S_HHS_2021A 03/17/2021 01:30:56 PM Committee Summary

PUBLIC
STAFF SUMMARY OF MEETING
SENATE COMMITTEE ON HEALTH & HUMAN SERVICES

Date

03/17/2021

Attendance
Gonzales	X
Jaquez Lewis	X
Kirkmeyer	X
Simpson	X
Smallwood	X
Buckner	X
Ginal	X

Time

01:30:56 PM to 02:02:52 AM

Place

SCR 357

This Meeting was called to order by

Fields

This Report was prepared by

Ken Cole

Hearing Items	Action Taken
hSB21-099	Referred to the Committee of the Whole - Consent Calendar
hSB21-098	Referred to Senate Appropriations
hSB21-118	Amended, referred to Senate Appropriations
hSB21-089	Postponed Indefinitely
hSB21-094	Amended, referred to Senate Appropriations
hSB21-175	Amended, referred to Senate Appropriations

SB21-099 - Referred to the Committee of the Whole - Consent Calendar

01:31:22 PM

Senator Danielson, bill sponsor, presented Senate Bill 21-099. The bill continues the Assistance Program for Disability Benefits in the Department of Personnel and Administration, which is scheduled to repeal on September 1, 2021.

01:35:29 PM

Dr. Michael Neil,
Colorado Cross-Disability Coalition, testified in support of the bill.

01:37:39 PM

Ms JoyAnn Ruscha, representing herself, testified in support of the bill.

01:40:46 PM

Senator Danielson provided closing remarks about the bill.

01:42:36 PM	Motion	Refer Senate Bill 21-099 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar.
	Moved	Ginal
	Seconded

	Gonzales	Yes
	Jaquez Lewis	Yes
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	Yes
	Ginal	Yes
	Final	YES: 7 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

SB21-098 - Referred to Senate Appropriations

01:43:20 PM

Senator Jaquez Lewis,
bill sponsor, presented Senate Bill 21-098. SB 21-098 continues the Prescription
Drug Monitoring Program in the Department of Regulatory Agencies, which
is scheduled to repeal on July 1, 2021.

Senator Pettersen
joined Senator Jaquez Lewis to discuss the bill and respond to questions.

01:48:24 PM

Senator Jaquez Lewis provided closing remarks about the bill.

01:52:19 PM	Motion	Refer Senate Bill 21-098 to the Committee on Appropriations.
	Moved	Jaquez Lewis
	Seconded

	Gonzales	Excused
	Jaquez Lewis	Yes
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	Yes
	Ginal	Yes
	Final	YES: 6 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS

SB21-118 - Amended, referred to Senate Appropriations

Attachment Tag

File Name

Attachment A

21SenateHealth0317AttachA.pdf

Attachment B

21SenateHealth0317AttachB.pdf

01:52:53 PM

Senators Ginal and
Gardner, co-prime sponsors, presented Senate Bill 21-118. The bill creates
the alternative response pilot program in the Department of Human Services
for low-risk reports of mistreatment of at-risk adults.

02:01:24 PM

Ms. Coral Cosway,
Alzheimer's Association, testified in support of the bill.

02:05:50 PM

Heather O'Hayre,
Larimer County Department of Human Services, testified in support of the
bill.

02:12:36 PM

Whitney Nettleton,
Denver County Department of Human Services, testified in support of the
bill.

02:19:21 PM

Ms. Jennifer Levin,
The Arc of Colorado, testified in support of the bill.

02:22:06 PM

Mrs. Bettina Morrow,
Jefferson County Human Services, testified in support of the bill.

02:25:50 PM

Ms Jeanette Hensley,
Colorado Senior Lobby, testified in support of the bill.

02:29:03 PM

Jill Couch, Better
People Care LLC, testified in support of the bill.

02:33:52 PM

Mindy Gates, Colorado
Department of Human Services (CDHS), testifed in support of the bill.

Additional witness
testimony may be found at Attachment A.

02:38:58 PM	Motion	Adopt amendment L.001 (Attachment B)
	Moved	Ginal
	Seconded

	Gonzales	Excused
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection

02:43:44 PM	Motion	Refer Senate Bill 21-118, as amended, to the Committee on Appropriations.
	Moved	Ginal
	Seconded

	Gonzales	Excused
	Jaquez Lewis	Yes
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	Yes
	Ginal	Yes
	Final	YES: 6 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS

SB21-089 - Postponed Indefinitely

02:49:28 PM

Senator Buckner,
bill sponsor, presented Senate Bill 21-089. The bill modifies the cervical
cancer screening program to allow the use of funds to screen for other
types of cancer. Senator Buckner explain concerns about obtaining funding
for the bill and requested that the committee vote to indenfitely postpone
the bill.

