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H_HI_2021A 03/24/2021 01:32:45 PM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
HOUSE COMMITTEE ON HEALTH & INSURANCE
Date 03/24/2021
Attendance
Baisley X
Williams D. *
Hanks *
Jackson X
Kennedy X
McCormick X
Mullica X
Neville X
Ortiz X
Titone X
Van Beber X
Caraveo X
Lontine X
Time 01:32:45 PM to 09:45:39 PM
Place HCR 0112
This Meeting was called to order by Lontine
This Report was prepared by Julia Group
Hearing Items Action Taken
HB21-1012 Amended, referred to House Finance
HB21-1140 Amended, referred to House Appropriations
HB21-1184 Postponed Indefinitely
HB21-1017 Postponed Indefinitely
HB21-1183 Postponed Indefinitely

01:32:48 PM

Representative Lontine called the meeting to order and made opening remarks.



HB21-1012 - Amended, referred to House Finance

01:33:32 PM  
Representative Mullica,
bill sponsor, made opening remarks about HB21-1012.  Current law requires
the Prescription Drug Monitoring Program  to track all controlled
substances prescribed in Colorado.  Beginning February 1, 2023, the
bill expands the program to track all prescription drugs prescribed in
the state.  The bill extends the repeal of the program until September
1, 2028, following a sunset review.




Current law authorizes the Department of Regulatory Agencies (DORA) to
collect a fee from licensees who may prescribe controlled substances.  The
bill authorizes DORA to collect a fee from any licensed practitioner.

A fact sheet submitted by the public for HB21-1012 can be found in Attachment
A.
01:35:13 PM  
Representative Rich,
bill co-sponsor, made opening remarks about HB21-1021.
01:35:38 PM  
Representative McCormick
introduced and explained amendment L.005 (Attachment B).



01:37:44 PM
Motion Adopt amendment L.005 (Attachment B).
Moved McCormick
Seconded Mullica
Baisley
Williams D. Excused
Hanks Excused
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber
Caraveo
Lontine
YES: 0   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  Pass Without Objection
01:39:47 PM  
Representative Rich
introduced and explained amendment L.007 (Attachment C) as well as a fiscal
note memorandum (Attachment D)


01:40:46 PM
Motion Adopt amendment L.007 (Attachment C).
Moved Mullica
Seconded Caraveo
Baisley
Williams D. Excused
Hanks Excused
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber
Caraveo
Lontine
YES: 0   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  Pass Without Objection
01:40:54 PM  
Representative Mullica
introduced and explained amendment L.008 (Attachment E).


01:42:03 PM
Motion Adopt amendment L.008 (Attachment E).
Moved Mullica
Seconded Caraveo
Baisley
Williams D. Excused
Hanks Excused
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber
Caraveo
Lontine
YES: 0   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  Pass Without Objection
01:42:15 PM  
Representative Rich
made final comments about the bill.
01:42:47 PM  
Representative Mullica
made final comments about the bill.


01:46:16 PM
Motion Refer House Bill 21-1012, as amended, to the Committee on Finance.
Moved Mullica
Seconded Caraveo
Baisley Yes
Williams D. Excused
Hanks Yes
Jackson Yes
Kennedy Yes
McCormick Yes
Mullica Yes
Neville No
Ortiz Yes
Titone Yes
Van Beber Yes
Caraveo Yes
Lontine Yes
Final YES: 11   NO: 1   EXC: 1   ABS:  0   FINAL ACTION:  PASS



HB21-1140 - Amended, referred to House Appropriations


01:46:26 PM  
Representative Arndt,
bill sponsor, introduced HB21-1140.  The bill requires state-regulated
health insurance plans issued on or after January 1, 2022, to provide coverage
for health care services related to organ donation for covered individuals
acting as a living donor.  The insurance plan must cover the full
cost of these services without requiring any cost sharing, and may not
impose waiting periods or other limitations on this coverage.  The
Commissioner of Insurance is directed to adopt rules as necessary to implement
the requirement.


Beginning January
1, 2022, hospitals and other licensed health facilities may not charge
a living organ donor for any costs associated with organ donation.  
01:51:56 PM  
The bill sponsor responded to questions from the committee.
01:53:27 PM  
Representative Arndt
distributed a handout to the committee (Attachment F).
01:54:42 PM  
Thomas de Herrera, representing himself, testified in support of the bill.
02:01:16 PM  
The witness and bill
sponsor responded to questions from the committee.
02:05:03 PM  
The witness continued to respond to questions from the committee.
02:07:48 PM  
Representative Arndt
introduced and explained amendment L.001 (Attachment G).


