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Second Regular Session Seventy-fifth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO.
NOTE:
26-0237.01 Eden Rolland x2373 HOUSE BILL 26-1107 HOUSE SPONSORSHIP Feret and Paschal, Bacon, Boesenecker, Brown, Duran, Hamrick, Lindsay, Marshall, McCluskie, Nguyen, Rydin, Sirota, Story, Woodrow SENATE SPONSORSHIP Cutter, Coleman, Jodeh, Kipp, Lindstedt e n e 6 E a 0 A U , N g l S d ip House Committees Senate Committees e A Health & Human Services Health & Human Services R Finance r e A BILL FOR AN ACT n m 2 C ONCERNING MEASURES TO INCREASE ACCESS TO SERVICES IN T n 2 N U 6 FACILITIES THAT PROVIDE MEDICAL CARE .
This bill has been prepared for the signatures of the appropriate legislative officers and the Governor.
E i r S a A R Bill Summary n (Note:
To determine whether the Governor has signed the bill or taken other action on it, please consult the legislative status sheet, the legislative history, or the Session Laws.
This summary applies to this bill as introduced and does notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill e n 6 passes third reading in the house of introduction, a bill summary that m 0 applies to the reengrossed version of this bill will be available at E n , U U 1 http://leg.colorado.gov.) O i h H a r R M Sections 1 and 4 of the bill establish information disclosure r requirementsforalicensedfacilitythatadvertises,markets,promotes,or 3 offers services, including memory care services, for individuals with dementiaanddementia-relatedconditions,includingAlzheimer'sdisease.
HOUSE BILL 26-1107 BY REPRESENTATIVE(S) Feret and Paschal, Bacon, Boesenecker, Brown, Duran, Hamrick, Lindsay, Marshall, Nguyen, Rydin, Sirota, Story, Woodrow, McCluskie;
g The bill refers to such a facility or agency as a "dementia care facility".
also SENATOR(S) Cutter, Jodeh, Kipp, Lindstedt, Coleman.
d 62 Thebillrequiresthedepartmentof publichealthandenvironment E e 2 S R 1 U d 1 H 2 r Shading denotes HOUSE amendment.
CONCERNING MEASURES TO INCREASE ACCESS TO SERVICES IN FACILITIES THAT PROVIDE MEDICAL CARE .
Double underlining denotes SENATE amendment.
e a Capital letters or bold & italic numbers indicate new material to be added to existing law.n M Dashes through the words or numbers indicate deletions from existing law.
e A (department), in consultation with the state long-term care ombudsman or the ombudsman's designee, to create a dementia care services informationform(form)byJanuary1,2027.Theformmustincludefields for the disclosure of certain information regarding a dementia care facility's dementia care services, including the facility's:
! Dementiatrainingrequirementsforstaffthatareinaddition to statutory training requirements;
! Guidelines for using restraints;
and ! Security features and procedures for addressing the needs of residents with dementia.
Thebillauthorizesthedepartmenttoregularlyreviewtheformand updateitasneeded.Aftercreatingorsubsequentlyupdatingtheform,the department must provide the form to every dementia care facility in the state.
Thebillrequiresadementiacarefacilitytocompletetheformwith responsive, accurate, and complete information regarding the facility's dementia care services.
Beginning July 1, 2027, every dementia care facility must:
! Provide its completed form to every individual who contacts the facility seeking dementia care services;
! Reviewandupdatetheformwhena change in information occurs to ensure that the facility's information provided on the form is current, complete, and correct;
! Publishthefacility'scurrentversionofthecompletedform on the facility's website;
and ! At all times, maintain on the facility's premises and have available for inspection a copy of the facility's completed form with the facility's most current information and produce the form upon request bythe department during a survey or inspection of the facility.
The bill establishes a facility's violation of the last itemized requirements regarding the form as a deceptive trade practice under the "Colorado Consumer Protection Act".
Currently, the department hasthepowertoestablish and maintain by rule a medication administration program in certain licensed or regulated facilities.
Current law requires the department of human services, the behavioral health administration, the department of health care policy and financing, and the department of corrections to develop and conduct a medication administration program in certain types of residential, assisted living, and correctional facilities.
Sections 5 and 6 modify the definition of "administration" to include administration of medication specifically by injection and allow a licensed practical nurse (LPN) or a certified nurse aide (CNA) to administermedicationbyinjectionaspartofamedicationadministration program if the LPN or CNA receives education and training on -2- 1107 administering medication by injection.
