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H_HIE_2017A 05/09/2017 Committee Summary

Final

STAFF SUMMARY OF MEETING



HOUSE COMMITTEE ON HEALTH, INSURANCE, & ENVIRONMENT

Date: 05/09/2017
ATTENDANCE
Time: 12:59 PM to 03:09 PM
Beckman
*
Buckner
X
Place: HCR 0107
Covarrubias
X
Humphrey
X
This Meeting was called to order by
Jackson
X
Representative Ginal
Kennedy
X
Landgraf
X
This Report was prepared by
Lontine
X
Vanessa Conway
Ransom
X
Esgar
X
Ginal
X
X = Present, E = Excused, A = Absent, * = Present after roll call
Bills Addressed: Action Taken:
SB17-019

SB17-021

SB17-300

SJR17-043
Referred to House Appropriations

Amended, Referred to House Appropriations

Amended, Referred to the Committee of the Whole

Amended, Referred to the Committee of the Whole





01:00 PM -- SB 17-019



Representative Singer presented Senate Bill 17-019 to the committee, along with a handout (Attachment A). The reengrossed bill, initially recommended by the Legislative Oversight Committee on the Treatment of Persons with Mental Illness in the Criminal and Juvenile Justice Systems, requires the Office of Behavioral Health in the Department of Human Services (DHS) to:



170509 AttachA.pdf170509 AttachA.pdf



• promulgate rules, along with the Department of Corrections (DOC), to require providers under each agency's authority and allow public hospitals and licensed private hospitals to use an agreed-upon formulary by December 1, 2017;

• develop processes for education and marketing the medication formulary on or before December 1, 2017.



DHS is required to submit a budget request to the Office of State Planning and Budgeting in November 2017 detailing its funding needs in order to assume the following responsibilities:





• on or before September 1, 2018, and every September 1 of every even-numbered year thereafter, to conduct a review of the medication formulary for purposes of addressing any urgent concerns or proposing updates;

• on or before July 1, 2019, and every two years thereafter as necessary, to conduct a review of the medication formulary to update it and ensure compliance with the formulary used by the Department of Health Care Policy and Financing; and

• on or before September 1, 2018, in collaboration with several identified stakeholders, to develop a plan by which the patient-specific mental health and treatment information can be shared electronically across systems.



DHS is also required to:



• encourage providers to utilize cooperative purchasing from the formulary to maximize cost savings; and

• study and develop options for collaboration with local county jails to coordinate medication purchasing and develop, in partnership with the Behavioral Health Transformation Council, a medication purchasing plan on or before September 1, 2018.

    In addition, the bill requires the DOC, county jails, community mental health centers, the Division of Youth Corrections in DHS, and other providers to share patient-specific mental health care and treatment information, provided that federal and state confidentiality requirements are met, including the federal Health Insurance Portability and Accountability Act (HIPAA). Beginning in January 2019, the DHS and DOC are required to report annually to specified committees of the General Assembly on use of the formulary and collective purchasing as part of their annual SMART Act hearings.



    01:10 PM -- Dr. Patrick Fox, representing DHS, testified in support of the bill.



    01:13 PM --
    Regina Huerter, representing DHS, testified in support of the bill.



    01:23 PM --
    Kerry White, representing Legislative Council Staff, answered questions regarding the fiscal note.





    01:28 PM



    Representative Singer wrapped up his presentation to the committee.

    BILL: SB17-019
    TIME: 01:38:15 PM
    MOVED: Jackson
    MOTION: Refer Senate Bill 17-019 to the Committee on Appropriations. The motion passed on a vote of 10-1.
    SECONDED: Esgar
    VOTE
    Beckman
    Yes
    Buckner
    Yes
    Covarrubias
    Yes
    Humphrey
    No
    Jackson
    Yes
    Kennedy
    Yes
    Landgraf
    Yes
    Lontine
    Yes
    Ransom
    Yes
    Esgar
    Yes
    Ginal
    Yes
    Final YES: 10 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS



    01:41 PM -- SB 17-021



    Representative Singer presented Senate Bill 17-021 to the committee, along with amendment L.015 (Attachment B). The reengrossed bill establishes a housing program for persons with mental illness transitioning from incarceration. The housing assistance program is to be managed by the Department of Local Affairs (DOLA) and is intended to provide vouchers and other support services to persons with a mental health disorder or co-occurring behavioral health disorder and newly released from the Department of Corrections (DOC), the Division of Youth Corrections (DYC) in the Department of Human Services, or county jail. The DOLA is required to provide grants or loans for the acquisition, construction, or rehabilitation of rental housing for persons with behavioral or mental health disorders.



    170509 AttachB.pdf170509 AttachB.pdf



    The bill creates the Housing Assistance for Persons Transitioning from Incarceration Cash Fund, which consists of moneys transferred from the Department of Public Safety (DPS) and moneys appropriated by the General Assembly.





    Notwithstanding any law to the contrary, any money appropriated from the General Fund for community corrections that is unexpended or unencumbered at the close of the fiscal year is transferred to the new cash fund created under the bill for the DOLA housing assistance program. The bill also allows Marijuana Tax Cash Fund moneys to be used for housing, rental assistance, and reentry assistance provided by DOLA.

