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A Bill for
Original draft of General Hospital bill by self. Submitted to [[Sec.?]] Ryan on basis of which his first draft prepared.
an act relating to the conduct of the hospital established by Chap ___ (specify law) of the Session Laws of 1921; specifying the names and style thereof; providing for [[strikethrough]] the [[/strikethrough]] free hospital care [[strikethrough]] (…) [[/strikethrough]] and treatment for persons who are afflicted with a malady, infirmity, [[insert]] or ailment [[/insert]] which can probably be remedied [[insert]] or improved [[/insert]] by such care [[strikethrough]] … [[/strikethrough]] and treatment, and who are unable to pay for the same; providing for the expense thereof, and making appropriation therefor and prescribing the jurisdiction of (private) courts in said cases.
Be it enacted by the General Assembly of this State of Colorado: -
[[underline]] Section 1. [[/underline]] The name and style of the hospital authorized in Chapter - of the Session laws of 1921 shall be the [[strikethrough]] (Colorado State) General Hospital of the University of Colorado, [[/strikethrough]] [[a, insert see over]] hereinafter called the [[strikethrough]] Colorado General [[/strikethrough]] University Hospital - [[.]]
[[underline]] Section 2. [[/underline]] The conduct of said [[strikethrough]] (Colorado General) [[/strikethrough]] University Hospital shall be vested in the Board of Regents of the University of Colorado. Said Board of Regents shall have full power to manage, control and govern the said Hospital under such rules and regulations as they may from time to time prescribe and shall appoint all officers, staff and employees of said Hospital. [[b, insert over]]
[[underline]] Section 3 [[/underline]] Said [[strikethrough]] (Colorado General) [[/strikethrough]] University Hospital shall be primarily and principally designed for the care of legal residents of Colorado who are afflicted with a malady, deformity or ailment of a nature which can probably be remedied [[insert]] or improved [[/insert]] by hospital care and treatment and who are unable, financially, to secure such care or, in case of a minor, whose parent, guardian, trustee or other person having lawful custody of his person, as the care may be, is unable financially to secure such care - [[.]] The
[[strikethrough]] Colorado General [[/strikethrough]] University Hospital is hereby designated as a place of treatment for such persons.
[[underline]] Section 4 [[/underline]] Said Hospital shall be utilized for such instruction and for such scientific research as will promote the welfare of the patients committed to its care and assist in the application of service to the alleviation of
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University of Colorado General Hospital. [[b, insert over]]
The Board of Regents of the University of Colorado is hereby authorized and empowered to receive, accept, hold and apply, any bequests or donations of funds or property from individual citizens, societies and organizations which may be tendered in good faith for the purpose of assisting in the construction, extension, equipment and maintenance of the said hospital, to the end that its benefits may accrue to the greatest possible extent to the afflicted citizens of this State - [[.]]
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human suffering.
[[underline]] Section 5 [[/underline]]
Whenever the existence of a case described in Section 3 of this act shall come to the notice of the overseer of the poor, health officer, public health nurse, sheriff, town clerk, policeman, or any other public official, or any physician or surgeon, it shall be his duty to, and any other person may, file with the judge of probate of the county of the legal residence of such person, an application for the treatment of such person at the University [[strikethrough]] Colorado General [[/strikethrough]] Hospital.
Such application shall be made in duplicate on blanks to be furnished by the [[strikethrough]] Colorado State General [[/strikethrough]] University Hospital and shall contain a full statement of the financial situation of the person sought to be treated and a general statement of his physical condition and shall be verified. Upon the filing of such application with said judge of probate it shall be the duty of said judge of probate to cause a thorough investigation to be made [[strikethrough]] through
[[/strikethrough]] by the county attorney, overseer of the poor or other public official of said county into the financial condition of said person sought to be treated and to secure report of such investigation within such time as said judge of probate may direct and it shall be the duty of any public official of any county, city, town, village or ward of the residences of the person sought to be treated to supply to the judge of probate on request thereof, all information [[insert]] within his knowledge [[/insert]] relative to the financial situation of the person sought to be treated [[a, insert over]] It shall further be the duty of said judge of probate to appoint a physician of said county who shall make personally an examination of the person on whose behalf application for treatment has been filed. Said physician shall thereupon make and file with the judge of probate a verified report in writing setting forth the nature & [[and]] history of the care [[b, insert over]] and such other information as will be likely to aid in the medical or surgical treatment of the malady, deformity or ailment affecting said person, and shall also state in this report whether or not in his opinion, the condition of such person can probably be remedied, by the hospital care sought - [[.]] The report of said physician shall be made in
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[[a, insert]] Except in counties where the county attorney, overseer of the poor or other public official making such investigation as herein before provided shall receive a fixed salary, such county attorney, overseer of the poor or other public official making such investigation shall receive for his services therein the sum of three dollars per day for the time actually spent, together with necessary expenses paid out in making such investigation, which fee and expenses shall be paid by the county of residence of said patient and it shall be the duty of the Board of County Commissioners to provide for such payment.
