S_HHS_2022A 04/27/2022 01:30:59 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGSENATE COMMITTEE ON HEALTH & HUMAN SERVICES Date 04/27/2022 Attendance Buckner X Jaquez Lewis X Kirkmeyer X Simpson X Smallwood X Ginal X Fields X Time 01:30:59 PM to 08:06:19 PM Place SCR 357 This Meeting was called to order by Fields This Report was prepared by Jerard Brown Hearing Items Action Taken hHB22-1344 Referred to the Committee of the Whole - Consent Calendar hSB22-210 Amended, referred to Senate Finance hHB22-1309 Referred to the Committee of the Whole - Consent Calendar hHB22-1303 Referred to Senate Appropriations hHB22-1283 Referred to Senate Appropriations hHB22-1278 Amended, referred to Senate Appropriations hSB22-226 Amended, referred to Senate Appropriations hSB22-225 Amended, referred to Senate Finance HB22-1344 - Referred to the Committee of the Whole - Consent Calendar 01:31:11 PM Senator Cook and Senator Ginal, co-prime bill sponsors, presented House Bill 22-1344, which specifies that prescription drugs containing 3,4-methylenedioxymethamphetmine, approved by the federal Food and Drug Administration, and placed on a schedule other than schedule I are legal to prescribe, dispense, transport, possess, and use in Colorado. Committee members asked questions of the bill sponsors. 01:39:58 PM Dr. Will Van, representing self, testified in support of the bill. Mr. Kyle Kinney, representing self, testified in support of the bill. 01:45:27 PM Dr. Scott Shannon, representing self, testified in support of the bill. Mr. Jonathan Lubecky, representing self, testified in support of the bill. Committee members made comments to the panel. 01:53:24 PM Bill sponsors provided closing remarks. 01:54:01 PM Committee members provided closing remarks. 01:55:57 PM Motion Refer House Bill 22-1344 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. Moved Ginal Seconded Buckner Yes Jaquez Lewis Excused Kirkmeyer Yes Simpson Yes Smallwood Excused Ginal Yes Fields Yes Final YES: 5 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS SB22-210 - Amended, referred to Senate Finance Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/9D0DDA21EB5D...$File/Attachment A.pdf?OpenElement Attachment A.pdf Attachment B http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/94BE06979787...$File/Attachment B.pdf?OpenElement Attachment B.pdf Attachment C http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/8564F25CB0AA...$File/Attachment C.pdf?OpenElement Attachment C.pdf 01:56:14 PM Senator Zenzinger and Senator Cooke, co-prime bill sponsors, presented Senate Bill 22-210, which establishes a regulatory structure for supplemental health care staffing agencies in the Department of Public Health and Environment. 02:03:05 PM Mr. Doug Farmer, representing the Colorado Health Care Association, testified in support of the bill. Mr. John Brammeier, representing Vivage Senior Living, testified in support of the bill. Committee members asked questions of the panel. 02:10:11 PM Dr. Colleen Casper, representing the Colorado Nurses Association, testified in opposition to the bill. 02:13:19 PM Mr. John Stewart, representing Recover Care West, testified in support of the bill. Mrs. Jayne Keller, representing Christian Living Communities, testified in support of the bill. Mrs. Pam Rios-Menter, representing West Lake Care Center, testified in support of the bill. 02:21:57 PM Ms. Deborah Lively, representing LeadingAge Colorado, testified in support of the bill. Additional written testimony was submitted to the committee (Attachment A). 02:24:35 PM Senator Zensinger and Senator Cooke introduced and explained amendment L.001 (Attachment B). 02:26:51 PM Motion Adopt amendment L.001 (Attachment B). Moved Buckner Seconded Buckner Jaquez Lewis Excused Kirkmeyer Simpson Smallwood Excused Ginal Fields YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 02:26:53 PM Senator Zensinger and Senator Cooke introduced and explained amendment L.002 (Attachment C). 02:27:48 PM Motion Adopt amendment L.002 (Attachment C). Moved Buckner Seconded Buckner Jaquez Lewis Excused Kirkmeyer Simpson Smallwood Excused Ginal Fields YES: 0 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: Pass Without Objection 02:30:05 PM Senator Zenzinger and Senator Cooke provided closing remarks. 02:34:04 PM Motion Refer Senate Bill 22-210, as amended, to the Committee on Finance. Moved Smallwood Seconded Buckner Yes Jaquez Lewis Excused Kirkmeyer Yes Simpson Yes Smallwood Yes Ginal Excused Fields Yes Final YES: 5 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS HB22-1309 - Referred to the Committee of the Whole - Consent Calendar 02:36:35 PM Senator Winter and Senator Jaquez Lewis, co-prime bill sponsors, presented House Bill 22-1309, which allows a seven-day supply of drugs for prophylaxis of sexually transmitted infections to be dispensed to an emergency room patient who is a victim of sexual assault. Committee members asked questions of the panel. 