C.R.S. Section 25-4-2404
Vaccines

  • access to the public
  • definitions

(1)

As used in this section:

(a)

“Independent pharmacy” means a prescription drug outlet privately owned by at least one licensed pharmacist with no ownership interest by or affiliation with a chain or publicly owned pharmacy.

(b)

“Practitioner” means a physician or a physician assistant licensed pursuant to article 240 of title 12, an advanced practice registered nurse licensed pursuant to article 255 of title 12, or any other person who, within the person’s scope of practice, is authorized by law to administer a vaccine to an individual.

(c)

“Publicly funded vaccine” means a vaccine that is paid for and distributed by the federal, the state, or a local government at no cost to the practitioner administering the vaccine.

(2)

Intentionally left blank —Ed.

(a)

A practitioner may ask an individual who seeks to receive a publicly funded vaccine to present proof of health insurance or a government-issued identification card, social security card, or social security number but shall not condition an individual’s receipt of a publicly funded vaccine on the presentation of the requested documentation.

(b)

Intentionally left blank —Ed.

(I)

A practitioner who administers a publicly funded vaccine shall post and keep posted a notice provided by the department of public health and environment, in multiple languages if requested, that confirms that the publicly funded vaccine will be provided regardless of the individual’s provision of the requested documentation.

(II)

A practitioner, except for an independent pharmacy, as defined in subsection (1)(a) of this section, who administers a publicly funded vaccine shall post and keep posted a notice provided by the department of public health and environment, in multiple languages if requested, that confirms that the publicly funded vaccine will be provided regardless of the individual’s ability to pay a vaccine administration fee.

(III)

A notice required by this subsection (2) must be posted by the practitioner in a location conspicuous to the individual, or a parent or legal guardian consenting to the vaccination of an individual who is under eighteen years of age, at the location of the individual’s appointment. Each practitioner shall take steps to ensure that the notice is not altered, defaced, or covered by other material.

(c)

A practitioner, except for an independent pharmacy as defined in subsection (1)(a) of this section, shall provide the individual, or a parent or legal guardian consenting to the vaccination of the individual who is under eighteen years of age, with a disclosure statement in the language understood by the individual receiving the vaccine, or the parent or legal guardian consenting to the vaccination of an individual under eighteen years of age, that confirms that the publicly funded vaccine will be provided regardless of the individual’s provision of the requested documentation or of payment of a vaccine administration fee.

(d)

The department of public health and environment shall create the disclosure statement required by this subsection (2) and shall make it available electronically to practitioners. A practitioner may request that the department provide the practitioner with the disclosure statement in a language other than English to meet the needs of an individual.

(3)

Intentionally left blank —Ed.

(a)

A practitioner shall not charge an individual or bill an individual’s insurance provider or plan for the product cost of a publicly funded vaccine.

(b)

A practitioner shall not condition an individual’s receipt of a publicly funded vaccine on the individual’s ability to pay a vaccine administration fee, but the practitioner may charge a vaccine administration fee to the individual’s insurance provider or plan or attempt to collect an out-of-pocket payment for the administration of the publicly funded vaccine from an uninsured individual at the time that the publicly funded vaccine is administered.

(c)

A practitioner who chooses to bill an individual or otherwise pursue the payment for a vaccine administration fee from an individual to whom a publicly funded vaccine is administered after the vaccine has been administered may issue only a single bill to the individual within ninety days after the vaccine is administered. The practitioner shall not send an unpaid vaccine administration bill to a collection agency.

(d)

A practitioner may charge a vaccine administration fee that is equal to or less than the practitioner’s vaccine administration costs or the vaccine administration reimbursement rate set pursuant to the “Colorado Medical Assistance Act”, articles 4, 5, and 6 of title 25.5, whichever is less.

