H_HI_2022A 04/13/2022 01:34:29 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH & INSURANCE Date 04/13/2022 Attendance Amabile * Baisley X Catlin X Kennedy * Mullica X Neville X Sirota X Titone X Williams X Ortiz X Lontine X Time 01:34:29 PM to 06:04:01 PM Place HCR 0112 This Meeting was called to order by Lontine This Report was prepared by Matthu Beck Hearing Items Action Taken hHB22-1284 Amended, referred to House Appropriations hHB22-1285 Amended, referred to the Committee of the Whole hHB22-1325 Amended, referred to House Appropriations HB22-1284 - Amended, referred to House Appropriations Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/E38F75126540...$File/Attachment A.pdf?OpenElement Attachment A.pdf Attachment B http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/1BAE3338D838...$File/Attachment B - Combined.pdf?OpenElement Attachment B - Combined.pdf Attachment C http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/960A91A9F7A6...$File/Attachment C.pdf?OpenElement Attachment C.pdf Attachment D http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/93230B34C5AA...$File/Attachment D.pdf?OpenElement Attachment D.pdf Attachment E http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/5F1BC10ECE61...$File/Attachment E.pdf?OpenElement Attachment E.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/827BD64F1059...$File/Attachment F.pdf?OpenElement Attachment F.pdf Attachment G http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/0FFC5A4D0A11...$File/Attachment G.pdf?OpenElement Attachment G.pdf Attachment H http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/0A2847EFF48D...$File/Attachment H.pdf?OpenElement Attachment H.pdf 01:34:48 PM Majority Leader Esgar and Representative Catlin presented House Bill 22-1284 regarding health insurance surprise billing protections. 01:42:16 PM Commissioner Michael Conway, representing the Division of Insurance in the Department of Regulatory Agencies, testified in support of the bill. 01:45:03 PM Ms. Bethany Pray, representing the Colorado Center on Law and Policy, testified in support of the bill. Danielle DuChateau, representing self, testified in support of the bill. Mr. Stuart Jenkins, representing Healthier Colorado, testified in support of the bill. Sarah Staron, representing Young Invincibles, testified in support of the bill. 01:56:58 PM A graphic was distributed to the committee (Attachment A). 01:58:25 PM Mr. Sean Vlasity, representing self, testified in support of the bill. Dr. Neal O'Connor, representing the American College of Emergency Physicians - Colorado Chapter, testified in support of the bill. Dr. Ramnik Dhaliwal, representing the American College of Emergency Physicians - Colorado Chapter, testified in support of the bill. Dr. David Friedenson, representing the American College of Emergency Physicians - Colorado Chapter, testified to amend the bill. Members of the panel answered questions from the committee. 02:13:09 PM Mrs. Amanda Massey, representing the Colorado Association of Health Plans, testified to amend the bill. Karlee Tebbutt, representing America's Health Insurance Plans, testified to amend the bill. Ms. Megan Axelrod, representing the Colorado Hospital Association, testified to amend the bill. Marc Reece, representing CVS Health, was available to answer committee questions. 02:23:04 PM Adam Fox, representing the Colorado Consumer Health Initiative, testified in support of the bill. Written testimony was submitted to the committee (Attachment B). 02:28:49 PM Motion Adopt amendment L.001 (Attachment C). Moved Lontine Seconded Neville Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 02:32:22 PM Motion Adopt amendment L.009 (Attachment D) to amend amendment L.003 (Attachment E). Moved Lontine Seconded Ortiz Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 02:32:47 PM Motion Adopt amendment L.003 as amended. Moved Lontine Seconded Ortiz Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 02:34:20 PM Motion Adopt amendment L.006 (Attachment F). Moved Ortiz Seconded Sirota Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 02:35:48 PM Motion Adopt amendment L.007 (Attachment G). Moved Ortiz Seconded Sirota Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 02:37:15 PM Motion Adopt amendment L.008 (Attachment H). Moved Ortiz Seconded Sirota Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 02:41:35 PM Motion Refer House Bill 22-1284, as amended, to the Committee on Appropriations. Moved Catlin Seconded Ortiz Amabile Yes Baisley Yes Catlin Yes Kennedy Yes Mullica Yes Neville Yes Sirota Yes Titone Yes Williams Yes Ortiz Yes Lontine Yes Final YES: 11 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS HB22-1285 - Amended, referred to the Committee of the Whole Attachment Tag File Name Attachment I http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/A991997A9DE5...$File/Attachment I.pdf?OpenElement Attachment I.pdf Attachment J http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/11E0A3DBE16E...$File/Attachment J.pdf?OpenElement Attachment J.pdf Attachment K http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/920EB0E08D08...$File/Attachment K.pdf?OpenElement Attachment K.pdf Attachment L http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/1D580354B133...$File/Attachment L - Combined.pdf?OpenElement Attachment L - Combined.pdf Attachment M http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/6204A30453DC...$File/Attachment M.pdf?OpenElement Attachment M.pdf Attachment N http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/F439E6D4A3E5...$File/Attachment N.pdf?OpenElement Attachment N.pdf Attachment O http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/E6256BC25D06...$File/Attachment O.pdf?OpenElement Attachment O.pdf 02:41:40 PM The committee went on a recess. 02:46:03 PM The committee returned from recess. 02:46:11 PM Representative Neville and Majority Leader Esgar presented House Bill 22-1285, concerning a prohibition against a hospital taking certain debt collection actions against a patient if the hospital is not in compliance with hospital price transparency laws. 02:47:26 PM A fiscal note memorandum was distributed to the committee (Attachment I). 