Final
STAFF SUMMARY OF MEETING

HOUSE COMMITTEE ON PUBLIC HEALTH CARE & HUMAN SERVICES

Date:01/28/2014
ATTENDANCE
Time:01:31 PM to 04:07 PM
Conti
*
Everett
X
Place:HCR 0107
Ginal
X
Joshi
X
This Meeting was called to order by
Landgraf
X
Representative Primavera
McCann
X
Schafer
X
This Report was prepared by
Singer
X
Elizabeth Burger
Stephens
X
Tyler
X
Wilson
X
Young
*
Primavera
X
X = Present, E = Excused, A = Absent, * = Present after roll call
Bills Addressed: Action Taken:
HB14-1045
HB14-1051		Referred to Appropriations
Amended, Referred to the Committee of the Whole


01:35 PM -- HB14-1045

Representative Primavera introduced House Bill 14-1045. The bill extends the repeal date by five years for the Breast and Cervical Cancer Prevention Treatment Program (BCCP). The bill also permits a person to receive treatment for breast and cervical cancer through the BCCP if the person was screened by any provider, within his or her scope of practice, who does not receive funds through the Center for Disease Control and Prevention's Detection Program. Finally, the bill permits the BCCP to receive moneys from the sale of the Breast Cancer Awareness License Plates. Representative Primavera responded to questions from the committee regarding the balance of the Breast and Cervical Cancer Prevention and Treatment Fund and the fiscal impact of the bill.

01:46 PM -- Toni Panetta, Susan G. Komen Colorado, testified in support of the bill, stating that the bill is a critical component of providing cancer treatment and diagnostic services to women who are medically underserved. She stated that eligibility for the program is determined by state and federal factors. Ms. Panetta explained that with the expansion of Medicaid and increasing enrollment in health insurance coverage through the exchange, there will be a gradual reduction in the need for the program, but that the need will not be eliminated entirely. She stated that women who are currently enrolled in the program will continue to need treatment, and there will continue to be a population that will be uninsured even with the health care expansions as a result of the Affordable Care Act. She responded to the questions from the committee regarding the income eligibility limit for the program.

01:55 PM

Representative Primavera read the testimony of Ms. Diana Conway, a witness who wasn't able to attend the hearing (Attachment A).

14HsePHS0128AttachA.pdf14HsePHS0128AttachA.pdf

01:57 PM -- Emily Kinsella, Women's Wellness Connection, testified in support of the bill. She provided background on the Women's Wellness Connection (WWC), Colorado's breast and cervical cancer screening program. She relayed statistics regarding the use of the program and discussed the eligibility criteria for the program. She described how WWC clients and women who were not screened at a WWC site are enrolled in Medicaid coverage.

02:02 PM -- MaryKathryn Hurd, Department of Health Care Policy and Financing, distributed a handout to the committee (Attachment B). She responded previous questions from the committee regarding the attrition of the women who are enrolled in the BCCP into the regular Medicaid program.

14HsePHS0128AttachB.pdf14HsePHS0128AttachB.pdf

02:05 PM -- Valerie Baker Easily, Department of Health Care Policy and Financing, testified in support of the bill and described the BCCP. She responded to questions from the committee regarding when BCCP coverage ends, and how a client previously enrolled in the program may obtain treatment if her cancer returns.

02:11 PM -- Rachel Foster, Colorado Community Health Network, testified in support of the bill. She described how community health centers screen women for breast and cervical cancer and enroll those who test positive for cancer into the BCCP. She noted that if the BCCP were to be eliminated, there are few other low-cost alternatives to allow individuals to obtain treatment for breast and cervical cancer. She responded to questions from the committee regarding whether the program is available to individuals who cannot afford private health insurance. She further responded to questions from the committee regarding Medicaid coverage and the insurance products available through the health exchange.

02:22 PM -- Dr. Lauren Miller, American College of Obstetrics and Gynecology and the Colorado Obstetrics and Gynecological Society, testified in support of the bill.

02:23 PM -- R.J. Ours, American Cancer Society Cancer Action Network, testified in support of the bill. He stated that the bill will preserve a critical safety net for thousands of women in Colorado.

02:26 PM

Representative Primavera gave concluding remarks regarding the bill.

02:30 PM -- Josh Block, Budget Director, Department of Health Care Policy and Financing, came to the table to respond to questions from the committee regarding the Breast and Cervical Cancer Prevention and Treatment Fund and the funding for the program. He offered to provide members of the committee with an analysis of the costs of the bill in future years.

