S_HHS_2016A 02/18/2016 01:30:00 PM Committee Summary

01:30 PM -- SB 16-120



Senator Roberts, bill sponsor, presented Senate Bill 16-120. She discussed provider fraud within Medicaid. She explained that many Medicaid clients would like to see a list of services that are billed to Medicaid in their name. The bill requires the Department of Health Care Policy and Financing (HCPF) to provide explanation of benefits (EOB) statements to Medicaid clients beginning July 1, 2017. The EOB statements must be distributed at least every two months and the department may determine the most cost effective means of sending out the statements, including e-mail or web-based distribution, with mailed copies sent by request only. The bill specifies the information to be included in the EOB statements, including the name of the client receiving services, the name of the service providers, a description of the service provided, the billing code for the service, and the date of the service. Senator Roberts responded to questions from the committee.



01:41 PM



Senator Roberts and committee members continued to dialogue about the bill. Discussion about creating an EOB that is in plain English so that clients can easily understand the contents of the EOB ensued.



01:51 PM



The committee continued to discuss the merits of a readable and useful EOB.



01:51 PM -- Christina Johnson, Colorado Cross-Disability Coalition (CCDC), spoke in support of the bill.



01:54 PM -- Dawn Howard, CCDC, spoke in support of the bill and responded to questions from the committee.









02:02 PM -- Mark Simon, self, spoke in support of the bill.



02:08 PM -- Dawn Caldwell, self, spoke in support of the bill. Ms. Caldwell provided a handout to the committee (Attachment A).



160218 AttachA.pdf



02:18 PM -- Justin Longo, Independence Institute, spoke in support of the bill.



02:20 PM -- Zach Lynkiewicz, Department of Health Care Policy and Financing, responded to questions from the committee.



02:24 PM



Senator Roberts made closing comments and presented amendment L.002 (Attachment B).



160218 AttachB.pdf

02:33 PM -- HB 16-1095



Senator Crowder, bill sponsor, presented House Bill 16-1095. The bill specifies that health insurance plans must provide coverage for renewing an eye drop medication prescription for under certain conditions. First, health plans must cover prescribed refills of eye drop medication that are filled after 70 percent of the days in original prescription or latest refill has elapsed. Second, health plans must cover the costs for refilling eye drop medication if the original prescription states that additional quantities of eye drop medication are required and the renewal does not exceed the number of additional quantities needed. In addition, coverage must be provided for one additional bottle if the original prescription states that the additional bottle is for use at a day care center, school, or adult day program. Required coverage for the additional bottle is limited to one refill every three months. The required prescription eye drop coverage under the bill is subject to the same deductibles, copayment, or coinsurance established for all other prescription drug benefits under the health plan.



02:34 PM -- Chet Seward, Colorado Society of Eye Physicians and Surgeons, spoke in support of the bill.



02:38 PM -- Dr. Emily McCourt, self, spoke in support of the bill.



02:41 PM -- Dr. Leo Seibold, self, spoke in support of the bill.



02:47 PM -- Mike Sausser, self, spoke in support of the bill.



02:49 PM -- Lexie Barnes and her son Calvin Winslow Barnes, self, spoke in support of the bill.



02:56 PM -- Bill Younkes, self, maintained a neutral position on the bill.



02:58 PM



Senator Crowder made closing comments. Senator Martinez Humenik discussed amendment L.001 (Attachment C).



160218 AttachC.pdf

03:07 PM -- HB 16-1081



Senator Newell and Senator Lundberg, co-prime sponsors, presented House Bill 16-1081. The bill repeals the requirements that the Department of Health Care Policy and Financing submit reports to the General Assembly on the following topics:

• pediatric health care quality performance measures;
• prevention of coding errors;
• managed care quality;
• pharmacy utilization;
• Children's Basic Health Plan (CHP+) contractors;
• comprehensive medical plan;
• medical premiums under the federal Ticket to Work and Work Incentive Improvements Act of 1999; and
• CHP+ annual savings.
  

  BILL:	HB16-1081
  TIME:	03:10:49 PM
  MOVED:	Newell
  MOTION:	Refer House Bill 16-1081 to the Committee of the Whole with a recommendation for the consent calendar. The motion passed on a vote of 5-0.
  SECONDED:
  		VOTE
  	Aguilar	Yes
  	Martinez Humenik	Yes
  	Newell	Yes
  	Crowder	Yes
  	Lundberg	Yes
  Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

03:13 PM



Senator Crowder adjourned the meeting.