S_HHS_2019A 03/07/2019 01:32:09 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGSENATE COMMITTEE ON HEALTH & HUMAN SERVICES Date 03/07/2019 Attendance Crowder X Smallwood X Winter X Pettersen * Fields X X = Present, E = Excused, A = Absent, * = Present after roll call Time 01:32:09 PM to 04:08:02 PM Place LSB B This Meeting was called to order by Senator Fields This Report was prepared by Elizabeth Haskell Hearing Items Action Taken hSB19-052 Amended, referred to Senate Appropriations hHB19-1010 Referred to Senate Finance hHB19-1041 Referred to the Committee of the Whole hHB19-1068 Referred to the Committee of the Whole - Consent Calendar hHB19-1001 Amended, referred to the Committee of the Whole - Consent Calendar SB19-052 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/7C0DF91849FB...$File/190307 AttachA.pdf?OpenElement 190307 AttachA.pdf 01:34:20 PM Senator Garcia, bill sponsor, presented Senate Bill 19-052 and distributed amendment L.001 (Attachment A). The bill authorizes emergency medical service providers to practice under the medical direction of an advanced practice nurse or physician assistant, and to practice in a hospital or clinic. 01:37:06 PM Randy Kuykendall, Colorado Department of Public Health and Environment, testified in support of the bill. 01:42:29 PM Dr. Kevin McVaney, Denver Health, testified in support of the bill. 01:44:37 PM David Hansher, Emergency Medical Services Association of Colorado, testified in support of the bill. 01:46:50 PM Karen McGovern, Department of Regulatory Agencies, testified in support of the bill. 01:48:44 PM The witness panel responded to questions. 01:55:45 PM Motion Adopt amendment L.001 (Attachment A). Moved Pettersen Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 01:56:27 PM Motion Refer Senate Bill 19-052, as amended, to the Committee on Appropriations. Moved Pettersen Seconded Crowder Yes Smallwood Yes Winter Yes Pettersen Yes Fields Yes Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS HB19-1010 - Referred to Senate Finance 01:57:54 PM Senator Gardner and Senator Pettersen, bill sponsors, presented House Bill 19-1010. The bill creates a new facility license for freestanding emergency departments and requires such facilities to be licensed by the Department of Public Health and Environment (CDPHE) by July 1, 2022. 02:03:36 PM Senators Gardner and Pettersen responded to questions. 02:04:25 PM Joshua Ewing, Colorado Hospital Association, testified in support of the bill. 02:06:52 PM Andrea Stojsavljevic, Healthier Colorado, testified in support of the bill. 02:08:32 PM Jeff Thompson, UC Health, testified in support of the bill. 02:10:05 PM Randy Kuykendall, CDPHE, testified in support of the bill. 02:17:04 PM The witness panel responded to questions. 02:31:32 PM The committee continued to dialogue with the witnesses. 02:43:53 PM A.W. Schnellbacher, AARP of Colorado, testified in support of the bill. 02:48:56 PM Motion Refer House Bill 19-1010 to the Committee on Finance. Moved Pettersen Seconded Crowder Yes Smallwood No Winter Yes Pettersen Yes Fields Yes Final YES: 4 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS HB19-1041 - Referred to the Committee of the Whole 02:49:18 PM Senator Rodriguez, bill sponsor, presented House Bill 19-1041. The bill requires health facilities that perform surgery (hospitals and ambulatory surgical centers) to adopt and implement a policy to use a surgical smoke evacuation system during any procedure using energy-generating surgical medical devices that produce a gaseous by-product known as surgical smoke. 02:53:25 PM Karen Elliot, Association of Perioperative Registered Nurses(AORN), testified in support of the bill. 02:56:33 PM Mary Ogg, AORN, testified in support of the bill. 03:00:16 PM Debra Hedrick, representing herself, testified in support of the bill. 03:03:23 PM Chris Lolley, representing himself, testified in support of the health. 03:07:16 PM The witness panel responded to questions. 03:09:07 PM Melony Prince, representing herself, testified in support of the bill. 03:14:27 PM Dr. Lisa Hunsicker, representing herself, testified in support of the bill. 03:17:31 PM Michelle Jaskunas, representing herself, testified in support of the bill. 03:20:02 PM Amy Hader, AORN, testified in support of the bill. 03:22:17 PM The witness panel responded to questions. 03:23:50 PM Amber Burkhart, Colorado Hospital Association, testified in support of the bill and responded to questions. 03:25:19 PM Peggy Camp, representing herself, testified in support of the bill. 03:28:40 PM Motion Refer House Bill 19-1041 to the Committee of the Whole. Moved Pettersen Seconded Crowder Yes Smallwood Yes Winter Excused Pettersen Yes Fields Yes Final YES: 4 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS HB19-1068 - Referred to the Committee of the Whole - Consent Calendar 03:31:47 PM Senator Moreno, bill sponsor, presented House Bill 19-1068. This bill repeals an obsolete statutory provision requiring the State Board of Health to perform certain operational planning functions. 03:33:14 PM Motion Refer House Bill 19-1068 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. Moved Smallwood Seconded Crowder Yes Smallwood Yes Winter Excused Pettersen Yes Fields Yes Final YES: 4 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS HB19-1001 - Amended, referred to the Committee of the Whole - Consent Calendar Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/3943D1B7350E...$File/190307 AttachB.pdf?OpenElement 190307 AttachB.pdf 03:33:27 PM Senator Moreno, bill sponsor, presented House Bill 19-1001. The bill directs the Department of Health Care Policy and Financing (HCPF) to work in consultation with the Colorado Healthcare Affordability and Sustainability Board to develop and prepare an annual report on uncompensated costs and categorical expenditures made by hospitals in the state (hospital expenditure report). In addition to using publicly available data, each hospital in the state is required to provide HCPF with certain information outlined in the bill, including financial statements, operating expenses, and staffing information. The hospital expenditure report must include but is not limited to a description of the methods of analysis, uncompensated care costs by payer group, and a breakdown of how different categories of expenses contribute to overall costs. HCPF must post the report to its website and submit it to the General Assembly, the Governor, and the Medical Services Board by January 15 of each year beginning in 2020. The bill also requires HCPF, in consultation with the CDPHE and the Division of Insurance, to determine whether the Hospital Report Card and the Hospital Charge Report that exist under current law require any structural or substantive changes. 03:36:41 PM Joshua Ewing, Colorado Hospital Association, testified in support of the bill and responded to questions. 03:42:24 PM A.W. Schnellbacher, AARP Colorado, testified in support of the bill. 03:47:13 PM Ed Shackelford, Colorado Senior Lobby, testified in support of the bill. 03:50:01 PM Andrea Stojsavljevic, Healthier Colorado, testified in support of the bill. 03:52:19 PM Allison Neswood, Colorado Center on Law and Policy, testified ins support of the bill. 03:52:20 PM Senator Fields announced that Senator Rankin, bill sponsor, was in attendence. 03:57:19 PM Debra Judy, Colorado Consumer Health Initiative, testified in support of the bill. 03:59:22 PM John Bartholomew, HCPF, testified in support of the bill. 03:59:23 PM Senators Moreno and Rankin made closing comments and discussed amendment L.025 (Attachment B). 04:06:27 PM Motion Adopt amendment L.025 (Attachment B). Moved Pettersen Seconded Crowder Smallwood Winter Excused Pettersen Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:07:55 PM Motion Refer House Bill 19-1001, as amended, to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. Moved Pettersen Seconded Crowder Yes Smallwood Yes Winter Yes Pettersen Yes Fields Yes Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS 04:08:02 PM The committee adjourned.