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S_HHS_2019A 03/07/2019 01:32:09 PM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
SENATE COMMITTEE ON HEALTH & HUMAN SERVICES
Date 03/07/2019
Attendance
Crowder X
Smallwood X
Winter X
Pettersen *
Fields X
X = Present, E = Excused, A = Absent, * = Present after roll call
Time 01:32:09 PM to 04:08:02 PM
Place LSB B
This Meeting was called to order by Senator Fields
This Report was prepared by Elizabeth Haskell
Hearing Items Action Taken
SB19-052 Amended, referred to Senate Appropriations
HB19-1010 Referred to Senate Finance
HB19-1041 Referred to the Committee of the Whole
HB19-1068 Referred to the Committee of the Whole - Consent Calendar
HB19-1001 Amended, referred to the Committee of the Whole - Consent Calendar

SB19-052 - Amended, referred to Senate Appropriations


01:34:20 PM  
Senator Garcia, bill sponsor, presented Senate Bill 19-052
and distributed amendment L.001 (Attachment A).  The bill authorizes
emergency medical service providers to practice under the medical direction
of an advanced practice nurse or physician assistant, and to practice in
a hospital or clinic.
01:37:06 PM  
Randy Kuykendall, Colorado Department of Public Health and Environment, testified in support of the bill.
01:42:29 PM  
Dr. Kevin McVaney, Denver Health, testified in support of the bill.
01:44:37 PM  

David Hansher, Emergency Medical Services Association of Colorado, testified in support of the bill.

 

01:46:50 PM  
Karen McGovern, Department of Regulatory Agencies, testified in support of the bill.
01:48:44 PM  
The witness panel responded to questions.


01:55:45 PM
Motion Adopt amendment L.001 (Attachment A).
Moved Pettersen
Seconded
Crowder
Smallwood
Winter
Pettersen
Fields
YES: 0   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  Pass Without Objection


01:56:27 PM
Motion Refer Senate Bill 19-052, as amended, to the Committee on Appropriations.
Moved Pettersen
Seconded
Crowder Yes
Smallwood Yes
Winter Yes
Pettersen Yes
Fields Yes
Final YES: 5   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS



HB19-1010 - Referred to Senate Finance


01:57:54 PM  
Senator Gardner and Senator Pettersen, bill sponsors,
presented House Bill 19-1010. The bill creates a new facility license for
freestanding emergency departments and requires such facilities to be licensed
by the Department of Public Health and Environment (CDPHE) by July 1, 2022.
02:03:36 PM  

Senators Gardner and Pettersen responded to questions.

02:04:25 PM  
Joshua Ewing, Colorado Hospital Association, testified in support of the bill.
02:06:52 PM  
Andrea Stojsavljevic, Healthier Colorado,
testified in support of the bill.
02:08:32 PM  
Jeff Thompson, UC Health, testified in support of the bill.
02:10:05 PM  
Randy Kuykendall, CDPHE, testified in support of the bill.
02:17:04 PM  
The witness panel responded to questions.
02:31:32 PM  
The committee continued to dialogue with the witnesses.
02:43:53 PM  
A.W. Schnellbacher, AARP of Colorado, testified in support
of the bill.


02:48:56 PM
Motion Refer House Bill 19-1010 to the Committee on Finance.
Moved Pettersen
Seconded
Crowder Yes
Smallwood No
Winter Yes
Pettersen Yes
Fields Yes
Final YES: 4   NO: 1   EXC: 0   ABS:  0   FINAL ACTION:  PASS



HB19-1041 - Referred to the Committee of the Whole


02:49:18 PM  
Senator Rodriguez, bill sponsor, presented House Bill
19-1041. The bill requires health facilities that perform surgery (hospitals
and ambulatory surgical centers) to adopt and implement a policy to use
a surgical smoke evacuation system during any procedure using energy-generating
surgical medical devices that produce a gaseous by-product known as surgical
smoke.
02:53:25 PM  
Karen Elliot, Association of Perioperative Registered Nurses(AORN), testified in support of the bill.
02:56:33 PM  
Mary Ogg, AORN, testified in support of the bill.
03:00:16 PM  
Debra Hedrick, representing herself, testified in support of the bill.
03:03:23 PM  
Chris Lolley, representing himself, testified in support of the health.
03:07:16 PM  
The witness panel responded to questions.
03:09:07 PM  
Melony Prince, representing herself, testified in support of the bill.
03:14:27 PM  
Dr. Lisa Hunsicker, representing herself, testified in support of the bill.
03:17:31 PM  
Michelle Jaskunas, representing herself, testified in support of the bill.
03:20:02 PM  
Amy Hader, AORN, testified in support of the bill.
03:22:17 PM  
The witness panel responded to questions.
03:23:50 PM  
Amber Burkhart, Colorado Hospital Association,
testified in support of the bill and responded to questions.
03:25:19 PM  