[[b, insert]] the findings on physical examination, [[End Page]]
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Alternative in Section 5.
If after receiving such reports, or after such hearing, or both, said judge of probate shall be satisfied that the person on whose behalf application is made is not financially able to provide himself with proper treatment, or, in care of a [[?]], that his parents, guardian or trustee, in representative capacity, or the person having legal custody over him or legally responsible for his support or maintenance is not financially able to provide such treatment and shall further be satisfied that he is afflicted with a malady, deformity or ailment which can probably be remedied by hospital care and treatment, then said judge of probate shall enter an order finding such facts [[insert]] and certifying his approval of said application [[/insert]] and, with the consent of the said person, or parent, guardian or trustee or other person having legal custody of said person, as the case may be [[strikethrough]] shall certify his approval of said application and [[/strikethrough]] shall enter an order directing that said person shall be taken to the [[strikethrough]] Colorado State General [[/strikethrough]] University Hospital for proper hospital care and medical or surgical treatment, the expenses of such hospital care & [[and]] treatment to be met in the manner hereafter provided - [[.]]
Then follow with - in case not satisfied etc. & [[and]] substitute "Upon the entry of the order by the judge of probate, he shall communicate with the Superintendent of the State General Hospital and ascertain whether or not the applicant can be received as a patient and shall thereupon notify said patient whether or not he can be received." Our copy etc - [[.]]
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duplicate within such time as the court may direct, and upon blanks to be furnished by the
[[strikethrough]] Colorado State General [[/strikethrough]] University Hospital for that purpose - [[.]] [[/strikethrough]] Said report shall include any information within the knowledge of said physician relative to the financial situation of the person examined. [[/strikethrough]] The physician appointed to make said examination unless he is already a salaried officer of the State or some division thereof, shall receive five dollars for making said examination and in any case shall receive his actual and necessary expenses; which fee and expenses shall be paid by the county of residence of said patient; and it shall be the duty of the board of county commissioners to provide for such payment. [[a, insert over]]
Replace with new section - [[strikethrough]] If after receiving said reports [[b, insert over]] said judge of probate shall be satisfied that the person on whose behalf application is made is not financially able to provide himself with proper treatment, or, in case of a minor, that his parent, guardian or trustee, in representation capacity, or the person having legal custody over him or legally responsible for his support or maintenance is not financially able to provide such treatment and shall further be satisfied that he is afflicted with a malady, deformity or ailment which can probably be (benefitted remedied relieved) by hospital care and treatment, then said judge of probate shall enter an order finding such facts - [[.]] [[/strikethrough]] In case the court is not so satisfied, he may take additional testimony, or make such further investigation as to him shall seem proper - [[.]] The court may reject any application which is found to be without sufficient merit. [[strikethrough]] Upon the entry of the order by the judge of probate approving said application, he shall communicate with the superintendent of the State General Hospital and ascertain whether or not the applicant can be received as a patient. If the State General Hospital can receive such applicant, the court shall thereupon [[c, insert over]] certify his approval of such application to said hospital. [[/strikethrough]] Our copy of the application and of the physician's report shall be sent to the Superintendent of said hospital.
