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<br />.~:._.-:.;,~ <br /> <br />):tt\i;i;; <br /> <br />!~t:~;-~\. <br />~~}:i~~~:'! <br /> <br />, :=:;:, ';.~.,::. <br />..... ,... <br />t~<1}~} <br /> <br />'OOOSD'7 <br /> <br />House Journal--l11th Day--April 29, 1991 <br /> <br />Page 1761 <br /> <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />B <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />I7 <br />18 <br />19 <br />20 <br />21 <br />22 <br />23 <br />24 <br />25 <br />26 <br />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />35 <br />36 <br />37 <br />38 <br />39 <br />40 <br />41 <br />42 <br />43 <br />44 <br />45 <br />46 <br />47 <br />48 <br />49 <br />50 <br />51 <br />52 <br />53 <br />54 <br />55 <br />56 <br /> <br />DEPENDENT CHILD RECIPIENT, BUT MEDICAL ASSISTANCE FOR SUCH <br />CHILD SHALL NOT BE DISCONTINUED IF A PARENT FAILS TO ENROLL <br />THE CHILD. <br /> <br />(3) THE STATE DEPARTMENT SHALL PAY ANY PREMIUM, <br />DEDUCTIBLE, COINSURANCE, OR OTHER COST-SHARING OBLIGATION <br />REQUIRED UNDER THE GROUP PLAN FOR SERVICES COVERED UNDER THE <br />STATE MEDICAL ASSISTANCE PLAN. PAYMENT OF SAID SERVICES SHALL <br />BE TREATED AS PAYMENT FOR MEDICAL ASSISTANCE. COVERAGE <br />PROVIDED BY THE PURCHASED GROUP HEALTH INSURANCE PLAN SHALL BE <br />CONSIDERED AS THIRD-PARTY LIABILITY FOR THE PURPOSES OF <br />SECTION 26-4-51B. <br /> <br />(4) SERVICES NOT AVAILABLE TO A RECIPIENT UNDER THE <br />PURCHASED PLAN SHALL BE PROVIDED TO THE RECIPIENT IF SUCH <br />SERVICES WOULD OTHERWISE BE PROVIDED AS MEDICAL ASSISTANCE <br />SERVICES PURSUANT TO THIS ARTICLE. NOTHING IN THIS SECTION <br />SHALL BE CONSTRUED TO REQUIRE THAT SERVICES PROVIDED UNDER A <br />GROUP HEALTH INSURANCE PLAN FOR MEDICAL ASSISTANCE RECIPIENTS <br />SHALL BE MADE AVAILABLE TO RECIPIENTS NOT ENROLLED IN THE <br />PLAN. ENROLLMENT IN A GROUP HEALTH INSURANCE PLAN PURSUANT TO <br />THIS SECTION SHALL NOT AFFECT THE ELIGIBILITY OF A RECIPIENT <br />WHO OTHERWISE QUALIFIES FOR MEDICAL ASSISTANCE PURSUANT TO <br />THIS ARTICLE. <br /> <br />SECTION 18. Part 4 of article 4 of title 26, Colorado <br />Revised Statutes, 1989 Repl. Vol., as amended by Senate Bill <br />91-105, enacted at the First Regular Session of the <br />Fifty-eighth General Assembly, is amended BY THE ADDITION OF A <br />NEW SECTION to read: <br /> <br />26-4-403.5. Certain vendors to inform patients of r1Qhts <br />concerninQ advance medical directives. (I) ON AND AFTER <br />NOVEMBER 5, 199I, WITH REGARD TO ANY SERVICE RENDERED ON AND <br />AFTER SAID DATE, EACH HOSPITAL, NURSING CARE FACILITY, HOME <br />HEALTH AGENCY, HOSPICE PROGRAM, AND HEALTH MAINTENANCE <br />ORGANIZATION PARTICIPATING IN THE STATE MEDICAL ASSISTANCE <br />PROGRAM OR PROVIDING MEDICAL ASSISTANCE PURSUANT TO PART 6 OF <br />THIS ARTICLE SHALL PROVIDE WRITTEN INFORMATION TO ALL ADULT <br />PATIENTS OF SUCH PROVIDERS CONCERNING PATIENTS' RIGHTS UNDER <br />STATE LAW TO MAKE MEDICAL TREATMENT DECISIONS, INCLUDING THE <br />RIGHT TO ACCEPT OR REFUSE ANY MEDICAL OR SURGICAL TREATMENT <br />AND THE RIGHT TO FORMULATE ADVANCE DIRECTIVES REGARDING SAID <br />DECISIONS. AS USED IN THIS SECTION, "ADVANCE DIRECTIVES" <br />INCLUDES ANY WRITTEN OR ORAL INSTRUCTIONS RECOGNIZED UNDER <br />STATE LAW CDNCERNING THE MAKING OF MEDICAL TREATMENT DECISIONS <br />ON BEHALF OF OR THE PROVISION OF MEDICAL CARE FOR THE PERSON <br />WHO PROVIDED THE INSTRUCTIONS IN THE EVENT SUCH PERSON BECOMES <br />INCAPACITATED. ADVANCE DIRECTIVES INCLUDE, BUT ARE NOT <br />LIMITED TO, MEDICAL DURABLE POWERS OF ATTORNEY, DURABLE POWERS <br />OF ATTORNEY, OR LIVING WILLS. <br /> <br />(2) PROVIDERS LISTED IN SUBSECTION (1) OF THIS SECTION <br />SHALL PROVIDE EDUCATIONAL PROGRAMS FOR STAFF AND THE COMMUNITY <br />CONCERNING ADVANCE DIRECTIVES AND SHALL MAINTAIN WRITTEN <br />POLICIES DETAILING METHODS FOR SAFEGUARDING PATIENTS' RIGHTS <br /> <br />~~~([ <br /> <br /> <br />~;,';i:, 2:;:;..:;:,/;~''': I <br /> <br />~~~1!it, <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />,..~",-,~:)';';".'~'~"" ~'=---I <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />,~;:!:i.:~:tj~!:;::~t~G~ I <br />