H_PBH_2022A 05/03/2022 02:47:25 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON PUBLIC & BEHAVIORAL HEALTH & HUMAN SERVICES Date 05/03/2022 Attendance Amabile X Bradfield X Cutter X Gonzales-Gutierrez * Hanks E Holtorf X Jodeh X Pelton X Ricks X Williams X Young X Sirota X Michaelson Jenet * Time 02:47:25 PM to 10:29:19 PM Place HCR 0112 This Meeting was called to order by Michaelson Jenet This Report was prepared by Amanda King Hearing Items Action Taken hHB22-1414 Referred to House Finance hSB22-173 Amended, referred to House Finance hSB22-200 Referred to House Appropriations hSB22-155 Referred to House Appropriations hSB22-081 Referred to House Finance hSB22-213 Amended, referred to House Appropriations hSB22-211 Referred to House Appropriations hSB22-199 Referred to House Appropriations hSB22-181 Amended, referred to House Appropriations hSB22-177 Referred to House Appropriations SB22-173 - Committee Discussion Only Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/8C7261CD803A...$File/Attachment A.pdf?OpenElement Attachment A.pdf Attachment B http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/0CB3B97D2079...$File/Attachment B.pdf?OpenElement Attachment B.pdf 02:47:45 PM Representative Bird and Representative McKean, co-prime bill sponsors, presented Senate Bill 22-173, concerning criteria relating to the operation of telepharmacy outlets. Under current law, a telepharmacy outlet must be located more than 20 miles from any pharmacy or telepharmacy outlet. The bill removes this geographic restriction, and requires that a telepharmacy be located in an area of need, as defined under the bill. The State Board of Pharmacy is required to adopt rules concerning matters related to telepharmacy outlets. The bill sponsors responded to questions from the committee. 02:53:48 PM Tom Davis, representing RxPlus Pharmacies, testified in opposition to the bill. Ky Davis, representing Harris Pharmacy, testified in opposition to the bill. Dr. Maimuna Bruce, representing Telepharm, testified in support of the bill. Dr. Jessica Adams, representing Telepharm, testified in support of the bill. The panelists responded to questions from the committee. 03:06:31 PM Representative McKean and Representative Bird explained amendment L.008 (Attachment A). Representative Bird referenced amendment L.009 (Attachment B). The bill sponsors responded to questions from the committee. Mr. Ky Davis responded to additional questions from the committee. Committee discussion with the bill sponsors ensued. Dr. Bruce responded to additional questions from the committee. The bill sponsors responded to additional questions from the committee. 03:24:53 PM The committee recessed. 03:25:34 PM The committee came back to order. Representative Sirota laid over Senate Bill 22-173 until later in the calendar. HB22-1414 - Referred to House Finance Attachment Tag File Name Attachment C http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/2DDFC3941D2B...$File/Attachment C.pdf?OpenElement Attachment C.pdf 03:28:50 PM Representative Gonzales-Gutierrez, co-prime bill sponsor, presented House Bill 22-1414, concerning providing healthy meals to all public school students. Conditional upon voter approval at the November 2022 election, the bill creates the Healthy School Meals for All Program, establishes a funding mechanism for the program, and requires the state to participate in the federal demonstration program for Medicaid direct certification. A handout was provided to the committee (Attachment C). Representative Gonzales-Gutierrez and Representative Michaelson Jenet answered questions from the committee. 03:48:10 PM Jasmin Ramirez, representing self, testified in support of the bill. Ashley Wheeland, Hunger Free Colorado, testified in support of the bill. Gaby Medina, representing self, testified in support of the bill. Judith Alvarez, representing the Safe and Abundant Nutrition Alliance, testified in support of the bill. The panelists responded to questions from the committee. 04:22:01 PM Dean Vidal, representing self, testified in support of the bill. Evie Hudak, representing the Colorado Parent Teacher Association, testified in support of the bill. Dan Sharp, representing self, testified in support of the bill. Daniel Cieraszynski, representing Hunger Free Colorado, testified in support of the bill. 04:36:57 PM Representative Gonzales-Gutierrez and Representative Michaelson Jenet provided concluding remarks on the bill. Committee members commented on the bill. 04:50:26 PM Motion Refer House Bill 22-1414 to the Committee on Finance. Moved Michaelson Jenet Seconded Gonzales-Gutierrez Amabile Yes Bradfield No Cutter Yes Gonzales-Gutierrez Yes Hanks Excused Holtorf No Jodeh Yes Pelton No Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet Yes Final YES: 8 NO: 4 EXC: 1 ABS: 0 FINAL ACTION: PASS SB22-173 - Amended, referred to House Finance 04:52:05 PM Representative Bird and Representative McKean returned to the table. 