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7F0F918FEABE346C87258B12001EF961 Hearing Summary




PUBLIC
BILL SUMMARY For HB24-1045

SENATE COMMITTEE ON HEALTH & HUMAN SERVICES
Date May 2, 2024      
Location SCR 352



HB24-1045 - Referred to Senate Appropriations


11:38:20 PM  
Senators Mullica
and Will, primary bill sponsors, presented House bill 24-1045, which creates
and expands programs and services for substance use disorder (SUD) treatments.
Specifically, the bill:



Expands Behavioral Health Diversion Programs. The bill appropriates $500,000,
half to the Department of Human Services (CDHS) and half to the Judicial
Department, for use on district attorney adult pretrial diversion programs.

Provides reentry services under Medicaid. By July 1, 2025, the bill requires
the Department of Health Care Policy and Financing (HCPF) to provide the
following reentry services to people immediately before they are released
from the Division of Youth Services in the CDHS or a Department of Corrections
facility:



·        medicated-assisted treatment (MAT) medications,
via an opioid treatment program;

·        a 30-day supply of additional medications,
if needed; and

·        case management services, which are assumed
to include screening, brief intervention, and care coordination services.



Additionally, if county jails that provide these services can participate
in the program in such a way that no additional state funds are required,
HCPF will include those county jails in the program.



Provides partial hospitalization services for SUD under Medicaid. The bill
requires HCPF to seek federal authorization to provide partial hospitalization
services for SUD.



Expands the Colorado Child Abuse Prevention Trust Fund. The bill appropriates
$150,000 annually and an additional $50,000 in the first two years from
the General Fund to the Colorado Child Abuse Prevention Trust Fund under
the Department of Early Childhood (CDEC).



Provides safety net provider application support services. The bill requires
the BHA to contract with an independent third-party to support providers
seeking to become approved BHA safety net providers.

Creates the Contingency Management Grant Program. The bill creates a grant
program in the BHA to support selected substance use disorder treatment
programs and appropriates $750,000 to the program.



The bill makes several other changes as outlined below. Specifically, it:



·        places new reporting requirements on HCPF
and the BHA.

·        prohibits state-regulated insurance plans
from applying a prior authorization requirement for SUD treatment drugs
based on dosage, and prohibits insurance from applying a different reimbursement
rate for SUD treatment drugs to pharmacists and take-home drugs.

·        requires the BHA to promulgate rules around
gaining a certificate as an addiction specialist or technician.

·        requires the various boards under the Department
of Regulatory Agencies and potentially the Department of Public Health
and Environment (CDPHE) to develop a statewide drug therapy protocol for
pharmacists to prescribe, dispense, and administer select MAT drugs.

·        makes changes to the MAT expansion pilot program
including making pharmacies eligible for grants, removing the restriction
on the number of counties that may be selected for participation, expanding
membership requirements for the board, and changing the reporting requirements.

·        requires the BHA to collect data on and review
the admission criteria for withdrawal management facilities.

·        continues the Opioid and Other Substance Use
Disorders Study Committee for the 2025 interim.

11:39:34 PM  
Dr. Emily Zadvorny,
representing Colorado Pharmacists Society, testified in support of the
bill.



Lex Loutzenhiser, representing Illuminate Colorado, testified in support
of the bill.



Frank Cornelia, representing Colorado Behavioral Healthcare Council, testified
in support of the bill.



Mr. Devon Peavy, representing Sobriety House, testified in support of the
bill.



Melissa Eddleman, representing Colorado Health Care Policy and Financing
Department, was available to answer committee questions.




Additional written
testimony was submitted to the committee (Attachment I).
11:57:25 PM  
The bill sponsors provided closing remarks.


11:59:46 PM
Motion Refer House Bill 24-1045 to the Committee on Appropriations.
Moved Will
Seconded
Baisley Yes
Cutter Yes
Exum Yes
Jaquez Lewis Yes
Michaelson Jenet Yes
Rich Yes
Will Yes
Ginal Yes
Fields Yes
Final YES: 9   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS






The effective date for bills enacted without a safety clause is August 7, 2024, if the General Assembly adjourns sine die on May 8, 2024, unless otherwise specified. Details