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H_PHC_2017A 04/18/2017 Committee Summary

Final

STAFF SUMMARY OF MEETING



HOUSE COMMITTEE ON PUBLIC HEALTH CARE & HUMAN SERVICES

Date: 04/18/2017
ATTENDANCE
Time: 01:35 PM to 07:33 PM
Catlin
X
Ginal
X
Place: HCR 0112
Hooton
X
Humphrey
X
This Meeting was called to order by
Landgraf
X
Representative Singer
Lewis
X
Liston
X
This Report was prepared by
Michaelson Jenet
X
Anne Wallace
Pabon
X
Pettersen
X
Ransom
X
Danielson
X
Singer
*
X = Present, E = Excused, A = Absent, * = Present after roll call
Bills Addressed: Action Taken:
HB17-1292

Society of Neurointerventional Surgery Presentation

HB17-1139

HB17-1320

SB17-025
Amended, Referred to House Appropriations

Witness Testimony and/or Committee Discussion Only

Witness Testimony and/or Committee Discussion Only

Amended, Referred to the Committee of the Whole

Amended, Referred to House Appropriations





01:36 PM -- HB 17-1292



Representative Young, bill sponsor, presented House Bill 17-1292 to the committee and distributed a handout and amendment L.001 (Attachments A and B). The bill establishes guidelines and new processes relating to the establishment of provider rates for licensed out-of-home placement providers that are paid by counties using child welfare block grant funding. By September 29, 2017, the Department of Human Services (DHS) must contract with an independent entity to conduct a salary survey and an actuarial analysis of the delivery of child welfare services, and to develop a new rate setting methodology for out-of-home-placement providers. The contractor is to involve the DHS, counties, and placement providers in the development of the new rate setting methodology, and if any of these stakeholders disagree with the rate methodology developed, they may submit alternative methodologies to the JBC by February 1, 2018. The DHS must submit the new rate setting methodology developed by the contractor to the JBC by April 2, 2018. The new methodology must be implemented by July 1, 2018, except for rates that require approval by the federal Centers for Medicaid and Medicare Services.



170418 AttachA.pdf170418 AttachA.pdf170418 AttachB.pdf170418 AttachB.pdf













The bill specifies various factors that the DHS must include in the ongoing development of the rate setting methodology, including cost-of-living adjustments and provider rate increases approved by the General Assembly. The rate setting methodology must be reviewed annually by the DHS with the involvement of counties and placement providers. Beginning September 1, 2018, and each September 1 thereafter, the DHS, with input from counties, must submit a report to the JBC on workload and cost changes concerning child welfare services.



01:39 PM --
Jeff Holiday, Colorado Counties, Inc., testified in support of the bill. Mr. Holiday responded to questions from the committee.



01:46 PM --
Brian Brant and Tim Russell, Fostering Colorado, testified in support of the bill.



01:51 PM --
Karen Yarberry, Jefferson Hills, testified in support of the bill. Ms. Yarberry responded to questions from the committee.



01:55 PM --
Dr. Skip Barber, Colorado Association of Family and Children's Agencies, testified in support of the bill.



02:01 PM --
Dennis Disparros, Colorado Department of Human Services, responded to questions from the committee.



02:09 PM



Representative Young described amendment L.001 (Attachment B).

BILL: HB17-1292
TIME: 02:09:51 PM
MOVED: Michaelson Jenet
MOTION: Adopt amendment L.001 (Attachment B). The motion passed without objection.
SECONDED: Ginal
VOTE
Catlin
Ginal
Hooton
Humphrey
Landgraf
Lewis
Liston
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
Excused
YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION:

02:10 PM



Representative Young responded to questions from the committee and gave concluding remarks.









02:12 PM



Robin Smart, Joint Budget Committee Staff, came to the table to respond to committee questions.

BILL: HB17-1292
TIME: 02:18:13 PM
MOVED: Hooton
MOTION: Refer House Bill 17-1292, as amended, to the Committee on Appropriations. The motion passed on a vote of 7-6.
SECONDED: Pabon
VOTE
Catlin
No
Ginal
Yes
Hooton
Yes
Humphrey
No
Landgraf
No
Lewis
No
Liston
No
Michaelson Jenet
Yes
Pabon
Yes
Pettersen
Yes
Ransom
No
Danielson
Yes
Singer
Yes
Final YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS



02:27 PM -- Society of Neurointerventional Surgery Presentation



Dr. Donald Frei presented on behalf of the Society of Neurointerventional Surgery. He discussed various cutting edge stroke treatments to the committee and showed two videos that demonstrated removal of blood clots. He explained Senate Joint Resolution 17-027 on expanding access to stroke treatments, and noted that the Resolution will be introduced in the Senate the following day.



02:37 PM



Dr. Frei responded to questions from the committee regarding timing of stroke treatment, types of aspiration catheters, telemedicine, and stroke prevention.



02:49 PM



Beth Ahl and Kevin Dahm, from AirLife Denver, came to the table to discuss their experiences and respond to questions from the committee.



02:56 PM



Dr. Frei concluded his presentation to the committee.