The bill requires the department, in consultation with the state board of nursing, to establish byrule the education and training required for an LPN or a CNA to obtain the authorization created by the bill to administer medication by injection.
A facility may not require that a registered nurse be on site as a prerequisite to an LPN or CNA administering medication by injection.
Thebillalsoaddsallfacilitiesandagencieslicensedandregulated by the department to the list of specified facilities that can have a medication administration program.
Sections2and3modifythescopeofpracticeforCNAstoinclude theadministrationofmedicationbyinjectionasauthorizedunderthebill.
3 SECTION 1.
SECTION 1.
Dementia care services - information disclosure form - requirements - assisted living residence improvement cash fund - rules - definitions.
Dementiacareservices-informationdisclosureform -requirements-assistedlivingresidenceimprovementcashfund-rules - definitions.
AS USED IN THIS SECTIO,UNLESS THE CONTEXT OTHERWISE REQUIRES :
AS USED IN THIS SECTION ,UNLESS THE CONTEXT OTHERWISE REQUIRES :
(a) "DEMENTIACAREFACILITY " OR "FACILITY"MEANSAFACILITY THATISLICENSEDBYTHEDEPARTMENTPURSUANTTOSECTION 25-1.5-103 AND THAT OFFERS ON -SITE AND RESIDENTIALSERVICES FOR INDIVIDUALS WITH DEMENTIA DISEASES AND RELATED DISABILITIES .
(a) "D EMENTIA CARE FACILITY " OR "FACILITY "MEANS A FACILITY ________ Capital letters or bold & italic numbers indicate new material added to existing law;
(b) "D EMENTIA DISEASES AND RELATED DISABILITIES " OR "DEMENTIA " HAS THE MEANING SET FORTH IN SECTION 25-1-502 (2.5).
dashes through words or numbers indicate deletions from existing law and such material is not part of the act.
(c) "FORM " MEANS THE DEMENTIA CARE SERVICES INFORMATION FORMCREATEDBYTHEDEPARTMENTPURSUANTTOSUBSECTION (2)(a)OF THIS SECTION.
THAT IS LICENSED BY THE DEPARTMENT PURSUANT TO SECTION 25-1.5-103 AND THAT OFFERS ON -SITE AND RESIDENTIAL SERVICES FOR INDIVIDUALS WITH DEMENTIA DISEASES AND RELATED DISABILITIES .
(d) "S TATE LONG -TERM CARE OMBUDSMAN " MEANS THE STATE -3- 1107 LONG -TERMCAREOMBUDSMANESTABLISHEDPURSUANTTOARTICLE 11.5 OF TITLE26 OR THE STATE LONGTERM CARE OMBUDSMAN S DESIGNEE.
(b) "DEMENTIA DISEASES AND RELATED DISABILITIES " OR "DEMENTIA " HAS THE MEANING SET FORTH IN SECTION 25-1-502 (2.5).
(c) "F ORM "MEANS THE DEMENTIA CARE SERVICES INFORMATION FORM CREATED BY THE DEPARTMENT PURSUANT TO SUBSECTION (2)(a)OF THIS SECTION.
(d) "S TATE LONG -TERM CARE OMBUDSMAN " MEANS THE STATE LONG -TERMCAREOMBUDSMANESTABLISHEDPURSUANTTOARTICLE 11.5OF TITLE 26OR THE STATE LONG -TERM CARE OMBUDSMAN S DESIGNEE .
(a) BY JULY 1, 2027, THE DEPARTMENT SHALL CREATE A DEMENTIA CARE SERVICES INFORMATION FORM FOR DEMENTIA CARE FACILITIES TO COMPLETE AND DISTRIBUTE IN ACCORDANCE WITH SUBSECTION (3)OF THIS SECTIO.
(a) BY JULY 1,2027, THE DEPARTMENT SHALL CREATE A DEMENTIA CARE SERVICES INFORMATION FORM FOR DEMENTIA CARE FACILITIES TO COMPLETE AND DISTRIBUTE IN ACCORDANCE WITH SUBSECTION (3) OF THIS SECTION .
THE FORM MUST INCLUDE FIELDS FOR THE DISCLOSURE OF INFORMATION REGARDING THE DEMENTIA CARE FACILITYS SERVICES.
