H_HI_2020A 02/19/2020 02:11:46 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH & INSURANCE Date 02/19/2020 Attendance Baisley X Buckner X Champion X Jackson X Mullica X Soper * Tipper X Titone X Will X Caraveo X Lontine X Time 02:11:46 PM to 08:16:00 PM Place HCR 0112 This Meeting was called to order by Representative Lontine This Report was prepared by Anne Wallace Hearing Items Action Taken hHB20-1008 Amended, referred to House Appropriations hHB20-1085 Amended, referred to House Appropriations hHB20-1065 Amended, referred to House Appropriations hHB20-1075 Postponed Indefinitely X = Present, E = Excused, A = Absent, * = Present after roll call HB20-1008 - Amended, referred to House Appropriations Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/CAF1B651E850...$File/20HouseHealthIns0219AttachA.pdf?OpenElement 20HouseHealthIns0219AttachA.pdf Attachment B http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/E7D2AE3BD4E8...$File/20HouseHealthIns0219AttachB.pdf?OpenElement 20HouseHealthIns0219AttachB.pdf Attachment D http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/3E8A9C36E435...$File/20HouseHealthIns0219AttachD.pdf?OpenElement 20HouseHealthIns0219AttachD.pdf Attachment C http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/FE688D773A26...$File/20HouseHealthIns0219AttachC.pdf?OpenElement 20HouseHealthIns0219AttachC.pdf 02:12:16 PM Representative Lontine, bill sponsor, presented House Bill 20-1008 and distributed amendment L.008 (Attachment A). Public testimony for House Bill 20-1008 was taken during the February 4, 2020 committee hearing. 02:18:18 PM Representative Baisley distributed amendments L.009 and L.007 to the committee (Attachments B and C). A handout was distributed (Attachment D). 02:20:38 PM Motion Adopt amendment L.009 (Attachment B) to amendment L.008 (Attachment A). Moved Baisley Seconded Will Baisley Yes Buckner No Champion Yes Jackson No Mullica No Soper Yes Tipper No Titone No Will Yes Caraveo No Lontine No YES: 4 NO: 7 EXC: 0 ABS: 0 FINAL ACTION: FAIL 02:20:58 PM Motion Adopt amendment L.008 (Attachment A). Moved Lontine Seconded Tipper Baisley Buckner Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 02:22:31 PM Motion Adopt amendment L.007 (Attachment C). Moved Baisley Seconded Champion Baisley Yes Buckner No Champion Yes Jackson No Mullica No Soper Yes Tipper No Titone No Will Yes Caraveo No Lontine No YES: 4 NO: 7 EXC: 0 ABS: 0 FINAL ACTION: FAIL 02:23:12 PM Representative Lontine gave closing remarks on the bill. Committee members commented on the bill. 02:30:58 PM Motion Refer House Bill 20-1008, as amended, to the Committee on Appropriations. Moved Lontine Seconded Tipper Baisley No Buckner Yes Champion No Jackson Yes Mullica Yes Soper No Tipper Yes Titone Yes Will No Caraveo Yes Lontine Yes Final YES: 7 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: PASS HB20-1085 - Amended, referred to House Appropriations Attachment Tag File Name Attachment I http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/0A8AED5A4DC2...$File/20HouseHealthIns0219AttachI.pdf?OpenElement 20HouseHealthIns0219AttachI.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/48185D2A2503...$File/20HouseHealthIns0219AttachF.pdf?OpenElement 20HouseHealthIns0219AttachF.pdf Attachment J http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/8222FA869D41...$File/20HouseHealthIns0219AttachJ.pdf?OpenElement 20HouseHealthIns0219AttachJ.pdf Attachment H http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/8DF38D030288...$File/20HouseHealthIns0219AttachH.pdf?OpenElement 20HouseHealthIns0219AttachH.pdf Attachment E http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/B84ECC474CD8...$File/20HouseHealthIns0219AttachE.pdf?OpenElement 20HouseHealthIns0219AttachE.pdf Attachment K http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/BD7FB5532370...$File/20HouseHealthIns0219AttachK.pdf?OpenElement 20HouseHealthIns0219AttachK.pdf Attachment G http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/EF79DA88E745...$File/20HouseHealthIns0219AttachG.pdf?OpenElement 20HouseHealthIns0219AttachG.pdf Attachment L http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/0EDD22903675...$File/20HouseHealthIns0219AttachL.pdf?OpenElement 20HouseHealthIns0219AttachL.pdf Attachment M http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/4D4C84F9393B...$File/20HouseHealthIns0219AttachM.pdf?OpenElement 20HouseHealthIns0219AttachM.pdf Attachment N http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/CE5B93F0D9CE...