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H_HHS_2024A 04/29/2024 04:14:52 PM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
HOUSE COMMITTEE ON HEALTH & HUMAN SERVICES
Date 04/29/2024
Attendance
Bradfield *
Bradley X
Brown *
English *
Hamrick X
Hernandez X
Holtorf *
Lieder *
Luck *
McCormick *
Ortiz X
Young *
Daugherty X
Time 04:14:52 PM to 08:30:55 PM
Place Old State Library
This Meeting was called to order by Daugherty
This Report was prepared by Eliyah Chadioun
Hearing Items Action Taken
SB24-175 Amended, referred to House Appropriations
SB24-110 Referred to House Appropriations
SB24-168 Referred to House Appropriations
SB24-191 Referred to the Committee of the Whole
SB24-203 Referred to the Committee of the Whole
SB24-048 Amended, referred to House Appropriations
SB24-117 Referred to House Appropriations
SB24-202 Referred to the Committee of the Whole
SB24-200 Amended, referred to the Committee of the Whole
SB24-047 Amended, referred to House Appropriations

SB24-175 - Amended, referred to House Appropriations


04:16:00 PM  
The primary bill
sponsors, Representatives McLachlan and Jodeh, introduced Senate Bill 24-175
to the House Health and Human Services Committee. The bill requires large
employer health benefit plans to cover doula services to the same extent
and with the same provider qualification requirements as required by Medicaid.
It requires the Department of Regulatory Agencies to submit a state defrayal
determination to the federal Department of Health and Human Services for
other state-regulated insurance plans and require coverage upon confirmation
or after 365 days if no response is received. The bill mandates hospitals
that provide labor and deliver or neonatal care services to participate
in at least one maternal or infant health quality improvement initiative
and meet reporting requirements. The bill requires the Department of Public
Health and Environment, in collaboration with the Perinatal Quality Collaborative,
to: create the Perinatal Health Quality Improvement Engagement Program
to distribute grants to select hospitals to meet the mandate; track implementation
of the recommendations of the Colorado Maternal Mortality Review Committee;
implement their own initiatives to improve maternal mortality and morbidity;
and address discrepancies in care. The bill requires the Department of
Health Care Policy and Financing to cover over-the-counter choline supplements.
04:20:49 PM  
Ms. Brace Gibson,
representing Colorado Perinatal Care Quality Collaborative, testified in
support of the bill.




Mandy Bakulski,
representing Colorado Department of Public Health and Environment, was
available to answer committee questions.




Ms. Kelly Bernatow,
representing themself, testified in support of the bill.




Additional written
testimony was submitted to the committee (Attachment A).
04:26:30 PM  
The witness panel
responded to questions from the committee.




Ms. Rebecca Alderfer,
representing Colorado Perinatal Care Quality Collaborative, was available
to answer committee questions.
04:32:06 PM  
The bill sponsors
introduced amendment L.004 (Attachment B).


04:35:07 PM
Motion Adopt amendment L.004 (Attachment B).
Moved Young
Seconded Hamrick
Bradfield
Bradley
Brown Excused
English
Hamrick
Hernandez
Holtorf
Lieder
Luck
McCormick Excused
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  Pass Without Objection
04:35:08 PM  
The primary bill
sponsors, Representatives McLachlan and Jodeh, provided closing comments
on Senate Bill 24-175.


04:40:07 PM
Motion Refer Senate Bill 24-175, as amended, to the Committee on Appropriations.
Moved Young
Seconded Holtorf
Bradfield Yes
Bradley No
Brown Excused
English Yes
Hamrick Yes
Hernandez Yes
Holtorf Yes
Lieder Yes
Luck No
McCormick Excused
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 9   NO: 2   EXC: 2   ABS:  0   FINAL ACTION:  PASS



SB24-110 - Referred to House Appropriations


04:40:13 PM  
The primary bill
sponsors, Representatives Amabile and Sirota, introduced Senate Bill 24-110
to the House Health and Human Services Committee. Currently, the Department
of Health Care Policy and Financing uses prior authorization requirements
(PARs) that require clients to fail on two preferred antipsychotic drugs
before receiving coverage for a non-preferred drug, unless the client is
already stable on a non-preferred drug. The bill limits this PAR to failure
on one preferred antipsychotic drug.
04:44:55 PM  
The bill sponsors responded to questions from the committee.
04:49:32 PM  
Bridget Anshus, representing
Mental Health Colorado, testified in support of the bill.
04:52:28 PM  
The witness panel
responded to questions from the committee.