04:52:07 PM Motion Adopt amendment L.008 (Attachment A). Moved Amabile Seconded Young Amabile Bradfield Cutter Gonzales-Gutierrez Hanks Excused Holtorf Jodeh Pelton Ricks Williams Young Sirota Michaelson Jenet YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:52:15 PM Representative Bird and Representative McKean made concluding remarks on the bill. Committee members commented on the bill. 04:55:26 PM Motion Refer Senate Bill 22-173, as amended, to the Committee on Finance. Moved Amabile Seconded Ricks Amabile Yes Bradfield Yes Cutter Yes Gonzales-Gutierrez Excused Hanks Excused Holtorf Yes Jodeh Yes Pelton Yes Ricks Yes Williams Yes Young Yes Sirota Yes Michaelson Jenet Excused Final YES: 10 NO: 0 EXC: 3 ABS: 0 FINAL ACTION: PASS SB22-200 - Referred to House Appropriations 04:55:37 PM Representative Soper and Representative McCluskie, co-prime bill sponsors, presented Senate Bill 22-200, concerning a grant program to improve access to health care in rural communities. The bill creates the Rural Provider Access and Affordability Stimulus Grant Program in the Department of Health Care Policy and Financing. It also creates an advisory committee and a cash fund for the program. 05:03:43 PM The bill sponsors responded to questions from the committee. 05:06:25 PM Kelly Erb, representing the Colorado Rural Health Center, testified in support of the bill. Christina Johnson, representing the Colorado Center for Aging, testified in support of the bill. Bridget Garcia, representing the Colorado Hospital Association, testified in support of the bill. Nancy Dolson, representing the Department of Health Care Policy and Financing, testified in support of the bill. Kevin Stansbury, representing Lincoln Health Community Hospital, testified in support of the bill. 05:20:28 PM The panelists responded to questions from the committee. 05:20:45 PM Representative McCluskie made concluding remarks on the bill. Committee members commented on the bill. 05:24:47 PM Motion Refer Senate Bill 22-200 to the Committee on Appropriations. Moved Pelton Seconded Holtorf Amabile Yes Bradfield Yes Cutter Yes Gonzales-Gutierrez Excused Hanks Excused Holtorf Yes Jodeh Yes Pelton Yes Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet Yes Final YES: 10 NO: 1 EXC: 2 ABS: 0 FINAL ACTION: PASS SB22-155 - Referred to House Appropriations 05:25:03 PM The committee recessed. 05:25:19 PM The committee came back to order. 05:28:33 PM Representing Hooton, prime bill sponsor, presented Senate Bill 22-155, concerning an expansion of medical marijuana research grant programs. The bill allows the Colorado Department of Public Health and Environment to utilize $100,000 from the health research subaccount in the Medical Marijuana Cash Fund in FY 2022-23 and FY 2023-24 for the administration of the Medical Marijuana Research Grant Program. Representative Hooton responded to questions from the committee. 05:40:19 PM Francesca Maes, representing self, testified in support of the bill. Dr. Emily Lindley, representing the University of Colorado Anschutz Medical Campus, testified in support of the bill. Dr. Emily Travanty, representing the Colorado Department of Public Health and Environment, testified in support of the bill. The panelists responded to questions from the committee. 05:49:03 PM Representative Hooton made concluding remarks on the bill. Committee members commented on the bill. 05:51:43 PM Motion Refer Senate Bill 22-155 to the Committee on Appropriations. Moved Sirota Seconded Cutter Amabile Yes Bradfield Yes Cutter Yes Gonzales-Gutierrez Yes Hanks Excused Holtorf Yes Jodeh Yes Pelton Yes Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet Yes Final YES: 11 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS SB22-081 - Referred to House Finance 05:51:51 PM The committee recessed. 05:51:57 PM The committee came back to order. 