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H_HI_2021A 05/12/2021 02:07:13 PM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
HOUSE COMMITTEE ON HEALTH & INSURANCE
Date 05/12/2021
Attendance
Bacon *
Baisley X
Geitner *
Hanks X
Jackson *
McCormick X
Mullica *
Ortiz *
Soper X
Titone X
Williams X
Caraveo X
Lontine X
Time 02:07:13 PM to 10:47:27 PM
Place HCR 0112
This Meeting was called to order by Lontine
This Report was prepared by Julia Group
Hearing Items Action Taken
SB21-094 Amended, referred to House Finance
HB21-1191 Postponed Indefinitely

SB21-094 - Amended, referred to House Finance


02:07:56 PM  
Representative Roberts,
bill co-sponsor, introduced SB-094.  The bill continues the State
Board of Pharmacy for nine years, until September 1, 2030.  In addition,
the bill adjusts the types of pharmacists that are included on the board,
aligns state statute with the federal Drug Quality and Security Act, and
modifies the board’s authority to inspect certain facilities. The bill
also includes various changes to the scope of practice for pharmacy professionals
and the regulation of certain medical facilities, as described below.




Scope of practice—pharmacists.
 The bill expands the scope of
practice for pharmacists to include providing care pursuant to a collaborative
pharmacy practice agreement; expanding prescriptive authority, including
the administration of opiate antagonists; ordering laboratory tests as
related to medication therapy; and performing limited physical assessments.
 Pharmacists may fill a prescription for a specific drug with a substitute
and make minor adaptations to a prescription, under certain conditions.
 The bill also requires pharmacists to offer patient counseling and
directs the board to adopt rules addressing such services, and expands
the number of designees a pharmacist may authorize to access the Prescription
Drug Monitoring Program.



Scope of practice—pharmacy technicians.
 The scope of practice
for pharmacy technicians is also expanded to include documenting nonclinical
information from patients and replenishing automated dispensing devices
without pharmacist verification if using bar code technology.



Facility regulation.
 The bill adjusts the regulation of certain
medical facilities by adding community mental health clinics and facilities
that operate a licensed substance use disorder treatment program to the
definition of “other outlets,” and requiring 503B outsourcing facilities
and third-party logistics providers to register with the board.



Other changes.
 The bill makes a variety of other changes, including:




·        repealing the requirement that the board justify
to the Veterinary Pharmaceutical Advisory Committee any deviations from
the committee’s recommendations;

·        repeals the ability of prescription drug outlets
to register as compounding drug outlets;

·        increasing the amount of medication a hospital
is authorized to dispense from a 24-hour supply to a 72-hour supply, and
permits hospitals to dispense prescription drugs to a patient for a temporary
leave from the hospital of less than 72 hours;

·        repealing the requirement that a prescription
for an anabolic steroid require its purpose be printed on the label; and


·        requiring the board to adopt rules for electronic
records storage.
02:12:47 PM  
The bill sponsor responded to questions from the committee.
02:15:08 PM  
Dr. Gina Moore, University of Colorado, testified in support of the bill. Dr. Emily Zadvorny, Colorado Pharmacist Society, testified in support of the bill. The witnesses responded to questions from the committee.
02:35:17 PM  
Dr. Tara Vlasimsky, SCL Health, testified in support of the bill. Mr. Ky Davis, RxPlus Pharmacies, testified in support of the bill. Mr. Tom Davis, RxPlus Pharmacies, testified in support of the bill. Mr. Chris Gassen, Department of Regulatory Agencies, answered questions from the committee.
02:45:01 PM  
Representative Caraveo
introduced and explained amendment L.007 (Attachment A).


02:47:12 PM
Motion Adopt amendment L.007 (Attachment A)
Moved Caraveo
Seconded Ortiz
Bacon
Baisley
Geitner
Hanks
Jackson
McCormick
Mullica
Ortiz
Soper
Titone
Williams
Caraveo
Lontine
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
02:47:13 PM  
The committee took a brief recess.
02:49:51 PM  
The bill sponsors provided closing comments on the bill.
02:51:22 PM  
The committee members made closing comments on the bill.


02:53:38 PM
Motion Refer Senate Bill 21-094, as amended, to the Committee on Finance.
Moved Ortiz
Seconded Caraveo
Bacon Yes
Baisley Yes
Geitner No
Hanks Yes
Jackson Yes
McCormick Yes
Mullica Yes
Ortiz Yes
Soper No
Titone Yes
Williams Yes
Caraveo Yes
Lontine Yes
Final YES: 11   NO: 2   EXC: 0   ABS:  0   FINAL ACTION:  PASS



HB21-1191 - Postponed Indefinitely

02:53:44 PM  
The committee took
a brief recess.
02:54:06 PM  
Representative Ransom,
bill co-sponsor, presented HB21-1191.  The bill prohibits the state
from making any COVID-19 vaccine mandatory and further prohibits employers,
including health facilities, from making the COVID-19 vaccine a condition
of employment or taking adverse action against an employee based on their
vaccine status.  In addition, no government agency, commercial establishment
or enterprise, service provider, or nonprofit association may discriminate
against a client, patron, or customer based on COVID-19 vaccine status.
 The bill permits a person aggrieved by alleged discrimination to
file a civil action for injunctive relief and damages in civil court.  


