C5D1A4D0A455D990872583B500801B83 Hearing Summary CLICS/CLICS2019A/commsumm.nsf PUBLICBILL SUMMARY For HB19-1174HOUSE COMMITTEE ON HEALTH & INSURANCEDate Mar 6, 2019 Location HCR 0107 HB19-1174 - Amended, referred to House Appropriations Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/04F71B07FFBE...$File/190306 AttachL.pdf?OpenElement 190306 AttachL.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/18823689D1CB...$File/190306 AttachI.pdf?OpenElement 190306 AttachI.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/3476A9B543F2...$File/190306 AttachG.pdf?OpenElement 190306 AttachG.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/4BF2C7C894E6...$File/190306 AttachJ.pdf?OpenElement 190306 AttachJ.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/718C8217A3BD...$File/190306 AttachH.pdf?OpenElement 190306 AttachH.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/AA57EC88708E...$File/190306 AttachD.pdf?OpenElement 190306 AttachD.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/C5AD47E49166...$File/190306 AttachC.pdf?OpenElement 190306 AttachC.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/E37B2415A977...$File/190306 AttachK.pdf?OpenElement 190306 AttachK.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/EE34D1A21F31...$File/190306 AttachE.pdf?OpenElement 190306 AttachE.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/F85D040F31EF...$File/190306 AttachF.pdf?OpenElement 190306 AttachF.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/B4F42831BD73...$File/190306 AttachN.pdf?OpenElement 190306 AttachN.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/B60A24DA6FB4...$File/190306 AttachM.pdf?OpenElement 190306 AttachM.pdf 04:20:31 PM Representative Lontine recessed the committee. 04:46:36 PM Representative Lontine called the meeting back to order. 04:48:50 PM Representative Catlin and Representative Esgar, bill sponsors, presented House Bill 19-1174 to the committee. The bill requires health care providers, facilities, and health insurance carriers to provide disclosures to consumers about the potential effects of receiving services from an out-of-network provider or at an out-of-network facility. The bill also establishes reimbursement amounts for out-of-network providers who are providing services at an in-network facility or who are providing emergency services. A handout was distributed to committee members (Attachment C). 04:49:58 PM Representative Lontine proceeded with witness testimony on the bill. 04:52:08 PM Don Lombadi, Colorado Fire Chiefs, testified in support of the bill with amendments. 04:55:12 PM Christopher Montera, Eagle County Health Service District, testified in opposition to the bill without amendments. 04:57:36 PM Adela Flores-Brenann, Colorado Consumer Health Initiative, testified in support of the bill. 05:01:31 PM Bill Lindsay, representing himself, testified in support of the bill. 05:04:04 PM Commissioner Michael Conway, Division of Insurance, Department of Regulatory Agencies, testified in support of the bill. 05:07:12 PM The witness panel responded to committee questions. 05:36:31 PM Kara Veitch, Executive Director, Colorado Department of Personnel and Administration, testified in support of the bill. 05:39:03 PM Ray Jenning, Grand County EMS, testified in opposition to the bill without amendments. 05:42:16 PM Peg Burnette, Denver Health, testified in a neutral capacity on the bill. 05:46:50 PM The witness panel responded to committee questions. Representative Esgar responded to committee questions. 05:54:04 PM Dr. Anna Weyand, Colorado Society of Anesthesiologists, testified in opposition to the bill. 05:56:16 PM Dr. Dave Downs, Colorado Medical Society, testified in opposition to the bill. 05:59:49 PM Dr. Bruce Waring, Colorado Medical Society, testified in opposition to the bill. 06:04:31 PM Dr. Nathaniel Hibbs, representing himself, testified in opposition to the bill. 06:08:19 PM Amber Burkhart, Colorado Hospital Association, testified in a neutral capacity on the bill. 06:10:37 PM The witness panel responded to committee questions. 