H_JUD_2018A 03/22/2018 01:34:25 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH, INSURANCE, & ENVIRONMENT Date 03/22/2018 Attendance Beckman X Buckner X Covarrubias X Hooton * Humphrey X Jackson X Kennedy * Landgraf * Lontine * Ransom * Wilson X Esgar X Ginal X Time 01:34:25 PM to 07:21:29 PM Place HCR 0107 This Meeting was called to order by Ginal This Report was prepared by Jimmy Reed Hearing Items Action Taken hSB18-149 Amended, referred to the Committee of the Whole hSB18-130 Committee Discussion Only hHB18-1265 Referred to the Committee of the Whole hSB18-136 Referred to the Committee of the Whole hHB18-1009 Amended, referred to House Appropriations hHB18-1215 Amended, referred to House Finance SB18-149 - Amended, referred to the Committee of the Whole Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/4723DAAEAEFD...$File/180322 AttachA.pdf?OpenElement 180322 AttachA.pdf 01:35:02 PM Representatives Herod and Gray, bill sponsors, explained Senate Bill 18-149 to the committee. Under current law, all records of the Denver Health and Hospital Authority are subject to the Colorado Open Records Act (CORA). This bill specifies that certain documents of the authority are public record, but that the contents of an electronic medical record system, individual medical records, personal medical information, and other documents related to individual patient care are not public records. Amendment L.001 was distributed to the committee [Attachment A]. 01:39:25 PM Representatives Gray and Herod responded to committee questions. 01:40:35 PM Tim Harlin, representing Denver Health, testified in support of the bill. 01:41:54 PM Jackie Zhelenzyak, representing Denver Health, testified in support of the bill. 01:42:31 PM Mr. Harlin and Ms. Zhelenzyak, responded to committee questions. 01:44:10 PM Representative Ginal closed witness testimony. Representative Gray discussed amendment L.001. 01:45:00 PM Motion Adopt amendment L.001 [Attachment A] Moved Jackson Seconded Buckner Beckman Buckner Covarrubias Hooton Excused Humphrey Jackson Kennedy Landgraf Lontine Ransom Wilson Esgar Ginal YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 01:46:33 PM Motion Refer Senate Bill 18-149, as amended, to the Committee of the Whole. Moved Lontine Seconded Esgar Beckman Yes Buckner Yes Covarrubias Yes Hooton Excused Humphrey Yes Jackson Yes Kennedy Yes Landgraf Yes Lontine Yes Ransom Yes Wilson Yes Esgar Yes Ginal Yes Final YES: 12 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS SB18-130 - Committee Discussion Only 01:47:07 PM Representative KcKean, bill sponsor, requested that Senate Bill 18-130 be laid over. Representative Ginal laid over Senate Bill 18-130 for action at a later date. HB18-1265 - Referred to the Committee of the Whole 01:50:34 PM Representatives Lontine and Beckman, bill sponsors, explained House Bill 18-1265 to the committee. The bill continues the Stroke Advisory Board indefinitely. 01:52:50 PM There was no witness testimony. 01:56:24 PM Committee members commented on the bill. 01:57:52 PM Motion Refer House Bill 18-1265 to the Committee of the Whole. Moved Beckman Seconded Lontine Beckman Yes Buckner Yes Covarrubias Yes Hooton Excused Humphrey No Jackson Yes Kennedy Yes Landgraf Yes Lontine Yes Ransom No Wilson Yes Esgar Yes Ginal Yes Final YES: 10 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS SB18-136 - Referred to the Committee of the Whole 01:59:37 PM Representatives Kraft-Tharp and Sias, bill sponsors, explained Senate Bill 18-136 to the committee. The bill allows a health insurance producer or broker to charge a fee for advising a client on the purchase of an individual health benefit plan under certain conditions. 02:01:00 PM Tim Hebert, representing the Colorado State Association of Health Underwriters (CSAHU), testified in support of the bill. 02:02:14 PM Tom Voake, representing CSAHU, testified in support of the bill. 02:04:32 PM Mr. Voake and Mr. Hebert responded to committee questions. 02:07:43 PM Bill Skewes, representing the Colorado Association of Commerce and Industry, testified in support of the bill. 02:13:47 PM Carl Larson, representing the National Association of Insurance and Financial Advisors, testified in support of the bill. 02:15:04 PM Representative Ginal concluded witness testimony. 02:15:40 PM Representative Sias made closing remarks. 