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S_HHS_2019A 04/11/2019 01:37:39 PM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
SENATE 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
Conf 19-Human Services — State Board Of Favorably Refer to Full Senate - Consent Calendar
Conf 19-Health — State Board Of Favorably Refer to Full Senate - Consent Calendar
SB19-217 Amended, referred to the Committee of the Whole
HB19-1211 Referred to the Committee of the Whole
SB19-227 Amended, referred to Senate Finance
SB19-228 Amended, referred to Senate Appropriations

Conf 19-Human Services — State Board Of - Favorably Refer to Full Senate - Consent Calendar


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


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


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


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


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.






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The House will meet in limited session on Thursday, April 2nd. The Senate adjourned. The Capitol will be open for the duration of the session for those with essential business related to the session. The building will not be available for public tours. People without essential business are encouraged to access the session through the General Assembly website and Colorado Channel.  Anybody with essential business related to the session will be required to practice appropriate social distancing measures.