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H_PHC_2018A 03/13/2018 01:49:02 PM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
HOUSE COMMITTEE ON PUBLIC HEALTH CARE & HUMAN SERVICES
Date 03/13/2018
Attendance
Beckman X
Catlin X
Everett X
Ginal *
Hooton X
Landgraf X
McKean X
Michaelson Jenet X
Pabon X
Pettersen X
Ransom X
Danielson X
Singer X
Time 01:49:02 PM to 08:13:45 PM
Place RM 271
This Meeting was called to order by Singer
This Report was prepared by Anne Wallace
Hearing Items Action Taken
HB18-1003 Amended, referred to House Appropriations
HB18-1007 Amended, referred to the Committee of the Whole
HB18-1104 Amended, referred to the Committee of the Whole
HB18-1136 Amended, referred to House Appropriations
HB18-1177 Amended, referred to House Appropriations

HB18-1003 - Amended, referred to House Appropriations


01:51:35 PM  

Representative Pettersen, bill sponsor, presented House Bill 18-1003 to the committee. The bill does the following:

  • establishes the opioid and other substance use disorders study committee;
  • specifies that school-based health centers may apply for grants regarding treatment of behavioral health disorders;
  • directs the Department of Health Care Policy and Financing (HCPF) to award grants for substance abuse sreeening, brief intervention, and referral programs; and
  • directs the Center for Research into Substance Use Disorder Prevention, Treatment, and Recovery to develop continuing medical education for prescribers of pain medication.
02:00:29 PM  

Representative Pettersen, bill sponsor, presented House Bill 18-1136 to the committee.  The bill adds residential and inpatient substance use disorder services to the Colorado medical assistance program (Medicaid).  HCPF must seek and receive federal authroization necessary to secure federal financial partipication in the program.

02:02:36 PM  

Representative Kennedy, bill sponsor, presented House Bill 18-1007 to the committee.  This bill makes several changes to payment and coverage for substance use disorder treatment under private health insurance plans and the state Medicaid program.

02:08:52 PM  

Amendment L.001 to HB 18-1007, amendment L.002 to HB 18-1007, and amendment L.010 to HB 18-1003 were distributed to the committee (Attachments A, B, and C).  Three handouts were distributed to the committee.  

02:09:25 PM  
Representative Singer proceeded with witness testimony for all three bills.
02:13:15 PM  

Jose Esquibel, Office of the Attorney General, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.  

02:14:33 PM  
Dr. Don Stader, American College of Emergency Physicians and Colorado Medical Society, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.
02:19:31 PM  
Dr. Rob Valuck, Colorado Consortium for Drug Abuse Prevention, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.
02:24:45 PM  
Representative Pettersen responded to committee questions.
02:29:32 PM  
Representative Kennedy responded to committee questions regarding HB 18-1007.
02:32:08 PM  
Dr. Valuck responded to committee questions.
02:34:31 PM  
Ned Breslin, Tennyson Center for Children,
testified in support of HB 18-1003 and distributed a handout to the committee
(Attachment G).  Mr. Breslin responded to committee questions.  
02:48:14 PM  

Bethany Pace-Danley, Peer Assistance Services, Inc., testified in support of HB 18-1003 and distributed a handout (Attachment H).  Ms. Pace-Danley responded to committee questions.

02:55:10 PM  
Stacy Pettersen, representing herself, testified in support
of HB 18-1003, HB 18-1007, and HB 18-1136.  Ms. Pettersen responded
to committee questions.
02:59:14 PM  
Cristen Bates, Colorado Department of Human Services, testified in support of HB 18-1003. Ms. Bates responded to committee questions.
03:08:43 PM  
Jeff Jensen, University of Denver, testified
in support of HB 18-1003 and distributed a handout (Attachment J).  Mr.
Jenson responded to committee questions.
03:11:22 PM  

Connie Rule, Boys and Girls Clubs Colorado, testified in support of HB 18-1003 and amendments.