02:08:49 PM
Motion Adopt amendment L.001 (Attachment G).
Moved Kennedy
Seconded Titone
Baisley
Williams D.
Hanks
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber
Caraveo
Lontine
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
02:09:12 PM  
Representative Arndt
made closing comments on the bill.
02:09:24 PM  
Committee members
closing comments on the bill.


02:14:18 PM
Motion Refer House Bill 21-1140, as amended, to the Committee on Appropriations.
Moved Kennedy
Seconded Titone
Baisley Yes
Williams D. No
Hanks Yes
Jackson Yes
Kennedy Yes
McCormick Yes
Mullica Yes
Neville No
Ortiz Yes
Titone Yes
Van Beber Excused
Caraveo Yes
Lontine Excused
Final YES: 9   NO: 2   EXC: 2   ABS:  0   FINAL ACTION:  PASS



HB21-1184 - Postponed Indefinitely


02:14:27 PM  
Representative Lontine,
bill co-sponsor, introduced HB21-1184.  Under current law, physician
assistants with fewer than three years of practice experience are permitted
to perform certain activities only under the supervision of a physician.
 The bill removes this supervisory relationship and instead requires
a physician assistant with fewer than 5,760 hours of practice experience
or who is beginning practice in a new specialty to engage in formal collaboration
with a physician.  Physician assistants with at least 5,760 hours
of practice experience must engage in informal collaboration with a physician.
 The bill establishes parameters for collaborative plans, and specifies
that a physician may enter into a practice agreement and collaborative
plan with up to eight physician assistants at one time.



The bill also establishes requirements for insurance carriers regarding
the reimbursement of physician assistants.



Public testimony submitted for HB21-1184 can be found in Attachment H.
02:33:13 PM  
Representative Will, bill co-sponsor, continued introducing HB21-1184.
02:36:50 PM  
Bill sponsors responded to questions from the committee.
02:40:14 PM  
Ms. Alyn Whelchel, representing Colorado Academy of Physician Assistant, testified in support of the bill. Dr. Gino Figlio, representing himself, testified in support of the bill. Dr. Tod Sweeney, representing himself, testified in support of the bill. Mr. Simon Smith, representing Clinica Family Health, testified in support of the bill. The panel of witnesses responded to questions from the committee.
03:09:20 PM  
Mrs. Jeannie Mueller, representing River Valley Family Health Center, testified in support of the bill. Jessica Sanchez, representing Colorado Community Health Network, testified in support of the bill. Mr. Cooper Couch, representing himself, testified in support of the bill. Mr. Randall Jones, representing himself, testified in support of the bill. The panel responded to questions from the committee.
03:27:55 PM  
Ms. Chelsey Stillman, representing herself, testified in support of the bill. Mr. Ron Rasis, representing himself, testified in support of the bill. PA Mark Quinn, representing Colorado Academy of Physician Assistants, testified in support of the bill. A letter on behalf of Kelly Erb, representing Colorado Rural Health Center, was read.
03:42:05 PM  
Mrs. Emily Borkovec, representing Mountain Family Health Centers / Colorado Community Health Centers, testified in support of the bill. Susanna Storeng, representing herself, testified in support of the bill. Mr. Michael Roberts, representing himself, testified in support of the bill. The panel of witnesses responded to questions from the committee.
03:57:03 PM  
Dr. Taj Kattapuram, representing Colorado Medical Society, testified in opposition to the bill. Dr. Geoffrey Lim, representing Colorado Dermatologic Society, testified in opposition to the bill. The witness panel responded to committee questions.
04:25:15 PM  
Dr. Sami Diab, representing Colorado medical society, testified in opposition to the bill. Ms. Courtney Olson, representing Colorado Medical Society, testified in opposition to the bill. Dr. Michael Renecle, representing Colorado Medical Society, testified in opposition to the bill.
04:36:48 PM  
Dr. William Hilty,
representing Colorado - American College of Emergency Physicians and Colorado
West Emergency Physicians, testified in opposition to the bill.  Dr.
Rebecca Kornas, representing US acute care solutions, testified in opposition
to the bill.  Dr. Jeremy Lazarus, representing Colorado Psychiatric
Association, testified in opposition to the bill and then read the testimony
of Dr. Megan Stinar, representing American Academy of Pediatrics, in opposition
to the bill.  The panel responded to questions from the committee.
 
05:08:30 PM  
Dr. Neal O'Connor, representing Colorado Chapter of the American College of Emergency Physicians, testified in opposition to the bill. Dr. Melissa Brooks, representing Colorado Society of Anesthesiologist, testified in opposition to the bill.
05:16:04 PM  
Tiffany Knudesn,
representing herself, testified in support of the bill.  The witness
responded to committee questions.  Diana Protopapa, representing herself,
testified in support of the bill and read a letter into the record.
05:26:57 PM  
The bill sponsors
discussed amendments L.001 (Attachment I) and L.002 (Attachment J).


