S_HHS_2023A 03/30/2023 01:53:37 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGSENATE COMMITTEE ON HEALTH & HUMAN SERVICES Date 03/30/2023 Attendance Buckner * Cutter X Jaquez Lewis * Mullica X Rich X Smallwood X Will X Ginal X Fields X Time 01:53:37 PM to 06:40:47 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-Brain Injury Trust Fund Board — Colorado Favorably Refer to Full Senate - Consent Calendar hConf 23-Human Services — State Board Of Favorably Refer to Full Senate - Consent Calendar hSB23-173 Amended, referred to Senate Appropriations hHB23-1077 Amended, referred to Senate Appropriations hHB23-1183 Referred to Senate Appropriations hSB23-195 Amended, referred to Senate Appropriations Conf 23-Brain Injury Trust Fund Board — Colorado - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/472442F428CF...$File/Attachment A.pdf?OpenElement Attachment A.pdf 01:53:46 PM Angela Wickersham, Jason Kacmarski, Jennifer Coker, Rebecca Wasil, and Veronica Zarlingo, appointees to the Colorado Brain Injury Trust Fund Board, joined the committee. The Appointment letter may be found in Attachment A. Liz Gerdeman introduced the appointees. The appointees described their background and reasons for wanting to serve on the board. Committee members made comments to the appointees. 02:06:44 PM Motion Refer the appointment of Angela Wickersham, Jason Kacmarski, Jennifer Coker, Rebecca Wasil, Veronica Zarlingo to the Conf 23-Brain Injury Trust Fund Board — Colorado to the full Senate with a favorable recommendation and with a recommendation that it be placed on the consent calendar. Moved Ginal Seconded Buckner Yes Cutter Yes Jaquez Lewis Excused Mullica Excused Rich Yes Smallwood Yes Will Yes Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS Conf 23-Human Services — State Board Of - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment B http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/C1F465FA23F0...$File/Attachment B.pdf?OpenElement Attachment B.pdf 02:06:49 PM Kay Cowling, and Elizabeth Lowdermilk, appointees to the State Board of Human Services, joined the committee. The Appointment letter may be found in Attachment B. Kyle Zinth introduced the appointees. The appointees described their background and reasons for wanting to serve on the board. Committee members made comments to the appointees. 02:12:13 PM Motion Refer the appointment of Kay Cowling, Elizabeth Lowdermilk to the Conf 23-Human Services — State Board Of 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 Yes Jaquez Lewis Excused Mullica Yes Rich Yes Smallwood Yes Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS SB23-173 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment C http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/92EDE780A2F0...$File/Attachment C.pdf?OpenElement Attachment C.pdf Attachment D http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/8AEA49F63E4F...$File/Attachment D.pdf?OpenElement Attachment D.pdf 02:12:48 PM Senator Fields and Senator Liston, co-prime bill sponsors, presented Senate Bill 23-179 concerning making changes to the child support system that were recommended by the Colorado Child Support Commission. 02:17:07 PM Child Support Commision Chair Tracy Rumans, representing the Colorado Child Support Commission, testified in support of the bill. Jennifer Reyes, representing the Colorado Child Support Commission, testified in support of the bill. Division Director Larry Desbien, representing the Colorado Department of Human Services, testified in support of the bill. Committee members asked the panel questions. 02:25:15 PM Mr Ray Washington, representing Fatherhood Support Services, testified in support of the bill. 02:28:07 PM Senator Fields explained amendment L.001 (Attachment C). 02:29:04 PM Motion Adopt amendment L.001 (Attachment C). Moved Fields Seconded Buckner Cutter Jaquez Lewis Excused Mullica Rich Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 02:29:59 PM Senator Liston explained amendment L.002 (Attachment D). 02:30:47 PM Motion Adopt amendment L.002 (Attachment D). Moved Fields Seconded Buckner Cutter Jaquez Lewis Excused Mullica Rich Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 02:31:21 PM Committee members provided closing remarks. 02:33:32 PM Motion Refer Senate Bill 23-173, as amended, to the Committee on Appropriations. Moved Fields Seconded Buckner Yes Cutter Excused Jaquez Lewis Yes Mullica Yes Rich Yes Smallwood Yes Will Excused Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS HB23-1077 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment E http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/A4B7854E4354...