03:13:57 PM  
Representative Pettersen distribued and
explained amendment L.001 to HB 18-1003 (Attachment I).
03:17:54 PM  

Representative Pettersen responded to committee questions.

03:24:21 PM  
Trina Faatz, Boulder Court Appointed Special Advocates, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.
03:30:07 PM  
Dominique DuBois, iTHRIVE, testified in support of HB 18-1003.
03:35:24 PM  

Ms. Faatz, Ms. DuBois, and Representative Pettersen responded to committee questions.

03:37:36 PM  
Lawrence Wall, representing himself, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.
03:49:09 PM  
Moe Keller, Mental Health Colorado, testified
in support of HB 18-1003, HB 18-1007, and HB 18-1136.  

03:53:37 PM  
Bobbi Morrow, representing herself, testified in support of HB 18-1136 and distributed a handout (Attachment K).
03:59:29 PM  

Amy Petre Hill, Mountain View United Church, testified in support of HB 18-1003 and HB 18-1136.

04:03:48 PM  
Theresa Garcia, representing herself, testified in support of HB 18-1136.
04:04:38 PM  
Ms. Garcia, Ms. Morrow, and Ms. Petre Hill responded to committee questions.
04:09:50 PM  
Heather Badini, Denver Springs, testified in support of HB 18-1003 and HB 18-1136.
04:15:19 PM  
Amber Burkhart, Colorado Hospital Association, testified in support of HB 18-11136.
04:18:21 PM  
Representative Pettersen distributed amendment L.008 to HB 18-1003 to the committee (Attachment L).
04:19:26 PM  
Frank Cornelia, Colorado Behavioral Health Council, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.
04:20:28 PM  
Bethany Pray, Colorado Center on Law and Policy, testified in support of HB 18-1007 and HB 18-1136.
04:27:04 PM  
Mr. Cornelia, Ms. Pray, and Representative Pettersen responded to committee questions.
04:36:24 PM  
Rourke Weaver, Red Rock Recovery, testified
in support of HB 18-1136.  Mr. Weaver responded to questions.
04:43:32 PM  

Dr. Michael Stackpool, representing himself, testified in support of HB 18-1007, HB18-1136, and HB18-1003.  Dr. Stackpool responded to questions.

04:55:02 PM  

James Gannon, Advocates for Recovery Colorado, testified in support of HB 18-1003 and HB 18-1136.

04:57:28 PM  

Gina Moore, Colorado Pharmacist Society, testified in support of HB 18-1007.

04:58:19 PM  
Bridget Beatty, Colorado Association for School-Based Health Care, testified in support of HB18-1003.
05:05:31 PM  
Amie Baca-Oehlert, Colorado Education Association,
testifed in support of HB 18-1003.
05:06:24 PM  
Erin Miller, Colorado Children's Campaign, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.
05:10:29 PM  
Ms. Beatty, Ms. Baca Oehlert, and Ms. Miller responded to committee questions.
05:20:07 PM  
A handout was distributed to the committee
(Attachment M).
05:20:08 PM  

Sarah Mooney, National Alliance on Mental Illness - Colorado, testified in support of HB 18-1007.

05:23:10 PM  
Nancy Steinferth, Liver Health Connection, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.
05:29:31 PM  
Danielle Gauna, representing herself, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136. Ms. Gauna responded to committee questions.
05:38:33 PM  

Lisa Raville, the Harm Reduction Action Center, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.

05:43:13 PM  
Ms. Raville responded to committee questions.
05:49:15 PM  
Linda Hughes, representing herself, testified regarding HB 18-1003, HB 18-1007, and HB 18-1136.
06:00:24 PM  
Jeanette Hensley, Colorado Senior Lobby, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.
06:04:43 PM  
James Freeman, representing himself, testified in support of HB 18-1136.
06:07:28 PM  
Brian Ferrans, Heath District of Northern Larimer County, testified in support of HB 18-1136. Mr. Ferrans responded to committee questions.
06:20:53 PM  

Lawrence Wall, representing himself, testified in support of HB 18-1003, HB 18-1007, and HB 18-1136.

