govern.
SECTION 84. In Colorado Revised Statutes, 16-8-115, amend (2)
as follows:
16-8-115. Release from commitment after verdict of not guilty
by reason of insanity or not guilty by reason of impaired mental
condition. (2) (a) The court shall order a release examination of the
defendant when a current one has not already been furnished or when either
the prosecution or defense moves for an examination of the defendant at a
different institution or by different experts. The court may order any
additional or supplemental examination, investigation, or study which THAT
it deems necessary to a proper consideration and determination of the
question of eligibility for release. The court shall set the matter for release
hearing after it has received all of the reports which THAT it has ordered
under this section. When none of said reports indicates that the defendant
is eligible for release, the defendant's request for release hearing shall be
denied by the court if the defendant is unable to show by way of an offer of
proof any evidence by a medical expert in mental disorders that would
PAGE 1475-HOUSE BILL 19-1172
indicate that the defendant is eligible for release. For the purposes of this
subsection (2), "medical expert in mental disorders" means a physician
licensed under the provisions of article 36 ARTICLE 240 of title 12, C.R.S.,
a psychologist licensed under the provisions of article 43 ARTICLE 245 of
title 12, C.R.S., a psychiatric technician licensed under the provisions of
article 42 ARTICLE 295 of title 12, C.R.S., a registered professional nurse as
defined in section 12-38-103 (11), C.R.S. 12-255-104 (11), who by reason
of postgraduate education and additional nursing preparation has gained
knowledge, judgment, and skill in psychiatric or mental health nursing, or
a social worker licensed under the provisions of part 4 of article 43 ARTICLE
245 of title 12. C.R.S. The release hearing shall be to the court or, on
demand by the defendant, to a jury of not to exceed six persons. At the
release hearing, if any evidence of insanity is introduced, the defendant has
the burden of proving restoration of sanity by a preponderance of the
evidence; if any evidence of ineligibility for release by reason of impaired
mental condition is introduced, the defendant has the burden of proving, by
a preponderance of the evidence, that the defendant is eligible for release
by no longer having an impaired mental condition. This paragraph (a)
SUBSECTION (2)(a) shall apply only to offenses committed before July 1,
1995.
(b) The court shall order a release examination of the defendant
when a current one has not already been furnished or when either the
prosecution or defense moves for an examination of the defendant at a
different institution or by different experts. The court may order any
additional or supplemental examination, investigation, or study that it deems
necessary to a proper consideration and determination of the question of
eligibility for release. The court shall set the matter for release hearing after
it has received all of the reports that it has ordered under this section. When
none of the reports indicates that the defendant is eligible for release, the
defendant's request for release hearing shall be denied by the court if the
defendant is unable to show by way of an offer of proof any evidence by a
medical expert in mental disorders that would indicate that the defendant is
eligible for release. For the purposes of this subsection (2), "medical expert
in mental disorders" means a physician licensed under the provisions of
article 36 ARTICLE 240 of title 12, C.R.S., a psychologist licensed under the
provisions of article 43 ARTICLE 245 of title 12, C.R.S., a psychiatric
technician licensed under the provisions of article 42 ARTICLE 295 of title
12, C.R.S., a registered professional nurse as defined in section 12-38-103
(11), C.R.S. 12-255-104 (11), who by reason of postgraduate education and
PAGE 1476-HOUSE BILL 19-1172
additional nursing preparation has gained knowledge, judgment, and skill
in psychiatric or mental health nursing, or a social worker licensed under
the provisions of part 4 of article 43 ARTICLE 245 of title 12. C.R.S. The
release hearing shall be to the court or, on demand by the defendant, to a
jury composed of not more than six persons. At the release hearing, if any
evidence that the defendant does not meet the release criteria is introduced,
the defendant has the burden of proving by a preponderance of the evidence
that the defendant has no abnormal mental condition which THAT would be
likely to cause him or her THE DEFENDANT to be dangerous either to himself
or herself or to others or to the community in the reasonably foreseeable
future. This paragraph (b) SUBSECTION (2)(b) shall apply to offenses
committed on or after July 1, 1995.
SECTION 85. In Colorado Revised Statutes, 16-11.7-106, amend
(7)(a) and (7)(c)(I) as follows:
16-11.7-106. Sex offender evaluation, treatment, and polygraph
services - contracts with providers - placement on provider list -
grievances - fund created. (7) (a) The board shall notify the department
of regulatory agencies of the receipt of any complaints or grievances against
an individual who provides sex-offender-specific treatment or evaluation
services pursuant to this article ARTICLE 11.7 and advise the department of
any disciplinary action taken pursuant to paragraph (b) of this subsection (7)
SUBSECTION (7)(b) OF THIS SECTION. The department of regulatory agencies
or the appropriate board, pursuant to article 43 ARTICLE 245 of title 12
C.R.S., and referred to in this subsection (7) as the "DORA board", shall
notify the board of the receipt of any complaint or grievance against a
provider who provides sex-offender-specific treatment or evaluation
services pursuant to this article ARTICLE 11.7, if the complaint or grievance
was not referred by the board, and advise the board of any disciplinary
action taken against the individual pursuant to any professional licensing
act.
(c) (I) Nothing in this subsection (7) limits the rights or
responsibilities of the department of regulatory agencies or the DORA
board with respect to the investigation and resolution of complaints
pursuant to article 43 ARTICLE 245 of title 12. C.R.S.
SECTION 86. In Colorado Revised Statutes, 16-11.8-103, amend
(1)(g)(I), (1)(g)(II), and (4)(b) as follows:
PAGE 1477-HOUSE BILL 19-1172
16-11.8-103. Domestic violence offender management board -
creation - duties - repeal. (1) There is created, in the department of public
safety, the domestic violence offender management board consisting of
nineteen members with recognizable expertise in the field of domestic
violence offenders. The membership of the board consists of the following
persons:
(g) (I) Five members appointed by the executive director of the
department of public safety who are regulated pursuant to article 43
ARTICLE 245 of title 12 and have experience in the field of domestic
violence.
(II) Of the five members appointed pursuant to this subsection
(1)(g), at least three members must be mental health professionals licensed
pursuant to article 43 ARTICLE 245 of title 12.
(4) (b) After the guidelines and standards required pursuant to
subparagraphs (I) and (II) of paragraph (a) of this subsection (4)
SUBSECTIONS (4)(a)(I) AND (4)(a)(II) OF THIS SECTION are adopted, the
board shall refer any complaints or grievances against domestic violence
offender treatment providers to the department of regulatory agencies for
resolution. Notwithstanding any other law or administrative rule, the
resolution of any complaint or grievance referred by the board pursuant to
this paragraph (b) SUBSECTION (4)(b) shall be based on such standards. All
complaints and grievances shall be reviewed by the appropriate board
pursuant to part 2 of article 43 ARTICLE 245 of title 12, C.R.S., whose
decision shall be based on accepted community standards as described in
subparagraphs (I) and (II) of paragraph (a) of this subsection (4)
SUBSECTIONS (4)(a)(I) AND (4)(a)(II) OF THIS SECTION and the prohibited
activities as defined in section 12-43-222 (1), C.R.S. 12-245-224 (1). The
department of regulatory agencies shall provide notice of the disciplinary
action to the board.
SECTION 87. In Colorado Revised Statutes, 16-15-102, amend
(1)(a)(VI) as follows:
16-15-102. Ex parte order authorizing the interception of wire,
oral, or electronic communications. (1) (a) An ex parte order authorizing
or approving the interception of any wire, oral, or electronic communication
may be issued by any judge of competent jurisdiction of the state of
PAGE 1478-HOUSE BILL 19-1172
Colorado upon application of the attorney general or a district attorney, or
his or her designee if the attorney general or district attorney is absent from
his or her jurisdiction, showing by affidavit that there is probable cause to
believe that evidence will be obtained of the commission of any one of the
crimes enumerated in this subsection (1) or that one of said enumerated
crimes will be committed:
(VI) Dealing in controlled substances as covered by part 1 of article
42.5 ARTICLE 280 of title 12 C.R.S., or part 2 of article 80 of title 27,
C.R.S., as such offenses are subject to prosecution as felonies;
SECTION 88. In Colorado Revised Statutes, 17-1-101, amend
(3)(a) and (3)(b) as follows:
17-1-101. Executive director - creation - division heads - medical
personnel. (3) (a) Medical personnel employed at any of the institutions
subject to the control of the executive director, the medical director of
which is licensed to practice medicine in this state, shall be exempt from the
provisions of the "Colorado Medical Practice Act", article 36 ARTICLE 240
of title 12, C.R.S., with respect to service rendered to bona fide patients or
inmates at said institutions, if such personnel are licensed to practice
medicine in any other state of the United States or any province of Canada,
have satisfactorily completed an internship of not less than one year in the
United States, Canada, or Puerto Rico in a hospital approved for that
purpose by the American Medical Association, have satisfactorily
completed three years of postgraduate residency training, or its equivalent,
in their particular specialty in a hospital approved for that purpose by the
American Medical Association, and can read, write, speak, and understand
the English language. Proof of said requirements shall be submitted to and
approved or disapproved by the executive director.
(b) All such personnel as cannot satisfy all of the requirements set
forth in paragraph (a) of this subsection (3) SUBSECTION (3)(a) OF THIS
SECTION shall be exempt from the "Colorado Medical Practice Act", article
36 ARTICLE 240 of title 12, C.R.S., with respect to services rendered to bona
fide patients or inmates at said institutions, if such personnel are of good
moral character, are graduates of an approved medical college as defined in
section 12-36-102.5, C.R.S. 12-240-104 (3), have completed an approved
internship of at least one year as defined in section 12-36-102.5, C.R.S.
12-240-104 (2), and, within nine months after first being employed, pass the
PAGE 1479-HOUSE BILL 19-1172
examinations approved by the Colorado medical board under the provisions
of the "Colorado Medical Practice Act" and the National Board of Medical
Examiners, the National Board of Examiners for Osteopathic Physicians
and Surgeons, or the Federation of State Medical Boards, or their successor
organizations, on subjects relating to the basic sciences, are able to read,
write, speak, and understand the English language, and, in the case of
personnel who are not citizens of the United States, become citizens within
the minimum period of time within which the particular individual can
become a citizen according to the laws of the United States and the
regulations of the immigration and naturalization service of the United
States, or any successor agency, or within such additional time as may be
granted by said boards.
SECTION 89. In Colorado Revised Statutes, 17-1-103, amend
(3)(a)(III) as follows:
17-1-103. Duties of the executive director. (3) (a) (III) The
executive director shall determine the qualifications for appointment to the
panel of medical consultants; except that all members of the panel shall be
licensed by the Colorado medical board pursuant to article 36 ARTICLE 240
of title 12 C.R.S., or the Colorado dental board pursuant to article 35
ARTICLE 220 of title 12. C.R.S.
SECTION 90. In Colorado Revised Statutes, 18-1-712, amend (2)
and (3)(a) introductory portion as follows:
18-1-712. Immunity for a person who administers an opiate
antagonist during an opiate-related drug overdose event - definitions.
(2) General immunity. A person, other than a health care provider or a
health care facility, who acts in good faith to furnish or administer an opiate
antagonist to an individual the person believes to be suffering an
opiate-related drug overdose event or to an individual who is in a position
to assist the individual at risk of experiencing an opiate-related overdose
event is immune from criminal prosecution for the act. This subsection (2)
also applies to a first responder or an employee or volunteer of a harm
reduction organization acting in accordance with section 12-42.5-120
(3)(d), C.R.S. 12-30-110 (1)(b), (2)(b), AND (4)(b).
(3) (a) Licensed prescribers and dispensers. An individual who
is licensed by the state under title 12 C.R.S., and is permitted by section
PAGE 1480-HOUSE BILL 19-1172
12-36-117.7, 12-38-125.5, or 12-42.5-120 (3), C.R.S., 12-30-110 or by
other applicable law to prescribe or dispense an opiate antagonist is immune
from criminal prosecution for:
SECTION 91. In Colorado Revised Statutes, 18-1.3-501, amend
(1.7)(b) as follows:
18-1.3-501. Misdemeanors classified - drug misdemeanors and
drug petty offenses classified - penalties - definitions. (1.7) (b) "Mental
health professional" means a mental health professional licensed to practice
medicine pursuant to part 1 of article 36 ARTICLE 240 of title 12 C.R.S., or
a person licensed as a mental health professional pursuant to article 43
ARTICLE 245 of title 12, C.R.S., a person licensed as a nurse pursuant to part
1 of article 38 ARTICLE 255 of title 12, C.R.S., a nurse aide certified
pursuant to part 1 of article 38.1 ARTICLE 260 of title 12, C.R.S., and a
psychiatric technician licensed pursuant to part 1 of article 42 ARTICLE 295
of title 12. C.R.S.
SECTION 92. In Colorado Revised Statutes, 18-3-407.5, amend
(3)(d) as follows:
18-3-407.5. Victim evidence - forensic evidence - electronic lie
detector exam without victim's consent prohibited. (3) (d) A law
enforcement agency shall not submit medical forensic evidence associated
with an anonymous report submitted pursuant to section 12-36-135, C.R.S.,
12-240-139 to the Colorado bureau of investigation or any other laboratory
for testing as described in section 24-33.5-113. C.R.S. Medical forensic
evidence associated with a medical report submitted pursuant to section
12-36-135, C.R.S. 12-240-139, when the victim has consented to evidence
testing, shall be submitted to the Colorado bureau of investigation or
another laboratory and tested, pursuant to section 24-33.5-113, C.R.S.,
regardless of whether the victim has chosen to participate in the criminal
justice system.
SECTION 93. In Colorado Revised Statutes, 18-3.5-108, amend
(1)(b)(II) as follows:
18-3.5-108. Aggravated vehicular unlawful termination of
pregnancy - definitions. (1) (b) As used in this subsection (1):
PAGE 1481-HOUSE BILL 19-1172
(II) "One or more drugs" means all substances defined as a drug in
section 12-42.5-102 (13), C.R.S. 12-280-103 (16), and all controlled
substances defined in section 18-18-102 (5), and glue-sniffing, aerosol
inhalation, or the inhalation of any other toxic vapor or vapors as defined
in section 18-18-412.
SECTION 94. In Colorado Revised Statutes, 18-4-412, amend
(2)(a) as follows:
18-4-412. Theft of medical records or medical information -
penalty - definitions. (2) As used in this section:
(a) "Medical record" means the written or graphic documentation,
sound recording, or computer record pertaining to medical, mental health,
and health care services, including medical marijuana services, performed
at the direction of a physician or other licensed health care provider on
behalf of a patient by physicians, dentists, nurses, service providers,
emergency medical service providers, mental health professionals,
prehospital providers, or other health care personnel. "Medical record"
includes such diagnostic documentation as X rays, electrocardiograms,
electroencephalograms, and other test results. "Medical record" includes
data entered into the prescription drug monitoring program under section
12-42.5-403, C.R.S. 12-280-403.
SECTION 95. In Colorado Revised Statutes, 18-4-515, amend (2)
as follows:
18-4-515. Entry to survey property - exception to criminal
trespass. (2) Any person who is licensed as a professional land surveyor
pursuant to section 12-25-214, C.R.S. 12-120-313, or who is under the
direct supervision of such a person as an employee, agent, or representative,
may enter public or private land to investigate and utilize boundary
evidence and to perform boundary surveys if the notice requirement in this
subsection (2) is met. The notice of the pending survey shall contain the
identity of the party for whom the survey is being performed and the
purpose for which the survey will be performed, the employer of the
surveyor, the identity of the surveyor, the dates the land will be entered, the
time, location, and timetable for such entry, the estimated completion date,
the estimated number of entries that will be required, and a statement
requesting the landowner to provide the surveyor with the name of each
PAGE 1482-HOUSE BILL 19-1172
person who occupies the land as a tenant or lessee, whether on a permanent
or a temporary basis. Nothing in this subsection (2) shall be deemed to
confer liability upon a landowner who fails or refuses to provide such
requested statement. At least fourteen days before the desired date of entry
the professional land surveyor shall cause such notice to be given to the
landowner by certified mail, return receipt requested, and by regular mail.
Any landowner may waive the requirement that notice be given by certified
mail, return receipt requested, and by regular mail. The waivers described
in this subsection (2) may be given orally or in writing.
SECTION 96. In Colorado Revised Statutes, 18-6-401, amend
(1)(b)(III) as follows:
18-6-401. Child abuse - definition. (1) (b) (III) A surgical
procedure as described in subparagraph (I) of this paragraph (b)
SUBSECTION (1)(b)(I) OF THIS SECTION is not a crime if the procedure:
(A) Is necessary to preserve the health of the child on whom it is
performed and is performed by a person licensed to practice medicine under
article 36 ARTICLE 240 of title 12; C.R.S.; or
(B) Is performed on a child who is in labor or who has just given
birth and is performed for medical purposes connected with that labor or
birth by a person licensed to practice medicine under article 36 ARTICLE 240
of title 12. C.R.S.
SECTION 97. In Colorado Revised Statutes, 18-6.5-108, amend
(1)(b)(VII) and (1)(b)(VIII) as follows:
18-6.5-108. Mandatory reports of mistreatment of at-risk elders
and at-risk adults with IDD - list of reporters - penalties. (1) (b) The
following persons, whether paid or unpaid, shall report as required by
subsection (1)(a) of this section:
(VII) Psychologists, addiction counselors, professional counselors,
marriage and family therapists, and registered psychotherapists, as those
persons are defined in article 43 ARTICLE 245 of title 12; C.R.S.;
(VIII) Social workers, as defined in part 4 of article 43 ARTICLE 245
of title 12; C.R.S.;
PAGE 1483-HOUSE BILL 19-1172
SECTION 98. In Colorado Revised Statutes, 18-12-203, amend
(1)(e)(II) as follows:
18-12-203. Criteria for obtaining a permit. (1) Beginning May
17, 2003, except as otherwise provided in this section, a sheriff shall issue
a permit to carry a concealed handgun to an applicant who:
(e) (II) The prohibition specified in this paragraph (e) SUBSECTION
(1)(e) shall not apply to an applicant who provides an affidavit, signed by
a professional counselor or addiction counselor who is licensed pursuant to
article 43 ARTICLE 245 of title 12 C.R.S., and specializes in alcohol
addiction, stating that the applicant has been evaluated by the counselor and
has been determined to be a recovering alcoholic who has refrained from
using alcohol for at least three years.
SECTION 99. In Colorado Revised Statutes, 18-13-107.3, amend
(4) as follows:
18-13-107.3. Intentional misrepresentation of entitlement to an
assistance animal - penalty - definitions. (4) A written finding made
pursuant to section 12-36-142 (1)(a), 12-38-132.5 (1)(a), or 12-43-226.5
(1)(a), C.R.S. 12-240-144 (1)(a), 12-245-229 (1)(a), OR 12-255-133 (1)(a)
is an affirmative defense to the offense established by this section. The lack
of such a finding is not proof of the offense established by this section, and
nothing in this section or in sections 12-36-142, 12-38-132.5, or
12-43-226.5, C.R.S. SECTION 12-240-144, 12-245-229, OR 12-255-133
limits the means by which a person with a disability may demonstrate,
pursuant to state or federal law, that the person has a disability or that the
person has a disability-related need for an assistance animal.
SECTION 100. In Colorado Revised Statutes, 18-13-123, amend
(4)(b) as follows:
18-13-123. Unlawful administration of gamma hydroxybutyrate
(GHB) or ketamine. (4) (b) It shall not be a violation of this section if
ketamine is distributed or dispensed by or under the direction of such
authorized person for use by a humane society that is duly registered with
the secretary of state and has been in existence and in business for at least
five years in this state as a nonprofit corporation or by an animal control
agency that is operated by a unit of government to control animals and to
PAGE 1484-HOUSE BILL 19-1172
euthanize injured, sick, homeless, or unwanted pets or animals if the
humane society or animal control agency is registered pursuant to section
12-42.5-117 (12), C.R.S. 12-280-119 (12).
SECTION 101. In Colorado Revised Statutes, 18-17-103, amend
(5)(b)(XIV) as follows:
18-17-103. Definitions. As used in this article 17, unless the context
otherwise requires:
(5) "Racketeering activity" means to commit, to attempt to commit,
to conspire to commit, or to solicit, coerce, or intimidate another person to
commit:
(b) Any violation of the following provisions of the Colorado
statutes or any criminal act committed in any jurisdiction of the United
States which, if committed in this state, would be a crime under the
following provisions of the Colorado statutes:
(XIV) Offenses relating to controlled substances (part 1 of article
42.5 (PART 1 OF ARTICLE 280 of title 12, C.R.S., part 2 of article 80 of title
27, C.R.S., and article 18 of this title TITLE 18);
SECTION 102. In Colorado Revised Statutes, 18-18-102, amend
(27) as follows:
18-18-102. Definitions. As used in this article 18:
(27) "Pharmacy" means a prescription drug outlet as defined in
section 12-42.5-102 (35), C.R.S. 12-280-103 (43).
