S_HHS_2019A 01/17/2019 01:34:15 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGSENATE COMMITTEE ON HEALTH & HUMAN SERVICES Date 01/17/2019 Attendance Crowder * Smallwood X Winter * Pettersen X Fields X X = Present, E = Excused, A = Absent, * = Present after roll call Time 01:34:15 PM to 05:41:57 PM Place SCR 354 This Meeting was called to order by Senator Fields This Report was prepared by Elizabeth Haskell Hearing Items Action Taken hConf 19-Health Care Policy And Financing — Executive Director — Department Of Favorably Refer to Full Senate - Consent Calendar hConf 19-Insurance — Commissioner Of Favorably Refer to Full Senate - Consent Calendar hSB19-031 Referred to the Committee of the Whole hSB19-010 Amended, referred to Senate Appropriations hSB19-015 Referred to Senate Appropriations Conf 19-Health Care Policy And Financing — Executive Director — Department Of - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/4FEC91DA8D78...$File/190117 AttachA.pdf?OpenElement 190117 AttachA.pdf 01:34:44 PM David Oppenheim, Governor's Office, introduced Kim Bimestefer, appointee to Executive Director of the Department of Health Care Policy and Financing (HCPF). 01:35:50 PM Ms. Bimestefer introduced herself to the committee and told the committee about her experience in the health care insurance field. Ms. Bimestefer responded to questions from the committee and discussed the current options for health care coverage in the state. The Governor's Executive Order and appointment letter for Ms. Bimestefer may be found in Attachment A. Her resume and application are available at the State Archives. 01:43:47 PM Ms. Bimestefer discussed health care affordability, alternate payment methodologies, and HCPF's Hospital Transformation Program. She discussed HCPF's efforts to engage stakeholders, including both patients and providers. 01:50:31 PM Ms. Bimestefer continued to dialogue with the committee about HCPF's actions to address healthcare disparities. 01:54:32 PM Motion Refer the appointment of Kim Bimestefer as the Executive Director of Department of Health Care Policy and Financing to the full Senate with a favorable recommendation and with a recommendation that it be placed on the consent calendar. Moved Pettersen Seconded Crowder Excused Smallwood Yes Winter Yes Pettersen Yes Fields Yes Final YES: 4 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS Conf 19-Insurance — Commissioner Of - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/08F8B2E76DB2...$File/190117 AttachB.pdf?OpenElement 190117 AttachB.pdf 01:54:43 PM David Oppenheim, Governor's Office, introduced Michael Conway, appointee to the Commissioner of Insurance. 01:55:46 PM Mr. Conway presented his main priorities for the Division of Insurance, including a developing a reinsurance program and a community purchasing model, and working to increase the number of insurers in rural counties. He also discussed property and casualty insurance priorities for the division, working groups to evaluate best practices, insurance coverage for the cannabis industry, and insurer technology trends. The Governor's Executive Order and appointment letter for Mr. Conway may be found in Attachment B. His resume and application are available at the State Archives. 02:11:51 PM Mr. Conway responded to committee questions. 02:21:42 PM Motion Refer the appointment of Michael Conway as the Commissioner Of Insurance to the full Senate with a favorable recommendation and with a recommendation that it be placed on the consent calendar. Moved Winter Seconded Crowder Yes Smallwood Yes Winter Yes Pettersen Excused Fields Yes Final YES: 4 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS SB19-031 - Referred to the Committee of the Whole 02:24:35 PM Senator Gardner, bill sponsor, presented Senate Bill 19-031. The bill increases the number of members appointed to the Child Welfare Allocations Committee by county commissioners from eight to ten, with the requirement that the county commissioners in the two counties with the greatest percentage of the state's child welfare caseload each appoint one member. Correspondingly, the bill decreases the number of DHS appointments from five members to three members and removes the requirement that at least two members appointed by the DHS represent the two counties with the greatest percentage of the state's child welfare caseload. 