S_HHS_2023A 04/27/2023 06:56:23 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGSENATE COMMITTEE ON HEALTH & HUMAN SERVICES Date 04/27/2023 Attendance Buckner X Cutter X Jaquez Lewis * Mullica * Rich E Smallwood X Will X Ginal X Fields X Time 06:56:23 PM to 11:22:04 PM Place SCR 357 This Meeting was called to order by Fields This Report was prepared by Matthu Beck Hearing Items Action Taken hConf 23-Health — State Board Of Favorably Refer to Full Senate - Consent Calendar hConf 23-Air Quality Control Commission Favorably Refer to Full Senate - Consent Calendar hHB23-1153 Referred to Senate Appropriations hSB23-298 Amended, referred to Senate Appropriations hHB23-1158 Amended, referred to Senate Appropriations hHB23-1201 Referred to Senate Appropriations hHB23-1218 Amended, referred to Senate Appropriations hHB23-1209 Amended, referred to Senate Appropriations hHB23-1215 Amended, referred to Senate Appropriations Conf 23-Health — State Board Of - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/34F71569D39C...$File/Attachment A.pdf?OpenElement Attachment A.pdf 06:59:43 PM Marrisa Wilkins presented on behalf of Evelinn Borrayo, Thomas Butts, Christina Suh, and Jeff Kuhr for their appointments to the Board of Health. Their appointment letters may be found as Attachment A. Ms. Wilkins described the appointees background in health. Ms. Suh described her background in health and reasons for wanting to serve on the Board of Health. Mr. Kuhr described his background in health and reasons for wanting to serve on the board. Ms. Borrayo described her background in health and reasons for wanting to serve on the board. Mr. Butts described his background in health and reasons for wanting to serve on the board. 07:10:16 PM Motion I move to the full Senate, with a favorable recommendation, the appointment of Christina Suh, Jeff Kuhr, Evelinn Borrayo, and Thomas Butts to the State Board of Health. I move that the confirmations be placed on the consent calendar. Moved Ginal Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood Yes Will Excused Ginal Yes Fields Yes Final YES: 7 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS Conf 23-Air Quality Control Commission - Favorably Refer to Full Senate - Consent Calendar Attachment Tag File Name Attachment B http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/B8A396A99BED...$File/Attachment B.pdf?OpenElement Attachment B.pdf 07:11:14 PM Ms. Tara Trujillo presented on the behalf of Randal Ahrens, Gerald Arnold, Jon Slutsky, and Guillermo "Bill" Gonzalez for appointment to the Air Quality Control Commission. Bill Gonzalez discussed his background related to air quality and his reasons for wanting to be appointed to the commission. Randal Ahrens discussed his background related to air quality and his reasons for wanting to be appointed to the commission. Jon Slutsky discussed his background related to air quality and his reasons for wanting to be appointed to the commission. Their appointment letter can be found as Attachment B. 07:27:59 PM Members of the committee asked questions of the appointees. 07:32:48 PM Motion Refer the appointment of Randal Ahrens, Gerald Arnold, Jon Slutsky, Guillermo "Bill" Gonzalez to the Conf 23-Air Quality Control Commission to the full Senate with a favorable recommendation. Moved Ginal Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood Yes Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS HB23-1153 - Referred to Senate Appropriations 07:33:24 PM Senators Rodriguez and Pelton, co-prime bill sponsors, opened on House Bill 23-1153 relating to pathways to behavioral health care. Members of the committee asked questions of the sponsors. 07:42:13 PM Dr. Donna Lynne, representing Denver Health, testified in support of the bill. Mark Falcone, representing Center City Collaborative, testified in support of the bill. Katie First, representing Colorado Counties Inc, testified in support of the bill. Edie Sonn, representing Colorado Behavioral Healthcare Council, testified in support of the bill. Commissioner Tamara Pogue, representing Summit County/Colorado Counties Inc., testified in support of the bill. 07:52:39 PM Director of the Office of Civil and Forensic Mental Health Leora Jospeh, representing Colorado Department of Human Services, testified in support of the bill. Bridget Anshus, representing Mental Health Colorado, testified in support of the bill. 07:56:50 PM Director of Homeless Initiatives Cole Chandler, representing the Colorado Department of Human Services, testified in support of the bill. Alexis Alltop, representing Healthier Colorado, testified in support of the bill. 08:02:27 PM Senators Rodriguez and Pelton gave closing remarks on the bill. Members of the committee gave closing remarks. 