Bill Summary for Bill Number HB06-1045

Date: 01/23/2006

Final
BILL SUMMARY for HB06-1045

HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

Votes: View-->	Action Taken:
Adopt L.001 (Attachment A). The motion passed wit Adopt L.003 (Attachment B), as amended. The motio Adopt L.004 (Attachment C). The motion passed with Adopt L.005 (Attachment D). The motion passed 9-4 Refer the bill, as amended, to the Committee on Ap Substitute motion to adopt L.006 (Attachment G). Substitute motion to adopt L.007 (Attachment H).	Pass Without Objection Pass Without Objection Pass Without Objection PASS PASS FAIL FAIL

01:41 PM -- House Bill 06-1045

Representative McCluskey, sponsor, presented the bill regarding reporting of hospital-acquired infections. He distributed three amendments: L.001, L.003, and L.004 (Attachments A, B, and C). Representative Cloer distributed amendment L.005 (Attachment D). Representative McCluskey discussed differences between HB 1045 and a similar bill that was postponed indefinitely in 2005. These differences include the qualifications of persons reporting data, the types of facilities reporting data, and the due date of the legislative report. Representative McCluskey discussed costs associated with hospital-acquired infections and described the provisions of his amendments. He answered questions about the National Healthcare Safety Network, criteria for infections targeted by the bill, the bill's applicability to health clinics, and use of the term "health facility." He stated the term was adopted in response to a request from an interested party.

The following persons testified.

02:01 PM -- Janet Stephens, Colorado Health and Hospital Association (CHA), spoke in favor of the bill. She stated CHA is committed to controlling infections and improving patient safety. She discussed CHA's support for use of the term "health facility." She discussed requirements for certification of infection reporting personnel and the burden that may place on rural facilities. She answered questions about smaller health facilities and distributed a summary document to members (Attachment E).

02:09 PM -- Laurie Griffith, Denver Health and Hospital, discussed her experience as a infection reporting professional. She stated legislation should support improved health services. She answered questions about infection control measures taken by health care facilities. Representative Berens read portions of the bill's fiscal note regarding reduced infections rates through data reporting. Ms. Griffith discussed the importance of specific strategies for reducing infection rates.

02:25 PM -- David Cassidy, citizen, discussed his experience losing a loved one who had been hospitalized and acquired an infection. He discussed the benefits associated with reporting rates of hospital-acquired infection. Representative Stafford discussed hospital-acquired infection and her belief that it prevents donation of the deceased's organs.

02:32 PM -- Ellen Parri, Colorado Ambulatory Surgery Centers Association (CASCA), described the bill as making significant strides toward reducing hospital-acquired infections. She discussed CASCA's efforts to report accurate and reliable infection data. Representative McCluskey answered questions about the experience and training of data collection and reporting personnel.

02:38 PM -- Dr. Connie Price, Denver Health and Colorado Health and Hospital Association, stated Denver Health's support of the bill. She discussed difficulties health facilities may face in hiring certified infection data professionals. She described specific qualifications of such professionals. These include two years of experience in infection control. Dr. Price discussed the importance of process measures in controlling infections.

02:49 PM -- Mike Kingsbury, SEIU Nurse Alliance of Colorado, discussed the numbers of hospital-acquired infections per year and the increased costs associated with infections. He stated public disclosure of infection data is the first step toward controlling rates. He distributed a copy of his testimony to members (Attachment F).

02:56 PM -- Carrie Curtiss, Colorado Consumer Health Initiative, spoke in support of the bill.

02:56 PM -- Rex Wilmouth, Colorado Public Interest Research Group (CoPIRG), stated CoPIRG supports the bill because it will make available information to help consumers make better decisions.

02:58 PM -- Susan Dolan, Children's Hospital and Association for Professionals in Infection Control, described definitions used in the bill as ones used by the federal Centers for Disease Control and Infection. She described certification and eligibility requirements for infection control professionals and waiver options available to certain professionals (e.g., rural professionals). She listed five locations where professionals can take their certification tests. She discussed the important link between data reporting and infection control process measures. She answered questions about waivers for educational standards for certified infection control personnel. Representative Lundberg discussed education and training requirements for professionals involved in infection control. Ms. Dolan discussed requirements placed on licensed health facilities.

03:16 PM -- Ellen Parri returned to the table to address questions about how the bill and its certification requirements might affect ambulatory surgical centers. She stated the work experience requirements will be a burden on surgery centers and some rural hospitals. She described infection control requirements for surgery centers.

