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S_HHS_2017A 02/08/2017 Committee Summary

Final

STAFF SUMMARY OF MEETING



SENATE COMMITTEE ON HEALTH & HUMAN SERVICES

Date: 02/08/2017
ATTENDANCE
Time: 10:21 AM to 12:30 PM
Aguilar
*
Crowder
X
Place: SCR 354
Kefalas
X
Martinez Humenik
X
This Meeting was called to order by
Smallwood
X
Senator Smallwood
This Report was prepared by
Elizabeth Haskell
X = Present, E = Excused, A = Absent, * = Present after roll call
Bills Addressed: Action Taken:
SB17-074

SB17-108

SB17-110
Amended, Referred to Senate Appropriations

Amended, Referred to the Committee of the Whole - Consent Calendar

Amended, Referred to the Committee of the Whole





10:21 AM -- SB 17-074



Senator Garcia, bill sponsor, presented Senate Bill 17-074. The bill creates a pilot program in the College of Nursing in the University of Colorado to make grants for organizations providing medication-assisted treatment to persons with opioid use disorders in Pueblo and Routt counties. The program is funded by an annual appropriation of $500,000 from the Marijuana Tax Cash Fund (MTCF) for FY 2017-18 and FY 2018-19 only. Any unxpended moneys are returned to the MTCF. The program is repealed as of June 30, 2020.



Grants. The College of Nursing is charged with developing program guidelines and procedures, in collaboration with a newly created advisory board, including time frames for applying for grants, the form of the application, distribution time lines, technical assistance, consultation, and evaluation of the grant program. Grants must be awarded as soon as possible in FY 2017-18, but no later than January 2018. Grant funding is to be used for assisting nurse practitioners and physician's assistants to obtain training and support to prescribe medications, such as buprenorphine, and to increase access to medication-assisted treatment. The bill establishes minimum criteria for applying for a grant and reporting requirements for grantees.



Advisory Board. The board consists of representatives of the College of Nursing, the State Substance Abuse Trend and Response Task Force, the Colorado Consortium for Prescription Drug Abuse Prevention, the Colorado Nurses Association, the Physician Assistant Program at the University of Colorado, and at least one medical or public health professional from each county.



















Committee discussion followed. Senator Garcia distributed amendments L.002 (Attachment A), L.004 (Attachment B), and L.005 (Attachment C). Senator Aguilar distributed amendments L.006 (Attachment D) and L.007 (Attachment E).



170208 AttachA.pdf170208 AttachA.pdf170208 AttachB.pdf170208 AttachB.pdf170208 AttachC.pdf170208 AttachC.pdf170208 AttachD.pdf170208 AttachD.pdf170208 AttachE.pdf170208 AttachE.pdf



10:34 AM --
Meg Townsend, Colorado Academy of Physician Assistants, testified in support of the bill.



10:37 AM --
Dr. Michael Nerenberg, Pueblo Department of Public Health, testified in support of the bill.



10:41 AM --
Jennifer Anderson, Office of the Colorado Attorney General, testified in support of the bill. She stated that the Colorado Municipal League supports the bill.



10:43 AM --
Dr. Rob Valuck, Colorado Consortium for Prescription Drug Abuse Prevention, testified in support of the bill. Dr. Valuck responded to questions from the committee.



10:53 AM



Committee discussion followed.



11:00 AM --
Mark McMahan, AMR Healthcare Transportation Services, testified in support of the bill.



11:06 AM --
Jacquelyn Cully, Integrative Treatment Consultants, testified in support of the bill. Ms. Cully responded to questions from the committee.



11:12 AM -- Kathy Maestas, Natcore Healthcare and Fremont County, testified in support of the bill, but requested some modifications. Ms. Maestas responded to questions.



11:23 AM --
Mark Jankelow, Springbok Health, Inc., testified in support of the bill and responded to questions.



11:31 AM --
Steven Wright, Colorado Society of Addiction Medicine, testified in support of the bill and suggested some amendments.



11:35 AM --
Kate Harris, Harm Reduction Action Center, testified in support of the bill.



11:36 AM --
Benjamin Capper, representing himself, testified in support of the bill.





11:39 AM --
Mary Weber, University of Colorado College of Nursing, testified in support of the bill. Ms. Weber responded to questions.