Selena Owen, representing
RxPlus Pharmacies, testified in support of the bill.




The witness panel
continued responding to questions from the committee.
05:00:53 PM  
The bill sponsors provided closing comments on the bill.
05:04:50 PM  
The primary bill
sponsors, Representatives Amabile and Sirota, provided closing comments
on Senate Bill 24-110.


05:07:43 PM
Motion Refer Senate Bill 24-110 to the Committee on Appropriations.
Moved Young
Seconded Ortiz
Bradfield Yes
Bradley Yes
Brown Excused
English Yes
Hamrick Yes
Hernandez Yes
Holtorf Yes
Lieder Yes
Luck Yes
McCormick Excused
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 11   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  PASS



SB24-168 - Referred to House Appropriations


05:07:52 PM  
The primary bill
sponsors, Representatives McCluskie and Martinez, introduced Senate Bill
24-168 to the House Health and Human Services Committee. The bill requires
the Department of Health Care Policy and Financing (HCPF) to provide reimbursement
and grants to outpatient health care facilities that use expanded telehealth
remote patient monitoring services for certain patients and geographic
locations. HCPF must also provide coverage for continuous glucose monitors
under Medicaid.
05:15:01 PM  
The bill sponsors responded to questions from the committee.
05:18:48 PM  
Ms. Erin Meschke,
representing themself, testified in opposition to the bill.




Ms. Christine
Fallabel, representing The American Diabetes Association, testified in
support of the bill.




Tamara Laws, representing
Melissa Memorial Hospital, testified in support of the bill.




Rebecca Daniels,
representing San Luis Valley Health, testified in support of the bill.




Kelly Erb, representing
Colorado Rural Health Center, was available to answer committee questions.




Adela Flores-Brennan,
representing Colorado Health Care Policy and Financing Department, was
available to answer committee questions.




A set of printed
handouts were provided to members of the committee (Attachment C).
05:27:30 PM  
The witness panel responded to questions from the committee.
05:32:22 PM  
The primary bill
sponsors, Representatives McCluskie and Martinez, provided closing comments
on Senate Bill 24-168.


05:38:52 PM
Motion Refer Senate Bill 24-168 to the Committee on Appropriations.
Moved Young
Seconded Lieder
Bradfield Yes
Bradley No
Brown Yes
English Yes
Hamrick Yes
Hernandez Yes
Holtorf Yes
Lieder Yes
Luck No
McCormick Excused
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 10   NO: 2   EXC: 1   ABS:  0   FINAL ACTION:  PASS



SB24-191 - Referred to the Committee of the Whole


05:39:01 PM  
The primary bill
sponsors, Representatives Kipp and Frizell, introduced Senate Bill 24-191
to the House Health and Human Services Committee. The bill requires the
Department of Human Services to oversee the operation of host home programs.
The bill sets requirements for organizations seeking to operate a host
home program and requirements for individuals operating host homes through
a host home program.
05:42:42 PM  
The bill sponsors responded to questions from the committee.
05:44:22 PM  
Ms. Kippi Clausen,
representing Colorado Rural Collaborative for Runaway and Homeless Youth,
testified in support of the bill.




A printed handout
was provided to members of the committee (Attachment D).
05:47:07 PM  
The witness panel responded to questions from the committee.
05:52:39 PM  
The primary bill
sponsors, Representatives Kipp and Frizell, provided closing comments on
Senate Bill 24-191.