    BILL: SB17-021
    TIME: 01:56:26 PM
    MOVED: Buckner
    MOTION: Adopt amendment L.015 (Attachment B) to Senate Bill 17-021. The motion passed on a vote of 9-2.
    SECONDED: Lontine
    VOTE
    Beckman
    Yes
    Buckner
    Yes
    Covarrubias
    Yes
    Humphrey
    No
    Jackson
    Yes
    Kennedy
    Yes
    Landgraf
    Yes
    Lontine
    Yes
    Ransom
    No
    Esgar
    Yes
    Ginal
    Yes
    YES: 9 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS
    BILL: SB17-021
    TIME: 01:57:56 PM
    MOVED: Esgar
    MOTION: Refer Senate Bill 17-021, as amended, to the Committee on Appropriations. The motion passed on a vote of 7-4.
    SECONDED: Jackson
    VOTE
    Beckman
    No
    Buckner
    Yes
    Covarrubias
    No
    Humphrey
    No
    Jackson
    Yes
    Kennedy
    Yes
    Landgraf
    Yes
    Lontine
    Yes
    Ransom
    No
    Esgar
    Yes
    Ginal
    Yes
    Final YES: 7 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: PASS







    02:01 PM -- SB 17-300



    Representative Kennedy presented Senate Bill 17-300 to the committee, along with amendment L.003 (Attachment C). The reengrossed bill requires the Commissioner of Insurance in the Department of Regulatory Agencies to study methods of providing health care coverage to high-risk individuals and reducing health insurance premiums in the individual market. Specifically, the commissioner is required to explore the feasibility of a high-risk pool, a reinsurance program, or other high-risk programs. The commissioner will take into consideration:



    170509 AttachC.pdf170509 AttachC.pdf



    • requirements to comply with federal laws and regulations in order to qualify for federal financial support;

    • potential financial impacts to consumers and the business community;

    • potential funding mechanisms; and

    • procedural requirements for seeking a federal waiver.



    Upon completion of the study, the commissioner must report to the Joint Budget Committee and the health committees of the General Assembly by October 1, 2017, and present the report as part of the Department of Regulatory Agencies SMART Government Act hearing. The commissioner may seek, accept, and expend gifts, grants, or donations from private or public sources to implement the bill. The study requirements are repealed June 30, 2018.



    02:13 PM --
    Peg Brown, representing the Division of Insurance, testified in support of the bill.



    02:25 PM --
    Bethany Pray, representing the Colorado Center on Law & Policy, testified in support of the bill.



    02:27 PM --
    Sara Orrange, representing Colorado Association of Health Plans, testified in support of the bill and in opposition to the amendment.





    02:30 PM --
    Virginia Morrison Love, representing America's Health Insurance Plans, testified in support of the bill.

    BILL: SB17-300
    TIME: 02:39:25 PM
    MOVED: Kennedy
    MOTION: Adopt a conceptual amendment to amendment L.003 (Attachment C), striking "coverage of" in line 14, and substituting "payment of services for". The motion passed on a vote of 6-5.
    SECONDED: Lontine
    VOTE
    Beckman
    No
    Buckner
    Yes
    Covarrubias
    No
    Humphrey
    No
    Jackson
    Yes
    Kennedy
    Yes
    Landgraf
    No
    Lontine
    Yes
    Ransom
    No
    Esgar
    Yes
    Ginal
    Yes
    YES: 6 NO: 5 EXC: 0 ABS: 0 FINAL ACTION: PASS
    BILL: SB17-300
    TIME: 02:42:13 PM
    MOVED: Kennedy
    MOTION: Adopt amendment L.003 (Attachment C), as amended by the conceptual amendment. The motion passed on a vote of 6-5.
    SECONDED: Jackson
    VOTE
    Beckman
    No
    Buckner
    Yes
    Covarrubias
    No
    Humphrey
    No
    Jackson
    Yes
    Kennedy
    Yes
    Landgraf
    No
    Lontine
    Yes
    Ransom
    No
    Esgar
    Yes
    Ginal
    Yes
    YES: 6 NO: 5 EXC: 0 ABS: 0 FINAL ACTION: PASS


    BILL: SB17-300
    TIME: 02:42:57 PM
    MOVED: Kennedy
    MOTION: Refer Senate Bill 17-300, as amended, to the Committee of the Whole. The motion passed on a vote of 8-3.
    SECONDED: Jackson
    VOTE
    Beckman
    Yes
    Buckner
    Yes
    Covarrubias
    No
    Humphrey
    No
    Jackson
    Yes
    Kennedy
    Yes
    Landgraf
    Yes
    Lontine
    Yes
    Ransom
    No
    Esgar
    Yes
    Ginal
    Yes
    Final YES: 8 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: PASS



    02:50 PM -- SJR 17-043



    Representative McLachlan presented Senate Joint Resolution 17-043 to the committee, along with amendment L.005 (Attachment D).



    170509 AttachD.pdf170509 AttachD.pdf





    02:53 PM --
    Debbie Haskins, representing Office of Legislative Legal Services, answered committee questions.

    BILL: SJR17-043
    TIME: 03:07:17 PM
    MOVED: Esgar
    MOTION: Adopt amendment L.005 (Attachment D). The motion passed without objection.
    SECONDED: Buckner
    VOTE
    Beckman
    Buckner
    Covarrubias
    Humphrey
    Jackson
    Kennedy
    Landgraf
    Lontine
    Ransom
    Esgar
    Ginal
    YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection
    BILL: SJR17-043
    TIME: 03:07:43 PM
    MOVED: Esgar
    MOTION: Refer SJR17-043, as amended, to the Full House of Representatives. The motion passed on a vote of 11-0.
    SECONDED: Buckner
    VOTE
    Beckman
    Yes
    Buckner
    Yes
    Covarrubias
    Yes
    Humphrey
    Yes
    Jackson
    Yes
    Kennedy
    Yes
    Landgraf
    Yes
    Lontine
    Yes
    Ransom
    Yes
    Esgar
    Yes
    Ginal
    Yes
    Final YES: 11 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



    03:09 PM



    The meeting adjourned.


    The House and Senate are temporarily adjourned.  The building is closed to the public.

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