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91423ABC0AF494E2872586A2006F2EF3 Hearing Summary




PUBLIC
BILL SUMMARY For HB21-1184

HOUSE COMMITTEE ON HEALTH & INSURANCE
Date Mar 24, 2021      
Location HCR 0112



HB21-1184 - Postponed Indefinitely
02:14:27 PM  
Representative Lontine,
bill co-sponsor, introduced HB21-1184.  Under current law, physician
assistants with fewer than three years of practice experience are permitted
to perform certain activities only under the supervision of a physician.
 The bill removes this supervisory relationship and instead requires
a physician assistant with fewer than 5,760 hours of practice experience
or who is beginning practice in a new specialty to engage in formal collaboration
with a physician.  Physician assistants with at least 5,760 hours
of practice experience must engage in informal collaboration with a physician.
 The bill establishes parameters for collaborative plans, and specifies
that a physician may enter into a practice agreement and collaborative
plan with up to eight physician assistants at one time.



The bill also establishes requirements for insurance carriers regarding
the reimbursement of physician assistants.



Public testimony submitted for HB21-1184 can be found in Attachment H.
02:33:13 PM  
Representative Will, bill co-sponsor, continued introducing HB21-1184.
02:36:50 PM  
Bill sponsors responded to questions from the committee.
02:40:14 PM  
Ms. Alyn Whelchel, representing Colorado Academy of Physician Assistant, testified in support of the bill. Dr. Gino Figlio, representing himself, testified in support of the bill. Dr. Tod Sweeney, representing himself, testified in support of the bill. Mr. Simon Smith, representing Clinica Family Health, testified in support of the bill. The panel of witnesses responded to questions from the committee.
03:09:20 PM  
Mrs. Jeannie Mueller, representing River Valley Family Health Center, testified in support of the bill. Jessica Sanchez, representing Colorado Community Health Network, testified in support of the bill. Mr. Cooper Couch, representing himself, testified in support of the bill. Mr. Randall Jones, representing himself, testified in support of the bill. The panel responded to questions from the committee.
03:27:55 PM  
Ms. Chelsey Stillman, representing herself, testified in support of the bill. Mr. Ron Rasis, representing himself, testified in support of the bill. PA Mark Quinn, representing Colorado Academy of Physician Assistants, testified in support of the bill. A letter on behalf of Kelly Erb, representing Colorado Rural Health Center, was read.
03:42:05 PM  
Mrs. Emily Borkovec, representing Mountain Family Health Centers / Colorado Community Health Centers, testified in support of the bill. Susanna Storeng, representing herself, testified in support of the bill. Mr. Michael Roberts, representing himself, testified in support of the bill. The panel of witnesses responded to questions from the committee.
03:57:03 PM  
Dr. Taj Kattapuram, representing Colorado Medical Society, testified in opposition to the bill. Dr. Geoffrey Lim, representing Colorado Dermatologic Society, testified in opposition to the bill. The witness panel responded to committee questions.
04:25:15 PM  
Dr. Sami Diab, representing Colorado medical society, testified in opposition to the bill. Ms. Courtney Olson, representing Colorado Medical Society, testified in opposition to the bill. Dr. Michael Renecle, representing Colorado Medical Society, testified in opposition to the bill.
04:36:48 PM  
Dr. William Hilty,
representing Colorado - American College of Emergency Physicians and Colorado
West Emergency Physicians, testified in opposition to the bill.  Dr.
Rebecca Kornas, representing US acute care solutions, testified in opposition
to the bill.  Dr. Jeremy Lazarus, representing Colorado Psychiatric
Association, testified in opposition to the bill and then read the testimony
of Dr. Megan Stinar, representing American Academy of Pediatrics, in opposition
to the bill.  The panel responded to questions from the committee.
 
05:08:30 PM  
Dr. Neal O'Connor, representing Colorado Chapter of the American College of Emergency Physicians, testified in opposition to the bill. Dr. Melissa Brooks, representing Colorado Society of Anesthesiologist, testified in opposition to the bill.
05:16:04 PM  
Tiffany Knudesn,
representing herself, testified in support of the bill.  The witness
responded to committee questions.  Diana Protopapa, representing herself,
testified in support of the bill and read a letter into the record.
05:26:57 PM  
The bill sponsors
discussed amendments L.001 (Attachment I) and L.002 (Attachment J).


05:28:16 PM
 Motion Adopt amendment L.001 (Attachment I).
Moved Lontine
Seconded Kennedy
Baisley
Williams D.
Hanks
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber
Caraveo
Lontine
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection


05:29:21 PM
 Motion Adopt amendment L.002 (Attachment J).
Moved Lontine
Seconded Kennedy
Baisley
Williams D.
Hanks
Jackson
Kennedy
McCormick
Mullica
Neville
Ortiz
Titone
Van Beber Excused
Caraveo
Lontine
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection
05:29:56 PM  
Representative Will provided closing comments on the bill.
05:33:11 PM  
Representative Lontine provided closing comments on the bill.
05:36:58 PM  
Committee members made closing comments on the bill.
05:48:46 PM  
Committee members continued to offer comments on the bill.


05:53:54 PM
 Motion Refer House Bill 21-1184, as amended, to the Committee of the Whole.
Moved Lontine
Seconded Kennedy
Baisley No
Williams D. No
Hanks No
Jackson No
Kennedy Yes
McCormick Yes
Mullica No
Neville Yes
Ortiz No
Titone Yes
Van Beber No
Caraveo No
Lontine Yes
YES: 5   NO: 8   EXC: 0   ABS:  0   FINAL ACTION:  FAIL


05:54:23 PM
 Motion Postpone House Bill 21-1184 indefinitely using a reversal of the previous roll call. There was no objection to the use of the reverse roll call, therefore, the bill was postponed indefinitely.
Moved Mullica
Seconded Williams D.
Baisley Yes
Williams D. Yes
Hanks Yes
Jackson Yes
Kennedy No
McCormick No
Mullica Yes
Neville No
Ortiz Yes
Titone No
Van Beber Yes
Caraveo Yes
Lontine No
Final YES: 8   NO: 5   EXC: 0   ABS:  0   FINAL ACTION:  PASS