05:55:03 PM
Motion Refer Senate Bill 24-191 to the Committee of the Whole.
Moved Young
Seconded Ortiz
Bradfield Yes
Bradley Yes
Brown Yes
English Excused
Hamrick Yes
Hernandez Yes
Holtorf Yes
Lieder Yes
Luck No
McCormick Yes
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 11   NO: 1   EXC: 1   ABS:  0   FINAL ACTION:  PASS



SB24-203 - Referred to the Committee of the Whole


05:55:08 PM  
The primary bill
sponsors, Representatives Hartsook and Ortiz, introduced Senate Bill 24-203
to the House Health and Human Services Committee. When determining whether
to conduct an affordability review for a prescription drug, the bill requires
the Colorado Prescription Drug Affordability Review Board (PDAB) to consider
whether the prescription drug has an approved orphan drug designation for
one or more rare diseases and no other indications. If so, the PDAB must
also consider input from consumers and the Colorado Rare Disease Advisory
Council in the Colorado Department of Public Health and Environment.
06:00:18 PM  
The primary bill
sponsors, Representatives Hartsook and Ortiz, provided closing comments
on Senate Bill 24-203.
06:01:28 PM  
Members of the committee provided closing comments on the bill.


06:02:30 PM
Motion Refer Senate Bill 24-203 to the Committee of the Whole.
Moved Ortiz
Seconded Lieder
Bradfield Yes
Bradley Yes
Brown Yes
English Excused
Hamrick Yes
Hernandez Yes
Holtorf Yes
Lieder Yes
Luck Yes
McCormick Yes
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 12   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  PASS



SB24-048 - Amended, referred to House Appropriations


06:02:59 PM  
The committee recessed.
06:05:54 PM  
The committee resumed.
06:06:02 PM  
The primary bill
sponsors, Representatives deGruy Kennedy and Lynch, introduced Senate Bill
24-048 to the House Health and Human Services Committee. The bill creates
the Recovery-Friendly Workplace Program, the Recovery School Grant Program,
and other substance use disorder recovery measures.
06:14:54 PM  
Mr. David Shapiro,
representing Center for Health, Work & Environment - Colorado School
of Public Health, testified in support of the bill.




Mr. Nick Williams,
representing Absolute Caulking and Waterproofing Inc, testified in support
of the bill.




Ms. Racquel Garcia,
representing HardBeauty, testified in support of the bill.




Dr. Melissa Mouton,
representing 2.0 Schools Colorado, testified in support of the bill.
06:24:46 PM  
Vic Vela, representing
themself, testified in support of the bill.




Mr. Gavin Young,
representing The Phoenix, testified in support of the bill.




Ms. Tonya Wheeler,
representing Advocates for Recovery, testified in support of the bill.
06:31:08 PM  
The witness panel responded to questions from the committee.
06:36:39 PM  
The bill sponsors
introduced amendment L.021 (Attachment E).


06:38:26 PM
Motion Adopt amendment L.021 (Attachment E).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
06:38:27 PM  
The primary bill
sponsors, Representatives deGruy Kennedy and Lynch, provided closing comments
on Senate Bill 24-048.
06:39:45 PM  
Members of the committee
provided closing comments on the bill.


06:42:02 PM
Motion Refer Senate Bill 24-048, as amended, to the Committee on Appropriations.
Moved Young
Seconded Ortiz
Bradfield Yes
Bradley No
Brown Yes
English Yes
Hamrick Yes
Hernandez Yes
Holtorf No
Lieder Yes
Luck No
McCormick Yes
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 10   NO: 3   EXC: 0   ABS:  0   FINAL ACTION:  PASS



SB24-117 - Referred to House Appropriations


06:42:14 PM  
The primary bill
sponsor, Representative deGruy Kennedy, introduced Senate Bill 24-117 to
the Health and Human Services Committee. The bill requires the Behavioral
Health Administration to designate eating disorder treatment and recovery
facilities based on the level of care the facility provides. Licensed clinicians
who are not-facility based and offer outpatient services are not required
to hold a designation.
06:46:06 PM  
Reese Chism, representing
themself, testified in support of the bill.




Dr. Erin Harrop,
representing Mental Health Colorado, testified in support of the bill.




Amy Moreno, representing
themself, testified in support of the bill.




Lauren Snyder,
representing Mental Health Colorado, testified in support of the bill.




MJ Coleman Jackson,
representing themself, testified in support of the bill.




Additional written
testimony was submitted to the committee (Attachment F).
06:57:26 PM  
The primary bill
sponsor, Representative deGruy Kennedy, provided closing comments on Senate
Bill 24-117.
06:58:37 PM  
Members of the committee provided closing comments on the bill.


