Colorado Code § 12-225-109

Disciplinary action authorized - grounds for discipline - injunctions - rules
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(1) If a direct-entry midwife has violated any of the provisions of section 12-225-104, 12-
225-105, 12-225-106, or 12-225-112 (2), the director may take disciplinary or other action as
authorized by section 12-20-404 or seek an injunction against a direct-entry midwife in
accordance with section 12-20-406 to enjoin the direct-entry midwife from practicing midwifery
or committing a violation specified in this subsection (1).
(2) (a) The director may assess a civil penalty in the form of a fine, not to exceed five
thousand dollars, for violation of a rule or order of the director or any other act or omission
prohibited by this article 225.
(b) The director shall adopt rules establishing a fine structure and the circumstances
under which fines may be imposed.
(3) The director may take disciplinary action as authorized by section 12-20-404 (1)(a),
(1)(b), or (1)(d) for any of the following acts or omissions:
(a) Any violation of section 12-225-104, 12-225-105, 12-225-106, or 12-225-112 (2) or
an applicable provision of article 20 or 30 of this title 12;
(b) Failing to provide any information required pursuant to, or to pay any fee assessed in
accordance with, section 12-225-104 or providing false, deceptive, or misleading information to
the division that the direct-entry midwife knew or should reasonably have known was false,
deceptive, or misleading;
(c) Failing to respond in an honest, materially responsive, and timely manner to a letter
of complaint from the director;
(d) Failing to comply with an order of the director, including an order placing conditions
or restrictions on the registrant's practice;
(e) Engaging in any act or omission that does not meet generally accepted standards of
safe care for women and infants, whether or not actual injury to a client is established;
(f) Abuse or habitual or excessive use of a habit-forming drug, a controlled substance as
defined in section 18-18-102 (5), or alcohol;
(g) Procuring or attempting to procure a registration in this or any other state or
jurisdiction by fraud, deceit, misrepresentation, misleading omission, or material misstatement of
fact;
(h) Having had a license or registration to practice direct-entry midwifery or any other
health-care profession or occupation suspended or revoked in any jurisdiction;
(i) Violating any law or regulation governing the practice of direct-entry midwifery in
another state or jurisdiction. A plea of nolo contendere or its equivalent accepted by any state
agency of another state or jurisdiction may be considered to be the same as a finding of violation
for purposes of a proceeding under this article 225.
(j) Falsifying, failing to make essential entries in, or in a negligent manner making
incorrect entries in client records;
(k) Conviction of a felony or acceptance by a court of a plea of guilty or nolo contendere
to a felony. A certified copy of the judgment of a court of competent jurisdiction of a conviction
or plea shall be prima facie evidence of the conviction.
(l) Aiding or knowingly permitting any person to violate any provision of this article 225
or an applicable provision of article 20 or 30 of this title 12;
(m) Advertising through newspapers, magazines, circulars, direct mail, directories,
radio, television, website, e-mail, text message, or otherwise that the registrant will perform any
act prohibited by this article 225; or
(n) (I) Failing to notify the director, as required by section 12-30-108 (1), of a physical
illness, physical condition, or behavioral, mental health, or substance use disorder that renders
the registrant unable, or limits the registrant's ability, to practice direct-entry midwifery with
reasonable skill and safety to the client;
(II) Failing to act within the limitations created by a physical illness, physical condition,
or behavioral, mental health, or substance use disorder that renders the registrant unable to
practice direct-entry midwifery with reasonable skill and safety or that may endanger the health
or safety of persons under the registrant's care; or
(III) Failing to comply with the limitations agreed to under a confidential agreement
entered pursuant to sections 12-30-108 and 12-225-111.
(4) Any proceeding to deny, suspend, or revoke a registration or place a registrant on
probation shall be conducted pursuant to sections 12-20-403, 24-4-104, and 24-4-105. Section
12-20-408 governs judicial review of any final decision of the director.
(5) The director may accept as prima facie evidence of grounds for disciplinary action
any disciplinary action taken against a registrant by another jurisdiction if the violation that
prompted the disciplinary action would be grounds for disciplinary action under this article 225.
(6) The person providing copies of records subpoenaed pursuant to section 12-20-403
(2) shall prepare the copies from the original record and shall delete the name of the patient or
client, to be retained by the custodian of the records from which the copies were made, but shall
identify the patient or client by a numbered code. Upon certification by the custodian that the
copies are true and complete except for the patient's or client's name, the copies shall be deemed
authentic, subject to the right to inspect the originals for the limited purpose of ascertaining the
accuracy of the copies. No privilege of confidentiality exists with respect to the copies and no
liability lies against the director or the custodian or the director's or custodian's authorized
employees for furnishing or using the copies in accordance with this section.
(7) The director may issue and send a letter of admonition to a registrant under the
circumstances specified in and in accordance with section 12-20-404 (4).
(8) The director may send a confidential letter of concern to a registrant under the
circumstances specified in section 12-20-404 (5).
(9) The director may issue cease-and-desist orders under the circumstances and in
accordance with the procedures specified in section 12-20-405.

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