THE FORM MUST INCLUDE FIELDS FOR THE DISCLOSURE OF INFORMATION REGARDING THE DEMENTIA CARE FACILITY 'S SERVICES.A T A MINIMUM ,THE FORM MUST INCLUDE FIELDS FOR EACH OF THE FOLLOWING ELEMENTS :
AT A MINIMUM,THE FORM MUST INCLUDE FIELDS FOR EACH OF THE FOLLOWING ELEMENTS :
(I) THEFACILITY SREQUIREMENTSFORDEMENTIATRAININGFORTHE FACILITY'S STAFF THAT ARE IN ADDITION TO THE DEMENTIA TRAINING REQUIRED PURSUANT TO SECTION 25-1.5-118;
(I) THE FACILIT'S REQUIREMENTS FOR DEMENTIA TRAINING FOR THEFACILITY SSTAFFTHATAREINADDITIONTOTHEDEMENTIATRAINING REQUIRED PURSUANT TO SECTION 25-1.5-118;
(II) THEFACILITY'SGUIDELINESFORUSINGPHYSICALANDCHEMICAL RESTRAINTSINTHECOURSEOFPROVIDINGCARETORESIDENTSLIVINGWITH DEMENTIA ;
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(II) THE FACILITYS GUIDELINES FOR USING PHYSICAL AND CHEMICALRESTRAINTSINTHECOURSEOFPROVIDINGCARETORESIDENTS LIVING WITH DEMENTIA;
(III) THE FACILITY S SECURITY FEATURES AND SECURITY PROCEDURES FOR ADDRESSING THE NEEDS OF RESIDENTS WITH DEMENTIA , INCLUDING WANDERING AND EMERGENCY RESPONSE ;
(III) THE FACILITY'S SECURITY FEATURES AND SECURITY PROCEDURESFORADDRESSINGTHENEEDSOFRESIDENTSWITHDEMENTIA , INCLUDING WANDERING AND EMERGENCY RESPONSE ;
(IV) T HE CRITERIA AND PROCESSES THE FACILITY USES TO DETERMINE THE PLACEMENT ,TRANSFER ,OR DISCHARGE OF RESIDENTS LIVING WITH DEMENTIA ;
(IV) THE CRITERIA AND PROCESSES THE FACILITY USES TO DETERMINE THE PLACEMENT ,TRANSFER ,OR DISCHARGE OF RESIDENTS LIVING WITH DEMENTIA;
PAGE 2-HOUSE BILL 26-1107 (V) A DESCRIPTION OF HOW THE FACILITY INVOLVES FAMILY MEMBERS IN THE ACTIVITIES AND CARE OF RESIDENTS LIVING WITH DEMENTIA ;
(V) A DESCRIPTION OF HOW THE FACILITY INVOLVES FAMILY MEMBERS IN THE ACTIVITIES AND CARE OF RESIDENTS LIVING WITH DEMENTIA ;
(VI) A DESCRIPTION OF HOW AND WHEN A RESIDENT'S AUTHORIZED REPRESENTATIVE IS NOTIFIED OF INCIDENTS OR CONCERNS , INCLUDING MEDICAL CONCERNS ,SAFETY CONCERNS ,AND OTHER CONCERNS ;
(VI) ADESCRIPTIONOFHOWANDWHENARESIDENT SAUTHORIZED REPRESENTATIVE IS NOTIFIED OF INCIDENTS OR CONCERNS,INCLUDING -4- 1107 MEDICAL CONCERNS ,SAFETY CONCERNS ,AND OTHER CONCERNS;
(VII) A DESCRIPTION OF THE FACILITYS ON SITE AND ON -CALL MEDICAL PROFESSIONALS ;
(VII) A DESCRIPTION OF THE FACILI'S ONSITE AND ON-CALL MEDICAL PROFESSIONALS;
(VIII) ASTATEMENT IDENTIFYING SOURCES ,INCLUDING A LINK TO THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES ' "CARE COMPARE "WEBSITE ,OR ANY SUCCESSOR WEBSITE , THAT AN INDIVIDUAL MAY CONSULT TO FIND INFORMATION ABOUT :
(VIII) ATATEMENTIDENTIFYINGSOURCES ,INCLUDINGALINKTO THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES' "ARE C OMPARE "WEBSITE,OR ANY SUCCESSOR WEBSITE,THAT AN INDIVIDUAL MAY CONSULT TO FIND INFORMATION ABOUT:
(A) P AST ENFORCEMENT ACTIONS OR COMPLAINTS , IF AN, THAT RESULTED IN THE DEPARTMENT ISSUING WARNINGS OR FINES;AND (B) T HE HEALTH -CARE COVERAGE PAYER SOURCES THAT THE FACILITY ACCEPTS,INCLUDING WHETHER THE FACILITY ACCEPTS PAYMENT FROM PRIVATE INSURANCE PLANS ,THROUGH MEDICAID ,OR THROUGH THE U NITEDSTATES DEPARTMENT OF VETERANS AFFAIRS ;AND (IX) A N EXPLANATION OF THE FACILITY S FEE MODEL .
