Date: 04/23/2013

Final
BILL SUMMARY for HB13-1309

HOUSE COMMITTEE ON PUBLIC HEALTH CARE & HUMAN SERVICES

Votes: View--> Action Taken:
Adopt amendment L.003 (Attachment A). The motion p
Refer House Bill 13-1309, as amended, to the Commi		Pass Without Objection
PASS



01:35 PM -- House Bill 13-1309

Representative Primavera, sponsor, presented House Bill 13-1309 concerning health insurance coverage for preventive breast imaging. A mammogram is one type of breast imaging used for screening and diagnostic purposes and is a mandatory coverage provision for insurance policies regulated by state law. For individuals with at least one risk factor for breast cancer, this bill expands insurance coverage to include all types of breast imaging. The applicable risk factors include:

• having a family history of breast cancer;
• being 40 or older;
• presenting with symptoms; or
• having a genetic predisposition to breast cancer.

Under the bill, insurance coverage for breast imaging is not subject to policy deductibles, co-payments, or coinsurance. Under current law, if a policy issued in another state (home state) covers mammography, all complaints on that policy are under the jurisdiction of the home state. This bill changes that exception to require policies written in another state to have comparable coverage for breast imaging for complaints to fall under the jurisdiction of the home state.

Representative Primavera discussed her experience as a breast cancer survivor and the various types of breast imaging. She distributed amendment L.003 to the committee (Attachment A).

130423 AttachA.pdf130423 AttachA.pdf

01:46 PM

Representative Primavera responded to questions from the committee regarding the effect of the bill on health insurance premiums and genetic predispositions toward breast cancer. She distributed a letter of support from the Colorado Radiological Society (Attachment B).

130423 AttachB.pdf130423 AttachB.pdf

01:48 PM -- Marc Reece, representing the Colorado Association of Health Plans, testified against the bill. He stated that many health plans do currently cover breast imaging. Mr. Reece discussed cost-sharing and federal health care reform.

02:03 PM

Mr. Reece responded to questions from the committee regarding health insurance premiums under the Affordable Care Act. Representative Primavera commented on cost-sharing in health insurance.

02:13 PM

Mr. Reece responded to questions from the committee regarding reimbursement ratios to providers for breast imaging, colonoscopies, and other cancer screenings.

02:20 PM -- Dr. Jerome Schroeder, representing breast imaging radiologists testified in support of the bill. He discussed breast cancer survival rates and the different types of breast screenings.

02:29 PM -- Travis Berry, representing Colorado Competitive Council, testified against the bill. He stated that insurance mandates tend to raise health insurance premiums. Mr. Berry responded to questions from the committee regarding how the bill would affect the state health benefit exchange. Representative Primavera responded to questions from the committee regarding utilization rates and stated that the amendment addresses medically necessary testing.

02:36 PM

Mr. Reece returned to the table and responded to questions from the committee regarding actuarial analysis of the bill's effect on state employee health plans.

02:41 PM -- Joanne Vermeulen, representing Susan G. Komen for the Cure, testified in support of the bill. She distributed a letter about cancer treatment costs to the committee (Attachment C). Ms. Vermeulen responded to questions from the committee regarding insurance premiums and deductibles.

130423 AttachC.pdf130423 AttachC.pdf

02:50 PM -- R.J. Ours, representing the American Cancer Society and the Cancer Action Network, testified in support of the bill.

02:53 PM -- Kathleen Cady, representing Susan G. Komen for the Cure, testified in support of the bill.

02:55 PM -- Nicole Davis, representing herself as a breast cancer survivor, testified in support of the bill. She described her experience with breast cancer, misdiagnoses, and the multiple screenings she went through.

03:02 PM

Representative Primavera concluded her presentation on House Bill 13-1309. She described amendment L.003. The committee discussed the amendment and the cost of the screenings to private insurers.

BILL:HB13-1309
TIME: 03:02:39 PM
MOVED:Primavera
MOTION:Adopt amendment L.003 (Attachment A). The motion passed without objection.
SECONDED:McCann
VOTE
Conti
Everett
Joshi
Landgraf
May
McCann
Schafer
Singer
Stephens
Tyler
Wilson
Young
Primavera
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:HB13-1309
TIME: 03:03:42 PM
MOVED:Primavera
MOTION:Refer House Bill 13-1309, as amended, to the Committee on Appropriations. The motion passed on a vote of 7-6.
SECONDED:Schafer
VOTE
Conti
No
Everett
No
Joshi
No
Landgraf
No
May
Yes
McCann
Yes
Schafer
Yes
Singer
Yes
Stephens
No
Tyler
Yes
Wilson
No
Young
Yes
Primavera
Yes
Final YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS