S_HHS_2024A 01/19/2024 10:27:46 AM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGJOINT COMMITTEE COMMITTEE ON JOINT HEALTH Date 01/19/2024 Attendance Bradfield X Bradley X Brown * Cutter X English * Evans X Ginal X Hamrick * Hernandez * Holtorf * Jaquez Lewis X Lieder * McCormick * Michaelson Jenet X Mullica X Ortiz E Rich E Smallwood E Will X Young X Daugherty * Fields X Time 10:27:46 AM to 05:01:02 PM Place Old State Library This Meeting was called to order by Fields This Report was prepared by Jerard Brown Hearing Items Action Taken hJoint Budget Committee Briefing Committee Discussion Only hWaitlist for Persons with Intellectual and Developmental Disabilities Presentation Committee Discussion Only hSMART Government Act Briefing from the Department of Health Care Policy and Financing (HCPF) Committee Discussion Only hWorking Group for Criteria for Placement of Juvenile Offenders Presentation Committee Discussion Only hSMART Government Act Briefing from the Department of Early Childhood (DEC) Committee Discussion Only hEarly Childhood Leadership Commission (ECLC) Presentation Committee Discussion Only hSMART Government Act Briefing from the Department of Human Services (DHS) Committee Discussion Only Joint Budget Committee Briefing - Committee Discussion Only Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/368233DF9079...$File/Attachment A.pdf?OpenElement Attachment A.pdf Attachment B http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/E3DE42CD183C...$File/Attachment B.pdf?OpenElement Attachment B.pdf 10:28:37 AM Members of the Joint Budget Committee (JBC) presented the proposed budget for relevant Health committees. Senator Kirkmeyer reviewed budget items reserved for Health and Human Services bills. 10:39:05 AM Committee members asked members of the JBC questions about their presentation so far. 10:40:14 AM Senator Kirkmeyer continued her presentation by discussing HCPF and Behavioral Health Administration (BHA) budget requests. 10:56:41 AM Committee members asked members of the JBC questions. 11:02:34 AM Senator Kirkmeyer continued her presentation by discussing the Department of Regulatory Agencies' (DORA) budget requests. Materials were provided to the committee (Attachments A and B). Waitlist for Persons with Intellectual and Developmental Disabilities Presentation - Committee Discussion Only Attachment Tag File Name Attachment C http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/9388F90E7036...$File/Attachment C.pdf?OpenElement Attachment C.pdf Attachment D http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/F7E33ECC59BE...$File/Attachment D.pdf?OpenElement Attachment D.pdf 11:07:42 AM Bonnie Silva, Office of Community Living Director, HCPF; Madison Kaemerer, Budget and Policy Analyst, Joint Budget Committee Staff; Tara Kiene, Chief Executive Officer, Community Connections Inc.; and Randy Brodersen, Executive Director, North Metro Community Services joined to the committee to present on the Waitlist for Persons with Intellectual and Developmental Disabilities (IDD). Ms. Silva discussed HCPF's efforts to reach the end of the IDD waitlist. Ms. Kiene presented on the challenges facing providers that serve the IDD waitlist. Mr. Brodersen concluded with recommendations for improving the waitlist. A copy of the presenation and additional materials were provided to the committee (Attachments C and D). 11:34:17 AM Committee members asked the presenters questions. 11:41:16 AM Ms. Cindy Stevens, representing themself, testified. Brenda Noel, representing Ability Access, testified. Committee members asked the panel questions. SMART Government Act Briefing from the Department of Health Care Policy and Financing (HCPF) - Committee Discussion Only Attachment Tag File Name Attachment E http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/705D5C34134C...$File/Attachment E.pdf?OpenElement Attachment E.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/8CFE0842A16C...$File/Attachment F.pdf?OpenElement Attachment F.pdf 12:00:17 PM Dr. Kim Bimestefer, Executive Director, HCPF; Rachel Reiter, Policy, Communications, and Administration Office Director, HCPF; Bonnie Silva, Office of Community Living Director, HCPF; Adela Flores-Brennan, Medicaid Director, HCPF; Cristen Bates, Behavioral Health Initiatives and Coverage Office Director, HCPF; and Bettina Schneider, Chief Financial Officer, HCPF presented on the Department of Health Care Policy and Financing. Dr. Bimestefer discussed the implications of the end of the public health emergency for Colorado, efforts to manage Medicaid costs, reduce prescription drug costs, and reach the department's Wildly Important Goals (WIGs). Ms. Schneider provided an overview of HCPF's budget requests. Ms. Flores-Brennan discussed the department's emerging legislative agenda. Ms. Bates covered the department's reproductive health care program, changes to Medicaid for wheelchair repairs, and costs for mental health reimbursement. Ms. Reiter discussed how the department plans on addressing the results of the department's most recent audits. Ms. Silva presented on stimulus funding implementation. A copy of the presentation and additional materials were provided to the committee (Attachments E and F). 12:46:51 PM Committee members asked the panel questions. 01:16:48 PM Jamie Ulrich, representing Weld County Department of Human Services, testified. Working Group for Criteria for Placement of Juvenile Offenders Presentation - Committee Discussion Only Attachment Tag File Name Attachment G http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/85C14777EC71...