02:18:07 PM Committee members commented on the bill. 02:19:38 PM Motion Refer Senate Bill 18-136 to the Committee of the Whole. Moved Buckner Seconded Jackson Beckman Yes Buckner Yes Covarrubias Yes Hooton Excused Humphrey Yes Jackson Yes Kennedy Yes Landgraf Yes Lontine Yes Ransom Yes Wilson Yes Esgar Yes Ginal Yes Final YES: 12 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS HB18-1009 - Amended, referred to House Appropriations Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/46EDC9ECF15E...$File/180322 AttachG.pdf?OpenElement 180322 AttachG.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/5FC2ED092D5C...$File/180322 AttachF.pdf?OpenElement 180322 AttachF.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/6A6FCC358DA9...$File/180322 AttachD.pdf?OpenElement 180322 AttachD.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/9BC657A4B269...$File/180322 AttachC.pdf?OpenElement 180322 AttachC.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/AF7DA1253612...$File/180322 AttachI.pdf?OpenElement 180322 AttachI.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/B087967FD46B...$File/180322 AttachB.pdf?OpenElement 180322 AttachB.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/BEE545449626...$File/180322 AttachH.pdf?OpenElement 180322 AttachH.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/DAF61F830666...$File/180322 AttachE.pdf?OpenElement 180322 AttachE.pdf 02:21:56 PM Representative Roberts, bill sponsor, explained House Bill 18-1009 to the committee. The bill requires drug manufactures and pharmacy benefit managers to submit information on diabetes drug costs and price increases to the Department of Public Health and Environment. Representative Roberts distributed handouts and Amendments L.002 and L.004 to the committee [Attachments B, C, D, and E]. 02:27:11 PM Representative Roberts explained amendments L.002 and L.004 to the committee [Attachments D and E]. 02:30:06 PM Representative Roberts responded to committee questions. 02:30:36 PM Gail Devore, representing herself, testified in support of the bill. 02:34:03 PM Erin Gilmer, representing herself, testified in support of the bill. 02:40:12 PM Ms. Devore and Ms. Gilmer responded to committee questions. 02:41:06 PM Jennifer Jones, representing the Colorado Bioscience Association, testified in opposition to the bill. 02:48:21 PM Brian Warren, representing the Biotechnology Innovation Organization, testified in opposition to the bill. Mr Warren distributed a handout to the committee [Attachment F]. 02:53:56 PM Mr. Warren and Ms. Jones responded to committee questions. 02:55:28 PM Committee discussion ensued. 03:12:21 PM Joan Green Turner, representing the Colorado Association of Health Plans, testified in opposition to the bill. 03:20:15 PM Sara Orrange, representing America's Health Insurance Plans, testified in opposition to the bill. 03:23:55 PM Travis Berry, representing CVS Health, testified in opposition to the bill. 03:26:52 PM Ms. Turner, Ms. Orrange, and Mr. Berry responded to committee questions. 03:39:03 PM Dana Malick, representing PhRMA, testified in opposition to the bill. 03:40:15 PM Bill Skewes, representing the Colorado Association of Commerce and Industry, testified in opposition to the bill. 03:43:38 PM Ms. Malick and Mr. Skewes responded to committee questions. 03:47:13 PM Committee discussion ensued. 03:55:22 PM Chewey Lam, representing himself, testified in support of the bill. 04:04:35 PM Dan Smith, representing himself, testified in support of the bill. 04:08:57 PM Mr. Smith responded to committee questions. 04:13:37 PM Betsy Ray, representing herself, testified in support of the bill. Ms. Ray distributed handouts [Attachments G and H]. 04:18:02 PM Erika Armani, representing herself, testified in support of the bill. 04:19:07 PM Diane Robinson, representing the Colorado Senior Lobby, testified in support of the bill. 04:20:48 PM Heather Swanson, representing herself, testified in support of the bill and distributed a handout [Attachmment I]. 04:27:36 PM Ms. Swanson responded to committee questions. 04:28:18 PM Ms. Ray responded to committee questions. 04:35:41 PM Dr. Rachel Carpenter, representing herself, testified in support of the bill. 04:37:52 PM Dr. Stefanie Sandhu, representing herself, testified in support of the bill. 04:40:49 PM Dr. Sandhu responded to committee questions. 04:42:02 PM Dr. Carpenter responded to committee questions. 04:45:31 PM Representative Ginal concluded witness testimony. 