06:23:54 PM  
Emily Michaels, Colorado Consumer Health Initiative, testified in support of HB 18-1136.


06:36:00 PM
Motion This is a conceptual amendment to amendment L.001 (Attachment I), line 6, after "the" insert "Charlie Hughes and Nathan Gauna."
Moved Landgraf
Seconded Pettersen
Beckman Yes
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf Yes
McKean Excused
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom Yes
Danielson Yes
Singer Yes
YES: 10   NO: 0   EXC: 3   ABS:  0   FINAL ACTION:  PASS


06:38:27 PM
Motion Adopt amendment L.001 (Attachment I) as amended.
Moved Pettersen
Seconded Michaelson Jenet
Beckman
Catlin
Everett
Ginal
Hooton
Landgraf
McKean
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
06:38:28 PM  

Representative Pettersen distributed and described amendment L.006 (Attachment N) to the committee.



06:40:18 PM
Motion Adopt amendment L.006 (Attachment N).
Moved Pettersen
Seconded Ginal
Beckman
Catlin
Everett
Ginal
Hooton
Landgraf
McKean
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
06:40:19 PM  
Representative Pettersen distributed and described amendment
L.008 (Attachment L) to the committee.


06:47:11 PM
Motion Adopt amendment L.008 (Attachment L).
Moved Pettersen
Seconded Michaelson Jenet
Beckman
Catlin
Everett
Ginal
Hooton
Landgraf
McKean
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
06:47:12 PM  
Representative Pettersen distributed and described amendment
L.009 to the committee (Attachment O).  Bill Zepernick, Legislative
Council Staff, responded to questions regarding amendments to the bill.


06:48:58 PM
Motion Adopt amendment L.009 (Attachment O).
Moved Pettersen
Seconded Michaelson Jenet
Beckman
Catlin
Everett
Ginal
Hooton
Landgraf
McKean
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Withdrawn
06:48:59 PM  
Representative Kennedy explained amendment L.010 (Attachment
C).  He discussed a conceptual amendment to the amendment.


06:50:00 PM
Motion This is a conceptual amendment to amendment L.010 (Attachment C), line 9, after "community" insert "to develop a strategic plan."
Moved Pettersen
Seconded Ginal
Beckman
Catlin
Everett Excused
Ginal
Hooton
Landgraf
McKean Excused
Michaelson Jenet
Pabon Excused
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 3   ABS:  0   FINAL ACTION:  Pass Without Objection


06:52:37 PM
Motion Adopt amendment L.010 (Attachment C), as amended.
Moved Pettersen
Seconded Michaelson Jenet
Beckman
Catlin
Everett
Ginal
Hooton
Landgraf
McKean
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection
06:52:38 PM  

Representative Landgraf distributed and explained amendment L.011 (Attachment P) to the committee. 



06:55:45 PM
Motion Adopt amendment L.011 (Attachment P).
Moved Landgraf
Seconded McKean
Beckman
Catlin
Everett
Ginal
Hooton
Landgraf
McKean
Michaelson Jenet
Pabon
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Withdrawn
06:55:46 PM  
Representative Pettersen gave concluding remarks on House Bill 18-1003.


06:58:57 PM
Motion Refer House Bill 18-1003, as amended, to the Committee on Appropriations.
Moved Pettersen
Seconded Danielson
Beckman No
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf Yes
McKean Yes
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom No
Danielson Yes
Singer Yes
Final YES: 9   NO: 2   EXC: 2   ABS:  0   FINAL ACTION:  PASS



01:49:46 PM
Representative Singer called the meeting
to order and went over the agenda for the day.  He explained that
HB 18-1003, HB 18-1136, and HB 18-1007 would be described by the bill sponsors
first, and then witness testimony will commence for all three bills.



