H_HI_2019A 03/27/2019 01:32:24 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH & INSURANCE Date 03/27/2019 Attendance Baisley X Beckman X Buckner X Jackson X Jaquez Lewis X Mullica E Soper * Titone X Will X Caraveo X Lontine X X = Present, E = Excused, A = Absent, * = Present after roll call Time 01:32:24 PM to 04:23:32 PM Place HCR 0107 This Meeting was called to order by Representative Lontine This Report was prepared by Anne Wallace Hearing Items Action Taken hHB19-1176 Amended, referred to House Appropriations hHB19-1253 Amended, referred to House Appropriations hHB19-1211 Amended, referred to the Committee of the Whole HB19-1176 - Amended, referred to House Appropriations Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/969B79254148...$File/190327 AttachA.pdf?OpenElement 190327 AttachA.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/B7564C9A9A5F...$File/190327 AttachB.pdf?OpenElement 190327 AttachB.pdf 01:33:29 PM Representatives Sirota and Jaquez Lewis, bill sponsors, presented House Bill 19-1176 to the committee. The bill creates the Health Care Cost Analysis Task Force in the Department of Health Care Policy and Financing (HCPF) to analyze and compare methods of financing health care in Colorado. The task force must select a contract analyst to provide a detailed analysis of three health care financing systems and deliver a final report to the General Assembly. Witness testimony on the bill was heard during the March 20, 2019, Health and Insurance Committee meeting. 01:35:55 PM Amendment L.002 was previously distributed to the committee (Attachment A). 01:35:55 PM Representative Baisley distributed amendment L.003 the committee (Attachment B). 01:38:17 PM Representative Lontine ruled amendment L.003 out of order. 01:42:00 PM Committee discussion ensued regarding the bill and amendments. 01:47:28 PM Motion Adopt amendment L.002 (Attachment A). Moved Jaquez Lewis Seconded Caraveo Baisley No Beckman No Buckner Yes Jackson Yes Jaquez Lewis Yes Mullica Excused Soper No Titone Yes Will No Caraveo Yes Lontine Yes YES: 6 NO: 4 EXC: 1 ABS: 0 FINAL ACTION: PASS 01:47:29 PM Representatives Jaquez Lewis and Sirota gave closing remarks on the bill. 01:49:50 PM Motion Refer House Bill 19-1176, as amended, to the Committee on Appropriations. Moved Jaquez Lewis Seconded Jackson Baisley No Beckman No Buckner Yes Jackson Yes Jaquez Lewis Yes Mullica Excused Soper No Titone Yes Will No Caraveo Yes Lontine Yes Final YES: 6 NO: 4 EXC: 1 ABS: 0 FINAL ACTION: PASS HB19-1253 - Amended, referred to House Appropriations Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/E5B84DF54022...$File/190326 AttachC.pdf?OpenElement 190326 AttachC.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/F7D34C5E3378...$File/190327 AttachD.pdf?OpenElement 190327 AttachD.pdf 01:49:57 PM Represenative Lontine recessed the committee. 01:57:41 PM The committee came back to order. 02:00:42 PM Representative Buckner and Representative Landgraf, bill sponsors, presented House Bill 19-1253 to the committee. The bill prohibits state-regulated carriers of life insurance, disability income insurance, and long-term care insurance from discriminating against living organ donors in insurance policies. The bill directs the Department of Human Services to develop educational materials concerning the benefits of live organ donation and its effect on access to insurance. A packet of handouts was distributed to the committee (Attachment C). 02:05:13 PM The bill sponsors responded to committee questions. Amendment L.001 was distributed to the committee (Attachment D). 02:10:46 PM Representative Lontine proceeded with witness testimony on the bill. 02:12:00 PM Kendra Burrell, National Kidney Foundation, testified in support of the bill. 02:16:16 PM Gary Drexler, American Transplant Foundation, testified in support of the bill. 02:18:13 PM The witness panel responded to committee questions. 02:19:31 PM Yelana Love, Office of Legislative Legal Services, responded to committee questions. 02:23:17 PM Representative Buckner discussed amendment L.001. Max Nardo, Legislative Council Staff, responded to committee questions. 02:26:07 PM Motion Adopt amendment L.001 (Attachment D). Moved Buckner Seconded Soper Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 02:26:08 PM Representatives Buckner and Landgraf gave closing remarks on the bill. 02:27:54 PM Committee members commented on the bill. 02:32:02 PM Motion Refer House Bill 19-1253, as amended, to the Committee on Appropriations. Moved Buckner Seconded Soper Baisley Yes Beckman Yes Buckner Yes Jackson Yes Jaquez Lewis Excused Mullica Excused Soper Yes Titone Yes Will Yes Caraveo Yes Lontine Yes Final YES: 9 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS HB19-1211 - Amended, referred to the Committee of the Whole Attachment Tag File Name Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/013812D256DE...$File/190327 AttachG.pdf?OpenElement 190327 AttachG.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/111AA89C7B48...$File/190327 AttachH.pdf?OpenElement 190327 AttachH.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/6A1B09CD6958...$File/190327 AttachI.pdf?OpenElement 190327 AttachI.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/7E33B613A1AF...$File/190327 AttachK.pdf?OpenElement 190327 AttachK.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/B94AEF6FC398...$File/190327 AttachJ.pdf?OpenElement 190327 AttachJ.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/CA8A319433D2...$File/190327 AttachF.pdf?OpenElement 190327 AttachF.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/F7DF8F043F47...$File/190327 AttachL.pdf?OpenElement 190327 AttachL.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/FE40B09D0477...$File/190327 AttachE.pdf?OpenElement 190327 AttachE.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/1C105F058562...$File/190327 AttachN.pdf?OpenElement 190327 AttachN.pdf Attachment http://www2.leg.state.co.us/CLICS/CLICS2019A/commsumm.nsf/0/5BC74661FC19...$File/190327 AttachM.pdf?OpenElement 190327 AttachM.pdf 02:32:14 PM Representative Michaelson Jenet and Representative Caraveo, bill sponsors, presented House Bill 19-1211 to the committee. The bill establishes guidelines for health insurance carriers concerning the practice of prior authorization for medical procedures and drug benefits. The requirements do not apply to a nonprofit health maintenance organization with respect to managed care plans that provide a majority of covered professional services through a single contracted medical group. The Commissioner of Insurance may adopt rules to implement the bill. 02:45:12 PM The bill sponsors responded to committee questions. Christy Chase, Office of Legislative Legal Services, responded to committee questions. 02:54:26 PM Simone Aiken, representing herself, testified in a neutral position on the bill. 03:01:39 PM Dr. Lynn Parry, Colorado Medical Society, testified in support of the bill. 03:03:25 PM Dr. Marjie Harbrecht, Colorado Medical Society, testified in support of the bill. 03:06:58 PM Dr. Jonathan Clapp, Colorado Medical Society, testified in support of the bill. 03:09:55 PM The witness panel responded to committee questions. 03:15:53 PM Brenda Hulbert, Colorado Medical Group Management Association, testified in support of the bill. 03:19:55 PM Wendy Spirek, Children's Eye Physicians, testified in support of the bill. 03:24:40 PM Christine Russell, Colorado Cross-Disability Coalition, testified in support of the bill and distributed a handout (Attachment E). 03:29:24 PM Jack Teter, Planned Parenthood of the Rocky Mountains, testified in support of the bill. 03:38:02 PM Sara Orrange, America's Health Insurance Plans, testified in a neutral position on the bill. 03:40:37 PM Marc Reece, Colorado Association of Health Plans, testified in a neutral position on the bill. 03:42:00 PM The witness panel responded to committee questions. Dayle Axman, Division of Insurance, responded to committee questions. 03:50:57 PM Amendments L.003, L.005, L.006, L.007, L.009, L.010, L.014, L.015, and L.016 were distributed to the committee (Attachments F to N). 04:07:55 PM Motion Adopt amendment L.003 (Attachment F). Moved Caraveo Seconded Titone Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:08:48 PM Motion Adopt amendment L.005 (Attachment G). Moved Caraveo Seconded Buckner Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:09:33 PM Motion Adopt amendment L.006 (Attachment H). Moved Caraveo Seconded Titone Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:10:01 PM Motion Adopt amendment L.007 (Attachment I). Moved Caraveo Seconded Buckner Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:12:04 PM Motion Adopt amendment L.016 (Attachment N) to L.009 (Attachment J). Moved Caraveo Seconded Soper Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:13:24 PM Motion Adopt amendment L.009, as amended (Attachment J). Moved Caraveo Seconded Soper Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:14:17 PM Motion Adopt amendment L.010 (Attachment K). Moved Caraveo Seconded Buckner Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:15:37 PM Motion Adopt amendment L.014 (Attachment L). Moved Caraveo Seconded Titone Baisley Yes Beckman No Buckner Yes Jackson Yes Jaquez Lewis Yes Mullica Excused Soper Yes Titone Yes Will Yes Caraveo Yes Lontine Yes YES: 9 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS 04:16:54 PM Motion Adopt amendment L.015 (Attachment M). Moved Caraveo Seconded Baisley Baisley Beckman Buckner Jackson Jaquez Lewis Mullica Excused Soper Titone Will Caraveo Lontine YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 04:17:06 PM Representatives Michaelson Jenet and Caraveo gave closing remarks on the bill. 04:18:39 PM Committee members commented on the bill. 04:23:21 PM Motion Refer House Bill 19-1211, as amended, to the Committee of the Whole. Moved Caraveo Seconded Jackson Baisley Yes Beckman No Buckner Yes Jackson Yes Jaquez Lewis Yes Mullica Excused Soper Yes Titone Yes Will Yes Caraveo Yes Lontine Yes Final YES: 9 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS 04:23:32 PM The committee adjourned.