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I_ECR_BH_2021A 09/17/2021 09:08:57 AM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
INTERIM COMMITTEE  BEHAVIORAL HEALTH TRANSFORMATIONAL TASK FORCE
Date 09/17/2021
Attendance
Amabile X
Michelle Barnes X
Kim Bimestefer *
Bradfield X
Michael Conway X
Kolker X
Michaelson Jenet X
Dianne Primavera X
Priola X
Simpson X
Van Beber X
Robert Werthwein X
Dean Williams *
Winter X
Gonzales-Gutierrez X
Pettersen X
Time 09:08:57 AM to 03:51:52 PM
Place Old State Library
This Meeting was called to order by Pettersen
This Report was prepared by Juliann Jenson
Hearing Items Action Taken
Call to Order, Committee Schedule, and Updates Committee Discussion Only
Survey Response Overview Committee Discussion Only
Overview of SB21-137 Behavioral Health Recovery Act of 2021: Emergency Response Funding Committee Discussion Only
Presentation on Behavioral Health Transformation in Colorado Committee Discussion Only
Overview of Strategic Pillars and Subpanel Update - Committee Discussion Committee Discussion Only
Behavioral Health Outcomes: Suicide Data and Prevention Committee Discussion Only
Overview of Recent Legislation and Vision Committee Discussion Only
Expanding the Safety Net: Data and Legislative Updates Committee Discussion Only
Health Services Corps: Behavioral Health Care Workforce Committee Discussion Only
Next Steps and Additional Feedback Committee Discussion Only
Public Testimony Committee Discussion Only
Crisis Intervention and Potential Solutions Committee Discussion Only

Call to Order, Committee Schedule, and Updates - Committee Discussion Only


09:10:25 AM  

Senator Pettersen made opening remarks.

The agenda can be found at this link:  https://leg.colorado.gov/sites/default/files/images/committees/2017/bh_task_force_-_agenda_sept_17_final_1.pdf



Overview of Strategic Pillars and Subpanel Update - Committee Discussion - Committee Discussion Only


10:52:24 AM  
11:20:09 AM  

The task force and subpanel members participating in-person broke into small groups to discuss the pillars. 



Survey Response Overview - Committee Discussion Only


09:35:18 AM  

Lauren Snyder, Vice President of Government Affairs, Mental Health Colorado, and Jose Equibel, subpanel member and Director, Colorado Consortium of Prescription Drug Abuse Prevention, discussed the behavioral health survey they developed on behalf of the Task Force. They presented information on the distribution process, response rate, and type of respondent.  Their presentation can be viewed at this link:  https://leg.colorado.gov/sites/default/files/images/committees/2017/bhttf_survey_initial_info_-_sept_17_2021.pdf

Committee members asked questions about a similar survey from Colorado Counties Incorporated.  Inquiries were also raised about the Governor's Behavioral Task Force and priorities identified in that report, as well as the public participation process.  

 

 



Overview of SB21-137 Behavioral Health Recovery Act of 2021: Emergency Response Funding - Committee Discussion Only


09:49:27 AM  

Jose Equibel, subpanel member, and Director, Colorado Consortium for Prescription Drug Abuse, provided background information about the federal CARES Act. He discussed funding for housing, community centers, opioid treatment, and telehealth. Committee members asked questions about the housing funds.

Mr. Equibel referenced the memorandum on Senate Bill 21-137, the Behavioral Health Recovery Act, prepared by Legislative Council Staff (https://leg.colorado.gov/sites/default/files/images/committees/2017/sb21-137_memo_v5.pdf). He discussed how certain American Rescue Plan Act (ARPA) funds have been expended through the bill. Committee members asked questions about matching grant programs for counties. Further questions were raised about the distribution of funds.



Presentation on Behavioral Health Transformation in Colorado - Committee Discussion Only


10:03:42 AM  

Summer Gathercole, Senior Advisor for Behavioral Health Transformation, Colorado Department of Human Services, provided an overview of the Governor's Behavioral Health Task Force.  She described how the task force prioritized recommendations arranged by subject matter, including access and affordability, workforce and support, accountability, consumer and local guidance, and whole person care. Ms. Gathercole further provided an update on the newly created Behavioral Health Administration (BHA), and the related governance model.  She noted that BHA will be initially housed in Colorado Department of Human Services (CDHS).  Ms. Gathercole continued to share information about BHA and the expected interplay with the Office of Behavioral Health in CDHS. 

Ms. Gathercole's presentation can be found here:  https://leg.colorado.gov/sites/default/files/images/committees/2017/bhtf_bha_overview_for_091721_finalv2.pdf

 

10:30:36 AM  

Committee members asked questions about budgets and enhancing general funds. Further questions were asked about payer sources. Committee members discussed insurance, Medicaid, accountability, and technology integration. The discussion turned to lack of providers and workforce challenges. Committee discussion ensued about the differences between Medicaid and private insurance for mental health coverage. 

The task force took a break. 

 

 



Behavioral Health Outcomes: Suicide Data and Prevention - Committee Discussion Only


11:39:36 AM  

Dr. Lena Heilmann, Office of Suicide Prevention, Colorado Department of Public Health and Environment, discussed suicide prevention efforts and guiding principles. She recapped data resources and takeaways.

Dr. Heilmann continued with her presentation about suicide fatalities in Colorado, including by age group and noted various agency roles in suicide prevention. She further discussed suicidal despair, ideation, and attempts. Committee members asked questions about access to care and firearms.

Dr. Heilmann continued her presentation and discussed suicide attempt data. She explained Colorado initiatives, including populations of focus, prevention strategies, and comprehensive suicide prevention approaches.

Dr. Heillmann's presentation can be viewed at this link:  https://leg.colorado.gov/sites/default/files/images/committees/2017/bhtt_presentation_cdphe_suicide_prevention_workforce_9.17.21.pdf

 

The task force and subpanel breaked for lunch. 

 



Overview of Recent Legislation and Vision - Committee Discussion Only


12:49:59 PM  

The hearing was called back to order. 

Elizabeth Owens, Director of Policy and Communications, Colorado Department of Human Services, Office of Behavioral Health, provided an update on SB21-137, referenced earilier in the hearing.  She discussed funding, implemention, and distribution.  Committee members asked questions about vouchers.

Ms. Owens' presentation can be found at this link:  https://leg.colorado.gov/sites/default/files/images/committees/2017/senate_bill_21-137_implementation_covid_impacts_vision_-_obh_bhttf_presentation_sept_17_2021.pdf

Robert Werthwein, Task Force member and Director, Office of Behavioral Health in DHS, discussed care coordination and answered questions about technology. 

01:18:29 PM  

Committee discussion continued about care coordination and bed space availability.

Ms. Owens and Dr. Werthwein continued their presentation and switched focus to the workforce. Committee discussion ensued about incentives and retention. 

Ms. Owens and Dr. Werthwein presented information about COVID and the impact on community behavioral health. 

 



Expanding the Safety Net: Data and Legislative Updates - Committee Discussion Only


01:48:45 PM  

Dr. Tracy Johnson, Medicaid Director, Colorado Department of Health Care Policy and Financing, presented information about Medicaid and Child Health Plan (CHP) eligibility.  She discussed telemedic trends and behavioral health outcomes during COVID. 

Cristen Bates, Population Health Division Director, Colorado Department of Health Care Policy and Financing, presented information about culturally responsive care.  She also discussed residential and step-down services and answered questions about it.

Ms. Bates continued her presentation about the implementation of Senate Bill 19-195, the Families First Act. Committee members asked questions about aging out of the system.

Dr. Johnson and Ms. Bates' presentation can be found here: https://leg.colorado.gov/sites/default/files/images/committees/2017/hcpf_leg_and_data_updates_bhttf_sept_17_2021_2.pdf

02:44:30 PM  

Further committee discussion ensued about system gaps, respite care, the safety net, and workforce isseus. 



Health Services Corps: Behavioral Health Care Workforce - Committee Discussion Only


02:57:14 PM  

Curt Drennen, CEM Operations and Response Supervisor, Healthcare Operations and Response Branch, Colorado Department of Public Health and Environment, gave a presentation on workforce initiatives.  His presentation can be viewed at this link, starting on page 23: https://leg.colorado.gov/sites/default/files/images/committees/2017/bhtt_presentation_cdphe_suicide_prevention_workforce_9.17.21.pdf 



Next Steps and Additional Feedback - Committee Discussion Only


03:21:46 PM  

Task force and subpanel members broke into small groups to discuss pillars. 

The small groups shared major themes and recommendations for additional learning, including but not liited to: diversion, psychiatic facilities for complex needs, and access to care and care coordination in rural communities.

03:46:32 PM  

Mr. Bornstein discussed integrating the findings at the upcoming subpanel meeting.



Public Testimony - Committee Discussion Only


03:50:33 PM  

There was no public testimony.



Crisis Intervention and Potential Solutions - Committee Discussion Only


03:51:18 PM  

The presentation by Dr. Werthwein was rescheduled to the following week.


03:51:52 PM   The committee adjourned.






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