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I_OpioidSubstance_2019A 10/29/2019 10:38:11 AM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
INTERIM COMMITTEE  OPIOID AND OTHER SUBSTANCE USE DISORDERS
Date 10/29/2019
Attendance
Buck X
Buentello X
Donovan X
Herod X
Moreno X
Priola X
Tate X
Wilson E
Kennedy X
Pettersen X
X = Present, E = Excused, A = Absent, * = Present after roll call
Time 10:38:11 AM to 01:41:55 PM
Place Old State Library
This Meeting was called to order by Senator Pettersen
This Report was prepared by Anne Wallace
Hearing Items Action Taken
Call to Order Committee Discussion Only
Committee Discussion on Legislation and Amendments Committee Discussion Only
Public Comment on Committee Legislation Committee Discussion Only
Committee Vote to Approve Legislation and Letters Committee Discussion Only

Call to Order - Committee Discussion Only


10:38:29 AM  

Senator Pettersen called the meeting to order.  An agenda and packet of committee bills and fiscal notes was distributed to committee members (Attachments A and B).  



Committee Discussion on Legislation and Amendments - Committee Discussion Only


10:40:51 AM  
A handout of committee bill summaries was
distributed to committee members (Attachment C).  Kristen Forrestal,
Office of Legislative Legal Services (OLLS), described Bill #1, regarding
prevention of substance use disorders.  The bill provisions include:

-changes to insurance coverage requirements for alternatives to opioids;

-continuation of opioid prescribing limits;

-continuing education requirements for opioid prescribers; and

-changes to the prescription monitoring
date program (PDMP).

10:46:33 AM  
Representative Kennedy commented on stakeholder
conversations regarding Bill #1.  Ms. Forrestal discussed amendments
1, 2, 3, 4, and 5 to Bill #1 (Attachments D to H).  Representative
Kennedy commented on the amendments and mentioned other prevention ideas
that were not included in Bill #1.  Representative Kennedy responded
to committee questions regarding the amendments.
10:58:00 AM  

Yelana Love, OLLS, described Bill #2, regarding substance use disorder harm reduction.  The bill provisions include:

-changes to naloxone use policies;  

-allowing pharmacies to sell syringes;

-changes to syringe access program regulations; and

-increasing funding to local harm reduction programs.



Senator Pettersen and Representative Kennedy commented on the contents of Bill #2.  

11:06:14 AM  

Shelby Ross, OLLS, described Bill #3 regarding substance use disorder in the criminal justice system.  The bill provisions include:

-increasing the availability of medication-assisted treatment in jails and prisons and upon release;

-allowing disposal of controlled substances at safe stations; and

-changing record sealing requirements.



Representative Herod and Senator Pettersen commented on outstanding issues and stakeholder involvement regarding Bill #3.  Jose Esquibel and Rob Valuck, Colorado Consortium for Prescription Drug Abuse Prevention, responded to committee questions about the bill.  

11:20:07 AM  
Ms. Ross described amendment 1 to Bill
#3 (Attachment I).  
11:24:18 AM  

Brita Darling, OLLS, described Bill #4 concerning treatment for substance use disorders.  The provisions of the bill include:  

-adjusting the community needs assessment process;

-requiring insurance carriers to cover certain substance use disorder treatments;

-increasing funding to health care provider loan programs;

-allowing pharmacies to recieve an enhanced dispensing fee;

-requiring the Department of Human Services to study child care availability for parents reciving treatment;

-appropriating funding to the Center for Substance Use Disorder Prevention, Treatment, and Recovery Support Strategies to employ grant writers; and

-requiring insurance carriers to report certain data to the Commissioner of Insurance.



