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S_HHS_2017A 04/27/2017 Committee Summary

Final

STAFF SUMMARY OF MEETING



SENATE COMMITTEE ON HEALTH & HUMAN SERVICES

Date: 04/27/2017
ATTENDANCE
Time: 01:30 PM to 04:08 PM
Aguilar
X
Crowder
X
Place: SCR 354
Kefalas
X
Martinez Humenik
X
This Meeting was called to order by
Smallwood
X
Senator Smallwood
This Report was prepared by
Elizabeth Haskell
X = Present, E = Excused, A = Absent, * = Present after roll call
Bills Addressed: Action Taken:
Conf 17- Colorado Children's Trust Fund Board

Conf 17- Colorado Health Facilities Authority

Conf 17- State Board Of Health

Committee Dialogue with Dr. Wolk, Executive Director, CDPHE

Conf 17-Hospital Provider Fee Oversight And Advisory Board

Presentation by HCPF on the Hospital Provider Fee

HB17-1285
Favorably Refer to Full Senate - Consent

Favorably Refer to Full Senate - Consent

Favorably Refer to Full Senate - Consent

Witness Testimony and/or Committee Discussion Only

Favorably Refer to Full Senate - Consent

Witness Testimony and/or Committee Discussion Only

Referred to Senate Finance



01:31 PM -- Confirmation of Colorado Children's Trust Fund Board



Deborah Kenny, appointed for a term expiring November 7, 2017, told the committee about her professional experience and why she would like to serve as a member of the Colorado Children's Trust Fund Board.



01:33 PM



Lisa Merlino Hill, reappointed for a term expiring November 7, 2019, told the committee about her professional experience and why she would like to serve as a member of the Colorado Children's Trust Fund Board.





The Governor's executive order appointing Dr. Kenny and Ms. Merlino Hill may be found in Attachment A. Their applications and resumes may be found at the State Archives.



170427 AttachA.pdf170427 AttachA.pdf

BILL: Conf 17- Colorado Children's Trust Fund Board
TIME: 01:34:32 PM
MOVED: Crowder
MOTION: Refer the appointment of Deborah Kenny and Lisa Merlino Hill to the Colorado Children's Trust Fund Board 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
Crowder
Yes
Kefalas
Yes
Martinez Humenik
Yes
Smallwood
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



01:35 PM -- Confirmation of Colorado Health Facilities Authority



Beverly Sloan, appointed for a term expiring June 30, 2020, told the committee about her professional experience and why she would like to serve as a member of the Colorado Health Facilities Authority.



01:36 PM



Don Marostica, appointed for a term expiring June 30, 2020, told the committee about his professional experience and why he would like to serve as a member of the Colorado Health Facilities Authority. Mr. Marostica responded to questions from the committee.





The Governor's executive order appointing Ms. Sloan and Mr. Marostica may be found in Attachment B. Their applications and resumes may be found at the State Archives.



170427 AttachB.pdf170427 AttachB.pdf

BILL: Conf 17- Colorado Health Facilities Authority
TIME: 01:38:23 PM
MOVED: Martinez Humenik
MOTION: Refer the appointment of Beverly Sloan and Don Marostica to the Colorado Health Facilities Authority 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
Crowder
Yes
Kefalas
Yes
Martinez Humenik
Yes
Smallwood
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



01:39 PM -- Confirmation of State Board Of Health



Dr. Evelinn Borrayo, appointed for a term expiring March 1, 2019, told the committee about her professional experience and why she would like to serve as a member of the State Board Of Health.



01:41 PM



Matthew VanAuken, reappointed for a term expiring March 1, 2021, told the committee about his professional experience and why he would like to continue serve as a member of the State Board Of Health. Mr. VanAuken responded to questions from the committee.



01:47 PM



Michael Anthony Cappello, appointed for a term expiring March 1, 2021, told the committee about his professional experience and why he would like to serve as a member of the State Board Of Health. Dr. Cappello responded to questions from the committee.



01:50 PM



Shawn Turk, appointed for a term expiring March 1, 2021, told the committee about his professional experience and why he wants to serve on the State Board of Health. Mr. Turk responded to questions from the committee.














01:53 PM



Patricia Hammon, appointed for a term expiring March 1, 2021, told the committee about her professional experience and why she would like to serve as a member of the State Board Of Health.

Ms. Hammon responded to questions from the committee.



01:57 PM



Lew Gaiter, appointed for a term expiring March 1, 2021, told the committee about his professional experience and why he would like to serve as a member of the State Board Of Health. Commissioner Gaiter responded to questions from the committee.



The Governor's executive order and appointment letter may be found in Attachment C. The appointees' applications and resumes may be found at the State Archives.



170427 AttachC.pdf170427 AttachC.pdf

BILL: Conf 17- State Board Of Health
TIME: 02:03:44 PM
MOVED: Martinez Humenik
MOTION: Refer the appointment of Evelinn Borrayo, Matthew VanAuken, Michael Anthony Cappello, Shawn Turk, Patricia Hammon, and Lew Gaiter to the State Board Of 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
Crowder
Yes
Kefalas
Yes
Martinez Humenik
Yes
Smallwood
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



02:05 PM -- Committee Dialogue with Dr. Wolk, Executive Director, Colorado Department of Public Health and Environment




Dr. Larry Wolk, Executive Director, Colorado Department of Public Health and Environment, provided background information about the department's efforts to develop a standardized form for declaring an exemption from the state immunization requirements.