(A) PAST ENFORCEMENT ACTIONS OR COMPLAINTS,IF ANY,THAT RESULTED IN THE DEPARTMENT ISSUING WARNINGS OR FIN;AND (B) T HE HEALTH-CARE COVERAGE PAYER SOURCES THAT THE FACILITYACCEPTS,INCLUDINGWHETHERTHEFACILITYACCEPTSPAYMENT FROMPRIVATEINSURANCEPLANS THROUGHMEDICAID ,ORTHROUGHTHE U NITEDSTATES DEPARTMENT OF VETERANS AFFAIRS;AND (IX) AN EXPLANATION OF THE FACILITYS FEE MODEL.
THE EXPLANATION MUST INCLUDE DETAILS ABOUT WHEN AND HOW A RESIDENT AND THE RESIDENT S AUTHORIZED REPRESENTATIVE WILL BE NOTIFIED OF ANY CHANGE TO THE FEES .
THE EXPLANATIONMUSTINCLUDEDETAILSABOUTWHENANDHOWARESIDENT ANDTHE RESIDENT SAUTHORIZEDREPRESENTATIVE WILLBENOTIFIEDOF ANY CHANGE TO THE FEES.
(b) T HE DEPARTMENT SHALL CREATE THE FORM DESCRIBED IN SUBSECTION (2)(aOF THIS SECTION IN CONSULTATION WITH THE STATE LONG -TERMCAREOMBUDSMAN .THEDEPARTMENTMAYCONSULTWITHANY OTHERSTATEDEPARTMENTORORGANIZATIONASTHEDEPARTMENTDEEMS NECESSARY .
(b) THE DEPARTMENT SHALL CREATE THE FORM DESCRIBED IN SUBSECTION (2)(aOF THIS SECTION IN CONSULTATION WITH THE STATE LONG TERM CARE OMBUDSMAN .
(c) T HE DEPARTMENT MAY REVIEW AND UPDATE THE FORM TO ENSURETHATTHEFORMFACILITATESTHEDISCLOSUREOFTHEINFORMATION SPECIFIED IN SUBSECTION(2)(aOF THIS SECTIO.
HE DEPARTMENT MAY CONSULT WITH ANY OTHER STATE DEPARTMENT OR ORGANIZATIONASTHE DEPARTMENT DEEMS NECESSARY .
(d) AS SOON AS PRACTICABLE AFTER CREATING OR UPDATING THE PAGE 3-HOUSE BILL 26-1107 FORMPURSUANTTOTHISSUBSECTION (2)THEDEPARTMENTSHALLPROVIDE THE FORM OR THE MOST RECENTLY UPDATED VERSION OF THE FORM TO EVERY DEMENTIA CARE FACILITY .
(c) THE DEPARTMENT MAY REVIEW AND UPDATE THE FORM TO ENSURE THAT THE FORM FACILITATES THE DISCLOSURE OF THE INFORMATION SPECIFIED IN SUBSECTIO(2)(aOF THIS SECTIO.
(e) T HE DEPARTMENT MAY ADOPT RULES AS NECESSARY TO IMPLEMENT THIS SECTION .
(d) ASSOONASPRACTICABLEAFTERCREATINGORUPDATINGTHE -5- 1107 FORM PURSUANT TO THIS SUBSECTION (2),THE DEPARTMENT SHALL PROVIDE THE FORM OR THE MOST RECENTLY UPDATED VERSION OF THE FORM TO EVERY DEMENTIA CARE FACILITY.
(f) THE DEPARTMENT MAY USE MONEY FROM THE ASSISTED LIVING RESIDENCE IMPROVEMENT CASH FUND ,CREATED IN SECTION 25-27-106 (2)(b)(IV),OR THE PURPOSES OF CREATING THE FORM IN ACCORDANCE WITH THIS SUBSECTION (2)AND ADOPTING RULES RELATED TO THE FORM .