Senator Pettersen commented on the contents of Bill #4.  Ms. Darling responded to committee questions

 

 

 

 

 

 

 

11:33:13 AM  
Ms. Darling explained amendments 1, 2,
3, 4, 5, and 6 to Bill #4 (Attachments J to O).  Senator Pettersen
commented on amendments to the bill.  
11:43:49 AM  

Ms. Love described Bill #5 regarding substance use disorder recovery.  The provisions of the bill include:

-increasing funding for peer coaching training;

-continuing the Opioid and Other Substance Use Disorders Committee for two additional years;

-requiring the Substance Abuse Trend and Response Task Force to review state legislation and submit policy recommendations regarding substance use disorders;

-modifying how child abuse and neglect or dependency is determined;

-requiring additional research into the substance use disorder treatment system in Colorado; and

-creating a grant program for recovery community organizations.

Ms. Love and Representative Herod discussed a potential amendment to Bill #5.  Ms. Love described amendments 2 and 3 to Bill #5 (Attachments P and Q).

 

 

 

 

 

 

11:50:19 AM  

Senator Pettersen recessed the committee.

12:30:19 PM  

Senator Pettersen called the meeting back to order.



Public Comment on Committee Legislation - Committee Discussion Only


12:36:12 PM  

Dr. Jonathan Clapp, Colorado Pain Society and Colorado Medical Society, testified regarding Bill #1, and specifically pain psychology treatment and access to the PDMP.  

12:43:04 PM  

Lisa Raville, Harm Reduction Action Center and Colorado Syringe Access Providers Coalition, testified regarding Bill #1, and specifically naloxone's inclusion on the PDMP.  Representative Kennedy commented on the issue and responded to committee questions.

12:49:19 PM  

Heather Thompson, Elephant Circle, testified regarding Bill #5, and specifically the toxicology requirement included in the Colorado Children's Code.  She discussed her concerns about the data linkage project in Bill #5.

12:53:40 PM  

Indra Lusero, Elephant Circle, testified regarding Bill #5, and specifically the stigma pregnant women with substance use disorders face.  She discussed the downfalls of opening families to investigations for abuse and neglect.  Ms. Lusero responded to questions.

12:59:29 PM  

Karla Gonzales, Colorado Organization for Latina Opportunity and Reproductive Rights, testified regarding Bill #5, and specifically her concerns about the data linkage provision in the bill.  She questioned the value of data that is collected only from low-income populations.

01:03:05 PM  

Senator Pettersen discussed the process to approve the draft bills.  She also discussed two letters that will be sent from the committee to Colorado's Congressional delegation and to the Joint Budget Committee.

01:05:56 PM  

Robert Conklin, representing himself, testified regarding his wife's experience as a chronic pain patient.

01:10:46 PM  

Senator Pettersen recessed the meeting.

01:15:50 PM  

Senator Pettersen called the meeting back to order.



Committee Vote to Approve Legislation and Letters - Committee Discussion Only

01:17:00 PM  

Amendments 6 and 7 to Bill #1 were distributed to committee members (Attachments R and S).



01:17:47 PM
Motion Move amendment 7 (Attachment S) to amendment 1 (Attachment D) to Bill #1.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:18:01 PM
Motion Move amendment 1 (Attachment D), as amended, to Bill #1.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:18:15 PM
Motion Move amendment 2 (Attachment E) to Bill #1.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:18:31 PM
Motion Move amendment 4 (Attachment G) to Bill #1.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:18:57 PM
Motion Move amendment 5 (Attachment H) to Bill #1.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:19:12 PM
Motion Move amendment 6 (Attachment R) to Bill #1.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:20:02 PM
Motion Recommend Bill #1, as amended, to Legislative Council.
Moved Kennedy
Seconded
Buck No
Buentello Yes
Donovan Yes
Herod Yes
Moreno Yes
Priola Yes
Tate Yes
Wilson Excused
Kennedy Yes
Pettersen Yes
YES: 8   NO: 1   EXC: 1   ABS:  0   FINAL ACTION:  PASS
01:20:08 PM  

Representatives Kennedy and Herod and Senators Priola and Winter chose to prime sponsor Bill #1.  Senators Pettersen and Donovan agreed to cosponsor the bill.