07:01:44 PM
Motion Refer Senate Bill 24-117 to the Committee on Appropriations.
Moved Young
Seconded Ortiz
Bradfield Yes
Bradley No
Brown Yes
English Yes
Hamrick Yes
Hernandez Yes
Holtorf No
Lieder Yes
Luck No
McCormick Yes
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 10   NO: 3   EXC: 0   ABS:  0   FINAL ACTION:  PASS



SB24-202 - Referred to the Committee of the Whole


07:01:51 PM  
The primary bill
sponsor, Representative Joseph, introduced Senate Bill 24-202 to the Health
and Human Services Committee. The bill removes the requirement for a court
order for this fee, and instead allows a delegate child support enforcement
unit to impose the fee when approved by a county child welfare unit. It
also removes the requirement that the fee be based on the parent’s ability
to pay and that the payment must cover the costs of a guardian ad litem.
The bill also affects the assignment of child support for foster care.
Current law requires the Department of Human Services to reimburse for
child support for the out-of-home placement costs for children placed in
foster care. The bill restricts these assignments to current child support
obligations only, excluding previously accrued amounts. Additionally, a
child support enforcement unit can enforce these child support obligations,
if a county child welfare unit determines a referral is appropriate.
07:04:28 PM  
Ms. Korey Elger,
representing Colorado Department of Human Services, testified in support
of the bill.




Ashley Chase,
representing Office of the Child's Representative, testified in support
of the bill.




Mr. Larry Desbien,
representing Colorado Department of Human Services, testified in support
of the bill.




Ms. Melanie Jordan,
representing Office of Respondent Parents' Counsel, testified in support
of the bill.




A printed handout
was provided to members of the committee (Attachment G).
07:11:30 PM  
The bill sponsor provided closing comments on the bill.
07:12:39 PM  
The primary bill
sponsor, Representative Joseph, provided closing comments on Senate Bill
24-202.


07:14:03 PM
Motion Refer Senate Bill 24-202 to the Committee of the Whole.
Moved Young
Seconded Bradley
Bradfield Excused
Bradley Yes
Brown Yes
English Yes
Hamrick Yes
Hernandez Yes
Holtorf Yes
Lieder Yes
Luck Yes
McCormick Excused
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 11   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  PASS



SB24-200 - Amended, referred to the Committee of the Whole

07:14:17 PM  
The committee recessed.
07:16:43 PM  
The committee resumed.
07:18:30 PM  
The primary bill
sponsors, Representatives Bacon and Joseph, introduced Senate Bill 24-200
to the House Health and Human Services Committee. By January 1st of every
year, the bill requires the Department of Human Services (CDHS) to update
the department’s annual equity, diversity, and inclusion (EDI) report
in collaboration with county departments. This includes reporting on the
state’s progress in addressing data challenges in the child welfare case
management system and progress in training child welfare staff on demographic
data collection. The CDHS must also strengthen EDI training for child welfare
staff and evaluate the impact of the trainings, and may extend the trainings
to other child welfare agencies and entities. Any changes to the child
welfare allocation funding model must consider resources to improve equitable
outcomes.
07:24:25 PM  
Ms. Yolanda Arredondo,
representing Colorado Department of Human Services, testified in support
of the bill.




Ms. Meredith Henry,
representing The Arc of Colorado, testified in support of the bill.




Katie First, representing
Colorado Counties Inc, testified in support of the bill.




Ms. Heather Allan,
representing The Kempe Foundation, testified in support of the bill.




Maria Bernal Flores,
representing Boulder County, testified in support of the bill.




A printed handout
was provided to members of the committee (Attachment H).
07:34:55 PM  
The witness panel
responded to questions from the committee.




Additional written
testimony was submitted to the committee (Attachment I).
07:40:35 PM  
MJ Coleman Jackson,
representing themself, testified in support of the bill.




Ashley Jellison,
representing Colorado Children's Alliance, testified in support of the
bill.




Meighen Lovelace,
representing Colorado Cross Disability Coalition, testified in support
of the bill.
07:48:15 PM  
The bill sponsors
introduced amendment L.006 (Attachment J).
07:49:22 PM  
The bill sponsors
introduced amendment L.007 (Attachment K).


