H_HI_2020A 02/12/2020 02:19:53 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH & INSURANCE Date 02/12/2020 Attendance Baisley * Buckner X Jackson X Mullica * Soper * Tipper X Titone X Will X Caraveo X Lontine X Time 02:19:53 PM to 09:24:01 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 hHB20-1210 Referred to House Finance hHB20-1158 Referred to House Appropriations hHB20-1160 Amended, referred to House Finance hHB20-1001 Amended, referred to House Finance X = Present, E = Excused, A = Absent, * = Present after roll call HB20-1210 - Referred to House Finance 02:20:12 PM Representative Caraveo and Representative Duran, bill sponsors, presented House Bill 20-1210 to the committee. The bill extends the repeal of the State Board of Chiropractic Examiners and the regulation of chiropractors until September 1, 2029. The bill also makes the following changes: • removes the requirement that a board member be a United States citizen; • removes the requirement that an applicant pass the National Board of Chiropractic Examiners exam and allows the state board to determine the appropriate exam; • changes the continuing education requirement from 15 hours to 30 hours every 2 years; • modifies grounds for discipline related to drug and alcohol use, failing to notify the board of any illness that makes the chiropractor unable to render services with reasonable skill and safety, failing to act within the limitations of a physical or mental condition, and failing to comply with limitations agreed under a confidential agreement; • allows chiropractors to enter into confidential agreements with the Board to limit their practices; and • allows a chiropractic student to perform chiropractic services if the student is in a course of instruction and a Board-approved school and has the signed written consent from the patient. 02:22:54 PM Representative Lontine proceeded with witness testimony on the bill. 02:23:19 PM Dr. Rachel Wendt, Colorado Chiropractic Association, testified in support of the bill. Nathan Bachelder, Department of Regulatory Agencies, responded to committee questions. 02:27:41 PM The bill sponsors provided closing remarks on the bill. 02:28:57 PM Motion Refer House Bill 20-1210 to the Committee on Finance. Moved Caraveo Seconded Buckner Baisley Excused Buckner Yes Jackson Yes Mullica Excused Soper Excused Tipper Yes Titone Yes Will Yes Caraveo Yes Lontine Yes Final YES: 7 NO: 0 EXC: 3 ABS: 0 FINAL ACTION: PASS HB20-1158 - Referred to House Appropriations 02:29:24 PM Representative Lontine recessed the committee. 02:31:39 PM The committee came back to order. 02:32:03 PM Representative Tipper and Representative Herod, bill sponsors, presented House Bill 20-1158 to the committee. The bill requires that all Division of Insurance (DOI) regulated health benefit plans provide coverage for the diagnosis of and treatment for infertility and standard fertility preservation services, which are defined in the bill. Health benefit plans may not impose restrictions or cost-sharing requirements that are different from those imposed on benefits for other medications and services covered under the plan that are not related to fertility. 02:37:57 PM Representative Lontine proceeded with witness testimony on the bill. 02:41:02 PM Karlee Tebbutt, Colorado Association of Health Plans, testified in a neutral position on the bill. Ms. Tebbutt responded to committee questions. 02:51:03 PM Betsy Campbell, Resolve, testified in support of the bill. Dr. Sara Barton, CCRM, testified in support of the bill. Dr. Leslie Appiah, University of Colorado, testified in support of the bill. Anthony Bevill, representing himself and Colorado Fertility Advocates, testified in support of the bill. The witness panel responded to committee questions. 03:17:32 PM Valeria Pernas, representing herself, testified in support of the bill. Carley Rutledge, Colorado Fertility Advocates and the Rutledge Foundation, testified in support of the bill. Crystal Wilson, representing herself, testified in support of the bill. The witness panel responded to committee questions. 03:32:49 PM Lieu Luong, representing herself, testified in support of the bill. Tina Nelson, Resolve, testified in support of the bill. Eric Gosso, representing himself, testified in support of the bill. 03:43:15 PM Nicole Mallery, representing herself, testified in support of the bill. Dr. Sara Barton came back to the table to respond to committee questions. 03:51:40 PM The bill sponsors gave closing remarks on the bill. Committee members commented on the bill. Written testimony on the bill was submitted for the record (Attachment R). 04:08:55 PM Motion Refer House Bill 20-1158 to the Committee on Appropriations. Moved Tipper Seconded Jackson Baisley Yes Buckner Yes Jackson Yes Mullica Yes Soper Yes Tipper Yes Titone Yes Will Yes Caraveo Yes Lontine Yes Final YES: 10 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS HB20-1160 - Amended, referred to House Finance Attachment Tag File Name Attachment D http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/275CA15CFE16...$File/20HouseHealthIns0212AttachD.pdf?OpenElement 20HouseHealthIns0212AttachD.pdf Attachment B http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/29A9248D9A40...$File/20HouseHealthIns0212AttachB.pdf?OpenElement 20HouseHealthIns0212AttachB.pdf Attachment E http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/2E4BCA34CC2B...