h_hie_2017a_2017-04-13t14:15:25z3 Hearing Summary

Date: 04/13/2017

Location: HCR 0107

05:49 PM -- HB 17-1247



Representatives Danielson and J. Becker presented House Bill 17-1247 to the committee. For a health benefit plan or third-party administrator plan covering services provided by a licensed chiropractor, optometrist, or pharmacist, the bill prohibits the carrier or administrator from limiting a patient's ability to choose such a provider in the following ways:



• limiting or restricting a covered persons ability to select the provider of his or her choice, as long as the selected provider has agreed to the terms of the contract of the health benefit plan;

• imposing a copayment, fee, or other cost-sharing requirement on a covered person or health care provider unless the health benefit plan imposes the same copayment, fee, or cost-sharing requirement on all covered persons or health care providers in the state;

• imposing any other conditions on a covered person or provider that limit or restrict a covered person's ability to use the provider or his or her choice; or

• denying a selected provider the right to participate in any of its provider network contracts in this state if the provider agrees to the contractual terms and provides appropriate services under all applicable state and federal laws and regulations.



The bill does not apply to inpatient or emergency health care services provided in a health facility licensed or certified by the Colorado Department of Public Health and Environment. It also does not apply to self-funded health plans that are exempt from state regulation, plans covering state or federal employees, or managed care plans in which the majority of covered services are provided through physicians employed by the carrier.





06:13 PM -- Patrick Boyle, representing Express Scripts, testified against the bill.



06:18 PM -- Rachel Lee, representing CVS Health, testified against the bill.



06:33 PM -- Marc Reece, representing Aetna, testified against the bill.



06:37 PM -- Bridget Flavin, representing Anthem, testified against the bill.



06:40 PM -- Sara Orrange, representing Colorado Association of Health Plans, testified against the bill and presented a handout (Attachment K)



170413 AttachK.pdf



06:44 PM -- Virginia Morrison Love, representing America's Health Insurance Plans, testified against the bill.



06:54 PM -- Bill Skewes, representing Colorado Association of Commerce & Industry, testified against the bill.



06:59 PM -- Tom Davis, representing himself, testified in support of the bill.



07:12 PM -- Representative Danielson read the testimony of Marijo Rymer, representing The Arc of Colorado, in support of the bill, and presented a copy of the testimony (Attachment L).



170413 AttachL.pdf



07:14 PM -- Ky Davis, representing Rx+ Pharmacies, testified in support of the bill.



07:27 PM -- Trish Leone, representing herself, testified in support of the bill.



07:34 PM -- Peg Brown, representing the Colorado Department of Regulatory Agencies Division of Insurance, answered committee questions.



07:45 PM -- Dr. Zoey Loomis, representing the Colorado Optometric' Association, testified in support of the bill.



07:52 PM -- Terri Newland, representing herself, testified in support of the bill.



08:01 PM -- Dr. John Pederson, representing the Colorado Optometric Association, testified in support of the bill.



08:07 PM -- Dr. Deanna Alexander, representing the Colorado Optometric Association, testified in support of the bill.



08:12 PM -- Barb Cardell, representing Colorado Organizations Responding to AIDS, testified in support of the bill.



08:16 PM -- Dr. Karena Cretan, representing Clinical Pharmacists for Rocky Mountain Cares, testified in support of the bill.



08:18 PM -- Rebecca Cranston, representing the Northern Colorado AIDS Project, testified in support of the bill.





08:22 PM



Representative Danielson distributed a handout (Attachment M).



170413 AttachM.pdf





08:31 PM



Representatives Danielson and Becker wrapped up their presentation to the committee.