(e)

Notwithstanding subsection (3)(b) of this section, an independent pharmacy may condition receipt of a publicly funded vaccine on the individual’s ability to pay. The vaccine administration fee charged by the independent pharmacy must be equal to or less than the practitioner’s vaccine administration costs or the vaccine administration reimbursement rate set pursuant to the “Colorado Medical Assistance Act”, articles 4, 5, and 6 of title 25.5, whichever is less. If an independent pharmacy denies an individual a publicly funded vaccine due to an inability to pay the vaccine administration fee, the independent pharmacy must provide the individual with a list of practitioners provided by the department who will not condition an individual’s receipt of a publicly funded vaccine on the individual’s ability to pay a vaccine administration fee. Nothing in this section exempts independent pharmacies from meeting all of the requirements of federal vaccine programs, should independent pharmacies choose to enroll and be approved for such programs.

(f)

If federal or state money is made available to pay for the administration costs of a publicly funded vaccine, a practitioner who administers the vaccine may request payment from the federal or state source.

(4)

This section does not authorize a practitioner to charge a vaccine administration fee to an individual who receives services through the “Colorado Medical Assistance Act”, articles 4, 5, and 6 of title 25.5.

(5)

A practitioner shall provide a publicly funded vaccine to any age-appropriate individual who registers for an appointment with the practitioner to receive the publicly funded vaccine within the practitioner’s scope of practice.

(6)

Each practitioner is encouraged to establish an electronic link and a telephone number for individuals to use to schedule an appointment for a publicly funded vaccine. To be accessible, the link should be separate from any regular patient portal with restricted access and the scheduling services should be accessible to individuals with disabilities.

(7)

This section does not modify the requirements for practitioners, including independent pharmacies, serving clients pursuant to the “Colorado Medical Assistance Act”, articles 4, 5, and 6 of title 25.5, or federally qualified health centers to meet the federal requirements for these programs for the administration of publicly funded vaccines.

Source: Section 25-4-2404 — Vaccines - access to the public - definitions, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-25.­pdf (accessed Oct. 20, 2023).

