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Envision:You Public Policy Efforts 

We work with Brandeberry-McKenna Public Affairs to inform elected state officials and policymakers about the disparities in care facing LGBTQ+ individuals. By doing so, we are actively engaging in advocacy efforts to ensure that mental health concerns of LGBTQ+ individuals are being addressed in legislation and policy.

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Our Work During the 2023 Session 


HB23-1003 : School Mental Health Assessment Act

House Bill 23-1003 would allow public schools that offer any grades six through twelve to opt in to a mental health assessment program provided by the Department of Public Health and Environment. While parents would need to be notified within the first two weeks of the school year to either opt their child in or out, children 12 years and older would have the ability to consent despite their parents' dissent. The mental health assessment will be conducted by a qualified provider selected by the Department. Once assessments are completed, the qualified provider will analyze the assessments and then proceed to the next steps accordingly for each student. If students showed signs of suicidality, homicidality, physical self-harm, or are in need of attention from a mental health professional, the qualified professional will immediately notify the student’s school. If a student is in need of other mental health services due to a different mental health concern, then the qualified provider will issue information on resources and services provided through iMatter Colorado, a temporary behavioral health services program established by HB21-1258.
Envision:You’s Action: Statement of Support / Testified in front of House Committee 2/7/23
Status of the Bill: Passed Senate and referred as amended to Appropriations 4/14


HB23-1031:Mental Health Professionals Reporting Exemption

Under current law, every health-care provider is required to report specified information about an individual known to the provider to have a diagnosis of or a positive test for a sexually transmitted infection to the department of public health and environment or a local public health agency. The bill exempts mental health professionals from this reporting requirement.
Envision:You’s Action: Statement of Support
Status of the Bill: Passed, Sent to the Governor


HB23-1057:Amenities for All Genders in Public Restrooms
Concerning a requirement that certain public buildings have restrooms with amenities for all genders including non-gendered restroom facilities or multi-stall non-gendered restrooms, and one safe, sanitary, and convenient baby diaper changing station that is accessible to the public on each floor in all public restrooms. 

Envision:You’s Action: Statement of Support / Testified
Status of Bill: Headed to Appropriations 2/13/23

HB23-1071:Licensed Psychologist Prescription Authority
HB23-1071 requires 1 of the 7 members of the state board of psychologist examiners to be a prescribing psychologist. The bill will also allow a licensed psychologist to prescribe and administer psychotropic medications if the licensed psychologist holds a prescriptive certificate issued by the board and may apply if they have completed a doctoral program in psychology, completed a master of science in clinical psychopharmacological program, passed a psychopharmacology examination for psychologists, completed supervised and relevant clinical experience approved by the board, has undergone a process of independent peer review, holds a current license in good standing, maintains malpractice insurance, and annually completes at least 40 hours of continuing education every two years. The bill requires the prescribing psychologist to maintain a collaborative relationship with the health-care provider who oversees the client’s general medical care and must disclose to their patients that they are not a licensed physician. 

Envision:You’s Action: Statement of Support / Testified before House 2/1/23 / Testified before Senate 2/16/23
Status of Bill: Passed, Signed into Law by Governor Polis

HB23-1098:Women's Rights In Athletics
“Concerning protecting female students’ rights in athletics.” This bill would require any intercollegiate, interscholastic, intramural, or club athletic team, sport, or athletic event to be designated as one of the following, based on the biological sex at birth of the participating students: Male, female, or coeducational. Male and female athletes may only participate on teams designated to their “respective sexes”.
Envision: You’s Action: Statement of Opposition
Status of Bill: Failed 8-3


HB23-1130:Drug Coverage for Serious Mental Illness
With respect to step-therapy protocols (protocols) for health insurance, the bill defines "serious mental illness" and prohibits the protocols from requiring a person to try more than one prescription drug prior to receiving coverage for the drug recommended by the person's health-care provider. If certain conditions are met and attested to by the person's health-care provider, the carrier, private utilization review organization, or pharmacy benefit manager must cover the drug recommended by the person's health-care provider.