HB18-1136 - Committee Discussion Only


06:59:07 PM  
Representative Pettersen, bill sponsor,
again presented House Bill 18-1136 to the committee.  The bill adds
residential and inpatient substance use disorder services to the Colorado
medical assistance program (Medicaid).  HCPF must seek and receive
federal authroization necessary to secure federal financial partipication
in the program.
06:59:08 PM  

Representative Pettersen distributed and explained amendment L.002 (Attachment Q) to the committee.



07:05:33 PM
Motion Adopt amendment L.002 (Attachment Q).
Moved Pettersen
Seconded Michaelson Jenet
Beckman
Catlin
Everett Excused
Ginal
Hooton
Landgraf
McKean
Michaelson Jenet
Pabon Excused
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 2   ABS:  0   FINAL ACTION:  Pass Without Objection
07:11:49 PM  

Representative Beckman distribued and explained amendment L.006 (Attachment R) to the committee.  Brita Darling, Office of Legislative Legal Services, came to the table to respond to questions about the amendment.

07:16:44 PM  
Committee discussion continued with Ms. Darling on amendment L.006.
07:16:45 PM  

Representative Singer laid over discussion of HB 18-1136 until later in the hearing.



HB18-1007 - Amended, referred to the Committee of the Whole


07:24:40 PM  
Representative Kennedy and Representative Singer, bill sponsors,
again presented House Bill 18-1007 to the committee.  The bill makes
several changes to payment and coverage for substance use disorder treatment
under private health insurance plans and the state Medicaid program.
07:24:41 PM  
Representative Kennedy explained amendments L.001 and L.002
(Attachment A and B).


07:27:00 PM
Motion Adopt amendment L.002 (Attachment B) to amendment L.001 (Attachment A).
Moved Singer
Seconded Michaelson Jenet
Beckman
Catlin
Everett Excused
Ginal
Hooton
Landgraf
McKean Excused
Michaelson Jenet
Pabon Excused
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 3   ABS:  0   FINAL ACTION:  Pass Without Objection


07:30:03 PM
Motion Adopt amendment L.001 (Attachment A), as amended.
Moved Singer
Seconded Michaelson Jenet
Beckman Excused
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf Excused
McKean Yes
Michaelson Jenet Yes
Pabon Excused
Pettersen Excused
Ransom No
Danielson Yes
Singer Yes
YES: 7   NO: 1   EXC: 5   ABS:  0   FINAL ACTION:  PASS
07:30:40 PM  
Representative Singer and Representative Kennedy gave concluding remarks.


07:33:05 PM
Motion Refer House Bill 18-1007, as amended, to the Committee of the Whole.
Moved Singer
Seconded Hooton
Beckman Excused
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf Yes
McKean Yes
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom No
Danielson Yes
Singer Yes
Final YES: 9   NO: 1   EXC: 3   ABS:  0   FINAL ACTION:  PASS



HB18-1104 - Amended, referred to the Committee of the Whole

07:33:59 PM  
Representative Danielson, bills sponsor, presented House
Bill 18-1104 to the committee.  The bill establishes procedural safeguards
for parents with disabilities in the context of child welfare, foster care,
family law, guardianship, and adoption.  Witness testimony on HB 18-1104
was heard during the February 20, 2018, House Public Health Care and Human
Services Committee meeting.
07:34:41 PM  

Representative Danielson distributed and explained amendments L.010 and L.013 (Attachments S and T) to the committee.



07:40:05 PM
Motion Adopt amendment L.013 (Attachment T) to amendment L.010 (Attachment S).
Moved Danielson
Seconded Michaelson Jenet
Beckman Excused
Catlin
Everett Excused
Ginal
Hooton
Landgraf
McKean
Michaelson Jenet
Pabon Excused
Pettersen
Ransom
Danielson
Singer
YES: 0   NO: 0   EXC: 3   ABS:  0   FINAL ACTION:  Pass Without Objection


07:43:25 PM
Motion Adopt amendment L.010 (Attachment S), as amended.
Moved Danielson
Seconded Michaelson Jenet
Beckman No
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf Yes
McKean Yes
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom No
Danielson Yes
Singer Yes
YES: 9   NO: 2   EXC: 2   ABS:  0   FINAL ACTION:  PASS
07:44:05 PM  

Rep. Beckman distributed and explained amendment L.012 (Attachment U) to the committee. 