The bill sponsors distributed two handouts to the committee (Attachments
B and C).
03:16:51 PM  
Representative Van
Beber, bill co-sponsor, continued introducing the bill.
03:23:57 PM  
Dr. Anuj Mehta, Colorado
Vaccine Equity Task Force, testified in opposition to the bill.  Dr.
Eric France, Colorado Department of Public Health and Environment, testified
in opposition to the bill.  Dr. Kweku Hazel, representing himself,
testified in opposition to the bill.  The panelists responded to questions
from the committee.
03:47:03 PM  
Kevin Williams, Colorado
Cross-Disability Coalition, testified in opposition to the bill.  Dorothy
Jones, Denver Metro Chamber of Commerce, testified in opposition to the
bill.  George Sparks, Denver Museum of Nature and Science, testified
in opposition to the bill.  Lauren Masias, Colorado Competitive Council,
testified in opposition to the bill.  Jeff Keener, South Metro Denver
Chamber, testified in opposition to the bill.  The witnesses responded
to questions from the committee members.
04:12:04 PM  
Joshua Ewing, Colorado Hospital Association, testified in opposition to the bill. Dr. Craig Anthony, Colorado Academy of Family Physicians, testified in opposition to the bill. Emily Zadvorny, Colorado Pharmacists Society, testified in opposition to the bill. The panelists responded to questions from the committee.
04:31:26 PM  
Emma Pinter, Counties & Commissioners Acting Together, testified in opposition to the bill. Dr. Cynthia Hazel, OMNI Institute, testified in opposition to the bill. Kate Brooks, Colorado Immunization Advocates, testified in opposition to the bill. Ms. Andrea Stojsavljevic, Healthier Colorado, testified in opposition to the bill. Julia Ellington, Colorado Vaccine Equity Taskforce, testified in opposition to the bill. The panelists responded to questions from the committee.
04:55:53 PM  
Dr. Raymond Goodrich, Colorado State University, testified in opposition to the bill. Kelly Grenham, Colorado Association of School Nurses, testified in opposition to the bill. Lilian Baiden, Colorado Vaccine Equity Taskforce, testified in opposition to the bill. Dr. Edwin Asturias, University of Colorado School of Medicine and Children's Hospital Colorado, testified in opposition to the bill. Michael Rouse, Colorado Vaccine Equity Taskforce, testified in opposition to the bill.
05:15:05 PM  
Dr. Christopher Urbina,
Colorado Asscociation of Local Public Health Officials, testified in opposition
to the bill.  Meghan Dollar, Colorado Municipal League, testified
in opposition to the bill.
05:21:44 PM  
Mara Brosy-Wiwchar,
Colorado Department of Public Health and Enviornment, was available to
answer committee members' questions. Stephanie Wasserman, Immunize Colorado,
testified in opposition to the bill.  Dr. Nabeeh Hasan, Interfaith
Alliance of Colorado, testified in opposition to the bill.  Elizabeth
Fashing, Colorado Immunization Advocates, testified in opposition to the
bill.  Dr. Gabriel Lockhart, National Jewish Health, testified in
opposition to the bill.
05:35:39 PM  
Dr. Thomas Perille,
Democrats for Life of Colorado, testified in opposition to the bill.  He
distributed a handout to the committee (Attachment D).  Mrs. Anna
Hanel, representing herself, testified in opposition to the bill.  The
witnesses responded to questions from the committee.
05:48:45 PM  
Suzie Brundage, representing herself, testified in opposition to the bill. Mrs. Angie Anderson, representing herself, testified in opposition to the bill. Dr. Lindsay Diamond, representing herself, testified in opposition to the bill.
05:59:58 PM  
Alicia Heim, Colorado Immunization Advocates, testified in opposition to the bill. Ms. Claudia Perez, representing La Cocina/ Mental Health, testified in opposition to the bill. Mrs. Emily Adams, representing herself, testified in opposition to the bill. Katrina Kozak, representing herself, testified in opposition to the bill. Dr. Kathryn Penzkover, representing herself, testified in opposition to the bill.
06:19:07 PM  
The committee took
a brief recess.
06:19:35 PM  
Brad Bergford, Commmission
for the Protection of Constitutional Rights, testified in support of the
bill.  Mr. Theo Wilson, representing himself, testified in support
of the bill.  Dr. H Malcolm Newton, representing himself, testified
in support of the bill.  Bishop Jerry Demmer, representing himself,
testified in support of the bill.  Ms. Ana Cornelius, representing
herself, testified in support of the bill.  The panel of witnesses
responded to questions from the committee.

