H_HI_2021A 05/19/2021 03:57:21 PM Committee Summary PUBLICSTAFF SUMMARY OF MEETINGHOUSE COMMITTEE ON HEALTH & INSURANCE Date 05/19/2021 Attendance Baisley X Hanks X Jackson * Kennedy X McCormick X McKean * Mullica X Ortiz * Soper * Titone X Williams * Caraveo X Lontine X Time 03:57:21 PM to 12:29:52 AM Place HCR 0112 This Meeting was called to order by Lontine This Report was prepared by Luisa Altmann Hearing Items Action Taken hHB21-1297 Amended, referred to the Committee of the Whole hHB21-1307 Amended, referred to House Appropriations hSB21-175 Referred to House Appropriations HB21-1297 - Amended, referred to the Committee of the Whole Attachment Tag File Name Attachment A http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/2140552A8F35...$File/21HouseHealth0519AttachA.pdf?OpenElement 21HouseHealth0519AttachA.pdf Attachment B http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/FA30EA533E79...$File/21HouseHealth0519AttachB.pdf?OpenElement 21HouseHealth0519AttachB.pdf Attachment C http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/8188F581084B...$File/21HouseHealth0519AttachC.pdf?OpenElement 21HouseHealth0519AttachC.pdf Attachment D http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/84E4D37362F5...$File/21HouseHealth0519AttachD.pdf?OpenElement 21HouseHealth0519AttachD.pdf 03:58:27 PM Representative Hooton introduced House Bill 21-1297, Pharmacy Benefit Manager and Insurer Requirements. The bill sponsor responded to questions from the committee. Amendments L.008 and L.009 were provided to the committee (Attachments A and B). 04:10:12 PM Christy Chase, Office of Legislative Legal Services, responded to questions from the committee. 04:19:51 PM Matt Pagnotti, representing Vivent Health, testified in support of the bill. Barb Cardell, representing Colorado Organizations and Individuals Responding to HIV/AIDS (CORA), testified in support of the bill. Ky Davis, representing RxPlus Pharmacies, testified in support of the bill. Tom Davis, representing himself, testified in support of the bill. The witnesses responded to questions from the committee. 04:43:13 PM Dr. Emily Zadvorny, representing the Colorado Pharmacist Society, testified in support of the bill. 04:47:47 PM Tony Gagliardi, representing the National Federal of Independent Business (NFIB), testified in support of the bill. 04:50:55 PM Lucas Smith, representing RxPlus Pharmacies, testified in support of the bill. 04:55:34 PM Evan Slater, representing Rocky Mountain Cancer Centers, testified in support of the bill. 04:58:55 PM Mr. Slater and Mr. Gagliardi responded to questions from the committee. 05:01:24 PM Tracy Russell, representing Cover My Meds, testified in support of the bill. Selena Owen, representing RxPlus Pharmacies, testified in support of the bill. Jessalyn Hampton, representing the National Multiple Sclerosis Society, testified in support of the bill. 05:14:02 PM Patrick Boyle, representing the Pharmacy Care Management Association, testified on the bill from a neutral position. 05:18:14 PM Rachel Lee, representing CVS Health, testified in opposition to the bill. Ms. Lee provided a handout to the committee (Attachment C). 05:20:39 PM Mr. Boyle and Ms. Lee responded to questions from the committee. 05:30:24 PM Virginia Love, representing Americas Health Insurance Plans (AHIP), testified in opposition to the bill. 05:34:05 PM Karlee Tebbutt, representing the Colorado Association of Health Plans, testified in opposition to the bill. 05:36:14 PM Additional written testimony that was submitted to the committee for consideration is provided as Attachment D. 05:37:24 PM The bill sponsor and committee members discussed the proposed amendments. 05:40:00 PM Motion Adopt amendment L.008 Moved Lontine Seconded Titone Baisley Hanks Jackson Kennedy McCormick McKean Mullica Ortiz Soper Titone Williams Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:43:16 PM Motion Adopt amendment L.009 Moved Lontine Seconded Titone Baisley Hanks Jackson Kennedy McCormick McKean Mullica Ortiz Soper Titone Williams Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 05:43:17 PM The bill sponsor and committee members made closing remarks on the bill. 05:47:09 PM Motion Refer House Bill 21-1297, as amended, to the Committee of the Whole. Moved Kennedy Seconded Titone Baisley No Hanks No Jackson Yes Kennedy Yes McCormick Yes McKean No Mullica Yes Ortiz Yes Soper Yes Titone Yes Williams No Caraveo Yes Lontine Yes Final YES: 9 NO: 4 EXC: 0 ABS: 0 FINAL ACTION: PASS HB21-1307 - Amended, referred to House Appropriations Attachment Tag File Name Attachment E http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/451FD33AAB93...