H_HHS_2024A 02/27/2024 10:03:41 AM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH & HUMAN SERVICES Date 02/27/2024 Attendance Bradfield X Bradley X Brown X English * Hamrick X Hernandez * Holtorf X Lieder X McCormick X Ortiz X Weinberg * Young * Daugherty X Time 10:03:41 AM to 04:59:30 PM Place HCR 0112 This Meeting was called to order by Daugherty This Report was prepared by Eliyah Chadioun Hearing Items Action Taken hHB24-1217 Amended, referred to House Appropriations hHB24-1066 Amended, referred to House Appropriations hHB24-1010 Amended, referred to House Appropriations hHB24-1218 Committee Discussion Only hHB24-1252 Referred to House Appropriations hHB24-1277 Referred to the Committee of the Whole HB24-1217 - Amended, referred to House Appropriations Attachment Tag File Name http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/84C6B01223A5...$File/Attachment A - Combined.pdf?OpenElement Attachment A - Combined.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/36E3BCD4E038...$File/Attachment B.pdf?OpenElement Attachment B.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/147F4CBEEF21...$File/Attachment C.pdf?OpenElement Attachment C.pdf 10:04:30 AM The primary bill sponsor, Representative Amabile, introduced House Bill 24-1217 to the House Health and Human Services Commitee. The bill requires the Behavioral Health Administration to create a universal behavioral health consent form and friends and family input form to allow patients to authorize treatment for up to two years and to allow a patientâs family and friends to supply relevant information. 10:10:21 AM The bill sponsor responded to questions from the committee. 10:15:41 AM Bridget Anshus, representing Mental Health Colorado, testified in support of the bill. 10:18:55 AM Dr. Christine Chao, representing themself, testified in support of the bill. 10:21:22 AM Ms. Edie Sonn, representing the Colorado Behavioral Healthcare Council, testified in support of the bill. 10:23:31 AM Ms. Phoebe Norton, representing themself, testified in support of the bill. 10:25:41 AM Ms. Kelly Comcowich, representing themself, testified in support of the bill. 10:28:21 AM Meighen Lovelace, representing the Colorado Cross Disability Coalition, testified in support of the bill. 10:31:06 AM Melanie Jordan, representing the Office of Respondent Parents' Counsel, testified in support of the bill. 10:33:26 AM The witness panel responded to questions from the committee. Additional written testimony was submitted to the committee (Attachment A). 10:37:20 AM Ms. Kristin Weissinger, representing Contexture, testified to amend the bill. 10:40:23 AM Ms. Kelley Turner, representing themself, testified in support of the bill. 10:42:50 AM The bill sponsors introduced amendment L.001 (Attachment B). 10:46:18 AM Motion Adopt amendment L.001 (Attachment B). Moved Young Seconded Hamrick Bradfield Bradley Brown English Hamrick Hernandez Holtorf Lieder McCormick Ortiz Weinberg Excused Young Daugherty YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 10:46:19 AM The bill sponsors introduced amendment L.002 (Attachment C). 10:47:58 AM Motion Adopt amendment L.002 (Attachment C). Moved Young Seconded Hamrick Bradfield Bradley Brown English Hamrick Hernandez Holtorf Lieder McCormick Ortiz Weinberg Excused Young Daugherty YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 10:47:59 AM The primary bill sponsor, Representative Amabile, provided closing comments on House Bill 24-1217. 10:59:13 AM Motion Refer House Bill 24-1217, as amended, to the Committee on Appropriations. Moved Young Seconded Lieder Bradfield Yes Bradley Yes Brown Yes English Yes Hamrick Yes Hernandez Yes Holtorf Yes Lieder Yes McCormick Yes Ortiz Yes Weinberg No Young Yes Daugherty Yes Final YES: 12 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS HB24-1066 - Amended, referred to House Appropriations Attachment Tag File Name http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/D6FA781FAF45...$File/Attachment D.pdf?OpenElement Attachment D.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/EF4C3B50FF92...$File/Attachment E - Combined.pdf?OpenElement Attachment E - Combined.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/F396B6C22A5A...$File/Attachment F.pdf?OpenElement Attachment F.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/63F872A334CD...