S_HHS_2023A 03/23/2023 01:35:12 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGSENATE COMMITTEE ON HEALTH & HUMAN SERVICES Date 03/23/2023 Attendance Buckner X Cutter X Jaquez Lewis * Kirkmeyer X Mullica * Rich X Will X Ginal X Fields X Time 01:35:12 PM to 08:18:28 PM Place SCR 357 This Meeting was called to order by Fields This Report was prepared by Jerard Brown Hearing Items Action Taken hConf 23-Child Abuse Prevention Board Favorably Refer to Full Senate - Consent Calendar hConf 23-Prescription Drug Affordability Review Board- Colorado Favorably Refer to Full Senate - Consent Calendar hHB23-1195 Referred to the Committee of the Whole - Consent Calendar hSB23-174 Amended, referred to the Committee of the Whole - Consent Calendar hSB23-014 Referred to Senate Appropriations hSB23-176 Amended, referred to Senate Appropriations hSB23-179 Amended, referred to Senate Appropriations Conf 23-Child Abuse Prevention Board - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/AA648A7FACCC...$File/Attachment A.pdf?OpenElement Attachment A.pdf 01:35:14 PM Kathryn Wells, Nadyne Montiel de Gagnier, and Christine Meyer appointees to the Child Abuse Prevention Trust Fund, came to the table. The appointment letter may be found in Attachment A. Mr. Aaron Miller, introduced the appointees. The appointees described their background in child welfare and discussed their reasons for wanting to serve on the trust fund. 01:42:47 PM Motion Refer the appointment of Kathryn Wells, Nadyne Montiel de Gagnier, Christine Meyer to the Conf 23-Child Abuse Prevention Board to the full Senate with a favorable recommendation and with a recommendation that it be placed on the consent calendar. Moved Ginal Seconded Buckner Yes Cutter Excused Jaquez Lewis Yes Kirkmeyer Yes Mullica Yes Rich Yes Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS Conf 23-Prescription Drug Affordability Review Board- Colorado - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment B http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/8D01E72D5B8A...$File/Attachment B.pdf?OpenElement Attachment B.pdf 01:43:08 PM James VandenBerg, reappointee to the Prescription Drug Affordability Review Board, came to the table. The appointment letter may be found in Attachment B. Ms. Lila Cummings introduced the appointee. Mr. VandenBerg described his background in prescription drug affordability and discussed his reasons for wanting to serve on the board. Committee members asked Mr. VandenBerg questions. 01:57:10 PM Motion Refer the appointment of James VandenBerg to the Conf 23-Prescription Drug Affordability Review Board- Colorado to the full Senate with a favorable recommendation and with a recommendation that it be placed on the consent calendar. Moved Ginal Seconded Buckner Yes Cutter Excused Jaquez Lewis Yes Kirkmeyer Yes Mullica Yes Rich Yes Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS HB23-1195 - Referred to the Committee of the Whole - Consent Calendar Attachment Tag File Name Attachment C http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/EF2794658212...$File/Attachment C.pdf?OpenElement Attachment C.pdf Attachment D http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/DA2EE76FAF52...$File/Attachment D.pdf?OpenElement Attachment D.pdf 01:57:16 PM Senator Ginal and Senator Kirkmeyer, co-prime bill sponsors, presented House Bill 23-1195 concerning authorizing prescription drug outlets to operate automated pharmacy dispensing systems to dispense prescription medications to patients. The prescription drug outlets are responsible for the security, operation, and maintenance of the automated dispensing system, and must ensure a pharmacist, whether in-person or online, provides the necessary clinical services for patients accessing the system. The bill requires prescription drug outlets with automated pharmacy systems to follow certain requirements and to develop written policies and procedures for the automated system and review them annually. 02:06:00 PM Dr. Ky Davis, representing RxPlus Pharmacies and Independent Pharmacy Cooperative, testified to amend the bill. Committee members asked Dr. Davis questions. 02:07:39 PM Senator Kirkmeyer explained amendment L.012 (Attachment C). 02:08:40 PM Motion Adopt amendment L.012 (Attachment C). Moved Ginal Seconded Buckner Cutter Excused Jaquez Lewis Kirkmeyer Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 02:08:53 PM Senator Kirkmeyer explained amendment L.011 (Attachment D). 02:09:55 PM Motion Adopt amendment L.011 (Attachment D). Moved Ginal Seconded Buckner Cutter Excused Jaquez Lewis Kirkmeyer Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 02:12:02 PM Motion Refer House Bill 23-1195 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. Moved Ginal Seconded Buckner Yes Cutter Excused Jaquez Lewis Excused Kirkmeyer Yes Mullica Yes Rich Yes Will Yes Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS SB23-174 - Amended, referred to the Committee of the Whole - Consent Calendar Attachment Tag File Name Attachment E http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/484AFC8796B1...$File/Attachment E.pdf?OpenElement Attachment E.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/0C7361FD3C18...$File/Attachment F.pdf?OpenElement Attachment F.pdf 02:12:08 PM Senator Kolker, co-prime sponsor, presented Senate Bill 23-17 concerning requiring select mental health services to be covered for Medicaid members under 21 through the managed care system and the School Health Services Program. The Department of Health Care Policy and Financing must engage stakeholders and notify impacted entities. 02:17:13 PM Bridget Anshus, representing Mental Health Colorado, testified in support of the bill. John Laukkanen, representing the Colorado Department of Health Care Policy and Financing, testified in support of the bill. Christina Walker, representing Healthier Colorado, testified in support of the bill. Angela Kimball, representing Inseparable, testified in support of the bill. Dr. Ayelet Talmi, representing Children's Hospital Colorado, testified to amend the bill. Committee members asked the panel questions. 02:32:50 PM Mr. Daniel Hall, representing themself, testified in support of the bill. Mr. David LaRocca, representing Boulder County Public Health, testified in support of the bill. Khatira Amn, representing the Spring Institute for Intercultural Learning, testified in support of the bill. Ms. Marcie Buel, representing themself, testified in support of the bill. Ms. Dawn Fritz, representing the Colorado Parent Teacher Association, testified in support of the bill. Committee members asked the panel questions. 02:52:14 PM Ms. Edie Sonn, representing the Colorado Behavioral Healthcare Council, testified in support of the bill. Ms. Milena Castaneda, representing the Colorado Center on Law and Policy, testified in support of the bill. 02:56:38 PM Ms. Deborah Mahan, representing the Colorado Mental Health Consortium, testified in support of the bill. Additional written testimony can be found in Attachment E. 03:01:37 PM Senator Kolker explained amendment L.002 (Attachment F). 03:02:25 PM Motion Adopt amendment L.002 (Attachment F). Moved Cutter Seconded Buckner Cutter Jaquez Lewis Excused Kirkmeyer Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 03:03:14 PM Senator Kolker and the committee provided closing remarks. 03:07:16 PM Motion Refer Senate Bill 23-174, as amended, to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. Moved Cutter Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Kirkmeyer Yes Mullica Yes Rich Yes Will Yes Ginal Yes Fields Yes Final YES: 9 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS SB23-014 - Referred to Senate Appropriations Attachment Tag File Name Attachment G http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/6AD41FA78AF9...$File/Attachment G - Combined.pdf?OpenElement Attachment G - Combined.pdf 03:08:08 PM Senator Moreno, prime sponsor, introduced Senate Bill 23-014 concerning creating the Office of Disordered Eating Prevention in the Department of Public Health and Environment. The office will be advised by a Disordered Eating Prevention Commission and will provide grant funding for research on risk factors, impacts, and interventions associated with disordered eating. 03:12:07 PM Mr. Kyle Turk, representing the Natural Products Association, withdrew their opposition to the bill. 03:14:11 PM McKenna Ganz, representing the Eating Disorder Foundation, testified in support of the bill. Claire Engels, representing the Eating Disorder Foundation, testified in support of the bill. Aimee Resnick, representing the Colorado Youth Advisory Council, testified in support of the bill. Sabrina Scanga, representing themself, testified in support of the bill. 03:27:25 PM Lydia Rhino, representing themself, testified in support of the bill. Dr. Jennifer Hagman, representing the Colorado Psychiatric Society and the Colorado Child and Adolescent Psychiatric Society, testified in support of the bill. Emma Warford, representing themself, testified in support of the bill. Ms. Serena Nangia, representing themself, testified in support of the bill. Maria Neiers, representing themself, testified in support of the bill. Committee members asked the panel questions. 03:48:49 PM Autumn Brooks, representing Clear Creek School District Re-1, testified in support of the bill. Ms. Karen Le, representing Young Invincibles, testified in support of the bill. Michael Ruddock, representing the Adams County Health Department, testified in support of the bill. Ms. Riley Judd, representing themself, testified in support of the bill. Committee members asked the panel questions. 04:03:33 PM Dr. Erin Harrop, representing themself, testified in support of the bill. Ms. Cheyenne McGinniss, representing themself, testified in support of the bill. Steven Haden, representing Envision You, testified in support of the bill. 04:17:11 PM Sarah Van Hook, representing themself, testified in support of the bill. Kimberly Dufresne, representing themself, testified in support of the bill. Achilles Johnson, representing themself, testified in support of the bill. Additional written testimony can be found in Attachment G. 04:30:32 PM Senator Moreno and committee members provided closing remarks. 