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H_HI_2020A 02/11/2020 10:59:25 AM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
HOUSE COMMITTEE ON HEALTH & INSURANCE
Date 02/11/2020
Attendance
Baisley X
Buckner *
Jackson E
Mullica X
Soper *
Tipper X
Titone X
Will *
Caraveo X
Lontine X
Time 10:59:25 AM to 12:15:43 PM
Place HCR 0112
This Meeting was called to order by Representative Lontine
This Report was prepared by Anne Wallace
Hearing Items Action Taken
HB20-1183 Amended, referred to House Finance
HB20-1216 Amended, referred to House Finance

X = Present, E = Excused, A = Absent, * = Present after roll call

HB20-1183 - Amended, referred to House Finance


10:59:39 AM  

Representative Mullica, bill sponsor, presented House Bill 20-1183 to the committee.  The bill extends the regulation of nurse aides until September 1, 2027, and makes the following changes:

•   relocates provisions related to certified nurse aides to the Nurse Practice Act;

•   modifies the grounds for discipline related to excessive use of alcohol and drugs;

•   changes the waiting period for recertification after a certificate is revoked to two years;

•   repeals the requirement that the State Board of Nurses send notifications of action taken by certified mail;

•   clarifies that the regulation of certified nurse aides does not apply to a person directly employed by a medical facility for the first four months, if the employment is part of an approved training program and the certification is not through endorsement.



 Representative Mullica responded to committee questions.  

11:04:21 AM  

No witnesses testified on the bill.

11:04:39 AM  

Representative Mullica distributed amendments L.001 and L.002 to the committee and described them (Attachments A and B).



11:07:10 AM
Motion Adopt amendment L.001 (Attachment A).
Moved Mullica
Seconded Titone
Baisley
Buckner
Jackson Excused
Mullica
Soper Excused
Tipper
Titone
Will
Caraveo
Lontine
YES: 0   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  Pass Without Objection


11:08:11 AM
Motion Adopt amendment L.002 (Attachment B).
Moved Mullica
Seconded Titone
Baisley
Buckner
Jackson Excused
Mullica
Soper Excused
Tipper
Titone
Will
Caraveo
Lontine
YES: 0   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  Pass Without Objection
11:08:13 AM  

Representative Mullica gave closing remarks on the bill.  Committee members commented on the bill.



11:10:19 AM
Motion Refer House Bill 20-1183, as amended, to the Committee on Finance.
Moved Mullica
Seconded Buckner
Baisley Yes
Buckner Yes
Jackson Excused
Mullica Yes
Soper Excused
Tipper Yes
Titone Yes
Will Yes
Caraveo Yes
Lontine Yes
Final YES: 8   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  PASS



HB20-1216 - Amended, referred to House Finance


11:10:36 AM  

Representative Mullica, bill sponsor, presented House Bill 20-1216 to the committee.  The bill extends the repeal date of the State Board of Nursing within the Department of Regulatory Agencies (DORA), which regulates nurses, until September 1, 2027, and makes the following changes:

•   allows nurses to enter into confidential agreement with the Board to limit their practice;

•   modifies the grounds for discipline related to alcohol and drug use, diverting controlled substances, failing to report certain actions to the Board, failing to act within the limitations created by a physical or mental illness, failing to comply to limitations agreed to under a confidential agreement, and engaging in a sexual act with a patient during the course of care or within six months of care;

•   requires malpractice insurance companies to send information to the Board related to any malpractice claims against a licensed nurse;

•   eliminates the requirement for an articulated plan for advance practice registered nurses who have completed the provisional prescriptive authority period;

•   allows, instead of requires, the Board to conduct random audits of articulated plans;

•   changes and updates references to Advanced Practice Nurse and A.P.N. to Advanced Practice Registered Nurse or A.P.R.N.;

•   removes the age requirement to apply for a volunteer nursing license;

•   removes the requirement that the director of DORA consult with the Board when appointing an executive administrator and that one member of the Board serve on a panel to interview candidates for the position; and

•    makes other technical changes and removes obsolete references.



  Representative Mullica responded to committee questions.  

11:14:19 AM  

Christy Chase, Office of Legislative Legal Services, responded to committee questions.  Representative Mullica continued to dialogue with the committee.

11:18:56 AM  

Representative Lontine proceeded with witness testimony on the bill.

11:19:19 AM  

Colleen Casper, Colorado Nurses Association, testified in support of the bill.  Linda Siderius, Colorado Nurses Association, testified in support of the bill.

11:26:06 AM  

Judith Burke, Colorado Nurses Association, testified in support of the bill.  Dr. Craig Luzinski, Colorado Organization of Nurse Leaders, testified in support of the bill.  Dr. Laura Rosenthal, Colorado Nurses Association, testified in support of the bill.

11:38:02 AM  

Laura Hildebrand, Northern Colorado Nurse Practitioner Coalition, testified regarding the bill.  Rose Macalister, representing herself, testified regarding the bill.  Patricia Abbott, University of Colorado - College of Nursing, testified in support of the bill.  The witness panel responded to committee questions.

12:02:01 PM  

Dr. Rhonda Fisher, representing herself, testified regarding the bill.  Betsy Woolf, representing herself, testified in support of the bill.  Sarah Fredriksson, Colorado Association of Nurse Anesthetists, testified in support of the bill.

12:10:58 PM  

Representative Mullica distributed amendments L.001 and L.002 and explained them to the committee (Attachments C and D).



12:11:22 PM
Motion Adopt amendment L.001 (Attachment C).
Moved Mullica
Seconded Tipper
Baisley
Buckner
Jackson Excused
Mullica
Soper
Tipper
Titone
Will
Caraveo
Lontine
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


12:12:30 PM
Motion Adopt amendment L.002 (Attachment D).
Moved Mullica
Seconded Tipper
Baisley
Buckner
Jackson Excused
Mullica
Soper
Tipper
Titone
Will
Caraveo
Lontine
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


12:15:29 PM
Motion Refer House Bill 20-1216, as amended, to the Committee on Finance.
Moved Mullica
Seconded Tipper
Baisley Yes
Buckner Yes
Jackson Excused
Mullica Yes
Soper Yes
Tipper Yes
Titone Yes
Will Yes
Caraveo Yes
Lontine Yes
Final YES: 9   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  PASS


12:15:43 PM   The committee adjourned.






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