H_HI_2019A 01/23/2019 01:36:53 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH & INSURANCE Date 01/23/2019 Attendance Baisley X Beckman X Buckner X Catlin X Jackson X Jaquez Lewis X Mullica X Soper X Titone X Caraveo X Lontine X X = Present, E = Excused, A = Absent, * = Present after roll call Time 01:36:53 PM to 09:12:18 PM Place Old State Library This Meeting was called to order by Representative Lontine This Report was prepared by Anne Wallace Hearing Items Action Taken hHB19-1028 Referred to the Committee of the Whole hHB19-1004 Amended, referred to House Appropriations hHB19-1077 Amended, referred to the Committee of the Whole 01:36:54 PM Representative Lontine called the meeting to order and made announcements about the schedule for the day. HB19-1028 - Referred to the Committee of the Whole Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/5C1CE7F68727...$File/190123 AttachA.pdf?OpenElement 190123 AttachA.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/AA649BAE6E1B...$File/190123 AttachB.pdf?OpenElement 190123 AttachB.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/DCEE8B82B01C...$File/190123 AttachC.pdf?OpenElement 190123 AttachC.pdf 01:37:30 PM Representative Hooton and Representative Ransom, bill sponsors, presented House Bill 19-1028 to the committee. The bill adds autism spectrum disorder to the list of disabling medical conditions for which medical marijuana may be used. 01:45:31 PM Representatives Hooton and Ransom responded to committee questions. 01:45:32 PM Representative Lontine proceeded with witness testimony on the bill. 01:47:15 PM Stacey Linn, Cannability Foundation, testified in support of the bill. 01:53:49 PM Wendi Carter, representing herself, testified in support of the bill. 01:56:50 PM Autumn Brooks, representing herself, testified in support of the bill. 02:00:11 PM Margaret Terlaje, representing herself, testified in support of the bill. 02:02:59 PM Sarah Carrasco, representing herself, testified in support of the bill. 02:06:36 PM Ms. Carrasco, Ms. Linn, and Ms. Brown responded to committee question. 02:17:44 PM Dr. Dave Downs, Colorado Medical Society, testified in opposition to the bill and distributed a handout (Attachment A). 02:22:03 PM Dr. Jennifer Hagman, Colorado Psychiatric Society (CPS) and Colorado Child and Adolescent Psychiatric Society (CCAPS), testified in opposition to the bill. 02:25:16 PM Dr. Daniel Nicoli, CPS and CCAPS, testified in opposition to the bill. 02:30:07 PM Dr. Nicoli, Dr. Hagman, and Dr. Downs responded to committee questions. 02:51:37 PM Committee discussion with the witness panel continued. 02:51:38 PM Benjamin Waters, Native Roots, testified in support of the bill. 03:01:59 PM Art Way, Drug Policy Alliance, testified in support of the bill. 03:05:14 PM Mr. Waters and Mr. Way responded to committee questions. 03:12:37 PM Dr. Christopher Rogers, CPS and CCAPS, testified in opposition to the bill. Dr. Rogers responded to committee questions. 03:18:06 PM Jeff Hunt, Colorado Christian University, testified in opposition to the bill. Mr. Hunt responded to committee questions. 03:31:19 PM Don Cooper, representing himself, testified in support of the bill. 03:35:18 PM Martha Montemayor, Cannabis Clinicians Colorado, testified in support of the bill. 03:38:05 PM Dr. Stephen Elliot, representing himself, testified in support of the bill. 03:41:34 PM Lisa Escalante, representing herself, testified in support of the bill. 03:44:36 PM Ms. Montemayor and Dr. Elliot responded to committee questions. 03:57:10 PM Bridget Dandaraw, Canna-Patient Resource Connections, testified in support of the bill. 04:14:43 PM Vicki Trujillo, Americans for Safe Access, testified in support of the bill. 04:18:46 PM Amber Wann, Americans for Safe Access, testified in support of the bill. 04:21:18 PM Crystal Barker, representing herself, testified in support of the bill. 04:25:18 PM Michelle Walker, representing herself, testified in support of the bill. 04:28:48 PM Melissa Atchley, representing herself, testified in support of the bill. 04:31:47 PM Jackie Bess, representing herself, testified in support of the bill. 04:35:06 PM Spirit Wilson, representing herself, testified in support of the bill. 04:41:15 PM The panel of witnesses responded to committee questions, and committee discussion ensued. 