2023 Colorado Revised Statutes › Title 27 - BEHAVIORAL HEALTH (§§ 27-1-101 — 27-94-107) › ALCOHOL AND SUBSTANCE USE - ALCOHOL AND SUBSTANCE USE DISORDERS (§§ 27-80-101 — 27-82-205) › Article 80 - ALCOHOL AND SUBSTANCE USE - ALCOHOL AND SUBSTANCE USE DISORDERS (§§ 27-80-101 — 27-80-306) › Part 1 - PROGRAMS AND SERVICES (§§ 27-80-101 — 27-80-129) › Section 27-80-129 - [Effective 8/7/2024] Regulation of recovery residences - rules - definitions

(1)
As used in this section:
(a)
"Certifying body" means the body that certifies a recovery residence approved by the behavioral health administration in the department of human services pursuant to section
27-80-122
.
(b)
(I)
"Recovery residence" means any premises, place, facility, or building that provides housing accommodation for individuals with a primary diagnosis of a substance use disorder that:
(A)
Is free from alcohol and nonprescribed or illicit drugs;
(B)
Promotes independent living and life skill development; and
(C)
Provides structured activities and recovery support services that are primarily intended to promote recovery from substance use disorders.
(II)
"Recovery residence" does not include:
(A)
A private residence in which an individual related to the owner of the residence by blood, adoption, or marriage is required to abstain from substance use or receive behavioral health services for a substance use disorder as a condition of residing in the residence;
(B)
The supportive residential community for individuals who are homeless operated under section
24-32-724
at the Fort Lyon property for the purpose of providing substance abuse supportive services, medical care, job training, and skill development for the residents;
(C)
A facility approved for residential treatment by the behavioral health administration in the department of human services; or
(D)
Permanent supportive housing units incorporated into affordable housing developments.
(2)
A recovery residence may admit individuals who are receiving medication-assisted treatment, including agonist treatment, for substance use disorders; except that a recovery residence receiving state money or providing services that are paid for through state programs shall not deny admission to persons who are participating in prescribed medication-assisted treatment, as defined in section
23-21-803
, for a substance use disorder.
(3)
(a)
A person shall not operate a recovery residence or a substantially similar facility, and a licensed, registered, or certified health-care provider; a managed care entity, as defined in section 25.5-5-802 (5); a managed care organization, as defined in section 25.5-5-403 (5); or a licensed health facility shall not refer an individual to a recovery residence, unless the residence:
(I)
Is certified by a certifying body as specified in subsection (4) of this section;
(II)
Is chartered by Oxford House or its successor organization; or
(III)
Has been operating as a recovery residence in Colorado for thirty or more years as of May 23, 2019.
(b)
If a person is operating a recovery residence or a substantially similar facility in violation of subsection (3)(a) of this section, the behavioral health administration shall send the facility a cease-and-desist letter.
(4)
The behavioral health administration shall, by rule, determine the requirements for a certifying body seeking approval for purposes of subsection (3)(a)(I) of this section, which rules must include a requirement that a certifying body include a representative from the behavioral health administration on its board.
(5)
A recovery residence owner, employee, or administrator, or an individual related to a recovery residence owner, employee, or administrator, shall not directly or indirectly:
(a)
Solicit, accept, or receive a commission, payment, trade, fee, or anything of monetary or material value, excluding the supportive services required to place the resident:
(I)
For admission of a resident, except for state or federal contracts that specifically reimburse for resident fees;
(II)
From a treatment facility that is licensed or certified by the department of public health and environment for the treatment of substance use disorders; or
(III)
From a facility approved for residential treatment by the behavioral health administration in the department of human services;
(b)
Solicit, accept, or receive a commission, payment, trade, fee, or anything of monetary or material value from a toxicology laboratory that provides confirmation testing or point-of-care testing for residents.