Envision:You’s Action: Statement of Support
State of Bill: Introduced to Senate Committee 3/16/23
   Senate Health and Human Services Committee
   Thursday. April 13 2023
   1:30PM SCR 357



HB23-1200:Improved Outcomes Persons Behavioral Health
HB23-1200 would take one year to develop a behavioral health treatment voucher pilot program to allow persons experiencing a behavioral health crisis who cannot find treatment with a BHA Safety Net Provider to receive a voucher to use for payment with a private treatment provider who will submit it to a regional BHA service organization for reimbursement. This pilot program would operate through July 1, 2027. The bill will also create a family input form and requires all behavioral health entities, recovery support services, organizations, controlled substance licensed facilities, medicaid providers, hospitals, and emergency rooms to accept the form. 

Envision:You’s Action: Statement of Support 

State of Bill: Sent with Amendments to Appropriations 3/21/23



HB23-1202 :Overdose Prevention Center Authorization
House Bill 23-1202 as proposed would seek to authorize Colorado municipalities to establish Overdose Prevention Centers (OPC) within municipal boundaries. The bill defines OPC as a space for individuals to use previously obtained controlled substances in a monitored setting under the supervision of health-care professionals, or other trained staff, for the purpose of providing life-saving treatment in the event of potential overdose. OPCs also provide access to sterile consumption equipment, tools to test for the presence of fentanyl (a synthetic opioid), mental health counseling, referrals to substance use disorder treatment, and other harm reduction services.  

Envision:You’s Action: Statement of Support 

State of Bill: Passed House Third Reading - Referred to COW



HB23-1256:Health-care Professional Telehealth Out-of-state Patient

House Bill 23-1256 authorizes health-care professionals to practice Telehealth in other states granted by an interstate compact to practice the particular health-care professional in the state where the patient or client is located at the time the health care is rendered, or otherwise granted authority through license, certificate, or registration.

Envision:You’s Action: Statement of Support

State of Bill:
   Postponed indefinitely


Medicaid Reimbursement for Community Health Services

Senate Bill 23-002 authorizes the Department of Health Care Policy and Financing to seek federal authorization from the Centers for Medicare and Medicaid services to provide medicaid reimbursement for community health social work services. Four public stakeholder meetings are required to solicit input on considerations to be included in the state department’s request for federal authorization. The State Department must also include a report and presentation on how community health workers are being utilized through Medicaid to the joint budget committee at the “State Measurement for Accountable, Responsive, and Transparent (SMART) Government Act” hearing on or before January 31, 2026. 
Envision:You’s Action: Statement of Support
Status of Bill: Third reading for final passage
   Monday, April 10 2023
   Consent Calendar


Disordered Eating Prevention

Colorado Senate Bill 23-014 would create the Office of Disordered Eating Prevention, which would be overseen by the Department of Public Health and Environment. The purpose of the office would include research on the impacts disordered eating has on Coloradans; organize resources to educate Coloradans on the consequences of disordered eating, and to support Coloradans who develop or already have disordered eating.
Envision:You’s Action: Statement of Support / Testified in front of Senate Committee
Status of Bill: Referred to Appropriations 3/23/23

Medicaid Preauthorization Exemption

The bill prohibits the department of health care policy and financing from imposing prior authorization, step therapy, and fail first requirements for medicaid coverage of a prescription drug, as indicated on federally approved labels, to treat serious mental health disorders.
Envision:You’s Action: Statement of Support
Status of Bill: Referred to Appropriations 2/9/23


Access to Certain Behavioral Health Services
The bill requires the department of health care policy and financing (HCPF) to provide certain behavioral health services for medicaid recipients who are under 21 years of age without requiring a diagnosis. The bill requires the state department to begin to provide the services no later than July 1, 2024.
Envision: You’s Action: Statemen
t of Support
Status of Bill: Passed in the Senate, Assigned to the House
   Public and Behavioral Health and Human Services
   Wednesday, April 12 2023
   1:30 PM Room 0107


Protections For People With An Eating Disorder

This bill prohibits certain health benefit plans or the state medical assistance program from utilizing the BMI, ideal body weight, or any other standard requiring an achieved weight when determining medical necessity criteria or appropriate level of care for an individual with a diagnosed eating disorder. The bill also prohibits a retail establishment from selling, transferring, or otherwise furnishing dietary supplements for weight loss or over-the-counter diet pills to any individual under 18 years of age without a prescription. The BHA will promulgate rules concerning forced feeding tubes for an individual with an eating disorder and is responsible for requiring all eating disorder treatment and recovery facilities to hold an appropriate designation based on the level of care the facility provides. 
Envision: You’s Action: Statement of Support / Testified in front of Senate Committee 3/23/23
Status of Bill: Passed First Reading in the Senate


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