02:46:42 PM Dr. Denise Abdoo, representing Colorado Childrenâs Hospital , testified in support of the bill. Barb Cardell, representing the Colorado Organizations and Individuals Responding to HIV/AIDS and the Colorado Positive Women's Network, testified in support of the bill. Committee members asked questions of the panel. 02:53:41 PM Bethany Bernal, representing self, testified in support of the bill. 02:58:18 PM Motion Refer House Bill 22-1309 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. Moved Jaquez Lewis Seconded Buckner Yes Jaquez Lewis Yes Kirkmeyer Yes Simpson Yes Smallwood Yes Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS HB22-1303 - Referred to Senate Appropriations Attachment Tag File Name Attachment D http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/D6C30B2ABDCB...$File/Attachment D.pdf?OpenElement Attachment D.pdf 02:58:46 PM Senator Winter and Senator Smallwood, co-prime bill sponsors, presented House Bill 22-1303, which requires an increase in the number of residential behavioral health beds, creates a new Medicaid provider type, and requires licensing of the new provider type â mental health residential facilities. Committee members asked questions of the bill sponsors and provided clarifying comments. 03:05:40 PM Perry May, representing self, testified in support of the bill. Deputy Medicaid Director Cristen Bates, representing the Colorado Department of Health Care Policy and Financing, was available for questions only. Lauren Snyder, representing Mental Health Colorado, testified in support of the bill. 03:12:25 PM Leslie Kalechman, representing AARP Colorado, testified in support of the bill. Amy Lyden-Cardinal, representing the Jefferson Center for Mental Health, testified in support of the bill. 03:18:26 PM Timothy Lane, representing the Colorado District Attorneysâ Council, testified in support of the bill. Additional written testimony was submitted to the committee (Attachment D). 03:20:55 PM Bill sponsors provided closing remarks. 03:21:40 PM Motion Refer House Bill 22-1303 to the Committee on Appropriations. Moved Smallwood Seconded Buckner Yes Jaquez Lewis Yes Kirkmeyer Yes Simpson Yes Smallwood Yes Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS HB22-1283 - Referred to Senate Appropriations 03:21:54 PM Senator Buckner and Senator Priola, co-prime bill sponsors, presented House Bill 22-1283, which requires the Colorado Department of Human Services to create an in-home and residential respite care program, provide operational support for psychiatric residential treatment facilities, create additional substance use treatment beds, continue the crisis service program, and build a neuro-psych facility. 03:26:42 PM Perry May, representing the Colorado Department of Human Services, testified in support of the bill. Benjamin Teevan, representing Fostering Colorado and the Colorado Association of Family and Childrenâs Agencies, testified in support of the bill. Ms. Dawn Fritz, representing the Colorado Parent Teacher Association, testified in support of the bill. Committee members asked questions of the panel. 03:39:16 PM Senator Buckner and Senator Priola provided closing remarks. 03:44:05 PM Motion Refer House Bill 22-1283 to the Committee on Appropriations. Moved Buckner Seconded Buckner Yes Jaquez Lewis Yes Kirkmeyer Yes Simpson Yes Smallwood Yes Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS HB22-1278 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment E http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/0455713A8389...$File/Attachment E.pdf?OpenElement Attachment E.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/138F0185F0C4...$File/Attachment F.pdf?OpenElement Attachment F.pdf Attachment G http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/166BAF5527CF...$File/Attachment G.pdf?OpenElement Attachment G.pdf Attachment H http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/47B7E33421F1...$File/Attachment H.pdf?OpenElement Attachment H.pdf Attachment I http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/D0D80E1ECA17...$File/Attachment I.pdf?OpenElement Attachment I.pdf Attachment J http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/F8CC1B70420D...$File/Attachment J.pdf?OpenElement Attachment J.pdf Attachment K http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/1B6C0B481887...$File/Attachment K.pdf?OpenElement Attachment K.pdf Attachment L http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/FFF49E053190...$File/Attachment L.pdf?OpenElement Attachment L.pdf Attachment M http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/3D94449D9E8F...$File/Attachment M.pdf?OpenElement Attachment M.pdf Attachment N http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/7D3E66452D3E...$File/Attachment N.pdf?OpenElement Attachment N.pdf Attachment O http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/A9D609C611C9...$File/Attachment O.pdf?OpenElement Attachment O.pdf Attachment P http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/7AF91865C995...