(6)
A recovery residence shall have the following in place for each client at the time an individual becomes a client of the recovery residence:
(a)
A signed program agreement between the recovery residence and the client that outlines the requirements the client must follow to reside at the recovery residence; the drug screening policy; and the recovery residence's code of conduct that prohibits the use of alcohol, nonprescribed drugs, and illicit drugs; and notice of immediate discharge for possession of alcohol, nonprescription drugs, or illicit drugs in the recovery residence; and
(b)
A relapse plan that must be implemented if the client returns to the use of alcohol, nonprescribed drugs, or illicit drugs. The relapse plan must outline steps that must be taken to evaluate and address the client's return to use and to allow the client to remain in the recovery residence after a relapse has occurred, if possible. The recovery residence must provide notification to the client if the client's relapse plan has failed.
(7)
(a)
Recovery residence staff shall develop a client discharge and transfer policy and submit it for approval to its certifying body. Recovery residence staff shall implement a client discharge and transfer policy that is approved by the certifying body. After the certifying body approves the recovery residence's client discharge and transfer policy, the recovery residence staff may discharge or transfer a client with twenty-four hours' notice if the relapse plan has failed, according to the policy, in any of the following circumstances:
(I)
The discharge or transfer is necessary for the safety of the client because the recovery residence is unable to meet the needs of the client; or
(II)
If the client returns to the use of alcohol, nonprescription drugs, or illicit drugs.
(b)
Recovery residence staff may immediately discharge or transfer a client, according to the policy, if the client is in possession of alcohol, nonprescription drugs, or illicit drugs in the recovery residence.
(c)
If a client is unable or no longer wishes to reside in a recovery residence, or is discharged or transferred from a recovery residence, prior to the client vacating the recovery residence, the recovery residence staff shall:
(I)
Document in the client's record detailed information regarding the basis for the discharge or transfer;
(II)
Provide the client with a referral to treatment services or other recovery support services;
(III)
Provide the client with a referral to appropriate services if the client is discharged without food, housing, or economic security, if such services exist in the community; and
(IV)
Provide the client with the phone number to contact the Colorado crisis services hotline, information on the availability of peer support services, and information about the behavioral health services directory provided by the behavioral health administration.
(d)
Recovery residence staff shall document in the client's record any referrals provided to the client pursuant to subsection (7)(c) of this section. If the client refuses to accept the discharge or transfer, the recovery residence staff shall document the refusal in the client's record.
(e)
The recovery residence shall, at a minimum, attempt to follow up with the client's designated emergency contact at the time of discharge. The recovery residence is encouraged to utilize peer support professionals, as defined in section
27-60-108
, when performing follow-up care with clients. a recovery residence may facilitate follow-up care through contacts with community-based providers or the Colorado crisis hotline.
(8)
The certifying body shall establish a fair and accessible grievance and appeal process for clients to appeal a discharge or transfer decision made by a recovery residence. The grievance and appeal process must, at a minimum:
(a)
Require written documentation of the grievance within one week of receiving the grievance if the grievance is received verbally; and
(b)
Provide the client with a decision not later than seventy-two hours after the date the client submits a grievance or appeal.
(9)
The recovery residence shall provide a client who is discharged or transferred with a written notice indicating the reason for discharge, treatment referrals, and referrals for other services the client is receiving. The written notice must outline the client's right to appeal the discharge or transfer, the timeline required for an appeal, and how to submit an appeal.
(10)
Any certified recovery residence or client adversely affected or aggrieved by a decision made by the certifying body pursuant to this section has the right to appeal to the Colorado department of personnel and administration, office of administrative courts and may subsequently seek judicial review of the certifying body's action.
(11)
A recovery residence shall make the recovery residence's code of conduct, drug screening policy, and discharge and transfer policy accessible in all common areas of the recovery residence.
(12)
The recovery residence shall not consider age, gender, disability, race, color, ancestry, citizenship, pregnancy, sexual orientation, gender identity or expression, national origin, medical condition, marital status, veteran status, payment source or ability, or any other basis prohibited by federal, state, or local law when determining whether to discharge or transfer a client.
Amended by 2024 Ch. 405,§ 6, eff. 8/7/2024.
Renumbered from C.R.S. §
25-1.5-108.5
and amended by 2023 Ch. 145,§ 1, eff. 8/7/2023.
2024 Ch. 405, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
2023 Ch. 145, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.