01:21:39 PM
Motion Recommend Bill #2 to Legislative Council.
Moved Kennedy
Seconded
Buck No
Buentello Yes
Donovan Yes
Herod Yes
Moreno Yes
Priola Yes
Tate Yes
Wilson Excused
Kennedy Yes
Pettersen Yes
YES: 8   NO: 1   EXC: 1   ABS:  0   FINAL ACTION:  PASS
01:21:42 PM  

Representatives Kennedy and Herod and Senators Pettersen and Priola chose to prime sponsor Bill #2.



01:23:00 PM
Motion Move amendment 1 (Attachment I) to Bill #3.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:23:45 PM
Motion Recommend Bill #3, as amended, to Legislative Council.
Moved Herod
Seconded
Buck No
Buentello Yes
Donovan Yes
Herod Yes
Moreno Yes
Priola Yes
Tate Yes
Wilson Excused
Kennedy Yes
Pettersen Yes
YES: 8   NO: 1   EXC: 1   ABS:  0   FINAL ACTION:  PASS
01:23:53 PM  

Representative Herod and Senators Donovan and Priola chose to prime sponsor Bill #3.   Senator Pettersen and Representative Kennedy agreed to cosponsor the bill.



01:25:08 PM
Motion Move amendment 1 (Attachment J) to Bill #4.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:25:20 PM
Motion Move amendment 2 (Attachment K) to Bill #4.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:25:30 PM
Motion Move amendment 3 (Attachment L) to Bill #4.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:25:39 PM
Motion Move amendment 4 (Attachment M) to Bill #4.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:25:48 PM
Motion Move amendment 5 (Attachment N) to Bill #4.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:25:57 PM
Motion Move amendment 6 (Attachment O) to Bill #4.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:26:35 PM
Motion Recommend Bill #4, as amended, to Legislative Council.
Moved Kennedy
Seconded
Buck No
Buentello Yes
Donovan Yes
Herod Yes
Moreno Yes
Priola Yes
Tate No
Wilson Excused
Kennedy Yes
Pettersen Yes
YES: 7   NO: 2   EXC: 1   ABS:  0   FINAL ACTION:  PASS
01:26:38 PM  

Senators Winter and Pettersen and Representatives Wilson and Buentello chose to prime sponsor Bill #4.  Senators Priola and Donovan and Representatives Herod and Kennedy agreed to cosponsor the bill.  

01:27:15 PM  

Amendment 1 to Bill #5 was distributed to committee members (Attachment T).



01:27:41 PM
Motion Move amendment 1 (Attachment T) to Bill #5.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:27:51 PM
Motion Move amendment 2 (Attachment P) to Bill #5.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:28:01 PM
Motion Move amendment 3 (Attachment Q) to Bill #5.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:28:38 PM
Motion Recommend Bill #5, as amended, to Legislative Council.
Moved Kennedy
Seconded
Buck No
Buentello Yes
Donovan Yes
Herod Yes
Moreno Yes
Priola Yes
Tate Yes
Wilson Excused
Kennedy Yes
Pettersen Yes
YES: 8   NO: 1   EXC: 1   ABS:  0   FINAL ACTION:  PASS
01:28:42 PM  

Senators Pettersen and Priola and Representatives Buentello and Herod chose to prime sponsor Bill #5.  Represenative Kennedy agreed to cosponsor the bill.

01:29:19 PM  

Ms. Love discussed the safety and petition clauses of the bills.

01:33:08 PM  

Committee members discussed sending a letter to the Joint Budget Committee and to the Colorado Congressional delegation. Committee members commented on possible opioid settlement funds.  



01:39:26 PM
Motion Move that a letter be sent to the Joint Budget Committee from the committee.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


01:40:06 PM
Motion Move that a letter be sent to the Colorado Congressional delegation from the committee.
Moved Kennedy
Seconded
Buck
Buentello
Donovan
Herod
Moreno
Priola
Tate
Wilson Excused
Kennedy
Pettersen
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection
01:40:09 PM  

Senator Pettersen announced a change in sponsorship for Bill #3.  Representative Kennedy will be the prime sponsor of the bill with Representative Herod.

01:40:43 PM  
Senator Pettersen gave permission for technical
changes to committee bills and letters.  She provided closing remarks.


01:41:55 PM   The committee adjourned.






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