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S_HHS_2016A 02/25/2016 01:30:48 PM Committee Summary

Final

STAFF SUMMARY OF MEETING



SENATE COMMITTEE ON HEALTH & HUMAN SERVICES

Date: 02/25/2016
ATTENDANCE
Time: 01:30 PM to 03:21 PM
Aguilar
*
Martinez Humenik
*
Place: SCR 352
Newell
X
Crowder
X
This Meeting was called to order by
Lundberg
X
Senator Lundberg
This Report was prepared by
Elizabeth Haskell
X = Present, E = Excused, A = Absent, * = Present after roll call
Bills Addressed: Action Taken:
Conf 16- State Board Of Human Services

Conf 16 - State Board Of Health

HB16-1148

SB16-135
Favorably Refer to Full Senate - Consent

Favorably Refer to Full Senate - Consent

Amended, Referred to the Committee of the Whole

Amended, Referred to Finance





01:31 PM -- Confirmation of State Board Of Human Services




Pam Ryken, Colorado Department of Human Services, introduced Mr. Dennis Swain, appointee. Mr. Swain told the committee about his professional background and qualifications. Mr. Swain responded to questions from the committee.





The Governor's appointment letter may be found in Attachment A. Mr. Swain's application and resume may be found at the State Archives.



160225 AttachA.pdf160225 AttachA.pdf

BILL: Conf 16 - State Board Of Human Services
TIME: 01:38:36 PM
MOVED: Crowder
MOTION: Refer the appointment of Dennis Swain to the State Board Of Human Services to the full Senate with a favorable recommendation and a recommendation that it be placed on the consent calendar. The motion passed on a vote of 5-0.
SECONDED:
VOTE
Aguilar
Yes
Martinez Humenik
Yes
Newell
Yes
Crowder
Yes
Lundberg
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



01:40 PM -- Confirmation - State Board of Health



Matthew VanAuken, appointee, came to the table. He told the committee about his professional background and qualifications. Mr. VanAuken responded to questions from the committee.





The Governor's appointment letter may be found in Attachment B. Mr. VanAuken's application and resume may be found at the State Archives.



160225 AttachB.pdf160225 AttachB.pdf

BILL: Conf 16 -- State Board Of Health
TIME: 01:46:09 PM
MOVED: Crowder
MOTION: Refer the appointment of Matthew VanAuken to the State Board Of the Health to the full Senate with a favorable recommendation and a recommendation that it be placed on the consent calendar. The motion passed on a vote of 5-0.
SECONDED:
VOTE
Aguilar
Yes
Martinez Humenik
Yes
Newell
Yes
Crowder
Yes
Lundberg
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



01:48 PM -- HB 16-1148



Senator Kefalas, co-prime sponsor, presented the bill. He explained that the reengrossed bill requires Connect for Health Colorado, the state's health insurance marketplace, to create technical and advisory groups and operate them on an ongoing basis. The technical and advisory groups are to report and provide guidance to the Connect for Health Colorado Board of Directors (board) on issues that affect consumers. After two years, the technical and advisory groups will shift from meeting on a regular basis to only meeting when necessary.



The bill also requires that the board develop policies specifying which of its actions and policy changes require public scrutiny. These policies must be submitted to the Colorado Health Insurance Exchange Oversight Committee. In addition, Connect for Health Colorado must provide public notice at least three weeks before meetings at which matters requiring public scrutiny are considered and take public comment and questions at the meeting. The board may take action without public notice and input if immediate adoption of a policy is required for continuing operation of the exchange.



01:50 PM --
Cindy Sovine-Miller, self, spoke in support of the bill.



01:54 PM



Senator Martinez Humenik discussed amendment L.005 (Attachment C). Committee discussion followed. Senator Roberts, co-prime sponsor, came to the table.



160225 AttachC.pdf160225 AttachC.pdf







02:00 PM



Committee discussion continued about amendment L.005.



02:06 PM --
Bethany Pray, Colorado Center on Law and Policy, testified in support of the bill.



02:15 PM



Committee discussion continued about the merits of the bill.



02:20 PM --
Debra Judy, Colorado Consumer Health Initiative, spoke in support of the bill.



02:21 PM



Senator Kefalas made closing comments. Committee discussion followed.