04:58:52 PM Fran Maes, Colorado Cross-Disability Coalition, testified in support of the bill. 05:02:39 PM Jordan Wellington, representing himself, testified in support of the bill. 05:03:26 PM Mary Carniglia, representing herself, testified in support of the bill. 05:08:40 PM David Wasserman, Southern Colorado Cannabis Council, testified in support of the bill. 05:11:23 PM Diane Robinson, representing herself, testified in support of the bill. 05:15:58 PM Cindy Sovine, representing herself, testified regarding the bill. Ms. Sovine responded to committee questions. 05:25:00 PM Ms. Sovine and committee members continued to dialogue. 05:34:04 PM Representative Caraveo distributed amendment L.001 and described it to the committee (Attachment C). 05:43:47 PM Committee members commented on the amendment. Representative Caraveo responded to committee questions. 05:58:22 PM Committee members continued to dialogue regarding the amendment. 06:01:22 PM Representatives Ransom and Hooton commented on the amendment. 06:09:36 PM Motion Adopt amendment L.001 (Attachment C). Moved Caraveo Seconded Mullica Baisley No Beckman No Buckner No Catlin No Jackson No Jaquez Lewis No Mullica Yes Soper Yes Titone No Caraveo Yes Lontine No YES: 3 NO: 8 EXC: 0 ABS: 0 FINAL ACTION: FAIL 06:09:37 PM Representatives Hooton and Ransom gave concluding remarks on the bill. 06:10:20 PM Committee members commented on the bill. 06:19:39 PM Motion Refer House Bill 19-1028 to the Committee of the Whole. Moved Soper Seconded Jaquez Lewis Baisley Yes Beckman Yes Buckner Yes Catlin Yes Jackson Yes Jaquez Lewis Yes Mullica Yes Soper Yes Titone Yes Caraveo No Lontine Yes Final YES: 10 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS HB19-1004 - Amended, referred to House Appropriations Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/49B743370251...$File/190123 AttachD.pdf?OpenElement 190123 AttachD.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/48230CEE1DF9...$File/190123 AttachG.pdf?OpenElement 190123 AttachG.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/5EFAD0A13BD6...$File/190123 AttachF.pdf?OpenElement 190123 AttachF.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/C9B8D7ED828E...$File/190123 AttachE.pdf?OpenElement 190123 AttachE.pdf 06:20:27 PM Representative Lontine recessed the committee. 06:35:40 PM Representative Lontine called the meeting back to order. 06:38:48 PM Representative Roberts and Representative Catlin, bill sponsors, presented House Bill 19-1004 to the committee and distributed a handout (Attachment D). The bill requires the Department of Health Care Policy and Financing (HCPF) and the Division of Insurance (DOI) in the Department of Regulatory Agencies to develop and submit a proposal for a state option for health care coverage. The proposal must consider affordability to consumers at different income levels, the administrative and financial burden to the state, and any statutory or rule changes necessary to implement the proposed state option. The proposal must be submitted to the General Assembly by August 31, 2019. After the proposal has been created and presented to the General Assembly, HCPF and DOI must submit any federal waivers or state plan amendments necessary to fund and implement the state option described in the proposal. The waivers and plan amendments may be delayed by legislative action that alters the federal authorization needed. 06:38:49 PM Representative Lontine proceeded with witness testimony on the bill. 06:45:53 PM John Messner, Counties and Commissioners Acting Together, testified in support of the bill and distributed a handout (Attachment E). 06:50:55 PM Christine Fallabel, American Diabetes Association, testified in support of the bill. 06:53:20 PM Adam Alleman, Good Business Colorado, testified in support of the bill and distributed a handout (Attachment F). Mr. Alleman responded to committee questions. 07:00:16 PM Jeff Reister, DOI, testified in support of the bill. 07:00:38 PM Dave DeNovellis, HCPF, testified in support of the bill. Mr. DeNovellis responded to committee questions. 