$File/20HouseHealthIns0219AttachN.pdf?OpenElement 20HouseHealthIns0219AttachN.pdf 02:31:23 PM Representative Kennedy and Representative Herod, bill sponsors, presented House Bill 20-1085 to the committee. The bill makes several changes to state law concerning health insurance requirements, opioid prescribing limitations, the prescription drug monitoring program, state and local public health funding, the Screening, Brief Intervention, and Referral to Treatment Grant Program, education for health care providers, and the Colorado substance use disorders prevention collaborative. A handout was distributed (Attachment E). Amendments L.002, L.004, L.007, L.008 and L.009 were distributed to the committee (Attachments F to J). 02:41:41 PM The bill sponsors responded to committee questions. 02:49:04 PM Clare Pramuk, Legislative Council Staff, responded to committee questions regarding the fiscal note. 02:50:17 PM Representative Lontine proceeded with witness testimony on the bill. 02:52:51 PM Christina Johnson, Colorado Senior Lobby, testified in a neutral position on the bill. Karlee Tebbutt, Colorado Association of Health Plans, testified regarding the bill and amendments. Virginia Morrison Love, America's Health Insurance Plans, testified regarding the bill and amendments. The witness panel responded to committee questions. 03:01:33 PM Dr. Donald Stader, Colorado Medical Society and the American College of Emergency Physicians - Colorado Chapter, testified in support of the bill and in support of House Bill 20-1065. Dr. Jonathan Clapp, Colorado Medical Society and the Colorado Pain Society, testified in support of the bill. The witnesses responded to committee questions. 03:15:01 PM Sonny Lawrence, representing himself, testified in support of the bill. Nita Walter, representing herself, testified in support of the bill. Michelle Figurelli, representing herself, testified regarding the bill. Joseph Figurelli, representing himself, testified regarding the bill. The witness panel responded to committee questions. 03:37:43 PM Maura Proser, Tri-County Health Department and the Colorado Association of Local Public Health Organizations (CALPHO), testified in support of the bill. Tracy Ritter, representing herself, testified in support of the bill. Tracy Anselmo, CALPHO, testified in support of the bill. The witness panel responded to committee questions. 03:45:47 PM Dr. Liz Lovefury, Acupuncture Association of Colorado, testified in support of the bill and distributed a handout (Attachment K). Cameron MacDonald, American Physical Therapy Association - Colorado Chapter, testified in support of the bill. Lauren Snyder, Mental Health Colorado, testified in support of the bill. Dr. Rob Valuck, Colorado Consortium for Prescription Drug Abuse Prevention, testified in support of the bill. 04:03:42 PM Kate Horle, Colorado Regional Health Information Organization, testified in support of the bill and distributed a handout (Attachment L). Rick Curtsinger, Quality Health Network, testified in support of the bill. Bethany Pace-Danley, Peer Assistance Services, Inc., testified in support of the bill and distributed a handout (Attachment M). 04:15:41 PM Danielle Meier, representing herself, testified in support of the bill. Dr. Brittany Schock, Department of Health Care Policy and Financing, testified in support of the bill. 04:23:26 PM Amendment L.010 was distributed to the committee (Attachment N). 04:24:41 PM Motion Adopt amendment L.002 (Attachment F). Moved Caraveo Seconded Jackson Baisley Buckner Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:29:28 PM Dr. Valuck returned to the table to answer committee questions about the amendments. 04:32:07 PM Motion Adopt amendment L.004 (Attachment G). Moved Jackson Seconded Tipper Baisley Buckner Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:34:00 PM Motion Adopt amendment L.007 (Attachment H). Moved Jackson Seconded Tipper Baisley Buckner Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:34:52 PM Motion Adopt amendment L.008 (Attachment I). Moved Jackson Seconded Tipper Baisley Buckner Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:36:11 PM The committee discussed a possible conceptual amendment. 04:37:29 PM Motion Move a conceptual amendment to amendment L.009 (Attachment J) to line 3, strike 'fewer' and insert 'lower.' Moved Tipper Seconded Baisley Baisley Buckner Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:37:52 PM Motion Adopt amendment L.009 (Attachment J), as amended. Moved Caraveo Seconded Jackson Baisley Buckner Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:38:34 PM Motion Adopt amendment L.010 (Attachment N). Moved Titone Seconded Mullica Baisley Buckner Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:42:26 PM Kristen Forrestal, Office of Legislative Legal Services, responded to committee questions. 