House Committee on Public Health Care & Human Services (01/20/2015)

Final
STAFF SUMMARY OF MEETING

HOUSE COMMITTEE ON PUBLIC HEALTH CARE & HUMAN SERVICES

Date:	01/20/2015	ATTENDANCE

Time:	01:30 PM to 03:59 PM	Conti	X
		Danielson	X
Place:	HCR 0107	Everett	*
		Ginal	X
This Meeting was called to order by		Joshi	X
	Representative Primavera	Keyser	X
		Landgraf	X
This Report was prepared by		Melton	X
	Elizabeth Burger	Moreno	X
		Tyler	X
		Windholz	X
		Singer	X
		Primavera	X
		X = Present, E = Excused, A = Absent, * = Present after roll call

Bills Addressed:		Action Taken:
Presentation on Aging HB15-1039 HB15-1023		Witness Testimony and/or Committee Discussion Only Amended, Referred to the Committee of the Whole Referred to Appropriations

01:31 PM -- Presentation on Aging

Representative Primavera called the committee to order. She distributed a memorandum to the committee outlining her procedures for committee operations and reviewed the memorandum with the committee (Attachment A).

150120 AttachA.pdf

01:36 PM

Bob Semro, Bell Policy Center, introduced himself and distributed two handouts to the committee (Attachments B and C). He discussed the increase in the state's aging population, which is estimated to increase by 123 percent between 2010 and 2030. He explained that by 2040, Colorado residents aged 65 and older will represent 19 percent of Colorado's total population. He specifically focused on the portion of the population over the age of 80 and the services these individuals require.

150120 AttachB.pdf

150120 AttachC.pdf

01:41 PM

Mr. Semro discussed the increase in the number of Coloradoans with Alzheimer's Disease. He further discussed how the Medicaid program finances coverage for long-term care and the amount of care that is provided by family members and other informal caregivers. He discussed surveys regarding the financial security of the baby boomer and retiree population and continued by discussing the potential impact of Colorado's aging population on state revenues and the state budget.

01:55 PM

Mr. Semro emphasized the impact of the aging population on the state's budget, and the need to plan for and address the impact of aging Coloradans. He responded to questions from the committee regarding demographics of residents of nursing homes, nursing home lengths-of-stay, and the impact of the aging population on the state's budget.

02:09 PM

Jayla Sanchez-Warren, Director of the Area of Aging for the Denver Regional Council of Governments (DRCOG), distributed two handouts to the committee (Attachments D and E). She described the services provided by area agencies on aging (AAAs). She noted most DRCOG clients are not on Medicaid, and AAAs provide transportation, nutrition, personal care, respite, legal, in-home, and health promotion services. She noted that many of the services provided in the Denver area have waiting lists. Ms. Sanchez-Warren described the nursing home ombudsman program. She further described the services provided by AAAs that allow people to stay in their homes and reduce health care costs. Ms. Sanchez-Warren further discussed the Boomer Bond program, which is a program to facilitate local dialogue and planning to address the aging population.

150120 AttachD.pdf

150120 AttachE.pdf

02:21 PM

Ms. Sanchez-Warren discussed the increasing rents in the Denver area and how that is affecting older adults. She responded to questions from the committee regarding impediments to increasing the number of low-cost housing units in the region, culturally competent care, and the services provided by the AAAs.

02:29 PM -- HB 15-1039

Representative Tyler introduced House Bill 15-1039. The bill makes changes to current law allowing medical providers to donate medications, medical supplies, and medical devices. Specifically, the amendment allows donated medications, devices, and supplies to be used for purposes other than disaster relief, specifies that donated medication, supplies, and devices cannot be resold, and grants immunity to those who donate and receive the medications, devices, and supplies. Representative Tyler distributed amendment L.001 (Attachment F). Representative Tyler responded to questions from the committee regarding tracking procedures for drugs that are donated. He further responded to questions from the committee regarding the entities that would be eligible to receive the donated medications under the bill, and procedures to prevent the resale of the donated medications. He further responded to questions about whether the bill could potentially impact state revenues by causing an impact in deductible charitable donations.

150120 AttachF.pdf

02:41 PM -- Joe Schieffelin, Colorado Department of Public Health and Environment, testified in support of the bill. He discussed the department's efforts to ensure that health care facilities are using correct disposal methods for prescription medications, and noted that the bill addresses the department's efforts to reduce the supply of drugs that must be destroyed. He described the changes made by the bill, and stated it is not the intent of the bill to allow donated supplies and medication to be sold for profit. He addressed amendment L.001 (Attachment F), stating his support of the amendment.

02:45 PM -- Randy Kuyrkendall, Colorado Department of Public Health and Environment, testified that the bill broadens the definition of health care facilities to allow additional facilities to participate in the donation program. He responded to questions from the committee regarding state licensing of health care facilities, how the resale of medications donated pursuant to the bill will be prevented, and current law's requirement that donated medication bear an expiration date that is later than six months after the date the drug was donated.