07:50:09 PM
Motion Adopt amendment L.006 (Attachment J).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection


07:50:33 PM
Motion Adopt amendment L.007 (Attachment K).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
07:50:34 PM  
The primary bill
sponsors, Representatives Bacon and Joseph, provided closing comments on
Senate Bill 24-200.
07:52:12 PM  
Members of the committee provided closing remarks on the bill.


07:53:21 PM
Motion Refer Senate Bill 24-200, as amended, to the Committee of the Whole.
Moved Young
Seconded Hernandez
Bradfield No
Bradley No
Brown Yes
English Yes
Hamrick Yes
Hernandez Yes
Holtorf Excused
Lieder Yes
Luck No
McCormick Yes
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 9   NO: 3   EXC: 1   ABS:  0   FINAL ACTION:  PASS



SB24-047 - Amended, referred to House Appropriations

07:53:27 PM  
The primary bill
sponsors, Representatives Young and Epps, introduced Senate Bill 24-047
to the House Health and Human Services Committee. The bill creates several
measures regarding the prevention of substance use disorders, including
modifying the Prescription Drug Monitoring Program, establishing procedures
for local drug overdose fatality review teams, and providing additional
modifications to existing programs.
08:04:52 PM  
Dr. Elysia Versen,
representing Colorado Evaluation & Action Lab at the University of
Denver, testified in a neutral position on the bill.




Hannah Nibauer,
representing Peer Assistance Services, testified to amend the bill.




Ms. Annie Klein,
representing Peer Assistance Services, Inc., testified to amend the bill.




Ms. Megan Axelrod,
representing Colorado Hospital Association, testified to amend the bill.




Ms. Sarah Klein,
representing Epilepsy Foundation of Colorado & Wyoming, testified to
amend the bill.




A printed handout
was provided to members of the committee (Attachment L).




Additional written
testimony was submitted to the committee (Attachment M).
08:16:35 PM  
The bill sponsors
introduced amendment L.020 (Attachment N).


08:20:31 PM
Motion Adopt amendment L.020 (Attachment N).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf Excused
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection
08:20:32 PM  
The bill sponsors
introduced amendment L.015 (Attachment O).


08:21:00 PM
Motion Adopt amendment L.015 (Attachment O).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf Excused
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection
08:21:02 PM  
The bill sponsors
introduced amendment L.016 (Attachment P).
08:21:46 PM  
The bill sponsors
introduced amendment L.017 (Attachment Q).


08:22:21 PM
Motion Adopt amendment L.017 (Attachment Q) to L.016 (Attachment P).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf Excused
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection
08:22:22 PM  
The bill sponsors
introduced amendment L.018 (Attachment R).


08:22:51 PM
Motion Adopt amendment L.018 (Attachment R) to L.016 (Attachment P).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf Excused
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection
08:22:52 PM  
The bill sponsors
introduced amendment L.019 (Attachment S).


08:23:19 PM
Motion Adopt amendment L.019 (Attachment S) to L.016 (Attachment P).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf Excused
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


08:23:45 PM
Motion Adopt amendment L.016 (Attachment P).
Moved Young
Seconded Ortiz
Bradfield
Bradley
Brown
English
Hamrick
Hernandez
Holtorf Excused
Lieder
Luck
McCormick
Ortiz
Young
Daugherty
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection
08:23:46 PM  
The bill sponsors responded to questions from the committee.
08:27:22 PM  
The primary bill
sponsors, Representatives Young and Epps, provided closing comments on
Senate Bill 24-047.
08:27:50 PM  
Members of the committee provided closing remarks.


08:30:35 PM
Motion Refer Senate Bill 24-047, as amended, to the Committee on Appropriations.
Moved Young
Seconded Ortiz
Bradfield No
Bradley No
Brown Yes
English Yes
Hamrick Yes
Hernandez Yes
Holtorf Excused
Lieder Yes
Luck No
McCormick Yes
Ortiz Yes
Young Yes
Daugherty Yes
Final YES: 9   NO: 3   EXC: 1   ABS:  0   FINAL ACTION:  PASS


08:30:55 PM   The committee adjourned.






The effective date for bills enacted without a safety clause is August 7, 2024, if the General Assembly adjourns sine die on May 8, 2024, unless otherwise specified. Details