House Committee on Health, Insurance & Environment (04/30/2013)

Final
STAFF SUMMARY OF MEETING

HOUSE COMMITTEE ON HEALTH, INSURANCE & ENVIRONMENT

Date:	04/30/2013	ATTENDANCE

Time:	12:57 PM to 01:46 PM	Conti	*
		Fields	X
Place:	HCR 0107	Ginal	X
		Humphrey	X
This Meeting was called to order by		Joshi	X
	Representative McCann	Primavera	X
		Stephens	*
This Report was prepared by		Swalm	*
	Amanda King	Young	X
		Schafer	X
		McCann	X
		X = Present, E = Excused, A = Absent, * = Present after roll call

Bills Addressed:		Action Taken:
SB13-073 SB13-204 SB13-261		Amended, Referred to the Committee of the Whole Referred to the Committee of the Whole Referred to the Committee of the Whole

12:57 PM -- Senate Bill 13-073

Representative Sonnenberg presented Senate Bill 13-073 concerning a requirement that the Division of Administration of the Department of Public Health and Environment follow rule-making procedures when proposing changes to general permits related to water quality control. The bill requires the Water Quality Control Division in the Department of Public Health and Environment to take certain steps when proposing new or amended requirements affecting water dischargers under Category 7 general permits. Specifically, before approving such requirements, the Water Quality Control Division must:

prepare a statement of basis and purpose;
present supporting evidence;
consider public comment; and
consider a third-party cost-benefit study, if paid for by an affected party.

The bill confers a limited right to appeal to affected parties.

Representative Sonnenberg explained that the bill is a Water Resource Review Committee bill and the issues with the bill were resolved in the Senate. He stated that there is no opposition to the bill. Representative Sonnenberg stated that Stephanie Fancher of Loveland Ready Mix Concrete was available to testify on the bill, but that he would be amenable to proceeding directly to action on the bill. Representative Sonnenberg discussed amendment L.004 (Attachment A).

130430 AttachA.pdf

BILL: SB13-073

TIME: 12:58:52 PM

MOVED: McCann

MOTION: Adopt amendment L.004 (Attachment A). The motion passed without objection.

SECONDED: Fields

VOTE

Conti
Excused

Fields

Ginal

Humphrey

Joshi

Primavera

Stephens
Excused

Swalm
Excused

Young

Schafer

McCann

YES: 0 NO: 0 EXC: 3 ABS: 0 FINAL ACTION: Pass Without Objection

BILL: SB13-073

TIME: 12:59:24 PM

MOVED: McCann

MOTION: Refer Senate Bill 13-073, as amended, to the Committee of the Whole. The motion passed on a vote of 9-0, with 2 members excused.

SECONDED: Schafer

VOTE

Conti
Excused

Fields
Yes

Ginal
Yes

Humphrey
Yes

Joshi
Yes

Primavera
Yes

Stephens
Excused

Swalm
Yes

Young
Yes

Schafer
Yes

McCann
Yes

Final YES: 9 NO: 0 EXC: 2 ABS: 0 FINAL ACTION: PASS

01:01 PM -- Senate Bill 13-204

Representative Primavera and Representative Young presented Senate Bill 13-204. The bill adds two members to the Colorado State Board of Chiropractic Examiners, increasing total board membership to seven members. Of the two new members, one member must be a practicing chiropractor in Colorado and the other must be a member of the public. Thus, under the bill, the board will be made up of five practicing chiropractors and two members of the public.

01:02 PM -- Vineta Campau, Colorado Chiropractic Association, testified in support of the bill. She discussed the change to the membership of the Colorado State Board of Chiropractic Examiners and responded to a questions about the additional members added by the bill.

01:04 PM

Representative Young made concluding remarks on the bill.

BILL: SB13-204

TIME: 01:04:33 PM

MOVED: Young

MOTION: Refer Senate Bill 13-204 to the Committee of the Whole. The motion passed on a vote of 7-3, with one member excused.

SECONDED: Primavera

VOTE

Conti
Excused

Fields
Yes

Ginal
Yes

Humphrey
No

Joshi
No

Primavera
Yes

Stephens
Yes

Swalm
No

Young
Yes

Schafer
Yes

McCann
Yes

Final YES: 7 NO: 3 EXC: 1 ABS: 0 FINAL ACTION: PASS

01:06 PM -- Senate Bill 13-261

Representative McCann presented Senate Bill 13-261 concerning the restructuring of the oral health programs administered by the Department of Public Health and Environment. The bill creates the Oral Health Community Grants Program in the Department of Public Health and Environment. Subject to available appropriations, the department will award grants for:

school-based and school-linked programs to prevent tooth decay, targeting children who are eligible for free and reduced-price lunches or who attend school in a school district with a median household income at or below 235 percent of the federal poverty level;
water supply systems to implement or monitor fluoridation practices; and
other evidence-based programs that promote oral health.