Peggy Camp, representing herself, testified in support of the bill.



03:28:40 PM
Motion Refer House Bill 19-1041 to the Committee of the Whole.
Moved Pettersen
Seconded
Crowder Yes
Smallwood Yes
Winter Excused
Pettersen Yes
Fields Yes
Final YES: 4   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  PASS



HB19-1068 - Referred to the Committee of the Whole - Consent Calendar


03:31:47 PM  

Senator Moreno, bill sponsor, presented House Bill 19-1068.  This bill repeals an obsolete statutory provision requiring the State Board of Health to perform certain operational planning functions.



03:33:14 PM
Motion Refer House Bill 19-1068 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar.
Moved Smallwood
Seconded
Crowder Yes
Smallwood Yes
Winter Excused
Pettersen Yes
Fields Yes
Final YES: 4   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  PASS



HB19-1001 - Amended, referred to the Committee of the Whole - Consent Calendar


03:33:27 PM  

Senator Moreno, bill sponsor, presented House Bill 19-1001. The bill directs the Department of Health Care Policy and Financing (HCPF) to work in consultation with the Colorado Healthcare Affordability and Sustainability Board to develop and prepare an annual report on uncompensated costs and categorical expenditures made by hospitals in the state (hospital expenditure report). In addition to using publicly available data, each hospital in the state is required to provide HCPF with certain information outlined in the bill, including financial statements, operating expenses, and staffing information.

The hospital expenditure report must include but is not limited to a description of the methods of analysis, uncompensated care costs by payer group, and a breakdown of how different categories of expenses contribute to overall costs. HCPF must post the report to its website and submit it to the General Assembly, the Governor, and the Medical Services Board by January 15 of each year beginning in 2020. The bill also requires HCPF, in consultation with the CDPHE and the Division of Insurance, to determine whether the Hospital Report Card and the Hospital Charge Report that exist under current law require any structural or substantive changes.

03:36:41 PM  
Joshua Ewing, Colorado Hospital Association,
testified in support of the bill and responded to questions.
03:42:24 PM  
A.W. Schnellbacher, AARP Colorado, testified in support of the bill.
03:47:13 PM  
Ed Shackelford, Colorado Senior Lobby, testified in support of the bill.
03:50:01 PM  
Andrea Stojsavljevic, Healthier Colorado, testified in support of the bill.
03:52:19 PM  

Allison Neswood, Colorado Center on Law and Policy, testified ins support of the bill.

03:52:20 PM  

Senator Fields announced that Senator Rankin, bill sponsor, was in attendence.

03:57:19 PM  
Debra Judy, Colorado Consumer Health Initiative, testified in support of the bill.
03:59:22 PM  

John Bartholomew, HCPF, testified in support of the bill.

03:59:23 PM  

Senators Moreno and Rankin made closing comments and discussed amendment L.025 (Attachment B).



04:06:27 PM
Motion Adopt amendment L.025 (Attachment B).
Moved Pettersen
Seconded
Crowder
Smallwood
Winter Excused
Pettersen
Fields
YES: 0   NO: 0   EXC: 1   ABS:  0   FINAL ACTION:  Pass Without Objection


04:07:55 PM
Motion Refer House Bill 19-1001, as amended, to the Committee of the Whole and with a recommendation that it be placed on the consent calendar.
Moved Pettersen
Seconded
Crowder Yes
Smallwood Yes
Winter Yes
Pettersen Yes
Fields Yes
Final YES: 5   NO: 0   EXC: 0   ABS:  0   FINAL ACTION:  PASS


04:08:02 PM   The committee adjourned.






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