Current law requires a gamete agency, gamete bank, or fertility clinic (clinic) to obtain a license from the department of public health and environment (department) on or after January 1, 2025, before the clinic may match or provide gametes or embryos to recipients in Colorado. The bill extends this deadline to July 1, 2025. The bill requires that a clinic located outside of Colorado shall not match intended recipients located in Colorado with donors, or provide gametes to a recipient parent or parents located in Colorado or to the recipient parent's medical provider located in Colorado, from a donor who does not agree to the disclosure of the donor's identity. The bill adds a requirement that applicants for an original and renewal license must submit documentation to demonstrate compliance with licensing requirements. Subject to available appropriations, the department may, as it deems necessary, perform on-site inspections or complaint investigations of clinics located outside of Colorado. The bill extends the deadline for rulemaking regarding clinics from July 1, 2024, to January 1, 2025. Beginning in fiscal year 2025-26, the bill requires the general assembly to annually appropriate $229,335 $125,000 to the gamete agency, gamete bank, or fertility clinic fund. (Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.) (Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)