The bill replaces existing statutes concerning the Children's Dental Assistance Program, nonprofit dental services for elderly and disabled, and grants for fluoridation of community water supplies. A provision states the intent of the General Assembly to appropriate no General Fund moneys to these current programs is repealed.

Representative McCann responded to questions about the grant funding for the oral health programs included in the bill and whether any of the programs included in the bill will research and review health concerns about water fluoridation.

01:17 PM -- Karen Cody Carlson, Oral Health Colorado, testified in support of the bill. She discussed in-school oral health programs and the correlation between poverty and dental disease. Ms. Carlson responded to questions about a possible grant from Oral Health Colorado to develop a sustainable model for the school-based oral health care program and whether any child could take advantage of an in-school oral health program.

01:22 PM -- Marley Hamrick, Colorado Children's Campaign, testified in support of the bill. She discussed tooth decay in children. Ms. Hamrick responded to a question about the future of the programs outlined in the bill.

01:26 PM -- Dr. Katya Mauritson and Eliza Park, Department of Public Health and Environment, testified in support of the bill. Dr. Mauritson discussed medical expenses for dental services, water quality, and fluoridation. Ms. Park discussed the funding for the grant programs outlined in the bill. Ms. Park stated the school-based oral health programs will not interfere with the dental benefit provided by the Child Health Plan Plus Program. Ms. Park responded to a question about the obsolete provisions that are being repealed by the bill. Dr. Mauritson responded to questions about the populations that would be served under the program. Ms. Park and Dr. Mauritson responded to a question about education and outreach efforts to parents about oral health and fluoridation. Dr. Mauritson responded to questions about the public-private partnerships with dentists to provide dental care in schools.

01:37 PM -- Dr. Quinn Dufurrena, Colorado Dental Association, testified in support of the bill. He discussed sealants and fluoridation. Dr. Dufurrena responded to a question about the benefits and risks of water fluoridation.

01:40 PM -- Haven Brodeur, representing himself, discussed his need for basic dental coverage. He then stated his comments were directed toward another bill that would be discussed by the House Public Health Care and Human Services Committee.

01:42 PM

Representative McCann discussed the discontinuation of community fluoridations programs due to cost. She discussed the differences between the dental services provided under the Child Health Plan Plus Program and those that will provided through the Department of Public Health and Environment.


BILL:	SB13-261
TIME:	01:44:29 PM
MOVED:	McCann
MOTION:	Refer Senate Bill 13-261 to the Committee of the Whole. The motion passed on a vote of 8-3.
SECONDED:	Fields
		VOTE
	Conti	Yes
	Fields	Yes
	Ginal	Yes
	Humphrey	No
	Joshi	No
	Primavera	Yes
	Stephens	Yes
	Swalm	No
	Young	Yes
	Schafer	Yes
	McCann	Yes

Final YES: 8 NO: 3 EXC: 0 ABS: 0 FINAL ACTION: PASS

01:45 PM

The committee adjourned.


BILL:	SB13-073
TIME:	12:58:52 PM
MOVED:	McCann
MOTION:	Adopt amendment L.004 (Attachment A). The motion passed without objection.
SECONDED:	Fields
		VOTE
	Conti	Excused
	Fields
	Ginal
	Humphrey
	Joshi
	Primavera
	Stephens	Excused
	Swalm	Excused
	Young
	Schafer
	McCann

YES: 0 NO: 0 EXC: 3 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:	SB13-204
TIME:	01:04:33 PM
MOVED:	Young
MOTION:	Refer Senate Bill 13-204 to the Committee of the Whole. The motion passed on a vote of 7-3, with one member excused.
SECONDED:	Primavera
		VOTE
	Conti	Excused
	Fields	Yes
	Ginal	Yes
	Humphrey	No
	Joshi	No
	Primavera	Yes
	Stephens	Yes
	Swalm	No
	Young	Yes
	Schafer	Yes
	McCann	Yes

Final YES: 7 NO: 3 EXC: 1 ABS: 0 FINAL ACTION: PASS