08:06:18 PM Motion Refer House Bill 23-1153 to the Committee on Appropriations. Moved Ginal Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood Yes Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS SB23-298 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment C http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/05A01DBA6BFA...$File/Attachment C.pdf?OpenElement Attachment C.pdf Attachment D http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/115F7C72F715...$File/Attachment D.pdf?OpenElement Attachment D.pdf Attachment E http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/C040C1DC6F7D...$File/Attachment E.pdf?OpenElement Attachment E.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/7F4240A72A32...$File/Attachment F.pdf?OpenElement Attachment F.pdf 08:07:01 PM Senators Gardner and Roberts opened on Senate Bill 23-298 regarding allowing public hospital collaboration agreements. The bill sponsors answered questions from the committee. 08:12:30 PM Mark Waller, representing the Eastern Plains Healthcare Consortium, testified in support of the bill. Executive Director Kim Bimestefer, representing the Colorado Department of Health Care Policy and Financing, testified to amend the bill. Jefferey Riester, representing the Department of law, testified to amend the bill. Special Financing Division Director Nancy Dolson, representing the Colorado Department of Health Care Policy and Financing, was available to answer committee questions. 08:19:25 PM Kelly Erb, representing the Colorado Rural Health Center, testified in support of the bill. Bridget Garcia, representing the Colorado Hospital Association, testified in support of the bill. Members of the committee asked follow up questions. 08:26:56 PM The bill sponsors presented amendments L.001 (Attachment C), L.003 (Attachment D), L.004 (Attachment E), and L.005 (Attachment F). 08:26:57 PM Motion Adopt amendment L.001 (Attachment C). Moved Ginal Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 08:28:25 PM Motion Adopt amendment L.003 (Attachment D). Moved Ginal Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 08:29:15 PM Motion Adopt amendment L.004 (Attachment E). Moved Ginal Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 08:30:05 PM Motion Adopt amendment L.005 (Attachment F). Moved Ginal Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 08:30:06 PM The bill sponsors gave closing remarks on Senate Bill 23-298. 08:32:02 PM Motion Refer Senate Bill 23-298, as amended, to the Committee on Appropriations. Moved Ginal Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood Yes Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS HB23-1158 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment G http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/8720EA17852D...$File/Attachment G.pdf?OpenElement Attachment G.pdf Attachment H http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/634E6C9D4438...$File/Attachment H.pdf?OpenElement Attachment H.pdf 08:32:10 PM Senator Mullica, primary bill sponsor, opened on House Bill 23-1158 regarding the Colorado commodity supplemental food grant program. Members of the commmittee asked questions. 08:34:50 PM Carol Pace, representing AARP, testified in support of the bill. Sarah Gregory, representing Feeding Colorado, testified in support of the bill. Effie Rorke, representing Feeding Colorado, testified in support of the bill. Committee members asked the panel questions. Additional written testimony may be found in Attachment G. 08:43:52 PM Senator Mullica explained amendment L.004 (Attachment H). 08:46:42 PM Motion Adopt amendment L.004 (Attachment H). Moved Mullica Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 08:46:56 PM Senator Mullica gave closing remarks on House Bill 23-1158. 08:49:40 PM Motion Refer House Bill 23-1158, as amended, to the Committee on Appropriations. Moved Mullica Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood No Will Yes Ginal Yes Fields Yes Final YES: 7 NO: 1 EXC: 1 ABS: 0 FINAL ACTION: PASS HB23-1201 - Referred to Senate Appropriations Attachment Tag File Name Attachment I http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/3304833A3634...