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the Improving Perinatal Health Outcomes Act

What is Colorado Senate Bill 24-175

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The Improving Perinatal Health Outcomes Act (SB24-175) is a 2024 Colorado law aimed at reducing maternal and infant mortality and morbidity, and addressing inequities in perinatal care and outcomes across the state.

Recognized nationally by the Health Resources and Services Administration (HRSA) and the Centers for Medicare & Medicaid Services (CMS), hospital participation in state-designated Perinatal Quality Collaboratives (PQCs) is a proven strategy to improve maternal-infant outcomes and advance health equity.

SB24-175 requires the Colorado Department of Public Health and Environment (CDPHE) to contract with the Colorado Perinatal Care Quality Collaborative (CPCQC) to lead statewide coordination and accountability efforts to reduce maternal and infant deaths.

What does SB24-175 require of Colorado hospitals?

Under this legislation, every Colorado hospital with a labor and delivery unit and/or neonatal intensive care unit (NICU) must annually participate in at least one CPCQC-led quality improvement (QI) initiative. This work includes:

  • Targeted QI and technical assistance
  • Strengthened perinatal data infrastructure
  • A commitment to advancing equitable, high-quality care

Minimum Participation Requirements

To comply with SB24-175, a hospital must meet five required QI engagement activities, modeled after the National Network of Perinatal Quality Collaboratives framework:

Enrollment

Sign a Data Use Agreement (DUA) with CPCQC and select a current QI initiative.

Coaching

Attend at least one virtual QI coaching session per quarter (4 sessions annually).

Survey Completion

Submit at least two practice-related surveys per year for the chosen QI initiative.

Meeting Participation

Ensure at least one team representative attends 75% (9 of 12) monthly meetings and one annual forum.

Data Submission

Submit initiative-specific data, disaggregated by race, ethnicity, and payer, at least 75% of the time (monthly or quarterly, depending on the initiative).

Annual Participation Options

Each year, hospitals may choose which QI initiative(s) to join, but their engagement must meet or exceed CPCQC’s minimum requirements. CPCQC partners closely with each hospital to support successful and meaningful participation.

Hospital Quality Improvement Initiative Engagement Requirements per SB24-175

Sustainability Track

Hospitals demonstrating strong performance may be invited to join a Sustainability Participant track for up to one year. This track features fewer reporting requirements while maintaining SB24-175 compliance. After one year, the hospital is expected to re-engage as an Active Participant in a new or ongoing QI initiative. CPCQC’s Hospital Engagement Tracker is used to help hospitals ensure SB24-175 compliance

Download More Info about SB 24-175
Read the bill here