H_HI_2023A 01/12/2023 09:53:39 AM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGJOINT COMMITTEE COMMITTEE ON JOINT HEALTH Date 01/12/2023 Attendance Amabile X Bradfield X Bradley X Buckner X Cutter * deGruy Kennedy * English * Garcia * Ginal X Gonzales-Gutierrez X Hamrick X Hartsook X Holtorf * Jaquez Lewis X Jodeh X Lieder X McCormick X Michaelson Jenet X Mullica X Ortiz * Rich * Smallwood X Soper * Story X Titone X Weinberg X Will E Willford E Young X Fields X Daugherty * Time 09:53:39 AM to 05:53:44 PM Place Old State Library This Meeting was called to order by Daugherty This Report was prepared by Amanda King Hearing Items Action Taken hJoint Budget Committee JR 25 Briefing Committee Discussion Only hWaitlist for Persons with IDD Presentation Committee Discussion Only hPublic Testimony Related to the Waitlist for Persons with IDD Committee Discussion Only hSMART Government Act Briefing for the Department of Health Care Policy and Financing Committee Discussion Only hPublic Testimony Related to the Department of Health Care Policy and Financing Committee Discussion Only hSMART Government Act Briefing for the Department of Early Childhood Committee Discussion Only hEarly Childhood Leadership Commission Presentation Committee Discussion Only hPublic Testimony Related to the Department of Early Childhood Committee Discussion Only hSMART Government Act Briefing for the Department of Human Services Committee Discussion Only hPublic Testimony Related to the Department of Human Services Committee Discussion Only Joint Budget Committee JR 25 Briefing - Committee Discussion Only Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/CB9F5519453E...$File/Attachment A.pdf?OpenElement Attachment A.pdf 09:54:47 AM Senator Zenzinger, Joint Budget Committee (JBC) Chair, introduced the the other members of the JBC. She highlighted the departments that will be discussed during the presentation, which included the Department of Health Care Policy and Financing (HCPF), Department of Human Services (DHS), Department of Public Health and Environment (CDPHE), the Department of Early Childhood (DEC), and the Department of Regulatory Agencies (DORA). Senator Zenzinger referenced the JBC Staff Budget Briefing Summary booklet, which can be accessed at the following website: https://leg.colorado.gov/sites/default/files/fy23-24brfsum-12-16-22.pdf. She also introduced the JBC Staff. A meeting agenda was distributed to the committee (Attachment A). 10:03:46 AM Senator Kirkmeyer reviewed the HCPF budget briefing documents. She highlighted the R7 budget request concerning provider rates. Senator Kirkmeyer and Senator Zenzinger responded to questions from the committee regarding the R2 budget request related to behavioral health funding. 10:18:14 AM Senator Kirkmeyer discussed the DHS budget briefing documents. She highlighted the R2 budget request regarding preventing youth homelessness. Senator Zenzinger responded to questions from the committee regarding the DHS budget requests. 10:30:45 AM Senator Kirkmeyer reviewed the Behavioral Health Administration (BHA) budget requests. She highlighted the BHA R1 request regarding BHA personnel. Senator Zenzinger highlighted the chart on page 59 of the JBC Staff Budget Briefing Summary booklet of annualized prior year legislation for DHS. 10:36:28 AM Senator Zenzinger presented on the CDPHE budget requests. She highlighted the R3 budget request concerning health facilities cash fund fee relief and the R6 budget request concerning vital statistics fee relief. Senator Zenzinger also discussed the R7 budget request concerning syphilis outreach. 10:41:33 AM Committee members discussed the budget request concerning syphilis outreach. 10:43:13 AM Senator Zenzinger discussed the DORA budget briefing documents. She highlighted the R1 budget request concerning the Division of Insurance senior staffing and the R3 budget request concerning resources for the Prescription Drug Affordability Review Board. Senator Zenzinger and Representative Bird responded to questions from the committee. 10:57:37 AM Senator Zenzinger discussed the DEC budget briefing documents. She highlighted the following budget requests: - R4 concerning early intervention caseload; - R6 concerning early childhood mental health support; - R9 concerning child sexual abuse prevention training; - R10 concerning provider rates; and - R11 concerning the nurse home visitor program. Senator Zenzinger responded to questions from the committee. Senator Kirkmeyer made additional comments to the committee. Senator Zenzinger made concluding remarks to the committee. Waitlist for Persons with IDD Presentation - Committee Discussion Only Attachment Tag File Name Attachment B http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/370E596FC826...$File/Attachment B.pdf?OpenElement Attachment B.pdf 11:10:27 AM Bonnie Silva, HCPF, presented to the committee on the waitlist for persons with Intellectual and Developmental Disabilities, as required by Section 25.5-10-207.5, C.R.S. 11:11:55 AM Randy Brodersen, North Metro Community Services, presented to the committee concerning the waitlist for persons with intellectual and developmental disabilities. 11:15:30 AM Sally Montgomery, Mosaic, presented to the committee concerning the waitlist for persons with intellectual and developmental disabilities. She highlighted workforce issues providers are facing. 11:18:38 AM Ms. Silva provided a powerpoint presentation to the committee (Attachment B). She discussed what are long-term services and supports, who receives long-term services and supports, and long-term services and supports programs. Ms. Silva discussed the waiver services for persons with intellectual and developmental disabilities. 11:24:29 AM Ms. Silva discussed the waitlist progress and management. She discussed how HCPF is attempting to meet the needs of people on the waitlist while they are waiting for services. Ms. Silva stated that since FY 14-15, the state has invested $287 million in ending the waitlist. She highlighted other related initiatives the state is undertaking, including Children’s Habilitation Residential Program Waiver Expansion, elimination of sub-minimum wage employment, and remote supports. 11:33:20 AM Ms. Silva answered questions from the committee. Public Testimony Related to the Waitlist for Persons with IDD - Committee Discussion Only 11:37:43 AM No one testified on the waitlist for persons with intellectual and developmental disabilities. SMART Government Act Briefing for the Department of Health Care Policy and Financing - Committee Discussion Only Attachment Tag File Name Attachment C http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/1FE91FEC9E36...$File/Attachment C (Combined).pdf?OpenElement Attachment C (Combined).pdf 11:38:48 AM Kim Bimestefer, Executive Director, HCPF, presented to the committee, as required by the SMART Government Act. A powerpoint and other materials concerning HCPF were provided to the committee (Attachment C). Ms. Bimestefer highlighted the HCPF mission and gave an overview of the department's organizational structure. 11:43:33 AM Ralph Choate, Chief Operations Officer, HCPF, presented to the committee concerning the ending of continuous coverage requirements. 11:46:13 AM Ms. Bimestefer discussed the department's efforts to manage costs. She discussed the Medicaid population, value-based payments, and efforts to manage prescription drug costs. Ms. Bimestefer reviewed hospital transparency reports. She reviewed the department's goals and current projects. 11:54:04 AM Ms. Bimestefer responded to questions from the committee. 11:57:31 AM Bonnie Silva, Office of Community Living Director, HCPF, presented to the committee on the department's use of federal American Rescue Plan Act (ARPA) funds for home and community based services. Ms. Silva and Ms. Bimestefer responded to questions from the committee. 12:18:52 PM Cristen Bates, Behavioral Health Initiatives and Coverage Office Director, HCPF, presented to the committee on the ARPA funds used by HCPF to address behavioral health, as well as the Statewide Supportive Housing Expansion Pilot Project. Ms. Bimestefer and Ms. Silva responded to questions from the committee. 12:27:55 PM Adela Flores Brennan, Medicaid Director, HCPF, and Ms. Bimestefer responded to questions from the committee. Ms. Silva and Ms. Bates responded to additional questions from the committee. 12:38:00 PM The panelists continued to respond to questions from the committee members. 12:42:17 PM Ms. Flores Brennan presented to the committee on HCPF's equity, diversity, inclusion, and accessibility and health equity efforts. She reviewed the Accountable Care Collaborative care delivery model. Ms. Flores Brennan highlighted aspects of the department's legislative agenda and regulatory agenda. She provided the reports required by House Bill 18-1321, concerning urgent non-emergent medical transportation, and Senate Bill 21-009, concerning the Reproductive Health Care Program. 12:56:16 PM Mr. Choate provided the report required by Senate Bill 17-121, concerning improving Medicaid correspondence. Ms. Bates provided the reports required by Senate Bill 19-195, concerning children and youth behavioral health system improvements, and House Bill 21-1085, concerning secure transportation in behavioral health crisis. 01:00:35 PM Ms. Bimestefer provided concluding remarks to the committee. Ms. Bates responded to questions from the committee. Public Testimony Related to the Department of Health Care Policy and Financing - Committee Discussion Only 01:04:08 PM No one testified on this agenda item. The committee recessed. SMART Government Act Briefing for the Department of Early Childhood - Committee Discussion Only Attachment Tag File Name Attachment D http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/D123FBA2C56B...