05:52:44 PM Representative Tipper, co-prime bill sponsor, presented Senate Bill 22-081, concerning a requirement that the board of directors of the Colorado Health Benefit Exchange create a consumer outreach campaign to provide consumers with comprehensive information regarding covered health-care services. The bill requires that the Board of the Colorado Health Benefit Exchange create and implement a public awareness and education campaign to inform consumers about health care coverage options by July 1, 2023. The campaign will provide education focused on attaining and retaining coverage, as well as eligibility and costs. 05:56:04 PM Rachel Reiter, representing the Department of Health Care Policy and Financing, testified in support of the bill. Kevin Patterson, representing Connect for Health Colorado, testified in support of the bill. Benjamin Teevan, representing Craig Hospital, testified in support of the bill. Megan Axelrod, representing the Colorado Hospital Association, testified in support of the bill. The panelists responded to questions from the committee. 06:12:58 PM Representative Will, co-prime bill sponsor, made concluding remarks on the bill. 06:15:23 PM Motion Refer Senate Bill 22-081 to the Committee on Finance. Moved Sirota Seconded Ricks Amabile Yes Bradfield Yes Cutter Yes Gonzales-Gutierrez Excused Hanks Excused Holtorf No Jodeh Yes Pelton Yes Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet Yes Final YES: 9 NO: 2 EXC: 2 ABS: 0 FINAL ACTION: PASS SB22-213 - Amended, referred to House Appropriations Attachment Tag File Name Attachment D http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/664C98CC2F9E...$File/Attachment D - Combined.pdf?OpenElement Attachment D - Combined.pdf Attachment E http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/4BCED8E61389...$File/Attachment E.pdf?OpenElement Attachment E.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/C812C7B48F58...$File/Attachment F.pdf?OpenElement Attachment F.pdf 06:15:31 PM Representative A. Valez and Representative Tipper, co-prime bill sponsors, presented Senate Bill 22-213, concerning continuing support for necessary child care programs. The bill provides funding for a variety of early childhood programs and creates an advisory group and training program for family, friend, and neighbor providers. The bill sponsors responded to questions from the committee. 06:32:56 PM Dawn Alexander, representing the Early Child Education Association of Colorado, testified to amend the bill. Simon Maghakyan, representing self, testified to amend the bill. Sarah Hewitt, representing the Early Childhood Education Association, Angel Hugs Daycare, and Colorado Shines, testified to amend the bill. Molly Yost, representing the Mile High United Way, testified in support of the bill. Lorena Garcia, representing the Colorado Statewide Parent Coalition, testified in support of the bill. Lisa Castiglia, representing the Office of Early Childhood in the Colorado Department of Human Services, testified in support of the bill. The panelists responded to questions from the committee. Written testimony was submitted to the committee (Attachment D). 07:03:16 PM Representative Tipper explained amendment L.007 (Attachment E). 07:06:19 PM Motion Adopt amendment L.007 (Attachment E). Moved Sirota Seconded Gonzales-Gutierrez Amabile Bradfield Cutter Gonzales-Gutierrez Hanks Excused Holtorf Jodeh Pelton Ricks Williams Young Sirota Michaelson Jenet YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 07:06:20 PM Representative A. Valdez discussed amendment L.008 (Attachment F). Representative Tipper and Representative A. Valdez answered questions from the committee about amendment L.008. 07:11:37 PM Motion Adopt amendment L.008 (Attachment F). Moved Sirota Seconded Cutter Amabile Bradfield Cutter Gonzales-Gutierrez Hanks Excused Holtorf Jodeh Pelton Ricks Williams Young Sirota Michaelson Jenet YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 07:11:39 PM Representative Tipper and Representative A. Valdez made concluding remarks on Senate Bill 22-213. Committee members made comments regarding the bill. 07:16:24 PM Motion Refer Senate Bill 22-213, as amended, to the Committee on Appropriations. Moved Sirota Seconded Cutter Amabile Yes Bradfield Yes Cutter Yes Gonzales-Gutierrez Yes Hanks Excused Holtorf No Jodeh Yes Pelton No Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet Yes Final YES: 9 NO: 3 EXC: 1 ABS: 0 FINAL ACTION: PASS SB22-211 - Referred to House Appropriations Attachment Tag File Name Attachment G http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/6AD1738AD111...