BILL:HB14-1045
TIME: 02:34:32 PM
MOVED:Primavera
MOTION:Refer House Bill 14-1045 to the Committee on Appropriations. The motion passed on a vote of 11-2.
SECONDED:Tyler
VOTE
Conti
Yes
Everett
No
Ginal
Yes
Joshi
No
Landgraf
Yes
McCann
Yes
Schafer
Yes
Singer
Yes
Stephens
Yes
Tyler
Yes
Wilson
Yes
Young
Yes
Primavera
Yes
FINAL YES: 11 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS

02:35 PM

The committee took a brief recess.


02:35 PM -- HB14-1051

The committee reconvened. Representatives Schafer and Landgraf introduced House Bill 14-1051. The bill requires the Department of Health Care Policy and Financing to develop a strategic plan for enrolling all eligible person with intellectual and developmental disabilities into home- and community-based services at the time enrollment is requested. The strategic plan must be submitted to the General Assembly and presented to the Joint Budget Committee on or before December 1, 2014. Amendments L.001, L.002, and L.003 were distributed to the committee (Attachments C, D, and E).

14HsePHS0128AttachC.pdf14HsePHS0128AttachC.pdf 14HsePHS0128AttachD.pdf14HsePHS0128AttachD.pdf 14HsePHS0128AttachE.pdf14HsePHS0128AttachE.pdf

02:55 PM -- MaryKathryn Hurd, Department of Health Care Policy and Financing, testified in support of the bill.

02:58 PM -- Barbara Ramsey, Department of Health Care Policy and Financing, testified in support of the bill.

03:05 PM -- David Ervin, The Resource Exchange and Alliance, testified in support of the bill. He responded to questions from the committee regarding the waiting list for services for individuals with developmental disabilities.

03:14 PM -- Chris Collins, Alliance, testified in support of the bill.

03:17 PM -- Marijo Rymer, The Arc of Colorado, testified in support of the bill. She responded to questions from the committee regarding the waiting lists for services for individuals with developmental disabilities. The committee discussed the waiting list for the Children with Autism Medicaid waiver.

03:33 PM -- Frank Taylor, representing himself, testified regarding the bill.

03:37 PM -- Darla Stuart, Arc of Aurora and Colorado Cross Disability Coalition, testified in support of the bill. She suggested amendments to the bill to add more specificity to the stakeholders who are included in the discussions regarding the strategic plan and urged the committee to include a broad representation of individuals from regions throughout the state in the development of the plan.

03:41 PM -- Vrinda Noel, representing herself, described her work with individuals with developmental disabilities. She testified in support of the bill, but expressed hope that the process of developing the strategic plan could be more inclusive. She responded to questions from the committee regarding Program-approved Service Agencies. She responded to additional questions from the committee. She introduced her clients.

03:55 PM -- Jeremiah Stanfield, representing himself, stated his willingness to be a part of the discussions on issues concerning individuals with developmental disabilities going forward. Representative Schafer discussed amendments to the bill.
BILL:HB14-1051
TIME: 03:57:14 PM
MOVED:Landgraf
MOTION:Adopt amendment L.001 (Attachment C). The motion passed without objection.
SECONDED:Young
VOTE
Conti
Everett
Ginal
Joshi
Landgraf
McCann
Schafer
Singer
Stephens
Tyler
Wilson
Young
Primavera
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:HB14-1051
TIME: 03:59:45 PM
MOVED:Schafer
MOTION:Adopt amendment L.002 (Attachment D). The motion passed without objection.
SECONDED:Stephens
VOTE
Conti
Everett
Ginal
Joshi
Landgraf
McCann
Schafer
Singer
Stephens
Tyler
Wilson
Young
Primavera
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection
BILL:HB14-1051
TIME: 04:01:21 PM
MOVED:Young
MOTION:Adopt amendment L.003 (Attachment E). The motion passed without objection.
SECONDED:Schafer
VOTE
Conti
Everett
Ginal
Joshi
Landgraf
McCann
Schafer
Singer
Stephens
Tyler
Wilson
Young
Primavera
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


04:04 PM

Representatives Schafer and Landgraf gave concluding remarks regarding the bill.
BILL:HB14-1051
TIME: 04:06:06 PM
MOVED:Landgraf
MOTION:Refer House Bill 14-1051, as amended, to the Committee of the Whole. The motion passed on a vote of 13-0.
SECONDED:Schafer
VOTE
Conti
Yes
Everett
Yes
Ginal
Yes
Joshi
Yes
Landgraf
Yes
McCann
Yes
Schafer
Yes
Singer
Yes
Stephens
Yes
Tyler
Yes
Wilson
Yes
Young
Yes
Primavera
Yes
FINAL YES: 13 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS


04:07 PM

The committee adjourned.