$File/Attachment D (Combined).pdf?OpenElement Attachment D (Combined).pdf 02:03:45 PM The committee came to order. Director Lisa Roy began the presentation and gave an overview of the leadership team and different offices within the Department of Early Childhood (DEC). A powerpoint and other documents concerning DEC were submitted to the committee (Attachment D). 02:08:31 PM Director Roy went over goals for the department. 02:20:00 PM DEC staff continued to answer questions from the committee. 02:36:26 PM Deputy Director Mary Alice Cohen continued with the presentation. 02:43:19 PM Deputy Director Cohen went over different grant programs through the department. Deputy Director Cohen answered questions from the committee. 02:51:56 PM Deputy Director Cohen presented information on different units within the department. 02:54:43 PM Director Tom Massey gave an overview of the Office of Administrative Solutions and the units that operate within it. 02:55:27 PM Michelle Stillwell-Parvensky gave an overview of the legislative agenda for the DEC. 02:59:56 PM Jeanni Stefanik, Chief Financial Officer, gave an overview of the budget request made by the department and other fiscal information. Early Childhood Leadership Commission Presentation - Committee Discussion Only Attachment Tag File Name Attachment E http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/ED6F21DA2138...$File/Attachment E.pdf?OpenElement Attachment E.pdf 03:05:18 PM Kristina Heyl, Partnerships and Collaboration Unit Manager, gave an overview of the duties and responsibilities of the Early Childhood Leadership Commission (ECLC). A copy of the presentation was submitted to the committee (Attachment E). 03:10:15 PM Ms. Heyl went over future goals and plans for the ECLC. Public Testimony Related to the Department of Early Childhood - Committee Discussion Only 03:12:51 PM No one testified on this agenda item. SMART Government Act Briefing for the Department of Human Services - Committee Discussion Only Attachment Tag File Name Attachment F http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/1D5CB0A044AD...$File/Attachment F (Combined).pdf?OpenElement Attachment F (Combined).pdf Attachment G http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/601D36A1446E...$File/Attachment G (Combined).pdf?OpenElement Attachment G (Combined).pdf 03:14:58 PM Michelle Barnes, Executive Director, gave an overview of the Department of Human Services (DHS) including services they provide and workforce information. A copy of the presentation and other relevant documents were submitted to the committee (Attachment F). 03:17:12 PM Kevin Neimond, Chief Policy and Communications Director, went over the legislative and regulatory agenda for the department. 03:28:57 PM Telly Belton, Recovery Officer, went over stimulus spending by the department. 03:36:04 PM DHS staff answered questions from the committee. 03:46:26 PM Director Branch gave an overview of the goals for the department. 03:48:46 PM Pedro Almeida, Deputy Executive Director of Administrative Solutions, spoke about staffing issues within the department and what DHS is doing to combat them. 03:55:05 PM DHS staff answered questions from the committee. 04:01:43 PM Leora Joseph, Direct of Office of Civil and Forensic Mental Health, gave an overview of the office and shared information on inpatient restoration orders. 04:13:32 PM Barry Pardus, Interim Director of Office of Economic Security, shared information about the office and different programs for food and energy assistance. 04:25:00 PM DHS staff answered questions from the commitee. 04:36:20 PM Cole Chandler, Director of Homelessness Initiatives, presented on goals and implementation efforts to combat homelessness. Director Chandler answered questions from the committee. 04:47:31 PM Director Webb answered questions from the committee. 04:55:25 PM Minna Castillo Cohen, Director of the Office of Children, Youth and Families, gave an overview of the offices, divisions, programs within it. 05:02:15 PM Director Cohen went over the budget request from the office. 05:20:18 PM Dr. Morgan Medlock, Commissioner, Behavioral Health Administration (BHA), gave an overview of the divisional structure and goals of the BHA. She also covered the legislative agenda and gave stimulus spending updates. A copy of the presentation and other relevant documents were submitted to the committee (Attachment G). 05:29:53 PM Commissioner Medlock shared the goals for the BHA. 05:32:13 PM Ryan Templeton, Division Director for Policy and External Affairs, gave updates on the BHA that are required by statute. 05:33:33 PM BHA staff answered questions from the committee. 05:47:43 PM Director Branch answered questions from the committee. Public Testimony Related to the Department of Human Services - Committee Discussion Only 05:49:33 PM Mrs. Keir Clark, representing themself, testified. 05:53:44 PM The committee adjourned.