$File/Attachment I.pdf?OpenElement Attachment I.pdf 08:49:53 PM Senators Smallwood and Mullica, co-prime bill sponsors, presented House Bill 23-1201 regarding rx drug benefit contract term requirements. They answered questions from the committee. 09:03:50 PM Executive Director Kim Bimestefer, representing the Colorado Department of Health Care Policy & Financing, testified in support of the bill. A packet of testimony from the Department of Healthcare Policy and Financing was distributed (Attachment H). Members of the committee asked the panel questions. 09:12:07 PM Ms. Anne Ladd, representing the Peak Health Alliance, testified in support of the bill. Dr Lucas Smith, representing RxPlus Pharmacies, testified in support of the bill. Additional written testimony may be found in Attachment I. 09:16:53 PM Senators Smallwood and Mullica, co-prime sponsors, gave closing remarks on House Bill 23-1201. 09:18:38 PM Motion Refer House Bill 23-1201 to the Committee on Appropriations. Moved Smallwood Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood Yes Will Yes Ginal Yes Fields Yes Final YES: 8 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS HB23-1218 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment J http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/B3979849AC68...$File/Attachment J.pdf?OpenElement Attachment J.pdf Attachment K http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/D37C9B287E27...$File/Attachment K.pdf?OpenElement Attachment K.pdf Attachment L http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/564986870716...$File/Attachment L.pdf?OpenElement Attachment L.pdf 09:19:12 PM Senator Jacquez Lewis opened on House Bill 23-1218 regarding health facility patient information denied services. 09:26:56 PM Alison Gill, representing American Atheists, testified in support of the bill. Shannon Russell, representing Catholics for Choice, testified in support of the bill. Ms. Leslie Kalechman, representing AARP Colorado, testified in support of the bill. 09:32:35 PM Philip Shimel, representing Cobalt Advocates, testified in support of the bill. Joshua Ewing, representing the Colorado Hospital Association, testified to amend the bill. Additional written testimony may be found in Attachment J. 09:38:33 PM Senator Jacquez Lewis presented amendments L.015 (Attachment K) and L.016 (Attachment L). 09:39:17 PM Motion Adopt amendment L.015 (Attachment K). Moved Jaquez Lewis Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 09:40:06 PM Motion Adopt amendment L.016 (Attachment L). Moved Jaquez Lewis Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 09:40:07 PM Senator Jacquez Lewis gave closing remarks on House Bill 23-1218. 09:41:30 PM Motion Refer House Bill 23-1218, as amended, to the Committee on Appropriations. Moved Jaquez Lewis Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood Excused Will No Ginal Yes Fields Yes Final YES: 6 NO: 1 EXC: 2 ABS: 0 FINAL ACTION: PASS HB23-1209 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment M http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/9DBBCE763353...$File/Attachment M.pdf?OpenElement Attachment M.pdf Attachment N http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/3ED4B1087F23...$File/Attachment N.pdf?OpenElement Attachment N.pdf Attachment O http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/0AD0BA520926...$File/Attachment O.pdf?OpenElement Attachment O.pdf Attachment P http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/AFA16E810E6A...$File/Attachment P.pdf?OpenElement Attachment P.pdf Attachment Q http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/54F48DEA60A0...$File/Attachment Q.pdf?OpenElement Attachment Q.pdf 09:42:01 PM Senator Jacquez Lewis presented House Bill 23-1209 regarding analyzing statewide publicly financed healthcare. 09:42:49 PM Virginia Gebhart, representing the Colorado Foundation for Universal Health Care, testified in support of the bill. 09:49:33 PM Mrs. Kelly Campbell, representing Americaâs Health Insurance Plans, testified in opposition to the bill. Jason Hopfer, representing the Colorado Association of Health Plans, testified in opposition to the bill. Mr. Dave Davia, representing Rocky Mountain MCA, testified in opposition to the bill. Members of the panel answered questions from the committee. 