S_HHS_2019A 04/11/2019 01:37:39 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGSENATE COMMITTEE ON HEALTH & HUMAN SERVICES Date 04/11/2019 Attendance Crowder X Smallwood X Winter * Pettersen * Fields X X = Present, E = Excused, A = Absent, * = Present after roll call Time 01:37:39 PM to 06:52:08 PM Place LSB B This Meeting was called to order by Senator Fields This Report was prepared by Elizabeth Haskell Hearing Items Action Taken hConf 19-Human Services — State Board Of Favorably Refer to Full Senate - Consent Calendar hConf 19-Health — State Board Of Favorably Refer to Full Senate - Consent Calendar hSB19-217 Amended, referred to the Committee of the Whole hHB19-1211 Referred to the Committee of the Whole hSB19-227 Amended, referred to Senate Finance hSB19-228 Amended, referred to Senate Appropriations Conf 19-Human Services — State Board Of - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/80CEED1F53DB...$File/190411 AttachA.pdf?OpenElement 190411 AttachA.pdf 01:38:17 PM Lynne Telford, appointee, introduced herself and told the committee why she would like to serve as a member the State Board of Human Services. The Governor's executive order and appointment letter may be found in Attachment A. Ms. Telford's application and resume may be found of at the State Archives. 01:41:53 PM Motion Refer the appointment of Lynne Telford to the State Board of Human Services to the full Senate with a favorable recommendation and with a recommendation that it be placed on the consent calendar. Moved Smallwood Seconded Crowder Yes Smallwood Yes Winter Yes Pettersen Excused Fields Yes Final YES: 4 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS Conf 19-Health — State Board Of - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/E33A8D8749E2...$File/190411 AttachB.pdf?OpenElement 190411 AttachB.pdf 01:42:04 PM Deborah Nelson, Colorado Department of Public Health and Environment, told the committee the about activities and charge of the State Board of Health (board). 01:44:00 PM Dr. Daniel Pastula, appointee, told the committee about his professional background and why he wants to serve as a member of the board. The Governor's executive order and appointment letter may be found in Attachment B. Dr. Pastula's application and resume may be found at the State Archives. 01:45:46 PM Dr. Evelinn Borrayo, appointee, told the committee about her background and why she wants to serve as a member the board. The Governor's executive order and appointment letter may be found in Attachment B. Dr. Borrayo's application and resume may be found at the State Archives. 01:49:11 PM Dr. Pastula and Dr. Borrayo responded to questions. 02:03:52 PM Motion Refer the appointment of Evelinn Borrayo and Daniel Pastula to the State Board of Health to the full Senate with a favorable recommendation 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 SB19-217 - Amended, referred to the Committee of the Whole Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/1E0BA1B82772...$File/190411 AttachH.pdf?OpenElement 190411 AttachH.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/21F8602B228C...$File/190416 AttachG.pdf?OpenElement 190416 AttachG.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/4549A13A6BD0...$File/190411 AttachE.pdf?OpenElement 190411 AttachE.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/6FA7230AC3DC...$File/190411 AttachD.pdf?OpenElement 190411 AttachD.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/A572F94E4406...$File/190411 AttachC.pdf?OpenElement 190411 AttachC.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/E284D0281CE7...$File/190411 AttachI.pdf?OpenElement 190411 AttachI.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/E5600F73C706...$File/190411 AttachF.pdf?OpenElement 190411 AttachF.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/44A0BC992B60...$File/190411 AttachK.pdf?OpenElement 190411 AttachK.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/D31816258982...$File/190411 AttachJ.pdf?OpenElement 190411 AttachJ.pdf 02:04:14 PM Public testimony for Senate Bill 19-217 was heard at the committee's April 4, 2019, meeting. After the testimony, Senator Fields laid the bill over for action only. 02:04:15 PM Senator Foote distributed and discussed amendments L.006, L007, L.021, L.022, and L.023 (Attachments C through G). Committee discussion followed. 02:16:19 PM Senator Pettersen discussed amendments L.018, L.019, and L.020 (Attachment H, I, and J). Committee discussion followed. 02:22:07 PM Senator Fields recessed the meeting. 02:47:34 PM Senator Fields reconvened the meeting. 02:48:00 PM Senator Pettersen discussed amendment L.025 (Attachment K). Committee discussion followed. 