$File/Attachment G.pdf?OpenElement Attachment G.pdf 11:00:30 AM The primary bill sponsors, Representative Hamrick and Garcia, introduced House Bill 24-1066 to the House Health and Human Services Commitee. The bill enacts the âViolence Prevention in Health-care Settings Actâ and the âViolence Prevention in Behavioral Health Settings Act.â These acts protect health care staff in hospitals, emergency departments, nursing care facilities, assisted living residences, federally qualified health centers, and comprehensive community behavioral health centers. 11:09:12 AM The bill sponsors responded to questions from the committee. 11:13:18 AM Dr. Darcy Copeland, representing themself, testified in support of the bill. 11:16:42 AM Mr. Tyler Fisher, representing themself, testified in support of the bill. 11:19:35 AM Ms. Sydney Simek, representing Denver Health Workers United, testified in support of the bill. 11:21:48 AM Dr. Mark Longshore, representing themself, testified in support of the bill. 11:24:06 AM Suzanne Hanle, representing themself, testified in support of the bill. 11:26:25 AM The witness panel responded to questions from the committee. 11:31:27 AM Mr. Christopher Powell, representing UCHealth, testified to amend the bill. 11:34:12 AM Laura Samuelson, representing University of Colorado Hospital, testified to amend the bill. 11:36:28 AM Mr. Doug Farmer, representing Colorado Health Care Association, testified to amend the bill. 11:38:43 AM Bridget Frazier, representing Colorado Hospital Association, testified to amend the bill. 11:41:06 AM Dr. Noreen Bernard, representing Colorado Organization of Nurse Leaders, testified to amend the bill. 11:43:14 AM The witness panel responded to questions from the committee. 11:48:50 AM Katie Ryan, representing Denver Healf, testified to amend the bill. 11:52:06 AM Kelly Erb, representing Colorado Rural Health Center, testified to amend the bill. 11:53:55 AM Ms. Renee Schoenbeck, representing themself, testified to amend the bill. 11:56:29 AM Mr. Casey Guber, representing Rose Medical Center/HealthONE, testified to amend the bill. 11:58:44 AM Ms. Susan Bourgeois, representing Intermountain Health, testified to amend the bill. 12:00:44 PM Ms. Dina Bush, representing Intermountain Health, testified to amend the bill. 12:03:03 PM Ms. Virginia Gebhart, representing Colorado Foundation for Universal Health Care, testified in support of the bill. 12:04:53 PM The witness panel responded to questions from the committee. Handouts were provided to members of the committee (Attachment D). 12:11:05 PM Ms. Edie Sonn, representing Colorado Behavioral Healthcare Council, testified to amend the bill. 12:14:16 PM Ms. Jade Kelly, representing CWA Local 7799, testified in an amend position on the bill. 12:16:33 PM The witness panel responded to questions from the committee. 12:19:41 PM The committee took a brief recess. 12:20:03 PM The committee came back to order. 12:55:56 PM Ms. Coral Cosway, representing Alzheimer's Association of Colorado, testified in support of the bill. 12:58:30 PM Christina Walker, representing Healthier Colorado, testified in support of the bill. 01:00:24 PM Ms. Milena Castaneda, representing Colorado Center on Law and Policy, testified in support of the bill. 01:03:00 PM The witness panel responded to questions from the committee. 01:07:53 PM Ms. Amy Diamond, representing themself, testified in support of the bill. 01:07:55 PM Ms. Meredith Henry, representing The Arc of Colorado, testified in support of the bill. 01:11:13 PM Hope Stonner, representing Colorado Consumer Health Initiative, testified in support of the bill. 01:13:06 PM Kellee Miller, representing themself, testified in support of the bill. 01:14:58 PM Mr. Michael Neil, representing Colorado Cross-Disability Coalition, testified in support of the bill. 01:16:40 PM Ms. Mary Satre, representing themself, testified in support of the bill. 01:18:49 PM Ms. Katherine Shaw, representing CWA 7799, testified in support of the bill. 01:21:09 PM The witness panel responded to questions from the committee. 