SECTION 103. In Colorado Revised Statutes, 18-18-302, amend
(1) and (2) as follows:
18-18-302. Registration requirements - definitions. (1) Every
person who manufactures, distributes, or dispenses any controlled substance
within this state, or who proposes to engage in the manufacture,
distribution, or dispensing of any controlled substance within this state,
shall obtain annually or biannually, if applicable, a registration, issued by
the respective licensing board or the department in accordance with rules
PAGE 1485-HOUSE BILL 19-1172
adopted by such board or by the department. For purposes of this section
and this article ARTICLE 18, "registration" or "registered" means the
registering of manufacturers, pharmacists, pharmacies, and humane
societies located in this state, and distributors located in or doing business
in this state, by the state board of pharmacy, as set forth in article 42.5
ARTICLE 280 of title 12, C.R.S., the licensing of physicians by the Colorado
medical board, as set forth in article 36 ARTICLE 240 of title 12, C.R.S., the
licensing of podiatrists by the Colorado podiatry board, as set forth in article
32 ARTICLE 290 of title 12, C.R.S., the licensing of dentists by the Colorado
dental board, as set forth in article 35 ARTICLE 220 of title 12, C.R.S., the
licensing of optometrists by the state board of optometry, as set forth in
article 40 ARTICLE 275 of title 12, C.R.S., the licensing of veterinarians by
the state board of veterinary medicine, as set forth in article 64 ARTICLE 315
of title 12, C.R.S., and the licensing of researchers and addiction programs
by the department of human services, as set forth in part 2 of article 80 of
title 27. C.R.S.
(2) A person registered by the board or the department under this
part 3 to manufacture, distribute, dispense, or conduct research with
controlled substances may possess, manufacture, distribute, dispense, or
conduct research with those substances to the extent authorized by the
registration and in conformity with this article ARTICLE 18 and with article
42.5 ARTICLE 280 of title 12. C.R.S.
SECTION 104. In Colorado Revised Statutes, 18-18-303, amend
(5) as follows:
18-18-303. Registration. (5) Persons licensed or registered under
article 42.5 ARTICLE 280 of title 12 C.R.S., or article 32, 35, 36, 40, or 64
220, 240, 275, 290, OR 315 of title 12 C.R.S., need not be licensed separately
to distribute or dispense controlled substances to the extent provided under
law if they are registered or are exempt from registration by the federal drug
enforcement administration, provided that such persons indicate on any
initial application or renewal application the schedules of controlled
substances that the persons are authorized to use under Public Law 91-513,
known as the federal "Comprehensive Drug Abuse Prevention and Control
Act of 1970".
SECTION 105. In Colorado Revised Statutes, 18-18-403.5, amend
(1) as follows:
PAGE 1486-HOUSE BILL 19-1172
18-18-403.5. Unlawful possession of a controlled substance.
(1) Except as authorized by part 1 or 3 of article 42.5 ARTICLE 280 of title
12, C.R.S., part 2 of article 80 of title 27, C.R.S., section 18-1-711, section
18-18-428 (1)(b), or part 2 or 3 of this article ARTICLE 18, it is unlawful for
a person knowingly to possess a controlled substance.
SECTION 106. In Colorado Revised Statutes, 18-18-405, amend
(1) as follows:
18-18-405. Unlawful distribution, manufacturing, dispensing, or
sale. (1) (a) Except as authorized by part 1 of article 42.5 ARTICLE 280 of
title 12, C.R.S., part 2 of article 80 of title 27, C.R.S., or part 2 or 3 of this
article ARTICLE 18, it is unlawful for any person knowingly to manufacture,
dispense, sell, or distribute, or to possess with intent to manufacture,
dispense, sell, or distribute, a controlled substance; or induce, attempt to
induce, or conspire with one or more other persons, to manufacture,
dispense, sell, distribute, or possess with intent to manufacture, dispense,
sell, or distribute, a controlled substance; or possess one or more chemicals
or supplies or equipment with intent to manufacture a controlled substance.
(b) As used in this subsection (1), "dispense" does not include
labeling, as defined in section 12-42.5-102 (18), C.R.S. 12-280-103 (23).
SECTION 107. In Colorado Revised Statutes, 18-18-406, amend
(2)(a)(I), (2)(b)(I), (2)(b)(II), and (7) as follows:
18-18-406. Offenses relating to marijuana and marijuana
concentrate - definitions. (2) (a) (I) It is unlawful for a person to
knowingly process or manufacture any marijuana or marijuana concentrate
or knowingly allow to be processed or manufactured on land owned,
occupied, or controlled by him or her any marijuana or marijuana
concentrate except as authorized pursuant to part 1 of article 42.5 ARTICLE
280 of title 12 C.R.S., or part 2 of article 80 of title 27. C.R.S.
(b) (I) Except as otherwise provided in subsection (7) of this section
and except as authorized by part 1 of article 42.5 ARTICLE 280 of title 12,
C.R.S., part 2 of article 80 of title 27, C.R.S., or part 2 or 3 of this article
ARTICLE 18, it is unlawful for a person to knowingly dispense, sell,
distribute, or possess with intent to manufacture, dispense, sell, or distribute
marijuana or marijuana concentrate; or attempt, induce, attempt to induce,
PAGE 1487-HOUSE BILL 19-1172
or conspire with one or more other persons, to dispense, sell, distribute, or
possess with intent to manufacture, dispense, sell, or distribute marijuana
or marijuana concentrate.
(II) As used in subparagraph (I) of this paragraph (b) SUBSECTION
(2)(b)(I) OF THIS SECTION, "dispense" does not include labeling, as defined
in section 12-42.5-102 (18), C.R.S. 12-280-103 (23).
(7) The provisions of this section do not apply to any person who
possesses, uses, prescribes, dispenses, or administers dronabinol (synthetic)
in sesame oil and encapsulated in a soft gelatin capsule in a federal food and
drug administration approved drug product, pursuant to part 1 of article 42.5
ARTICLE 280 of title 12 C.R.S., or part 2 of article 80 of title 27. C.R.S.
SECTION 108. In Colorado Revised Statutes, 18-18-406.2, amend
(4) as follows:
18-18-406.2. Unlawful distribution, manufacturing, dispensing,
sale, or cultivation of synthetic cannabinoids or salvia divinorum.
(4) As used in this section, "dispense" does not include labeling, as defined
in section 12-42.5-102 (18), C.R.S. 12-280-103 (23).
SECTION 109. In Colorado Revised Statutes, 18-18-414, amend
(1) introductory portion, (1)(f), (1)(g), (1)(h), (1)(i), (1)(j), (1)(r), and (1)(t)
as follows:
18-18-414. Unlawful acts - licenses - penalties. (1) Except as
otherwise provided in this article ARTICLE 18 or in article 42.5 ARTICLE 280
of title 12, C.R.S., the following acts are unlawful:
(f) The failure of a pharmacy to file and retain the prescription as
required in section 12-42.5-131, C.R.S. 12-280-134;
(g) The failure of a hospital to record and maintain a record of such
dispensing as provided in section 12-42.5-131 12-280-134 or 27-80-210;
C.R.S.;
(h) The refusal to make available for inspection and to accord full
opportunity to check any record or file as required by this article, part 1 of
article 42.5 of title 12, C.R.S., ARTICLE 18, PART 1 OF ARTICLE 280 OF TITLE
PAGE 1488-HOUSE BILL 19-1172
12, or part 2 of article 80 of title 27; C.R.S.;
(i) The failure to keep records as required by this article, part 1 of
article 42.5 of title 12, C.R.S., ARTICLE 18, PART 1 OF ARTICLE 280 OF TITLE
12, or part 2 of article 80 of title 27; C.R.S.;
(j) The failure to obtain a license or registration as required by this
article, part 1 of article 42.5 of title 12, C.R.S., ARTICLE 18, PART 1 OF
ARTICLE 280 OF TITLE 12, or part 2 of article 80 of title 27; C.R.S.;
(r) Knowingly furnishing false or fraudulent material information
in, or omitting any material information from, any application, report, or
other document required to be kept or filed under this article, part 1 of
article 42.5 of title 12, C.R.S., ARTICLE 18, PART 1 OF ARTICLE 280 OF TITLE
12, or part 2 of article 80 of title 27, C.R.S., or any record required to be
kept by this article, part 1 of article 42.5 of title 12, C.R.S., ARTICLE 18,
PART 1 OF ARTICLE 280 OF TITLE 12, or part 2 of article 80 of title 27;
C.R.S.;
(t) The refusal of entry into any premises for any inspection
authorized by this article, part 1 of article 42.5 of title 12, C.R.S., ARTICLE
18, PART 1 OF ARTICLE 280 OF TITLE 12, or part 2 of article 80 of title 27.
C.R.S.
SECTION 110. In Colorado Revised Statutes, 18-18-418, amend
(2), (4), and (6) as follows:
18-18-418. Exemptions. (2) All combination drugs that are
exempted by regulation of the attorney general of the United States
department of justice, pursuant to section 1006 (b) of Public Law 91-513
(84 Stat. 1236), known as the "Comprehensive Drug Abuse Prevention and
Control Act of 1970", on or after July 1, 1981, are exempted from the
provisions of part 1 of article 42.5 ARTICLE 280 of title 12, C.R.S., part 2 of
article 80 of title 27, C.R.S., and part 3 of this article ARTICLE 18.
(4) The provisions of section 12-42.5-131 SECTIONS 12-280-134 and
27-80-210 C.R.S., shall not apply to a practitioner authorized to prescribe
with respect to any controlled substance that is listed in schedule III, IV, or
V of part 2 of this article ARTICLE 18 and that is manufactured, received, or
dispensed by the practitioner in the course of his or her professional practice
PAGE 1489-HOUSE BILL 19-1172
unless he or she dispenses, other than by direct administration, any such
controlled substance to patients and they are charged therefor either
separately or together with charges for other professional services or unless
the practitioner regularly engages in dispensing any such controlled
substance to his or her patients.
(6) It shall not be necessary for the state to negate any exemption or
exception in this part 4, part 1 of article 42.5 ARTICLE 280 of title 12,
C.R.S., part 2 of article 80 of title 27, C.R.S., or part 3 of this article
ARTICLE 18 in any complaint, information, indictment, or other pleading or
in any trial, hearing, or other proceeding under this part 4. The burden of
proof of any such exemption or exception is upon the person claiming it.
SECTION 111. In Colorado Revised Statutes, 19-1-307, amend
(2)(e.5)(I)(O) as follows:
19-1-307. Dependency and neglect records and information -
access - fee - rules - records and reports fund - misuse of information
- penalty - adult protective services data system check. (2) Records and
reports - access to certain persons - agencies. Except as otherwise
provided in section 19-1-303, only the following persons or agencies shall
have access to child abuse or neglect records and reports:
(e.5) (I) A mandatory reporter specified in this subsection (2)(e.5)(I)
who is and continues to be officially and professionally involved in the
ongoing care of the child who was the subject of the report, but only with
regard to information that the mandatory reporter has a need to know in
order to fulfill his or her professional and official role in maintaining the
child's safety. A county department shall request written affirmation from
a mandatory reporter stating that the reporter continues to be officially and
professionally involved in the ongoing care of the child who was the subject
of the report and describing the nature of the involvement, unless the county
department has actual knowledge that the mandatory reporter continues to
be officially and professionally involved in the ongoing care of the child
who was the subject of the report. This subsection (2)(e.5)(I) applies to:
(O) A person who is registered as a psychologist candidate pursuant
to section 12-43-304 (7) 12-245-304 (3), marriage and family therapist
candidate pursuant to section 12-43-504 (5) 12-245-504 (4), or licensed
professional counselor candidate pursuant to section 12-43-603 (5)
PAGE 1490-HOUSE BILL 19-1172
12-245-604 (4), or who is described in section 12-43-215 12-245-217; and
SECTION 112. In Colorado Revised Statutes, 19-3-304, amend
(2)(jj) and (2)(mm) as follows:
19-3-304. Persons required to report child abuse or neglect.
(2) Persons required to report such abuse or neglect or circumstances or
conditions include any:
(jj) Person who is registered as a psychologist candidate pursuant to
section 12-43-304 (7) 12-245-304 (3), marriage and family therapist
candidate pursuant to section 12-43-504 (5) 12-245-504 (4), or licensed
professional counselor candidate pursuant to section 12-43-603 (5)
12-245-604 (4), or who is described in section 12-43-215 12-245-217;
(mm) Naturopathic doctor registered under article 37.3 ARTICLE 250
of title 12.
SECTION 113. In Colorado Revised Statutes, 19-3-311, amend (1)
as follows:
19-3-311. Evidence not privileged. (1) The incident of privileged
communication between patient and physician, between patient and
registered professional nurse, or between any person licensed pursuant to
article 43 ARTICLE 245 of title 12, C.R.S., or certified or licensed school
psychologist and client, which is the basis for a report pursuant to section
19-3-304, shall not be a ground for excluding evidence in any judicial
proceeding resulting from a report pursuant to this part 3. In addition,
privileged communication shall not apply to any discussion of any future
misconduct or of any other past misconduct which THAT could be the basis
for any other report under section 19-3-304.
SECTION 114. In Colorado Revised Statutes, 21-1-104, amend (5)
as follows:
21-1-104. Duties of public defender. (5) The state public defender
shall hire social workers, as defined in section 12-43-401 (11), C.R.S.
12-245-401 (9), to assist in defending juvenile defendants.
SECTION 115. In Colorado Revised Statutes, amend 22-1-119 as
PAGE 1491-HOUSE BILL 19-1172
follows:
22-1-119. Students - dispensing of drugs to - liability. Any school
employee who dispenses any drug, as such term is defined in section
12-42.5-102 (13), C.R.S. 12-280-103 (16), to a student in accordance with
written instructions from a parent or legal guardian shall not be liable for
damages in any civil action or subject to prosecution in any criminal
proceedings for an adverse drug reaction suffered by the student as a result
of dispensing such drug.
SECTION 116. In Colorado Revised Statutes, 22-1-119.5, amend
(5.5)(a)(II)(B) and (5.5)(a)(IV) as follows:
22-1-119.5. Asthma, food allergy, and anaphylaxis health
management - self-administered medication - staff-administered
medication - rules - definitions. (5.5) (a) As used in this subsection (5.5)
and in subsection (6) of this section, unless the context otherwise requires:
(II) "Designated school personnel" means:
(B) An employee in a school who has been trained on the
administration of epinephrine auto-injectors consistent with the rules on
administration of epinephrine auto-injectors and to whom a nurse has
delegated the nursing task of administering epinephrine auto-injectors to
students or has been trained by a medical professional licensed under article
36 or article 38 ARTICLE 240 OR 255 of title 12 C.R.S., and to whom the
licensee has delegated the administration of epinephrine auto-injectors
under the authority of that person's license.
(IV) "Prescription" means any order issued in writing, dated and
signed by a physician licensed pursuant to article 36 ARTICLE 240 of title 12,
C.R.S., a physician assistant licensed in accordance with section
12-36-107.4, C.R.S. 12-240-113, or an advanced practice nurse with
prescriptive authority in accordance with section 12-38-111.6, C.R.S.
12-255-112.
SECTION 117. In Colorado Revised Statutes, 22-82.3-101, amend
the introductory portion and (11) as follows:
22-82.3-101. Definitions. As used in this article ARTICLE 82.3,
PAGE 1492-HOUSE BILL 19-1172
unless the context otherwise requires:
(11) "School nurse" means a person who is licensed to practice as
a nurse pursuant to the provisions of article 38 ARTICLE 255 of title 12
C.R.S., and is employed as a nurse by a school or school district.
SECTION 118. In Colorado Revised Statutes, amend 23-2-103 as
follows:
23-2-103. Awarding degrees. Notwithstanding the provisions of
section 7-50-105 C.R.S., or any other law to the contrary, a person,
partnership, corporation, company, society, or association doing business
in the state of Colorado shall not award, bestow, confer, give, grant, convey,
or sell to any other person a degree or honorary degree upon which is
inscribed, in any language, the word "associate", "bachelor",
"baccalaureate", "master", or "doctor", or any abbreviation thereof, or offer
courses of instruction or credits purporting to lead to any such degree,
unless the person, partnership, corporation, company, society, or association
is a state college or university; a private college or university that is
authorized pursuant to this article ARTICLE 2; a private occupational school;
a seminary or religious training institution that is authorized pursuant to this
article ARTICLE 2; or a school, college, or university that offers courses of
instruction or study in compliance with standards prescribed by articles 2,
22, 25, 32, 33, 35, 36, 38, 40, 41, 43, and 64 ARTICLES 100, 120, 215, 220,
240, 245, 255, 275, 280, 285, 290, AND 315 of title 12. C.R.S.
SECTION 119. In Colorado Revised Statutes, 23-20-114, amend
(1) as follows:
23-20-114. Employment of medical personnel. (1) The board of
regents of the university of Colorado has authority to employ medical
personnel who are not citizens of the United States at the university of
Colorado health sciences center, the university of Colorado psychiatric
hospital, and the medical division of the graduate school of the university
of Colorado. Medical personnel who are not citizens of the United States
are exempt from the licensure requirements of the "Colorado Medical
Practice Act", article 36 ARTICLE 240 of title 12, C.R.S., with respect to
services performed in the course of such employment, but such personnel
shall first comply with all other requirements of said act, which includes the
taking and passing of examinations approved by the Colorado medical
PAGE 1493-HOUSE BILL 19-1172
board and by the National Board of Medical Examiners, the National Board
of Examiners for Osteopathic Physicians and Surgeons, or the Federation
of State Medical Boards, or their successor organizations, on subjects
relating to the basic sciences as provided by law within three months after
the date of employment unless such examinations are not required by
section 12-36-107 (1)(b), C.R.S. 12-240-110 (1)(b). Such exemptions from
licensure or provisions in this section provided for such personnel who are
not citizens of the United States shall continue only during the minimum
period of time within which the particular individual can become a citizen
according to the laws of the United States and the regulations of the
immigration and naturalization service of the United States, department of
justice, or any successor agency, or such additional time as may be granted
by such boards. The exemptions in this section are limited to services
performed in the course of employment with the university of Colorado as
limited in this section and shall terminate when such employment
terminates.
SECTION 120. In Colorado Revised Statutes, 23-21-803, amend
(5) and (6) as follows:
23-21-803. Definitions. As used in this part 8, unless the context
otherwise requires:
(5) "Nurse practitioner" means an advanced practice nurse, as
defined in section 12-38-103 (1.5) 12-255-104 (1), who is listed on the
advanced practice registry in accordance with section 12-38-111.5
12-255-111 and is authorized by the state board of nursing in accordance
with section 12-38-111.6 12-255-112 to prescribe controlled substances and
prescription drugs.
(6) "Physician assistant" means a person licensed as a physician
assistant by the Colorado medical board in accordance with section
12-36-107.4 12-240-113 who is authorized, in accordance with section
12-36-106 (5) 12-240-107 (6), to perform acts constituting the practice of
medicine, including prescribing controlled substances, and who is under the
supervision of a physician trained in MAT.
SECTION 121. In Colorado Revised Statutes, 23-31-1002, amend
(2) and (5) as follows:
PAGE 1494-HOUSE BILL 19-1172
23-31-1002. Definitions. As used in this part 10, unless the context
otherwise requires:
(2) "Licensed veterinarian" has the same meaning as set forth in
section 12-64-103 (9) 12-315-104 (11).
(5) "Veterinarian" has the same meaning as set forth in section
12-64-103 (15) 12-315-104 (18).
SECTION 122. In Colorado Revised Statutes, 23-31-1006, amend
(4)(d) as follows:
23-31-1006. Program applicant eligibility - criteria. (4) In
establishing the applicant eligibility criteria for loan repayment under the
program, the council shall consider the following factors with respect to the
applicant's compatibility with a designated veterinary shortage area:
(d) An applicant's competence, as determined by the state board of
veterinary medicine created in section 12-64-105 12-315-106, and ability
to fulfill the duties identified in the application.
SECTION 123. In Colorado Revised Statutes, 23-64-104, amend
(1)(l) as follows:
23-64-104. Exemptions. (1) The following educational institutions
and educational services are exempt from the provisions of this article 64:
(l) Nurse aide training programs approved pursuant to section
12-38.1-108 (1) 12-260-109 (1);
SECTION 124. In Colorado Revised Statutes, 24-1-122, amend
(2)(k), (2)(l), (3)(b), (3)(h), (3)(k), (3)(m), (3)(p), (3)(q), (3)(r), (3)(u),
(3)(v), (3)(y), (3)(z), (3)(aa), (3)(ff), (3)(gg), (3)(ii), (3)(jj), (3)(kk), (3)(ll),
and (3)(mm) as follows:
24-1-122. Department of regulatory agencies - creation. (2) The
department of regulatory agencies shall consist of the following divisions:
(k) (I) Division of real estate, the head of which shall be the director
of the division. The division of real estate and the director of the division,
PAGE 1495-HOUSE BILL 19-1172
created by part 1 of article 61 PART 2 OF ARTICLE 10 of title 12, C.R.S., shall
exercise their powers and perform their duties and functions under the
department of regulatory agencies as if they were transferred to the
department by a type 2 transfer. The real estate commission, created by part
1 of article 61 PART 2 OF ARTICLE 10 of title 12, C.R.S., and its powers,
duties, and functions are transferred by a type 1 transfer to the department
of regulatory agencies.
(II) The division shall include the board of real estate appraisers,
created by part 7 of article 61 PART 6 OF ARTICLE 10 of title 12, C.R.S.,
which shall exercise its powers and perform its duties and functions under
the department of regulatory agencies as if the same were transferred
thereto by a type 1 transfer. The division shall also include the board of
mortgage loan originators, created by section 12-61-902.5, C.R.S.