03:03 PM -- HB 17-1139



Representative Michaelson Jenet and Representative Landgraf, bill sponsors, presented House Bill 17-1139 to the committee and distributed amendment L.001 (Attachment C). The bill subjects a provider of medical services to a civil monetary penalty if the provider improperly bills or seeks collection from a Medicaid recipient or their estate. It also allows the Department of Health Care Policy and Financing (HCPF) to require a corrective action plan from any provider where substantial non-compliance or quality issues are identified. Additionally, under this bill HCPF can temporarily suspend a provider's enrollment in Colorado's Medicaid program for a defined period of time.



170418 AttachC.pdf170418 AttachC.pdf



03:11 PM --
Alfred Gilchrist, Colorado Medical Society, testified in opposition to the bill. Mr. Gilchrist responded to questions from the committee.



03:16 PM --
John Conklin, Colorado Medical Society, testified in opposition to the bill. Mr. Conklin responded to questions from the committee.



03:23 PM --
Jennifer Goodrum, Colorado Dental Association, testified in a neutral position on the bill. Ms. Goodrum responded to committee questions.



03:32 PM --
Donna Kellow, HCPF, testified in support of the bill. Ms. Kellow responded to committee questions.



03:36 PM --
Zach Lynkiewicz, HCPF, testified in support of the bill. Mr. Lynkiewicz responded to committee questions.



03:56 PM --
Tom Massey, HCPF, testified in support of the bill. Mr. Massey responded to committee questions.



04:02 PM --
Emily Michels, Colorado Consumer Health Initiative, testified in support of the bill.



04:04 PM --
Bethany Pray, Colorado Center on Law and Policy, testified in support of the bill.



04:09 PM --
Seth Greiner, Disability Law Colorado, testified in support of the bill and distributed a handout (Attachment D). Mr. Greiner responded to questions from the committee.



170418 AttachD.pdf170418 AttachD.pdf



04:14 PM --
Marijo Rymer, The Arc of Colorado, testified in support of the bill.



04:17 PM --
Josh Winkler, Colorado Cross-Disability Coalition, testified in support of the bill. Mr. Winkler responded to questions from the committee.



04:23 PM --
Jeanette Hensley, Colorado Senior Lobby, testified in support of the bill. Ms. Hensley responded to questions from the committee.









04:31 PM



Representative Landgraf responded to committee questions. Amendment L.002 (Attachment E) was distributed to the committee.




170418 AttachE.pdf170418 AttachE.pdf



04:35 PM --
Francesca Maes, Colorado Senior Lobby, testified in support of the bill.



04:37 PM



Representative Singer laid the bill over at the request of the sponsors.



04:37 PM -- HB 17-1320



Representative Michaelson Jenet, bill sponsor, presented House Bill 17-1320 to the committee. The bill lowers the age required for a minor to seek and obtain outpatient psychotherapy services without parental notification or consent from 15 years or older to 10 years or older. A licensed mental health professional serving such patients is immune from civil or criminal liability unless he or she acts negligently or outside the scope of his or her practice. The bill clarifies that the age required for a minor to seek and obtain inpatient services without parental notification and consent remains 15 years of age or older.



Representative Michaelson Jenet provided a handout to the committee (Attachment F). She distributed amendments L.001, L.002, L.003, and L.004 (Attachments G, H, I, and J) and explained them to the committee.



170418 AttachF.pdf170418 AttachF.pdf



170418 AttachG.pdf170418 AttachG.pdf170418 AttachH.pdf170418 AttachH.pdf170418 AttachI.pdf170418 AttachI.pdf170418 AttachJ.pdf170418 AttachJ.pdf



04:50 PM



Representative Michaelson Jenet answered questions from the committee. Committee discussion ensued.



05:06 PM --
Gina Millan and Gianella Millan, representing themselves, testified in support of the bill.



05:15 PM --
Jessica Stohlmann Rainey, representing herself, testified in support of the bill.



05:19 PM --
Heidi Lightenburger, representing herself, testified in support of the bill. Ms. Lightenburger responded to questions from the committee.



05:28 PM --
Trae Pennington, representing himself, testified in support of the bill. Mr. Pennington responded to questions from the committee.



05:35 PM --
Dawn Yves Roberts, representing herself, testified in support of the bill.









05:40 PM --
Jonise Roberts, representing herself, testified in support of the bill.



05:47 PM --
Robin Paterson, representing herself, testified in opposition to the bill and distributed a handout (Attachment K). Ms. Paterson responded to questions from the committee.



170418 AttachK.pdf170418 AttachK.pdf



05:52 PM --
Drew Paterson, representing himself, testified in opposition to the bill. Mr. Paterson responded to questions from the committee.



06:00 PM --
Kristi Brown, representing herself, testified in opposition to the bill. Ms. Brown responded to questions from the committee.



06:11 PM --
Natalie Decker, Colorado Family Action, testified in opposition to the bill. Ms. Decker responded to questions from the committee.



06:19 PM --
Megan Malinaric speaking on behalf of Dr. Jenna Ellis, Centennial Institute, testified in opposition to the bill.



06:25 PM --
Gabi Michaelson, representing herself, testified in support of the bill.