01:22:33 PM Dr. Robert Mulch, representing AARP, testified in support of the bill. 01:25:49 PM Lauren Snyder, representing Mental Health Colorado, testified in support of the bill. 01:28:11 PM Dr. Colleen Casper, representing Colorado Nurses Association, testified in support of the bill. 01:30:25 PM John Pineau, representing themself, testified in support of the bill. 01:32:31 PM Meighen Lovelace, representing Colorado Cross Disability Coalition, testified in support of the bill. 01:33:56 PM Mr. Ray Merenstein, representing NAMI Colorado - National Alliance on Mental Illness, testified in support of the bill. 01:36:06 PM The witness panel responded to questions from the committee. Additional Written testimony was provided to the committee (Attachment E). 01:43:46 PM Ms. Ashley Glenn, representing themself, testified in support of the bill. 01:46:55 PM The bill sponsors introduce amendment L.002 (Attachment F). 01:48:14 PM Motion Adopt amendment L.002 (Attachment F). Moved Hamrick Seconded Lieder Bradfield Bradley Brown English Hamrick Hernandez Holtorf Lieder McCormick Ortiz Weinberg Young Daugherty YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 01:48:32 PM The bill sponsors introduce amendment L.003 (Attachment G). 01:50:14 PM Motion Adopt amendment L.003 (Attachment F). Moved Hamrick Seconded English Bradfield Bradley Brown English Hamrick Hernandez Holtorf Lieder McCormick Ortiz Weinberg Young Daugherty YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 01:55:11 PM Motion Reconsider the passage of L.002 (Attachment F). Moved Hamrick Seconded McCormick Bradfield Yes Bradley Yes Brown Yes English Yes Hamrick Yes Hernandez Excused Holtorf Yes Lieder Yes McCormick Yes Ortiz Yes Weinberg Yes Young Yes Daugherty Yes YES: 12 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS 01:55:54 PM Motion Reconsider the passage of L.003 (Attachment G). Moved Hamrick Seconded Bradley Bradfield Yes Bradley Yes Brown Yes English Yes Hamrick Yes Hernandez Excused Holtorf Yes Lieder Yes McCormick Yes Ortiz Yes Weinberg Yes Young Yes Daugherty Yes YES: 12 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS 01:57:00 PM Motion Adopt amendment L.003 (Attachment G) to L.002 (Attachment F). Moved Hamrick Seconded McCormick Bradfield Bradley Brown English Hamrick Hernandez Excused Holtorf Lieder McCormick Ortiz Weinberg Young Daugherty YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 01:57:18 PM Motion Adopt amendment L.002 (Attachment F). Moved Hamrick Seconded McCormick Bradfield Bradley Brown English Hamrick Hernandez Excused Holtorf Lieder McCormick Ortiz Weinberg Young Daugherty YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 01:58:15 PM Members of the committee provided closing remarks on the bill. 02:05:05 PM Motion Refer House Bill 24-1066, as amended, to the Committee on Appropriations. Moved Hamrick Seconded Lieder Bradfield Yes Bradley Yes Brown Yes English Yes Hamrick Yes Hernandez Yes Holtorf Yes Lieder Yes McCormick Yes Ortiz Yes Weinberg No Young Yes Daugherty Yes Final YES: 12 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS HB24-1010 - Amended, referred to House Appropriations Attachment Tag File Name http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/E1A5A7E1A137...$File/Attachment H - Combined.pdf?OpenElement Attachment H - Combined.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/B45E1196B1CA...$File/Attachment I.pdf?OpenElement Attachment I.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/950B68BC1097...$File/Attachment J.pdf?OpenElement Attachment J.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/849C1EEBDE60...$File/Attachment K.pdf?OpenElement Attachment K.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/B5780B06BC0C...$File/Attachment L.pdf?OpenElement Attachment L.pdf 02:05:12 PM The committee took a brief recess. 02:06:21 PM The committee came back to order. 02:11:48 PM The primary bill sponsors, Representative Jodeh and Soper, introduced House Bill 24-1010 to the House Health and Human Services Commitee. For persons requiring a provider-administered prescription drug that is covered by a health insurer, the bill prohibits the insurance carriers from: requiring that provider-administered prescription drugs be dispensed only by certain pharmacies; limiting coverage for provider-administered prescription drugs due to an insured personâs preferred pharmacy; imposing additional fees or copays on provider-administered prescription drugs due to an insured personâs preferred pharmacy; or requiring that providers bill certain provider-administered prescription drugs under the pharmacy benefit rather than the medical benefit without consent. 02:27:00 PM The bill sponsors responded to questions from the committee. 