12-10-703. The board of mortgage loan originators shall exercise its powers
and perform its duties and functions under the department of regulatory
agencies as if transferred thereto by a type 1 transfer.
(l) Division of conservation, the head of which is the director of the
division. The division of conservation and the director of the division,
created by part 11 of article 61 ARTICLE 15 of title 12, shall exercise their
powers and perform their duties and functions under the department of
regulatory agencies as if they were transferred to the department by a type
2 transfer. The conservation easement oversight commission, created by
section 12-61-1103 12-15-103, and its powers, duties, and functions are
transferred by a type 2 transfer to the department of regulatory agencies and
allocated to the division of conservation.
(3) The following boards and agencies are transferred by a type 1
transfer to the department of regulatory agencies and allocated to the
division of professions and occupations:
(b) State board of accountancy, created by article 2 ARTICLE 100 of
title 12; C.R.S.;
(h) Colorado state board of chiropractic examiners, created by
article 33 ARTICLE 215 of title 12; C.R.S.;
(k) Colorado dental board, created in article 35 ARTICLE 220 of title
12; C.R.S.;
PAGE 1496-HOUSE BILL 19-1172
(m) (I) Colorado medical board, created by article 36 ARTICLE 240
of title 12; C.R.S.;
(II) Colorado podiatry board, created by article 32 ARTICLE 290 of
title 12; C.R.S.;
(p) State board of optometry, created by article 40 ARTICLE 275 of
title 12; C.R.S.;
(q) Passenger tramway safety board, created by part 7 of article 5 of
title 25, C.R.S. ARTICLE 150 OF TITLE 12;
(r) State board of pharmacy, created by part 1 of article 42.5
ARTICLE 280 of title 12; C.R.S.;
(u) State board of licensure for architects, professional engineers,
and professional land surveyors, created by section 12-25-106, C.R.S.
12-120-103;
(v) Colorado state board of psychologist examiners, created by part
3 of article 43 ARTICLE 245 of title 12; C.R.S.;
(y) State board of veterinary medicine, created by article 64 ARTICLE
315 of title 12; C.R.S.;
(z) Board of examiners of nursing home administrators, created by
article 39 ARTICLE 265 of title 12; C.R.S.;
(aa) Examining board of plumbers STATE PLUMBING BOARD, created
by article 58 ARTICLE 155 of title 12; C.R.S.;
(ff) State electrical board, created by article 23 ARTICLE 115 of title
12; C.R.S.;
(gg) State board of nursing, created by article 38 ARTICLE 255 of
title 12; C.R.S.;
(ii) State board of social work examiners, created by part 4 of article
43 ARTICLE 245 of title 12; C.R.S.;
PAGE 1497-HOUSE BILL 19-1172
(jj) State board of marriage and family therapist examiners, created
by part 5 of article 43 ARTICLE 245 of title 12; C.R.S.;
(kk) State board of licensed professional counselor examiners,
created by part 6 of article 43 ARTICLE 245 of title 12; C.R.S.;
(ll) State board of registered psychotherapists, created by part 7 of
article 43 ARTICLE 245 of title 12; C.R.S.;
(mm) State board of addiction counselor examiners, created by part
8 of article 43 ARTICLE 245 of title 12. C.R.S.
SECTION 125. In Colorado Revised Statutes, 24-10-103, amend
the introductory portion and (4)(b)(IV) as follows:
24-10-103. Definitions. As used in this article ARTICLE 10, unless
the context otherwise requires:
(4) (b) "Public employee" includes any of the following:
(IV) Any health care practitioner who is a nurse licensed under
article 38 ARTICLE 255 of title 12 C.R.S., employed by a public entity. Any
such person shall maintain the status of a public employee only when such
person engages in activities at or for the public entity which THAT are within
the course and scope of such person's responsibilities as an employee of the
public entity.
SECTION 126. In Colorado Revised Statutes, 24-30-1402, amend
(3.5), (6)(a), (6)(b), and (6)(c) as follows:
24-30-1402. Definitions. As used in this part 14, unless the context
otherwise requires:
(3.5) "Practice of industrial hygiene" means the performance of
professional services, including but not limited to consulting, investigating,
sampling, or testing in connection with the anticipation, recognition,
evaluation, and control of those environmental factors or stresses arising in
or from the workplace that may cause sickness, impaired health, or
significant discomfort to workers or the public. "Practice of industrial
hygiene" includes but is not limited to the identification, sampling, and
PAGE 1498-HOUSE BILL 19-1172
testing of chemical, physical, biological, and ergonomic stresses and the
development of physical, administrative, personal protective equipment, and
training methods to prevent, eliminate, control, or reduce such factors and
stresses and their effects. The term does not include the practice of
architecture, as defined in section 12-25-302 (6), C.R.S. 12-120-402 (5), or
the practice of engineering, as defined in section 12-25-102 (10), C.R.S.
12-120-202 (6).
(6) "Professional services" means those services within the scope of
the following:
(a) The practice of architecture, as defined in section 12-25-302 (6),
C.R.S. 12-120-402 (5);
(b) The practice of engineering, as defined in section 12-25-102
(10), C.R.S. 12-120-202 (6);
(c) The practice of professional land surveying, as defined in section
12-25-202 (6), C.R.S. 12-120-302 (5);
SECTION 127. In Colorado Revised Statutes, 24-31-101, amend
(1)(f) as follows:
24-31-101. Powers and duties of attorney general. (1) (f) The
attorney general shall have concurrent original jurisdiction with the relevant
district attorney over part 3 of article 25 PART 4 OF ARTICLE 120 of title 12.
C.R.S.
SECTION 128. In Colorado Revised Statutes, 24-32-3323, amend
(4)(b) as follows:
24-32-3323. Sellers of manufactured homes - registration.
(4) For purposes of this section, a person is not engaged in the business of
selling manufactured homes if the person:
(b) Sells a manufactured home in the course of engaging in activities
that are subject to the provisions of article 61 ARTICLE 10 of title 12, C.R.S.,
or activities that would be subject to the provisions but for a specific
exemption set forth in article 61 ARTICLE 10 of title 12; C.R.S.;
PAGE 1499-HOUSE BILL 19-1172
SECTION 129. In Colorado Revised Statutes, 24-34-104, amend
(16)(a)(I), (16)(a)(III), (16)(a)(IV), (16)(a)(V), (16)(a)(VI), (16)(a)(VII),
(17)(a)(VII), (18)(a)(V), (18)(a)(VI), (19)(a)(I), (19)(a)(II), (19)(a)(III),
(19)(a)(V), (19)(a)(VI), (19)(a)(VII), (19)(a)(VIII), (19)(a)(X), (19)(a)(XII),
(20)(a)(II), (21)(a)(II), (21)(a)(IV), (21)(a)(VI), (21)(a)(VII), (21)(a)(VIII),
(21)(a)(IX), (21)(a)(X), (23)(a)(I), (23)(a)(II), (23)(a)(IV), (23)(a)(V),
(23)(a)(VI), (23)(a)(VIII), (24)(a)(VIII), (25)(a)(IV), (25)(a)(V),
(25)(a)(XI), (25)(a)(XIII), (25)(a)(XVIII), (25)(a)(XIX), (26)(a)(I),
(26)(a)(III), (27)(a)(I), (27)(a)(V), (27)(a)(VI), (29)(a)(I), and (30)(a)(II) as
follows:
24-34-104. General assembly review of regulatory agencies and
functions for repeal, continuation, or reestablishment - legislative
declaration - repeal. (16) (a) The following agencies, functions, or both,
will repeal on July 1, 2019:
(I) The passenger tramway safety board created in section 25-5-703,
C.R.S. 12-150-104;
(III) The licensing and regulation of psychiatric technicians by the
state board of nursing in accordance with article 42 ARTICLE 295 of title 12;
C.R.S.;
(IV) The state board of accountancy created in article 2 ARTICLE 100
of title 12; C.R.S.;
(V) The state electrical board created in article 23 ARTICLE 115 of
title 12; C.R.S.;
(VI) The Colorado podiatry board created in article 32 ARTICLE 290
of title 12; C.R.S.;
(VII) The Colorado medical board created in article 36 ARTICLE 240
of title 12. C.R.S.
(17) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2019:
(VII) The functions of professional review committees specified in
article 36.5 PART 2 OF ARTICLE 30 of title 12; C.R.S.;
PAGE 1500-HOUSE BILL 19-1172
(18) (a) The following agencies, functions, or both, are scheduled
to repeal on July 1, 2020:
(V) The state board of nursing created in article 38 ARTICLE 255 of
title 12; C.R.S.;
(VI) The Colorado state board of chiropractic examiners created in
article 33 ARTICLE 215 of title 12. C.R.S.
(19) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2020:
(I) The certification of nurse aides by the state board of nursing in
accordance with article 38.1 ARTICLE 260 of title 12; C.R.S.;
(II) The HOA information and resource center created in section
12-61-406.5, C.R.S. 12-10-801;
(III) Notwithstanding paragraph (a) of subsection (7) SUBSECTION
(7)(a) of this section, the functions of the boards specified in article 43
ARTICLE 245 of title 12, C.R.S., relating to the licensing, registration, or
certification of and grievances against a person licensed, registered, or
certified pursuant to article 43 ARTICLE 245 of title 12; C.R.S.;
(V) The licensing of audiologists by the division of professions and
occupations in accordance with article 29.9 ARTICLE 210 of title 12; C.R.S.;
(VI) The licensing of hearing aid providers by the division of
professions and occupations in accordance with article 5.5 ARTICLE 230 of
title 12; C.R.S.;
(VII) The licensing of occupational therapists and occupational
therapy assistants in accordance with article 40.5 ARTICLE 270 of title 12;
C.R.S.;
(VIII) The licensing of private investigators by the director of the
division of professions and occupations in accordance with article 58.5
ARTICLE 160 of title 12; C.R.S.;
(X) The regulation of fantasy contest operators by the DIRECTOR OF
PAGE 1501-HOUSE BILL 19-1172
THE DIVISION OF PROFESSIONS AND OCCUPATIONS IN THE department
pursuant to sections 12-15.5-103 to 12-15.5-107, 12-15.5-109, and
12-15.5-110, C.R.S. 12-125-104 TO 12-125-108, 12-125-110, AND
12-125-111;
(XII) The registration of naturopathic doctors in accordance with
article 37.3 ARTICLE 250 of title 12;
(20) (a) The following agencies, functions, or both, will repeal on
July 1, 2021:
(II) The electronic prescription drug monitoring program created in
part 4 of article 42.5 ARTICLE 280 of title 12. C.R.S.
(21) (a) The following agencies, functions, or both, will repeal on
September 1, 2021:
(II) The state board of pharmacy and the regulation of the practice
of pharmacy by the department of regulatory agencies through the division
of professions and occupations in accordance with parts 1 to 3 of article
42.5 ARTICLE 280 of title 12; C.R.S.;
(IV) The permitting of dental hygienists to place interim therapeutic
restorations in accordance with section 12-35-128.5, C.R.S. 12-220-128;
(VI) The administration of the "Michael Skolnik Medical
Transparency Act of 2010" by the director of the division of professions and
occupations in accordance with section 24-34-110 12-30-102;
(VII) The registration of direct-entry midwives by the division of
professions and occupations in accordance with article 37 ARTICLE 225 of
title 12; C.R.S.;
(VIII) The registration of surgical assistants and surgical
technologists pursuant to article 43.2 ARTICLE 310 of title 12; C.R.S.;
(IX) The regulation of athletic trainers by the director of the division
of professions and occupations in the department of regulatory agencies in
accordance with article 29.7 ARTICLE 205 of title 12; C.R.S.;
PAGE 1502-HOUSE BILL 19-1172
(X) The application of silver diamine fluoride by dental hygienists
in accordance with section 12-35-128.8 12-220-129.
(23) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2022:
(I) The state board of optometry created in article 40 ARTICLE 275
of title 12; C.R.S.;
(II) The state board of veterinary medicine created in article 64
ARTICLE 315 of title 12; C.R.S.;
(IV) The licensing of persons who practice acupuncture by the
director of the division of professions and occupations in accordance with
article 29.5 ARTICLE 200 of title 12; C.R.S.;
(V) The licensure of massage therapists by the director of the
division of professions and occupations in accordance with article 35.5
ARTICLE 235 of title 12; C.R.S.;
(VI) The board of real estate appraisers created in article 61 PART 6
OF ARTICLE 10 of title 12; C.R.S.;
(VIII) The regulation of speech-language pathologists by the
director of the division of professions and occupations in accordance with
article 43.7 ARTICLE 305 of title 12;
(24) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2023:
(VIII) The regulation of nursing home administrators by the board
of examiners of nursing home administrators in accordance with article 39
ARTICLE 265 of title 12;
(25) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2024:
(IV) The state board of licensure for architects, professional
engineers, and professional land surveyors in the department of regulatory
agencies created in section 12-25-106 12-120-103;
PAGE 1503-HOUSE BILL 19-1172
(V) The state plumbing board created in article 58 ARTICLE 155 of
title 12;
(XI) The licensing and regulation of respiratory therapists by the
division of professions and occupations in the department of regulatory
agencies in accordance with article 41.5 ARTICLE 300 of title 12;
(XIII) The regulation of persons registered to practice mortuary
science by sections 12-54-110 and 12-54-111 12-135-110 AND 12-135-111
and cremation by sections 12-54-303 and 12-54-304 12-135-303 AND
12-135-304, and the administration thereof in accordance with part 4 of
article 54 ARTICLE 135 of title 12, and the regulation of nontransplant tissue
banks by section 12-54.5-102 12-140-103;
(XVIII) The licensing of physical therapists by the physical therapy
board in accordance with part 1 of article 41 ARTICLE 285 of title 12;
(XIX) The certification of physical therapist assistants by the
physical therapy board in accordance with part 2 of article 41 ARTICLE 285
of title 12.
(26) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2025:
(I) The Colorado dental board created in article 35 ARTICLE 220 of
title 12; C.R.S.;
(III) The regulation of outfitters by the director of the division of
professions and occupations in accordance with article 55.5 ARTICLE 145 of
title 12; C.R.S.;
(27) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2026:
(I) The regulation of barbers, hairstylists, cosmetologists,
estheticians, nail technicians, and registered places of business under
section 12-8-114.5, C.R.S., 12-105-112 by the director of the division of
professions and occupations in accordance with article 8 ARTICLE 105 of
title 12; C.R.S.;
PAGE 1504-HOUSE BILL 19-1172
(V) The office of combative sports, including the Colorado
combative sports commission, created in article 10 ARTICLE 110 of title 12;
(VI) The division of real estate, including the real estate
commission, created in part 1 of article 61 PART 2 OF ARTICLE 10 of title 12,
and its functions under parts 1, 2, and 4 of article 61 PARTS 2, 3, AND 5 OF
ARTICLE 10 of title 12;
(29) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2028:
(I) The licensing of landscape architects in accordance with article
45 ARTICLE 130 of title 12;
(30) (a) The following agencies, functions, or both, are scheduled
for repeal on September 1, 2029:
(II) The licensing of mortgage loan originators and the registration
of mortgage companies in accordance with part 9 of article 61 PART 7 OF
ARTICLE 10 of title 12.
SECTION 130. In Colorado Revised Statutes, 24-34-303, amend
(4) as follows:
24-34-303. Civil rights commission - membership.
(4) Commissioners shall receive a per diem allowance and shall be
reimbursed for actual and necessary expenses incurred by them while on
official commission business, as provided in section 24-34-102 (13)
12-20-103 (6).
SECTION 131. In Colorado Revised Statutes, 24-34-309, amend
(1) introductory portion and (1)(d) as follows:
24-34-309. Public education - service and assistance animals -
form used in housing. (1) The division is authorized to educate the public
about the definitions of assistance and service animals, as those terms are
defined in sections 18-13-107.3 and 18-13-107.7, C.R.S., and the rights that
accompany people with disabilities who use those animals. The division
may:
PAGE 1505-HOUSE BILL 19-1172
(d) Create and publicize one or more forms that landlords, qualified
individuals with a disability, and health care providers may use in making
a determination contemplated by section 12-36-142, 12-38-132.5, or
12-43-226.5, C.R.S. 12-240-144, 12-245-229, OR 12-255-133; and
SECTION 132. In Colorado Revised Statutes, amend 24-60-3101
as follows:
24-60-3101. Legislative declaration. The general assembly hereby
finds that a lack of access to quality, affordable health care services is an
increasing problem, both in Colorado and nationwide, and contributes to the
spiraling costs of health care for individuals and businesses. This problem
could be alleviated by greater interstate cooperation among, and mobility
of, medical professionals through the use of telemedicine and other means.
Therefore, it is desirable to authorize the executive director of the
department of regulatory agencies, together with the Colorado medical
board created in section 12-36-103, C.R.S., 12-240-105 and the state board
of nursing created in section 12-38-104, C.R.S. 12-255-105, and in
consultation with representatives of other relevant state agencies, to
negotiate one or more interstate compacts endorsing model legislation to
facilitate the efficient distribution of health care services across state lines.
SECTION 133. In Colorado Revised Statutes, 24-60-3102, amend
(3) and (4) as follows:
24-60-3102. Definitions. As used in this part 31, unless the context
otherwise requires:
(3) "Medicine" or "medical practice" has the same meaning as
"practice of medicine" as defined in section 12-36-106, C.R.S. 12-240-107.
(4) "Nursing" or "nursing practice" includes both the practice of
practical nursing and the practice of professional nursing as set forth in
sections 12-38-103 (9) and 12-38-103 (10), C.R.S. SECTION 12-255-104 (9)
AND (10), respectively; except that nothing in this part 31 shall be construed
to authorize nurses to deliver services outside their scope of practice.
SECTION 134. In Colorado Revised Statutes, 24-60-3103, amend
(1) introductory portion as follows:
PAGE 1506-HOUSE BILL 19-1172
24-60-3103. Model legislation - compacts authorized. (1) The
executive director, together with the Colorado medical board created in
section 12-36-103, C.R.S., 12-240-105 and the state board of nursing
created in section 12-38-104, C.R.S. 12-255-105, and in consultation with
the executive director of the department of health care policy and financing
or his or her designee, the executive director of the department of public
health and environment or his or her designee, and representatives of other
state agencies whose participation the executive director deems beneficial,
is hereby authorized to develop, participate in the development of, and
negotiate for one or more interstate compacts on behalf of the state of
Colorado with other states and to recommend model legislation that, if
adopted in the respective signatory states, would advance the following
policy goals:
SECTION 135. In Colorado Revised Statutes, 24-72-204, amend
(3)(a)(XIV) and (7)(b)(VIII) as follows:
24-72-204. Allowance or denial of inspection - grounds -
procedure - appeal - definitions - repeal. (3) (a) The custodian shall deny
the right of inspection of the following records, unless otherwise provided
by law; except that any of the following records, other than letters of
reference concerning employment, licensing, or issuance of permits, shall
be available to the person in interest pursuant to this subsection (3):
(XIV) Veterinary medical data, information, and records on
individual animals that are owned by private individuals or business
entities, but are in the custody of a veterinary medical practice or hospital,
including the veterinary teaching hospital at Colorado state university, that
provides veterinary medical care and treatment to animals. A
veterinary-patient-client privilege exists with respect to such data,
information, and records only when a person in interest and a veterinarian
enter into a mutual agreement to provide medical treatment for an
individual animal and such person in interest maintains an ownership
interest in such animal undergoing treatment. For purposes of this
subparagraph (XIV) SUBSECTION (3)(a)(XIV), "person in interest" means
the owner of an animal undergoing veterinary medical treatment or such
owner's designated representative. Nothing in this subparagraph (XIV)
SUBSECTION (3)(a)(XIV) shall prevent the state agricultural commission, the
state agricultural commissioner, or the state board of veterinary medicine
from exercising their investigatory and enforcement powers and duties
PAGE 1507-HOUSE BILL 19-1172
granted pursuant to section 35-1-106 (1)(h), article 50 of title 35, and
section 12-64-105 (9)(e), C.R.S. 12-315-106 (5)(e), respectively. The
veterinary-patient-client privilege described in this subparagraph (XIV)
SUBSECTION (3)(a)(XIV), pursuant to section 12-64-121 (5), C.R.S.
12-315-120 (5), may not be asserted for the purpose of excluding or
refusing evidence or testimony in a prosecution for an act of animal cruelty
under section 18-9-202 C.R.S., or for an act of animal fighting under
section 18-9-204. C.R.S.
(7) (b) Notwithstanding subsection (7)(a) of this section, only upon
obtaining a completed requester release form under section 42-1-206 (1)(b),
the department may allow inspection of the information referred to in
subsection (7)(a) of this section for the following uses:
(VIII) For use by any private investigator licensed pursuant to
section 12-58.5-106, C.R.S. 12-160-107, licensed private investigative
agency, or licensed security service for any purpose permitted under this
paragraph (b) SUBSECTION (7)(b);
SECTION 136. In Colorado Revised Statutes, 24-72-601, amend
(3)(b) as follows:
24-72-601. Definitions. As used in this part 6, unless the context
otherwise requires:
(3) (b) "Medical record" includes diagnostic documentation such as
X rays, electrocardiograms, electroencephalograms, and other test results
and data entered into the prescription drug monitoring program under
section 12-42.5-403, C.R.S. 12-280-403.
SECTION 137. In Colorado Revised Statutes, amend 25-1-104 as
follows:
25-1-104. State board - organization. The board shall elect from
its members a president, a vice-president, and such other board officers as
it shall determine. The executive director of the department, in the
discretion of the board, may serve as secretary of the board but shall not be
eligible to appointment as a member. All board officers shall hold their
offices at the pleasure of the board. Regular meetings of the board shall be
held not less than once every three months at such times as may be fixed by
PAGE 1508-HOUSE BILL 19-1172
resolution of the board. Special meetings may be called by the president, by
the executive director of the department, or by a majority of the members
of the board at any time on three days' prior notice by mail or, in case of
emergency, on twenty-four hours' notice by telephone or other
telecommunications device. The board shall adopt, and at any time may
amend, bylaws in relation to its meetings and the transaction of its business.
A majority shall constitute a quorum of the board. Members shall receive
the same per diem compensation and reimbursement of expenses as those
provided for members of boards and commissions in the division of
professions and occupations pursuant to section 24-34-102 (13), C.R.S.
12-20-103 (6). All meetings of the board, in every suit and proceeding, shall
be taken to have been duly called and regularly held, and all orders and
proceedings of the board to have been authorized, unless the contrary is
proved.
SECTION 138. In Colorado Revised Statutes, 25-1-108.7, amend
(6)(c) as follows:
25-1-108.7. Health care credentials uniform application act -
legislative declaration - definitions - state board of health rules.
(6) (c) The review committee shall be staffed by an entity approved by the
Colorado medical board to collect medical license registration fees pursuant
to section 12-36-123.5, C.R.S. 12-240-131.
SECTION 139. In Colorado Revised Statutes, 25-1-801, amend (4)
as follows:
25-1-801. Patient records in custody of health care facility -
definitions. (4) For the purposes of this section, medical information
transmitted during the delivery of health care via telemedicine, as defined
in section 12-36-106 (1)(g), C.R.S. 12-240-107 (1)(g), is part of the patient's
medical record maintained by the health care facility.
SECTION 140. In Colorado Revised Statutes, 25-1-802, amend
(1)(a), (1)(b)(II), and (5) as follows:
25-1-802. Patient records in custody of individual health care
providers. (1) (a) Every patient record in the custody of a podiatrist,
chiropractor, dentist, doctor of medicine, doctor of osteopathy, nurse,
optometrist, occupational therapist, audiologist, acupuncturist, direct-entry
PAGE 1509-HOUSE BILL 19-1172
midwife, or physical therapist required to be licensed under title 12, C.R.S.,
a naturopathic doctor required to be registered pursuant to article 37.3
ARTICLE 250 of title 12, C.R.S., or a person practicing psychotherapy under
article 43 ARTICLE 245 of title 12, C.R.S., except records withheld in
accordance with 45 CFR 164.524 (a), must be available to the patient or the
patient's personal representative upon submission of a valid authorization
for inspection of records, dated and signed by the patient, at reasonable
times and upon reasonable notice. A summary of records pertaining to a
patient's mental health problems may, upon written request accompanied by
a signed and dated authorization, be made available to the patient or the
patient's personal representative following termination of the treatment
program.
(b) (II) If a licensed health care professional determines that a copy
of a radiographic study, including an X ray, mammogram, CT scan, MRI,
or other film is not sufficient for diagnostic or other treatment purposes, the
podiatrist, chiropractor, dentist, doctor of medicine, doctor of osteopathy,
nurse, optometrist, audiologist, acupuncturist, direct-entry midwife, or
physical therapist required to be licensed under title 12, C.R.S., or, subject
to the provisions of section 25-1-801 (1)(a) and paragraph (a) of this
subsection (1) SUBSECTION (1)(a) OF THIS SECTION, the person practicing
psychotherapy under article 43 ARTICLE 245 of title 12, C.R.S., shall make
the original of any radiographic study available to the patient, the patient's
personal representative, a person authorized by the patient, or another health
care professional or facility as specifically directed by the patient, personal
representative, authorized person, or health care professional or facility
pursuant to a HIPAA-compliant authorization and upon the payment of the
reasonable fees for the radiographic study. If a practitioner releases an
original radiographic study pursuant to this subparagraph (II) SUBSECTION
(1)(b)(II), the practitioner is not responsible for any loss, damage, or other
consequences as a result of the release. Any original radiographic study
made available pursuant to this subparagraph (II) SUBSECTION (1)(b)(II)
must be returned upon request to the lending practitioner within thirty days.
(5) For the purposes of this section, medical information transmitted
during the delivery of health care via telemedicine, as defined in section
12-36-106 (1)(g), C.R.S. 12-240-107 (1)(g), is part of the patient's medical
record maintained by a health care provider.
SECTION 141. In Colorado Revised Statutes, 25-1-1202, amend
PAGE 1510-HOUSE BILL 19-1172
(1)(i), (1)(j), (1)(k), (1)(l), (1)(m), (1)(n), (1)(o), (1)(q), (1)(r), (1)(s), and
(1)(nnn) as follows:
25-1-1202. Index of statutory sections regarding medical record
confidentiality and health information. (1) Statutory provisions
concerning policies, procedures, and references to the release, sharing, and
use of medical records and health information include the following:
(i) Section 12-32-108.3, C.R.S. 12-290-113, concerning disciplinary
actions against podiatrists;
(j) Section 12-33-126, C.R.S. 12-215-126, concerning disciplinary
actions against chiropractors;
(k) Section 12-35-129, C.R.S. 12-220-130, concerning disciplinary
actions against dentists and dental hygienists;
(l) Section 12-36-118, C.R.S. 12-240-125, concerning disciplinary
actions against physicians;
(m) Section 12-36-135 (1), C.R.S. 12-240-139 (1), concerning
reporting requirements for physicians pertaining to certain injuries;
(n) Section 12-36.5-104, C.R.S. 12-30-204, concerning professional
review committees for physicians;
(o) Section 12-36.5-104.4, C.R.S. 12-30-205, concerning hospital
professional review committees;
(q) Section 12-38-116.5, C.R.S. 12-255-119, concerning disciplinary
proceedings against a practical nurse, a professional nurse, or a psychiatric
technician;
(r) Section 12-43-218, C.R.S. 12-245-220, concerning the disclosure
of confidential communications by a mental health professional;
(s) Section 12-43-224 (4), C.R.S. 12-245-226 (4), concerning
disciplinary proceedings against a mental health professional;
(nnn) Section 12-42.5-406, C.R.S. 12-280-406, concerning
PAGE 1511-HOUSE BILL 19-1172
information entered into the prescription drug monitoring program database.
SECTION 142. In Colorado Revised Statutes, 25-1.5-106, amend
(5)(c), (6)(a), and (6)(c) as follows:
25-1.5-106. Medical marijuana program - powers and duties of
state health agency - rules - medical review board - medical marijuana
program cash fund - subaccount - created - repeal. (5) Physicians. A
physician who certifies a debilitating medical condition or disabling
medical condition for an applicant to the medical marijuana program shall
comply with all of the following requirements:
(c) The physician shall maintain a record-keeping system for all
patients for whom the physician has recommended the medical use of
marijuana, and, pursuant to an investigation initiated pursuant to section
12-36-118, C.R.S. 12-240-125, the physician shall produce such medical
records to the Colorado state board of medical examiners MEDICAL BOARD
after redacting any patient or primary caregiver identifying information.
(6) Enforcement. (a) If the state health agency has reasonable
cause to believe that a physician has violated section 14 of article XVIII of
the state constitution, paragraph (a), (b), or (c) of subsection (5)
SUBSECTION (5)(a), (5)(b), OR (5)(c) of this section, or the rules promulgated
by the state health agency pursuant to subsection (2) of this section, the state
health agency may refer the matter to the state COLORADO MEDICAL board
of medical examiners created in section 12-36-103, C.R.S., 12-240-105 for
an investigation and determination.
(c) Upon a finding of unprofessional conduct pursuant to section
12-36-117 (1)(mm), C.R.S., 12-240-121 (1)(dd) by the state board of
medical examiners COLORADO MEDICAL BOARD or a finding of a violation
of paragraph (d) of subsection (5) SUBSECTION (5)(d) of this section by the
state health agency, the state health agency shall restrict a physician's
authority to recommend the use of medical marijuana, which restrictions
may include the revocation or suspension of a physician's privilege to
recommend medical marijuana. The restriction shall be in addition to any
sanction imposed by the state board of medical examiners COLORADO
MEDICAL BOARD.
SECTION 143. In Colorado Revised Statutes, 25-1.5-301, amend
PAGE 1512-HOUSE BILL 19-1172
(4)(b) as follows:
25-1.5-301. Definitions. As used in this part 3, unless the context
otherwise requires:
(4) "Qualified manager" means a person who:
(b) Has completed training in the administration of medications
pursuant to section 25-1.5-303 or is a licensed nurse pursuant to article 38
ARTICLE 255 of title 12, C.R.S., a licensed physician pursuant to article 36
ARTICLE 240 of title 12, C.R.S., or a licensed pharmacist pursuant to article
42.5 ARTICLE 280 of title 12. C.R.S. Every unlicensed person who is a
"qualified manager" within the meaning of this subsection (4) shall
successfully complete a competency evaluation pertaining to the
administration of medications.
SECTION 144. In Colorado Revised Statutes, 25-1.5-302, amend
(1) as follows:
25-1.5-302. Administration of medications - powers and duties
of department - criminal history record checks. (1) The department has,
in addition to all other powers and duties imposed upon it by law, the power
to establish and maintain by rule a program for the administration of
medications in facilities. The department of human services, the department
of health care policy and financing, and the department of corrections shall
develop and conduct a medication administration program as provided in
this part 3. A medication administration program developed pursuant to this
subsection (1) must be conducted within the following guidelines:
(a) As a condition to authorizing or renewing the authorization to
operate any facility that administers medications to persons under its care,
the authorizing agency shall require that the facility have a staff member
qualified pursuant to paragraph (b) of this subsection (1) SUBSECTION (1)(b)
OF THIS SECTION on duty at any time that the facility administers such
medications and that the facility maintain a written record of each
medication administered to each resident, including the date, time, and
amount of the medication and the signature of the person administering the
medication. Such record is subject to review by the authorizing agency as
a part of the agency's procedure in authorizing the continued operation of
the facility. Notwithstanding any exemption enumerated in paragraph (b) of
PAGE 1513-HOUSE BILL 19-1172
this subsection (1) SUBSECTION (1)(b) OF THIS SECTION, any facility may
establish a policy that requires a person authorized to administer medication
to report to, be supervised by, or be otherwise accountable for the
performance of such administration to a registered nurse as defined in
section 12-38-103, C.R.S. 12-255-104.
(b) Any individual who is not otherwise authorized by law to
administer medication in a facility shall be allowed to perform such duties
only after passing a competency evaluation. An individual who administers
medications in facilities in compliance with the provisions of this part 3
shall be exempt from the licensing requirements of the "Colorado Medical
Practice Act", the "Nurse Practice Act", and the laws of this state pertaining
to possession of controlled substances as contained in article 42.5 ARTICLE
280 of title 12, C.R.S., part 2 of article 80 of title 27, C.R.S., or the
"Uniform Controlled Substances Act of 2013", article 18 of title 18. C.R.S.
SECTION 145. In Colorado Revised Statutes, 25-1.5-303, amend
(1) as follows:
25-1.5-303. Medication reminder boxes or systems - medication
cash fund. (1) Medication reminder boxes or systems may be used if such
containers have been filled and properly labeled by a pharmacist licensed
pursuant to article 42.5 ARTICLE 280 of title 12, C.R.S., a nurse licensed
pursuant to article 38 ARTICLE 255 of title 12, C.R.S., or an unlicensed
person trained pursuant to this section or filled and properly labeled through
the gratuitous care by members of one's family or friends. Nothing in this
section authorizes or shall be construed to authorize the practice of
pharmacy, as defined in section 12-42.5-102 (31), C.R.S. 12-280-103 (39).
An unlicensed person shall not fill and label medication reminder boxes
pursuant to this section until the person has successfully completed a
competency evaluation from an approved training entity or has been
approved by an authorized agency, and no facility shall use an unlicensed
person to perform such services unless the facility has a qualified manager
to oversee the work of the unlicensed person or persons.
SECTION 146. In Colorado Revised Statutes, 25-1.5-402, amend
(4) as follows:
25-1.5-402. Definitions. As used in this part 4, unless the context
otherwise requires:
PAGE 1514-HOUSE BILL 19-1172
(4) "Health care professional" means a licensed physician, an
advanced practice nurse registered pursuant to section 12-38-111.5, C.R.S.
12-255-111, a mental health practitioner, a licensed physician assistant, or
any other licensed health care provider for which the federal government
authorizes participation in a federally matched state loan repayment
program to encourage health care professionals to provide services in
underserved communities.
SECTION 147. In Colorado Revised Statutes, 25-1.5-502, amend
(1.7)(c) and (5) as follows:
25-1.5-502. Definitions. As used in this part 5, unless the context
otherwise requires:
(1.7) "Candidate for licensure" means a person who:
(c) Has not yet completed the supervised experience hours required
for licensure pursuant to section 12-43-304 (1)(d), 12-43-404 (2)(c),
12-43-504 (1)(d), 12-43-603 (1)(d), or 12-43-804 (1)(g) 12-245-304 (1)(d),
12-245-404 (2)(c), 12-245-504 (1)(d), 12-245-604 (1)(d), OR 12-245-804
(1)(g), as applicable; and
(5) "Health care professional" means a licensed physician, an
advanced practice nurse registered pursuant to section 12-38-111.5, C.R.S.
12-255-111, a mental health practitioner, a licensed physician assistant, or
any other licensed health care provider for which the federal government
authorizes participation in a federally matched state loan repayment
program to encourage health care professionals to provide services in
underserved communities.
SECTION 148. In Colorado Revised Statutes, 25-1.5-604, amend
(c)(2) as follows:
25-1.5-604. Regulation of services during emergency. (c) A host
entity that uses volunteer health practitioners to provide health or veterinary
services in this state shall:
(2) Comply with any laws other than this part 6 relating to the
management of emergency health or veterinary services, including articles
29.1 to 43 SECTION 12-30-103, PART 2 OF ARTICLE 30 OF TITLE 12, AND
PAGE 1515-HOUSE BILL 19-1172
ARTICLES 200 TO 225 AND 235 TO 300 of title 12.
SECTION 149. In Colorado Revised Statutes, 25-2-102, amend the
introductory portion and (3.5) as follows:
25-2-102. Definitions. As used in this article ARTICLE 2, unless the
context otherwise requires:
(3.5) "Physician" means a person licensed to practice medicine in
Colorado pursuant to article 36 ARTICLE 240 of title 12. C.R.S.
SECTION 150. In Colorado Revised Statutes, 25-2-110.5, amend
(1) as follows:
25-2-110.5. Fetal deaths - treatment of remains. (1) In every
instance of fetal death, the pregnant woman shall have the option of treating
the remains of a fetal death pursuant to article 54 ARTICLE 135 of title 12.
C.R.S.
SECTION 151. In Colorado Revised Statutes, 25-3-103.7, amend
(1)(g) and (2)(b) as follows:
25-3-103.7. Employment of physicians - when permissible -
conditions - definitions. (1) For purposes of this section:
(g) "Physician" means a person duly licensed to practice under
article 32, 35, or 36 ARTICLE 220, 240, OR 290 of title 12. C.R.S.
(2) (b) Nothing in this subsection (2) allows any person who is not
licensed pursuant to article 36 ARTICLE 240 of title 12 C.R.S., to practice or
direct the practice of medicine at a long-term care facility.
SECTION 152. In Colorado Revised Statutes, 25-3-109, amend (1)
and (2) as follows:
25-3-109. Quality management functions - confidentiality and
immunity. (1) The general assembly hereby finds and declares that the
implementation of quality management functions to evaluate and improve
patient and resident care is essential to the operation of health care facilities
licensed or certified by the department of public health and environment
PAGE 1516-HOUSE BILL 19-1172
pursuant to section 25-1.5-103 (1)(a). For this purpose, it is necessary that
the collection of information and data by such licensed or certified health
care facilities be reasonably unfettered so a complete and thorough
evaluation and improvement of the quality of patient and resident care can
be accomplished. To this end, quality management information relating to
the evaluation or improvement of the quality of health care services shall be
confidential, subject to the provisions of subsection (4) of this section, and
persons performing such functions shall be granted qualified immunity. It
is the intent of the general assembly that nothing in this section revise,
amend, or alter article 36 or part 1 of article 36.5 ARTICLE 240 OR PART 2 OF
ARTICLE 30 of title 12. C.R.S.
(2) For purposes of this section, a "quality management program"
means a program which THAT includes quality assurance and risk
management activities, the peer review of licensed health care professionals
not otherwise provided for in part 1 of article 36.5 PART 2 OF ARTICLE 30 of
title 12, C.R.S., and other quality management functions which THAT are
described by a facility in a quality management program approved by the
department of public health and environment. Nothing in this section shall
revise, amend, or alter article 36 or part 1 of article 36.5 ARTICLE 240 OR
PART 2 OF ARTICLE 30 of title 12. C.R.S.
SECTION 153. In Colorado Revised Statutes, 25-3.5-704, amend
(2)(h)(II)(B) as follows:
25-3.5-704. Statewide emergency medical and trauma care
system - development and implementation - duties of department -
rules adopted by board. (2) The board shall adopt rules for the statewide
emergency medical and trauma care system, including but not limited to the
following:
(h) (II) Data or information related to the identification of individual
patient's, provider's, or facility's care outcomes collected as a result of the
continuing quality improvement system and records or reports collected or
compiled as a result of the continuing quality improvement system are
confidential and are exempt from the open records law in part 2 of article
72 of title 24. Data, information, records, or reports are not subject to
subpoena or discovery and are not admissible in any civil action, except
pursuant to a court order that provides for the protection of sensitive
information about interested parties. Nothing in this subsection (2)(h)(II):
PAGE 1517-HOUSE BILL 19-1172
(B) Shall be construed to allow access to confidential professional
review committee records or reviews conducted under article 36.5 PART 2
OF ARTICLE 30 of title 12; or
SECTION 154. In Colorado Revised Statutes, amend 25-3.5-902
as follows:
25-3.5-902. Legislative declaration. The general assembly hereby
finds and declares that the implementation of quality management functions
to evaluate and improve prehospital emergency medical service patient care
is essential to the operation of emergency medical services organizations.
For this purpose, it is necessary that the collection of information by
prehospital medical directors and emergency medical services organizations
be reasonably unfettered so that a complete and thorough evaluation and
improvement of the quality of patient care can be accomplished. To this
end, quality management information relating to the evaluation or
improvement of the quality of prehospital emergency medical services is
confidential, subject to section 25-3.5-904 (3), and persons performing
quality management functions are granted qualified immunity as specified
in section 25-3.5-904 (4). It is the intent of the general assembly that
nothing in this section revise, amend, or alter article 36 or part 1 of article
36.5 ARTICLE 240 OR PART 2 OF ARTICLE 30 of title 12. C.R.S.
SECTION 155. In Colorado Revised Statutes, 25-3.5-1102, amend
(2) as follows:
25-3.5-1102. Definitions. As used in this part 11:
(2) "Physician" means a person licensed pursuant to article 36
ARTICLE 240 of title 12, C.R.S., in good standing, who authorizes and
directs, through protocols and standing orders, the performance of
students-in-training enrolled in department-recognized emergency medical
responder education programs.
SECTION 156. In Colorado Revised Statutes, 25-4-405, amend (1)
introductory portion as follows:
25-4-405. Reporting requirements - immunity. (1) In accordance
with the provisions of sections 25-1-122, 25-4-404, 25-4-406, and
12-36-135, C.R.S. 12-240-139, for every individual known to the person or
PAGE 1518-HOUSE BILL 19-1172
entity to have a diagnosis of a sexually transmitted infection or have a
positive test for a sexually transmitted infection, the following persons and
entities shall report any information required by rule of the state board to the
state department or local public health agency, in a form and within a time
period designated by rule of the state board:
SECTION 157. In Colorado Revised Statutes, 25-4-902.5, amend
(1) as follows:
25-4-902.5. Immunization prior to attending a college or
university - tuberculosis screening process development. (1) Except as
provided in section 25-4-903, no student shall attend any college or
university in the state of Colorado on or after the dates specified in section
25-4-906 (4) unless the student can present to the appropriate official of the
school a certificate of immunization from a licensed physician, licensed
physician assistant authorized under section 12-36-106 (5), C.R.S.
12-240-107 (6), licensed advanced practice nurse, or authorized
representative of the department of public health and environment or
county, district, or municipal public health agency stating that the student
has received immunization against communicable diseases as specified by
the state board of health or a written authorization signed by one parent or
guardian or the emancipated student or the student eighteen years of age or
older requesting that local health officials administer the immunizations or
a plan signed by one parent or guardian or the emancipated student or the
student eighteen years of age or older for receipt by the student of the
required inoculation or the first or the next required of a series of
inoculations within thirty days.
SECTION 158. In Colorado Revised Statutes, 25-4-903, amend
(2)(a) as follows:
25-4-903. Exemptions from immunization - rules. (2) It is the
responsibility of the parent or legal guardian to have his or her child
immunized unless the child is exempted pursuant to this section. A student
shall be exempted from receiving the required immunizations in the
following manner:
(a) By submitting to the student's school certification from a
licensed physician, physician assistant authorized under section 12-36-106
(5), C.R.S. 12-240-107 (6), or advanced practice nurse that the physical
PAGE 1519-HOUSE BILL 19-1172
condition of the student is such that one or more specified immunizations
would endanger his or her life or health or is medically contraindicated due
to other medical conditions; or
SECTION 159. In Colorado Revised Statutes, 25-4-905, amend (1)
as follows:
25-4-905. Immunization of indigent children. (1) The county,
district, or municipal public health agency; a public health or school nurse
under the supervision of a licensed physician or physician assistant
authorized under section 12-36-106 (5), C.R.S. 12-240-107 (6); or the
department of public health and environment, in the absence of a county,
district, or municipal public health agency or public health nurse, shall
provide, at public expense to the extent that funds are available,
immunizations required by this part 9 to each child whose parents or
guardians cannot afford to have the child immunized or, if emancipated,
who cannot himself or herself afford immunization and who has not been
exempted. The department of public health and environment shall provide
all vaccines necessary to comply with this section as far as funds will
permit. Nothing in this section precludes the department of public health
and environment from distributing vaccines to physicians, advanced
practice nurses, or others as required by law or the rules of the department.
No indigent child shall be excluded, suspended, or expelled from school
unless the immunizations have been available and readily accessible to the
child at public expense.
SECTION 160. In Colorado Revised Statutes, 25-4-1709, amend
(5) as follows:
25-4-1709. Limitations on liability. (5) A practitioner licensed to
practice medicine pursuant to article 36 ARTICLE 240 of title 12 C.R.S., or
nursing pursuant to article 38 ARTICLE 255 of title 12 C.R.S., or the health
care clinic, hospital, office of a private practitioner, or county public health
clinic at which the immunization was administered that relies on the health
history and other information given by a person who has been delegated the
authority to consent to the immunization of a minor pursuant to section
25-4-1704 (2.5) is not liable for damages related to an immunization
resulting from factual errors in the health history or information given to the
practitioner or the health care clinic, hospital, office of a private
practitioner, or county public health clinic at which the immunization was
PAGE 1520-HOUSE BILL 19-1172
administered by the person when such practitioner or health care clinic,
hospital, office of a private practitioner, or county public health clinic
reasonably relies upon the health history information given and exercises
reasonable and prudent care in administering the immunization.
SECTION 161. In Colorado Revised Statutes, 25-4-2403, amend
(8) as follows:
25-4-2403. Department of public health and environment -
powers and duties - immunization tracking system - definitions. (8) A
person licensed to practice medicine pursuant to article 36 ARTICLE 240 of
title 12; C.R.S.; a person licensed to practice nursing pursuant to article 38
ARTICLE 255 of title 12; C.R.S.; any other licensed health care practitioner
as defined in section 25-4-1703; providers of county nursing services; staff
members of health care clinics, hospitals, and offices of private
practitioners; county, district, and municipal public health agencies; and all
persons and entities listed in subsection (2) of this section are authorized to
report to the immunization tracking system and to use the reminder and
recall process established by the immunization tracking system.
SECTION 162. In Colorado Revised Statutes, 25-8-205.7, amend
(3) as follows:
25-8-205.7. Control regulations for reuse of reclaimed domestic
wastewater - food crops - definitions - rules. (3) All reclaimed domestic
wastewater systems must be compliant with and installed in accordance
with article 58 ARTICLE 155 of title 12 and any rules promulgated pursuant
to that article.
SECTION 163. In Colorado Revised Statutes, 25-8-205.8, amend
(2)(c)(IV) as follows:
25-8-205.8. Control regulations for reuse of reclaimed domestic
wastewater - toilet flushing - definitions - rules. (2) Reclaimed domestic
wastewater may be used as follows:
(c) In compliance with the category 3 standard, for:
(IV) Toilet and urinal flushing in:
PAGE 1521-HOUSE BILL 19-1172
(A) Multifamily residential structures, only if the toilet and urinal
installations are conducted in accordance with article 58 ARTICLE 155 of
title 12 and rules promulgated pursuant to that article. Any toilet or urinal
installation must conform to article 58 ARTICLE 155 of title 12 and rules
promulgated pursuant to that article.
(B) Nonresidential structures, only if the toilet and urinal
installations are conducted in accordance with article 58 ARTICLE 155 of
title 12 and rules promulgated pursuant to that article. Any toilet or urinal
installation must conform to article 58 ARTICLE 155 of title 12 and rules
promulgated pursuant to that article.
SECTION 164. In Colorado Revised Statutes, 25-8-205.9, amend
(3) as follows:
25-8-205.9. Control regulations for reuse of reclaimed domestic
wastewater - industrial hemp - definitions - rules. (3) All reclaimed
domestic wastewater systems must be compliant with and installed in
accordance with article 58 ARTICLE 155 of title 12 and any rules
promulgated pursuant to that article.
SECTION 165. In Colorado Revised Statutes, 25-10-103, amend
the introductory portion and (16) as follows:
25-10-103. Definitions. As used in this article ARTICLE 10, unless
the context otherwise requires:
(16) "Professional engineer" means an engineer licensed in
accordance with part 1 of article 25 PART 2 OF ARTICLE 120 of title 12.
C.R.S.
SECTION 166. In Colorado Revised Statutes, 25-15-328, amend
(6)(a) as follows:
25-15-328. Household medication take-back program - creation
- liability - definitions - cash fund - rules. (6) Nothing in this section:
(a) Affects the authority to collect and reuse medications pursuant
to section 12-42.5-133, C.R.S. 12-280-135; or
PAGE 1522-HOUSE BILL 19-1172
SECTION 167. In Colorado Revised Statutes, 25-15-402.5, amend
(2) as follows:
25-15-402.5. Disposition of fetal tissue. (2) Nothing in this part 4
shall be deemed to prohibit the treatment of the remains from a fetal death
pursuant to article 54 ARTICLE 135 of title 12. C.R.S.
SECTION 168. In Colorado Revised Statutes, 25-20-102, amend
the introductory portion and (5) as follows:
25-20-102. Definitions. As used in this article ARTICLE 20, unless
the context otherwise requires:
(5) "Medical practitioner" means a person licensed or authorized to
practice medicine pursuant to article 36 ARTICLE 240 of title 12. C.R.S.
SECTION 169. In Colorado Revised Statutes, 25-23-102, amend
the introductory portion and (2) as follows:
25-23-102. Definitions. As used in this article ARTICLE 23, unless
the context otherwise requires:
(2) "Eligible dental professional" means a person who is:
(a) A dentist licensed in Colorado pursuant to article 35 ARTICLE 220
of title 12; C.R.S.; or
(b) A dental hygienist licensed in Colorado pursuant to article 35
ARTICLE 220 of title 12. C.R.S.
SECTION 170. In Colorado Revised Statutes, 25-35-102, amend
the introductory portion, (3), and (8) as follows:
25-35-102. Definitions. As used in this article ARTICLE 35, unless
the context otherwise requires:
(3) "Dispense" shall have the same meaning as set forth in section
12-42.5-102 (11), C.R.S. 12-280-103 (14).
(8) "Pharmacist" means an individual licensed by this state pursuant
PAGE 1523-HOUSE BILL 19-1172
to article 42.5 ARTICLE 280 of title 12 C.R.S., to engage in the practice of
pharmacy.
SECTION 171. In Colorado Revised Statutes, 25-35-103, amend
(3)(d) as follows:
25-35-103. Cancer drug repository - administration - donation
- dispensing - cancer drugs - medical devices. (3) A pharmacist may
accept and dispense cancer drugs and medical devices donated under the
program to eligible patients if all of the following requirements are met:
(d) The cancer drug or medical device is prescribed by a
practitioner, as defined in section 12-42.5-102 (32), C.R.S. 12-280-103
(40), for use by an eligible patient and is dispensed by a pharmacist.
SECTION 172. In Colorado Revised Statutes, 25-38-103, amend
the introductory portion, (3.5), and (7) as follows:
25-38-103. Definitions. As used in this article ARTICLE 38, unless
the context otherwise requires:
(3.5) "Dentist" means a dentist licensed under the "Dental Practice
Act", article 35 ARTICLE 220 of title 12. C.R.S.
(7) "Physician" means any physician licensed under the "Colorado
Medical Practice Act", article 36 ARTICLE 240 of title 12. C.R.S.
SECTION 173. In Colorado Revised Statutes, 25-47-101, amend
the introductory portion and (7) as follows:
25-47-101. Definitions. As used in this article ARTICLE 47:
(7) "Pharmacist" has the meaning set forth in section 12-42.5-102
(28), C.R.S. 12-280-103 (35).
SECTION 174. In Colorado Revised Statutes, 25-48-102, amend
the introductory portion and (6) as follows:
25-48-102. Definitions. As used in this article ARTICLE 48, unless
the context otherwise requires:
PAGE 1524-HOUSE BILL 19-1172
(6) "Licensed mental health professional" means a psychiatrist
licensed under article 36 ARTICLE 240 of title 12 C.R.S., or a psychologist
licensed under part 3 of article 43 ARTICLE 245 of title 12. C.R.S.
SECTION 175. In Colorado Revised Statutes, 25-48-106, amend
(1)(l)(II) as follows:
25-48-106. Attending physician responsibilities. (1) The
attending physician shall:
(l) Either:
(II) Deliver the written prescription personally, by mail, or through
authorized electronic transmission in the manner permitted under article
42.5 ARTICLE 280 of title 12, C.R.S., to a licensed pharmacist, who shall
dispense the medical aid-in-dying medication to the qualified individual, the
attending physician, or an individual expressly designated by the qualified
individual.
SECTION 176. In Colorado Revised Statutes, 25-50-101, amend
(3) and (4) as follows:
25-50-101. Definitions. As used in this article 50, unless the context
otherwise requires:
(3) "Licensed dentist" means a person licensed to practice dentistry
under article 35 ARTICLE 220 of title 12 by the Colorado dental board or its
successor.
(4) "Licensed physician or osteopath" means a person licensed to
practice medicine under article 36 ARTICLE 240 of title 12 by the Colorado
medical board or its successor.
SECTION 177. In Colorado Revised Statutes, 25.5-4-103, amend
(19.5) as follows:
25.5-4-103. Definitions. As used in this article 4 and articles 5 and
6 of this title 25.5, unless the context otherwise requires:
(19.5) "Psychiatric residential treatment facility" means a facility
PAGE 1525-HOUSE BILL 19-1172
that is licensed as a residential child care facility, as defined in section
26-6-102 (33), C.R.S., that is not a hospital, and that provides inpatient
psychiatric services for individuals who are less than twenty-one years of
age under the direction of a physician licensed pursuant to article 36
ARTICLE 240 of title 12, C.R.S., and that meets any other requirement
established in rule by the state board.
SECTION 178. In Colorado Revised Statutes, amend 25.5-4-409
as follows:
25.5-4-409. Authorization of services - nurse anesthetists -
advanced practice nurses. (1) When services by a certified registered
nurse anesthetist are provided pursuant to an order by a physician in
accordance with this article ARTICLE 4, articles 5 and 6 of this title TITLE
25.5, and section 12-38-103 (10), C.R.S. 12-255-104 (10), the executive
director of the state department shall authorize reimbursement for said
services. Payment for such services shall be made directly to the nurse
anesthetist, if requested by the nurse anesthetist; except that this section
shall not apply to nurse anesthetists when acting within the scope of their
employment as salaried employees of public or private institutions or
physicians.
(2) When services by an advanced practice nurse registered pursuant
to section 12-38-111.5, C.R.S., 12-255-111 are provided in accordance with
this article ARTICLE 4 and articles 5 and 6 of this title TITLE 25.5, the
executive director of the state department shall authorize reimbursement for
said services. Payment for the services shall be made directly to the
advanced practice nurse, if requested by the advanced practice nurse; except
that this section shall not apply to advanced practice nurses when acting
within the scope of their employment as salaried employees of public or
private institutions or physicians.
SECTION 179. In Colorado Revised Statutes, 25.5-4-411, amend
(1) as follows:
25.5-4-411. Authorization of services provided by dental
hygienists. (1) When dental hygiene services are provided to children by
a licensed dental hygienist who is providing dental hygiene services
pursuant to section 12-35-124, C.R.S., 12-220-122 without the supervision
of a licensed dentist, the executive director of the state department shall
PAGE 1526-HOUSE BILL 19-1172
authorize reimbursement for said services, subject to the requirements of
this section. Payment for such services shall be made directly to the licensed
dental hygienist, if requested by the licensed dental hygienist; except that
this section shall not apply to licensed dental hygienists when acting within
the scope of their employment as salaried employees of public or private
institutions, physicians, or dentists.
SECTION 180. In Colorado Revised Statutes, 25.5-4-414, amend
(1)(d) as follows:
25.5-4-414. Providers - physicians - prohibition of certain
referrals - definitions. (1) As used in this section, unless the context
otherwise requires:
(d) "Provider" means:
(I) A doctor of medicine or osteopathy who is licensed to practice
medicine pursuant to article 36 ARTICLE 240 of title 12; C.R.S.;
(II) A doctor of dental surgery or of dental medicine who is licensed
to practice dentistry pursuant to article 35 ARTICLE 220 of title 12; C.R.S.;
(III) A doctor of podiatric medicine who is licensed to practice
podiatry pursuant to article 32 ARTICLE 290 of title 12; C.R.S.;
(IV) A doctor of optometry who is licensed to practice optometry
pursuant to article 40 ARTICLE 275 of title 12; C.R.S.; or
(V) A chiropractor who is licensed to practice chiropractic pursuant
to article 33 ARTICLE 215 of title 12. C.R.S.
SECTION 181. In Colorado Revised Statutes, 25.5-5-306, amend
(3) and (4) as follows:
25.5-5-306. Residential child health care - waiver - program -
rules - notice to revisor - repeal. (3) The state board, in cooperation with
the department of human services, shall promulgate rules as necessary for
the implementation of the program, including, but not limited to, rules
regarding program services that may include rehabilitative services as
appropriate to residential child health care when referred by a physician
PAGE 1527-HOUSE BILL 19-1172
licensed pursuant to article 36 ARTICLE 240 of title 12, C.R.S. a psychologist
licensed pursuant to part 3 of article 43 ARTICLE 245 of title 12, C.R.S., a
registered professional nurse as defined in section 12-38-103 (11), C.R.S.
12-255-104 (11), who, by reason of postgraduate education and additional
nursing preparation, has gained knowledge, judgment, and skill in
psychiatric or mental health nursing, a clinical social worker licensed
pursuant to part 4 of article 43 ARTICLE 245 of title 12, C.R.S., a marriage
and family therapist licensed pursuant to part 5 of article 43 ARTICLE 245 of
title 12, C.R.S., or a professional counselor licensed pursuant to part 6 of
article 43 ARTICLE 245 of title 12; C.R.S.; the number of recipients
participating; eligibility criteria including financial eligibility criteria;
reimbursement of providers; and such other rules as are necessary for the
implementation and administration of the program. The county contribution
established in section 26-1-122 C.R.S., for residential child care facilities
may be used by the state to obtain federal financial participation under Title
XIX of the social security act for any residential child health care program
established pursuant to this section. The county contribution shall not be
increased due to any federal financial participation received as a result of
any programs established pursuant to this section. Nothing in this section
shall be construed to prohibit an adjustment in the county contribution due
to caseload or service cost increases. Nothing in this section shall be
construed to create a county obligation to directly participate in the
financing of any program established pursuant to the "Colorado Medical
Assistance Act" as set forth in this article ARTICLE 5 and articles 4 and 6 of
this title TITLE 25.5.
(4) Services provided in a residential child care facility by a
provisional licensee as defined in section 12-43-201 (7.8), C.R.S.,
12-245-202 (12) to medicaid-eligible children shall receive medicaid
reimbursement only if approved by the federal government.
SECTION 182. In Colorado Revised Statutes, 25.5-5-321.5, amend
(2) as follows:
25.5-5-321.5. Telehealth - interim therapeutic restorations -
reimbursement - definitions. (2) As used in this section:
(a) "Interim therapeutic restoration" has the same meaning as set
forth in section 12-35-103 (10.5), C.R.S. 12-220-104 (10).
PAGE 1528-HOUSE BILL 19-1172
(b) "Store-and-forward transfer" means a telehealth by
store-and-forward transfer, as defined in section 12-35-103 (16), C.R.S.
12-220-104 (14).
SECTION 183. In Colorado Revised Statutes, 25.5-5-322, amend
(2)(a) as follows:
25.5-5-322. Over-the-counter medications - rules. (2) (a) The
state board, in consultation with the state board of pharmacy created
pursuant to section 12-42.5-103, C.R.S. 12-280-104, shall establish by rule
standards for when a licensed pharmacist may prescribe over-the-counter
medications as provided under this section for purposes of receiving
reimbursement under the medical assistance program.
SECTION 184. In Colorado Revised Statutes, 25.5-5-412, amend
(7)(b) as follows:
25.5-5-412. Program of all-inclusive care for the elderly -
legislative declaration - services - eligibility - rules - definitions - repeal.
(7) For purposes of this section:
(b) "Eligible person" means a frail elderly individual who
voluntarily enrolls in the PACE program and whose gross income does not
exceed three hundred percent of the current federal supplemental security
income benefit level, whose resources do not exceed the limit established
by the state department of human services for individuals receiving a
mandatory minimum state supplementation of SSI benefits pursuant to
section 26-2-204 C.R.S., or in the case of a person who is married, do not
exceed the amount authorized in section 25.5-6-101, and for whom a
physician licensed pursuant to article 36 ARTICLE 240 of title 12 C.R.S.,
certifies that such a program provides an appropriate alternative to
institutionalized care. "Eligible person" may also include a dually eligible
person.
SECTION 185. In Colorado Revised Statutes, 25.5-5-414, amend
(2) as follows:
25.5-5-414. Telemedicine - legislative intent. (2) For the purposes
of this section, "telemedicine" shall have the same meaning as set forth in
section 12-36-106 (1)(g), C.R.S. 12-240-104 (6).
PAGE 1529-HOUSE BILL 19-1172
SECTION 186. In Colorado Revised Statutes, 25.5-5-502, amend
(2) introductory portion as follows:
25.5-5-502. Unused medications - reuse - rules. (2) A pharmacist
participating in the medical assistance program may accept unused
medication from a licensed facility, as defined in section 12-42.5-133 (1)(a),
C.R.S. 12-280-135 (1)(b), or a licensed health care provider for the purpose
of dispensing the medication to another person. A pharmacist shall
reimburse the state department for the cost of medications that the state
department has paid to the pharmacist if medications are returned to a
pharmacist and the medications are available to be dispensed to another
person. Medications shall only be available to be dispensed to another
person under this section if the medications are:
SECTION 187. In Colorado Revised Statutes, 25.5-5-505, amend
(1)(c) as follows:
25.5-5-505. Prescribed drugs - mail order - rules. (1) (c) A
pharmacy may provide maintenance medications through the mail to
medical assistance recipients in accordance with all applicable state and
federal laws if the pharmacy is enrolled as a provider with the state
department and is registered with the state board of pharmacy, created and
existing pursuant to section 12-42.5-103, C.R.S. 12-280-104.
SECTION 188. In Colorado Revised Statutes, amend 25.5-5-510
as follows:
25.5-5-510. Pharmacy reimbursement - substance use disorder
- injections. If a pharmacy has entered into a collaborative pharmacy
practice agreement with one or more physicians pursuant to section
12-42.5-602 12-280-602 to administer injectable antagonist medication for
medication-assisted treatment for substance use disorders, the pharmacy
administering the drug shall receive an enhanced dispensing fee that aligns
with the administration fee paid to a provider in a clinical setting.
SECTION 189. In Colorado Revised Statutes, 25.5-6-1102, amend
(7) as follows:
25.5-6-1102. Service model - consumer-directed care.
(7) Sections 12-38-103 (8), 12-38-103 (11), 12-38-123 (1)(a), 12-38.1-102
PAGE 1530-HOUSE BILL 19-1172
(5), and 12-38.1-117 (1)(b), C.R.S. 12-255-104 (7) AND (11), 12-255-125
(1), 12-260-103 (7), AND 12-260-120 (1)(b) shall not apply to a person who
is directly employed by an individual participating in the consumer-directed
care service model pursuant to this section and who is acting within the
scope and course of such employment. However, such person may not
represent himself or herself to the public as a licensed nurse, a certified
nurse aide, a licensed practical or professional nurse, a registered nurse, or
a registered professional nurse. This exclusion shall not apply to any person
who has had his or her license as a nurse or certification as a nurse aide
suspended or revoked or his or her application for such license or
certification denied.
SECTION 190. In Colorado Revised Statutes, 25.5-6-1203, amend
(3) as follows:
25.5-6-1203. In-home support services - eligibility - licensure
exclusion - in-home support service agency responsibilities - rules.