$File/Attachment E.pdf?OpenElement Attachment E.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/AE84A49CA190...$File/Attachment F.pdf?OpenElement Attachment F.pdf Attachment G http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/59CD027AC72D...$File/Attachment G.pdf?OpenElement Attachment G.pdf Attachment H http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/EA07B7D45D4C...$File/Attachment H.pdf?OpenElement Attachment H.pdf 02:33:48 PM Senator Winter and Senator Jaquez Lewis, co-prime bill sponsors, presented House Bill 23-1077 concerning requiring health professionals, students, and trainees to obtain informed consent from sedated or unconscious patients before performing intimate examinations. Committee members asked the co-prime sponsors questions. 02:50:20 PM Elizabeth Newman, representing the Colorado Coalition Against Sexual Assault, testified in support of the bill. Katie Hancock, representing Mx. Indra Lusero and Elephant Circle , testified in support of the bill. Ms. Megan Matthews, representing the Colorado Trial Lawyers Association, testified in support of the bill. Committee members asked the panel questions. 03:13:10 PM Ms. Sandra Little, representing themself, testified in support of the bill. Vincent Miller, representing themself, testified in support of the bill. A'magine Goddard, representing At Your Cervix, testified in support of the bill. Elaine McManis, representing the Colorado Department of Public Health and Environment, was available to answer committee questions. 03:23:19 PM Lauren Smith, representing Soul 2 Soul Sisters, testified in support of the bill. Committee members asked questions of Ms. Smith. 03:26:58 PM Ms. Amy Reyes, representing themself, testified in support of the bill. Additional written testimony may be found in Attachment E. 03:30:00 PM Senator Jaquez Lewis explained amendment L.005 (Attachment F). 03:31:17 PM Motion Adopt amendment L.005 (Attachment F). Moved Jaquez Lewis Seconded Buckner Cutter Excused Jaquez Lewis Mullica Rich Smallwood Will Excused Ginal Fields YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 03:32:38 PM Senator Winter explained amendment L.006 (Attachment G). 03:33:10 PM Motion Adopt amendment L.006 (Attachment G). Moved Jaquez Lewis Seconded Buckner Cutter Jaquez Lewis Mullica Rich Smallwood Will Excused Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 03:33:29 PM Senator Jaques Lewis explained amendment L.007 (Attachment H). 03:33:54 PM Motion Adopt amendment L.007 (Attachment H). Moved Jaquez Lewis Seconded Buckner Cutter Jaquez Lewis Mullica Rich Smallwood Will Excused Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 03:33:55 PM Senator Winter and Senator Jaquez Lewis provided closing remarks. 03:34:43 PM Committee members provided closing remarks. 03:41:44 PM Motion Refer House Bill 23-1077, as amended, to the Committee on Appropriations. Moved Jaquez Lewis Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Yes Smallwood No Will Excused Ginal Yes Fields Yes Final YES: 7 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS HB23-1183 - Referred to Senate Appropriations Attachment Tag File Name Attachment I http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/20DEC5329A77...$File/Attachment I - Combined.pdf?OpenElement Attachment I - Combined.pdf 03:43:12 PM Senator Winter, prime sponsor, presented House Bill 23-1183 concerning requiring the Department of Health Care Policy and Financing (HCPF) to review applications to exempt prescriptions for serious or complex medical conditions from any requirement to try an alternative drug (step-therapy requirement). 03:46:43 PM Mr. Brett Michelin, representing the Association for Accessible Medicines, testified to amend the bill. 03:49:10 PM Melissa Horn, representing the Arthritis Foundation, testified in support of the bill. Mr, RJ Ours, representing the American Cancer Society Cancer Action Network, testified in support of the bill. 03:54:48 PM Rachel Peterson, representing themself, testified in support of the bill. 03:57:48 PM Ms. Jill Dean, representing the Chronic Care Collaborative, testified in support of the bill. 03:59:56 PM Mrs. Sara Froelich, representing Rebecca Gillett, testified in support of the bill. Mrs. Marcee Aude, representing the Epilepsy Foundation of CO and WY, testified in support of the bill. Committee members asked the panel questions. Additional written testimony can be found in Attachment I. 04:13:18 PM Motion Refer House Bill 23-1183 to the Committee on Appropriations. Moved Ginal Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Yes Smallwood Yes Will Excused Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS SB23-195 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment J http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/F34662378292...