04:45:01 PM The bill sponsors gave closing remarks on the bill. The committee members commented on the bill. 04:46:22 PM Motion Refer House Bill 20-1085, as amended, to the Committee on Appropriations. Moved Titone Seconded Mullica Baisley Yes Buckner Excused Champion Excused Jackson Yes Mullica Yes Soper Yes Tipper Yes Titone Yes Will Yes Caraveo Yes Lontine Yes Final YES: 9 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS HB20-1065 - Amended, referred to House Appropriations Attachment Tag File Name Attachment O http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/1786A8918AB4...$File/20HouseHealthIns0219AttachO.pdf?OpenElement 20HouseHealthIns0219AttachO.pdf Attachment P http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/59C405B6E421...$File/20HouseHealthIns0219AttachP.pdf?OpenElement 20HouseHealthIns0219AttachP.pdf Attachment S http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/8BDA26D1980C...$File/20HouseHealthIns0219AttachS.pdf?OpenElement 20HouseHealthIns0219AttachS.pdf Attachment Q http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/E29DECB0BEC7...$File/20HouseHealthIns0219AttachQ.pdf?OpenElement 20HouseHealthIns0219AttachQ.pdf Attachment R http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/FAD70B244792...$File/20HouseHealthIns0219AttachR.pdf?OpenElement 20HouseHealthIns0219AttachR.pdf 04:46:38 PM Representative Kennedy and Representative Herod, bill sponsors, presented House Bill 20-1065 to the committee. The bill requires health insurers to reimburse hospitals for prescribing opiate antagonists to covered individuals; creates immunity for individuals who administer an expired antagonist; allows pharmacists to sell non-prescribed clean syringes or needles to individuals without a prescription; allows local public health agencies to operate clean syringe programs without county approval and allows hospitals to operate a clean syringe program; and increases appropriations to the Harm Reduction Grant Program Cash Fund.A handout was distributed (Attachment O). Amendments L.001 and L.002 were distributed to the committee (Attachments P and Q). 04:54:40 PM The bill sponsors responded to committee questions. 04:55:33 PM Representative Caraveo proceeded with witness testimony on the bill. 04:57:15 PM Dr. Joyce Gamewell, representing herself, testified in opposition to the bill and distributed a handout (Attachment R). Longinos Gonzalez, El Paso County Commissioner, testified in opposition to the bill. Helen Collins, representing herself, testified in opposition to the bill. The witness panel responded to committee questions. 05:10:59 PM Dr. Rob Valuck, Colorado Consortium for Prescription Drug Abuse Prevention, testified in support of the bill. Jessica Kobylinski, Colorado Health Network, testified in support of the bill. Lisa Raville, Harm Reduction Action Center, testified in support of the bill. Dr. Judy Solano, Southern Colorado Harm Reduction, testified in support of the bill. 05:35:48 PM The previous panel of witnesses responded to questions from the committee. 05:39:53 PM Dr. Chris Stock, Colorado Consortium for Prescription Drug Abuse Prevention, testified in support of the bill. Tracey Ritter, representing herself, testified in support of the bill. Dr. Sarah Rowan, Denver Public Health, testified in support of the bill. Jackie Zheleznyak, Denver Health, testified in support of the bill and distributed a handout (Attachment S). The witness panel responded to committee questions. 05:58:33 PM Paul Glasheen, representing himself, testified in support of the bill. David Wasserman, representing himself, testified in support of the bill. 06:05:46 PM The bill sponsors discussed amendments to the bill. 06:09:29 PM Motion Adopt amendment L.001 (Attachment P). Moved Mullica Seconded Titone Baisley Buckner Excused Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 06:10:17 PM Motion Adopt amendment L.002 (Attachment Q). Moved Mullica Seconded Titone Baisley Buckner Excused Champion Jackson Mullica Soper Tipper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 06:10:19 PM The bill sponsors gave closing remarks on the bill. Committee members commented on the bill. 06:20:52 PM Motion Refer House Bill 20-1065, as amended, to the Committee on Appropriations. Moved Mullica Seconded Jackson Baisley No Buckner Excused Champion No Jackson Yes Mullica Yes Soper No Tipper Yes Titone Yes Will No Caraveo Yes Lontine Yes Final YES: 6 NO: 4 EXC: 1 ABS: 0 FINAL ACTION: PASS HB20-1075 - Postponed Indefinitely Attachment Tag File Name Attachment T http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/576B0F44ABDB...