i_opioidsubstance_2017a_2017-10-31t13:14:09z6 Hearing Summary
Date: 10/31/2017
Location: RM 271
BILL SUMMARY for Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment
OPIOID AND OTHER SUBSTANCE USE DISORDERS
| Votes: View--> | Action Taken: |
| Adopt amendment 1 (Attachment EE). The motion pass Adopt amendment 2 (Attachment FF). The motion pass Adopt amendment 4 (Attachment GG). The motion pass Adopt amendment 5 (Attachment HH). The motion pass Adopt amendment 6 (Attachment II). The motion pass Adopt amendment 7 (Attachment JJ). The motion pass Amend Bill 6, Page 4, after Line 26, insert langua Refer Bill 6, Payment Issues Relating to Substance |
Pass Without Objection Pass Without Objection Pass Without Objection Pass Without Objection Pass Without Objection Pass Without Objection Pass Without Objection PASS |
03:32 PM -- Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment
Brita Daring, OLLS, presented Bill 6 (Attachment L) and amendments 1, 2, 4, 5, 6, and 7 (Attachment EE, FF, GG, HH, II, and JJ). The bill makes several changes to substance use treatment under health insurance plans and the state Medicaid program. For both private health insurance and Medicaid, these changes include prohibiting requirements that covered persons:
17Opioid1031AttachEE.pdf 17Opioid1031AttachFF.pdf
17Opioid1031AttachGG.pdf 17Opioid1031AttachHH.pdf
17Opioid1031AttachII.pdf 17Opioid1031AttachJJ.pdf
- get prior authorization in order to receive medication-assisted treatment (MAT); and
- undergo step therapy that requires the use of an opioid medication prior to providing coverage for a non-opioid prescription drug recommended by a patient's health care provider.
For private health insurance, the bill also requires that insurers cover transdermal lidocaine patches for chronic pain. In addition, health plans that provide a benefit for physical therapy, acupuncture, or chiropractic care cannot subject those services to dollar limits, deductibles, copayments, or coinsurance that are higher than those for primary care services for covered persons who are diagnosed with chronic pain and who have or have had a substance use disorder diagnosis. For Medicaid, the bill also requires that the brand-name intranasal opioid antagonist Narcan and its generic version be covered.
03:36 PM
Representative Kennedy provided an overview of the stakeholder process involved in this bill and explained the amendments. Committee discussion followed about the amendments.
03:44 PM -- Tonya Wheeler, Advocates for Recovery Colorado, testified in support of the bill.
03:45 PM -- Angela Bonaguidi, Colorado Organization for the Treatment of Opioid Dependence, testified in support of the bill. She discussed concerns about amendment 7.
03:46 PM -- Sara Orrange, Colorado Association of Health Plans, presented the association's concerns about the bill.
03:52 PM -- Frank Cornelia, COHC, spoke in support of the bill.
| BILL: | Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment | |
| TIME: | 03:53:27 PM | |
| MOVED: | Kennedy | |
| MOTION: | Adopt amendment 1 (Attachment EE). The motion passed without objection. | |
| SECONDED: | Singer | |
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VOTE
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Buck
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Jahn
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Kennedy
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Moreno
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Navarro
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Priola
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Singer
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Tate
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Lambert
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Pettersen
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YES: 0 NO: 0 EXC: 0 ABS: 0 REMOTE PARTICIPATION: 0 FINAL ACTION: Pass Without Objection
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| BILL: | Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment | |
| TIME: | 03:54:42 PM | |
| MOVED: | Kennedy | |
| MOTION: | Adopt amendment 2 (Attachment FF). The motion passed without objection. | |
| SECONDED: | Jahn | |
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VOTE
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Buck
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Jahn
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Kennedy
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Moreno
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Navarro
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Priola
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Singer
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Tate
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Lambert
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Pettersen
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YES: 0 NO: 0 EXC: 0 ABS: 0 REMOTE PARTICIPATION: 0 FINAL ACTION: Pass Without Objection
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| BILL: | Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment | |
| TIME: | 03:55:03 PM | |
| MOVED: | Kennedy | |
| MOTION: | Adopt amendment 4 (Attachment GG). The motion passed without objection. | |
| SECONDED: | Priola | |
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VOTE
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Buck
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Jahn
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Kennedy
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Moreno
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Navarro
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Priola
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Singer
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Tate
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Lambert
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Pettersen
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YES: 0 NO: 0 EXC: 0 ABS: 0 REMOTE PARTICIPATION: 0 FINAL ACTION: Pass Without Objection
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| BILL: | Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment | |
| TIME: | 03:55:20 PM | |