(e) T HE DEPARTMENT MAY ADOPT RULES AS NECESSARY TO IMPLEMENT THIS SECTION.
(2.5) THE RULES ADOPTED BY THE DEPARTMENT IN ACCORDANCE WITHTHISSECTIONSHALLNOTEXCEEDAPPLICABLENATIONALSTANDARDS .
(f) HEDEPARTMENTMAYUSEMONEYFROMTHEASSISTEDLIVING RESIDENCE IMPROVEMENT CASH FUND ,CREATED IN SECTION25-27-106 (2)(b)(IV)FOR THE PURPOSES OF CREATING THE FORM IN ACCORDANCE WITH THIS SUBSECTION(2)AND ADOPTING RULES RELATED TO THE FOR.
(2.5) HE RULES ADOPTED BY THE DEPARTMENT IN ACCORDANCE WITH THIS SECTION SHALL NOT EXCEED APPLICABLE NATIONAL STANDARDS .
(a) ADEMENTIA CARE FACILITY SHALL COMPLETE THE DEMENTIA CARE SERVICES INFORMATION FORM CREATED OR UPDATED BY THE DEPARTMENT PURSUANT TO SUBSECTION (2) OF THIS SECTION WITH RESPONSIVE ACCURATE ,AND COMPLETE INFORMATION REGARDING THE FACILITYS DEMENTIA CARE SERVICES.
(a) A DEMENTIA CARE FACILITY SHALL COMPLETE THE DEMENTIA CARE SERVICES INFORMATION FORM CREATED OR UPDATED BY THE DEPARTMENT PURSUANT TO SUBSECTION (2)OF THIS SECTION WITH RESPONSIVE ,ACCURATE ,AND COMPLETE INFORMATION REGARDING THE FACILITYS DEMENTIA CARE SERVICES .
(b) BEGINNING O CTOBER 1, 2027,A DEMENTIA CARE FACILITY SHALL :
(b) B EGINNING OCTOBER 1, 2027, A DEMENTIA CARE FACILITY SHALL :
(I) POVIDETHEFACILITY SCOMPLETEDDEMENTIACARESERVICES INFORMATION FORM TO AN INDIVIDUAL WHO CONTACTS THE FACILITY SEEKINGDEMENTIACARESERVICES ,WHETHERTHEINDIVIDUALISSEEKING DEMENTIACARESERVICESFORTHEMSELF ,FORAFAMILYMEMBER ,ORFOR SOMEONE WHO IS NOT A FAMILY MEMBER ;
(I) PROVIDE THE FACILITYS COMPLETED DEMENTIA CARE SERVICES INFORMATION FORM TO AN INDIVIDUAL WHO CONTACTS THE FACILITY SEEKING DEMENTIA CARE SERVICES ,WHETHER THE INDIVIDUAL IS SEEKING DEMENTIA CARE SERVICES FOR THEMSELF ,FOR A FAMILY MEMBER ,OR FOR SOMEONE WHO IS NOT A FAMILY MEMBER ;
(II) R EVIEW THE FORM WHEN THE FACILITY S INFORMATION CHANGES ,AND NO LESS THAN ONCE EVERY FIVE YEAR,TO ENSURE THAT -6- 1107 THE INFORMATION PROVIDED ON THE FORM IS CURRENT ,COMPLETE ,AND CORRECT ;
(II) REVIEW THE FORM WHEN THE FACILITY S INFORMATION CHANGES ,AND NO LESS THAN ONCE EVERY FIVE YEARS ,TO ENSURE THAT THE INFORMATION PROVIDED ON THE FORM IS CURRENT ,COMPLETE , AND CORRECT ;
(III) UDATETHEFACILITY 'SINFORMATIONONTHEFORMASSOON AS PRACTICABLE AFTER A CHANGE TO THE INFORMATION OCCURS ;
(III) UPDATE THE FACILITYS INFORMATION ON THE FORM AS SOON AS PRACTICABLE AFTER A CHANGE TO THE INFORMATION OCCURS ;
(IV) PBLISHTHECURRENTVERSIONOFTHECOMPLETEDFORMON THE FACILITY'S PUBLI-FACING WEBSITE ;AND (V) A T ALL TIME,MAINTAIN ON THE FACILITY S PREMISES AND HAVE AVAILABLE FORINSPECTIONACOPYOFTHE FACILITY 'S COMPLETED FORM WITH THE FACILITY S MOST CURRENT INFORMATION AND PRODUCE THE FORM UPON REQUEST BY THE DEPARTMENT DURING A SURVEY OR INSPECTION OF THE FACILITY.
