Bill Summary for Bill Number Health Care Task Force

Date: 10/16/2006

Final
Health Care Task Force

COMMITTEE ON LEGISLATIVE COUNCIL

Votes: View-->	Action Taken:
Moved to approve Bill A and Bill B. The motion pa Moved to approve Bill C. The motion passed on an Moved to approve Bill D. The motion passed on a 1 Moved to approve Bill E. The motion passed on a 1 Moved to approve Bill F. The motion passed on a 1 Moved to approve Bill G. The motion passed on a 9 Moved to approve Bill H. The motion passed withou	Pass Without Objection PASS PASS PASS PASS PASS Pass Without Objection

10:22 AM -- Health Care Task Force

Representative Frangas, chair of the Health Care Task Force, came to the table to present the bills from the task force. He described the work of the task force over the interim and noted that the bills do not address every issue heard by the task force.

10:23 AM

Representative Frangas described Bill A, which concerns a prescription drug consumer information and technical assistance program. He explained the program, noting it is based on a program in Wyoming. He said it improves patient outcomes. Representative Frangas responded to a question from Senator Spence regarding physician liability.

10:25 AM

Representative Frangas described Bill B, which concerns transfer of the electronic prescription drug monitoring program from the Department of Regulatory Agencies to the Department of Public Health and Environment. He described the need for the bill, and explained the how the program works. Representative Frangas responded to a question from Senator Spence regarding why the transfer to the Department of Public Health and Environment is needed.

10:27 AM

Representative Frangas described Bill C, which addresses health care needs in rural areas of the state. He explained that the bill allows the Division of Insurance to conduct a study on what drives health care costs in the Pueblo area. He described two grant programs created by the bill and described how the bill modifies the Nursing Teacher Loan Forgiveness Pilot Program. He said the bill is based on extensive testimony before the task force. Representative Frangas responded to questions from Senator Spence regarding the singling out of the Pueblo area in the bill. He said the bill is not meant to be exclusive. Senator Spence asked follow-up questions about the other provisions of the bill. Representative Frangas described the intent of the bill in addressing rural health care issues. President Fitz-Gerald provided comments to Senator Spence's questions, noting there are issues of access as well as of cost in the Pueblo area.

10:33 AM

Representative Frangas described Bill D, which concerns measures to enhance the profession of advance practice nursing. He described the provisions of the bill, which allow advance practice nurses to do a number of things not currently allowed in law. Representative Frangas responded to a question from Senator Spence regarding the qualifications of an advance practice nurse. Senator Spence asked follow-up questions about how the bill impacts quality of care. Representative Frangas responded, describing some testimony on the topic heard by the task force. Representative May commented on advance practice nurses, noting they provide care in rural areas that is not otherwise available.

10:36 AM

Representative Frangas described Bill E, which concerns access to health insurance. He noted the bill is a comprehensive one that attempts to address a number of issues heard by the committee. He described testimony heard by the task force on small business health insurance challenges. Representative Frangas explained the provisions of the bill. He said the bill addresses the issue of the number of eligible people who are not enrolled in Medicaid and the Children's Basic Health Plan (CHP+). Representative Frangas described how the bill addresses premium subsidies. He responded to questions from the committee, including one from Senator Johnson about the fiscal impact of expanding CHP+.

10:43 AM

Representative Frangas described Bill F, which extends Medicaid eligibility for children in foster care immediately prior to emancipation. He responded to questions from the committee, noting that the bill increases access for these young people. Representative Harvey asked how many people the bill would impact. Representative Frangas responded, saying that he does not have that number, and noting that the fiscal note will not include a cost-benefit analysis.

10:46 AM

Representative Frangas described Bill G, which concerns nurse staffing levels in hospitals. He said the bill requires hospitals to develop, implement, and file with the Department of Public Health and Environment a staffing plan to include the minimum number of registered nurses, licensed practical nurses, and other personnel providing patient care. He described the other provisions of the bill. Representative Frangas responded to questions from Representative May regarding the charge of the Health Care Task Force and how Bill G fits under that charge. Representative Cadman asks what the bill does for the patient and about current practices and accreditation processes. Representative Frangas responded, noting the bill addresses health care workforces, which is within the committee's charge. Representative Cadman asked for clarification of what problem the bill seeks to address. Representative Frangas responded, relating what was heard in testimony before the task force.

10:55 AM

Conversation between Representatives Frangas and Cadman on these issues continued.

10:55 AM

Representative Frangas described Bill H, which concerns the use of telemedicine. He explained how telemedicine is currently used and described the provisions of the bill, which requires the Department of Health Care Policy and Financing to seek federal authorization for the reimbursement of home health care services and home- and community-based services by home care providers.