$File/20HouseHealthIns0212AttachE.pdf?OpenElement 20HouseHealthIns0212AttachE.pdf Attachment C http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/556D4664968F...$File/20HouseHealthIns0212AttachC.pdf?OpenElement 20HouseHealthIns0212AttachC.pdf Attachment G http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/AB26E565C317...$File/20HouseHealthIns0212AttachG.pdf?OpenElement 20HouseHealthIns0212AttachG.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/CD354724A64F...$File/20HouseHealthIns0212AttachF.pdf?OpenElement 20HouseHealthIns0212AttachF.pdf Attachment A http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/F2B52D38415F...$File/20HouseHealthIns0212AttachA.pdf?OpenElement 20HouseHealthIns0212AttachA.pdf 04:09:06 PM Representative Lontine recessed the committee. 04:17:54 PM The committee came back to order. 04:18:19 PM Representative Jackson and Representative Roberts, bill sponsors, presented House Bill 20-1160 to the committee. The bill requires health insurers and drug manufacturers to report information to the state regarding the cost of prescription drugs, and directs the Division of Insurance to analyze the information and report on the effect of prescription drug costs on health insurance premiums. A handout was distributed to the committee (Attachment A). 04:41:30 PM The bill sponsors responded to committee questions. Amendments L.002, L.004, and L.006 were distributed to the committee (Attachments B, C, and D). 04:41:44 PM Representative Lontine proceeded with witness testimony on the bill. 04:46:27 PM The testimony of Brittany Burcham, in support of the bill, was read into the record. 04:47:38 PM Debra Judy, Division of Insurance, testified in support of the bill. Kim Bimestefer, Department of Health Care Policy and Financing, testified in support of the bill. Ms. Judy and Ms. Bimestefer responded to questions. 05:06:34 PM Committee questions continued. 05:15:50 PM Patrick Boyle, Pharmaceutical Care Management Association and Colorado Competitive Council, testified in opposition to the bill. Jason Hopfer, Colorado Association of Health Plans, testified regarding the bill and amendments. Rachel Lee, CVS Health, told the committee that she supported the concerns of the previous two witnesses and was available for questions. The witness panel responded to questions. 05:29:37 PM The testimony of Danielle Meier, in support of the bill, was read into the record. Caitlin Westerson, Colorado Consumer Health Initiative, testified in support of the bill. Gail DeVore, representing herself, testified in support of the bill. Claudia Curry Hill, Multiple Sclerosis Society, testified in support of the bill. The witness panel responded to questions. 05:45:49 PM Emily Roberts, Colorado BioScience Association, testified in oppositio to the bill. Tara Ryan, Association for Accessible Medicines, testified regarding the bill and amendments. Katelin Lucariello, Pharmaceutical Research and Manufacturers of America, testified in opposition to the bill and distributed a handout (Attachment E). Mark Turner, representing himself, testified in a neutral position on the bill and discussed amendments. 06:00:38 PM Jennifer Roberts, Colorado Cross-Disability Coalition, testified in support of the bill. Mark Turner, Colorado Nonprofit Association, testified in a neutral position on the bill and discussed amendments. Jessalyn Hampton, National Multiple Sclerosis Society, testified in support of the bill and distributed a handout (Attachment F). Andrea Stojsavljevic, Healthier Colorado, testified in support of the bill. The witness panel responded to committee questions. 06:31:42 PM Motion Adopt amendment L.006 (Attachment D) to L.002 (Attachment B). Moved Jackson Seconded Buckner Baisley Buckner Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:33:13 PM Motion Adopt amendment L.002, as amended (Attachment B). Moved Jackson Seconded Lontine Baisley Buckner Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:34:57 PM Motion Adopt amendment L.004 (Attachment C). Moved Jackson Seconded Tipper Baisley Buckner Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:35:12 PM Representative Baisley distributed amendment L.003 and explained it to the committee (Attachment G). 06:38:52 PM Motion Adopt amendment L.003 (Attachment G). Moved Baisley Seconded Soper Baisley Yes Buckner No Jackson No Mullica No Soper Yes Tipper No Titone No Will Yes Caraveo No Lontine Yes YES: 4 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: FAIL 06:38:53 PM Bill sponsors gave closing remarks on the bill. Committee members commented on the bill. 06:49:11 PM Motion Refer House Bill 20-1160, as amended, to the Committee on Finance. Moved Jackson Seconded Mullica Baisley No Buckner Yes Jackson Yes Mullica Yes Soper No Tipper Yes Titone Yes Will No Caraveo Yes Lontine Yes Final YES: 7 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: PASS HB20-1001 - Amended, referred to House Finance Attachment Tag File Name Attachment H http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/0C509FCE3715...$File/20HouseHealthIns0212AttachH.pdf?OpenElement 20HouseHealthIns0212AttachH.pdf Attachment K http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/568317859694...$File/20HouseHealthIns0212AttachK.pdf?OpenElement 20HouseHealthIns0212AttachK.pdf Attachment I http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/B52ACEE93F15...$File/20HouseHealthIns0212AttachI.pdf?OpenElement 20HouseHealthIns0212AttachI.pdf Attachment J http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/BC2977BE35D3...