PAGE 4-HOUSE BILL 26-1107 (IV) PUBLISH THE CURRENT VERSION OF THE COMPLETED FORM ON THE FACILITY S PUBLIC-FACING WEBSITE ;
AND (V) ATALLTIMES ,MAINTAINONTHEFACILITY SPREMISESANDHAVE AVAILABLE FOR INSPECTION A COPY OF THE FACILITY S COMPLETED FORM WITHTHEFACILITY SMOSTCURRENTINFORMATIONANDPRODUCETHEFORM UPON REQUEST BY THE DEPARTMENT DURING A SURVEY OR INSPECTION OF THE FACILITY .
(a) HEDEPARTMENTSHALLREQUIREADEMENTIACAREFACILITY TO MAINTAIN AND HAVE AVAILABLE FOR INSPECTION A COPY OF THE FACILITY'S CURRENT AND COMPLETED FORM DESCRIBED IN SUBSECTION (3)(b)(V)OF THIS SECTION.
(a) THE DEPARTMENT SHALL REQUIRE A DEMENTIA CARE FACILITY TO MAINTAIN AND HAVE AVAILABLE FOR INSPECTION A COPY OF THE FACILITY'S CURRENT AND COMPLETED FORM DESCRIBED IN SUBSECTION (3)(b)(V)OF THIS SECTION .
(b) DURING EACH SURVEY OR INSPECTION OF A DEMENTIA CARE FACILITY,THE DEPARTMENT SHALL REQUIRE THE FACILITY TO PRODUCE FOR INSPECTION THE FACILITY 'S CURRENT FORM , COMPLETED AND UPDATED IN ACCORDANCE WITH SUBSECTION (3)(b)(V)OF THIS SECTIO.
(b) D URING EACH SURVEY OR INSPECTION OF A DEMENTIA CARE FACILITY,THEDEPARTMENTSHALLREQUIRETHEFACILITYTOPRODUCEFOR INSPECTION THE FACILITY S CURRENT FORM ,COMPLETED AND UPDATED IN ACCORDANCE WITH SUBSECTION (3)(b)(V)OF THIS SECTION .
(c)FAFACILITYVIOLATESSUBSECTION (3)(b)(VOFTHISSECTION OR DOES NOT PRODUCE THE FACILITY S CURRENT FORM UPON A REQUEST MADE BY THE DEPARTMENT PURSUANT TO SUBSECTION (4)(b)OF THIS SECTION ,THE DEPARTMENT SHALL ISSUE A CITATION TO THE FACILIT.
(c) I A FACILITY VIOLATES SUBSECTION (3)(b)(V)OF THIS SECTION OR DOES NOT PRODUCE THE FACILITY S CURRENT FORM UPON A REQUEST MADE BY THE DEPARTMENT PURSUANT TO SUBSECTION (4)(b) OF THIS SECTION ,THE DEPARTMENT SHALL ISSUE A CITATION TO THE FACILITY .
and add -7- 1107 (2)(b)(V)(I) as follows:
and add (2)(b)(V)(I) as follows:
or (H) Reimbursingresidentsfor personal funds lost,asdetermined necessary by the departmeOR;
or (H) Reimbursing residents for personal funds lost, as determined necessary by the department;OR PAGE 5-HOUSE BILL 26-1107 (I) CREATINGADEMENTIACARESERVICESINFORMATIONFORMAND ADOPTINGRULESRELATEDTOTHEFORM ,PURSUANTTOSECTION 25-1-124.3 (2).
(I) CREATING A DEMENTIA CARE SERVICES INFORMATION FORM AND ADOPTING RULES RELATED TO THE FORM ,PURSUANT TO SECTION 25-1-124.3 (2).
on the day following the expiration of the ninety-day period after final adjournment of the general assembly (August 12, 2026, if adjournment sine die is on May 13, 2026);
on the day following the expiration of the ninety-day period after final adjournment of the general assembly(August 12, 2026, if adjournment sine die is on May 13, 2026);
except that, if a referendum 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 approved 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.
except that, if a referendumpetitionisfiledpursuanttosection1(3)ofarticleVofthestate 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 PAGE 6-HOUSE BILL 26-1107 approvedbythepeopleatthegeneralelectiontobeheldinNovember2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.
-8- 1107
____________________________ ____________________________ 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 7-HOUSE BILL 26-1107
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