02:53 PM -- Kiah Williams, Supporting Initiatives to Redistribute Unused Medicine (SIRUM), described SIRUM's mission to connect unused medications with individuals who are in need and spoke in support of the bill. She stated that there currently is only one pharmacy in Colorado that accepts and redistributes donated medications. She stated that the bill will increase access to medicine for vulnerable Coloradans, will reduce medicine acquisition costs for Colorado's health safety net providers, and ultimately will lower health care costs. She explained the provisions of amendment L.001 (Attachment F). She responded to questions from the committee regarding the chain of custody of donated medications.

03:02 PM -- Jim Beicker, Fremont County Sheriff, testified in support of the bill. He state that the bill will allow criminal justice-related health care providers to reuse medications in certain circumstances, which will reduce health care costs for county jails. He responded to questions from the committee regarding whether county jails allow individuals who are being released to take their unused medications with them.

03:10 PM -- Jennifer Miles, Colorado Community Health Network, testified in support of the bill. She spoke regarding the individuals who receive services through community health centers.

03:13 PM

Representative Tyler explained that amendment L.002 (Attachment G) is a replacement for L.001 (Attachment F).


BILL:	HB15-1039
TIME:	03:13:19 PM
MOVED:	Tyler
MOTION:	Adopt amendment L.002 (Attachment G). The motion passed without objection.
SECONDED:	Singer
		VOTE
	Conti
	Danielson
	Everett
	Ginal
	Joshi
	Keyser
	Landgraf
	Melton
	Moreno
	Tyler
	Windholz
	Singer
	Primavera

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

150120 AttachG.pdf

03:15 PM

Representative Tyler gave concluding remarks regarding the bill.


BILL:	HB15-1039
TIME:	03:17:12 PM
MOVED:	Tyler
MOTION:	Refer House Bill 15-1039, as amended, to the Committee of the Whole. The motion passed on a vote of 13-0.
SECONDED:	Singer
		VOTE
	Conti	Yes
	Danielson	Yes
	Everett	Yes
	Ginal	Yes
	Joshi	Yes
	Keyser	Yes
	Landgraf	Yes
	Melton	Yes
	Moreno	Yes
	Tyler	Yes
	Windholz	Yes
	Singer	Yes
	Primavera	Yes

Final YES: 13 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

03:18 PM -- HB 15-1023

Representative Lontine introduced House Bill 15-1023. The bill changes the age ranges of children who can be served in a day treatment center. She described day treatment centers, noting that there are 56 centers throughout the state. Day treatment centers serve children who are in the state's custody and those who are ordered by a court to attend the facility. Children can also be referred by school districts. Representative Lontine explained that children who are referred by school districts may only receive services to age 18, while the other children may receive services to age 21. The bill makes the maximum age range uniform, and the bill is expected to result in fewer than 100 adults receiving additional services at day treatment centers each year.

03:23 PM -- Dr. Skip Barber, Colorado Association of Family and Children's Agencies, testified in support of the bill. He described a history of how children with behavioral and mental health needs have receive services in the state and the evolution of the day treatment model. He discussed the rationale behind increasing the maximum age of children that can be served in day treatment centers. He responded to questions from the committee regarding funding for day treatment centers.

03:38 PM -- Valerie Saiz, Laradon, testified in support of the bill. She described her family's experience receiving services at Laradon, and explained that the bill will allow her son to continue to receive services at Laradon.

03:46 PM -- Annie Green, Laradon, testified in support bill. She described Laradon's programs, and explained Laradon's funding model. She noted that Laradon stopped serving children who were over age 18 once the Department of Human Services determined the school was violating existing statute. She explained that five students were affected, and she described the outcomes for these students after they left Laradon's program. Ms. Green responded to questions from the committee about services available to adults with behavioral issues and developmental disabilities after they age out of the educational system.

03:53 PM

Representative Melton distributed amendment L.001 (Attachment H).

150120 AttachH.pdf


BILL:	HB15-1023
TIME:	03:54:58 PM
MOVED:	Melton
MOTION:	Adopt amendment L.001 (Attachment H). The amendment was withdrawn.
SECONDED:	Everett
		VOTE
	Conti
	Danielson
	Everett
	Ginal
	Joshi
	Keyser
	Landgraf
	Melton
	Moreno
	Tyler
	Windholz
	Singer
	Primavera

YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: WITHDRAWN

03:57 PM

Representative Lontine gave concluding remarks regarding the bill.


BILL:	HB15-1023
TIME:	03:58:03 PM
MOVED:	Landgraf
MOTION:	Refer House Bill 15-1023 to the Committee on Appropriations. The motion passed on a vote of 13-0.
SECONDED:	Ginal
		VOTE
	Conti	Yes
	Danielson	Yes
	Everett	Yes
	Ginal	Yes
	Joshi	Yes
	Keyser	Yes
	Landgraf	Yes
	Melton	Yes
	Moreno	Yes
	Tyler	Yes
	Windholz	Yes
	Singer	Yes
	Primavera	Yes

Final YES: 13 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: PASS

03:59 PM

The committee adjourned.