HB 1040 — Sterilization Rights of Person with Disabilities

SecondNOTE: Regular Session Seventy-fifth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO.

26-0563.01This Chelseabill Princellhas x4335been HOUSEprepared BILLfor 26-1040the HOUSEsignatures SPONSORSHIPof Froelich,the Bacon,appropriate Boesenecker,legislative Brown,officers Camacho,and Duran,the English,Governor. Espenoza, Garcia, Goldstein, Jackson, Joseph, Lieder, Lindsay, Mabrey, Martinez, Mauro, McCluskie, McCormick,Nguyen,Phillips,Rutinel,Rydin,Sirota,StewartK., Stewart R., Story,Suckla, Titone, Velasco, Willford, Zokaie SENATE SPONSORSHIP Cutter, Amabile, Ball, Benavidez, Coleman, Danielson, Exum, Gonzales J., Jodeh, Kipp, Kolker, Lindstedt, Marchman, Mullica, Roberts, Snyder, Sullivan, Wallace, Weissman d d e 6 m 0 T n , A U 11 E i h House Committees Senate Committees S a a Health & Human Services Health & Human Services e M d A BILL FOR AN ACT i a 6 C ONCERNING THE STERILIZATION RIGHTS OF A PERSON WITH e 0 T d , N 2 1 INTELLECTUAL AND DEVELOPMENTAL DISABILITIES .

ETo ddetermine cwhether Sthe dGovernor ahas esigned Mthe Billbill Summaryor mtaken Aother (Note:action on it, please consult the legislative status sheet, the legislative history, or the Session Laws.

ThisHOUSE summaryBILL applies26-1040 toBY thisREPRESENTATIVE(S) billFroelich, asBacon, introducedBoesenecker, andBrown, doesCamacho, notreflectanyamendmentsthatmaybesubsequentlyadopted.IfthisbillDuran, dEnglish, dEspenoza, 6Garcia, passesGoldstein, thirdJackson, readingJoseph, inLieder,Lindsay,Mabrey,Martinez,Mauro,McCormick,Nguyen,Phillips, theRutinel, houseRydin, ofSirota, introduction,Stewart aK., billStewart summaryR., thatStory, eSuckla, 0Titone, appliesVelasco, toWillford, theZokaie, reengrossedMcCluskie, versionHamrick, ofTaggart, thisWeinberg; bill will be available at E a , S U 1 http://leg.colorado.gov.) O n r H a u e b The bill requires a person with an intellectual and developmental r F disability (person) to receive counseling on the long-term impacts of 3 sterilization and the less intrusive means available to prevent pregnancy before the person consents to sterilization.

Thealso counselingSENATOR(S) mustCutter, takeAmabile, gBall, placeBenavidez, regardlessDanielson, ofExum, whetherGonzales theJ., personJodeh, isKipp, deemedKolker, competentLindstedt, toMarchman, giveMullica, iRoberts, 26Snyder, consent.Sullivan, Wallace, Weissman, Coleman.

aC 2ONCERNINGTHESTERILIZATIONRIGHTSOFAPERSONWITHINTELLECTUAL SAND RDEVELOPMENTAL ,9DISABILITIES U. d r H 2 u Shading denotes HOUSE amendment.

Double underlining denotes SENATE amendment.

e b Capital letters or bold & italic numbers indicate new material to be added to existing law.n F Dashes through the words or numbers indicate deletions from existing law.

e A Thebillprohibitssterilizationagainsttheperson'swill,regardless of whether the person is deemed competent to consent, unless maintainingfertilityorapregnancywouldposeanimminentthreattothe life or health of the person.

Thebillrequiresapetitionforcourt-orderedsterilizationtoinclude a statement that the person has received counseling on the long-term impacts of sterilization and the less intrusive means available to prevent pregnancy.

If a person expresses a desire to the court to maintain fertilityand does not want to undergo sterilization, the bill prohibits a court from ordering sterilization unless sterilization is necessary to preserve the life or health of the person.