04:36:04 PM Motion Refer Senate Bill 23-014 to the Committee on Appropriations. Moved Ginal Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Kirkmeyer No Mullica Yes Rich No Will No Ginal Yes Fields Yes Final YES: 6 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: PASS SB23-176 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment H http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/ADD0B88605AA...$File/Attachment H - Combined.pdf?OpenElement Attachment H - Combined.pdf Attachment I http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/D96B09E89B80...$File/Attachment I.pdf?OpenElement Attachment I.pdf Attachment J http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/010095215C3D...$File/Attachment J.pdf?OpenElement Attachment J.pdf Attachment K http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/79E5DA131CFA...$File/Attachment K.pdf?OpenElement Attachment K.pdf Attachment L http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/16AF7F4E92C6...$File/Attachment L.pdf?OpenElement Attachment L.pdf Attachment M http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/E74BC228307E...$File/Attachment M.pdf?OpenElement Attachment M.pdf 04:36:18 PM Senator Moreno and Senator Cutter, co-prime bill sponsors, introduced Senate Bill 23-176 concerning creating prohibitions and requirements related to health care services for individuals with disordered eating. 04:43:40 PM Ms. Serena Nangia, representing themself, testified in support of the bill. Emma Troughton, representing themself, testified in support of the bill. Ms. Phoebe Bawmann, representing themself, testified in support of the bill. Ms. Pamela Cody, representing themself, testified in support of the bill. 05:00:27 PM Ms Emma Mahn, representing themself, testified in support of the bill. Alli Broderick, representing themself, testified in support of the bill. Kimberly Dufresne, representing themself, testified in support of the bill. Elizabeth Newman, representing the Colorado Coalition Against Sexual Assault, testified in support of the bill. 05:14:21 PM Mr. Christopher Howes, representing the Colorado Retail Council, testified to amend the bill. Dr. Elizabeth Easton, representing the Eating Recovery Center, testified to amend the bill. Melanie Layton, representing the Consumer Healthcare Products Association, testified to amend the bill. Mr. Brandon Arnold, representing the Colorado Association of Health Plans, testified to amend the bill. Mr. Alan Lewis, representing Natural Grocers, testified in opposition to the bill. Committee members asked the panel questions. 05:31:02 PM Ms. Cheyenne McGinniss, representing themself, testified in a neutral position on the bill. Maggie Moore, representing the Eating Recovery Center, testified to amend the bill. Ovidio Bermudez, representing the Eating Recovery Center, testified to amend the bill. Mr. David Bachman, representing themself, testified to amend the bill. 05:48:01 PM Amy Moreno, representing themself, testified in support of the bill. Dr. Patricia Westmoreland, representing the Colorado Psychiatric Society, testified in a neutral position on the bill. Mx. Eric Dorsa, representing themself, testified to amend the bill. Committee members asked the panel questions. 06:04:01 PM Ms. Shay Ayres, representing themself, testified to amend the bill. McKenna Ganz, representing The Eating Disorder Foundation, testified in support of the bill. Claire Engels, representing The Eating Disorder Foundation, testified in support of the bill. Sarah Staron, representing Young Invincibles, testified in support of the bill. Committee members asked the panel questions. 06:18:32 PM Sabrina Scanga, representing themself, testified in support of the bill. Alli Daley, representing Children's Hospital Colorado, testified in support of the bill. Lauren Snyder, representing Mental Health Colorado, testified in support of the bill. Mx. Zamora Evans, representing Envision:You, testified in support of the bill. 06:30:40 PM Dr. Erin Harrop, representing themself, testified in support of the bill. Steven Haden, representing Envision You, testified in support of the bill. Dr. Lisa Erlanger, representing themself, testified in support of the bill. Scout Silverstein, representing Equip Health, testified in support of the bill. Committee members asked the panel questions. 06:54:18 PM Anne O'Melia, representing the Eating Recovery Center, testified to amend the bill. Dr. Jennifer Hagman, representing the Colorado Psychiatric Society and the Colorado Child and Adolescent Psychiatric Society, testified in a neutral position on the bill. Mr. Thomas Miller, representing the Behavioral Health Administration, was available to answer committee questions. Additional written testimony may be found in Attachment H. 07:04:19 PM Senator Moreno explained amendment L.001 and L.002 (Attachments I and J ). 