03:00:27 PM	Motion	Postpone Senate Bill 21-089 indefinitely.
	Moved	Buckner
	Seconded

	Gonzales	Yes
	Jaquez Lewis	Yes
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	Yes
	Ginal	Yes
	Final	YES: 7 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

SB21-094 - Amended, referred to Senate Appropriations

Attachment Tag

File Name

Attachment C

21SenateHealth0317AttachC.pdf

Attachment D

21SenateHealth0317AttachD.pdf

Attachment E

21SenateHealth0317AttachE.pdf

03:01:06 PM

Senators Ginal and
Winter, bill sponsors, presented Senate Bill 21-094. The bill continues
the State Board of Pharmacy in the Department of Regulatory Agencies, which
is scheduled to repeal on September 1, 2021.

03:06:25 PM

Dr. Emily Zadvorny,
Colorado Pharmacists Society, testified in support of the bill.

03:10:09 PM

Tim Finnegan, Colorado
Pharmacy Society and the CU School of Pharmacy, testified in support of
the bill.

03:13:34 PM

Dr. Tara Vlasimsky,
Denver Health, testified in support of the bill.

03:17:14 PM

Tom Davis, RxPlus
Pharamcies, testified in support of the bill and responded to questions.

03:23:09 PM

Lucas Smith, RxPlus
Pharamcies, testified in support of the bill.

03:25:54 PM

Dr. Fred Michel,
Summit Stone, testified in support of the bill.

03:31:53 PM

Senator Winter explained
three amendments to the bill: L.001, L.002, and L.003 (Attachments C, D,
and E).

03:32:59 PM	Motion	Adopt amendment L.001 (Attachment C).
	Moved	Ginal
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

03:33:30 PM	Motion	Adopt amendment L.002 (Attachment D).
	Moved	Ginal
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

03:33:52 PM	Motion	Adopt amendment L.003 (Attachment E).
	Moved	Ginal
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

03:37:48 PM	Motion	Refer Senate Bill 21-094, as amended, to the Committee on Appropriations.
	Moved	Ginal
	Seconded

	Gonzales	Yes
	Jaquez Lewis	Yes
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	Yes
	Ginal	Yes
	Final	YES: 7 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

SB21-175 - Amended, referred to Senate Appropriations

Attachment Tag

File Name

Attachment F

21SenateHealth0317AttachF.pdf

Attachment G

21SenateHealth0317AttachG.pdf

Attachment H

21SenateHealth0317AttachH.pdf

Attachment I

21SenateHealth0317AttachI.pdf

Attachment J

21SenateHealth0317AttachJ.pdf

Attachment K

21SenateHealth0317AttachK.pdf

Attachment L

21SenateHealth0317AttachL.pdf

Attachment M

21SenateHealth0317AttachM.pdf

Attachment N

21SenateHealth0317AttachN.pdf

Attachment O

21SenateHealth0317AttachO.pdf

Attachment P

21SenateHealth0317AttachP.pdf

Attachment Q

21SenateHealth0317AttachQ.pdf

Attachment R

21SenateHealth0317AttachR.pdf

Attachment S

21SenateHealth0317AttachS.pdf

Attachment T

21SenateHealth0317AttachT.pdf

04:34:00 PM

Senators Jaquez Lewis
and Gonzales, co-prime sponsors, presented Senate Bill 21-175 and responded
to questions. The bill creates the Prescription Drug Affordability Review
Board to collect prescription drug cost information from insurers and establish
caps on drug costs.

Senator Smallwood asked several questions of the bill sponsors and dialogue
ensued. Other committee members also participated.

05:58:01 PM

Kim Bimestefer, Department
of Health Care Policy and Financing (HCPF), testified in support of the
bill and responded to questions.

06:22:10 PM

Committee questions
continued.

06:22:24 PM

Committee questions continued.

06:35:03 PM

Isabel Cruz, Colorado Consumer Health Initiative, testified in support of the bill.

06:46:51 PM

Angie Howes, Colorado
Retail Council, testified in opposition to the bill and responded to questions.

06:51:39 PM

Emily Roberts, Colorado
BioScience Association, testified in opposition to the bill and responded
to questions.

07:02:03 PM

Both Ms. Howes and
Ms. Roberts responded to questions.

07:07:04 PM

Jennifer Churchfield,
Front Range PharmaLogic, testified in opposition to the bill.