(3) Sections 12-38-103 (8), 12-38-103 (11), 12-38-123 (1)(a), 12-38.1-102
(5), and 12-38.1-117 (1)(b), C.R.S. 12-255-104 (7) AND (11), 12-255-125
(1), 12-260-103 (7), AND 12-260-120 (1)(b) shall not apply to a person who
is directly employed by an in-home support service agency to provide
in-home support services and who is acting within the scope and course of
such employment or is a family member providing in-home support services
pursuant to this part 12. However, such person may not represent himself
or herself to the public as a licensed nurse, a certified nurse aide, a licensed
practical or professional nurse, a registered nurse, or a registered
professional nurse. This exclusion shall not apply to any person who has
had his or her license as a nurse or certification as a nurse aide suspended
or revoked or his or her application for such license or certification denied.
SECTION 191. In Colorado Revised Statutes, 25.5-8-109.5, amend
(2) as follows:
25.5-8-109.5. Telehealth - interim therapeutic restorations -
reimbursement - definitions. (2) As used in this section:
(a) "Interim therapeutic restoration" has the same meaning as set
forth in section 12-35-103 (10.5), C.R.S. 12-220-104 (10).
(b) "Store-and-forward transfer" means a telehealth by
PAGE 1531-HOUSE BILL 19-1172
store-and-forward transfer, as defined in section 12-35-103 (16), C.R.S.
12-220-104 (14).
SECTION 192. In Colorado Revised Statutes, 25.5-10-204, amend
(2)(j)(III) as follows:
25.5-10-204. Duties of the executive director - state board rules.
(2) The state board shall adopt such rules, in accordance with section
24-4-103, as are necessary to carry out the provisions and purposes of this
article 10, including but not limited to the following subjects:
(j) (III) A person who is not otherwise authorized by law to
administer nutrition and fluids through gastrostomy tubes is allowed to
perform the duties only under the supervision of a licensed nurse or
physician. A person who administers nutrition and fluids in compliance
with the provisions of this paragraph (j) SUBSECTION (2)(j) is exempt from
the licensing requirements of the "Colorado Medical Practice Act", article
36 ARTICLE 240 of title 12, C.R.S., and the "Nurse Practice Act", article 38
ARTICLE 255 of title 12. C.R.S. Nothing in this paragraph (j) SUBSECTION
(2)(j) shall be deemed to authorize the administration of medications
through gastrostomy tubes. A person administering medications through
gastrostomy tubes is subject to the requirements of part 3 of article 1.5 of
title 25. C.R.S.
SECTION 193. In Colorado Revised Statutes, 26-3.1-102, amend
(1)(b) introductory portion, (1)(b)(VII), and (1)(b)(VIII) as follows:
26-3.1-102. Reporting requirements. (1) (b) The following
persons, whether paid or unpaid, are urged to report as described in
paragraph (a) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION:
(VII) Psychologists, addiction counselors, professional counselors,
marriage and family therapists, and registered psychotherapists, as those
persons are defined in article 43 ARTICLE 245 of title 12; C.R.S.;
(VIII) Social workers, as defined in part 4 of article 43 ARTICLE 245
of title 12; C.R.S.;
SECTION 194. In Colorado Revised Statutes, 26-6-119, amend (1)
introductory portion as follows:
PAGE 1532-HOUSE BILL 19-1172
26-6-119. Family child care homes - administration of routine
medications - parental direction - rules. (1) The delegation of nursing
tasks by a registered nurse pursuant to section 12-38-132, C.R.S.,
12-255-131 shall not be required for the administration of routine
medications by a child care provider to children cared for in family child
care homes licensed pursuant to this part 1, subject to the following
conditions:
SECTION 195. In Colorado Revised Statutes, 26-6.4-103, amend
(5) as follows:
26-6.4-103. Definitions. As used in this article 6.4, unless the
context otherwise requires:
(5) "Nurse" means a person licensed as a professional nurse
pursuant to article 38 ARTICLE 255 of title 12 C.R.S., or accredited by
another state or voluntary agency that the state board of nursing has
identified by rule pursuant to section 12-38-108 (1)(a), C.R.S., 12-255-107
(1)(a) as one whose accreditation may be accepted in lieu of board
approval.
SECTION 196. In Colorado Revised Statutes, 26-20-102, amend
(1)(a)(V) as follows:
26-20-102. Definitions. As used in this article 20, unless the context
otherwise requires:
(1) (a) "Agency" means:
(V) A person regulated pursuant to article 43 ARTICLE 245 of title
12. C.R.S.
SECTION 197. In Colorado Revised Statutes, 27-10.5-103, amend
(2) introductory portion and (2)(i)(III) as follows:
27-10.5-103. Duties of the executive director - rules - definition.
(2) In accordance with section 24-4-103, C.R.S., and in coordination with
the requirements of article 10 of title 25.5, C.R.S., the department shall
adopt such rules as are necessary to carry out the provisions and purposes
of this article ARTICLE 10.5, including but not limited to the following:
PAGE 1533-HOUSE BILL 19-1172
(i) (III) A person who is not otherwise authorized by law to
administer nutrition and fluids through gastrostomy tubes is allowed to
perform the duties only under the supervision of a licensed nurse or
physician. A person who administers nutrition and fluids in compliance
with the provisions of this paragraph (i) SUBSECTION (2)(i) is exempt from
the licensing requirements of the "Colorado Medical Practice Act", article
36 ARTICLE 240 of title 12, C.R.S., and the "Nurse Practice Act", article 38
ARTICLE 255 of title 12. C.R.S. Nothing in this paragraph (i) SUBSECTION
(2)(i) shall be deemed to authorize the administration of medications
through gastrostomy tubes. A person administering medications through
gastrostomy tubes is subject to the requirements of part 3 of article 1.5 of
title 25. C.R.S.
SECTION 198. In Colorado Revised Statutes, 27-65-103, amend
(2) as follows:
27-65-103. Voluntary applications for mental health services -
treatment of minors. (2) Notwithstanding any other provision of law, a
minor who is fifteen years of age or older, whether with or without the
consent of a parent or legal guardian, may consent to receive mental health
services to be rendered by a facility or by a professional person or mental
health professional licensed pursuant to part 3, 4, 5, 6, or 8 of article 43
ARTICLE 245 of title 12 C.R.S., in any practice setting. Such consent shall
not be subject to disaffirmance because of minority. The professional
person or licensed mental health professional rendering mental health
services to a minor may, with or without the consent of the minor, advise
the parent or legal guardian of the minor of the services given or needed.
SECTION 199. In Colorado Revised Statutes, 27-65-105, amend
(1)(a)(II)(C), (1)(a)(II)(D), (1)(a)(II)(E), and (6) as follows:
27-65-105. Emergency procedure. (1) Emergency procedure may
be invoked under one of the following conditions:
(a) (II) The following persons may act as intervening professionals
to effect a seventy-two-hour hold, as provided in subsections (1)(a)(I) and
(1)(a)(I.5) of this section:
(C) A registered professional nurse as defined in section 12-38-103
(11) 12-255-104 (11) who by reason of postgraduate education and
PAGE 1534-HOUSE BILL 19-1172
additional nursing preparation has gained knowledge, judgment, and skill
in psychiatric or mental health nursing;
(D) A licensed marriage and family therapist, licensed professional
counselor, or addiction counselor licensed under part 5, 6, or 8 of article 43
ARTICLE 245 of title 12 who, by reason of postgraduate education and
additional preparation, has gained knowledge, judgment, and skill in
psychiatric or clinical mental health therapy, forensic psychotherapy, or the
evaluation of mental health disorders; or
(E) A licensed clinical social worker licensed under the provisions
of part 4 of article 43 ARTICLE 245 of title 12.
(6) At any time during emergency custody of an individual pursuant
to this section in either an emergency medical services facility or a
designated facility, if, in the opinion of a professional person, or an
advanced practice nurse licensed pursuant to article 38 ARTICLE 255 of title
12 and included in the advanced practice registry pursuant to section
12-38-111.5 12-255-111 with a population focus in psychiatry or mental
health, acting within his or her scope of practice, the person no longer meets
the standards for emergency custody or detention and his or her care can be
provided in another setting, the person must be appropriately discharged or
referred for further care and treatment on a voluntary basis, or certified for
treatment pursuant to section 27-65-107.
SECTION 200. In Colorado Revised Statutes, 27-80-108, amend
(1)(e) as follows:
27-80-108. Rules. (1) The state board of human services, created
in section 26-1-107, has the power to promulgate rules governing the
provisions of this article 80. The rules may include, but are not limited to:
(e) Standards that addiction counselors must meet to participate in
public programs or to provide purchased services and certification
requirements necessary to be certified by the director of the division of
professions and occupations, pursuant to part 8 of article 43 ARTICLE 245
of title 12;
SECTION 201. In Colorado Revised Statutes, 27-80-203, amend
(23.3) as follows:
PAGE 1535-HOUSE BILL 19-1172
27-80-203. Definitions. As used in this part 2, unless the context
otherwise requires:
(23.3) "Substance use disorder" means a physical or psychological
dependence on a controlled substance that develops following the use of the
controlled substance on a periodic or continuing basis and is demonstrated
by appropriate observation and tests by a person licensed to practice
medicine pursuant to article 36 ARTICLE 240 of title 12.
SECTION 202. In Colorado Revised Statutes, 27-80-302, amend
(1)(b) as follows:
27-80-302. Definitions. As used in this part 3, unless the context
otherwise requires:
(1) "Health care provider" or "provider" means:
(b) A mental health professional licensed or certified under article
43 ARTICLE 245 of title 12;
SECTION 203. In Colorado Revised Statutes, 27-90-101, amend
(1)(a) and (1)(b) as follows:
27-90-101. Executive director - division heads - interagency
council - advisory boards. (1) (a) Medical personnel employed at any of
the institutions subject to the control of the executive director, the medical
director of which is licensed to practice medicine in this state, shall be
exempt from the provisions of the "Colorado Medical Practice Act", article
36 ARTICLE 240 of title 12, C.R.S., with respect to service rendered to bona
fide patients or inmates at those institutions, if such personnel: Are licensed
to practice medicine in any other state of the United States or any province
of Canada; have satisfactorily completed an internship of not less than one
year in the United States, Canada, or Puerto Rico in a hospital approved for
that purpose by the American medical association; have satisfactorily
completed three years of postgraduate residency training, or its equivalent,
in their particular specialty in a hospital approved for that purpose by the
American Medical Association; and can read, write, speak, and understand
the English language. Proof that the requirements have been met shall be
submitted to and approved or disapproved by the executive director.
PAGE 1536-HOUSE BILL 19-1172
(b) All personnel who cannot satisfy all of the requirements set forth
in paragraph (a) of this subsection (1) SUBSECTION (1)(a) OF THIS SECTION
shall be exempt from the "Colorado Medical Practice Act", article 36
ARTICLE 240 of title 12, C.R.S., with respect to services rendered to bona
fide patients or inmates at said institutions, if the personnel are of good
moral character, are graduates of an approved medical college as defined in
section 12-36-102.5, C.R.S. 12-240-104 (3), have completed an approved
internship of at least one year as defined in section 12-36-102.5, C.R.S.,
12-240-104 (2) within nine months after first being employed, pass the
examinations approved by the Colorado medical board under the "Colorado
Medical Practice Act" and the National Board of Medical Examiners, the
National Board of Examiners for Osteopathic Physicians and Surgeons, or
the Federation of State Medical Boards, or their successor organizations, on
subjects relating to the basic sciences, are able to read, write, speak, and
understand the English language, and, in the case of personnel who are not
citizens of the United States, become citizens within the minimum period
of time within which the particular individual can become a citizen
according to the laws of the United States and the regulations of the
immigration and naturalization service of the United States, department of
justice, or any successor agency, or within such additional time as may be
granted by said boards.
SECTION 204. In Colorado Revised Statutes, 27-90-102, amend
(4)(a)(III) as follows:
27-90-102. Duties of executive director - governor acquire water
rights - rules. (4) (a) (III) The executive director shall determine the
qualifications for appointment to the board of medical consultants; except
that all members of the board shall be licensed by the Colorado medical
board pursuant to article 36 ARTICLE 240 of title 12. C.R.S.
SECTION 205. In Colorado Revised Statutes, 28-3-106, amend
(1)(s)(I) as follows:
28-3-106. Powers and duties of adjutant general. (1) The
adjutant general has the following powers and duties:
(s) (I) If, in the judgment of the adjutant general, any real estate
which THAT has been acquired for military purposes is unsuitable for
military purposes, the adjutant general, by and with the approval of the
PAGE 1537-HOUSE BILL 19-1172
governor, in writing, has authority to sell, trade, or otherwise dispose of
such real estate, but, except as otherwise provided by subparagraph (II) of
this paragraph (s) SUBSECTION (1)(s)(II) OF THIS SECTION, such real estate
shall not be disposed of for less than its appraised value. The appraised
value of such real estate shall be determined by an appraiser who is licensed
or certificated pursuant to part 7 of article 61 PART 6 OF ARTICLE 10 of title
12 C.R.S., and who is selected by the adjutant general from a list of three
qualified individuals submitted to the adjutant general by the department.
Appraisers shall be selected for the list, and their fees shall be negotiated in
accordance with the standards established by part 14 of article 30 of title 24.
C.R.S. The adjutant general, by and with the advice and approval of the
governor, is authorized to lease any property belonging to the department
when it is not needed for the immediate use of the department. All
conveyances which THAT are required for the purpose of this section shall
be executed by the governor under the seal of the state, and the proceeds of
all sales, trades, or other disposition shall be placed in an account to be
invested by the state treasurer as provided in section 24-36-113. C.R.S. Any
interest earned on the investment or deposit of such proceeds shall remain
in such account and shall not be credited to the general fund or any other
fund of the state. Said proceeds and any interest thereon shall be disbursed
by authority of the adjutant general, subject to appropriation by the general
assembly, only for the construction, repair, improvement, acquisition, or
costs of acquisition or sale of armories throughout the state. Costs of
acquisition or sale shall include but need not be limited to appraisals, site
surveys, environmental surveys, title work, property inspections, closing
costs, legal fees, real estate fees, site preparation, or utility studies. Prior to
disposing of any real property pursuant to the provisions of this paragraph
(s) SUBSECTION (1)(s), the adjutant general shall submit a report to the
capital development committee which THAT describes such real property,
the maintenance costs related to such real property, the current value of
such real property, any conditions or limitations which THAT may restrict
the use of such real property, and the terms of the proposed disposition of
such real property. The capital development committee shall review any
such report which THAT is submitted to the capital development committee
and shall provide recommendations to the adjutant general concerning the
proposed real property disposition within thirty days after the date of receipt
of such report. The adjutant general shall not complete any such real
property disposition without considering any recommendations of the
capital development committee which THAT are provided within such
thirty-day period.
PAGE 1538-HOUSE BILL 19-1172
SECTION 206. In Colorado Revised Statutes, 28-5-705, amend
(1)(h) as follows:
28-5-705. Duties. (1) The division, in accordance with its rules,
shall perform the following duties and functions:
(h) Make reasonable efforts to notify members of the armed forces
of the United States who are planning their return to civilian life and are
located in Colorado, or intend to relocate to Colorado upon discharge, of the
requirements in sections 24-34-102 (8) and (8.5) 12-20-202 (1)(b), (1)(d),
(1)(e), (2), (3), AND (4) and 42-2-403. C.R.S.
SECTION 207. In Colorado Revised Statutes, 29-1-602, amend (2)
as follows:
29-1-602. Definitions. As used in this part 6, unless the context
otherwise requires:
(2) "Auditor" means a certified public accountant licensed to
practice in Colorado as an individual, partnership, or professional
corporation pursuant to article 2 ARTICLE 100 of title 12 C.R.S., who makes
an audit and prepares a report thereon as provided in this part 6.
SECTION 208. In Colorado Revised Statutes, 29-2-109, amend (1)
introductory portion as follows:
29-2-109. Contents of use tax ordinances and proposals - repeal.
(1) The use tax ordinance, resolution, or proposal of any town, city, or
county adopted pursuant to this article ARTICLE 2 shall be imposed only for
the privilege of using or consuming in the town, city, or county any
construction and building materials purchased at retail or for the privilege
of storing, using, or consuming in the town, city, or county any motor and
other vehicles, purchased at retail on which registration is required, or both.
For the purposes of this subsection (1), the term "construction and building
materials" shall not include parts or materials utilized in the fabrication,
construction, assembly, or installation of passenger tramways, as defined in
section 25-5-702 (4), C.R.S. 12-150-103 (5), by any ski area operator, as
defined in section 33-44-103 (7), C.R.S., or any person fabricating,
constructing, assembling, or installing a passenger tramway for a ski area
operator. The ordinance, resolution, or proposal may recite that the use tax
PAGE 1539-HOUSE BILL 19-1172
shall not apply to the storage and use of wood from salvaged trees killed or
infested in Colorado by mountain pine beetles or spruce beetles as
exempted from the state use tax pursuant to section 39-26-723. C.R.S. The
ordinance, resolution, or proposal may recite that the use tax shall not apply
to the storage and use of components used in the production of energy,
including but not limited to alternating current electricity, from a renewable
energy source, as exempted from the state use tax pursuant to section
39-26-724. C.R.S. The ordinance, resolution, or proposal shall recite that
the use tax shall not apply:
SECTION 209. In Colorado Revised Statutes, 29-5-112, amend
(3)(c) as follows:
29-5-112. Dog interactions with local law enforcement officers
- training to be provided by local law enforcement agencies - policies
and procedures - scope - task force - creation - composition - immunity
- short title - legislative declaration - definitions. (3) Definitions. As
used in this section:
(c) "Licensed veterinarian" means a person who is licensed pursuant
to article 64 ARTICLE 315 of title 12 C.R.S., to practice veterinary medicine
in this state.
SECTION 210. In Colorado Revised Statutes, 29-26-101, amend
(1)(d)(III) as follows:
29-26-101. Legislative declaration. (1) The general assembly
hereby finds and declares that:
(d) In selecting members of the advisory boards, the governing
bodies of local government shall give preference to residents of the
jurisdiction who have demonstrated experience in housing matters,
preferably within the territorial boundaries of the jurisdiction, as a result of
their current or former experience, without limitation, as a:
(III) Real estate broker licensed in accordance with part 1 of article
61 PART 2 OF ARTICLE 10 of title 12; C.R.S.;
SECTION 211. In Colorado Revised Statutes, 30-10-527, amend
(4) as follows:
PAGE 1540-HOUSE BILL 19-1172
30-10-527. Mental health professionals - grant applications
encouraged - definition - repeal. (4) As used in this section, "mental
health professional" means a mental health professional licensed to practice
medicine pursuant to part 1 of article 36 ARTICLE 240 of title 12 or a person
licensed as a mental health professional pursuant to article 43 ARTICLE 245
of title 12.
SECTION 212. In Colorado Revised Statutes, 30-10-606, amend
(6)(a) introductory portion and (6)(a)(II) as follows:
30-10-606. Coroner - inquiry - grounds - postmortem - jury -
certificate of death. (6) (a) Notwithstanding sections 12-43-218
12-245-220 and 13-90-107 (1)(d) or (1)(g), C.R.S., the coroner holding an
inquest or investigation pursuant to this section has the authority to request
and receive a copy of:
(II) Any information, record, or report related to treatment,
consultation, counseling, or therapy services from any licensed
psychologist, professional counselor, marriage and family therapist, social
worker, or addiction counselor, certified addiction counselor, registered
psychotherapist, psychologist candidate registered pursuant to section
12-43-304 (7), C.R.S. 12-245-304 (3), marriage and family therapist
candidate registered pursuant to section 12-43-504 (5), C.R.S. 12-245-504
(4), licensed professional counselor candidate registered pursuant to section
12-43-603 (5), C.R.S. 12-245-604 (4), or person described in section
12-43-215, C.R.S. 12-245-217, if the report, record, or information is
relevant to the inquest or investigation.
SECTION 213. In Colorado Revised Statutes, 30-10-901, amend
(1) as follows:
30-10-901. Surveyor - election - bond - insurance. (1) A county
surveyor shall be elected for a term of four years, shall be a professional
land surveyor as provided in part 2 of article 25 PART 3 OF ARTICLE 120 of
title 12, C.R.S., and, except as provided in subsection (2) of this section,
shall file an official bond in the office of the county clerk and recorder, to
be approved by the board of county commissioners, in the sum of one
thousand dollars, conditioned for the faithful discharge of duties.
SECTION 214. In Colorado Revised Statutes, 30-11-125, amend
PAGE 1541-HOUSE BILL 19-1172
(1)(a)(II) as follows:
30-11-125. Licensing program for building contractors -
contents of program - requirements - exceptions - definitions. (1) As
used in this section, unless the context otherwise requires:
(a) (II) "Building contractor" shall not include an electrician
required to be licensed by the state pursuant to article 23 ARTICLE 115 of
title 12 C.R.S., or a plumber required to be licensed by the state pursuant to
article 58 ARTICLE 155 of title 12. C.R.S.
SECTION 215. In Colorado Revised Statutes, 30-28-205, amend
(3) as follows:
30-28-205. County building inspector - permit required - appeal.
(3) The county building inspector shall not issue any permit unless the
plans and specifications for such proposed erection, construction,
reconstruction, alteration, or remodeling conform to the regulations and
restrictions in said building code. All such proposed erection, construction,
reconstruction, alteration, or remodeling shall bear the seal of an architect
or engineer licensed by the state of Colorado, unless the preparation of
plans and specification is exempted by section 12-25-303, C.R.S.
