H_HI_2019A 01/16/2019 01:32:45 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH & INSURANCE Date 01/16/2019 Attendance Baisley X Beckman X Buckner X Catlin E Jackson X Kipp X Mullica X Soper X Titone X Caraveo X Lontine X X = Present, E = Excused, A = Absent, * = Present after roll call Time 01:32:45 PM to 05:13:58 PM Place HCR 0107 This Meeting was called to order by Representative Lontine This Report was prepared by Anne Wallace Hearing Items Action Taken hIntroduction by Fiscal Notes Staff and OLLS Committee Discussion Only hHB19-1010 Amended, referred to House Finance hHB19-1001 Amended, referred to the Committee of the Whole Introduction by Fiscal Notes Staff and OLLS - Committee Discussion Only 01:32:56 PM Representative Lontine called the meeting to order and went over the committee's agenda. 01:32:57 PM Erin Reynolds, Legislative Council Staff, presented to the committee on the functions of the fiscal notes staff. 01:34:37 PM Yelana Love, Office of Legislative Legal Services (OLLS), presented to the committee on the functions of the OLLS. HB19-1010 - Amended, referred to House Finance Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/48C6D3E720F4...$File/190116 AttachB.pdf?OpenElement 190116 AttachB.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/E7E5637524B9...$File/190116 AttachA.pdf?OpenElement 190116 AttachA.pdf 01:36:55 PM Representative Lontine described a committee procedure memorandum that was distributed to committee members (Attachment A). 01:37:53 PM Representatives Landgraf and Mullica, bill sponsors, presented House Bill 19-1010 to the committee. The bill creates a new facility license for freestanding emergency departments and requires such facilities to be licensed by the Department of Public Health and Environment (CDPHE) by July 1, 2022. 01:42:56 PM Representatives Mullica and Landgraf responded to committee questions. Ms. Reynolds returned to the table to respond to questions about the fiscal note. 01:51:49 PM Representative Lontine proceeded with witness testimony on the bill. 01:52:06 PM Carol Pace, AARP Colorado, testified in support of the bill. 01:56:24 PM Randy Kuykendall, CDPHE, testified in support of the bill. Mr. Kuykendall responded to committee questions. 02:07:01 PM Andrea Stojsavljevic, Healthier Colorado, testified in support of the bill. 02:12:03 PM Joshua Ewing, Colorado Hospital Association, testified in support of the bill. Mr. Ewing responded to committee questions. 02:15:36 PM Jeff Thompson, UC Health, testified in support of the bill. 02:20:30 PM Representative Mullica discussed amendment L.001 (Attachment B). 02:20:30 PM Motion Adopt amendment L.001 (Attachment B). Moved Mullica Seconded Lontine Baisley Beckman Buckner Catlin Excused Jackson Kipp Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 02:21:13 PM Representative Landgraf and Mullica gave concluding remarks on the bill. 02:21:34 PM Committee members commented on the bill. 02:24:27 PM Motion Refer House Bill 19-1010, as amended, to the Committee on Finance. Moved Mullica Seconded Jackson Baisley Yes Beckman Yes Buckner Yes Catlin Excused Jackson Yes Kipp Yes Mullica Yes Soper Yes Titone Yes Caraveo Yes Lontine Yes Final YES: 10 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS HB19-1001 - Amended, referred to the Committee of the Whole Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/74B6D6E58F29...$File/190116 AttachC.pdf?OpenElement 190116 AttachC.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/F7EAB20F0BBA...$File/190116 AttachD.pdf?OpenElement 190116 AttachD.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/0BE87B062179...$File/190116 AttachH.pdf?OpenElement 190116 AttachH.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/0DDC98E22F9D...$File/190116 AttachJ.pdf?OpenElement 190116 AttachJ.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/46AE415183A4...$File/190116 AttachI.pdf?OpenElement 190116 AttachI.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/54BB066AB4E6...$File/190116 AttachG.pdf?OpenElement 190116 AttachG.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/6972F1E6E991...$File/190116 AttachE.pdf?OpenElement 190116 AttachE.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/7474B3460988...$File/190116 AttachF.pdf?OpenElement 190116 AttachF.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/9EAEAD1BE2AE...$File/190116 AttachK.pdf?OpenElement 190116 AttachK.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/DE2077CA57BB...