07:11:05 PM

Dr. Kelly Greene,
representing herself, testified in opposition to the bill and responded
to questions.

07:15:35 PM

Dr. Greene responded
to questions.

07:30:47 PM

Mr. Trey Rogers,
Pharmaceutical Research and Manufacturers of America, testified in opposition
to the bill and responded to questions.

07:34:57 PM

Dr Ashley Mains,
Colorado Pharmacists Society, testified to amend the bill.

Mr. Rogers responded to questions.

07:43:28 PM

Mrs. Claudia Curry
Hill, representing herself, testified in support of the bill.

Mary Sanders, representing herself, testified in support of the bill.

Mrs. Gretchen Mills, National Multiple Sclerosis Society, testified in
support of the bill.

07:57:00 PM

Brittany Bircham,
representing herself, testified in support of the bill.

08:02:50 PM

Ms. Carol Pace, American
Association of Retired Persons Colorado, testified in support of the bill.

08:05:51 PM

Dr. Kathleen Van
Voorhis, Interfaith Alliance of Colorado, testified in support of the bill.

08:08:40 PM

Committee discussion
ensued.

08:14:59 PM

Mr Patrick Boyle,
Pharmacy Care Management Association, testified in opposition to the bill.

08:18:43 PM

Jennifer Churchfield
testified on behalf of Lisa Elder in support of the bill.

08:22:32 PM

Mrs. Katelin Lucariello,
Pharmaceutical Research and Manufacturers of America, testified in opposition
to the bill.

08:26:34 PM

Lindsey Vigoda, testified on behalf of Stacey Buzbee, in support of the bill.

08:33:32 PM

Angie Vopat Patton,
representing herself, testified in support of the bill.

08:36:31 PM

Ms. Virginia Gebhart,
representing herself, testified in support of the bill.

08:42:07 PM

Commissioner Beth
Melton, Counties and Commissioners Acting Together (CCAT), testified in
support of the bill.

08:44:32 PM

Commissioner Tamara
Pogue, CCAT/ Summit County, testified in support of the bill.

08:48:37 PM

Dr. Alan Miller,
Rocky Mountain Oncology Society, testified in opposition to the bill and
responded to questions.

08:54:32 PM

Mrs. Amanda Massey,
Colorado Association of Health Plans, testified in opposition to the bill
and responded to questions.

08:58:46 PM

Joshua Ewing, Colorado
Hospital Association, testified to amend the bill and responded to questions.

09:15:30 PM

Committee discussion continued.

09:18:18 PM

Ms. Leah Lindahl, Healthcare Distribution Alliance, testified to amend the bill.

09:24:06 PM

Amber Freed, representing
herself, testified in opposition to the bill.

Brian Warren, Biotechnology Innovation Organization, testified in opposition
to the bill and responded to questions.

09:42:23 PM

Laura Rizzo, Denver Metro Chamber, testified in opposition to the bill.

09:43:41 PM

Lauren Masias, Colorado Competitive Council, testified in opposition to the bill.

09:45:39 PM

Mark Spiecker, representing
himself, testified against the bill and responded to questions.

09:51:35 PM

Ms. Jane Horvath,
Horvath Health Policy and Healthcare financing consultant, testified in
support of the bill and responded to questions.

10:09:44 PM

Committee discussion continued.

10:10:37 PM

Michael Conway, Colorado
Commissioner of Insurance, testified in support of the bill and responded
to questions.

10:23:51 PM

Committee discussion continued.

10:33:27 PM

Committee discussion
continued.

Additional witness testimony is included as Attachment F.

12:10:20 AM

Senator Gonzales
discussed amendments to the bill.

12:11:46 AM

Senator Gonzales
moved Senate Bill 21-175 and presented amendment L.015 (Attachment G).

12:12:10 AM

The committee discussed
amendment L.015 (Attachment G).

12:19:30 AM	Motion	Amend L.015 (Attachment G), Line 7, strike "OR KNOWLEDGE OF PHARMACOLOGICAL". Strike Line 8.
	Moved	Gonzales
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

12:20:09 AM	Motion	Adopt amendment L.015 (Attachment G) as amended.
	Moved	Gonzales
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

12:23:16 AM	Motion	Adopt amendment L.016 (Attachment H).
	Moved	Gonzales
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

12:29:21 AM	Motion	Adopt amendment L.018 (Attachment I).
	Moved	Jaquez Lewis
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

12:31:20 AM	Motion	Adopt amendment L.028 (Attachment J).
	Moved	Ginal
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

12:34:54 AM	Motion	Adopt amendment L.026 (Attachment K).
	Moved	Ginal
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

12:37:20 AM	Motion	Adopt amendment L.012 (Attachment L).
	Moved	Smallwood
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

12:39:47 AM	Motion	Adopt amendment L.022 (Attachment M).
	Moved	Smallwood
	Seconded

	Gonzales	No
	Jaquez Lewis	No
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	No
	Ginal	No
		YES: 3 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL

12:44:16 AM

The committee discussed
amendment L.011 (Attachment N).