$File/Attachment P.pdf?OpenElement Attachment P.pdf 03:44:17 PM Senator Lee and Senator Simpson, co-prime bill sponsors, presented House Bill 22-1278, which creates the Behavioral Health Administration (BHA) in the Department of Human Services and charges it with creating a coordinated, cohesive, and effective behavioral health system in Colorado. Any state agency that administers a behavioral health program is required to collaborate with the BHA. Committee members asked questions of the bill sponsors. Committee members discussed a fact sheet distributed to the committee (Attachment E). 04:24:16 PM Executive Director Kim Bimestefer, representing the Colorado Department of Health Care Policy and Financing, testified in support of the bill. Dr. Morgan Medlock, representing the Behavioral Health Administration, testified in support of the bill. Committee members asked questions of the panel. 04:40:53 PM Mr. Rudolph Gonzales, representing Servicios de La Raza, testified in support of the bill. Frank Cornelia, representing the Colorado Behavioral Healthcare Council, testified to amend the bill. Committee members asked questions of the panel. 04:54:15 PM Daniel Darting, representing the Colorado Providers Association and the Colorado Behavorial Healthcare Council , testified in support of the bill. Mr. Harry Budisidharta, representing the Asian Pacific Development Center, testified to amend the bill. 04:59:50 PM Commissioner Tamara Pogue, representing Colorado Counties Inc., testified in support of the bill. Commissioner Hilary Cooper, representing Counties and Commissioners Acting Together, testified in support of the bill. Commissioner Wendy Buxton Andrade, representing Colorado Counties Inc., testified in support of the bill. Committee members asked questions of the panel. 05:11:13 PM Representative Debbie Stafford, representing Aurora Mental Health Center, testified in support of the bill. Ms. Natalie Seils, representing self, testified to amend the bill. Elizabeth Newman, representing the Colorado Coalition Against Sexual Assault, testified to amend the bill. Dr. Elizabeth Hickman, representing the Centennial Mental Health Center, testified to amend the bill. Committee members made comments to the panel. 05:24:29 PM Commissioner Byron Pelton, representing Colorado Counties Inc, testified in support of the bill. Committee members asked questions of the panel. 05:30:30 PM Ms. Breeah Kinsella, representing Colorado Providers Association, testified in support of the bill. Ms. Francesca Maes, representing the Colorado Cross-Disability Coalition, testified in support of the bill. Dr. Casey Wolfington, representing Eagle Valley Behavorial Health, testified in support of the bill. 05:40:26 PM James Riesberg, representing North Range Behavioral Health, testified in support of the bill. Mr. Paul Reich, representing the Center for Mental Health, testified in support of the bill. 05:47:51 PM Dr. Vincent Atchity, representing Mental Health Colorado, testified in support of the bill. 05:51:52 PM Senator Lee and Senator Simpson introduced and explained amendment L.030 (Attachment F). 05:53:39 PM Motion Adopt amendment L.030 (Attachment F). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:53:46 PM Senator Lee and Senator Simpson introduced and explained amendment L.031 (Attachment G). 05:54:30 PM Motion Adopt amendment L.031 (Attachment G). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:55:33 PM Senator Lee and Senator Simpson introduced and explained amendment L.032 (Attachment H). 05:56:06 PM Motion Adopt amendment L.032 (Attachment H). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:56:08 PM Senator Lee and Senator Simpson introduced and explained amendment L.033 (Attachment I). 05:56:39 PM Motion Adopt amendment L.033 (Attachment I). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:56:41 PM Senator Lee and Senator Simpson introduced and explained amendment L.034 (Attachment J). 05:57:01 PM Motion Adopt amendment L.034 (Attachment J). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:57:03 PM Senator Lee and Senator Simpson introduced and explained amendment L.035 (Attachment K). 05:57:23 PM Motion Adopt amendment L.035 (Attachment K). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:57:25 PM Senator Lee and Senator Simpson introduced and explained amendment L.036 (Attachment L). 05:57:49 PM Motion Adopt amendment L.036 (Attachment L). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:58:01 PM Senator Lee and Senator Simpson introduced and explained amendment L.037 (Attachment M). 05:58:11 PM Motion Adopt amendment L.037 (Attachment M). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:58:44 PM Senator Lee and Senator Simpson introduced and explained amendment L.038 (Attachment N). 05:58:51 PM Motion Adopt amendment L.038 (Attachment N). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:59:08 PM Senator Lee and Senator Simpson introduced and explained amendment L.039 (Attachment O). 06:01:45 PM Motion Adopt amendment L.039 (Attachment O). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:01:48 PM Senator Lee and Senator Simpson introduced and explained amendment L.040 (Attachment P). 06:02:04 PM Motion Adopt amendment L.040 (Attachment P). Moved Simpson Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:02:06 PM Bill sponsors provided closing remarks. 06:06:03 PM Committee members provided closing remarks. 06:12:45 PM Motion Refer House Bill 22-1278, as amended, to the Committee on Appropriations. Moved Simpson Seconded Buckner Yes Jaquez Lewis Yes Kirkmeyer Yes Simpson Yes Smallwood Yes Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS SB22-226 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment Q http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/626403BC521A...$File/Attachment Q.pdf?OpenElement Attachment Q.pdf 06:13:05 PM Senator Jaquez Lewis and Senator Rankin, co-prime bill sponsors, presented Senate Bill 22-226, which requires appropriations totaling $61 million, in FY 2022, for programs supporting the education, training, recruitment, and retention of health-care workers. All appropriations are from the Economic Recovery and Relief Cash Fund, which contains federal ARPA funds. Any money from these appropriations that remain after FY 2022-23 may be spent in FY 2023-24 and FY 2024-25 without further appropriations. 06:26:47 PM Committee members asked questions of the bill sponsors. 06:27:09 PM Dr. Angie Paccione, representing the Colorado Department of Higher Education, testified in support of the bill. Steve Holloway, representing the Colorado Department of Public Health and Environment, testified in support of the bill. Dr. Landon Pirius, representing Colorado Community College System, testified in support of the bill. 06:37:01 PM Joshua Ewing, representing the Colorado Hospital Association, testified in support of the bill. Dr. Ingrid Johnson, representing the Colorado Center for Nursing Excellence, testified in support of the bill. Kelly Erb, representing the Colorado Rural Health Center, testified in support of the bill. 06:47:23 PM Senator Jaquez Lewis and Senator Rankin, introduced and explained amendment L.001 (Attachment Q). 06:48:43 PM Motion Adopt amendment L.001 (Attachment Q). Moved Jaquez Lewis Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:48:57 PM Senator Jaquez Lewis and Senator Ranking provided closing remarks. 06:57:50 PM Motion Refer Senate Bill 22-226, as amended, to the Committee on Appropriations. Moved Jaquez Lewis Seconded Buckner Yes Jaquez Lewis Yes Kirkmeyer Yes Simpson Yes Smallwood Yes Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS SB22-225 - Amended, referred to Senate Finance Attachment Tag File Name Attachment R http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/45715AD90F34...$File/Attachment R.pdf?OpenElement Attachment R.pdf 06:58:19 PM Senator Zenzinger and Senator Liston, co-prime bill sponsors, presented Senate Bill 22-225, which requires ambulance operators to be licensed by the Department of Public Health and Environment after July 1, 2024, and creates the Emergency Medical Services System Sustainability Task Force to make recommendations regarding the regulatory structure for ambulance services. 07:16:31 PM Committee members asked questions of bill sponsors. 07:20:18 PM Dr. Eric France, representing the Colorado Department of Public Health and Environment, testified in support of the bill. Donnie Woodyard, representing the Colorado Department of Public Health and Environment, testified in support of the bill. Committee members asked questions of the bill sponsors. 07:29:53 PM Mr. Timothy Dienst, representing the Emergency Medical Services Association of Colorado, testified in support of the bill. Michael Valdez, representing Special District Association of Colorado, testified in support of the bill. Chief Scott Sholes, representing the Emergency Medical Services Association of Colorado, testified in support of the bill. Committee members asked questions of the panel. 07:45:16 PM Ms. Gini Pingenot, representing Colorado Counties, Inc., testified in a neutral position on the bill. 07:49:54 PM Senator Zenzinger and Senator Liston provided closing remarks. 07:52:48 PM Senator Zenzinger and Senator Liston introduced and explained amendment L.001 (Attachment R). 07:53:44 PM Motion Adopt amendment L.001 (Attachment R). Moved Ginal Seconded Buckner Jaquez Lewis Kirkmeyer Simpson Smallwood Ginal Fields YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 07:54:35 PM Committee members asked questions of the bill sponsors. 07:57:24 PM Committee members provided closing remarks. 08:02:14 PM Senator Liston and Senator Zenzinger provided closing remarks. 08:04:56 PM Motion Refer Senate Bill 22-225, as amended, to the Committee on Finance. Moved Ginal Seconded Buckner Yes Jaquez Lewis Yes Kirkmeyer No Simpson Yes Smallwood Yes Ginal Yes Fields Yes Final YES: 6 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS 08:05:01 PM Committee members acknowledged guests. 08:06:19 PM The committee adjourned.