03:00:09 PM Motion Adopt amendment L.006 (Attachment C). Moved Crowder Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:01:07 PM Motion Adopt amendment L.007 (Attachment D). Moved Crowder Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:01:52 PM Motion Adopt amendment L.021 (Attachment E). Moved Crowder Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:02:14 PM Motion Adopt amendment L.022 (Attachment F). Moved Crowder Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:02:44 PM Motion Adopt amendment L.023 (Attachment G). Moved Crowder Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:05:13 PM Motion Refer Senate Bill 19-217, as amended, to the Committee of the Whole. Moved Crowder Seconded Crowder Yes Smallwood Yes Winter Yes Pettersen Yes Fields Yes Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS HB19-1211 - Referred to the Committee of the Whole 03:08:28 PM Senator Williams, bill sponsor, presented House Bill 19-1211. The bill establishes guidelines for health insurance carriers concerning the practice of prior authorization for medical procedures and drug benefits. The requirements do not apply to a nonprofit health maintenance organization (HMO) with respect to managed care plans that provide a majority of covered professional services through a single contracted medical group. The Commissioner of Insurance may adopt rules to implement the bill. 03:10:40 PM Dr. Kelly McMullen, Colorado Association of Family Physicians and Colorado Medical Society (CMS), testified in support of the bill. 03:14:25 PM Haven Rohnert, Colorado Cross-Disability Coalition, testified in support of the bill. 03:15:47 PM Dr. Jonathan Clapp, CMS, testified in support of the bill. 03:18:35 PM The witness panel responded to questions. 03:20:07 PM Eric Speer, CMS, testified in support of the bill. 03:22:43 PM Brenda Hulbert, Colorado Group Management Association and CMS, testified in support of the bill. 03:26:01 PM Wendy Spirek, Children's Eye Physicians, testified in support of the bill. 03:30:12 PM Christine Russell, Colorado Cross-Disability Coalition, testified in support of the bill. 03:35:23 PM Christina Johnson, Colorado Senior Lobby, testified in support of the bill. 03:36:14 PM Ed Shackelford, Aging Adults Analytics, testified in support. 03:37:21 PM Marilyn Rissmiller, CMS, responded to questions. 03:43:04 PM Senator Williams responded to questions. 03:44:12 PM Motion Refer House Bill 19-1211 to the Committee of the Whole. Moved Crowder Seconded Crowder Yes Smallwood Yes Winter Yes Pettersen Yes Fields Yes Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS SB19-227 - Amended, referred to Senate Finance Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/8BA5E71D3ACE...$File/190411 AttachN.pdf?OpenElement 190411 AttachN.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/9ECC787A88EA...$File/190411 AttachL.pdf?OpenElement 190411 AttachL.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/D4376577E202...$File/190411 AttachM.pdf?OpenElement 190411 AttachM.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/F0E5EAF4C0BD...$File/190411 AttachO.pdf?OpenElement 190411 AttachO.pdf 03:44:25 PM Senator Pettersen and Senator Gonzales, bill sponsors, presented Senate Bill 19-227 and distributed amendments L.001, L.002, L.003, and L.004 (Attachments L through O). The bill creates and expands programs and funding related to substance use disorder treatment. 03:55:45 PM Erin Reynolds, Legislative Council Staff, responded to questions about the fiscal note and the impact the proposed amendments will have on the fiscal note. 04:02:30 PM Committee discussion and questions followed. 04:02:48 PM Cristen Bates, Colorado Department of Human Services (DHS), responded to questions from the committee. Committee discussion and questions followed with Ms. Reynolds and Ms. Bates. 04:09:01 PM Ms. Bates testified in support of the bill. 04:12:39 PM Committee questions followed. 04:18:14 PM Lisa Raville, Harm Reduction Action Center, testified in support of the bill. 04:20:45 PM Kristin Karas, DanceSafe, testified in support of the bill. 04:23:31 PM Nancy VanDemark, Mental Health Colorado, testified in support of the bill. 04:25:47 PM Dr. Robert Valuck, Colorado Consortium for Prescription Drug Abuse Prevention, testified in support of the bill and commented on Senate Bill 19-228. 04:29:50 PM Emilia Long, representing herself, testified in support of the bill. 04:33:31 PM Shawn Coleman, Drug Policy Alliance, testified in support of the bill. 04:37:03 PM Senator Fields permitted Dr. Valuck to testify on Senate Bill 19-228. He testified in support of the bill. 04:41:05 PM Dr. Valuck and Senator Pettersen responded to committee questions. 