BILL: HB16-1148
TIME: 02:30:34 PM
MOVED: Martinez Humenik
MOTION: Adopt a conceptual amendment amending amendment L.005 (Attachment C), page 1, strike lines 3 through 6, and substitute, "Page 3, line 16, strike "PUBLIC." and substitute "PUBLIC AND THE COMMITTEE.". The motion passed without objection.
SECONDED:
VOTE
Aguilar
Martinez Humenik
Newell
Crowder
Lundberg
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection
BILL: HB16-1148
TIME: 02:36:40 PM
MOVED: Martinez Humenik
MOTION: Adopt amendment L.005, as amended (Attachment C). The motion passed without objection.
SECONDED:
VOTE
Aguilar
Martinez Humenik
Newell
Crowder
Lundberg
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection




BILL: HB16-1148
TIME: 02:37:01 PM
MOVED: Martinez Humenik
MOTION: Refer House Bill 16-1148, as amended, to the Committee of the Whole. The motion passed on a vote of 5-0.
SECONDED:
VOTE
Aguilar
Yes
Martinez Humenik
Yes
Newell
Yes
Crowder
Yes
Lundberg
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



02:39 PM -- SB 16-135



Senator Aguilar, bill sponsor, presented the bill. Senate Bill 16-135 allows health insurance plans to provide coverage for health care services provided by a pharmacist as part of a collaborative pharmacy practice agreement if certain conditions are met. Specifically, the health plan must provide coverage for the same service if it is provided by a licensed physician or an advanced practice nurse and the pharmacist must be included in the insurers' network of participating providers. The State Board of Pharmacy, the Colorado Medical Board, and the State Board of Nursing must jointly create rules governing collaborative pharmacy practice agreements.



Collaborative pharmacy practice agreements are voluntary agreements between a licensed pharmacist and a physician or advanced practice nurse that allow a pharmacist to provide evidence-based health care services to one or more patients pursuant to a specific treatment protocol delegated to a pharmacist or pharmacists by a physician or advanced practice nurse. Collaborative pharmacy practice agreements also may include a statewide drug therapy protocol developed by the State Board of Pharmacy and the Department of Public Health and Environment for public health care services, including health care services for smoking cessation, travel health services, and self-administered hormonal contraception.



Senator Aguilar distributed amendments L.002, L.003, and L.004 (Attachments D, E, and F) to the committee and explained each amendment.



160225 AttachD.pdf160225 AttachD.pdf160225 AttachE.pdf160225 AttachE.pdf160225 AttachF.pdf160225 AttachF.pdf



02:44 PM --
Ralph Altiere, University of Colorado Skaggs School of Pharmacy, testified in support of the bill. Committee discussion followed.



02:54 PM --
Emily Zadvorny, Provider Status Task Force, spoke in support of the bill.



02:58 PM --
Daniel Galipeau, self, spoke in support of the bill.











03:00 PM -- Constance McMenamin, Colorado Nurses Association, spoke in support of the bill.



03:01 PM --
Brad Young, Rx Plus Pharmacies, spoke in support of the bill. Committee discussion and questions followed.

BILL: SB16-135
TIME: 03:14:58 PM
MOVED: Aguilar
MOTION: Adopt amendment L.002 (Attachment D). The motion passed on a vote of 4-1.
SECONDED:
VOTE
Aguilar
Yes
Martinez Humenik
Yes
Newell
Yes
Crowder
No
Lundberg
Yes
YES: 4 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS
BILL: SB16-135
TIME: 03:17:14 PM
MOVED: Aguilar
MOTION: Adopt amendment L.003 (Attachment E). The motion failed on a vote of 2-3.
SECONDED:
VOTE
Aguilar
Yes
Martinez Humenik
No
Newell
Yes
Crowder
No
Lundberg
No
YES: 2 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: FAIL




BILL: SB16-135
TIME: 03:18:37 PM
MOVED: Lundberg
MOTION: Adopt a conceptual amendment, amending page 4 of the printed bill, line 5, strike "MALPRACTICE" and substitute "PROFESSIONAL LIABILITY". The motion passed without objection.
SECONDED:
VOTE
Aguilar
Martinez Humenik
Newell
Crowder
Lundberg
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection



03:19 PM



Amendment L.004 was not considered by the committee.

BILL: SB16-135
TIME: 03:20:01 PM
MOVED: Aguilar
MOTION: Refer Senate Bill 16-135, as amended, to the Committee on Finance. The motion passed on a vote of 5-0.
SECONDED:
VOTE
Aguilar
Yes
Martinez Humenik
Yes
Newell
Yes
Crowder
Yes
Lundberg
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



03:31 PM



The committee adjourned.




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