BILL: SB17-074
TIME: 11:50:00 AM
MOVED: Crowder
MOTION: Adopt amendment L.002 (Attachment A). The motion passed without objection.
SECONDED:
VOTE
Aguilar
Crowder
Kefalas
Martinez Humenik
Smallwood
YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection
BILL: SB17-074
TIME: 11:53:11 AM
MOVED: Crowder
MOTION: Adopt amendment L.005 (Attachment C). The motion passed without objection.
SECONDED:
VOTE
Aguilar
Crowder
Kefalas
Martinez Humenik
Smallwood
YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection


BILL: SB17-074
TIME: 11:53:24 AM
MOVED: Crowder
MOTION: Adopt amendment L.007 (Attachment E). The motion passed without objection.
SECONDED:
VOTE
Aguilar
Crowder
Kefalas
Martinez Humenik
Smallwood
YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection
BILL: SB17-074
TIME: 11:53:35 AM
MOVED: Crowder
MOTION: Refer Senate Bill 17-074, as amended, to the Committee on Appropriations. The motion passed on a vote of 5-0.
SECONDED:
VOTE
Aguilar
Yes
Crowder
Yes
Kefalas
Yes
Martinez Humenik
Yes
Smallwood
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



11:56 AM -- SB 17-108



Senator Crowder, bill sponsor, presented Senate Bill 17-108. The bill continues the regulation of speech-language pathologists by the Director the Division of Professions and Occupations in the Department of Regulatory Agencies (DORA) from September 1, 2017, when the program is currently set to expire, to September 1, 2022. As recommended by the DORA Sunset Report, the bill removes references to the American Speech-Language-Hearing Association.






11:58 AM -- Liliana Stagakes, Colorado Speech-Language-Hearing Association, testified in support of the bill.



12:00 PM -- Hayley Swihart, Children's Hospital Colorado, testified in support of the bill.

BILL: SB17-108
TIME: 12:05:05 PM
MOVED: Crowder
MOTION: Adopt amendment L.001 (Attachment F) . The motion passed without objection.
SECONDED:
VOTE
Aguilar
Crowder
Kefalas
Martinez Humenik
Smallwood
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection



170208 AttachF.pdf170208 AttachF.pdf

BILL: SB17-108
TIME: 12:06:42 PM
MOVED: Crowder
MOTION: Refer Senate Bill 17-108, as amended, to the Committee of the Whole with a recommendation that it be placed on the consent calendar. The motion passed on a vote of 5-0.
SECONDED:
VOTE
Aguilar
Yes
Crowder
Yes
Kefalas
Yes
Martinez Humenik
Yes
Smallwood
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS





















12:07 PM -- SB 17-110



Senators Crowder and Kefalas, co-prime bill sponsors, presented the bill. Under current law, a family child care home is exempt from child care licensing requirements if they provide care for less than 24 hours for one child or for two or more siblings from the same family household. The bill modifies this exemption so that an individual who provides care in a place of residence for less than 24 hours is exempt from child care licensing if one of the following conditions are met:

        • the children being cared for are related to the caregiver, the children are related to each other from a single family unrelated to the caregiver, or a combination of such children; or
        • there are no more than four children being cared for, with no more than two children under two years of age from multiple families, regardless of the children's relationship to the caregiver.

Senator Crowder distributed amendment L.001 (Attachment G). Committee discussion and questions followed.



170208 AttachG.pdf170208 AttachG.pdf



12:13 PM --
Laurel LaBonde, representing herself, testified in support of the bill.



12:17 PM --
Erin Mewhinney, Colorado Department of Human Services, testified in support of the bill. Ms. Mewhinney responded to questions from the committee.



12:21 PM -- Bill Jaeger, Colorado Children's Champaign, testified in support of the bill.



12:26 PM



Committee discussion and questions followed.

BILL: SB17-110
TIME: 12:27:52 PM
MOVED: Crowder
MOTION: Adopt amendment L.001 (Attachment G). The motion passed without objection.
SECONDED:
VOTE
Aguilar
Crowder
Kefalas
Martinez Humenik
Smallwood
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection












BILL: SB17-110
TIME: 12:28:35 PM
MOVED: Crowder
MOTION: Refer Senate Bill 17-110, as amended, to the Committee of the Whole. The motion passed on a vote of 5-0.
SECONDED:
VOTE
Aguilar
Yes
Crowder
Yes
Kefalas
Yes
Martinez Humenik
Yes
Smallwood
Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



12:30 PM



The committee adjourned.