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HB23-1218

Health Facility Patient Information Denied Service

Type Bill
Session 2023 Regular Session
Subjects
Health Care & Health Insurance Public Health

Concerning requiring that a health-care facility inform patients as part of the informed consent process of services that the health-care facility refuses to provide to patients when the refusal is for nonmedical reasons, and, in connection therewith, making an appropriation.

Bill Summary:

The act requires the department of public health and environment (department), by August 1, 2024, and in consultation with stakeholders, to identify reproductive health-care services, LGBTQ health-care services, and end-of-life health-care services (identified health-care services) that, for nonmedical reasons, are not generally available at a specified health-care facility (covered entity) or that are subject to significant restriction at a covered entity. The department shall develop a simple service availability form (form) to be filled out by each covered entity for the purpose of conveying to patients and to the public information about identified health-care services that are subject to denial of care at the covered entity.

The act defines:

  • "Covered entity" as a hospital, community clinic, maternity hospital, freestanding emergency department, or rehabilitation hospital, but "covered entity" does not include a health-care professional or a hospital, community clinic, or other facility owned or operated by the state;
  • "Denial of care", in part, as refusal to provide health-care services for nonmedical reasons;
  • "Nonmedical reasons", in part, as nonclinical criteria, rules, or policies that restrict health-care professionals at a covered entity from providing health-care services that the health-care professional is authorized to provide and that the covered is licensed to provide; and
  • Reproductive health-care services, LGBTQ health-care services, and end-of-life health-care services.
The act includes requirements for the content and format of the form and requires each covered entity to submit a completed form to the department and to update the form within 30-days after a change in the availability of the identified health-care services. Beginning on or before October 1, 2024, the department shall maintain on its public-facing website a list of covered entities and the form for the covered entity. The department shall review and update the service availability form at least biennially in consultation with stakeholders.

A covered entity shall provide patients with the current service availability form during scheduling for identified health-care services and at the time federal privacy laws are provided to patients before health-care services are initiated, and shall maintain a record of the patient's receipt of the form. A covered entity that fails to comply with the act is subject to a fine not exceeding $1,000 for each day the covered entity is in violation of the act.

The state board of health shall adopt rules to implement the act.

For the 2023-24 state fiscal year, the act appropriates $64,627 from the general fund to the department for use by the health facilities and emergency medical services division to implement the act.

APPROVED by Governor May 10, 2023

EFFECTIVE August 7, 2023

NOTE: This act was passed without a safety clause and takes effect 90 days after sine die.
(Note: This summary applies to this bill as enacted.)

Status

Became Law

Introduced

Passed

Became Law

Related Documents & Information

Date Version Documents
05/10/2023 Signed Act PDF
05/08/2023 Final Act PDF
05/02/2023 Rerevised PDF
05/01/2023 Revised PDF
04/18/2023 Reengrossed PDF
04/17/2023 Engrossed PDF
02/22/2023 Introduced PDF
Date Version Documents
04/28/2023 PA3 PDF
04/14/2023 PA2 PDF
03/21/2023 PA1 PDF
Date Version Documents
06/22/2023 FN3 PDF
03/30/2023 FN2 PDF
03/13/2023 FN1 PDF
Date Version Documents
04/11/2023 SA1 PDF
Activity Vote Documents
Refer House Bill 23-1218 to the Committee of the Whole. The motion passed on a vote of 4-3. Vote summary
Activity Vote Documents
Adopt amendment L.015 (Attachment K). The motion passed without objection. Vote summary
Adopt amendment L.016 (Attachment L). The motion passed without objection. Vote summary
Refer House Bill 23-1218, as amended, to the Committee on Appropriations. The motion passed on a vote of 6-1. Vote summary
Activity Vote Documents
Adopt amendment J.001 The motion passed without objection. Vote summary
Refer House Bill 23-1218, as amended, to the Committee of the Whole. The motion passed on a vote of 10-1. Vote summary
Activity Vote Documents
Adopt amendment L.001 (Attachment C). The motion passed without objection. Vote summary
Adopt amendment L.002 (Attachment D). The motion passed without objection. Vote summary
Adopt amendment L.003 (Attachment E). The motion passed without objection. Vote summary
Refer House Bill 23-1218, as amended, to the Committee on Appropriations. The motion passed on a vote of 8-2. Vote summary
Date Calendar Motion Vote Vote Document
05/04/2023 Senate Amendments REPASS
44
AYE
18
NO
3
OTHER
Vote record
05/04/2023 Senate Amendments CONCUR
42
AYE
20
NO
3
OTHER
Vote record
04/18/2023 Third Reading BILL
43
AYE
19
NO
3
OTHER
Vote record
Date Calendar Motion Vote Vote Document
05/02/2023 Third Reading BILL
21
AYE
12
NO
2
OTHER
Vote record
Date Amendment Number Committee/ Floor Hearing Status Documents
05/01/2023 L.017 Second Reading Passed [**] PDF
04/27/2023 L.016 SEN Health & Human Services Passed [*] PDF
04/27/2023 L.015 SEN Health & Human Services Passed [*] PDF
04/17/2023 L.012 Second Reading Lost [**] PDF
04/17/2023 L.013 Second Reading Passed [**] PDF
04/17/2023 L.008 Second Reading Lost [**] PDF
04/17/2023 L.007 Second Reading Lost [**] PDF
04/17/2023 L.009 Second Reading Passed [**] PDF
04/17/2023 L.010 Second Reading Lost [**] PDF
04/14/2023 J.001 HOU Appropriations Passed [*] PDF
03/17/2023 L.003 HOU Health & Insurance Passed [*] PDF
03/17/2023 L.002 HOU Health & Insurance Passed [*] PDF
03/17/2023 L.001 HOU Health & Insurance Passed [*] PDF
Date Location Action
05/10/2023 Governor Governor Signed
05/09/2023 Governor Sent to the Governor
05/08/2023 Senate Signed by the President of the Senate
05/07/2023 House Signed by the Speaker of the House
05/04/2023 Senate House Considered Senate Amendments - Result was to Concur - Repass
05/03/2023 Senate House Considered Senate Amendments - Result was to Laid Over Daily
05/02/2023 Senate Senate Third Reading Passed - No Amendments
05/01/2023 Senate Senate Second Reading Special Order - Passed with Amendments - Committee, Floor
05/01/2023 Senate Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
04/27/2023 Senate Senate Committee on Health & Human Services Refer Amended to Appropriations
04/19/2023 Senate Introduced In Senate - Assigned to Health & Human Services
04/18/2023 House House Third Reading Passed - No Amendments
04/17/2023 House House Second Reading Special Order - Passed with Amendments - Committee, Floor
04/14/2023 House House Committee on Appropriations Refer Amended to House Committee of the Whole
03/17/2023 House House Committee on Health & Insurance Refer Amended to Appropriations
02/22/2023 House Introduced In House - Assigned to Health & Insurance
Effective Date Chapter # Title Documents
08/07/2023 155 Health Facility Patient Information Denied Service PDF