$File/Attachment G.pdf?OpenElement Attachment G.pdf Attachment H http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/0F948A425B78...$File/Attachment H.pdf?OpenElement Attachment H.pdf 01:20:37 PM Anders Jacobson, Director, Division of Youth Services presented on the Colorado Youth Detention Continuum Statute. Mr. Jacobson discussed the Criteria for Placement of Juvenile Offenders Working Group recommendations. A copy of the presentation and additional materials were provided to the committee (Attachments G and H). 01:33:39 PM Committee members asked the panel questions. 01:34:33 PM The committee recessed. SMART Government Act Briefing from the Department of Early Childhood (DEC) - Committee Discussion Only Attachment Tag File Name Attachment I http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/983D8EA5E2AE...$File/Attachment I.pdf?OpenElement Attachment I.pdf Attachment J http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/BB2E4C9048EE...$File/Attachment J.pdf?OpenElement Attachment J.pdf 02:04:35 PM Dr. Lisa Roy, Executive Director, DEC; Stephanie Beasley, Deputy Executive Director, DEC; Mary Alice Cohen, Chief Program Officer, DEC; Jeanni Stefanik, Chief Financial Officer, DEC; Dawn Odean, Universal Preschool Director, DEC presented on the Colorado Department of Early Childhood. Dr. Roy provided the committee with an overview of DEC's values, mission, and strategies. Additionally, Dr. Roy outlined the Department's legislative agenda. Ms. Odean provided the committee with the successes and intended improvements for the Universal Preschool Director. Ms. Cohen provided the committee with how the Department has been upholding its WIGs and and grant opportunities. Ms. Cohen also provided an overview of the Department's CCCAP program. Ms. Cohen also provided a review of the Department's stimulus funding implementation. Stefanik provided the committee with an overview of the Department's budget request. A copy of the presentation and additional materials were provided to the committee (Attachments I and J). 02:46:08 PM Committee members asked the panel questions. Early Childhood Leadership Commission (ECLC) Presentation - Committee Discussion Only Attachment Tag File Name Attachment K http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/CC30C9E4BE82...$File/Attachment K.pdf?OpenElement Attachment K.pdf 02:58:38 PM Kristina Heyl, State and Community partnership manager, ECLC; Shannon Wilson, Administrator, ECLC presented on the Early Childhood Leadership Commission. Ms. Heyl presented an outline of the organizations structure, history, principles, and purpose. Ms. Wilson provided the committee with the organizations successes and 10-year strategic plan. A copy of the presentation was provided to the committee (Attachment K). SMART Government Act Briefing from the Department of Human Services (DHS) - Committee Discussion Only Attachment Tag File Name Attachment L http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/E67440D761A7...$File/Attachment L.pdf?OpenElement Attachment L.pdf Attachment M http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/D4019AD0B7CD...$File/Attachment M.pdf?OpenElement Attachment M.pdf Attachment N http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/309032AEAD97...$File/Attachment N.pdf?OpenElement Attachment N.pdf Attachment O http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/CFD293D45044...$File/Attachment O.pdf?OpenElement Attachment O.pdf Attachment P http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/1056A6729689...$File/Attachment P.pdf?OpenElement Attachment P.pdf Attachment Q http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/A9ECAADB89A1...$File/Attachment Q.pdf?OpenElement Attachment Q.pdf 03:07:25 PM Katharyn Morrison, Chief Strategy Officer, DHS; Perry May, Chief Director of Health Facilities, DHS; Pedro Almedia, Deputy Executive Director of Administrative Solutions, DHS; Minna Castillo, Interim Deputy Executive Director of Community Partnership, DHS; Christina Beisel, Budget Director; DHS; Clint Woodruff, Deputy Executive Director of Financial Services and Chief Financial Officer, DHS; Kelly Causey, Deputy Commissioner of Engagement, Behavior Health Administration, DHS; Stephen Peng, Chief Financial officer, Behavior health Administration, DHS. Ms. Morrison provided the committee with an overview of the Department's purpose, organizational structure, and existing programs. Ms. Morrison also outlined the Department's WIGs. Mr. May outlined the WIGs specific to his department. Mr. Perry also spoke on the staffing shortages the Department has experienced. Ms. Castillo outlined the WIGs specific to her department. Ms. Castillo also touched on bills that came out of the child welfare interim committee. Ms. Beisel provided the committee with information regrading the Department's stimulus spending, budget request, and legislative agenda. Mr. Almedia provided additional information to the committee regarding the Department's budget request. A copy of the presentation and additional materials were provided to the committee (Attachments L-O). 03:48:42 PM Committee members asked the DHS panel questions. 04:29:03 PM Ms. Causey provided the committee with the BHA's purpose, EDI updates, legislative agenda, Mr. Peng provided the committee with information regarding the BHA's activities and programs, organizational chart, strategies, stimulus funding, and budget priorities. A copy of the presentation and additional materials were provided to the committee (Attachments P and Q). 04:49:02 PM Committee members asked the panel questions. 05:01:02 PM The committee adjourned.