BILL: HB17-1320
TIME: 06:28:34 PM
MOVED: Michaelson Jenet
MOTION: Adopt amendment L.001 (Attachment G). The motion passed on a vote of 12-1.
SECONDED: Danielson
VOTE
Catlin
Yes
Ginal
Yes
Hooton
Yes
Humphrey
Yes
Landgraf
Yes
Lewis
Yes
Liston
No
Michaelson Jenet
Yes
Pabon
Yes
Pettersen
Yes
Ransom
Yes
Danielson
Yes
Singer
Yes
YES: 12 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS


BILL: HB17-1320
TIME: 06:31:29 PM
MOVED: Michaelson Jenet
MOTION: Adopt amendment L.002 (Attachment H). The motion passed on a vote of 9-4.
SECONDED: Ginal
VOTE
Catlin
Yes
Ginal
Yes
Hooton
Yes
Humphrey
No
Landgraf
Yes
Lewis
No
Liston
No
Michaelson Jenet
Yes
Pabon
Yes
Pettersen
Yes
Ransom
No
Danielson
Yes
Singer
Yes
YES: 9 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: PASS
BILL: HB17-1320
TIME: 06:32:22 PM
MOVED: Michaelson Jenet
MOTION: Adopt amendment L.003 (Attachment I). The motion passed without objection.
SECONDED: Danielson
VOTE
Catlin
Ginal
Hooton
Humphrey
Landgraf
Lewis
Liston
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection




BILL: HB17-1320
TIME: 06:32:52 PM
MOVED: Michaelson Jenet
MOTION: Adopt amendment L.004 (Attachment J). The motion passed without objection.
SECONDED: Danielson
VOTE
Catlin
Ginal
Hooton
Humphrey
Landgraf
Lewis
Liston
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection



06:34 PM



Representative Michaelson Jenet gave concluding remarks. Committee members commented on the bill.

BILL: HB17-1320
TIME: 06:52:44 PM
MOVED: Michaelson Jenet
MOTION: Refer House Bill 17-1320, as amended, to the Committee of the Whole. The motion passed on a vote of 7-6.
SECONDED: Danielson
VOTE
Catlin
No
Ginal
Yes
Hooton
Yes
Humphrey
No
Landgraf
No
Lewis
No
Liston
No
Michaelson Jenet
Yes
Pabon
Yes
Pettersen
Yes
Ransom
No
Danielson
Yes
Singer
Yes
Final YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS







06:56 PM -- SB 17-025



Representative Singer, bill sponsor, presented Senate Bill 17-025 to the committee and distributed amendment L.010 (Attachment L). The reengrossed bill, recommended by the Committee on Cost-Benefit Analysis of Legalized Marijuana, requires the Colorado Department of Education (CDE), with assistance from the Colorado Department of Public Health and Environment (CDPHE), to create and maintain a resource bank of materials and curricula related to marijuana. The bill requires that CDE solicit input from people both inside and outside the marijuana industry, and allows CDE to contract for services related to the development of the resource bank and curricula.



The resource bank must be available by July 1, 2017 and free to school districts, charter schools, and Boards of Cooperative Educational Services (BOCES). The bill encourages school districts, charter schools, and BOCES to provide feedback to CDE and recommend changes, and for CDE to update the resource bank based on the feedback. If requested, CDE must also assist districts, charter schools, and BOCES with developing a marijuana-related curriculum.



The bill authorizes use of the Marijuana Tax Cash Fund (MTCF) to cover expenses related to developing and maintaining the resource bank and providing technical assistance. Representative Singer responded to committee questions on the bill.



07:05 PM -- Diane Carleson, Smart Colorado, testified in support of the bill.



07:10 PM --
Sarah Coleman, Aurora Public Schools, testified in support of the bill.



07:13 PM --
Alicia Haywood, CDPHE, testified in support of the bill.



07:15 PM --
Stacey Linn, CannAbility Foundation, testified in support of the bill.





07:20 PM



Representative Singer and committee members discussed amendment L.010.

BILL: SB17-025
TIME: 07:28:42 PM
MOVED: Singer
MOTION: Adopt amendment L.010 (Attachment L). The motion passed without objection.
SECONDED: Liston
VOTE
Catlin
Ginal
Hooton
Humphrey
Landgraf
Lewis
Liston
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection



170418 AttachL.pdf170418 AttachL.pdf





07:29 PM




Representative Singer gave concluding remarks on the bill.

BILL: SB17-025
TIME: 07:31:28 PM
MOVED: Singer
MOTION: Refer Senate Bill 17-025, as amended, to the Committee on Appropriations. The motion passed on a vote of 9-3, with one excused.
SECONDED: Ransom
VOTE
Catlin
No
Ginal
Yes
Hooton
Yes
Humphrey
No
Landgraf
Yes
Lewis
No
Liston
Yes
Michaelson Jenet
Yes
Pabon
Yes
Pettersen
Excused
Ransom
Yes
Danielson
Yes
Singer
Yes
Final YES: 9 NO: 3 EXC: 1 ABS: 0 FINAL ACTION: PASS



07:32 PM



The committee adjourned.


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