$File/190116 AttachL.pdf?OpenElement 190116 AttachL.pdf 02:30:34 PM Representative Kennedy presented House Bill 19-1001 to the committee. The bill directs the Department of Health Care Policy and Financing (HCPF) to work in consultation with the Colorado Healthcare Affordability and Sustainability Board to develop and prepare an annual report on uncompensated costs and categorical expenditures made by hospitals in the state (hospital expenditure report). In addition to using publicly available data, each hospital in the state is required to provide HCPF with certain information outlined in the bill, including financial statements, operating expenses, and staffing information. 02:45:35 PM Representative Kennedy responded to committee questions. He distributed a handout and amendments L.001, L.004, L.005, L.006, L.007, L.008, L.009, and L.010 to the committee (Attachments C through L). 02:50:48 PM Representative Lontine proceeded with witness testimony on the bill. 02:54:33 PM Katherine Mulready, Colorado Hospital Association, testified in a neutral capacity regarding the bill. Ms. Mulready responded to committee questions. 03:15:17 PM Ms. Mulready continued to respond to committee questions. 03:21:35 PM John Bartholomew, HCPF, testified in support of the bill. Mr. Bartholomew responded to committee questions. 03:35:35 PM Robert Smith, Colorado Business Group on Health, testified in support of the bill and distributed a handout (Attachment M). Mr. Smith responded to committee questions. 03:44:51 PM Moe Keller, Mental Health Colorado, testified in support of the bill. Representative Kennedy commented. 03:58:52 PM Andrea Stojsavljevic, Healthier Colorado, testified in support of the bill. 04:03:36 PM Neal Christensen, Colorado Senior Lobby, testified in support of the bill. 04:04:30 PM Jessica Morgan, Colorado Association of Health Plans, testified in support of the bill. 04:09:01 PM Peg Brown, Department of Regulatory Agencies, testified in support of the bill. Ms. Brown responded to committee questions. 04:15:02 PM Debra Judy, Colorado Consumer Health Initiative, testified in support of the bill. 04:19:35 PM Ed Shackelford, representing himself, testified regarding the bill. Mr. Shackelford responded to committee questions. 04:30:06 PM The committee discussed amendment L.004 (Attachment E). 04:35:05 PM Motion Adopt amendment L.004 (Attachment E) to L.001 (Attachment D). Moved Jackson Seconded Caraveo Baisley No Beckman No Buckner Yes Catlin Excused Jackson Yes Kipp Yes Mullica Yes Soper Yes Titone Yes Caraveo Yes Lontine Yes YES: 8 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS 04:36:31 PM Representative Kennedy discussed amendments L.005 and L.007 (Attachments F and G) with the committee. 04:37:08 PM Motion Adopt amendment L.005 (Attachment F) to L.001 (Attachment D). Moved Jackson Seconded Titone Baisley Beckman Buckner Catlin Excused Jackson Kipp Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:46:03 PM Motion Adopt amendment L.007 (Attachment G) to L.001 (Attachment D). Moved Jackson Seconded Caraveo Baisley Beckman Buckner Catlin Excused Jackson Kipp Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:46:31 PM Motion Adopt amendment L.006 (Attachment H) to L.001 (Attachment D). Moved Buckner Seconded Mullica Baisley Beckman Buckner Catlin Excused Jackson Kipp Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:48:10 PM Motion Adopt amendment L.008 (Attachment I) to L.001 (Attachment D). Moved Titone Seconded Caraveo Baisley Beckman Buckner Catlin Excused Jackson Kipp Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:50:05 PM Motion Adopt amendment L.009 (Attachment J) to L.001 (Attachment D). Moved Jackson Seconded Caraveo Baisley Beckman Buckner Catlin Excused Jackson Kipp Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:52:09 PM Shelby Ross, OLLS, came to the table to respond to questions. 04:53:29 PM Motion Adopt amendment L.010 (Attachment K) to L.001 (Attachment D). Moved Jackson Seconded Titone Baisley Beckman Buckner Catlin Excused Jackson Kipp Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:58:08 PM Motion Adopt amendment L.011 (Attachment L) to L.001 (Attachment D). Moved Buckner Seconded Jackson Baisley Beckman Buckner Catlin Excused Jackson Kipp Mullica Soper Titone Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:58:12 PM Committee members discussed the strike below amendment. 04:59:26 PM Motion Adopt amendment L.001 (Attachment D), as amended. Moved Jackson Seconded Soper Baisley No Beckman No Buckner Yes Catlin Excused Jackson Yes Kipp Yes Mullica Yes Soper Yes Titone Yes Caraveo Yes Lontine Yes YES: 8 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS 04:59:27 PM Representative Kennedy gave concluding remarks on the bill. Committee members commented. 05:13:04 PM Motion Refer House Bill 19-1001, as amended, to the Committee of the Whole. Moved Jackson Seconded Caraveo Baisley No Beckman No Buckner Yes Catlin Excused Jackson Yes Kipp Yes Mullica Yes Soper Yes Titone Yes Caraveo Yes Lontine Yes Final YES: 8 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS 05:13:58 PM The committee adjourned.