Bill Summary for Bill Number HB10-1031

Date: 02/11/2010

Final
BILL SUMMARY for HB10-1031

HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

Votes: View-->	Action Taken:
Moved to adopt prepared amendment L.001 (Attachmen Moved to adopt prepared amendment L.002 (Attachmen Moved to adopt prepared amendment L.003 (Attachmen Moved to postpone House Bill 10-1031 indefinitely. Moved to refer House Bill 10-1031, as amended, to	Pass Without Objection Pass Without Objection Pass Without Objection PASS FAIL

01:33 PM -- House Bill 10-1031

Representative McCann presented House Bill 10-1031 which was recommended by the interim Health Care Task Force. She stated that the bill requires the Department of Health Care Policy and Financing to put out an request for proposals (RFP) to administer dental services under Medicaid. She explained that Medicaid provides dental services in cases of emergency situations for eligible adults and children. She referred to a handout in support of the bill (Attachment A). She spoke to the fiscal note and stated that the state will accrue a savings at some point down the road.

01:42 PM -- Dr. Jeff Hurst, Colorado Dental Association, spoke in support of the bill. Dr. Hurst provided a packet of information to the committee (Attachment B). He spoke to the reimbursement methods for dental services in the state. He stated that the state is not a good administrator of the dental services program. He spoke to the number of dental providers who have left the program.

01:58 PM -- Katie Jacobson, Colorado Community Health Network (CCHN), spoke in support of the bill. She stated that CCHN operates approximately 37 health centers across Colorado which provide dental services. She stated that the health centers have seen approximately 8,000 dental patients.

02:03 PM -- Karen Cody Carlson, Dental Aid, spoke in support of the bill. She stated that she is also the Co-chair of Oral Health Awareness Colorado. She concurred with Dr. Hurst's testimony that the money spent to contract with an third party administrator will quickly be recovered due to the savings from the program.

02:09 PM -- Lawless Barrientos, Government Affairs, Comfort Dental, and Dr. Roy Martin, Comfort Dental, spoke in support of the bill. Dr. Martin stated that he owns a private Comfort Dental office which does not accept Medicaid. He stated that they previously accepted Medicaid until about two years ago. He stated that the bill would ease the administrative burden on dental providers.

02:12 PM -- Sue Hayes, Children's North Surgery Center, described her experience in working at an ambulatory surgical center. She stated that the Children's North Surgery Center is a partner of the Children's Hospital which is in opposition to the bill. She stated that the surgery center is concerned with the provision in the bill that requires pre-authorization of any dental surgeries. Ms. Hayes stated that this requirement would create a massive backlog of paperwork.

02:19 PM -- Todd Cruse, Senior Vice President, Forba, spoke in opposition to the bill. He stated that Forba is the largest provider of dental services for Medicaid participants. He stated that Forba is located in several states and he is privy to the various methodologies that each state uses to administer dental services. He stated that contracting with an outside administrator to provide dental services will not save the state money. Responding to Representative Swalm's question, he stated that Colorado is one of the easiest states to work with. He responded to Representative Primavera's question about the recent lawsuit that was settled regarding Small Smiles. Mr. Cruse stated that Small Smiles settled the federal lawsuit and agreed to have additional internal auditing of the company.

02:31 PM -- Marcy Bonnett, Department of Health Care Policy and Financing (DHCPF) and Margaret Mohan, Director, Benefit Management Section, DHCPF, responded to committee questions. A handout was distributed to the committee (Attachment C).

02:39 PM

Representative McCann spoke to the amendments L.001, L.002, and L.003 (Attachments D, E, and F respectively).


BILL:	HB10-1031
TIME:	02:40:40 PM
MOVED:	Kefalas
MOTION:	Moved to adopt prepared amendment L.001 (Attachment D). The motion passed without objection.
SECONDED:	Tyler
		VOTE
	Acree
	Apuan
	Gerou
	Kefalas
	Kerr J.
	Primavera
	Roberts
	Swalm
	Tyler
	Gagliardi
	Riesberg

Not Final YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:	HB10-1031
TIME:	02:42:51 PM
MOVED:	Tyler
MOTION:	Moved to adopt prepared amendment L.002 (Attachment E). The motion passed without objection.
SECONDED:	Gagliardi
		VOTE
	Acree
	Apuan
	Gerou
	Kefalas
	Kerr J.
	Primavera
	Roberts
	Swalm
	Tyler
	Gagliardi
	Riesberg

Not Final YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:	HB10-1031
TIME:	02:43:28 PM
MOVED:	Apuan
MOTION:	Moved to adopt prepared amendment L.003 (Attachment F). The motion passed without objection.
SECONDED:	Gagliardi
		VOTE
	Acree
	Apuan
	Gerou
	Kefalas
	Kerr J.
	Primavera
	Roberts
	Swalm
	Tyler
	Gagliardi
	Riesberg

Not Final YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

02:44 PM

Representative McCann provided concluding remarks to the bill.


BILL:	HB10-1031
TIME:	02:45:36 PM
MOVED:	Apuan
MOTION:	Moved to refer House Bill 10-1031, as amended, to the Committee on Appropriations. The motion failed on a 3-8 roll call vote.
SECONDED:	Kefalas
		VOTE
	Acree	No
	Apuan	Yes
	Gerou	No
	Kefalas	No
	Kerr J.	No
	Primavera	Yes
	Roberts	No
	Swalm	No
	Tyler	Yes
	Gagliardi	No
	Riesberg	No

Not Final YES: 3 NO: 8 EXC: 0 ABS: 0 FINAL ACTION: FAIL


BILL:	HB10-1031
TIME:	02:51:30 PM
MOVED:	Kerr J.
MOTION:	Moved to postpone House Bill 10-1031 indefinitely. The motion passed on a 7-4 roll call vote.
SECONDED:	Acree
		VOTE
	Acree	Yes
	Apuan	No
	Gerou	Yes
	Kefalas	No
	Kerr J.	Yes
	Primavera	No
	Roberts	Yes
	Swalm	Yes
	Tyler	No
	Gagliardi	Yes
	Riesberg	Yes

Final YES: 7 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: PASS