02:39:36 PM Mr. Jason Hopfer, representing Colorado Association of Health Plans, testified to amend the bill. 02:43:15 PM Karlee Tebbutt, representing America's Health Insurance Plans (AHIP), testified to amend the bill. 02:45:26 PM Dr. Emily Zadvorny, representing Colorado Pharmacists Society, testified to amend the bill. 02:47:35 PM Joshua Ewing, representing Colorado Hospital Association, testified to amend the bill. 02:49:29 PM Amy Gutierrez, representing UCHeath, testified to amend the bill. 02:51:36 PM The witness panel responded to questions from the committee. 02:56:56 PM Dr. Les Busby, representing Rocky Mountain Cancer Centers, testified in support of the bill. 03:00:32 PM Mr. Evan Slater, representing Rocky Mountain Cancer Centers, testified in support of the bill. 03:02:50 PM Mr. Joshua Smith, representing Pure Infusion Suites of Colorado, testified in support of the bill. 03:04:58 PM The witness panel responded to questions from the committee. Additional written testimony was provided to the committee (Attachment H). 03:09:11 PM The primary bill sponsors and Representative Brown introduced amendment L.007 (Attachment I). 03:15:34 PM Motion Adopt amendment L.007 (Attachment I). Moved Brown Seconded McCormick Bradfield Bradley Brown English Hamrick Hernandez Holtorf Lieder McCormick Ortiz Weinberg Young Daugherty YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:15:35 PM The bill sponsors introduced amendment L.012 (Attachment J). 03:16:12 PM Motion Adopt amendment L.012 (Attachment J). Moved Hamrick Seconded McCormick Bradfield Bradley Brown English Hamrick Hernandez Holtorf Lieder McCormick Ortiz Weinberg Young Daugherty YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:16:12 PM The bill sponsors introduced amendment L.014 (Attachment K). 03:16:35 PM The bill sponsors responded to questions about amendment L.014 (Attachment K). 03:17:52 PM Motion Adopt amendment L.014 (Attachment K). Moved Hamrick Seconded Brown Bradfield Bradley Brown English Hamrick Hernandez Holtorf Lieder McCormick Ortiz Weinberg Young Daugherty YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:17:53 PM Representative Brown introduced amendment L.017 (Attachment L). 03:19:56 PM Motion Adopt amendment L.017 (Attachment L). Moved Brown Seconded Hamrick Bradfield Bradley Brown English Hamrick Hernandez Holtorf Lieder McCormick Ortiz Weinberg Young Daugherty YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 03:19:57 PM The primary bill sponsors, Representative Jodeh and Soper, provided closing comments on House Bill 24-1010. 03:23:31 PM The bill sponsors responded to comments from the committee. 03:26:15 PM Motion Refer House Bill 24-1010, as amended, to the Committee on Appropriations. Moved Young Seconded Hamrick Bradfield Yes Bradley No Brown Yes English Excused Hamrick Yes Hernandez Yes Holtorf No Lieder Yes McCormick Yes Ortiz Yes Weinberg No Young Yes Daugherty Yes Final YES: 9 NO: 3 EXC: 1 ABS: 0 FINAL ACTION: PASS HB24-1218 - Committee Discussion Only 03:26:24 PM The primary bill sponsors, Representatives McCormick and Soper, introduced House Bill 24-1217 to the Houe Health and Human Services Committee.The bill provides regulations for ambulance service rates and billing. It allows a subdivision of the state (a county, municipality, school district, or special district) to submit established rates for ambulance services to the Division of Insurance in the Department of Regulatory Agencies (DORA). The department must post these rates to their website. When a covered individual receives ambulance services that are out-of-network, the insurance carrier must reimburse the costs for ambulance services at either the established rates submitted to the DORA or at 325 percent of the federal rates if an established rate is not available. The bill also prohibits out-of-network ambulance services from billing patients for amounts not covered by the insurance carrier, except for the fees for which the patient is responsible. Ambulance services can dispute reimbursements. 03:34:34 PM The bill sponsors responded to comments from the committee. 