25‑4‑101
Premises sanitation - food defined 25‑4‑102
Sanitary regulations 25‑4‑103
Construction requirements 25‑4‑104
Protection from dirt 25‑4‑105
Toilet rooms and lavatories 25‑4‑106
Nuisances - petty offense 25‑4‑107
Rooms not used for sleeping 25‑4‑108
Work by persons with contagious diseases - forbidden 25‑4‑109
Enforcement 25‑4‑110
Prosecutions - disposition of fines 25‑4‑111
Penalty 25‑4‑112
Rules 25‑4‑201
Pregnant woman to take blood test 25‑4‑203
Birth certificate - blood test 25‑4‑204
Penalty 25‑4‑205
District attorneys to prosecute 25‑4‑301
Inflammation of eyes 25‑4‑401
Legislative declaration 25‑4‑402
Definitions 25‑4‑403
Eligibility - nondiscrimination 25‑4‑404
Rules 25‑4‑405
Reporting requirements - immunity 25‑4‑406
Reports - confidentiality 25‑4‑407
Reporting requirements - research exemption 25‑4‑408
Infection control - duties 25‑4‑409
Minors - treatment - consent 25‑4‑410
Patient consent - rights of patients, victims, and pregnant women 25‑4‑411
Confidential counseling and testing sites - legislative declaration 25‑4‑412
Public safety - public health procedures - orders for compliance - petitions - hearings 25‑4‑413
Emergency public health procedures - injunctions 25‑4‑414
Penalties 25‑4‑500.3
Definitions 25‑4‑501
Tuberculosis declared to be an infectious and communicable disease 25‑4‑502
Tuberculosis to be reported 25‑4‑506
Investigation and examination of suspected or known tuberculosis cases 25‑4‑507
Isolation order - enforcement - court review 25‑4‑508
Inspection of records 25‑4‑509
Violations - penalty 25‑4‑510
Jurisdiction 25‑4‑511
Duties of board of health and department - confidentiality of records - rules 25‑4‑512
Nondiscrimination in the provision of general services 25‑4‑513
Funding 25‑4‑601
Definitions 25‑4‑602
Notice to health department or officer if animal affected or suspected of being affected by rabies 25‑4‑603
Report of person bitten by animal to health department or health officer 25‑4‑604
Animal attacking or biting person to be confined - examination 25‑4‑605
Animals bitten by animals known or suspected of having rabies to be confined 25‑4‑606
Animals to be confined to prevent spread of rabies 25‑4‑607
Order of board of health requiring inoculation of animals - veterinarian waiver of order 25‑4‑608
Notice of order requiring inoculation of animals 25‑4‑609
Effect of order requiring inoculation of animals 25‑4‑610
Uninoculated animals not to run at large - impounding and disposition of animals 25‑4‑611
Report to state department 25‑4‑612
Enforcement of part 6 25‑4‑613
Liability for accident or subsequent disease from inoculation 25‑4‑614
Penalties 25‑4‑615
Further municipal restrictions not prohibited 25‑4‑701
Definitions 25‑4‑702
Board to establish rules - department to administer 25‑4‑709
Quarantine 25‑4‑710
Right of entry - inspections 25‑4‑712
Unlawful acts 25‑4‑713
Penalty for violations 25‑4‑901
Definitions 25‑4‑902
Immunization prior to attending school - standardized immunization information 25‑4‑902.5
Immunization prior to attending a college or university - tuberculosis screening process development 25‑4‑903
Exemptions from immunization - rules 25‑4‑904
Rules - immunization rules - rule-making authority of state board of health 25‑4‑904.5
Annual alignment evaluation 25‑4‑905
Immunization of indigent children 25‑4‑906
Certificate of immunization - forms 25‑4‑907
Noncompliance 25‑4‑908
When exemption from immunization not recognized 25‑4‑909
Vaccine-related injury or death - limitations on liability 25‑4‑910
Immunization data collection 25‑4‑911
Vaccinated children standard - legislative declaration 25‑4‑912
Confidentiality 25‑4‑1001
Short title 25‑4‑1002
Legislative declaration 25‑4‑1002.5
Definitions 25‑4‑1003
Powers and duties of executive director - newborn screening programs - genetic counseling and education programs - rules 25‑4‑1004
Newborn screening - rules 25‑4‑1004.3
Newborn heart defect screening - pulse oximetry - rules - definition 25‑4‑1004.5
Follow-up testing and treatment - second screening - fee - rules 25‑4‑1004.7
Newborn hearing screening - advisory committee - report - rules 25‑4‑1005
Exceptions 25‑4‑1006
Cash funds 25‑4‑1201
Powers and duties of executive director 25‑4‑1202
Streptococcus cash fund 25‑4‑1301
Legislative declaration 25‑4‑1302
Definitions 25‑4‑1303
Labeling - product modules - take-home containers 25‑4‑1304