07:04:16 PM  
Dr. Ietef Vita, representing
himself, testified in support of the bill.  Ms. Eutimia Montoya, representing
herself, testified in support of the bill.  Mr. Jeff Hunt, The Centennial
Institute, testified in support of the bill.  The panel of witnesses
responded to questions from the committee.
07:27:02 PM  
Ms. Diana Lutfi,
representing herself, testified in support of the bill.  She distributed
handouts to the committee (Attachment E).  Ms. Gabrielle Palmer, representing
herself, testified in support of the bill. Ms. Mary Holland, Children's
Health Defense, testified in a neutral position on the bill.  Ms.
Patricia Finn, Make America's Kids Healthy Again Inc., testified in support
of the bill.
07:46:47 PM  
Mrs. Victoria Edwards, representing herself, testified in support of the bill. Mr. Mark Braunlich, representing himself, testified in support of the bill. Mrs. Pamela Douglas, representing herself, testified in support of the bill. Ms. Jenna Ikuta, representing herself, testified in support of the bill. The panel of witnesses responded to questions from the committee.
08:06:05 PM  
Mrs. Elizabeth Jenks,
representing herself, testified in support of the bill.  Dr. John
Kucera, representing himself, testified in support of the bill.  Ms.
Beth Fisher, Medical Autonomy Colorado, testified in support of the bill
and distributed a handout to the committee (Attachment F).  Dr. Kamau
Kokayi, representing himself, testified in support of the bill.  The
panel of witnesses responded to questions from the committee.
08:34:03 PM  
Ms. Cindy Ficklin, representing herself, testified in support of the bill. Ms. Carmen Bontrager, Medical Autonomy Colorado, testified in support of the bill. Mrs. Patricia Anthone, representing herself, testified in support of the bill. Mrs. Loren de la Cruz, representing herself, testified in support of the bill. The panel of witnesses responded to questions from the committee.
08:57:39 PM  
Mrs. Linda Bissett,
cofightforfreedom.com, testified in support of the bill and distributed
a handout to the committee (Attachment G).  Rebecca Heath, representing
herself, testified in support of the bill.  Ms. Andrea Erickson, representing
herself, testified in support of the bill.  Mrs. Denice Dirks, Concerned
Colorado Families, testified in support of the bill.

09:13:06 PM  
Ms. Theresa Wrangham, National Vaccine Information Center, testified in support of the bill. Dr. Melanie Gisler, representing herself, testified in support of the bill. Dr. Mary Harrow, representing herself, testified in support of the bill. The panel of witnesses responded to questions from the committee.
09:30:32 PM  
Catherine Turner, representing herself, testified in support of the bill.
09:30:33 PM  
Submitted written public testimony can be found in Attachment H.
09:36:13 PM  
The bill sponsors
introduced and explained amendment L.001 (Attachment I).



09:36:37 PM
Motion Adopt amendment L.001 (Attachment I).
Moved Williams
Seconded Geitner
Bacon
Baisley
Geitner
Hanks
Jackson
McCormick
Mullica
Ortiz
Soper
Titone
Williams
Caraveo
Lontine
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
09:37:19 PM  
The bill sponsors provided closing comments on the bill.
09:50:19 PM  
Committee members made closing comments on the bill.
09:50:20 PM  
Representative Geitner
made a substitue motion to send the bill to the judiciary committee.
10:02:30 PM  
The committee took
a brief recess.  The committee came back to order and committee members
made comments on the substitute motion.



10:05:50 PM
Motion Refer House Bill 21-1191, as amended, to the Committee on Judiciary.
Moved Geitner
Seconded Baisley
Bacon No
Baisley Yes
Geitner Yes
Hanks Yes
Jackson No
McCormick No
Mullica No
Ortiz No
Soper Yes
Titone No
Williams Yes
Caraveo No
Lontine No
YES: 5   NO: 8   EXC: 0   ABS:  0   FINAL ACTION:  FAIL
10:06:09 PM  
Committee members continued to make closing comments on the bill.
10:32:58 PM  
Committee members continued to make closing comments on the bill.


10:45:20 PM
Motion Refer House Bill 21-1191, as amended, to the Committee on Appropriations.
Moved Williams
Seconded Geitner
Bacon No
Baisley Yes
Geitner Yes
Hanks Yes
Jackson No
McCormick No
Mullica No
Ortiz No
Soper Yes
Titone No
Williams Yes
Caraveo No
Lontine No
YES: 5   NO: 8   EXC: 0   ABS:  0   FINAL ACTION:  FAIL


10:46:33 PM
Motion Postpone House Bill 21-1191 indefinitely.
Moved Jackson
Seconded Ortiz
Bacon Yes
Baisley No
Geitner No
Hanks No
Jackson Yes
McCormick Yes
Mullica Yes
Ortiz Yes
Soper No
Titone Yes
Williams No
Caraveo Yes
Lontine Yes
Final YES: 8   NO: 5   EXC: 0   ABS:  0   FINAL ACTION:  PASS


10:47:27 PM   The committee adjourned.






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