06:39:35 PM Dr. Taj Kattapuram, Colorado Radiological Society, testified in opposition to the bill. 06:42:05 PM Zoe Williams, representing herself, testified in support of the bill. 06:45:57 PM Stephanie Wachman, representing herself, testified in support of the bill. 06:48:16 PM Chuck Woodard, representing himself, testified in support of the bill. 06:52:49 PM Bob Smith, Colorado Business Group on Health, testified in support of the bill and distributed a handout (Attachment D). 07:00:28 PM Brad Niederman, Colorado State Association of Health Underwriters, testified in support of the bill. 07:05:37 PM Nicholas Colglazier, Colorado Competitive Council, testified in support of the bill. 07:08:04 PM The witness panel responded to committee questions. 07:17:03 PM Ed Shackelford, Colorado Senior Lobby, testified in support of the bill. 07:19:58 PM Summer Westerbur, Colorado State Association of Health Underwriters, testified in support of the bill. 07:21:17 PM Jennifer Mello, Centura Health, testified in support of the bill with amendments. 07:21:57 PM Dr. Margaret Ferguson, Kaiser Permanente Colorado, testified in support of the bill. 07:33:04 PM Bethany Pray, Colorado Center on Law and Policy, testified in support of the bill. 07:36:52 PM Marc Reece, Colorado Association of Health Plans, testified in support of the bill. 07:40:24 PM The witness panel responded to committee questions. 07:49:36 PM Amendments L.012, L.013, L.014, L.017, L.018, L.019, L.021, L.023, L.024, and L.025 were distributed to the committee members (Attachments E to N). Committee discussion ensued regarding the amendments. 07:55:57 PM Motion Adopt amendment L.012 (Attachment E). Moved Beckman Seconded Mullica Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 08:01:01 PM Motion Adopt amendment L.021 (Attachment K) to amendment L.013 (Attachment F). Moved Lontine Seconded Buckner Baisley Yes Beckman No Buckner Yes Jackson Yes Jaquez Lewis Excused Mullica Yes Soper Excused Titone Yes Will Yes Caraveo Yes Lontine Yes YES: 8 NO: 1 EXC: 2 ABS: 0 FINAL ACTION: PASS 08:01:40 PM Motion Adopt amendment L.013, as amended (Attachment F). Moved Lontine Seconded Buckner Baisley Beckman Buckner Jackson Jaquez Lewis Excused Mullica Soper Excused Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 08:04:33 PM Motion Adopt amendment L.014 (Attachment G). Moved Jackson Seconded Titone Baisley Beckman Buckner Jackson Jaquez Lewis Excused Mullica Soper Excused Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 08:05:50 PM Motion Adopt amendment L.017 (Attachment H). Moved Titone Seconded Mullica Baisley Beckman Buckner Jackson Jaquez Lewis Excused Mullica Soper Excused Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 08:07:13 PM Motion Adopt amendment L.018 (Attachment I). Moved Titone Seconded Mullica Baisley Beckman Buckner Jackson Jaquez Lewis Excused Mullica Soper Excused Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 08:08:26 PM Motion Adopt amendment L.019 (Attachment J). Moved Mullica Seconded Caraveo Baisley Beckman Buckner Jackson Jaquez Lewis Excused Mullica Soper Excused Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 08:09:13 PM Motion Adopt amendment L.023 (Attachment L). Moved Mullica Seconded Buckner Baisley Beckman Buckner Jackson Jaquez Lewis Excused Mullica Soper Excused Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 08:10:00 PM Motion Adopt amendment L.024 (Attachment M). Moved Mullica Seconded Titone Baisley Beckman Buckner Jackson Jaquez Lewis Excused Mullica Soper Excused Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 08:10:01 PM A representative from the Colorado Consumer Health Initiative came to the table to respond to committee questions regarding the amendments. 08:13:36 PM Motion Adopt amendment L.025 (Attachment N). Moved Beckman Seconded Mullica Baisley Beckman Buckner Jackson Jaquez Lewis Excused Mullica Soper Excused Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 08:13:37 PM Representatives Catlin and Esgar gave closing remarks on the bill. 08:18:54 PM Committee members commented on the bill. 08:32:42 PM Motion Refer House Bill 19-1174, as amended, to the Committee on Appropriations. Moved Titone Seconded Mullica Baisley Yes Beckman Yes Buckner Yes Jackson Yes Jaquez Lewis Excused Mullica Yes Soper Excused Titone Yes Will Yes Caraveo Yes Lontine Yes Final YES: 9 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS