S_HHS_2016A 03/24/2016 01:30:26 PM Committee Summary

Date:	03/24/2016	ATTENDANCE
Time:	01:30 PM to 05:03 PM	Kefalas	X
		Martinez Humenik	X
Place:	SCR 352	Newell	X
		Crowder	*
This Meeting was called to order by		Lundberg	X
	Senator Lundberg
This Report was prepared by
	Elizabeth Haskell
		X = Present, E = Excused, A = Absent, * = Present after roll call

Bills Addressed:		Action Taken:
Conf 16-Health Facilities Authority - Colorado HB16-1183 SB16-147 SB16-162 SB16-170 HB16-1141 HB16-1316		Favorably Refer to Full Senate - Consent Amended, Referred to the Committee of the Whole Amended, Referred to the Committee of the Whole Witness Testimony and/or Committee Discussion Only Witness Testimony and/or Committee Discussion Only Referred to Appropriations Amended, Referred to the Committee of the Whole

01:30 PM -- Confirmation of Health Facilities Authority - Colorado



Senator Lundberg announced that Senator Kefalas has been temporarily assigned to the committee to fill the absence of Senator Aguilar.



John Vigil and Lanny Proffer, appointees, came to the table. Mr. Vigil told the committee about his experience serving as a member of the Health Facilities Authority and why he wants to continue as a member. Mr. Proffer told the committee about his previous experience and why he wants to serve as a member of the authority. Mr. Vigil and Mr. Proffer responded to questions from the committee.





The Governor's appointment letter may be found in Attachment A. Mr. Vigil's and Mr. Proffer's applications and resumes may be found at the State Archives.



160324 AttachA.pdf

BILL:	Conf 16-Health Facilities Authority - Colorado
TIME:	01:36:47 PM
MOVED:	Crowder
MOTION:	Refer the appointment of John Vigil and Lanny Proffer to the Colorado Health Facilities Authority to the full Senate with a favorable recommendation and a recommendation that it be placed on the consent calendar. The motion passed on a vote of 5-0.
SECONDED:
		VOTE
	Kefalas	Yes
	Martinez Humenik	Yes
	Newell	Yes
	Crowder	Yes
	Lundberg	Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

01:38 PM -- HB 16-1183



The committee hearing for House Bill 16-1183 was held on March 16, 2016. After public testimony on the bill, the bill was laid over for action only.





Senator Crowder, bill sponsor, presented amendment L.001 (Attachment B).



160324 AttachB.pdf

BILL:	HB16-1183
TIME:	02:02:59 PM
MOVED:	Crowder
MOTION:	Adopt amendment L.001 (Attachment B). The motion passed without objection.
SECONDED:
		VOTE
	Kefalas
	Martinez Humenik
	Newell
	Crowder
	Lundberg
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

BILL:	HB16-1183
TIME:	02:02:50 PM
MOVED:	Crowder
MOTION:	Refer House Bill 16-1183, as amended, to the Committee of the Whole. The motion passed on a vote of 5-0.
SECONDED:
		VOTE
	Kefalas	Yes
	Martinez Humenik	Yes
	Newell	Yes
	Crowder	Yes
	Lundberg	Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

02:05 PM -- SB 16-147



The committee hearing for Senate Bill 16-147 was held on March 10, 2016. After public testimony on the bill, the bill was laid over for action only at a later date. Senator Newell and Senator Martinez Humenik, co-prime bill sponsors, came to the table. Senator Newell provided a handout to the committee (Attachment C). Senator Lundberg presented amendment L.003 (Attachment D). The committee discussed amendment L.003. Committee discussion followed concerning the amendment.



160324 AttachC.pdf160324 AttachD.pdf

BILL:	SB16-147
TIME:	02:16:35 PM
MOVED:	Lundberg
MOTION:	Adopt amendment L.003 (Attachment D). The motion passed without objection.
SECONDED:
		VOTE
	Kefalas
	Martinez Humenik
	Newell
	Crowder
	Lundberg
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

BILL:	SB16-147
TIME:	02:17:17 PM
MOVED:	Newell
MOTION:	Refer Senate Bill 16-147, as amended, to the Committee of the Whole. The motion passed on a vote of 5-0.
SECONDED:
		VOTE
	Kefalas	Yes
	Martinez Humenik	Yes
	Newell	Yes
	Crowder	Yes
	Lundberg	Yes
Final YES: 5 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

02:18 PM -- SB 16-162



Senator Tate, bill sponsor, presented the Senate Bill 16-162. The bill changes current law that establishes that Medicaid recipients are not responsible for any remaining costs after payment by Medicaid, Medicare, or a private insurer if the services are eligible for reimbursement under Medicaid. This limitation applies regardless of whether or not the provider is enrolled as a Medicaid provider. Under this bill, Medicaid recipients are not responsible for any remaining costs, only if the services are rendered by a Medicaid provider. Correspondingly, a Medicaid recipient may elect, under the bill, to receive and pay for services from a medical provider that is not enrolled in Medicaid.



02:23 PM -- Marijo Rymer, The Arc of Colorado, testified against the bill.



02:26 PM -- Elisabeth Arenales, Colorado Center on Law and Policy, testified against the bill and provided a handout to the committee (Attachment E).



160324 AttachE.pdf



02:31 PM -- Dr. Judy Zerzan, Department Health Care Policy and Financing (HCPF), testified against the bill.



02:35 PM -- David Smith, HCPF, testified against the bill.



02:36 PM



Dr. Zerzan and Mr. Smith responded to questions from the committee. Committee discussion continued.





02:47 PM



Committee questions and discussion continued.





02:47 PM -- Erin Miller, Colorado Children's Campaign, testified against the bill.



02:50 PM -- Rich Sokol, Colorado Access to Healthcare, testified in support of the bill and responded to questions from the committee.



03:02 PM



Committee questions and discussion continued.



03:15 PM



Committee members and Senator Tate discussed the intent and provisions of the bill.



03:20 PM -- Misty Roads, representing herself, testified in support of the bill.



03:25 PM -- Cindy Sovine Miller, representing herself, testified in support of the bill.



03:27 PM -- Sherry Dyckman, representing herself, testified in support of the bill.







03:32 PM



Senator Tate made closing comments. Committee members commented on the bill.



03:38 PM



Senator Martinez Humenik laid the bill over to a future date.



03:40 PM -- SB 16-170



Senator Tate, bill sponsor, presented Senate Bill 16-170. This bill authorizes HCPF to purchase individual insurance on the Colorado health benefit exchange (Connect for Health Colorado) for an individual who is eligible for Medicaid but who chooses not to receive Medicaid, if the individual's enrollment in private health insurance will save the state money. The bill requires HCPF to work with a stakeholder group to develop waivers and to apply to the federal Department of Health and Human Services for all waivers necessary to receive federal funds to subsidize the insurance premiums, co-deductibles, co-insurance, and co-pays for Medicaid-eligible individuals choosing to receive private insurance via the exchange. The stakeholder group will include Connect for Health Colorado, Medicaid recipients and advocates for recipients, counties, and providers. The waivers must be submitted to the federal Department of Health and Human Services by January 1, 2017. If the waivers are approved, HCPF is required to offer individual insurance in cases where costs savings can be realized. If the waivers are not approved, the bill will not be implemented. Finally, the bill requires Connect for Health Colorado to provide information to the public about the process created by the bill.



03:42 PM -- Bethany Pray, Colorado Center on Law and Policy, testified against the bill.



03:46 PM -- Cindy Sovine Miller, representing herself, testified in support of the bill.



03:51 PM -- Sherry Dyckman, representing herself, testified in support of the bill.



03:54 PM -- Marivel Klueckman, HCPF, and David Smith, HCPF, responded to questions from the committee.



04:04 PM



Committee discussion and questions followed.



04:08 PM



Senator Martinez Humenik laid the bill over to a future date.



04:10 PM -- HB 16-1141



Senator Jahn and Senator Roberts, co-prime bill sponsors, presented the House Bill 16-1141. This bill requires the Colorado Department of Public Health and Environment (CDPHE) to establish a radon education and awareness program to provide information and education statewide to citizens, businesses, and others in need of information. The CDPHE will work with radon contractors and citizens to resolve questions and concerns about radon mitigation systems. The CDPHE will collaborate with local governments to provide information on best practices for radon mitigation strategies. By January 1, 2017, the CDPHE is required to establish a radon mitigation assistance program to provide financial assistance to low-income individuals for radon mitigation services. The State Board of Health will set the program requirements, including eligibility requirements. The bill extends the Uranium Mill Tailings Remedial Action Program Fund until 2027, but eliminates the Uranium Mill Tailings Remedial Action Oversight Committee.





04:15 PM -- Jennifer Opila, CDPHE, testified in support of the bill. Ms. Opila responded to questions from the committee.



04:23 PM



Committee questions and discussion followed.



04:33 PM -- Brian Hlavacek, Tri-County Health Department, testified in support of the bill.



04:36 PM



Senators Jahn and Roberts made closing comments. Committee members commented on the bill.

BILL:	HB16-1141
TIME:	04:45:23 PM
MOVED:	Newell
MOTION:	Refer House Bill 16-1141 to the Committee on Appropriations. The motion passed on a vote of 3-1, with one excused.
SECONDED:
		VOTE
	Kefalas	Yes
	Martinez Humenik	Yes
	Newell	Yes
	Crowder	Excused
	Lundberg	No
Final YES: 3 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS

04:52 PM -- HB 16-1316



Senator Cooke, bill sponsor, presented House Bill 16-1316. The bill amends the Colorado Children's Code to clarify the procedures for determining proper venue in dependency and neglect cases. Specifically, the bill states that a child who is placed in the legal custody of a county department shall be deemed, for the entire period of the placement, to reside in the county in which the child's legal parent or guardian resides or is located. This applies even if the child physically resides in an out-of-home placement located in another county. When proceedings begin in a county other than the child's county of residence, the court may transfer the case to the county where the child's parent or legal guardian resides, unless:

• the legal parent or guardian has a history of frequent moves, unless there is evidence of stability and the intent to remain in the new residence for six or more months;
• the transfer of venue will disrupt continuity of care or provision of services;
• the case is not likely to close within three to six months; and
• the case is an expedited permanency planning case for a child under six years of age, unless it has been proven that a transfer of the proceedings is in the child's best interest.

The bill also sets forth procedures for holding hearings related to venue change requests and requires that the county attorney in the receiving county be notified that a motion to change venue has been filed. The county attorney in the proposed receiving county may file responsive pleadings and appear at the hearing set by the court.









04:54 PM -- Steve Moreno, Weld County Commissioner, testified in support of the bill.



04:56 PM -- Barbara Kirkmeyer, Weld County Commission, testified in support of the bill.



04:58 PM



Senator Cooke made closing comments and discussed amendment L.001 (Attachment F).



160324 AttachF.pdf

BILL:	HB16-1316
TIME:	05:00:55 PM
MOVED:	Newell
MOTION:	Adopt amendment L.001 (Attachment F). The motion passed without objection.
SECONDED:
		VOTE
	Kefalas
	Martinez Humenik
	Newell
	Crowder
	Lundberg
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

BILL:	HB16-1316
TIME:	05:02:48 PM
MOVED:	Newell
MOTION:	Refer House Bill 16-1316, as amended, to the Committee of the Whole. The motion passed on a vote of 3-0, with two excused.
SECONDED:
		VOTE
	Kefalas	Excused
	Martinez Humenik	Yes
	Newell	Yes
	Crowder	Excused
	Lundberg	Yes
Final YES: 3 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS

05:03 PM



Senator Lundberg adjourned the meeting.