$File/20HouseHealthIns0212AttachJ.pdf?OpenElement 20HouseHealthIns0212AttachJ.pdf Attachment M http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/32940E632204...$File/20HouseHealthIns0212AttachM.pdf?OpenElement 20HouseHealthIns0212AttachM.pdf Attachment L http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/8194572EE472...$File/20HouseHealthIns0212AttachL.pdf?OpenElement 20HouseHealthIns0212AttachL.pdf Attachment P http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/9F34B498F07E...$File/20HouseHealthIns0212AttachP.pdf?OpenElement 20HouseHealthIns0212AttachP.pdf Attachment N http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/9F71889F18C7...$File/20HouseHealthIns0212AttachN.pdf?OpenElement 20HouseHealthIns0212AttachN.pdf Attachment Q http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/D14062820A97...$File/20HouseHealthIns0212AttachQ.pdf?OpenElement 20HouseHealthIns0212AttachQ.pdf Attachment R http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/E046AB41DE49...$File/20HouseHealthIns0212AttachR.pdf?OpenElement 20HouseHealthIns0212AttachR.pdf Attachment O http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/FE3B0D956D15...$File/20HouseHealthIns0212AttachO.pdf?OpenElement 20HouseHealthIns0212AttachO.pdf 06:49:26 PM Representative Caraveo recessed the committee. 06:50:00 PM The committee came back to order. 07:01:32 PM Representative Mullica and Representative Larson, bill sponsors, presented House Bill 20-1001 to the committee. The bill provides for the statewide licensing and regulation of cigarette, tobacco, and nicotine product retailers. Amendments L.001, L.002, L.003, L.004, and L.005 were distributed to the committee (Attachments H to L). A handout was distributed to the committee (Attachment M). 07:11:34 PM The bill sponsors responded to committee questions about the bill. A handout was distributed to the committee (Attachment N). 07:20:08 PM Representative Lontine proceeded with witness testimony on the bill. 07:20:16 PM Jodi Radke, Tobacco Free Kids, testified in support of the bill. Dr. Ted Maynard, American Academy of Pediatrics, testified in support of the bill. Dr. Thomas Ylioja, National Jewish Health, testified in support of the bill and distributed a handout (Attachment O). The witness panel responded to committee questions. 07:41:23 PM Gina DeRosa, Girl Scout Troop 817, testified in support of the bill. Gianna Savvageau, Girl Scout Troop 817, testified in support of the bill. Audrey VanWestrienen, Girl Scout Troop 817, testified in support of the bill. Sarah Carter, Girl Scout Troop 817, testified in support of the bill. Audrey Rosen, representing herself, testified in support of the bill and distributed a handout (Attachment P). 08:00:14 PM Grier Bailey, Colorado Wyoming Petroleum Marketers Association, testified in opposition to the bill and distributed a handout (Attachment Q). Francesca Gettler, representing herself, testified regarding the bill and amendments. Monica Vondruska, representing herself, testified regarding the bill and amendments. Daniel Mortenson, representing himself, testified regarding the bill and amendments. James Howard, representing himself, testified regarding the bill and amendments. The witness panel responded to committee questions. 08:24:08 PM Jenny Myers, Vapor Source, testified in support of the bill with amendments. Jared Montez, Vapor Source, testified regarding the bill and amendments. David Farrar, representing himself, testified regarding the bill and amendments. 08:34:56 PM Sarah Wu, representing herself, testified in support of the bill. R.J. Ours, American Cancer Society, testified in support of the bill. Ella Antonson, American Cancer Society - Cancer Action Network, testified in support of the bill. 08:43:45 PM Andrea Stojsavljevic, Healthier Colorado, testified in support of the bill. Rachel Richards, City of Aspen and the Colorado Municipal League, testified in support of the bill. Thomas Davidson, Summit County Commissioner, testified in support of the bill. The witness panel responded to committee questions. 08:58:32 PM The bill sponsors discussed amendments with the committee. 09:02:08 PM Motion Adopt amendment L.001 (Attachment H). Moved Mullica Seconded Caraveo Baisley No Buckner Yes Jackson Yes Mullica Yes Soper No Tipper Yes Titone Yes Will Yes Caraveo Yes Lontine Yes YES: 8 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS 09:02:51 PM Motion Adopt amendment L.002 (Attachment I). Moved Mullica Seconded Tipper Baisley Buckner Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 09:04:13 PM Motion Adopt amendment L.003 (Attachment J). Moved Mullica Seconded Buckner Baisley Buckner Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 09:05:12 PM Motion Adopt amendment L.004 (Attachment K). Moved Mullica Seconded Tipper Baisley Buckner Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 09:07:03 PM Motion Adopt amendment L.005 (Attachment L). Moved Mullica Seconded Caraveo Baisley Buckner Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 09:07:04 PM The bill sponsors gave closing remarks on the bill. Committee members commented on the bill. 09:23:39 PM Motion Refer House Bill 20-1001, as amended, to the Committee on Finance. Moved Mullica Seconded Buckner Baisley No Buckner Yes Jackson Yes Mullica Yes Soper Yes Tipper Yes Titone Yes Will Yes Caraveo Yes Lontine Yes Final YES: 9 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 09:24:01 PM The committee adjourned.