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H_HIE_2016A 04/07/2016 01:30:23 PM Committee Summary

Final

STAFF SUMMARY OF MEETING



HOUSE COMMITTEE ON HEALTH, INSURANCE, & ENVIRONMENT

Date: 04/07/2016
ATTENDANCE
Time: 01:30 PM to 05:57 PM
Becker K.
*
Brown
X
Place: HCR 0107
Buckner
*
Esgar
X
This Meeting was called to order by
Humphrey
X
Representative McCann
Joshi
X
Klingenschmitt
X
This Report was prepared by
Landgraf
X
Amanda King
Lontine
X
Primavera
X
Ransom
*
Ginal
X
McCann
X
X = Present, E = Excused, A = Absent, * = Present after roll call
Bills Addressed: Action Taken:
HB16-1424

HB16-1203
Referred to Appropriations

Postponed Indefinitely





01:30 PM -- HB 16-1424



Representative Vigil, bill sponsor, presented House Bill 16-1424. The bill changes the way state agencies handle the training and registration of personnel authorized to administer medications in certain state facilities, and changes the definition of "facility" to include services offered to intellectually and developmentally disabled individuals by the Department of Health Care Policy and Financing (HCPF).



Under current law, a person who is not a licensed nurse, physician, or pharmacist (unlicensed person) must complete a training and take an exam approved by the Colorado Department of Public Health and the Environment (CDPHE) every four years in order to be deemed qualified to administer medications at facilities administered by certain state departments. The bill removes the requirement that the exam be taken every four years, replacing it with the one-time completion of a competency evaluation.



CDPHE must set minimum requirements for course content, competency, and evaluations; approve entities that provide training on the administration of medication; and determine rules for and compliance by facilities overseen by CDPHE. The Department of Human Services (DHS), HCPF, and the Department of Corrections (DOC) must each develop and conduct a medication administration program and may set their own minimum standards for course content and competency evaluations for unlicensed persons who administer medication in the facilities run by those departments. DHS, HCPF, DOC, and CDPHE must each maintain a list of those who have completed the competency evaluation. To be included on CDPHE's list, people must pay a required fee once they have passed the competency evaluation. CDPHE must also maintain a list of approved training entities.











Under current law, facility operators must conduct a drug-related criminal background check on new employees. Under the bill, prior to hiring a new employee or promoting an employee to a position with access to medication, the facility operator must conduct a general purpose criminal history check. In addition, employees must sign a disclosure statement stating that he or she has never had a professional nursing, medicine, or pharmacy license revoked for reasons related to administration of medications.



A person may not fill or label medication reminder boxes until they have completed the competency evaluation from an approved training entity or has been approved by an authorized agency. In addition to the time and amount of the medication, facilities also must keep a written record with the date and signature of the person administering the medication each time a medication is administered.



01:35 PM



Representative Vigil answered questions from the committee members.



01:36 PM --
Arlene Miles, Colorado Health Care Association, testified on the bill.



01:38 PM --
Randy Kuykendall, CDPHE, testified on the bill.



01:41 PM



Mr. Kuykendall and Ms. Miles answered questions from the committee members.



01:52 PM --
Corky Kyle, Colorado Assisted Living Association, testified in support of the bill.





01:56 PM



Representative Vigil made concluding remarks about the bill. Committee members remarks about the bill.

BILL: HB16-1424
TIME: 01:58:49 PM
MOVED: Ginal
MOTION: Refer House Bill 16-1424 to the Committee on Appropriations. The motion passed on a vote of 13-0.
SECONDED: Brown
VOTE
Becker K.
Yes
Brown
Yes
Buckner
Yes
Esgar
Yes
Humphrey
Yes
Joshi
Yes
Klingenschmitt
Yes
Landgraf
Yes
Lontine
Yes
Primavera
Yes
Ransom
Yes
Ginal
Yes
McCann
Yes
Final YES: 13 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS



01:59 PM -- HB 16-1203



Representative Neville, bill sponsor, presented House Bill 16-1203. The bill requires all abortion clinics in the state to be licensed by the Attorney General by January 1, 2017. Abortion clinics are defined as any non-hospital facility that performs five or more abortions in the first trimester of pregnancy in any month or any abortions in the second or third trimesters. Licenses are valid for one year and must be renewed by the Attorney General for an abortion clinic to legally operate in the state. The bill also requires the Attorney General to conduct an on-site visit to each facility prior to initial licensure or license renewals and to establish procedures for conducting inspections. The Attorney General must also promulgate rules and standards concerning:

      • abortion clinic personnel, including that a physician with admitting privileges at an accredited hospital within 30 miles of the clinic be employed by the clinic and present on days when abortions are performed;
      • the abortion clinic's physical facilities;
      • supplies and equipment standards;
      • abortion procedures, including use of anesthesia and vital signs monitoring;
      • medical screening and evaluations for each abortion clinic patient;
      • minimum recovery room and follow-up care standards;
      • minimum incident reporting standards; and
      • the treatment of personally identifiable patient information.











The bill establishes two unclassified misdemeanors and civil penalties for any individuals who violate the requirements of the bill. The Attorney General may pursue injunctive relief in the courts against anyone in violation of the terms of the bill. The bill provides related definitions and licensure fees.



02:01 PM



Representative Neville answered questions from committee members.



02:19 PM --
Michael Norton, Colorado Family Action, testified in support of the bill. He provided a written statement (Attachment A) to the committee. Mr. Norton answered questions from committee members.