02:16 PM



Committee discussion and questions followed about the reporting and recording of an exemption from immunization requirements and the benefits and risks associated with immunization.



02:31 PM



Michael Nicoletti, CDPHE, came to the table and responded to questions from the committee.



02:35 PM



Committee discussion continued about the department's efforts to eliminate confusion over the immunization forms and the process for claiming exemptions. Mr. Nicoletti responded to questions.



02:44 PM



Dr. Wolk continued to discuss the department's role is supporting immunization as a public health priority. The committee continued to dialogue with Dr. Wolk and Mr. Nicoletti.



03:02 PM



Committee members made final comments.



03:05 PM -- Confirmation of Hospital Provider Fee Oversight And Advisory Board



Dan Enderson, appointed for a term expiring May 15, 2020, told the committee about his professional experience and why he would like to serve as a member of the Hospital Provider Fee Oversight and Advisory Board.

03:06 PM



Kimberly Monjesky, appointed for a term expiring May 15, 2020, told the committee about her professional experience and why she would like to serve as a member of the Hospital Provider Fee Oversight and Advisory Board.



03:08 PM



Senator Smallwood announced that the committee would consider the reappointment of George O'Brien even though he was not able to attend the hearing in person.



Nancy Dolson told the committee about George O’Brien's professional experience and why he should continue to serve as a member of the Hospital Provider Fee Oversight and Advisory Board for a term expiring May 15, 2020.







The Governor's executive orders appointing Ms. Monjesky, Mr. Enderson and Mr. O'Brien may be found in Attachment D. Their applications and resumes may be found at the State Archives.



170427 AttachD.pdf170427 AttachD.pdf

BILL: Conf 17- Hospital Provider Fee Oversight and Advisory Board
TIME: 03:16:16 PM
MOVED: Martinez Humenik
MOTION: Refer the appointment of Dan Enderson, George O'Brien, and Kimberly Monjesky to the Hospital Provider Fee Oversight And Advisory Board 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 3-0, with two excused.
SECONDED:
VOTE
Aguilar
Yes
Crowder
Excused
Kefalas
Excused
Martinez Humenik
Yes
Smallwood
Yes
Final YES: 3 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS



03:17 PM



The committee recessed.



03:29 PM



The committee reconvened.



03:30 PM - Presentation of the Hospital Provider Fee by HCPF



Nancy Dolson, Colorado Department of Health Care Policy and Financing, distributed three handouts to the committee (Attachments E, F, and G). She discussed the federal Medicaid match rates by population. Committee discussion followed.



170427 AttachE.pdf170427 AttachE.pdf170427 AttachF.pdf170427 AttachF.pdf170427 AttachG.pdf170427 AttachG.pdf



03:35 PM



Ms. Dolson discussed hospital quality incentive payments and responded to questions.











03:41 PM



Ms. Dolson discussed the impact of the Hospital Provider Fee on health care costs. Committee discussion and questions followed.



03:47 PM -- HB 17-1285




Senators Cooke and Jahn, co-prime bill sponsors, presented House Bill 17-1285. Under current law, the water pollution control program administered by the Colorado Department of Public Health and Environment (CDPHE) is funded by a mix of General Fund and fees from regulated entities. This bill increases the fee portion of funding for these programs. Before the General Assembly adjusts the fees again, the department is required to engage in a stakeholder process to determine the adequate and appropriate fee levels, and the total funding for the state's discharge permit system. The bill establishes goals for the ratio of fee revenue to General Fund revenue for each sector of the program.



03:51 PM -- Michael Nicoletti, CDPHE, testified in support of the bill. Mr. Nicoletti responded to questions from the committee.



03:58 PM -- Jim Cole, Colorado Oil and Gas Association, testified in support of the bill.



04:00 PM -- Bill Skewes, Colorado Association of Commerce and Industry, testified in support of the bill.



04:00 PM --
Richard Orf, Colorado Mining Association and Colorado Water Congress, testified in support of the bill.



04:00 PM --
Jeff Weist, Associated General Contractors of Colorado, testified in support of the bill.



04:01 PM --
Morgan Cullen, Colorado Municipal League, testified in support of the bill.



04:01 PM --
Sophie San Miguel, representing herself, testified in support of the bill.





04:04 PM



Senators Cooke and Jahn made closing comments.

BILL: HB17-1285
TIME: 04:05:49 PM
MOVED: Martinez Humenik
MOTION: Refer House Bill 17-1285 to the Committee on Finance. The motion passed on a vote of 4-0, with one excused.
SECONDED:
VOTE
Aguilar
Yes
Crowder
Excused
Kefalas
Yes
Martinez Humenik
Yes
Smallwood
Yes
Final YES: 4 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS



04:08 PM



Senator Smallwood adjourned the meeting.




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