07:08:22 PM Motion Adopt amendment L.002 (Attachment I). Moved Cutter Seconded Buckner Cutter Jaquez Lewis Kirkmeyer Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 07:08:45 PM Motion Adopt amendment L.001 (Attachment J). Moved Cutter Seconded Buckner Cutter Jaquez Lewis Kirkmeyer Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 07:08:58 PM Senator Moreno explained amendment L.003 (Attachment K). 07:09:39 PM Motion Adopt amendment L.003 (Attachment K). Moved Cutter Seconded Buckner Cutter Jaquez Lewis Kirkmeyer Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 07:10:10 PM Senator Moreno explained amendments L.004 and L.005 (Attachments L and M). 07:11:39 PM Motion Adopt amendment L.005 (Attachment L). Moved Cutter Seconded Buckner Cutter Jaquez Lewis Kirkmeyer Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 07:12:08 PM Motion Adopt amendment L.004 (Attachment M). Moved Cutter Seconded Buckner Cutter Jaquez Lewis Kirkmeyer Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 07:12:20 PM Co-prime bill sponsors and committee members provided closing remarks. 07:16:11 PM Motion Refer Senate Bill 23-176, as amended, to the Committee on Appropriations. Moved Cutter Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Kirkmeyer Excused Mullica Yes Rich No Will Yes Ginal Yes Fields Yes Final YES: 7 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS SB23-179 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment N http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/9456A73E803A...$File/Attachment N.pdf?OpenElement Attachment N.pdf Attachment O http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/26C6F553BAEA...$File/Attachment O.pdf?OpenElement Attachment O.pdf Attachment P http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/6E4748FAF0D0...$File/Attachment P.pdf?OpenElement Attachment P.pdf Attachment Q http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/66C01DEF7964...$File/Attachment Q.pdf?OpenElement Attachment Q.pdf 07:16:23 PM The committee recessed. 07:28:38 PM The committee resumed. 07:28:52 PM Senator Moreno and Senator Will, co-prime bill sponsors, presented Senate Bill 23-179 concerning placing disclosure requirements around dental loss ratios, which are the percentage of dental coverage premium dollars spent on services. After two years of data collection, the Commissioner of Insurance will promulgate rules to identify carriers that significantly deviate from the average dental loss ratio and may investigate or take enforcement action against these carriers. Committee members asked the co-prime sponsors questions. 07:37:09 PM Dr. Karen Foster, representing the Colorado Dental Association, testified in support of the bill. Mr. Brandon Arnold, representing the Colorado Association of Health Plans, testified to amend the bill. Mr. Stuart Jenkins, representing Healthier Colorado, testified in support of the bill. Mrs. Kelly Campbell, representing Americas Health Insurance Plans, testified to amend the bill. Committee members asked the panel questions. 07:47:11 PM Ms. Melissa Young, representing the American Council of Life Insurers, testified in support of the bill. Mr. Adeeb Khan, representing Delta Dental of Colorado Foundation, testified to amend the bill. Ms. Helen Drexler, representing Delta Dental of Colorado, testified to amend the bill. Committee members asked the panel questions. 07:59:38 PM Dr. Lindsay Compton, representing the Colorado Dental Association, testified in support of the bill. Dr. Leah Schulz, representing the Colorado Dental Association, testified in support of the bill. Joanne Kelley, representing Philanthropy Colorado , testified in a neutral position on the bill. Additional written testimony can be found in Attachment N. 08:09:36 PM Senator Moreno introduced amendment L.001 (Attachment O). 08:10:28 PM Motion Adopt amendment L.001 (Attachment O). Moved Will Seconded Buckner Cutter Jaquez Lewis Kirkmeyer Excused Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 08:10:40 PM Senator Moreno introduced amendment L.002 (Attachment P). 08:11:47 PM Motion Adopt amendment L.002 (Attachment P). Moved Will Seconded Buckner Cutter Jaquez Lewis Kirkmeyer Excused Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 08:11:50 PM Senator Moreno introduced amendment L.004 (Attachment Q). 08:13:29 PM Motion Adopt amendment L.004 (Attachment Q). Moved Will Seconded Buckner Cutter Jaquez Lewis Kirkmeyer Excused Mullica Rich Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 08:13:31 PM Co-prime sponsors and committee members provided closing remarks. 08:17:59 PM Motion Refer Senate Bill 23-179, as amended, to the Committee on Appropriations. Moved Will Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Kirkmeyer Excused Mullica Yes Rich Yes Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS 08:18:28 PM The committee adjourned.