| MOVED: | Kennedy | |
| MOTION: | Adopt amendment 5 (Attachment HH). The motion passed without objection. | |
| SECONDED: | Priola | |
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VOTE
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Buck
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Jahn
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||
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Kennedy
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||
|
Moreno
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||
|
Navarro
|
||
|
Priola
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||
|
Singer
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||
|
Tate
|
||
|
Lambert
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||
|
Pettersen
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||
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YES: 0 NO: 0 EXC: 0 ABS: 0 REMOTE PARTICIPATION: 0 FINAL ACTION: Pass Without Objection
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| BILL: | Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment | |
| TIME: | 03:55:40 PM | |
| MOVED: | Kennedy | |
| MOTION: | Adopt amendment 6 (Attachment II). The motion passed without objection. | |
| SECONDED: | Priola | |
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VOTE
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Buck
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Jahn
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||
|
Kennedy
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||
|
Moreno
|
||
|
Navarro
|
||
|
Priola
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||
|
Singer
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||
|
Tate
|
||
|
Lambert
|
||
|
Pettersen
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||
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YES: 0 NO: 0 EXC: 0 ABS: 0 REMOTE PARTICIPATION: 0 FINAL ACTION: Pass Without Objection
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| BILL: | Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment | |
| TIME: | 03:55:57 PM | |
| MOVED: | Kennedy | |
| MOTION: | Adopt amendment 7 (Attachment JJ). The motion passed without objection. | |
| SECONDED: | Singer | |
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VOTE
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Buck
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Jahn
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||
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Kennedy
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||
|
Moreno
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||
|
Navarro
|
||
|
Priola
|
||
|
Singer
|
||
|
Tate
|
||
|
Lambert
|
||
|
Pettersen
|
||
|
YES: 0 NO: 0 EXC: 0 ABS: 0 REMOTE PARTICIPATION: 0 FINAL ACTION: Pass Without Objection
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||
| BILL: | Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment | |
| TIME: | 03:56:58 PM | |
| MOVED: | Kennedy | |
| MOTION: | Amend Bill 6, Page 4, after Line 26, insert language establishing an effective date for the bill of January 1, 2019. The motion passed without objection. | |
| SECONDED: | Singer | |
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VOTE
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Buck
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||
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Jahn
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||
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Kennedy
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||
|
Moreno
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||
|
Navarro
|
||
|
Priola
|
||
|
Singer
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||
|
Tate
|
||
|
Lambert
|
||
|
Pettersen
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||
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YES: 0 NO: 0 EXC: 0 ABS: 0 REMOTE PARTICIPATION: 0 FINAL ACTION: Pass Without Objection
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| BILL: | Bill 6 - Payment Issues Relating to Substance Use Disorder Treatment | |
| TIME: | 03:56:40 PM | |
| MOVED: | Kennedy | |
| MOTION: | Refer Bill 6, Payment Issues Relating to Substance Use Disorder Treatment, as amended, to Legislative Council (Attachment L). The motion passed on a vote of 7-3. | |
| SECONDED: | Singer | |
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VOTE
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Buck
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No
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Jahn
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Yes
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Kennedy
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Yes
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Moreno
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Yes
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Navarro
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No
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Priola
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Yes
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Singer
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Yes
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Tate
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No
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Lambert
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Yes
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Pettersen
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Yes
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YES: 7 NO: 3 EXC: 0 ABS: 0 REMOTE PARTICIPATION: 0 FINAL ACTION: PASS
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03:56 PM
Representative Pettersen assigned the following co-prime sponsors to the bill: Representatives Kennedy and Singer, and Senators Lambert and Jahn. She announced that the bill will be introduced in the House of Representatives first, and Representative Pettersen will be listed as a co-sponsor. There was no objection to giving OLLS permission to make technical changes to the bill, if necessary.
03:56 PM
Representative Pettersen adjourned the meeting.