$File/20HouseHealthIns0219AttachT.pdf?OpenElement 20HouseHealthIns0219AttachT.pdf Attachment V http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/99E6ED03C697...$File/20HouseHealthIns0219AttachV.pdf?OpenElement 20HouseHealthIns0219AttachV.pdf Attachment U http://www2.leg.state.co.us/CLICS/CLICS2020A/commsumm.nsf/0/D8E9AC22139F...$File/20HouseHealthIns0219AttachU.pdf?OpenElement 20HouseHealthIns0219AttachU.pdf 06:21:06 PM Representative Lontine recessed the committee. 06:32:04 PM The committee came back to order. 06:32:23 PM Representative Saine and Representative Humphrey, bill sponsors, presented House Bill 20-1075 to the committee. The bill prohibits licensed physicians from performing abortions except: • when an abortion is necessary to preserve the life of the woman and the physician has made a reasonable medical effort to preserve both the life of the woman and her unborn child; or • when the physician provides medical treatment to a woman that results in the accidental injury or death of the unborn child. Offenses under the bill are punishable as a class 1 felony, and a conviction constitutes unprofessional conduct for the purposes of physician licensing. A handout was distributed to the committee (Attachment T). 06:35:54 PM Representative Lontine proceeded with witness testimony on the bill. 06:36:22 PM Pat Miller, representing herself, testified in support of the bill. 06:40:57 PM Iman Jodeh, Interfaith Alliance, testified in opposition to the bill. Arriana Belkin, Planned Parenthood of the Rockies, testified in opposition to the bill. Written testimony was submitted on behalf of Reverend Tawana Davis (Attachment U). Justine Sandoval read the testimony of Amanda Carlson, representing Cobalt, in opposition to the bill. 06:48:48 PM Kat Watren, representing herself, testified in support of the bill. Robert Fox, representing himself, testified in support of the bill. Samantha Koch, representing herself, testified in support of the bill. Matt Niedzielski, Respect Life of Diocese of Colorado Springs, testified in support of the bill. 07:00:05 PM Dr. Kelly Sennholz, representing herself and Cobalt, testified in opposition to the bill. Elizabeth Hinkley read the testimony of Dr. Sarah Green, in opposition to the bill. 07:09:21 PM Laurel Flahive, representing herself, testified in support of the bill. Scott Horak, representing himself, testified in support of the bill. 07:18:27 PM Eli Grimm, representing themselves, testified in opposition to the bill. America Ramirez, Colorado Organization for Latina Opportunity and Reproductive Rights (COLOR), testified in opposition to the bill. Kassandra Morales, American Civil Liberties Union of Colorado, testified in opposition to the bill. 07:26:13 PM Rebecca Klenda, representing herself, testified in support of the bill. Christy Rodriguez, Colorado Campaign for Life, testified in support of the bill. 07:33:08 PM Dana Villareal, representing herself, testified in opposition to the bill. Saul Alfaro, representing himself, testified in opposition to the bill. Isabel Rosales, representing herself, testified in opposition to the bill. Gina Millan, COLOR, testified in opposition to the bill. 07:41:07 PM Betty Boyd, American Association of University Women, testified in opposition to the bill. Linda Levy, Interfaith Alliance, testified in opposition to the bill. Melanie Kesner, Interfaith Alliance, testified in opposition to the bill. Dilpreet Jammy, representing himself, testified in opposition to the bill. 07:56:26 PM Millie McCloy, representing herself, testified in support of the bill. 08:00:53 PM Representative Saine read the testimony of Jeff Hunt into the record. A handout was distributed (Attachment V). 08:07:10 PM The bill sponsors gave closing remarks on the bill. Committee members commented on the bill. 08:15:06 PM Motion Refer House Bill 20-1075 to the Committee on Appropriations. Moved Baisley Seconded Soper Baisley Yes Buckner Excused Champion Yes Jackson No Mullica No Soper Yes Tipper No Titone No Will Yes Caraveo No Lontine No YES: 4 NO: 6 EXC: 1 ABS: 0 FINAL ACTION: FAIL 08:15:46 PM Motion Postpone House Bill 20-1075 indefinitely. Moved Tipper Seconded Caraveo Baisley No Buckner Excused Champion No Jackson Yes Mullica Yes Soper No Tipper Yes Titone Yes Will No Caraveo Yes Lontine Yes Final YES: 6 NO: 4 EXC: 1 ABS: 0 FINAL ACTION: PASS 08:16:00 PM The committee adjourned.