If the court should find that an applicant or the person legally responsible for him is able to pay in part but not in full for care at the [[strikethrough]] Colorado State General [[/strikethrough]]
University Hospital at the rate to be charged as determined [[End Page]]
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If said person on whose behalf application is made, or, in case of a minor, the parent or parents, guardian or trustee, in representative capacity, or the person having legal custody over him, or legally responsible for his support or maintenance shall request a hearing on said application said judge of probate shall fix a date for such hearing upon the application and shall cause the person, [[insert]] or the [[/insert]] parent or parents, guardian or other person having legal custody of said person, as the case may be, to be served with a notice of the hearing and he shall also notify the county attorney who shall appear and conduct the proceedings and, upon such complaint, evidence may be introduced - [[.]] [[b, insert]]
[[strikethrough]] or as a result of such hearing or both [[/strikethrough]] [[c, insert]]
[[strikethrough]] with the consent of the said person, or parent or parents, guardian or other person having legal custody of said person, as the case may be, [[/strikethrough]]
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in Section 6 [[insert]] of this act [[/insert]] The court may approve the application of such person on such terms of division of hospital charges as the court may decree equitable and just and shall certify such finding upon the application of said person.
Provided, that no such person shall be received into the [[strikethrough]] State General [[/strikethrough]] University Hospital for care and treatment, unless in the judgement of the
Superintendent of said hospital [[insert]] said patient shall be a suitable case in which [[/insert]] there shall be a reasonable probability of such person being benefitted by such hospital care and medical or surgical treatment - [[.]]
[[strikethrough]] Section 6. Upon the approval of application for hospital care and treatment filed as set forth in Section 5, if the judge of probate shall find that the applicant is unable to travel alone, said judge of probate [[/strikethrough]]
[[underline]] Section 6 [[/underline]] The [[strikethrough]] Colorado State General
[[/strikethrough]] University Hospital shall treat patients admitted on certificate of the judge of probate of any county at rates based on actual cost as determined by the Board of Regents of the University [[insert]] as herein after set forth - [[.]] (if additional beds after pursuing purpose)? [[/insert]] Any resident of the State, upon a satisfying [[strikethrough]] proper showing to [[/strikethrough]] the Board of Regents of the University, that he is unable to pay ordinary physicians fees and hospital charges, may be received upon paying the same rate as charged for county patients. [[strikethrough]] It shall be the duty of the Board of Regents to investigate applications made for such treatment under this Section [[/strikethrough]]
Students of the University and such other patients as the Board of Regents, to an extent that will not interfere with the primary purpose of said Hospital as set forth in Section 3, may direct may be received in Said [[strikethrough]] Colorado General [[/strikethrough]] [[insert]] University [[/insert]] Hospital whenever there is room and [[strikethrough]] any [[/strikethrough]] all fees received from such patients shall be used for the purposes of said hospital.
[[underline]] Section 7 [[/underline]] No compensation shall be charged or received by any officer of the [[strikethrough]] Colorado State General [[/strikethrough]] University Hospital or by any physician, surgeon, nurse of other employee in its service who shall treat or care for any patient in said hospital, other than the compensation provided for such persons by the Board of Regents of the University - [[.]]
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[[underline]] Separate page [[/underline]] [[underline]] Section 8 [[/underline]]
The Superintendent of the State General Hospital shall determine from time to time the actual per diem cost per patient of ordinary treatment, [[nursing?]], food and necessities, including general maintenance and overhead, furnished by said hospital and shall file a certified report of such per diem costs with the Board of Regents of the University at intervals to be determined by them. The Board of Regents of the University shall file a [[strikethrough]] verified [[/strikethrough]] certified monthly report with the State Auditor containing as itemized statement of the expense charged against each patient received on certification of any probate court itemized so far as possible to show the per diem charges against said patient, together with any charges for unusual treatment or apparatus or other unusual expenditure [[strikethrough]] on behalf of said patient [[/strikethrough]] [[insert over]] Such statement shall further show the name of the county from which each patient was certified and shall state any sums paid by the patient or by any person on his behalf.
The State Auditor, upon being satisfied that the same is correct and reasonable, shall approve the same and shall draw a warrant against the State Treasurer for the [[insert]] net [[/insert]] amount so certified
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or transportation expense as provided for in Sections 9 and 10 of this act, on behalf of said patient. [[End Page]]
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[[underline]] Section 9 [[/underline]] Expense accounts, [[strikethrough]] investigation? [[/strikethrough]], transfer of patient.