07:05:13 PM Representative Roberts commented on the bill. 07:06:38 PM Marc Reece, Colorado Association of Health Plans, testified in a neutral position on the bill. Mr. Reece responded to committee questions. 07:14:02 PM Mr. Reece continued to respond to committee questions. 07:24:29 PM Natalie Wood, Bell Policy Center, testified in support of the bill. 07:32:17 PM Adela Flores-Brennan, Colorado Consumer Health Initiative, testified in support of the bill. 07:35:48 PM Ms. Flores-Brennan responded to committee questions. 07:38:27 PM Ed Shackelford, Colorado Senior Lobby, testified regarding the bill. 07:41:51 PM Representatives Catlin and Roberts distributed and explained amendment L.001 to the committee (Attachment G). 07:45:24 PM Committee members discussed the amendment. 07:51:31 PM Motion Adopt amendment L.001 (Attachment G). Moved Catlin Seconded Titone Baisley Yes Beckman No Buckner Yes Catlin Yes Jackson Yes Jaquez Lewis Yes Mullica Yes Soper Yes Titone Yes Caraveo Yes Lontine Yes YES: 10 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 07:51:31 PM Representatives Roberts and Catlin gave concluding remarks on the bill. 07:58:55 PM Committee members commented. 08:08:02 PM Motion Refer House Bill 19-1004, as amended, to the Committee on Appropriations. Moved Catlin Seconded Caraveo Baisley No Beckman No Buckner Yes Catlin Yes Jackson Yes Jaquez Lewis Yes Mullica Yes Soper Yes Titone Yes Caraveo Yes Lontine Yes Final YES: 9 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS HB19-1077 - Amended, referred to the Committee of the Whole Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/336A852A186E...$File/190123 AttachJ.pdf?OpenElement 190123 AttachJ.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/4595C939D5AD...$File/190123 AttachH.pdf?OpenElement 190123 AttachH.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/6A32464860C5...$File/190123 AttachI.pdf?OpenElement 190123 AttachI.pdf 08:08:11 PM Representative Lontine recessed the committee. 08:13:03 PM Representative Lontine called the committee back to order. 08:14:50 PM Representative Roberts, bill sponsor, presented House Bill 19-1077. The bill allows pharmacist to dispense a chronic maintenance drug to a patient without a prescription if certain conditions are met. 08:18:23 PM Representative Roberts responded to committee questions. A handout was distributed (Attachment H). 08:19:30 PM Representative Lontine proceeded with witness testimony on the bill. 08:20:42 PM Gale DeVore, representing herself, testified in support of the bill. 08:24:04 PM Michelle Fenner, representing herself, testified in support of the bill. 08:26:59 PM Brad Young, Rx Plus Pharmacies, Inc., testified in support of the bill. 08:28:00 PM Dina Horwedel, representing herself, testified in support of the bill. 08:32:19 PM Jessica Rattray, representing herself, testified in support of the bill. 08:35:40 PM Lindsay Klatt, representing herself, testified in support of the bill. 08:38:36 PM Emily Zadvorny, Colorado Pharmacists Society, testified in support of the bill. 08:39:27 PM Kim Ward, Colorado Pharmacists Society, testified in support of the bill. 08:45:15 PM Ms. Ward and Ms. Zavordny responded to committee questions. 08:47:04 PM Meredith Koob, representing herself, testified in support of the bill. 08:56:28 PM Amy Fedders, representing herself, testified in support of the bill. 09:02:31 PM Representative Roberts distributed and explained amendment L.001 and L.002 to the committee (Attachments I and J). 09:04:01 PM Motion Adopt amendment L.001 Moved Catlin Seconded Jaquez Lewis Baisley Beckman Buckner Catlin Jackson Jaquez Lewis Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 09:04:57 PM Motion Adopt amendment L.002 Moved Titone Seconded Buckner Baisley Beckman Buckner Catlin Jackson Jaquez Lewis Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 09:04:58 PM Representative Roberts gave concluding remarks on the bill. 09:05:17 PM Committee members commented on the bill. 09:11:59 PM Motion Refer House Bill 19-1077, as amended, to the Committee of the Whole. Moved Jaquez Lewis Seconded Soper Baisley Yes Beckman Yes Buckner Yes Catlin Yes Jackson Yes Jaquez Lewis Yes Mullica Yes Soper Yes Titone Yes Caraveo Yes Lontine Yes Final YES: 11 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS 09:12:18 PM The committee adjourned.