$File/Attachment G - Combined.pdf?OpenElement Attachment G - Combined.pdf 07:16:31 PM Representative A. Valdez, prime bill sponsor, presented Senate Bill 22-211, concerning the repurposing of the Ridge View campus into a supportive residential community for people experiencing homelessness. The bill transfers ownership of all or part of the Ridge View Campus from the Colorado Department of Human Services (DHS) to the Department of Personnel and Administration for use by the Division of Housing in the Department of Local Affairs (DOLA) as a supportive residential community for people experiencing homelessness. DOLA, in collaboration with the DHS, must develop a master plan for the redevelopment and operation of the Ridge View Campus into the Ridge View Supportive Residential Community (community), including a financial plan for startup and ongoing operational costs. The community must provide transitional housing, a continuum of behavioral health services and treatment, medical care, vocational training, skill development, and transportation for residents and the public. DOLA is required to select one or more contractors experienced in providing statewide integrated housing, health care, recovery treatment, and supportive service programs for people experiencing homelessness to establish the community. The administrator of the community must also work with local providers across the state to set up a referral system for clients to live at the community. Representative A. Valdez responded to questions from the committee. 07:24:15 PM Kristin Toombs, representing the DOLA, testified in support of the bill. Yumiko Dougherty, representing the Colorado DHS, testified in support of the bill. Mollie Bradlee, representing the Colorado DHS, testified in support of the bill. The panelists responded to questions from the committee. 07:53:41 PM The committee recessed. 08:10:50 PM The committee came back to order. 08:11:16 PM Jerry Adamek, representing the Ridge View Academy School Board, testified in opposition to the bill. Doug MacCarthy, representing the Ridge View Academy School Board, testified in opposition to the bill. Kevin Lash, representing self, testified in opposition to the bill. Mr. Adamek read a statement from Brad Billingsly, representing the Ridge View School Board, in opposition to the bill. Sam Roumph, representing self, testified in opposition to the bill. The panelists responded to questions. 08:42:14 PM Kent Moe, representing self, testified in opposition to the bill. Greg Townsend, representing Rite of Passage, testified in opposition to the bill. Kelly Turk read a statement from Nancy Spence, representing the Ridge View Academy School Board, testified in opposition to the bill. Nancy Todd, representing self, testified in opposition to the bill. The panelists responded to questions from the committee. 09:07:22 PM Minna Castillo Cohen, representing the Colorado DHS, testified in support of the bill. Cathy Alderman, representing the Colorado Coalition for the Homeless, testified in support of the bill. Heidi Baskfield, representing Children's Hospital Colorado, testified in support of the bill. The panelists responded to questions from the committee. Written testimony was submitted to the committee (Attachment G). 09:30:25 PM Representative A. Valdez made concluding remarks on Senate Bill 22-211. Committee members commented on the bill. 09:46:12 PM Motion Refer Senate Bill 22-211 to the Committee on Appropriations. Moved Sirota Seconded Ricks Amabile Yes Bradfield No Cutter Yes Gonzales-Gutierrez Yes Hanks Excused Holtorf No Jodeh Yes Pelton No Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet No Final YES: 7 NO: 5 EXC: 1 ABS: 0 FINAL ACTION: PASS SB22-199 - Referred to House Appropriations Attachment Tag File Name Attachment H http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/1E96740807E3...$File/Attachment H - Combined.pdf?OpenElement Attachment H - Combined.pdf 09:46:20 PM Representative Froelich and Representative Kipp, co-prime bill sponsors, presented Senate Bill 22-199, concerning a study regarding the protection of native pollinating insects in the state. The bill directs the Department of Natural Resources to study and develop recommendations on how to address pollinator decline and increase pollinator health in the state. 09:49:20 PM Dr. Margaret Gaddis, representing the Colorado Native Plant Society, testified in support of the bill. Alice Horgan, representing the Department of Natural Resources, responded to committee questions. Written testimony was submitted to the committee (Attachment H). 