03:35:08 PM Tina Wells, representing Global Medical Response, testified in support of the bill. 03:38:17 PM Ms. Isabel Cruz, representing Colorado Consumer Health Initiative, testified in support of the bill. 03:40:31 PM Ms. Miranda Stewart, representing themself, testified in support of the bill. 03:42:22 PM Scott Sholes, representing Emergency Medical Services Association of Colorado, testified in support of the bill. 03:44:28 PM Ms. Jennifer Riley, representing Memorial Regional Health, testified in support of the bill. 03:46:16 PM Mr. Jason Hopfer, representing Colorado Association of Health Plans, testified in opposition to the bill. 03:48:38 PM Jill Mullen, representing Colorado Division of Insurance, testified to amend the bill. 03:50:32 PM The witness panel responded to questions from the committee. 03:50:51 PM Mr. Timothy Dienst, representing Ute Pass Regional Health Service District, testified in support of the bill. 03:55:00 PM Sean Caffrey, representing Crested Butte Fire Protection District, testified in support of the bill. 03:57:34 PM Mike Donner, representing themself, testified in support of the bill. 03:59:50 PM Kirby Clock, representing Delta County Ambulance District, testified in support of the bill. 04:01:55 PM The witness panel responded to questions from the committee. 04:04:21 PM The primary bill sponsors, Representatives McCormick and Soper, provided closing comments on House Bill 24-1217 and asked that it be laid over for action only. 04:05:13 PM The bill was laid over for action only. HB24-1252 - Referred to House Appropriations Attachment Tag File Name http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/51D7DD31ABBF...$File/Attachment M - Combined.pdf?OpenElement Attachment M - Combined.pdf http://www2.leg.state.co.us/CLICS/CLICS2024A/commsumm.nsf/0/1D868A4A277E...$File/Attachment N.pdf?OpenElement Attachment N.pdf 04:05:40 PM The committee was placed in a brief recess. 04:06:29 PM The committee came back to order. The primary bill sponsors, Representatives Vigil and Bradfield, introduced House Bill 24-1252 to the House Health and Human Services Committee. The bill continues the Suicide Prevention Commission indefinitely. Under current law, the commission repeals on September 1, 2024. 04:17:15 PM Ms. Erin Meschke, representing themself, testified in opposition to the bill. 04:19:51 PM Dr. Lena Heilmann, representing Colorado Department of Public Health and Environment, testified in support of the bill. 04:22:51 PM Linda Newell, representing themself, testified in support of the bill. 04:25:18 PM Patty Boyed, representing the Suicide Prevention Coalition of Colorado, testified in support of the bill. 04:27:35 PM Maranda Miller, representing Suicide Prevention Coalition of Colorado, testified in support of the bill. 04:29:53 PM The witness panel responded to questions from the committee. Additional written testimony was provided to the committee (Attachment M). 04:36:38 PM Representative Bradley introduced amendment L.001 (Attachment N). 04:38:52 PM The bill sponsors responded to the introduction to the amendment. 04:41:59 PM Amendment L.001 (Attachment N) was withdrawn by Representative Bradley. 04:42:12 PM The primary bill sponsors, Representatives Vigil and Bradfield, provided closing remarks on House Bill 24-1252 04:43:38 PM Members of the committee provided closing comments on the bill. 04:45:07 PM Motion Refer House Bill 24-1252 to the Committee on Appropriations. Moved Bradfield Seconded Hamrick Bradfield Yes Bradley Yes Brown Yes English Excused Hamrick Yes Hernandez Yes Holtorf Yes Lieder Yes McCormick Yes Ortiz Yes Weinberg No Young Yes Daugherty Yes Final YES: 11 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS HB24-1277 - Referred to the Committee of the Whole 04:45:14 PM The primary bill sponsors, Representatives Daugherty and Holtorf, introduced House Bill 24-1277 to the House Health and Human Services Committee. 04:49:45 PM The bill sponsors responded to questions from the committee. 04:51:08 PM Mr. Anders Jacobson, representing Colorado Department of Human Services, testified in support of the bill. 04:54:08 PM Anaya Robinson, representing ACLU of Colorado, testified in support of the bill. 04:56:33 PM The primary bill sponsors, Representatives Daugherty and Holtorf, provided closing comments on House Bill 24-1277. 04:59:23 PM Motion Refer House Bill 24-1277 to the Committee of the Whole. Moved Holtorf Seconded Daugherty Bradfield Yes Bradley Yes Brown Yes English Excused Hamrick Yes Hernandez Yes Holtorf Yes Lieder Yes McCormick Yes Ortiz Yes Weinberg No Young Yes Daugherty Yes Final YES: 11 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS 04:59:30 PM The committee adjourned.