07:44:58 PM  

Rep. Beckman distributed and explained amendment L.012 (Attachment U) to the committee.  The amendment was not offered.

07:44:59 PM  

Representative Danielson gave concluding remarks on the bill.



07:48:43 PM
Motion Refer House Bill 18-1104, as amended, to the Committee of the Whole.
Moved Danielson
Seconded Hooton
Beckman Yes
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf Yes
McKean Yes
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom No
Danielson Yes
Singer Yes
Final YES: 10   NO: 1   EXC: 2   ABS:  0   FINAL ACTION:  PASS



HB18-1136 - Amended, referred to House Appropriations


07:51:03 PM  

Committee discussion resumed regarding House Bill 18-1136. 

07:52:02 PM  

The committee did not act on amendment L.006 (Attachment R).  Representative Beckman distributed and explained amendment L.005 (Attachment V).



07:57:44 PM
Motion Adopt amendment L.005 (Attachment V).
Moved Beckman
Seconded McKean
Beckman Yes
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf Yes
McKean Yes
Michaelson Jenet No
Pabon Excused
Pettersen Yes
Ransom Yes
Danielson Yes
Singer Yes
YES: 10   NO: 1   EXC: 2   ABS:  0   FINAL ACTION:  PASS
07:57:45 PM  

Representative Pettersen gave concluding remarks on the bill.



08:00:47 PM
Motion Refer House Bill 18-1136, as amended, to the Committee on Appropriations.
Moved Pettersen
Seconded Ginal
Beckman No
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf No
McKean Yes
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom No
Danielson Yes
Singer Yes
Final YES: 8   NO: 3   EXC: 2   ABS:  0   FINAL ACTION:  PASS



HB18-1177 - Amended, referred to House Appropriations


08:01:10 PM  

Representative Michaelson Jenet, bill sponsor, presented House Bill 18-1177.  The bill enacts several youth suicide prevention initiatives within the Colorado Department of Public Health and Environment and makes changes to the age of consent for a minor to seek certain psychotherapy services.   Witness testimony was heard on HB 18-1177 during the March 9, 2018, House Public Health Care and Human Services Committee meeting. 

08:01:11 PM  

Representative Michaelson Jenet distributed and explained amendments L.007 and L.004 (Attachments W and X) to the committee.



08:05:57 PM
Motion Adopt amendment L.007 (Attachment W) to amendment L.004 (Attachment X).
Moved Michaelson Jenet
Seconded Ginal
Beckman No
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf No
McKean No
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom No
Danielson Yes
Singer Yes
YES: 7   NO: 4   EXC: 2   ABS:  0   FINAL ACTION:  PASS


08:07:06 PM
Motion Adopt amendment L.004 (Attachment X), as amended.
Moved Michaelson Jenet
Seconded Ginal
Beckman No
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf No
McKean No
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom No
Danielson Yes
Singer Yes
YES: 7   NO: 4   EXC: 2   ABS:  0   FINAL ACTION:  PASS
08:07:08 PM  

Representative Michaelson Jenet gave concluding remarks on the bill.

08:07:36 PM  
Committee members commented on the bill.


08:13:34 PM
Motion Refer House Bill 18-1177, as amended, to the Committee on Appropriations.
Moved Michaelson Jenet
Seconded Hooton
Beckman No
Catlin Yes
Everett Excused
Ginal Yes
Hooton Yes
Landgraf No
McKean No
Michaelson Jenet Yes
Pabon Excused
Pettersen Yes
Ransom No
Danielson Yes
Singer Yes
Final YES: 7   NO: 4   EXC: 2   ABS:  0   FINAL ACTION:  PASS


08:13:45 PM   Committee Adjourned






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