10:01:07 PM Angelique Espinoza, representing Good Business Colorado, testified in support of the bill. Dr. Michael Neil, representing the Colorado Cross-Disability Coalition, testified in support of the bill. Mr. Nathan Wilkes, representing themself, testified in support of the bill. Commissioner George Marlin, representing Counties and Commissioners Acting Together, testified in a neutral position on the bill. Mr. Guinn Unger, representing the Colorado Healthcare Coalition, testified in support of the bill. Members of the panel answered questions from the committee. 10:23:33 PM Senator Jacquez Lewis explained amendment L.020 (Attachment M). Members of the committee asked questions. 10:26:41 PM Motion Adopt amendment L.020 (Attachment M). Moved Jaquez Lewis Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood No Will No Ginal No Fields Yes YES: 5 NO: 3 EXC: 1 ABS: 0 FINAL ACTION: PASS 10:26:42 PM Senator Smallwood explained amendment L.016 (Attachment N). Members of the committee discussed the amendment. 10:35:25 PM Motion Adopt amendment L.016 (Attachment N). Moved Smallwood Seconded Buckner Yes Cutter No Jaquez Lewis No Mullica Yes Rich Excused Smallwood Yes Will Yes Ginal Yes Fields Yes YES: 6 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS 10:35:40 PM Senator Smallwood explained amendment L.017 (Attachment O). Members of the committee discussed the amendment. 10:38:59 PM Motion Adopt amendment L.017 (Attachment O). Moved Smallwood Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 10:38:59 PM Senator Smallwood explained amendment L.019 (Attachment P). Members of the committee discussed the amendment. 10:46:58 PM Motion Adopt amendment L.019 (Attachment P). Moved Smallwood Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 10:48:38 PM Motion Adopt amendment L.021 (Attachment Q). Moved Smallwood Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 10:48:39 PM Senator Smallwood presented amendment L.021 (Attachment Q). 10:50:26 PM Senator Jacquez Lewis gave closing remarks on the bill. 10:55:24 PM Motion Refer House Bill 23-1209, as amended, to the Committee on Appropriations. Moved Jaquez Lewis Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood No Will No Ginal Yes Fields Yes Final YES: 6 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS HB23-1215 - Amended, referred to Senate Appropriations Attachment Tag File Name Attachment R http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/ABBC0F0D95D5...$File/Attachment R - Combined.pdf?OpenElement Attachment R - Combined.pdf Attachment S http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/19C20D89093A...$File/Attachment S.pdf?OpenElement Attachment S.pdf Attachment T http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/816A23183D2E...$File/Attachment T.pdf?OpenElement Attachment T.pdf Attachment U http://www2.leg.state.co.us/CLICS/CLICS2023A/commsumm.nsf/0/D16E7A545BAF...$File/Attachment U.pdf?OpenElement Attachment U.pdf 10:55:39 PM The committee recessed. 10:56:10 PM The committee resumed. 10:56:12 PM Senators Cutter and Mullica, co-prime bill sponsors, presented House Bill 23-1215 regarding hospital facility fees. Members of the committee asked questions. Written testimony may be found in Attachment R. 11:11:45 PM Senator Cutter explained amendments L.018 (Attachment S) and L.017 (Attachment T). 11:15:51 PM Motion Adopt amendment L.018 (Attachment S). Moved Cutter Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 11:16:09 PM Motion Adopt amendment L.017 (Attachment T). Moved Cutter Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 11:16:21 PM Senator Mullica explained amendment L.020 (Attachment U). 11:17:36 PM Motion Adopt amendment L.020 (Attachment U). Moved Mullica Seconded Buckner Cutter Jaquez Lewis Mullica Rich Excused Smallwood Will Ginal Fields YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection 11:17:52 PM Senators Mullica and Cutter gave closing remarks on the bill. Members of the committee gave closing remarks. 11:21:53 PM Motion Refer House Bill 23-1215, as amended, to the Committee on Appropriations. Moved Cutter Seconded Buckner Yes Cutter Yes Jaquez Lewis Yes Mullica Yes Rich Excused Smallwood No Will No Ginal Excused Fields Yes Final YES: 5 NO: 2 EXC: 2 ABS: 0 FINAL ACTION: PASS 11:22:04 PM The committee adjourned.