[[strikethrough]] The judge of probate with whom application for treatment is filed [[insert]] if it appear the the patient is unable to travel alone [[/insert]] may, [[strikethrough]] in his discretion, [[/strikethrough]] appoint some person to accompany said patient from the place where he may be to the State General Hospital and expenses incurred in conveying such person to the [[strikethrough]] State [[/strikethrough]] said Hospital shall, where approved by the judge ordering such services, be filed with the Superintendent of the said State General Hospital and charged on the regular bill for maintenance. [[insert over]] providing that of the person conveying said patient to said hospital is a salaried officer of a township, a county, a state or a State institution he shall receive no per diem but only his actual travelling expenses. [[/strikethrough]]
[[underline]] Section 9. [[/underline]]
The judge of probate with whom application for treatment is filed may, if it appears that the patient is unable to travel alone, appoint some person to accompany said patient from the place where he may be to the [[strikethrough]] (Colorado State) General [[/strikethrough]] University Hospital. Such person shall receive his actual and necessary [[strikethrough]] traveling [[/strikethrough]] expenses, and if not a salaried officer of the State or of any subdivision thereof or of a State institution or
[[strikethrough]] are [[/strikethrough]] an a [[strikethrough]] immediate [[/strikethrough]] immediate relative of the patient, shall receive in addition $3.00 (three dollars) per day for the time actually and necessarily consumed in transporting said patient to said hospital and returning. If it shall appear to said judge of probate that said patient is not financially able to provide himself with transportation to said hospital or, in case of a minor, that his parents, guardian or trustee, in representation capacity, or the person having legal custody over him or legally responsible for his support of maintenance is not financially able to provide such transportation [[strikethrough]] up [[/strikethrough]] to said hospital, then said judge shall so certify on the application of said patient All actual and necessary expenses incurred in conveying said patient to the said [[strikethrough]] (State Colorado) State [[/strikethrough]] University Hospital shall, when approved by the judge ordinary or approving such services, be filed with the Superintendent of said Hospital and by him charged on the regular bill for maintenance of said patient.
[[underline]] Section 10 [[/underline]] [[insert over]] If, upon the discharge of any patient from the [[strikethrough]] (State Colorado) General [[/strikethrough]] University Hospital, is shall appear to the Superintendent thereof that said patient is unable to
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[[strikethrough]] The person appointed as aforesaid to convey said patent to said hospital shall [[/strikethrough]]
[[strikethrough]] Such person shall [[/strikethrough]] [[insert over]]
Whereon, in the opinion of the Superintendent of the [[strikethrough]] (Colorado State) General [[/strikethrough]] University Hospital any patient should be discharged therefore as cured, or as no longer needing treatment, or for the reason that treatment cannot benefit his case, [[insert]] or for other good and sufficient reason [[/insert]] said Superintendent shall discharge said patient. [[End Page]]
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Travel alone he may appoint some person to accompany said patient from said hospital to his home or other place to which [[insert]] said [[/insert]] patient [[strikethrough]] … [[/strikethrough]] may be discharged - [[.]] Such person shall receive his actual and necessary expenses, and if not a salaried officer of the State or of any subdivision thereof or of a state institution or an immediate relative of the patient, shall receive in addition $3.00 (three dollars) per day for the time actually and necessarily consumed in transporting said patient to his home or other place to which he may be discharged and returning [[insert in red]] thereupon [[/insert]]. In like manner, if it shall appear to said Superintendent of said Hospital that said patient, upon his discharge, is not financially able to provide himself with transportation to his home of other place to which he may be discharged, said Superintendent may authorize the payment of such transportation on behalf of said patient. All actual and necessary expenses incurred in conveying said patient from the [[strikethrough]] Colorado General
[[/strikethrough]] University Hospital to his home or other place to which he may be discharged, shall, when approved by said Superintendent of said Hospital be charged on the regular bill for maintenance of said patient and paid as other bills for hospital maintenance - [[.]]
[[underline]] Section 11 - [[/underline]] Incorporate Sec 10 of Minnesota act, altering phraseology to conform to Colo. conditions - [[.]]
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[[underline]] Notes [[/underline]]
Would the phraseology exclude confinement cases?
? of providing for [[prustuy?]] of blanks - do we have a state provider? Provide for emergence cases
Transfer from other institutions
? of incorporating Section 11 of Minnesota law
? of separate appropriations for [[strikethrough]] nurses [[/strikethrough]] School of Nursing Provision for acceptance of part pay patients [[underline]] not [[/underline]] through probate court (?)