04:53:07 PM Motion Adopt amendment L.002 [Attachment D]. Moved Esgar Seconded Buckner Beckman No Buckner Yes Covarrubias No Hooton Yes Humphrey No Jackson Yes Kennedy Yes Landgraf No Lontine Yes Ransom No Wilson No Esgar Yes Ginal Yes YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS 04:53:59 PM Motion Adopt amendment L.004 [Attachment E]. Moved Esgar Seconded Kennedy Beckman No Buckner Yes Covarrubias No Hooton Yes Humphrey No Jackson Yes Kennedy Yes Landgraf No Lontine Yes Ransom No Wilson No Esgar Yes Ginal Yes YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS 04:54:00 PM Representative Roberts made closing remarks. 04:54:55 PM Committee members commented on the bill. 05:02:49 PM Motion Refer House Bill 18-1009, as amended, to the Committee on Appropriations. Moved Kennedy Seconded Lontine Beckman No Buckner Yes Covarrubias No Hooton Yes Humphrey No Jackson Yes Kennedy Yes Landgraf No Lontine Yes Ransom No Wilson No Esgar Yes Ginal Yes Final YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS HB18-1215 - Amended, referred to House Finance Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/293944F236E1...$File/180322 AttachM.pdf?OpenElement 180322 AttachM.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/37056A5C8E4E...$File/180322 AttachK.pdf?OpenElement 180322 AttachK.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/BB050797C97D...$File/180322 AttachJ.pdf?OpenElement 180322 AttachJ.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2018A/commsumm.nsf/0/E4B942104C8D...$File/180322 AttachL.pdf?OpenElement 180322 AttachL.pdf 05:13:16 PM Representative Arndt, bill sponsor, explained House Bill 18-1215 to the committee. The bill requires the State Board of Health to adopt rules concerning the disposal of naturally occurring radioactive material and technologically enhanced naturally occurring radioactive material. Representative Arndt explained L.001 to the committee [Attachment J]. Representative Arndt distributed handouts [Attachments K and L]. 05:21:44 PM Thomas Morris, Office of Legislative Legal Services, came to the table to explain amendment L.001 and responded to committee questions. 05:29:57 PM Representative Arndt responded to committee questions. 05:35:45 PM Matt Tymchak, representing Gradient, testified in a neutral capacity to the bill. Mr. Tymchak distributed a handout [Attachment M] and responded to committee questions. 05:54:05 PM Bill Skewes, representing the Colorado Association of Commerce and industry, testified in opposition to the bill without amendments. 05:57:28 PM Lou Bull, representing Waste Management, testified in opposition to the bill. 06:01:18 PM Elizabeth Stengl, representing Republic Services, testified in opposition to the bill. 06:05:00 PM Mr. Bull responded to committee questions. 06:08:01 PM Ms. Stengl responded to committee questions. 06:13:28 PM Jennifer Opila, Colorado Department of Public Health and Environment, testified in a neutral capacity on the bill. 06:18:02 PM Tracee Bentley, representing the Colorado Petroleum Council, testified in opposition to the bill. 06:19:29 PM Ken Lykens, representing the Centennial Water and Sanitation District, testified in a neutral capacity on the bill. 06:22:41 PM Mr. Lykens, Ms. Opila, and Ms. Bentley responded to committee questions. 06:32:48 PM Barbara Biggs, representing the Roxborough Water Sanitation District, testified in support of the bill. 06:41:35 PM Jennifer Robinett, representing the Metro Wastewater Reclamation District, testified in support of the bill. 06:48:25 PM Lisa Hollander, representing Metro Wastewater Reclamation District, testified in support of the bill. 06:49:24 PM Ms. Hollander and Ms. Biggs responded to committee questions. 06:54:11 PM Sean Lieske, representing Aurora Water, testified in a neutral capacity to the bill. 06:56:31 PM Alan Braslau, representing himself, testified in support of the bill. 06:57:01 PM Jen Boulton, representing Audubon Colorado, testified in support of the bill. 07:01:06 PM Mr. Lieske responded to committee questions. 07:03:19 PM Jane Witheridge, representing Pawnee Waste, testified in support of the bill. 07:09:03 PM Motion Adopt amendment L.001 [Attachment J]. Moved Esgar Seconded Lontine Beckman No Buckner Yes Covarrubias No Hooton Yes Humphrey Excused Jackson Yes Kennedy Yes Landgraf No Lontine Yes Ransom No Wilson No Esgar Yes Ginal Yes YES: 7 NO: 5 EXC: 1 ABS: 0 FINAL ACTION: PASS 07:09:04 PM Representative Arndt made closing remarks. 07:10:11 PM Committee members commented on the bill. 07:20:57 PM Motion Refer House Bill 18-1215, as amended, to the Committee on Finance. Moved Esgar Seconded Ginal Beckman No Buckner Yes Covarrubias No Hooton Yes Humphrey No Jackson Yes Kennedy Yes Landgraf No Lontine Yes Ransom No Wilson No Esgar Yes Ginal Yes Final YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS 07:21:29 PM Committee Adjourned