04:44:04 PM Trina Faatz, representing herself, testified in support of the bill. 04:48:31 PM River Quarterman, representing himself, testified in support of the bill. 04:53:09 PM Margaret McConnellogue, representing herself, testified in support of the bill. 04:55:22 PM The witness panel responded to questions. 05:03:28 PM Dr. Dale Terasaki, Colorado Society of Addiction Medicine, testified in support of the bill. 05:07:24 PM Senators Pettersen and Gonzales made closing comments. 05:08:41 PM Senator Pettersen discussed amendment L.001 (Attachement L ). 05:09:15 PM Motion Adopt amendment L.001 (Attachment L). Moved Pettersen Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:09:31 PM Senator Pettersen discussed amendment L.002 (Attachment M). 05:09:45 PM Motion Adopt amendment L.002 (Attachment M). Moved Pettersen Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:10:17 PM Motion Adopt amendment L.003 (Attachment N). Moved Pettersen Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:10:18 PM Senator Pettersen discussed amendment L.004 (Attachment O). 05:11:04 PM Motion Adopt amendment L.004 (Attachment O). Moved Pettersen Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:11:23 PM Senators Gonzales and Pettersen made closing remarks. 05:23:59 PM Motion Refer Senate Bill 19-227, as amended, to the Committee on Finance. 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 SB19-228 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/6FADF11C173C...$File/190411 AttachP.pdf?OpenElement 190411 AttachP.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/91D793463818...$File/190411 AttachQ.pdf?OpenElement 190411 AttachQ.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/9CC47A20936E...$File/190411 AttachR.pdf?OpenElement 190411 AttachR.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/22C0334EAC5A...$File/190411 AttachS.pdf?OpenElement 190411 AttachS.pdf 05:24:08 PM Senator Winter, bill sponsor, presented Senate Bill 19-228. The bill provides funding for the implementation of several programs for the prevention of opioid and other substance use disorders. 05:31:08 PM Danielle Felder, Boys and Girls Clubs of Colorado, testified in support of the bill. 05:39:50 PM Kaycee Headrick, Boys and Girls Clubs of Larimer County, testified in support of the bill. 05:42:50 PM Committee discussion followed. 05:46:50 PM Jamie Feld, Colorado Consortium for Prescription Drug Abuse Prevention, testified in support of the bill. 05:52:33 PM Amendments L.001, L.002, L.004, and L.006 were distributed to the committee (Attachments P through S). Cristen Bates, DHS, discussed DHS' position on the amendments. 06:00:26 PM Erin Reynolds, LCS, responded to questions on the fiscal note for the bill. 06:05:17 PM Theresa Ansehm, Colorado Association of Local Public Health Officials, testified in support of the bill. 06:09:20 PM Dr. Dale Terasaki, Colorado Society of Addiction Medicine, testified in support of the bill. 06:11:07 PM Nancy VanDemark, Mental Health Colorado, testified in support of the bill. 06:13:35 PM Trina Faatz, Boulder County Public Health, testified in support of the bill. 06:16:59 PM Jillian Adams, Illuminate Colorado, testified in support of the bill. 06:20:55 PM Meghan Dollar, Colorado Municipal League, testified in support of the bill. 06:23:00 PM Dr. Will French, Colorado Veterinarian Association, testified in support of the bill. 06:26:34 PM The witness panel responded to questions. 06:28:58 PM Erin Miller, Colorado Children's Campaign, testified in support of the bill. 06:31:28 PM Mila Long, Boulder County Substance Use Advisory Group, testified in support of the bill. 06:37:29 PM Motion Adopt amendment L.001 (Attachment P). Moved Winter Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:37:45 PM Motion Adopt amendment L.002 (Attachment Q). Moved Winter Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:38:02 PM Motion Adopt amendment L.004 (Attachment R). Moved Winter Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:38:24 PM Motion Adopt amendment L.006 (Attachment S). Moved Winter Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:38:38 PM Senators Winter and Moreno made closing remarks. 06:40:42 PM Senator Crowder commented on the bill. 06:41:17 PM Committee discussion followed. 06:45:24 PM Motion Refer Senate Bill 19-228, as amended, to the Committee on Appropriations. Moved Winter Seconded Crowder No Smallwood Excused Winter Yes Pettersen Yes Fields Yes Final YES: 3 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS 06:52:08 PM The committee adjourned.