160407 AttachA.pdf160407 AttachA.pdf



02:30 PM



Committee discussion with Representative Neville and Mr. Norton ensued.



02:38 PM --
Cristina Aguilar, Colorado Organization for Latina Opportunity and Reproductive Rights, testified in opposition to the bill. Ms. Aguilar answered questions from committee members.



02:46 PM --
Dr. Bentley Tate, representing himself, testified in support of the bill. Dr. Tate answered questions from committee members.



02:59 PM --
Reverend Amanda Henderson, Interfaith Alliance, testified in opposition to the bill. Rev. Henderson answered questions from committee members.



03:04 PM --
Sheryll Bolton, Life Choices, testified on the bill. Ms. Bolton answered questions from committee members.



03:16 PM --
Karen Middleton, NARAL Pro-Choice Colorado, testified in opposition to the bill. Ms. Middleton answered questions from committee members.



03:34 PM --
Lisa Koets, Life Choices, testified on the bill. Ms. Koets answered questions from committee members.



03:42 PM



Representative Neville answered questions from committee members.



03:45 PM --
Ashley Wheiland, Women's Lobby of Colorado, testified in opposition to the bill. Ms. Wheiland answered questions from committee members.



03:48 PM --
Yvonne Williams, Care Net, testified on the bill. Ms. Williams answered questions from committee members.



03:56 PM --
Sara Maeglin, Planned Parenthood of the Rocky Mountains, testified in opposition to the bill. Ms. Maeglin answered questions from committee members.













04:01 PM --
Kim Frodin, representing herself, testified on the bill. Ms. Frodin answered questions from the committee members. Ms. Frodin provided a handout (Attachment B) to the committee.



160407 AttachB.pdf160407 AttachB.pdf



04:06 PM --
Anna Crawford, representing herself, testified in opposition to the bill.



04:10 PM --
Christy Rodriquez, Colorado Campaign for Life, testified in support of the bill. Ms. Rodriquez answered questions from committee member.



04:17 PM --
Michael McNeal, representing himself, testified in opposition to the bill. Mr. McNeal responded to questions from the committee.



04:23 PM --
Dr. Thomas Parille, Protect Life Coalition, testified in support of the bill. He provided two handouts (Attachments C and D) to the committee. Dr. Parille responded to questions from the committee.



160407 AttachC.pdf160407 AttachC.pdf160407 AttachD.pdf160407 AttachD.pdf



04:48 PM --
Dr. Karen Inger Fedde, representing herself, testified in opposition to the bill. Dr. Inger Fedde answered questions from the committee.



04:55 PM --
Cassidy Roderick, Regis Jesuit Students for Life, testified in support of the bill. Ms. Roderick answered questions from the committee.



04:58 PM --
Jay'em Duassam, Regis Jesuit Students for Life, testified in support of the bill. Mr. Duassam answered questions from the committee.



05:03 PM --
Ed Hanks, Colorado Right to Life, testified on the bill. Mr. Hanks answered questions from the committee.



05:16 PM --
Dr. Sarah Hemeida, representing herself, testified in opposition to the bill. Dr. Hemeida answered questions from the committee.



05:28 PM --
Sarah Zagorski, Colorado Family Action, testified in support of the bill.





05:34 PM



Representative Klingenschmitt explained amendment L.001 (Attachment E).



160407 AttachE.pdf160407 AttachE.pdf

BILL: HB16-1203
TIME: 05:35:18 PM
MOVED: Klingenschmitt
MOTION: Adopt amendment L.001 (Attachment E). The motion failed on a vote of 6-7.
SECONDED: Joshi
VOTE
Becker K.
No
Brown
Yes
Buckner
No
Esgar
No
Humphrey
Yes
Joshi
Yes
Klingenschmitt
Yes
Landgraf
Yes
Lontine
No
Primavera
No
Ransom
Yes
Ginal
No
McCann
No
YES: 6 NO: 7 EXC: 0 ABS: 0 FINAL ACTION: FAIL



05:36 PM



Representative Neville answered questions from the committee. Committee members made comments about the bill.





05:52 PM



Representative Neville made concluding remarks about the bill. Committee members made additional comments about the bill.

BILL: HB16-1203
TIME: 05:53:52 PM
MOVED: Landgraf
MOTION: Refer House Bill 16-1203 to the Committee on Finance. The motion failed on a vote of 6-7.
SECONDED: Humphrey
VOTE
Becker K.
No
Brown
Yes
Buckner
No
Esgar
No
Humphrey
Yes
Joshi
Yes
Klingenschmitt
Yes
Landgraf
Yes
Lontine
No
Primavera
No
Ransom
Yes
Ginal
No
McCann
No
YES: 6 NO: 7 EXC: 0 ABS: 0 FINAL ACTION: FAIL


BILL: HB16-1203
TIME: 05:55:40 PM
MOVED: Primavera
MOTION: Postpone House Bill 16-1203 indefinitely. The motion passed on a vote of 7-6.
SECONDED: Esgar
VOTE
Becker K.
Yes
Brown
No
Buckner
Yes
Esgar
Yes
Humphrey
No
Joshi
No
Klingenschmitt
No
Landgraf
No
Lontine
Yes
Primavera
Yes
Ransom
No
Ginal
Yes
McCann
Yes
Final YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS



05:57 PM



The committee adjourned.


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