12:53:24 AM	Motion	Adopt amendment L.011 (Attachment N).
	Moved	Smallwood
	Seconded

	Gonzales	No
	Jaquez Lewis	No
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	No
	Ginal	No
		YES: 3 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL

01:01:14 AM

Senator Kirkmeyer
presented amendment L.027 (Attachment O).

01:02:01 AM	Motion	Adopt amendment L.027 (Attachment O).
	Moved	Kirkmeyer
	Seconded

	Gonzales	No
	Jaquez Lewis	No
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	No
	Ginal	No
		YES: 3 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL

01:04:40 AM

Senator Kirkmeyer
presented amendment L.003 (Attachment P). Senator Ginal severed the
amendment; severed section 1, lines 1-3; severed section 2, lines 4 - 14.

01:08:32 AM	Motion	Adopt amendment L.003 (Attachment P), severed section 2 (lines 4 - 14).
	Moved	Kirkmeyer
	Seconded

	Gonzales
	Jaquez Lewis
	Kirkmeyer
	Simpson
	Smallwood
	Buckner
	Ginal
		YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

01:09:56 AM

Senator Kirkmeyer
presented amendment L.004 (Attachment Q).

01:23:55 AM	Motion	Adopt amendment L.004 (Attachment Q) strike line 3 of the amendment and adopt the amendment as amended.
	Moved	Kirkmeyer
	Seconded

	Gonzales	No
	Jaquez Lewis	No
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	No
	Ginal	No
		YES: 3 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL

01:24:46 AM

Senator Kirkmeyer
presented amendment L.020 (Attachment R).

01:30:45 AM	Motion	Adopt amendment L.020 (Attachment R).
	Moved	Kirkmeyer
	Seconded

	Gonzales	No
	Jaquez Lewis	No
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	No
	Ginal	No
		YES: 3 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL

01:39:23 AM

Senator Kirkmeyer
presented amendment L.008 (Attachment S).

01:41:21 AM	Motion	Adopt amendment L.008 (Attachment S).
	Moved	Kirkmeyer
	Seconded

	Gonzales	No
	Jaquez Lewis	No
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	No
	Ginal	No
		YES: 3 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL

01:43:19 AM

Senator Kirkmeyer
presented amendment L.007 (Attachment T). Committee discussion ensued.

01:45:18 AM	Motion	Adopt amendment L.007 (Attachment T).
	Moved	Kirkmeyer
	Seconded

	Gonzales	No
	Jaquez Lewis	No
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	No
	Ginal	No
		YES: 3 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL

01:47:23 AM

Senator Smallwood
presented a conceptual amendment to
strike "SHALL" and insert "MAY" on Page 9, line 11
of the bill.

01:49:22 AM	Motion	Adopt Smallwood amendment - Amend printed bill, Page 11, line 9, strike "SHALL" and insert "MAY".
	Moved	Smallwood
	Seconded

	Gonzales	No
	Jaquez Lewis	No
	Kirkmeyer	Yes
	Simpson	Yes
	Smallwood	Yes
	Buckner	No
	Ginal	No
		YES: 3 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: FAIL

01:49:34 AM

Senators Gonzales and Jaquez Lewis provided closing remarks.

02:02:34 AM	Motion	Refer Senate Bill 21-175, as amended, to the Committee on Appropriations.
	Moved	Gonzales
	Seconded

	Gonzales	Yes
	Jaquez Lewis	Yes
	Kirkmeyer	No
	Simpson	No
	Smallwood	No
	Buckner	Yes
	Ginal	Yes
	Final	YES: 4 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: PASS

02:02:52 AM

The committee adjourned.

SB21-099 - Referred to the Committee of the Whole - Consent Calendar

SB21-098 - Referred to Senate Appropriations

SB21-118 - Amended, referred to Senate Appropriations

SB21-089 - Postponed Indefinitely

SB21-094 - Amended, referred to Senate Appropriations

SB21-175 - Amended, referred to Senate Appropriations

Colorado General Assembly