h_phc_2017a_2017-04-25t13:34:29z4 Hearing Summary

Date: 04/25/2017

Location: HCR 0107

04:44 PM -- HB 17-1353



Representative Young, bill sponsor, presented House Bill 17-1353 to the committee and distributed two handouts (Attachments F and G). The bill, recommended by the Joint Budget Committee, provides a statutory framework and sets forth requirements for the existing Accountable Care Collaborative (ACC) for the Medicaid program in the Department of Health Care Policy and Financing (HCPF) and authorizes performance payments to Medicaid providers. Specifically, the bill requires that the ACC:



170425 AttachF.pdf170425 AttachG.pdf



• establish primary care medical homes for Medicaid clients within the ACC;

• provide regional care coordination and provider network support;

• provide data to regional entities and providers to help manage client care;

• integrate the delivery of behavioral health and physical health services;

• connect primary care with specialty care and nonhealth community supports;

• promote client choice and engagement;

• utilize innovative care models and provider payment models as part of the care delivery system, including capitated managed care models;

• receive feedback from stakeholder groups;

• establish a flexible structure for the ACC that allows for efficient operations and future expansion to include long-term care and supports; and

• establish a care delivery system and provider payment platform that can adapt to changes in federal funding models or funding levels.



In addition, the bill requires HCPF to report to the Joint Budget Committee and the Health and Human Services Committees of the General Assembly by December 1, 2017, and each December 1 thereafter, about the ACC, including the number of clients served, performance results and health impacts, administrative fees and program costs, fiscal performance, activities in rural and frontier counties, waste reduction, and various other aspects of the ACC. The first report must also list additional statutory changes needed to align the statewide managed care system with federal regulations on managed care.



Representative Young responded to committee questions. Amendments L.001, L.009, and L.010 were distributed to the committee (Attachments H, I, and J).



170425 AttachH.pdf170425 AttachI.pdf170425 AttachJ.pdf



04:57 PM -- Betsy Murray, Home Care Association, testified in support of the bill with amendments.



05:06 PM -- Gretchen Hammer and Shane Moffert, HCPF, testified in support of the bill. Mr. Moffert responded to committee questions.



05:12 PM -- Aubrey Hill, Center for Health Progress, testified in support of the bill and distributed a handout (Attachment K).



170425 AttachK.pdf



05:16 PM -- Sarah Barnes, Colorado Children's Campaign, testified in support of the bill.



05:19 PM -- Frank Cornelia, Colorado Behavioral Health Council, testified in support of the bill.



05:22 PM -- Arnold Salazar, Colorado Behavioral Health Council, testified in support of the bill and distributed two handouts to the committee (Attachment L and M).



170425 AttachL.pdf170425 AttachM.pdf



05:25 PM -- Joshua Ewing, Colorado Hospital Association, testified on the bill.



05:28 PM -- Ryan Biehle, Colorado Academy of Family Physicians, testified in support of the bill.



05:31 PM -- Jennifer Miles, Colorado Community Health Network, testified in support of the bill.



05:37 PM



Representative Landgraf distributed amendment L.004 (Attachment N) and explained it to the committee.



170425 AttachN.pdf

05:41 PM



Representative Young gave concluding remarks. Committee members commented on the bill.



05:41 PM



The committee went into recess.



06:10 PM



Representative Singer called the meeting back to order.

06:12 PM



The committee adjourned.