02:26:51 PM Mark Waller, El Paso County Commissioner, testified in support of the bill. 02:30:40 PM Nancy Sharpe, Arapahoe County Commissioner, testified in support of the bill. 02:33:25 PM Don Mares, Denver County Human Services, testified in support of the bill. 02:36:14 PM Committee discussion and questions followed. 02:44:31 PM Motion Refer Senate Bill 19-031 to the Committee of the Whole. Moved Crowder Seconded Crowder Yes Smallwood Yes Winter Excused Pettersen Yes Fields Yes Final YES: 4 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS SB19-015 - Referred to the Committee of the Whole 02:46:32 PM Senator Ginal, bill sponsor, presented Senate Bill 19-015. The bill creates the Health Care Legislative Review Committee (HCLRC) as an ongoing interim committee of the General Assembly. The HCLRC will study health care issues affecting Colorado residents and includes members of the legislative health committees. The HCLRC may meet up to two times per legislative interim, and these meetings may include field trips by the committee. 02:52:18 PM Senator Ginal responded to questions from the committee. 02:59:02 PM Christina Johnson, Colorado Senior Lobby, testified in support of the bill. 03:01:13 PM Kelley Horton, Colorado Senior Lobby, testified in support of the bill. 03:03:50 PM Anne McGihon, Colorado Association of Naturopathic Doctors, testified in support of the bill. 03:06:44 PM Kelly Erb, Colorado Rural Health Association, testified in support of the bill. 03:09:21 PM Committee questions followed. 03:12:48 PM Yelana Love, Office of Legislative Legal Services, responded to questions from committee members. 03:15:20 PM Motion Refer Senate Bill 19-015 to the Committee of the Whole. Moved Pettersen Seconded Crowder Yes Smallwood No Winter Yes Pettersen Yes Fields Yes YES: 4 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS SB19-010 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/2B67DCA4FB14...$File/190117 AttachD.pdf?OpenElement 190117 AttachD.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/E216F702E0F4...$File/190117 AttachE.pdf?OpenElement 190117 AttachE.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/E6CDA2F3A81A...$File/190117 AttachC.pdf?OpenElement 190117 AttachC.pdf 03:15:31 PM Senator Fields, bill sponsor, presented Senate Bill 19-010. The bill modifies the Behavioral Health Care Professional Matching Grant Program, also known as the School Health Professionals Grant program, to allow grant funding to be used for behavioral health care services, including screenings, counseling, therapy, referrals to community organizations, and training for students and staff on behavioral health issues. Behavioral health care services include services to prevent, identify, and treat substance use disorders, substance misuse, and mental health disorders. In addition, the bill: increases the amount of the appropriation that the Colorado Department of Education (CDE) may use for administration from 3 percent to 5 percent; allows grant recipients to use the funding to contract with a community partner for behavioral health care services, or to provide direct services by a school health professional through telehealth technology; requires that grant applicants include certain information in their applications, including data demonstrating the need for a school health professional, the extent to which the education provider has experienced certain factors that impact student wellbeing, and the extent to which the applicant prioritizes staff training related to behavioral health supports; and includes licensed mental health professionals in the definition of school health professional. 03:23:07 PM Senator Fields responded to questions. 03:23:16 PM Anna Gerstle, Legislative Council Staff, responded to committee questions. 03:24:31 PM Committee discussion followed. 03:24:44 PM Misti Ruthven, Colorado Department of Education (CDE), responded to questions from the committee. 03:26:46 PM Sarah Mathew, CDE, responded to questions from the committee. 03:28:11 PM Senator Fields distributed a handout to the committee (Attachment C). 