09:54:52 PM Representative Kipp and Representative Froelich provided concluding remarks on Senate Bill 22-199. Committee members commented on the bill. 09:57:16 PM Representative Kipp made additional comments about the bill. 09:58:16 PM Motion Refer Senate Bill 22-199 to the Committee on Appropriations. Moved Sirota Seconded Young Amabile Yes Bradfield Yes Cutter Yes Gonzales-Gutierrez Yes Hanks Excused Holtorf Yes Jodeh Yes Pelton No Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet Yes Final YES: 10 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS SB22-181 - Amended, referred to House Appropriations Attachment Tag File Name Attachment I http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/2AAC28727327...$File/Attachment I - Combined.pdf?OpenElement Attachment I - Combined.pdf Attachment J http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/A1FA46F2A5A5...$File/Attachment J.pdf?OpenElement Attachment J.pdf 09:58:26 PM Representative Cutter and Representative Van Beber, co-prime bill sponsor, presented Senate Bill 22-181, concerning the Behavioral Health Administration's plan to address issues regarding the delivery of behavioral health-care services in this state. The bill requires the Behavioral Health Administration to create and begin implementing a Behavioral Health Care Provider Workforce Plan by September 1, 2022. The workforce plan must be made in collaboration with the Department of Higher Education, institutions of higher education, and community colleges to provide job shadowing, internship, incentives, loan repayment, scholarships, marketing, and other programs to increase the behavioral health workforce. The plan also must include expanding the peer support professional workforce; aligning workforce standards; raising awareness among providers of opportunities to invest and strengthen their behavioral health care staff; and proposals to work with local law enforcement, the Peace Officer Standards and Training Board, and a peace officer organization to provide behavioral health-related training. 10:08:07 PM Summer Gathercole, representing the Behavioral Health Administration in the Colorado Department of Human Services, testified in support of the bill. Written testimony was submitted to the committee (Attachment I). 10:12:58 PM Representative Cutter explained amendment L.003 (Attachment J). 10:13:22 PM Motion Adopt amendment L.003 (Attachment J). Moved Cutter Seconded Gonzales-Gutierrez Amabile Bradfield Cutter Gonzales-Gutierrez Hanks Excused Holtorf Jodeh Pelton Ricks Williams Young Sirota Michaelson Jenet YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 10:13:24 PM Representative Van Beber and Representative Cutter made concluding remarks on Senate Bill 22-181. 10:16:09 PM Motion Refer Senate Bill 22-181, as amended, to the Committee on Appropriations. Moved Cutter Seconded Young Amabile Yes Bradfield Yes Cutter Yes Gonzales-Gutierrez Yes Hanks Excused Holtorf No Jodeh Yes Pelton Yes Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet Yes Final YES: 10 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS SB22-177 - Referred to House Appropriations Attachment Tag File Name Attachment K http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/0BD51B7CFAFB...$File/Attachment K - Combined.pdf?OpenElement Attachment K - Combined.pdf 10:16:17 PM Representative Titone and Representative Bradfield, co-prime bill sponsors, presented Senate Bill 22-177, concerning behavioral health system investments in the statewide care coordination infrastructure.The bill requires the Behavioral Health Administration in the Colorado Department of Human Services to make certain investments as it develops the statewide care coordination infrastructure, and requires the infrastructure to include a cloud-based platform. 10:21:52 PM Elizabeth Owens, representing the Behavioral Health Administration in the Department of Human Services, testified in support of the bill. She responded to questions from the committee. Written testimony was submitted to the committee (Attachment K). 10:26:14 PM Representative Bradfield and Representative Titone made concluding remarks on the bill. 10:29:08 PM Motion Refer Senate Bill 22-177 to the Committee on Appropriations. Moved Bradfield Seconded Gonzales-Gutierrez Amabile Yes Bradfield Yes Cutter Yes Gonzales-Gutierrez Yes Hanks Excused Holtorf Yes Jodeh Yes Pelton Yes Ricks Yes Williams No Young Yes Sirota Yes Michaelson Jenet Yes Final YES: 11 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS 10:29:19 PM The committee adjourned.