12-120-403. Such plans and specifications prepared by architectural or
engineering subdisciplines shall be so designated and shall bear the seal and
signature of the architect or engineer for that subdiscipline.
SECTION 216. In Colorado Revised Statutes, 30-28-302, amend
(4) as follows:
30-28-302. Definitions. As used in this part 3, unless the context
otherwise requires:
(4) "Land surveyor" means a person registered or licensed pursuant
to part 2 of article 25 PART 3 OF ARTICLE 120 of title 12. C.R.S.
SECTION 217. In Colorado Revised Statutes, 31-10-1010, amend
(1)(a) as follows:
31-10-1010. Emergency absentee voting - definition. (1) (a) If the
voter is confined in a hospital or his or her place of residence on election
PAGE 1542-HOUSE BILL 19-1172
day because of conditions arising after the closing day for absent voters'
ballot applications, the voter may request in a written statement, signed by
him or her, that the clerk send him or her an absent voter's ballot with the
word "EMERGENCY" stamped on the stubs thereof. The clerk shall deliver
the emergency absent voter's ballot at his or her office, during the regular
hours of business, to any authorized representative of the voter possessing
a written statement from the voter's physician, physician assistant
authorized under section 12-36-106 (5), C.R.S. 12-240-107 (6), advanced
practice nurse, or practitioner that the voter will be confined in a hospital
or his or her place of residence on election day. For the purposes of this
paragraph (a) SUBSECTION (1)(a), "authorized representative" means a
person possessing a written statement from the voter containing the voter's
signature, name, and address and requesting that the emergency absent
voter's ballot be given to the authorized person as identified by name and
address. The authorized person shall acknowledge receipt of the emergency
ballot with his or her signature, name, and address.
SECTION 218. In Colorado Revised Statutes, 31-30-109, amend
(4) as follows:
31-30-109. Mental health professionals - grant applications
encouraged - definition - repeal. (4) As used in this section, "mental
health professional" means a mental health professional licensed to practice
medicine pursuant to part 1 of article 36 ARTICLE 240 of title 12 or a person
licensed as a mental health professional pursuant to article 43 ARTICLE 245
of title 12.
SECTION 219. In Colorado Revised Statutes, 31-31-803, amend
(3)(b) as follows:
31-31-803. Retirement for disability. (3) (b) For purposes of this
subsection (3), "addiction" shall have the same meaning as set forth in part
8 of article 43 ARTICLE 245 of title 12 C.R.S., and "controlled substance"
shall have the same meaning as set forth in part 2 of article 80 of title 27.
C.R.S.
SECTION 220. In Colorado Revised Statutes, 33-6-113, amend
(1)(b) as follows:
33-6-113. Illegal sale of wildlife. (1) (b) For the purposes of this
PAGE 1543-HOUSE BILL 19-1172
section, it is deemed to be a sale of wildlife if a person, for monetary or
other consideration, provides unregistered outfitting services as defined in
article 55.5 ARTICLE 145 of title 12. C.R.S.
SECTION 221. In Colorado Revised Statutes, 33-9-101, amend
(3)(a)(I) as follows:
33-9-101. Commission - creation - composition - terms -
vacancies - removal - meetings - strategic plan - legislative declaration.
(3) (a) The eleven voting members of the commission are as follows:
(I) Three members who are sports persons who can demonstrate a
reasonable knowledge of wildlife issues and who have obtained a hunting
or fishing license issued under this title TITLE 33 for at least each of the
three years prior to their appointments. One of the members appointed
pursuant to this subparagraph (I) SUBSECTION (3)(a)(I) must be an outfitter
registered pursuant to article 55.5 ARTICLE 145 of title 12. C.R.S.
SECTION 222. In Colorado Revised Statutes, amend 33-44-102
as follows:
33-44-102. Legislative declaration. The general assembly hereby
finds and declares that it is in the interest of the state of Colorado to
establish reasonable safety standards for the operation of ski areas and for
the skiers using them. Realizing the dangers that inhere in the sport of
skiing, regardless of any and all reasonable safety measures which THAT can
be employed, the purpose of this article ARTICLE 44 is to supplement the
passenger tramway safety provisions of part 7 of article 5 of title 25, C.R.S.
ARTICLE 150 OF TITLE 12; to further define the legal responsibilities of ski
area operators and their agents and employees; to define the responsibilities
of skiers using such ski areas; and to define the rights and liabilities existing
between the skier and the ski area operator and between skiers.
SECTION 223. In Colorado Revised Statutes, 33-44-103, amend
the introductory portion, (5), and (7) as follows:
33-44-103. Definitions. As used in this article ARTICLE 44, unless
the context otherwise requires:
(5) "Passenger tramway" means a device as defined in section
PAGE 1544-HOUSE BILL 19-1172
25-5-702 (4), C.R.S. 12-150-103 (5).
(7) "Ski area operator" means an "area operator" as defined in
section 25-5-702 (1), C.R.S., 12-150-103 (1) and any person, partnership,
corporation, or other commercial entity having operational responsibility for
any ski areas, including an agency of this state or a political subdivision
thereof.
SECTION 224. In Colorado Revised Statutes, 33-44-104, amend
(2) as follows:
33-44-104. Negligence - civil actions. (2) A violation by a ski area
operator of any requirement of this article ARTICLE 44 or any rule or
regulation promulgated by the passenger tramway safety board pursuant to
section 25-5-704 (1)(a), C.R.S., 12-150-105 (1)(a) shall, to the extent such
violation causes injury to any person or damage to property, constitute
negligence on the part of such operator.
SECTION 225. In Colorado Revised Statutes, 34-20-102, amend
the introductory portion and (9)(b) as follows:
34-20-102. Definitions. As used in articles 20 to 25 of this title
TITLE 34, unless the context otherwise requires:
(9) (b) "Mine" does not include the facilities defined in section
12-23-101 (3.5), C.R.S. 12-115-103 (9), nor does it include earthen dams,
sand and gravel pits, clay pits, or rock and stone quarries, including surface
limestone and dolomite quarries.
SECTION 226. In Colorado Revised Statutes, 35-80-102, amend
the introductory portion and (8.7) as follows:
35-80-102. Definitions. As used in this article ARTICLE 80, unless
the context otherwise requires:
(8.7) "Licensed veterinarian" means a person who is licensed to
practice veterinary medicine in this state pursuant to article 64 ARTICLE 315
of title 12. C.R.S.
SECTION 227. In Colorado Revised Statutes, 35-80-115, amend
PAGE 1545-HOUSE BILL 19-1172
(1) introductory portion and (1)(l) as follows:
35-80-115. Advisory committee. (1) There is hereby established
a pet animal advisory committee to advise the commissioner in establishing
regulations RULES under this article ARTICLE 80 and to provide ongoing
review of this article ARTICLE 80. The members of the advisory committee
shall receive no compensation or reimbursement from the state of Colorado
or the department for expenses incurred in the performance of their duties.
The advisory committee shall consist of seventeen persons appointed by the
commissioner as follows:
(l) One veterinarian licensed pursuant to article 64 ARTICLE 315 of
title 12; C.R.S.;
SECTION 228. In Colorado Revised Statutes, 37-92-103, amend
(6.3) as follows:
37-92-103. Definitions. As used in this article 92, unless the context
otherwise requires:
(6.3) "Control structure" means a structure consisting of durable
man-made SYNTHETIC or natural materials that has been placed with the
intent to divert, capture, possess, and control water in its natural course for
an appropriator's intended and specified recreational in-channel diversion.
The control structure and its efficiency shall be designed by a professional
engineer, as that term is defined in section 12-25-102, C.R.S. 12-120-202
(7), or under the direct supervision of a professional engineer, and
constructed so that it will operate efficiently and without waste to produce
the intended and specified reasonable recreation experience. Concentration
of river flow by a control structure constitutes control of water for a
recreational in-channel diversion.
SECTION 229. In Colorado Revised Statutes, 38-12-401, amend
(4) as follows:
38-12-401. Definitions. As used in this part 4, unless the context
otherwise requires:
(4) "Medical professional" means a person licensed to practice
medicine pursuant to article 36 or 38 ARTICLE 240 OR 255 of title 12.
PAGE 1546-HOUSE BILL 19-1172
SECTION 230. In Colorado Revised Statutes, 38-22.5-102, amend
the introductory portion and (4) as follows:
38-22.5-102. Definitions. As used in this article ARTICLE 22.5,
unless the context otherwise requires:
(4) "Real estate broker" has the meaning set forth in section
12-61-101, C.R.S. 12-10-201 (6).
SECTION 231. In Colorado Revised Statutes, 38-30-102, amend
(3)(b)(II) and (3)(c)(I)(B) as follows:
38-30-102. Water rights conveyed as real estate - well permit
transfers - legislative declaration - definitions. (3) (b) (II) The residential
real estate contract approved by the real estate commission created in
section 12-61-105, C.R.S., 12-10-206 shall require the buyer to complete
the appropriate form for the well and, if no person will be providing a
closing service in connection with the transaction, to file the form with the
division within sixty days after closing.
(c) (I) If a person provides a closing service in connection with a
residential real estate transaction subject to this subsection (3), that person
shall:
(B) Not be liable for delaying the closing of the transaction in order
to ensure that the buyer completes the form required by subparagraph (I) of
paragraph (b) of this subsection (3) SUBSECTION (3)(b)(I) OF THIS SECTION.
If the closing is delayed pursuant to this sub-subparagraph (B) SUBSECTION
(3)(c)(I)(B), neither the buyer nor the seller shall have any claim under this
section for relief against the buyer, the seller, the person who provided
closing services, a title insurance company regulated pursuant to article 11
of title 10, C.R.S., or any person licensed pursuant to article 61 ARTICLE 10
of title 12. C.R.S.
SECTION 232. In Colorado Revised Statutes, 38-30-150, amend
the introductory portion as follows:
38-30-150. Definitions. As used in articles 30 to 44 (except part 2
of article 41) of this title TITLE 38 and part 4 of article 61 PART 5 OF ARTICLE
10 of title 12, C.R.S., unless the context otherwise requires:
PAGE 1547-HOUSE BILL 19-1172
SECTION 233. In Colorado Revised Statutes, 38-33.3-106.5,
amend (1)(h)(II)(A) as follows:
38-33.3-106.5. Prohibitions contrary to public policy - patriotic
and political expression - emergency vehicles - fire prevention -
renewable energy generation devices - affordable housing - drought
prevention measures - definitions. (1) Notwithstanding any provision in
the declaration, bylaws, or rules and regulations of the association to the
contrary, an association shall not prohibit any of the following:
(h) (II) (A) Notwithstanding any other provision of law, the
provisions of this paragraph (h) SUBSECTION (1)(h) shall only apply to a
county the population of which is less than one hundred thousand persons
and that contains a ski lift licensed by the passenger tramway safety board
created in section 25-5-703 (1), C.R.S. 12-150-104 (1).
SECTION 234. In Colorado Revised Statutes, 38-33.3-401, amend
(2)(a) introductory portion as follows:
38-33.3-401. Registration - annual fees. (2) (a) Except as
otherwise provided in paragraph (b) of this subsection (2) SUBSECTION
(2)(b) OF THIS SECTION, the unit owners' association shall submit with its
annual registration a fee in the amount set by the director in accordance
with section 12-61-111.5, C.R.S., 12-10-215 and shall include the following
information, updated within ninety days after any change:
SECTION 235. In Colorado Revised Statutes, 38-35-109, amend
(5)(b) introductory portion and (5)(b)(III) as follows:
38-35-109. Instrument may be recorded - validity of unrecorded
instruments - liability for fraudulent documents. (5) (b) When recorded,
an affidavit as described in paragraph (a) of this subsection (5) SUBSECTION
(5)(a) OF THIS SECTION, or a certified copy of such affidavit, shall constitute
prima facie evidence of one or more of the following facts:
(III) If furnished by a professional land surveyor as defined in
section 12-25-202, C.R.S. 12-120-302 (6), a surveyor's affidavit of
correction in accordance with section 38-51-111 or a land survey plat in
accordance with section 38-51-106, that reconciles conflicts and
ambiguities in descriptions of land in recorded instruments;
PAGE 1548-HOUSE BILL 19-1172
SECTION 236. In Colorado Revised Statutes, 38-35.7-104, amend
(1)(a) and (2) as follows:
38-35.7-104. Disclosure of potable water source - rules.
(1) (a) (I) By January 1, 2008, the real estate commission created in section
12-61-105, C.R.S., 12-10-206 shall, by rule, require each listing contract,
contract of sale, or seller's property disclosure for residential real property
that is subject to the commission's jurisdiction pursuant to article 61
ARTICLE 10 of title 12 C.R.S., to disclose the source of potable water for the
property, which disclosure shall include substantially the following
information:
THE SOURCE OF POTABLE WATER FOR THIS
REAL ESTATE IS:
9 A WELL;
9 A WATER PROVIDER, WHICH CAN BE
CONTACTED AS FOLLOWS:
NAME:
ADDRESS:
WEBSITE:
TELEPHONE:
9 NEITHER A WELL NOR A WATER
PROVIDER. THE SOURCE IS [DESCRIBE]:
SOME WATER PROVIDERS RELY, TO VARYING
DEGREES, ON NONRENEWABLE GROUNDWATER.
YOU MAY WISH TO CONTACT YOUR PROVIDER
TO DETERMINE THE LONG-TERM SUFFICIENCY
OF THE PROVIDER'S WATER SUPPLIES.
(II) On and after January 1, 2008, each listing contract, contract of
sale, or seller's property disclosure for residential real property that is not
subject to the real estate commission's jurisdiction pursuant to article 61
ARTICLE 10 of title 12 C.R.S., shall contain a disclosure statement in
bold-faced type that is clearly legible in substantially the same form as is
specified in subparagraph (I) of this paragraph (a) SUBSECTION (1)(a)(I) OF
THIS SECTION.
(2) The obligation to provide the disclosure set forth in subsection
(1) of this section shall be upon the seller. If the seller complies with this
PAGE 1549-HOUSE BILL 19-1172
section, the purchaser shall not have any claim under this section for relief
against the seller or any person licensed pursuant to article 61 ARTICLE 10
of title 12 C.R.S., for any damages to the purchaser resulting from an
alleged inadequacy of the property's source of water. Nothing in this section
shall affect any remedy that the purchaser may otherwise have against the
seller.
SECTION 237. In Colorado Revised Statutes, amend 38-35.7-105
as follows:
38-35.7-105. Disclosure of transportation projects - rules. No
later than January 1, 2009, the real estate commission created in section
12-61-105, C.R.S., 12-10-206 shall, by rule, require each seller's property
disclosure for real property that is subject to the commission's jurisdiction
pursuant to article 61 ARTICLE 10 of title 12 C.R.S., to disclose the existence
of any proposed or existing transportation project that affects or is expected
to affect the real property.
SECTION 238. In Colorado Revised Statutes, 38-35.7-108, amend
(1)(a) introductory portion and (2) as follows:
38-35.7-108. Disclosure of oil and gas activity - rules. (1) (a) By
January 1, 2016, the real estate commission created in section 12-61-105,
C.R.S., 12-10-206 shall promulgate a rule requiring each contract of sale or
seller's property disclosure for residential real property that is subject to the
commission's jurisdiction to disclose the following or substantially similar
information:
(2) The disclosure required by subsection (1) of this section does not
create a duty to investigate or disclose that does not otherwise exist for the
seller, a person licensed under article 61 ARTICLE 10 of title 12, C.R.S., or
a title insurance agent or company licensed under article 2 of title 10. C.R.S.
SECTION 239. In Colorado Revised Statutes, 38-38-102.5, amend
(1) as follows:
38-38-102.5. Notice prior to residential foreclosure - hotline.
(1) As used in this section, "holder" means the holder of an evidence of
debt constituting a residential mortgage loan, as defined in section
12-61-902, C.R.S. 12-10-702 (21), or that holder's loan servicer or other
PAGE 1550-HOUSE BILL 19-1172
person acting on the holder's behalf. "Holder" shall not include a person
whose only activity as a holder is as the seller in not more than three credit
sales or loans per year.
SECTION 240. In Colorado Revised Statutes, 38-40-103.5, amend
(1)(d) as follows:
38-40-103.5. Notice upon transfer of servicing rights - prior
servicer's offer to borrower survives transfer - definitions. (1) As used
in this section:
(d) "Residential mortgage loan" has the meaning set forth in section
12-61-902, C.R.S. 12-10-702 (21).
SECTION 241. In Colorado Revised Statutes, 38-40-105, amend
(1)(e), (6) introductory portion, (7)(c), (7)(d), (7)(e), (7)(f), and (7)(g) as
follows:
38-40-105. Prohibited acts by participants in certain mortgage
loan transactions - unconscionable acts and practices - definitions.
(1) The following acts by any mortgage broker, mortgage originator,
mortgage lender, mortgage loan applicant, real estate appraiser, or closing
agent, other than a person who provides closing or settlement services
subject to regulation by the division of insurance, with respect to any loan
that is secured by a first or subordinate mortgage or deed or trust lien
against a dwelling are prohibited:
(e) To knowingly facilitate the consummation of a mortgage loan
transaction that violates, or that is connected with a violation of, section
12-61-905.5, C.R.S. 12-10-713.
(6) The following acts by any real estate agent or real estate broker,
as defined in section 12-61-101, C.R.S. 12-10-201 (6), in connection with
any residential mortgage loan transaction, are prohibited:
(7) As used in this section, unless the context otherwise requires:
(c) "Mortgage broker" has the same meaning as "mortgage loan
originator" as set forth in section 12-61-902, C.R.S. 12-10-702 (14).
PAGE 1551-HOUSE BILL 19-1172
(d) "Mortgage lender" has the meaning set forth in section
12-61-902, C.R.S. 12-10-702 (13).
(e) "Mortgage originator" has the same meaning as "mortgage loan
originator" as set forth in section 12-61-902, C.R.S. 12-10-702 (14).
(f) "Originate" has the same meaning as "originate a mortgage" as
set forth in section 12-61-902, C.R.S. 12-10-702 (17).
(g) "Residential mortgage loan" has the meaning set forth in section
12-61-902, C.R.S. 12-10-702 (21).
SECTION 242. In Colorado Revised Statutes, 38-45-102, amend
(1)(b) as follows:
38-45-102. Carbon monoxide alarms in single-family dwellings
- rules. (1) (b) By July 1, 2009, the real estate commission created in
section 12-61-105, C.R.S., 12-10-206 shall by rule require each listing
contract for residential real property that is subject to the commission's
jurisdiction pursuant to article 61 ARTICLE 10 of title 12 C.R.S., to disclose
the requirements specified in paragraph (a) of this subsection (1)
SUBSECTION (1)(a) OF THIS SECTION.
SECTION 243. In Colorado Revised Statutes, 38-45-103, amend
(1)(b) as follows:
38-45-103. Carbon monoxide alarms in multi-family dwellings
- rules. (1) (b) By July 1, 2009, the real estate commission created in
section 12-61-105, C.R.S., 12-10-206 shall by rule require each listing
contract for residential real property that is subject to the commission's
jurisdiction pursuant to article 61 ARTICLE 10 of title 12 C.R.S., to disclose
the requirements specified in paragraph (a) of this subsection (1)
SUBSECTION (1)(a) OF THIS SECTION.
SECTION 244. In Colorado Revised Statutes, 38-45-106, amend
(2) as follows:
38-45-106. Limitation of liability. (2) A purchaser shall have no
claim for relief against any person licensed pursuant to article 61 ARTICLE
10 of title 12 C.R.S., for any damages resulting from the operation,
PAGE 1552-HOUSE BILL 19-1172
maintenance, or effectiveness of a carbon monoxide alarm if such licensed
person complies with rules promulgated pursuant to sections 38-45-102
(1)(b) and 38-45-103 (1)(b). Nothing in this subsection (2) shall affect any
remedy that a purchaser may otherwise have against a seller.
SECTION 245. In Colorado Revised Statutes, 38-50-103, amend
(1) as follows:
38-50-103. Public records - monument records. (1) The state
board of licensure for architects, professional engineers, and professional
land surveyors, created in section 12-25-106, C.R.S. 12-120-103, shall
employ personnel at the expense of such board's licensed professional land
surveyors to maintain a record-keeping and indexing system for all
monument records submitted in accordance with section 38-53-104.
SECTION 246. In Colorado Revised Statutes, 38-51-102, amend
the introductory portion, (5), and (16) as follows:
38-51-102. Definitions. As used in this article ARTICLE 51, unless
the context otherwise requires:
(5) "Board" means the state board of licensure for architects,
professional engineers, and professional land surveyors, created in section
12-25-106, C.R.S. 12-120-103.
(16) "Professional land surveyor" means a person licensed pursuant
to part 2 of article 25 PART 3 OF ARTICLE 120 of title 12. C.R.S.
SECTION 247. In Colorado Revised Statutes, 38-53-103, amend
the introductory portion, (5), and (16) as follows:
38-53-103. Definitions. As used in this article ARTICLE 53, unless
the context otherwise requires:
(5) "Board" means the state board of licensure for architects,
professional engineers, and professional land surveyors, created in section
12-25-106, C.R.S. 12-120-103.