05:28:16 PM
Motion Adopt amendment L.001 (Attachment I).
Moved Lontine
Seconded Kennedy
Baisley
Williams D.
Hanks
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber
Caraveo
Lontine
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection


05:29:21 PM
Motion Adopt amendment L.002 (Attachment J).
Moved Lontine
Seconded Kennedy
Baisley
Williams D.
Hanks
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber Excused
Caraveo
Lontine
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection
05:29:56 PM  
Representative Will provided closing comments on the bill.
05:33:11 PM  
Representative Lontine provided closing comments on the bill.
05:36:58 PM  
Committee members made closing comments on the bill.
05:48:46 PM  
Committee members continued to offer comments on the bill.


05:53:54 PM
Motion Refer House Bill 21-1184, as amended, to the Committee of the Whole.
Moved Lontine
Seconded Kennedy
Baisley No
Williams D. No
Hanks No
Jackson No
Kennedy Yes
McCormick Yes
Mullica No
Neville Yes
Ortiz No
Titone Yes
Van Beber No
Caraveo No
Lontine Yes
YES: 5   NO: 8   EXC: 0   ABS:  0   FINAL ACTION:  FAIL


05:54:23 PM
Motion Postpone House Bill 21-1184 indefinitely using a reversal of the previous roll call. There was no objection to the use of the reverse roll call, therefore, the bill was postponed indefinitely.
Moved Mullica
Seconded Williams D.
Baisley Yes
Williams D. Yes
Hanks Yes
Jackson Yes
Kennedy No
McCormick No
Mullica Yes
Neville No
Ortiz Yes
Titone No
Van Beber Yes
Caraveo Yes
Lontine No
Final YES: 8   NO: 5   EXC: 0   ABS:  0   FINAL ACTION:  PASS



HB21-1017 - Postponed Indefinitely


06:16:13 PM  
Representative Neville,
bill sponsor, introduced HB21-1017.  This bill prohibits licensed
physicians from performing abortions except:

·        when an abortion is necessary to preserve
the life of the woman and the physician has made a reasonable medical effort
to preserve both the life of the woman and her unborn child; or



·        when the physician provides medical treatment
to a woman that results in the accidental injury or death of the unborn
child.



Offenses under the bill are punishable as a class 1 felony, and a conviction
constitutes unprofessional conduct for the purposes of physician licensing.




Public testimony submitted for HB21-1017 can be found in Attachment K.
06:17:42 PM  
Matthew Server, representing
Colorado Catholic Conference, testified in support of the bill.  Mr.
Jeff Hunt, representing The Centennial Institute, testified in support
of the bill.
06:22:07 PM  
Ms. Yasman Azimi, representing Cobalt, testified in opposition to the bill. Arianna Morales, representing New Era Colorado, testified in opposition to the bill. Ms Arriana Belkin, representing Planned Parenthood of the Rocky Mountains, testified in opposition to the bill. The panelists responded to questions from the committee.
06:32:47 PM  
Scott Horak, representing
himself, testified in support of the bill.  Mr. Matt Niedzielski,
representing himself, testified in support of the bill.
06:41:49 PM  
Ms. Jordan Mulholland,
representing self, testified in opposition to the bill.  Reverend
Heather Haginduff, representing Interfaith Alliance of Colorado, testified
in opposition to the bill.
06:47:57 PM  
Daniel Binette, representing
himself, testified in support of the bill. Mr. Robert Fox, representing
himself, testified in support of the bill.
06:56:12 PM  
Representative Neville
provided closing comments on the bill.
06:57:40 PM  
Committee members made closing comments on the bill.
07:07:10 PM  
Committee members continued to make comments on the bill.


07:10:32 PM
Motion Refer House Bill 21-1017 to the Committee on Appropriations.
Moved Neville
Seconded Baisley
Baisley Yes
Williams D. Yes
Hanks Yes
Jackson No
Kennedy No
McCormick No
Mullica No
Neville Yes
Ortiz No
Titone No
Van Beber Yes
Lontine No
Caraveo No
YES: 5   NO: 8   EXC: 0   ABS:  0   FINAL ACTION:  FAIL


07:10:48 PM
Motion Postpone House Bill 21-1017 indefinitely using a reversal of the previous roll call. There was no objection to the use of the reverse roll call, therefore, the bill was postponed indefinitely.
Moved Lontine
Seconded Kennedy
Baisley No
Williams D. No
Hanks No
Jackson Yes
Kennedy Yes
McCormick Yes
Mullica Yes
Neville No
Ortiz Yes
Titone Yes
Van Beber No
Lontine Yes
Caraveo Yes
Final YES: 8   NO: 5   EXC: 0   ABS:  0   FINAL ACTION:  PASS



