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H_PHC_2020A 01/29/2020 10:01:33 AM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
HOUSE COMMITTEE ON PUBLIC HEALTH CARE & HUMAN SERVICES
Date 01/29/2020
Attendance
Caraveo X
Cutter X
Gonzales-Gutierrez X
Holtorf *
Jaquez Lewis X
Landgraf X
Larson X
Liston X
Mullica X
Pelton X
Young X
Michaelson Jenet X
Singer X
Time 10:01:33 AM to 11:46:31 AM
Place HCR 0112
This Meeting was called to order by Representative Singer
This Report was prepared by Julia Group
Hearing Items Action Taken
Sunset Review Hearing for Occupational Therapists and Occupational Therapy Assistants Draft Bill as Amended introduced
HB20-1038 Referred to the Committee of the Whole
HB20-1012 Amended, referred to House Appropriations
HB20-1041 Referred to the Committee of the Whole

X = Present, E = Excused, A = Absent, * = Present after roll call

Sunset Review Hearing for Occupational Therapists and Occupational Therapy Assistants - Draft Bill as Amended introduced


10:01:48 AM  

Representative Michaelson Jenet introduced the sunset review hearing for Occupational Therapists and Occupational Therapy Assistants.

10:03:11 AM  

Jennifer Lockwood, Department of Regulatory Agencies (DORA), introduced the sunset review. The report can be found here: https://drive.google.com/file/d/1L6AAcnxxwDKM9DPI5pO5gefvuqtXnSKj/view (Attachment A).  The committee received a copy of the draft bill concerning the continuation of the Occupational Therapy Practice Act (Attachment B).

10:10:16 AM  

Ms. Lockwood responded to questions from the committee.

10:11:19 AM  

Pamela DiPasquale-Lehnerz, Occupational Therapy Association of Colorado (OTAC), spoke about the sunset review.

10:15:41 AM  

Bailey Johnson, OTAC, spoke about the sunset review.

10:18:55 AM  

The committee discussed a conceptual amendment. Richard Sweetman, Office of Legislative Legal Services, responded to questions from the committee.



10:23:02 AM
Motion This is a conceptual amendment to the draft bill to extend recommendation #1 to 10 years.
Moved Holtorf
Seconded Singer
Caraveo
Cutter
Gonzales-Gutierrez
Holtorf
Jaquez Lewis
Landgraf
Larson
Liston
Mullica
Pelton
Young
Michaelson Jenet
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
10:23:32 AM  

Representative Singer explained Amendment #1 (Attachment C).



10:24:06 AM
Motion Move Amendment #1 to the draft bill (Attachment C).
Moved Singer
Seconded Michaelson Jenet
Caraveo
Cutter
Gonzales-Gutierrez
Holtorf
Jaquez Lewis
Landgraf
Larson
Liston
Mullica
Pelton
Young
Michaelson Jenet
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection


10:25:55 AM
Motion Move to file and introduce the draft bill as amended (LLS NO. 20-0511.01) for Occupational Therapists and Occupational Therapy Assistants (Attachment B).
Moved Singer
Seconded Cutter
Caraveo Yes
Cutter Yes
Gonzales-Gutierrez Yes
Holtorf Yes
Jaquez Lewis Yes
Landgraf Yes
Larson Yes
Liston Yes
Mullica Yes
Pelton Yes
Young Yes
Michaelson Jenet Yes
Singer Yes
YES: 13   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS
10:25:56 AM  

Representatives Singer and Larson were assigned as sponsors. Co-sponsors include Representatives Young, Holtorf, Pelton, Landgraf, Liston, Gonzales-Gutierrez, Jaquez Lewis, Cutter, Caraveo, and Michaelson Jenet.



HB20-1038 - Referred to the Committee of the Whole


10:27:36 AM  

Representatives Arndt and Van Winkle, sponsors, introduced House Bill 20-1038 to the committee.  House Bill 13-1117 transferred certain youth service functions from the Department of Public Health and Environment to the Department of Human Services.  House Bill 20-1038 repeals statutory language that requires the Colorado Department of Public Health and Environment to provide those previously transferred youth services.

10:30:43 AM  

The sponsors responded to questions from the committee.



10:33:11 AM
Motion Refer House Bill 20-1038 to the Committee of the Whole.
Moved Larson
Seconded Pelton
Caraveo Yes
Cutter Yes
Gonzales-Gutierrez Yes
Holtorf Yes
Jaquez Lewis Yes
Landgraf Yes
Larson Yes
Liston Yes
Mullica Yes
Pelton Yes
Young Yes
Michaelson Jenet Excused
Singer Yes
Final YES: 12   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  PASS



HB20-1012 - Amended, referred to House Appropriations


10:33:27 AM  

Representatives Young and Landgraf, sponsors, introduced House Bill 20-1012. The bill expands eligibility for children and youth with intellectual and developmental disabilities who require out-of-home residential care through a program administered by the Department of Human Services (DHS). Specifically, the bill expands the program to include children with co-occurring disorders, and to children who are at-risk of out-of-home placement. Currently, DHS only places children and who are in the custody of a county department of human services. The bill allows a parent or legal guardian of an eligible child to apply to DHS for placement. Under current law, DHS reimburses county departments that place children in the program. This bill requires DHS to reimburse the licensed facility for any placement initiated by a parent or legal guardian. Before a parent can apply to the program, a parent must first attempt to qualify the child for licensed out-of-home treatment services through Medicaid. Children covered only by private insurance are not eligible for the program. The bill also removes the priority of placements to county departments and requires DHS to place a child on the wait list if no beds are available. DHS is also required to maintain up to three emergency placement beds. Finally, the bill requires DHS to promulgate additional rules and to publish a report online by September 1, 2020. Additional rules required by the bill include rules for:

  • planning for services for youth who turn 18 while in the program; 
  • access to behavioral health services;
  • a process for selection criteria and wait list management;
  • program evaluation; and
  • an application process for children who are at risk of out-of-home placement but not in the custody of a county department.
10:39:10 AM  

Lauren Snyder, Mental Health Colorado, testified in favor of the bill.