(16) "Professional land surveyor" means a person licensed pursuant
to part 2 of article 25 PART 3 OF ARTICLE 120 of title 12. C.R.S.
PAGE 1553-HOUSE BILL 19-1172
SECTION 248. In Colorado Revised Statutes, amend 38-53-109
as follows:
38-53-109. Fees. The board shall not charge a fee for submissions
related to public land survey monuments and their accessories and aliquot
corners or bench marks. For all other filings, the board may establish a fee
pursuant to section 24-34-105, C.R.S. 12-20-105, which shall be payable to
the board at the time of submission.
SECTION 249. In Colorado Revised Statutes, 39-1-102, amend
(5.5)(c)(VIII) as follows:
39-1-102. Definitions. As used in articles 1 to 13 of this title 39,
unless the context otherwise requires:
(5.5) (c) As used in this subsection (5.5):
(VIII) "Time share unit" means a condominium unit that is divided
into time share estates as defined in section 38-33-110 (5) C.R.S., or that is
subject to a time share use as defined in section 12-61-401 (4), C.R.S.
12-10-501 (4).
SECTION 250. In Colorado Revised Statutes, 39-2-123, amend (2)
as follows:
39-2-123. Board of assessment appeals created - members -
compensation. (2) Effective July 1, 1991, the existing board of assessment
appeals is abolished, and the terms of members of the board then serving
are terminated. Effective July 1, 1991, the new board shall be comprised of
three members, who shall be appointed by the governor with the consent of
the senate. Appointments to the board shall be as follows: One member
shall be appointed for a term of two years, and two members shall be
appointed for terms of four years. Thereafter, appointments to the board
shall be for terms of four years each. In order to allow for appeals to be
heard timely, up to six additional members may be appointed to the board
by the governor with the consent of the senate. Such additional members
shall be appointed for terms of one state fiscal year each. Members of the
board shall be experienced in property valuation and taxation and shall be
public employees, as defined in section 24-10-103 (4)(a), C.R.S., who are
not subject to the state personnel system laws. One of such members shall
PAGE 1554-HOUSE BILL 19-1172
be or shall have been, within the five years immediately preceding the date
of initial appointment, actively engaged in agriculture. On and after June 1,
1993, members shall be licensed or certificated pursuant to the provisions
of part 7 of article 61 PART 6 OF ARTICLE 10 of title 12. C.R.S. Service on
the board shall be at the pleasure of the governor, who may appoint a
replacement to serve for the unexpired term of any member. Such
replacement shall be appointed with the consent of the senate. Any other
vacancies on the board shall be filled by appointment by the governor with
the consent of the senate for the unexpired term.
SECTION 251. In Colorado Revised Statutes, 39-5-108.5, amend
(3) as follows:
39-5-108.5. Furnished residential real property rental
advertisements - information to be provided to the assessor - legislative
declaration. (3) For purposes of this section, "agent" means a real estate
broker, as defined in section 12-61-101 (2)(a), C.R.S. 12-10-201 (6)(a), a
property management company, a lodging company, an internet website
listing service, a print-based listing service, or any other person that either
separately or as part of a package of services advertises furnished residential
real property in the state for rent on behalf of the owner of the property in
exchange for compensation.
SECTION 252. In Colorado Revised Statutes, 39-8-106, amend
(1.5) as follows:
39-8-106. Petitions for appeal. (1.5) In addition to any other
requirements set forth in subsection (1) of this section, any petition for
appeal relating to real property shall contain the actual value of such real
property, stated in terms of a specific dollar amount, which is being offered
as the correct valuation. Nothing in this subsection (1.5) shall be construed
to exempt paid representatives of taxpayers from the requirements of part
7 of article 61 PART 6 OF ARTICLE 10 of title 12, C.R.S., if applicable.
SECTION 253. In Colorado Revised Statutes, 39-8-108.5, amend
(1)(b) as follows:
39-8-108.5. Arbitration of property valuations - arbitrators -
qualifications - procedures. (1) (b) Except as otherwise provided in
paragraph (c) of this subsection (1) SUBSECTION (1)(c) OF THIS SECTION,
PAGE 1555-HOUSE BILL 19-1172
persons on the list maintained pursuant to paragraph (a) of this subsection
(1) SUBSECTION (1)(a) OF THIS SECTION must be, in addition to any other
qualifications deemed necessary by the board, experienced in the area of
property taxation and licensed or certificated pursuant to part 7 of article 61
PART 6 OF ARTICLE 10 of title 12. C.R.S.
SECTION 254. In Colorado Revised Statutes, 39-21-113, amend
(17) as follows:
39-21-113. Reports and returns - rule. (17) Notwithstanding any
other provision of this section, the executive director may require that such
detailed information regarding a claim for a credit for the donation of a
conservation easement in gross pursuant to section 39-22-522 and any
appraisal submitted in support of the credit claimed be given to the division
of conservation in the department of regulatory agencies and the
conservation easement oversight commission created pursuant to section
12-61-1103 12-15-103 as the executive director determines is necessary in
the performance of the department's functions relating to the credit. The
executive director may provide copies of any appraisal and may file a
complaint regarding any appraisal as authorized pursuant to section
39-22-522 (3.3). Notwithstanding part 2 of article 72 of title 24, in order to
protect the confidential financial information of a taxpayer, the executive
director shall deny the right to inspect any information or appraisal required
in accordance with this subsection (17).
SECTION 255. In Colorado Revised Statutes, 39-22-522, amend
(2.5), (2.7), (3)(f) introductory portion, (3.3), (3.5), (3.6)(a)(I), and (3.6)(b)
as follows:
39-22-522. Credit against tax - conservation easements.
(2.5) Notwithstanding any other provision of this section and the
requirements of section 12-61-1106 12-15-106, for income tax years
commencing on or after January 1, 2011, a taxpayer conveying a
conservation easement and claiming a credit pursuant to this section shall,
in addition to any other requirements of this section and the requirements
of section 12-61-1106 12-15-106, submit a claim for the credit to the
division of conservation in the department of regulatory agencies. The
division shall issue a certificate for the claims received in the order
submitted. After certificates have been issued for credits that exceed an
aggregate of twenty-two million dollars for all taxpayers for the 2011 and
PAGE 1556-HOUSE BILL 19-1172
2012 calendar years, thirty-four million dollars for the 2013 calendar year,
and forty-five million dollars for each calendar year thereafter, any claims
that exceed the amount allowed for a specified calendar year shall be placed
on a wait list in the order submitted and a certificate shall be issued for use
of the credit in the next year for which the division has not issued credit
certificates in excess of the amounts specified in this subsection (2.5);
except that no more than fifteen million dollars in claims shall be placed on
the wait list in any given calendar year. The division shall not issue credit
certificates that exceed twenty-two million dollars in each of the 2011 and
2012 calendar years, thirty-four million dollars for the 2013 calendar year,
and forty-five million dollars for each calendar year thereafter. No claim for
a credit is allowed for any income tax year commencing on or after January
1, 2011, unless a certificate has been issued by the division. If all other
requirements under section 12-61-1106 12-15-106 and this section are met,
the right to claim the credit is vested in the taxpayer at the time a credit
certificate is issued.
(2.7) Notwithstanding any other provision, for income tax years
commencing on or after January 1, 2014, no claim for a credit shall be
allowed unless a tax credit certificate is issued by the division of
conservation in accordance with sections 12-61-1105 and 12-61-1106
12-15-105 AND 12-15-106 and the taxpayer files the tax credit certificate
with the income tax return filed with the department of revenue.
(3) For conservation easements donated prior to January 1, 2014, in
order for any taxpayer to qualify for the credit provided for in subsection (2)
of this section, the taxpayer shall submit the following in a form approved
by the executive director to the department of revenue at the same time as
the taxpayer files a return for the taxable year in which the credit is claimed:
(f) If the holder of the conservation easement is an organization to
which the certification program in section 12-61-1104 12-15-104 applies,
a sworn affidavit from the holder of the conservation easement in gross that
includes the following:
(3.3) The appraisal for a conservation easement in gross donated
prior to January 1, 2014, and for which a credit is claimed shall be a
qualified appraisal from a qualified appraiser, as those terms are defined in
section 170 (f)(11) of the internal revenue code. The appraisal shall be in
conformance with the uniform standards of professional appraisal practice
PAGE 1557-HOUSE BILL 19-1172
promulgated by the appraisal standards board of the appraisal foundation
and any other provision of law. The appraiser shall hold a valid license as
a certified general appraiser in accordance with the provisions of part 7 of
article 61 PART 6 OF ARTICLE 10 of title 12. C.R.S. The appraiser shall also
meet any education and experience requirements established by the board
of real estate appraisers in accordance with section 12-61-704 (1)(k), C.R.S.
12-10-604 (1)(k). If there is a final determination, other than by settlement
of the taxpayer, that an appraisal submitted in connection with a claim for
a credit pursuant to this section is a substantial or gross valuation
misstatement as such misstatements are defined in section 1219 of the
federal "Pension Protection Act of 2006", Pub.L. 109-280, the department
shall submit a complaint regarding the misstatement to the board of real
estate appraisers for disciplinary action in accordance with the provisions
of part 7 of article 61 PART 6 OF ARTICLE 10 of title 12. C.R.S.
(3.5) (a) For conservation easements donated prior to January 1,
2014:
(I) The executive director shall have the authority, pursuant to
subsection (8) of this section, to require additional information from the
taxpayer or transferee regarding the appraisal value of the easement, the
amount of the credit, and the validity of the credit. In resolving disputes
regarding the validity or the amount of a credit allowed pursuant to
subsection (2) of this section, including the value of the conservation
easement for which the credit is granted, the executive director shall have
the authority, for good cause shown and in consultation with the division of
conservation and the conservation easement oversight commission created
in section 12-61-1103 (1) 12-15-103 (1) to review and accept or reject, in
whole or in part, the appraisal value of the easement, the amount of the
credit, and the validity of the credit based upon the internal revenue code
and federal regulations in effect at the time of the donation. If the executive
director reasonably believes that the appraisal represents a gross valuation
misstatement, receives notice of such a valuation misstatement from the
division of real estate, or receives notice from the division of real estate that
an enforcement action has been taken by the board of real estate appraisers
against the appraiser, the executive director shall have the authority to
require the taxpayer to provide a second appraisal at the expense of the
taxpayer. The second appraisal shall be conducted by a certified general
appraiser in good standing and not affiliated with the first appraiser that
meets qualifications established by the division of real estate. In the event
PAGE 1558-HOUSE BILL 19-1172
the executive director rejects, in whole or in part, the appraisal value of the
easement, the amount of the credit, or the validity of the credit, the
procedures described in sections 39-21-103, 39-21-104, 39-21-104.5, and
39-21-105 shall apply.
(II) In consultation with the division of conservation and the
conservation easement oversight commission created in section 12-61-1103
(1) 12-15-103 (1), the executive director shall develop and implement a
separate process for the review by the department of revenue of gross
conservation easements. The review process shall be consistent with the
statutory obligations of the division and the commission and shall address
gross conservation easements for which the department of revenue has been
informed that an audit is being performed by the internal revenue service.
The executive director shall share information used in the review of gross
conservation easements with the division. Notwithstanding part 2 of article
72 of title 24, in order to protect the confidential financial information of a
taxpayer, the division and the commission shall deny the right to inspect any
information provided by the executive director in accordance with this
subsection (3.5)(a)(II).
(b) For conservation easements donated on or after January 1, 2014,
and subject to the restrictions of section 12-61-1106 (4) 12-15-106 (4), the
executive director shall have the authority, pursuant to subsection (8) of this
section, to require additional information from the taxpayer or transferee
regarding the amount of the credit and the validity of the credit. In resolving
disputes regarding the validity or the amount of a credit allowed pursuant
to subsection (2) of this section, the executive director shall have the
authority, for good cause shown, to review and accept or reject, in whole or
in part, the amount of the credit and the validity of the credit based upon the
internal revenue code and federal regulations in effect at the time of the
donation, except those requirements for which authority is granted to the
division of conservation, the director of the division of conservation, or the
conservation easement oversight commission pursuant to section
12-61-1106 12-15-106.
(3.6) For conservation easements donated on or after January 1,
2014, in order for any taxpayer to qualify for the credit provided for in
subsection (2) of this section, the taxpayer must submit the following in a
form, approved by the executive director, to the department of revenue at
the same time as the taxpayer files a return for the taxable year in which the
PAGE 1559-HOUSE BILL 19-1172
credit is claimed:
(a) (I) A tax credit certificate issued under section 12-61-1106
12-15-106; and
(b) Notwithstanding any other provisions of law, the executive
director retains the authority to administer all issues related to the claim or
use of a tax credit for the donation of a conservation easement that are not
granted to the director of the division of conservation or the conservation
easement oversight commission under section 12-61-1106 12-15-106.
SECTION 256. In Colorado Revised Statutes, 39-22-621, amend
(2)(g.5)(II) introductory portion and (2)(g.5)(II)(A) as follows:
39-22-621. Interest and penalties. (2) (g.5) (II) This paragraph
(g.5) SUBSECTION (2)(g.5) shall not apply to:
(A) A certified public accountant who is permitted to practice under
article 2 ARTICLE 100 of title 12. C.R.S. If the executive director becomes
aware of conduct by a tax return preparer exempted by this subparagraph
(II) SUBSECTION (2)(g.5)(II) that would, but for such exemption, subject the
tax return preparer to a penalty under subparagraph (I) of this paragraph
(g.5) SUBSECTION (2)(g.5)(I) OF THIS SECTION, the executive director may
disclose the name of such tax return preparer to the state board of
accountancy.
SECTION 257. In Colorado Revised Statutes, 39-26-717, amend
(1)(c) and (1)(d) as follows:
39-26-717. Drugs and medical and therapeutic devices -
definitions. (1) As used in this section, unless the context otherwise
requires:
(c) "Practitioner" has the same meaning as set forth in section
12-42.5-102 12-280-103 (40).
(d) "Prescription" has the same meaning as set forth in section
12-42.5-102 12-280-103 (41).
SECTION 258. In Colorado Revised Statutes, 40-2-128, amend
PAGE 1560-HOUSE BILL 19-1172
(1)(a)(I)(A), (1)(a)(I)(C), and (1)(b) as follows:
40-2-128. Solar photovoltaic installations - supervision by
certified practitioners - qualifications of electrical contractors. (1) For
all photovoltaic installations funded wholly or partially through
ratepayer-funded incentives as part of the renewable energy standard
adjustment allowed under section 40-2-124:
(a) (I) (A) The performance of all photovoltaic electrical work, the
installation of photovoltaic modules, and the installation of photovoltaic
module mounting equipment is subject to on-site supervision by a certified
photovoltaic energy practitioner, as designated by the North American
Board of Certified Energy Practitioners (NABCEP), or a licensed master
electrician, licensed journeyman electrician, or licensed residential
wireman, as defined in section 12-23-101, C.R.S. 12-115-103.
(C) For a building-integrated photovoltaic installation, a licensed
master electrician, licensed journeyman electrician, or licensed residential
wireman must perform the installation work for any stage of the installation
after the installation materials penetrate the roof, a structural wall, or
another part of the building, or any stage of the installation in which the
building-integrated photovoltaic materials transition to a surface-mounted
junction box and utilize types of conduit and building wire that are
approved by the national electrical code, as defined in section 12-23-101
(3.2), C.R.S. 12-115-103 (8).
(b) All work performed on the alternating-current side of the
inverter will be performed by an electrical contractor who employs a
licensed journeyman electrician or a licensed residential wireman who will
perform the work. All electrical work that pertains to article 23 ARTICLE 115
of title 12 C.R.S., will be performed by an electrical apprentice registered
with the appropriate state regulatory agency, a licensed journeyman
electrician, or a licensed residential wireman. The appropriate ratio of no
less than one journeyman or residential wireman for every three electrical
apprentices will be maintained.
SECTION 259. In Colorado Revised Statutes, 40-18-101, amend
the introductory portion and (3) as follows:
40-18-101. Definitions. As used in this article ARTICLE 18, unless
PAGE 1561-HOUSE BILL 19-1172
the context otherwise requires:
(3) "Rail fixed guideway system" means any light, heavy, or rapid
rail system, monorail, inclined plane, funicular, trolley, or automated
guideway used to transport passengers that is not regulated by the federal
railroad administration. The term "rail fixed guideway system" does not
include funiculars that are passenger tramways as defined in section
25-5-702 (4)(c), C.R.S., 12-150-103 (5)(c) and are subject to the jurisdiction
of the Colorado passenger tramway safety board created in section
25-5-703, C.R.S. 12-150-104.
SECTION 260. In Colorado Revised Statutes, 42-3-204, amend
(1)(i) as follows:
42-3-204. Reserved parking for persons with disabilities -
applicability - definitions - rules. (1) Definitions. As used in this section:
(i) "Professional" means a physician licensed to practice medicine
or practicing medicine under section 12-36-106 (3)(i), C.R.S. 12-240-107
(3)(i), a physician assistant licensed under section 12-36-107.4, C.R.S.
12-240-113, a podiatrist licensed under article 32 ARTICLE 290 of title 12,
C.R.S., an advanced practice nurse registered under section 12-38-111.5,
C.R.S. 12-255-111, or a physician, physician assistant, podiatrist, or
advanced practice nurse authorized to practice professionally by another
state that shares a common border with Colorado. For the purposes of
issuance of a ninety-day placard only, "professional" includes a chiropractor
or physical therapist.
SECTION 261. In Colorado Revised Statutes, 43-1-210, amend
(5)(a)(II) and (5)(a)(V) as follows:
43-1-210. Acquisition and disposition of property - department
of transportation renovation fund. (5) (a) (II) Prior to the disposal of any
property or interest therein IN ANY PROPERTY that the department determines
has an approximate value of more than twenty-five thousand dollars, the
department shall obtain an appraisal from an appraiser, who is certified as
a general appraiser under section 12-61-706 12-10-606, to determine the
fair market value of the property or interest.
(V) For any property or interest therein subject to disposition that
PAGE 1562-HOUSE BILL 19-1172
the department determines has an approximate value of twenty-five
thousand dollars or less, the department shall dispose of the property or
interest by means of a sale or exchange at not less than its fair market value
in the manner set forth in this subsection (5); except that, as specified in
section 12-61-702 (11)(b)(VI) 12-10-602 (9)(b)(VI), the department may
employ a right-of-way acquisition agent, a real estate appraiser who is
licensed or certified pursuant to part 7 of article 61 PART 6 OF ARTICLE 10
of title 12, or any other individual who has sufficient understanding of the
local real estate market to be qualified to make a waiver valuation to
provide an estimate of the fair market value of such property or interest and
to determine to whom the property or interest is of use.
SECTION 262. In Colorado Revised Statutes, 44-3-901, amend
(6)(o) as follows:
44-3-901. Unlawful acts - exceptions - definitions - repeal. (6) It
is unlawful for any person licensed to sell at retail pursuant to this article 3
or article 4 of this title 44:
(o) To authorize or permit toughperson fighting as defined in section
12-10-103 12-110-104;
SECTION 263. In Colorado Revised Statutes, 44-11-104, amend
(11) as follows:
44-11-104. Definitions. As used in this article 11, unless the context
otherwise requires:
(11) "Medical marijuana" means marijuana that is grown and sold
pursuant to the provisions of this article 11 and for a purpose authorized by
section 14 of article XVIII of the state constitution but shall not be
considered a nonprescription drug for purposes of section 12-42.5-102 (21)
12-280-103 (28) or 39-26-717, or an over-the-counter medication for
purposes of section 25.5-5-322.
SECTION 264. In Colorado Revised Statutes, 44-32-202, amend
(3)(c) as follows:
44-32-202. Director - qualifications - powers and duties - rules.
(3) The director, as administrative head of the division, shall direct and
PAGE 1563-HOUSE BILL 19-1172
supervise all administrative and technical activities of the division. In
addition to the duties imposed upon the director elsewhere in this article 32,
it shall be the director's duty:
(c) To employ and direct personnel as may be necessary to carry out
the purposes of this article 32, but no person shall be employed who has
been convicted of a felony or gambling-related offense, notwithstanding the
provisions of section 24-5-101. The director by agreement may secure and
provide payment for such services as the director may deem necessary from
any department, agency, or unit of the state government and may employ
and compensate such consultants and technical assistants as may be
required and as otherwise permitted by law. Personnel employed by the
director shall include but shall not be limited to a sufficient number of
veterinarians, as defined in the "Colorado Veterinary Practice Act", article
64 ARTICLE 315 of title 12, so that at least one veterinarian employed by the
director, or by the operator, as provided in section 44-32-706 (1), shall be
present at every racetrack during weighing in of animals and at all times
that racing is being conducted; and the director shall by rule authorize any
such veterinarian to conduct physical examinations of animals, including
without limitation blood and urine tests and other tests for the presence of
prohibited drugs or medications, to ensure that the animals are in proper
physical condition to race, to prohibit any animal from racing if it is not in
proper physical condition to race, and to take other necessary and proper
action to ensure the health and safety of racing animals and the fairness of
races.
SECTION 265. Effective date. This act takes effect October 1,
2019.
SECTION 266. Safety clause. The general assembly hereby finds,
PAGE 1564-HOUSE BILL 19-1172