Bulk food protection 25‑4‑1305
Bulk food display 25‑4‑1306
Dispensing utensils 25‑4‑1307
Materials 25‑4‑1308
Food-contact surfaces 25‑4‑1309
Non-food-contact surfaces 25‑4‑1310
Accessibility 25‑4‑1311
Equipment sanitization 25‑4‑1312
Violation - penalty 25‑4‑1313
Rules and regulations 25‑4‑1314
Limitation 25‑4‑1401
Drug assistance program - program fund - HIV medications rebate fund - created - legislative declaration - no entitlement created 25‑4‑1402
Definitions 25‑4‑1403
Colorado HIV and AIDS prevention grant program 25‑4‑1404
Grant program - rules - conflict of interest 25‑4‑1405
AIDS and HIV prevention fund - administration - limitation 25‑4‑1501
Legislative declaration 25‑4‑1502
Definitions 25‑4‑1503
Fund created 25‑4‑1504
Allocation of fund 25‑4‑1505
Powers and duties of department and advisory board 25‑4‑1601
Legislative declaration 25‑4‑1602
Definitions 25‑4‑1603
Licensing, certification, and food protection agency 25‑4‑1604
Powers and duties of department - rules 25‑4‑1605
Submission of plans for approval - required 25‑4‑1606
Licensure - exception 25‑4‑1607
Fees 25‑4‑1607.5
Retail food establishment regulation - fees - investigations - stakeholder process 25‑4‑1607.7
Health inspection results - development of a uniform system - communication to the public 25‑4‑1607.9
Department targets - audits - reporting 25‑4‑1608
Food protection cash fund - creation 25‑4‑1609.5
Grievance process 25‑4‑1610
Unlawful acts 25‑4‑1611.5
Violations - penalties - review 25‑4‑1612
Judicial review 25‑4‑1614
Home kitchens - exemption - food inspection - short title - definitions - rules 25‑4‑1615
Pet dogs in retail food establishments - prohibited - exceptions 25‑4‑1616
Food donations to nonprofit organizations encouraged 25‑4‑1617
Animal shares and meat sales by farmers and ranchers - short title - definitions 25‑4‑1701
Short title 25‑4‑1702
Legislative declaration 25‑4‑1703
Definitions 25‑4‑1704
Infant immunization program - delegation of authority to immunize minor 25‑4‑1705
Department of public health and environment - powers and duties - rules 25‑4‑1706
Infant immunization program - eligibility 25‑4‑1707
Moneys targeted for medical assistance for infants - reimbursement 25‑4‑1708
Fund created 25‑4‑1709
Limitations on liability 25‑4‑1801
Short title 25‑4‑1802
Legislative declaration 25‑4‑1803
Definitions 25‑4‑1804
Department designated as certifying and inspecting agency 25‑4‑1805
Powers and duties of department - rules 25‑4‑1806
Shellfish dealers - certificate required - application - fees 25‑4‑1807
Record-keeping requirements 25‑4‑1808
Unlawful acts 25‑4‑1809
Inspections - investigations - access - subpoena 25‑4‑1810
Enforcement 25‑4‑1811
Disciplinary actions - denial of certification 25‑4‑1812
Civil penalties 25‑4‑1813
Criminal penalties 25‑4‑1901
Short title 25‑4‑1902
Definitions 25‑4‑1903
Gulf war syndrome registry - creation - reporting 25‑4‑1905
Confidentiality of information collected 25‑4‑1906
Gulf war syndrome registry fund 25‑4‑2001
Short title 25‑4‑2002
Legislative declaration 25‑4‑2003
Definitions 25‑4‑2004
Powers and duties of executive director - hepatitis C program 25‑4‑2005
Hepatitis C testing - recommendations - definitions 25‑4‑2101
Powers and duties of department - rules 25‑4‑2102
Penalties for violations 25‑4‑2103
Parental consent for minors 25‑4‑2201
Legislative declaration 25‑4‑2202
Definitions 25‑4‑2203
Health disparities and community grant program - rules 25‑4‑2204
Office of health equity - creation 25‑4‑2205
Powers and duties of the office of health equity - rules - working group 25‑4‑2206
Health equity commission - creation - repeal 25‑4‑2208
Necessary document program - report - definition 25‑4‑2209
Culturally relevant and affirming health-care training - health-care providers - grants - definitions 25‑4‑2301
Colorado immunization fund - supplemental tobacco litigation settlement moneys account - creation 25‑4‑2401
Short title 25‑4‑2402
Legislative declaration 25‑4‑2403
Department of public health and environment - powers and duties - immunization tracking system - rules - definitions 25‑4‑2404
Vaccines - access to the public - definitions 25‑4‑2501
Short title 25‑4‑2502
Definitions 25‑4‑2503
Cervical cancer immunization program - rules 25‑4‑2504
Public awareness campaign - fund
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Current through Fall 2024

§ 25-4-2404’s source at colorado​.gov