03:32:58 PM Ms. Mathew and Ms. Ruthven responded to questions. 03:39:46 PM Valerie Schleht, Colorado-Cross Disability Coalition, testified in support of the bill. 03:41:27 PM Cam Short-Camilli, National Association of Social Workers and Colorado School Social Work Association, testified in support of the bill. 03:44:21 PM Ellen Stern, Children's Hospital Colorado, testified in support of the bill. 03:45:41 PM Committee comments and discussion followed. 03:54:42 PM Ms. Stern responded to committee questions. 03:56:12 PM Sarah Davidon, Mental Health Colorado, testified in support of the bill. 04:00:09 PM Sonja Linman, Roaring Fork School District, testified in support of the bill. 04:04:40 PM Michelle Murphy, Rural Schools Alliance, testified in support of the bill. 04:09:01 PM Committee discussion and questions followed. 04:10:30 PM Shelby Ross, OLLS, responded to questions. 04:11:03 PM Dr. Davidon responded to questions. 04:13:19 PM Ms. Ross responded to questions. Committee discussion continued. 04:22:33 PM Evie Hudak, Colorado Parent Teacher Association, testified in support of the bill. 04:26:17 PM Tammy Wollbrinck, Colorado Association of School Nurses, testified in support of the bill. 04:31:17 PM Sarah Barnes, Colorado Children's Campaign, testified in support of the bill and responded to questions. Committee discussion followed. 04:36:45 PM Erin Pier, representing herself, testified in support of the bill. 04:41:01 PM Jacque Phillips, representing herself, testified in support of the bill. 04:44:45 PM Kellen Oliver, representing himself, testified in support of the bill. Committee comments and questions followed. 05:04:22 PM Ms. Ross responded to questions. 05:06:46 PM Ms. Wollbrinck responded to questions. Committee discussion followed. 05:10:02 PM Alison Hargarten, Colorado Society of School Psychologists, testified in support of the bill. 05:27:35 PM Senator Fields discussed amendment L.003 (Attachement D). 05:29:14 PM Motion Adopt Amendment L.003 (Attachment D). Moved Pettersen Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:29:15 PM Senator Fields discussed amendment L.001 (Attachment E). 05:30:16 PM Motion Adopt amendment L.001 (Attachment E). Moved Fields Seconded Crowder No Smallwood No Winter Yes Pettersen Yes Fields Yes YES: 3 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS 05:32:06 PM Motion This is a conceptual amendment. Page 2, strike line 14 and substitute "state-certified school nurse, school psychologist, school social worker, school counselor, or". Moved Fields Seconded Crowder Yes Smallwood No Winter Yes Pettersen Yes Fields Yes YES: 4 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 05:33:55 PM Motion This is a conceptual amendment. Page 5, strike line 4 through 6, and substitute "(e) The extent to which the education provider has seen increased incidence of disciplinary actions for drug use or selling drugs, in suicide attempts, deaths by suicide, bullying, adverse". Moved Fields Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:35:42 PM Motion This is a conceptual amendment. Page 2, line 16 strike "INCLUDING", strike lines 17 and 18. Moved Smallwood Seconded Crowder Yes Smallwood Yes Winter No Pettersen No Fields No YES: 2 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: FAIL 05:38:24 PM Motion This is a conceptual amendment. Insert a definition of "Adverse childhood experiences". Moved Smallwood Seconded Crowder Smallwood Winter Pettersen Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Withdrawn 05:40:20 PM Motion Refer Senate Bill 19-010, as amended, to the Committee on Appropriations. Moved Pettersen Seconded Crowder Yes Smallwood No Winter Yes Pettersen Yes Fields Yes Final YES: 4 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS SB19-015 - Referred to Senate Appropriations 05:41:13 PM Motion Reconsider Senate Bill 19-015. Moved Pettersen Seconded Crowder Yes Smallwood No Winter Yes Pettersen Yes Fields Yes YES: 4 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 05:41:42 PM Motion Refer Senate Bill 19-015 to the Committee on Appropriations. Moved Pettersen Seconded Crowder Yes Smallwood No Winter Yes Pettersen Yes Fields Yes Final YES: 4 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 05:41:43 PM 05:41:57 PM The committee adjourned.