BILL:	Health Care Task Force
TIME:	10:57:12 AM
MOVED:	Madden
MOTION:	Moved to approve Bill A and Bill B. The motion passed without objection.
SECONDED:	Tupa
		VOTE
	Butcher	Excused
	Cadman
	Cerbo
	Garcia
	Gordon
	Groff
	Harvey
	Hoppe
	Johnson
	Madden
	May M.
	McElhany
	Spence
	Teck
	Tupa
	Windels
	Fitz-Gerald
	Romanoff
Final YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:	Health Care Task Force
TIME:	10:58:22 AM
MOVED:	Fitz-Gerald
MOTION:	Moved to approve Bill C. The motion passed on an 11-6-1 roll call vote.
SECONDED:	Madden
		VOTE
	Butcher	Excused
	Cadman	No
	Cerbo	Yes
	Garcia	Yes
	Gordon	Yes
	Groff	Yes
	Harvey	No
	Hoppe	No
	Johnson	Yes
	Madden	Yes
	May M.	Yes
	McElhany	No
	Spence	No
	Teck	No
	Tupa	Yes
	Windels	Yes
	Fitz-Gerald	Yes
	Romanoff	Yes
Final YES: 11 NO: 6 EXC: 1 ABS: 0 FINAL ACTION: PASS


BILL:	Health Care Task Force
TIME:	10:59:33 AM
MOVED:	Madden
MOTION:	Moved to approve Bill D. The motion passed on a 13-4-1 roll call vote.
SECONDED:	Groff
		VOTE
	Butcher	Excused
	Cadman	No
	Cerbo	Yes
	Garcia	Yes
	Gordon	Yes
	Groff	Yes
	Harvey	No
	Hoppe	Yes
	Johnson	Yes
	Madden	Yes
	May M.	Yes
	McElhany	No
	Spence	No
	Teck	Yes
	Tupa	Yes
	Windels	Yes
	Fitz-Gerald	Yes
	Romanoff	Yes
Final YES: 13 NO: 4 EXC: 1 ABS: 0 FINAL ACTION: PASS


BILL:	Health Care Task Force
TIME:	11:00:20 AM
MOVED:	Madden
MOTION:	Moved to approve Bill E. The motion passed on a 12-5-1 roll call vote.
SECONDED:	Tupa
		VOTE
	Butcher	Excused
	Cadman	No
	Cerbo	Yes
	Garcia	Yes
	Gordon	Yes
	Groff	Yes
	Harvey	Yes
	Hoppe	Yes
	Johnson	Yes
	Madden	Yes
	May M.	No
	McElhany	No
	Spence	No
	Teck	No
	Tupa	Yes
	Windels	Yes
	Fitz-Gerald	Yes
	Romanoff	Yes
Final YES: 12 NO: 5 EXC: 1 ABS: 0 FINAL ACTION: PASS


BILL:	Health Care Task Force
TIME:	11:01:06 AM
MOVED:	Madden
MOTION:	Moved to approve Bill F. The motion passed on a 10-7-1- roll call vote.
SECONDED:	Tupa
		VOTE
	Butcher	Excused
	Cadman	No
	Cerbo	Yes
	Garcia	Yes
	Gordon	Yes
	Groff	Yes
	Harvey	No
	Hoppe	Yes
	Johnson	No
	Madden	Yes
	May M.	No
	McElhany	No
	Spence	No
	Teck	No
	Tupa	Yes
	Windels	Yes
	Fitz-Gerald	Yes
	Romanoff	Yes
Final YES: 10 NO: 7 EXC: 1 ABS: 0 FINAL ACTION: PASS


BILL:	Health Care Task Force
TIME:	11:01:49 AM
MOVED:	Madden
MOTION:	Moved to approve Bill G. The motion passed on a 9-8-1 roll call vote.
SECONDED:	Tupa
		VOTE
	Butcher	Excused
	Cadman	No
	Cerbo	Yes
	Garcia	Yes
	Gordon	Yes
	Groff	Yes
	Harvey	No
	Hoppe	No
	Johnson	No
	Madden	Yes
	May M.	No
	McElhany	No
	Spence	No
	Teck	No
	Tupa	Yes
	Windels	Yes
	Fitz-Gerald	Yes
	Romanoff	Yes
Final YES: 9 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: PASS


BILL:	Health Care Task Force
TIME:	11:02:33 AM
MOVED:	Madden
MOTION:	Moved to approve Bill H. The motion passed without objection.
SECONDED:	Tupa
		VOTE
	Butcher	Excused
	Cadman
	Cerbo
	Garcia
	Gordon
	Groff
	Harvey
	Hoppe
	Johnson
	Madden
	May M.
	McElhany
	Spence
	Teck
	Tupa
	Windels
	Fitz-Gerald
	Romanoff
Final YES: 0 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: Pass Without Objection