$File/Attachment J - Combined.pdf?OpenElement Attachment J - Combined.pdf Attachment K http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/D237A77D808F...$File/Attachment K.pdf?OpenElement Attachment K.pdf Attachment L http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/2521F78E2B0D...$File/Attachment L.pdf?OpenElement Attachment L.pdf Attachment M http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/5360416A5073...$File/Attachment M.pdf?OpenElement Attachment M.pdf 04:13:24 PM The committee recessed. 04:14:02 PM The committee resumed. 04:24:35 PM Senator Winter and Senator Will, co-prime bill sponsors, presented Senate Bill 23-195 concerning requiring health insurance plans to include any payments made by the covered person or on their behalf when calculating their total contribution towards meeting cost-sharing requirements. Committee members asked the bill sponsors questions. 04:36:16 PM Mr. Patrick Boyle, representing the Pharmacy Care Management Association, testified in opposition to the bill. Karlee Tebbutt, representing AHIP, testified in opposition to the bill. Jason Hopfer, representing the Colorado Association of Health plans, testified in opposition to the bill. Committee members asked the panel questions. 04:47:56 PM The committee recessed. 05:18:31 PM The committee resumed. 05:26:56 PM Dr. Kavita Nair, representing themself, testified in support of the bill. Stacy Hodgson, representing the National Multiple Sclerosis Society, testified in support of the bill. Ms. Bryn Dunham, representing the National Hemophilia Foundation Colorado Chapter, testified in support of the bill. Mr. Victor Miller, representing themself, testified in support of the bill. 05:40:21 PM Nathan Wilkes, representing themself, testified in support of the bill. Ms. Gabrielle Flores, representing themself, testified in support of the bill. Mr. Bob Bongiovanni, representing Colorado Individuals and Organizations Responding to HIV/AIDS, testified in support of the bill. Dr. Lynn Parry, representing the Colorado Medical Society, testified in support of the bill. Committee members provided comments to the panel. 05:53:56 PM Ms. Monica VanBuskirk, representing Meapta Inc., testified in support of the bill. Emma Hudson provided testimony on behalf of Dr. John Corboy in support of the bill. 06:00:51 PM Mrs. Emily Lucas, representing themself, testified in support of the bill. Mr. Clark Hansen, representing the ALS Association, testified in support of the bill. Mr. RJ Ours, representing the American Cancer Society Cancer Action Network, testified in support of the bill. Barb Cardell, representing Colorado Organizations and Individuals Responding to HIV/AIDS and US Positive Women's Network, testified in support of the bill. 06:13:34 PM Ms. Gretchen Mills, representing the National Multiple Sclerosis Society, testified in support of the bill. Additional written testimony may be found in Attachment J. 06:23:54 PM Senator Will explained L.001 (Attachment K). 06:24:23 PM Motion Adopt amendment L.001 (Attachment K). Moved Will Seconded Buckner Cutter Jaquez Lewis Mullica Rich Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:24:51 PM Senator Jaquez Lewis explained amendment L.005 (Attachment L). 06:29:10 PM Motion Adopt amendment L.005 (Attachment L). Moved Jaquez Lewis Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Yes Smallwood Yes Will No Ginal Yes Fields Yes YES: 8 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 06:29:12 PM Senator Winter explained amendment L.006 (Attachment M). 06:30:28 PM Motion Adopt amendment L.006 (Attachment M). Moved Will Seconded Buckner Cutter Jaquez Lewis Mullica Rich Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:30:38 PM Senator Winter and Senator Will provided closing remarks. 06:40:34 PM Motion Refer Senate Bill 23-195, as amended, to the Committee on Appropriations. Moved Will Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Yes Smallwood No Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 06:40:47 PM The committee adjourned.