InInColoradoRevisedStatutes,amend25.5-10-231as Colorado RevisedStatutes,amend25.5-10-231 as follows:

(1) It is the intent of the general assemblythatassembly that the procedures set forth in the following subsections be utilized when sterilization is being considered for the primary purpose of rendering the person incapable of reproduction.CONSENTCapital REQUIREDletters INor SUBSECTIONbold (2)OF& THISitalic SECTIONnumbers APPLIESindicate TOnew ANYmaterial PERSONadded WITHto ANexisting INTELLECTUALlaw; AND DEVELOPMENTAL DISABILITYWHENSTERILIZATIONISBEINGCONSIDEREDFORTHEPRIMARY PURPOSE OF RENDERING THE PERSON INCAPABLE OF REPRODUCTION .

(2)dashes Anythrough personwords withor annumbers intellectualindicate anddeletions developmentalfrom disabilityexisting overlaw eighteenand yearssuch ofmaterial ageis whonot haspart givenof informed consent has the rightact. to be sterilized, subject to the following:

Areproduction.CONSENT PERSONREQUIRED WITHIN ANSUBSECTION INTELLECTUAL(2) ANDOF DEVELOPMENTALTHIS DISABILITYSECTION WHOAPPLIES HASTO DECISIONANY MAKING CAPACITY SHALL NOT BE STERILIZED IN THE ABSENCE OFTHE PERSON 'SWITH INFORMEDCONSENTAN .AINTELLECTUAL PERSON WITHANINTELLECTUAL AND DEVELOPMENTAL DISABILITY WHOWHEN LACKSSTERILIZATION DECISIONIS -MAKINGBEING CAPACITYCONSIDERED SHALLFOR NOT BE STERILIZED IN THE ABSENCEPRIMARY PURPOSE OF THERENDERING PERSON'S -2- 1040 INFORMED CONSENT EXCEPT IN CIRCUMSTANCES WHERE THE DECISIONPERSON ISINCAPABLE MADE IN ACCORDANCE WITH A PROCESS , REQUIREMENTS , OR LIMITATIONS SET FORTH IN ARTICLE14 OF TITLEREPRODUCTION 15. OR ANY OTHER APPLICABLE LAW OR COURT ORDER.

(a)(2) PriorAny toperson thewith procedure,an competencyintellectual toand givedevelopmental informeddisability consentover andeighteen assuranceyears thatof suchage consentwho ishas voluntarilygiven andinformed freelyconsent givenhas shallthe right to be evaluatedsterilized, bysubject to the following:followinPERSON WITH AN INTELLECTUAL AND DEVELOPMENTAL DISABILITY WHO HAS DECISION -MAKING CAPACITY SHALL NOT BE STERILIZED IN THE ABSENCE OF THE PERSON 'S INFORMED CONSENT .

(I)A Apsychiatrist,psychologist,orphysicianwhodoesnotprovidePERSON servicesWITH orAN supportsINTELLECTUAL toAND theDEVELOPMENTAL personDISABILITY andWHO whoLACKS hasDECISION consulted-MAKING withCAPACITY andSHALL interviewedthepersonwithanintellectualanddevelopmentaldisability;NOT BE STERILIZED IN THE ABSENCE OF THE PERSON 'S INFORMED CONSENT EXCEPT IN CIRCUMSTANCES WHERE THE DECISION IS MADE IN ACCORDANCE WITH A PROCESS ,REQUIREMENTS , OR LIMITATIONS SET FORTH IN ARTICLE 14 OF TITLE 15OR ANY OTHER APPLICABLE LAW OR COURT ORDER .

and(a) (II)Priortotheprocedure,competencytogiveinformedconsentand Anassurance intellectualthat andsuch developmentalconsent disabilitiesis professionalvoluntarily whoand doesfreely notgiven provideshall servicesbe orevaluated supportsby inthe whichfollowing: said person participates,andwhohasconsultedwithandinterviewedthepersonwith an intellectual and developmental disability.

(b)(I) TheprofessionalsA whopsychiatrist, conductedpsychologist, theor evaluationphysician pursuantwho todoes paragraphnot (a)provide ofservices thisor subsectionsupports (2) shall consult with the physician who is to perform the operationperson concerningand eachwho professional'shas opinionconsulted inwith regardand tointerviewed the informedperson consentwith ofan theintellectual personand requestingdevelopmental thedisability; sterilization.

(3) Any person with an intellectual and developmental(II) disabilityAnintellectualanddevelopmentaldisabilitiesprofessionalwho whosedoesnotprovideservicesorsupportsinwhichsaidpersonparticipates,and capacitywhohasconsultedwithandinterviewedthepersonwithanintellectualand to give an informed consent is challenged by the intellectual and developmental disabilitiesdisability. professional or the physician may file a petition with the court to declare competency to give consent pursuant to the procedures set forth in section 25.5-10-232.