HB21-1183 - Postponed Indefinitely


07:11:41 PM  
Representative Luck,
bill sponsor, introduced HB21-1183.  The bill requires health care
providers that perform induced terminations of pregnancy to report certain
information to the Office of the State Registrar of Vital Statistics in
the Department of Public Health and Environment (CDPHE), and adds the failure
to report to the definition of “unprofessional conduct” for physicians
and physician assistants and to the grounds for discipline for advanced
practice registered nurses.  The registrar must create an annual,
public summary report of non-identifying information, and the bill limits
and specifies the conditions under which the information may be shared.




Public testimony submitted for HB21-1183 can be found in Attachment L.
07:22:46 PM  
The bill sponsor responded to questions from the committee.
07:30:21 PM  
Mrs. Wendy Smith, MSN, ACNP-retired, representing herself, testified in support of the bill. Dr. Catherine Wheeler, representing herself, testified in support of the bill. Mr. Michael Antonacci, representing himself, testified in support of the bill. Mrs. Hannah Beasley, representing herself, testified in support of the bill. The panel of witnesses responded to questions from the committee.
07:51:46 PM  
Selina Najar, representing Cobalt, testified in opposition to the bill. Amanda Carlson, representing a Doctor of Medicine, testified in opposition to the bill. Dr. Kelly Sennholz, representing herself, testified in opposition to the bill. The panel responded to questions from the committee.
08:03:58 PM  
Christopher Wojdak,
representing himself, testified in support of the bill.  Kristin Vail,
representing Democrats for Life of Colorado, testified in support of the
bill.  Katie Glenn, representing Americans United For Life, testified
in support of the bill.  Mr. Mark Major, representing himself, testified
in support of the bill.
08:16:58 PM  
Elizabeth Fashing,
representing herself, testified in opposition to the bill.  Ms. Fawn
Bolak, representing herself, testified in opposition to the bill.  Jack
Teter, representing Planned Parenthood of the Rocky Mountains, testified
in opposition of the bill.  The panel responded to questions from
the committee.
08:28:40 PM  
Mr. Matt Niedzielski, representing himself, testified in support of the bill. The testimony of Mr. Steven Buckley, representing himself, was read. The panel responded to questions from the committee.
08:42:15 PM  
Dr. Thomas Perille, representing Democrats for Life of Colorado, testified in support of the bill. Giuliana Day, representing herself, testified in support of the bill. The panel responded to questions from the committee.
08:58:04 PM  
Mrs. Joni Shepherd, representing herself, testified in support of the bill. Brittany Vessely, representing Colorado Catholic Conference, testified in support of the bill. The panel responded to questions from the committee.
09:06:17 PM  
Scott Horak, representing himself, testified in support of the bill. Mr. Ryan Secrist, representing himself, testified in support of the bill.
09:13:00 PM  
Mr. Jeff Hunt, representing The Centennial Institute, testified in support of the bill. The witness responded to questions from the committee.
09:19:13 PM  
Mr. Michael Parker, representing himself, testified in support of the bill. The witness responded to questions from the committee.
09:23:59 PM  
Representative Luck
introduced and explained amendment L.001 (Attachment M).


09:25:58 PM
Motion Adopt amendment L.001 (Attachment M).
Moved Williams D.
Seconded Neville
Baisley
Williams D.
Hanks
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber
Lontine
Caraveo
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection


09:45:07 PM
Motion Refer House Bill 21-1183, as amended, to the Committee of the Whole.
Moved Baisley
Seconded Neville
Baisley Yes
Williams D. Yes
Hanks Yes
Jackson No
Kennedy No
McCormick No
Mullica No
Neville Yes
Ortiz No
Titone No
Van Beber Yes
Lontine No
Caraveo No
YES: 5   NO: 8   EXC: 0   ABS:  0   FINAL ACTION:  FAIL


09:45:30 PM
Motion Postpone House Bill 21-1183 indefinitely using a reversal of the previous roll call. There was no objection to the use of the reverse roll call, therefore, the bill was postponed indefinitely.
Moved Lontine
Seconded Kennedy
Baisley No
Williams D. No
Hanks No
Jackson Yes
Kennedy Yes
McCormick Yes
Mullica Yes
Neville No
Ortiz Yes
Titone Yes
Van Beber No
Lontine Yes
Caraveo Yes
Final YES: 8   NO: 5   EXC: 0   ABS:  0   FINAL ACTION:  PASS


09:45:39 PM   The committee adjourned.






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