02:52:12 PM Sponsors answered questions from the committee. A letter from the Colorado Hospital Association was distributed to the committee (Attachment J). 02:54:21 PM Jackie Zheleznyak, representing Denver Health, testified in opposition to the bill. Thomas Donohoe, representing SCL Health/Intermountain Health, testified to amend the bill. Ms. Candice Hoshi, representing UCHealth, testified in opposition to the bill. Members of the panel answered questions from the committee. 03:03:36 PM Mrs. Katherine Mulready, representing the Colorado Hospital Association, testified to amend the bill. Angelina Salazar, representing self, testified to amend the bill. Kelly Erb, representing the Colorado Rural Health Center, testified to amend the bill. Robert Morasko, representing the Heart of the Rockies Regional Medical Center, testified to amend the bill. Members of the panel answered questions from the committee. 03:38:33 PM Nancy Dolson, representing the Colorado Department of Health Care Policy and Financing, testified in support of the bill. Ms. Isabel Cruz, representing the Colorado Consumer Health Initiative, testified in support of the bill. Ms. Bethany Pray, representing the Colorado Center on Law and Policy, testified in support of the bill. David Kochel, representing self, testified in support of the bill. 03:50:32 PM Ilaria Santangelo, representing PatientRightsAdvocate.org, testified in support of the bill. An informational packet was distributed (Attachment K). Michael Patton, representing Health Rosetta, testified in support of the bill. Cynthia Fisher, representing PatientRightsAdvocate.org, testified in support of the bill. Robert Smith, representing the Colorado Business Group on Health, testified in support of the bill. Members of the panel answered questions from the committee. 04:07:34 PM Ms. Claire Brockbank, representing the Peak Health Alliance, testified in support of the bill. Mr. David Silverstein, representing self, testified in support of the bill. Members of the panel answered questions from the committee. Written testimony was submitted to the committee (Attachment L). 04:32:22 PM Motion Adopt amendment L.001 (Attachment M). Moved Neville Seconded Ortiz Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:33:32 PM Motion Adopt amendment L.002 (Attachment N). Moved Neville Seconded Ortiz Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:34:13 PM Motion Adopt amendment L.003 (Attachment O). Moved Neville Seconded Ortiz Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 04:34:26 PM Majority Leader Esgar and Representative Neville gave closing remarks on House Bill 22-1285. 04:40:53 PM Motion Refer House Bill 22-1285, as amended, to the Committee of the Whole. Moved Neville Seconded Baisley Amabile Yes Baisley Yes Catlin Yes Kennedy Yes Mullica Yes Neville Yes Sirota Yes Titone Yes Williams Yes Ortiz Yes Lontine Yes Final YES: 11 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS HB22-1325 - Amended, referred to House Appropriations Attachment Tag File Name Attachment P http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/4A537AEF70DB...$File/Attachment P.pdf?OpenElement Attachment P.pdf Attachment Q http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/80129532B1B3...$File/Attachment Q.pdf?OpenElement Attachment Q.pdf Attachment R http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/74C6E10B5288...$File/Attachment R.pdf?OpenElement Attachment R.pdf Attachment S http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/E018A95F9FB1...$File/Attachment S.pdf?OpenElement Attachment S.pdf Attachment T http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/33484FC7440B...$File/Attachment T.pdf?OpenElement Attachment T.pdf Attachment U http://www2.leg.state.co.us/CLICS/CLICS2022A/commsumm.nsf/0/9E9A0A67D816...$File/Attachment U.pdf?OpenElement Attachment U.pdf 04:41:04 PM Representative Caraveo and Representative Kennedy presented House Bill 22-1325 alternative payment models for primary care. An informational handout was distributed (Attachment P). 05:06:19 PM The bill sponsors answered questions from the committee. 05:06:28 PM Tara Smith, representing the Division of Insurance in the Department of Regulatory Agencies, testified in support of the bill. Ms. Smith answered questions from the committee. 05:28:29 PM Mrs. Amanda Massey, representing the Colorado Association of Health Plans, testified in opposition to the bill. Karlee Tebbutt, representing America's Health Insurance Plans, testified in opposition to the bill. Members of the panel answered questions from the committee. 05:38:19 PM Ms. Isabel Cruz, representing self, testified in support of the bill. Mr. Stuart Jenkins, representing Healthier Colorado, testified in support of the bill. Dr. Stephanie Gold, representing the Colorado Academy of Family Physicians, testified in support of the bill. Written testimony was submitted to the committee (Attachment Q). 05:52:20 PM Motion Adopt amendment L.003 (Attachment R) to amend L.001 (Attachment S). Moved Kennedy Seconded Ortiz Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:54:06 PM Motion Adopt amendment L.001, as amended by L.003. Moved Kennedy Seconded Ortiz Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:58:56 PM Motion Adopt amendment L.005 (Attachment T). Moved Kennedy Seconded Ortiz Amabile Baisley Catlin Kennedy Mullica Neville Sirota Titone Williams Ortiz Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:58:57 PM Representative Baisley presented L.002 (Attachment U). The amendment was ruled a settled question and not taken up. 06:00:04 PM Representative Kennedy and Representative Caraveo gave closing remarks on House Bill 22-1325. 06:03:54 PM Motion Refer House Bill 22-1325, as amended, to the Committee on Appropriations. Moved Kennedy Seconded Ortiz Amabile Yes Baisley No Catlin No Kennedy Yes Mullica Yes Neville No Sirota Yes Titone Yes Williams No Ortiz Yes Lontine Yes Final YES: 7 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: PASS 06:04:01 PM The committee adjourned.