(4)(b) NoThe personprofessionals withwho anconducted intellectualthe andevaluation developmentalpursuant disabilityto whoisovereighteenyearsofageandhasthecapacitytoparticipateintheparagraph -3-(a) 1040of decision-makingthis processsubsection regarding(2) sterilization shall beconsult sterilizedwith the physician who is to perform the operation concerning each professional's opinion in regard to the absenceinformed consent of the person'sperson informedrequesting consent.the sterilization.

(3) Any person with an intellectual and developmental disability whosecapacitytogiveaninformedconsentischallengedbytheintellectual and developmental disabilities professional or the physician may file a petitionwiththecourttodeclarecompetencytogiveconsentpursuanttothe PAGE 2-HOUSE BILL 26-1040 procedures set forth in section 25.5-10-232.

(4) Nopersonwithanintellectualanddevelopmentaldisabilitywho is over eighteen years of age and has the capacity to participate in the decision-making process regarding sterilization shall be sterilized in the absence of the person's informed consent.

ConsentConsentgivenbyanypersonpursuanttosubsection(2)ofthissectionisnot given byanyperson pursuant to subsection (2) of this section is not revocable after sterilization, and no person shall be liable for acting pursuant to such consent.

SECTION2.InColoradoRevisedStatutes,25.5-10-220,amendSECTION2.InColoradoRevisedStatutes,25.5-10-220,amend(9) (9) as follows:

(9) No A person receiving services mayMUSTmay MUST NOT have anyanyorgans organsremovedforthepurposeoftransplantationwithoutthe removedPERSON for'Sconsentof the purpose of transplantation withPERSON'S consent of such person, if the person is over eighteen yeaOLDofyears ageof aOLD and is able to give such consent.

If the person's ability to give consent to the medical procedure is challenged bybythe the physician, the same procedures as those set forth in section 25.5-10-232 shall be followed.

ConsentfortheremovaloforgansfortransplantationmaybegivenbytheConsent parentsfor of a person receiving services, if the personremoval is under eighteen years of agOLD,organsfortransplantationmaybegivenbytheparentsofapersonreceiving orservices,if bythepersonisundereighteenyearsofage theOLD,orbytheperson's person's legal guardian.

PARENT'SSuch A PARENT S OR LEGALGUARDIANLEGAL 'SconsentmaybegivenonlyafterconsultationwiththeGUARDIAN S consent may be given only after consultation with the interdisciplinary team and an intellectual and developmental disabilities professionalnotaffiliatedwiththefacilityorcommunityresidentialhomeprofessional not affiliated with the facility or community residential home in which the person receiving services resides.

HoweveA,personHowever, noA person receiving services of any age may SHALL NOT be a donor of an organ if the person implicitly or expressly objects THEprocedure.to suchTHE procedure.

SECTION3.SECTION 3.

InColoradoRevisedStatutes,repeal25.5-10-232,In Colorado Revised Statutes, repeal 25.5-10-232, 25.5-10-233, and 25.5-10-234.

-4- 1040 SECTION 4.

on the day following the expiration of the ninety-dayperiodafterfinaladjournmentofthegeneralassembly(Augustninety-dayperiod after final adjournment of the general assembly(August PAGE 3-HOUSE BILL 26-1040 12, 2026, if adjournment sine die is on May 13, 2026);

except that, if a referendumreferendumpetitionisfiledpursuanttosection1(3)ofarticleVofthestate petition is filed pursuant to section 1 (3) of article V of the state constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect unless approvedapprovedbythepeopleatthegeneralelectiontobeheldinNovember2026 by the people at the general election to be held in November 2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.

-5-____________________________ 1040____________________________ Julie McCluskie James Rashad Coleman, Sr.

SPEAKER OF THE HOUSE PRESIDENT OF OF REPRESENTATIVES THE SENATE ____________________________ ____________________________ Vanessa Reilly Esther van Mourik CHIEF CLERK OF THE HOUSE SECRETARY OF OF REPRESENTATIVES THE SENATE APPROVED________________________________________ (Date and Time) _________________________________________ Jared S.

Polis GOVERNOR OF THE STATE OF COLORADO PAGE 4-HOUSE BILL 26-1040