10:43:54 AM  

Dr. Patrick Romani, Children's Hospital Colorado, testified in favor of the bill.

10:46:51 AM  

Christiano Sosa, The Arc of Colorado, testified in favor of the bill.

10:49:30 AM  

Ellen Stern, Children's Hospital Colorado, testified in favor of the bill.

10:50:54 AM  

The previous panel of witnesses responded to questions from the committee.

10:52:28 AM  

Gina Heumann, representing herself, testified in favor of the bill.

10:55:23 AM  

Amy VanTine, RAD Advocates, testified in favor of the bill.

10:59:45 AM  

The committee made comments regarding the testimony.



11:05:15 AM
Motion Postpone House Bill 20-1012 indefinitely.
Moved Singer
Seconded Landgraf
Caraveo Yes
Cutter Yes
Gonzales-Gutierrez Yes
Holtorf No
Jaquez Lewis Yes
Landgraf Yes
Larson No
Liston Yes
Mullica Yes
Pelton Yes
Young Yes
Michaelson Jenet Yes
Singer Yes
YES: 11   NO: 2   EXC: 0   ABS:  0   FINAL ACTION:  PASS


11:07:25 AM
Motion Reconsider the previous motion.
Moved Landgraf
Seconded Singer
Caraveo Yes
Cutter Yes
Gonzales-Gutierrez Yes
Holtorf Yes
Jaquez Lewis Yes
Landgraf Yes
Larson Yes
Liston Yes
Mullica Yes
Pelton Yes
Young Yes
Michaelson Jenet Yes
Singer Yes
YES: 13   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS
11:07:27 AM  

Representative Young introduced amendment L.001 (Attachment D). Committee members made comments on the amendment.

11:15:17 AM  

Aaron Carpenter, Legislative Council Staff, responded to questions from the committee regarding the fiscal note.

11:16:04 AM  

The sponsors responded to questions from the committee.



11:18:06 AM
Motion Adopt amendment L.001 (Attachment D).
Moved Young
Seconded Landgraf
Caraveo
Cutter
Gonzales-Gutierrez
Holtorf
Jaquez Lewis
Landgraf
Larson
Liston
Mullica
Pelton
Young
Michaelson Jenet
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
11:18:08 AM  

The bill sponsors made closing comments on the bill.

11:20:08 AM  

Committee members made closing comments about the bill.



11:22:34 AM
Motion Refer House Bill 20-1012, as amended, to the Committee on Appropriations.
Moved Young
Seconded Landgraf
Caraveo Yes
Cutter Yes
Gonzales-Gutierrez Yes
Holtorf Yes
Jaquez Lewis Yes
Landgraf Yes
Larson Yes
Liston Yes
Mullica Yes
Pelton Yes
Young Yes
Michaelson Jenet Yes
Singer Yes
Final YES: 13   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS



HB20-1041 - Referred to the Committee of the Whole


11:22:49 AM  

Representatives Cutter and McKean, bill sponsors, introduced House Bill 20-1041 to the committee.  Under current law, physician assistants are required to maintain professional liability insurance of at least $1.0 million per claim and $3.0 million for all claims.  This bill repeals that requirement and requires that physician assistants who have been practicing for at least three years comply with the same financial responsibility requirements as physicians.  This includes:

•    having professional liability insurance coverage of at least $1.0 million per incident and $3.0 million annual aggregate per year;

•    allowing the Medical Board to lower the financial requirements for physician assistants;

•    mandating that physician assistants give the Medical Board evidence that they have met the requirements; and

•    doubling the financial responsibility for any physician assistant that has committed medical malpractice twice in one year.

11:26:10 AM  

The sponsors responded to questions from the committee.

11:27:37 AM  

Jean Martin, COPIC Insurance, testified regarding the bill.

11:31:16 AM  

Alyn Welchel, Colorado Academy of Physician Assistants (CAPA), testified in favor of the bill.

11:34:07 AM  

Tiffany Knudsen, CAPA, made herself available for questions.

11:34:37 AM  

The previous panel of witnesses responded to questions from the committee.

11:43:07 AM  

The sponsors made closing comments on the bill.



11:46:17 AM
Motion Refer House Bill 20-1041 to the Committee of the Whole.
Moved Cutter
Seconded Pelton
Caraveo Yes
Cutter Yes
Gonzales-Gutierrez Yes
Holtorf Yes
Jaquez Lewis Yes
Landgraf Yes
Larson Yes
Liston Yes
Mullica Yes
Pelton Yes
Young Yes
Michaelson Jenet Yes
Singer Yes
Final YES: 13   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


11:46:31 AM   The committee adjourned.