03:21 PM -- Susan and Toni Zalatan, citizens, came to the table to testify together. Ms. Zalatan described their experience with a hospital-acquired infection. She described the bill as important consumer protection legislation.

03:34 PM

Representative McCluskey made concluding remarks. He stated costs associated with the bill are outweighed by the benefits. He answered questions about amendments offered on the bill. Amendments L.006 and L.007 were distributed by Representative Stafford (Attachments G and H).


BILL:	HB06-1045
TIME:	03:38:49 PM
MOVED:	Cloer
MOTION:	Adopt L.001 (Attachment A). The motion passed without objection.
SECONDED:	Frangas
		VOTE
	Berens
	Clapp
	Cloer
	Green
	Lundberg
	McGihon
	Riesberg
	Soper
	Stafford
	Sullivan
	Weissmann
	Frangas
	Boyd
Not Final YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

03:40 PM

Representatives Reisberg and Weissman moved and seconded L.003. Representatives Stafford and Sullivan moved a substitute motion to adopt L.007. Representative McCluskey discussed costs associated with hospital-acquired infections. Members discussed the amendments.


BILL:	HB06-1045
TIME:	03:47:04 PM
MOVED:	Stafford
MOTION:	Substitute motion to adopt L.007 (Attachment H). The motion failed 5-8.
SECONDED:	Sullivan
		VOTE
	Berens	No
	Clapp	Yes
	Cloer	Yes
	Green	No
	Lundberg	Yes
	McGihon	No
	Riesberg	No
	Soper	No
	Stafford	Yes
	Sullivan	Yes
	Weissmann	No
	Frangas	No
	Boyd	No
Not Final YES: 5 NO: 8 EXC: 0 ABS: 0 FINAL ACTION: FAIL


BILL:	HB06-1045
TIME:	03:47:59 PM
MOVED:	Riesberg
MOTION:	Adopt L.005 (Attachment D). The motion passed 9-4.
SECONDED:	Weissmann
		VOTE
	Berens	No
	Clapp	Yes
	Cloer	Yes
	Green	No
	Lundberg	Yes
	McGihon	Yes
	Riesberg	No
	Soper	No
	Stafford	Yes
	Sullivan	Yes
	Weissmann	Yes
	Frangas	Yes
	Boyd	Yes
Not Final YES: 9 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: PASS


BILL:	HB06-1045
TIME:	03:50:23 PM
MOVED:	Stafford
MOTION:	Substitute motion to adopt L.006 (Attachment G). The motion failed 6-7.
SECONDED:	Lundberg
		VOTE
	Berens	Yes
	Clapp	Yes
	Cloer	Yes
	Green	No
	Lundberg	Yes
	McGihon	No
	Riesberg	No
	Soper	No
	Stafford	Yes
	Sullivan	Yes
	Weissmann	No
	Frangas	No
	Boyd	No
Not Final YES: 6 NO: 7 EXC: 0 ABS: 0 FINAL ACTION: FAIL


BILL:	HB06-1045
TIME:	03:55:05 PM
MOVED:	Riesberg
MOTION:	Adopt L.003 (Attachment B), as amended. The motion passed without objection.
SECONDED:	Weissmann
		VOTE
	Berens
	Clapp
	Cloer
	Green
	Lundberg
	McGihon
	Riesberg
	Soper
	Stafford
	Sullivan
	Weissmann
	Frangas
	Boyd
Not Final YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:	HB06-1045
TIME:	03:55:36 PM
MOVED:	Boyd
MOTION:	Adopt L.004 (Attachment C). The motion passed without objection.
SECONDED:	Cloer
		VOTE
	Berens
	Clapp
	Cloer
	Green
	Lundberg
	McGihon
	Riesberg
	Soper
	Stafford
	Sullivan
	Weissmann
	Frangas
	Boyd
Not Final YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


BILL:	HB06-1045
TIME:	03:56:12 PM
MOVED:	Boyd
MOTION:	Refer the bill, as amended, to the Committee on Appropriations. The motion passed 12-1.
SECONDED:	Frangas
		VOTE
	Berens	Yes
	Clapp	Yes
	Cloer	Yes
	Green	Yes
	Lundberg	No
	McGihon	Yes
	Riesberg	Yes
	Soper	Yes
	Stafford	Yes
	Sullivan	Yes
	Weissmann	Yes
	Frangas	Yes
	Boyd	Yes
Final YES: 12 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS

03:57 PM

The committee recessed.