$File/21HouseHealth0519AttachE.pdf?OpenElement 21HouseHealth0519AttachE.pdf Attachment F http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/73A6D4AA2EB5...$File/21HouseHealth0519AttachF.pdf?OpenElement 21HouseHealth0519AttachF.pdf Attachment G http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/C5AEBECB2149...$File/21HouseHealth0519AttachG.pdf?OpenElement 21HouseHealth0519AttachG.pdf Attachment H http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/3BF3E1C3D383...$File/21HouseHealth0519AttachH.pdf?OpenElement 21HouseHealth0519AttachH.pdf Attachment I http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/FDB9A3F01585...$File/21HouseHealth0519AttachI.pdf?OpenElement 21HouseHealth0519AttachI.pdf Attachment J http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/66834DC85997...$File/21HouseHealth0519AttachJ.pdf?OpenElement 21HouseHealth0519AttachJ.pdf Attachment K http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/65B4E25525BF...$File/21HouseHealth0519AttachK.pdf?OpenElement 21HouseHealth0519AttachK.pdf 05:47:22 PM Representative Roberts introduced House Bill 21-1307, Prescription Insulin Pricing and Access. He provided Amendments L.001, L.002, L.003, and L.004 (Attachments E - H) and a handout (Attachment I) to the committee. 05:53:57 PM Representative Roberts responded to questions from the committee. 06:04:47 PM Brian Warren, representing the Biotechnology Innovation Organization, testified in opposition to the bill. Mr. Warren responded to questions from the committee. 06:12:42 PM Gail deVore, representing herself, testified in support of the bill. 06:18:44 PM Rachel Stewart, representing the Colorado Consumer Health Initiative, testified in support of the bill. 06:21:52 PM Christine Fallabel, representing the American Diabetes Association, testified in support of the bill. 06:25:48 PM Nicole Smith-Holt, representing herself, testified in support of the bill. 06:31:00 PM Ms. Fallabel responded to questions from the committee. 06:35:28 PM Karlee Tebbutt, representing the Colorado Association of Health Plans, testified on the bill from an amend position. 06:37:34 PM Ky Davis, representing RxPlus Pharmacies, testified on the bill from an amend position. 06:39:41 PM An additional handout that was provided to the committee is provided as Attachment J. Additional written testimony that was submitted to the committee for consideration is provided as Attachment K. 06:39:51 PM The bill sponsor and committee members discussed the potential amendments. 06:40:50 PM Motion Adopt amendment L.001 Moved Mullica Seconded Titone Baisley Hanks Jackson Kennedy McCormick McKean Mullica Ortiz Soper Titone Williams Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:41:41 PM Motion Adopt amendment L.002 Moved Mullica Seconded Titone Baisley Hanks Jackson Kennedy McCormick McKean Mullica Ortiz Soper Titone Williams Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:43:12 PM Motion Adopt amendment L.003 Moved Mullica Seconded Titone Baisley Hanks Jackson Kennedy McCormick McKean Mullica Ortiz Soper Titone Williams Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:44:02 PM Motion Adopt amendment L.004 Moved Mullica Seconded Titone Baisley Hanks Jackson Kennedy McCormick McKean Mullica Ortiz Soper Titone Williams Caraveo Lontine YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection 06:44:03 PM The bill sponsor and committee members made closing remarks on the bill. 07:00:45 PM Motion Refer House Bill 21-1307, as amended, to the Committee on Appropriations. Moved Lontine Seconded Mullica Baisley Yes Hanks Excused Jackson Yes Kennedy Yes McCormick Yes McKean Yes Mullica Yes Ortiz Yes Soper No Titone Yes Williams No Caraveo Yes Lontine Yes Final YES: 10 NO: 2 EXC: 1 ABS: 0 FINAL ACTION: PASS SB21-175 - Referred to House Appropriations Attachment Tag File Name Attachment L http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/B149D6E777E6...$File/21HouseHealth0519AttachL.pdf?OpenElement 21HouseHealth0519AttachL.pdf Attachment M http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/48669128914F...$File/21HouseHealth0519AttachM.pdf?OpenElement 21HouseHealth0519AttachM.pdf Attachment N http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/339B13D6CAFF...$File/21HouseHealth0519AttachN.pdf?OpenElement 21HouseHealth0519AttachN.pdf Attachment O http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/17035AF50E9E...$File/21HouseHealth0519AttachO.pdf?OpenElement 21HouseHealth0519AttachO.pdf Attachment P http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/E1F4777D0421...$File/21HouseHealth0519AttachP.pdf?OpenElement 21HouseHealth0519AttachP.pdf Attachment Q http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/CA00E822B35C...$File/21HouseHealth0519AttachQ.pdf?OpenElement 21HouseHealth0519AttachQ.pdf Attachment R http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/0B63D94B2FFE...$File/21HouseHealth0519AttachR.pdf?OpenElement 21HouseHealth0519AttachR.pdf Attachment S http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/882301C3330E...$File/21HouseHealth0519AttachS.pdf?OpenElement 21HouseHealth0519AttachS.pdf Attachment T http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/566C6C6CB7C7...$File/21HouseHealth0519AttachT.pdf?OpenElement 21HouseHealth0519AttachT.pdf Attachment U http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/896F5F7691E6...$File/21HouseHealth0519AttachU.pdf?OpenElement 21HouseHealth0519AttachU.pdf Attachment V http://www2.leg.state.co.us/CLICS/CLICS2021A/commsumm.nsf/0/FBFFAD5027D8...$File/21HouseHealth0519AttachV.pdf?OpenElement 21HouseHealth0519AttachV.pdf 07:00:52 PM The committee took a brief recess. 07:02:27 PM The committee reconvened. 07:11:29 PM Representatives Caraveo and Kennedy introduced Senate Bill 21-175, Prescription Drug Affordability Review Board. The bill sponsors provided a handout to the committee (Attachment L). 07:20:34 PM The bill sponsors responded to questions from the committee. 07:38:00 PM Kim Bimestefer, Executive Director of the Colorado Department of Health Care Policy and Financing, testified in support of the bill. Isabel Cruz, representing the Colorado Consumer Health Initiative, testified in support of the bill. Director Bimestefer and Ms. Cruz responded to questions from the committee. 07:59:39 PM Mike Russell, representing himself, testified in support of the bill. Mary Sanders, representing herself, testified in support of the bill. Catherine Lichtenbelt, representing herself, testified in support of the bill. Cindy Cannon, representing herself, testified in support of the bill. 08:16:39 PM Dr. Allison Costello, representing herself and the Colorado Academy of Family Physicians (CAFP), testified in support of the bill. Dr. Nainita Madurai, representing herself and CAFP, testified in support of the bill. Dr. Kyle Leggott, representing himself and CAFP, testified in support of the bill. The witnesses responded to questions from the committee. 08:32:45 PM PattyAnne Corsentino, representing herself, testified in support of the bill. Grand County Commissioner Richard Cimino, representing Counties and Commissioners Acting Together (CCAT), testified in support of the bill. Sarita Parikh, representing GLOW + GATHER and Good Business Colorado, testified in support of the bill. 08:44:07 PM Kenneth Maestas, representing the Colorado Cross Disability Coalition (CCDC), testified in support of the bill. Kris Garcia, representing himself, testified in support of the bill. Carol Pace, representing AARP Colorado, testified in support of the bill. 08:51:59 PM Judy Danielson, representing Together Colorado, testified in support of the bill. Dr. Lauri Costello, representing herself, testified in support of the bill. Virginia Gebhart, representing herself, testified in support of the bill. 09:03:05 PM Dr. Barbara McAneny, representing herself, testified in opposition to the bill. Dr. Alan Miller, representing the Rocky Mountain Oncology Society, testified on the bill from an amend position. 09:11:51 PM Mason Green, representing himself, testified in support of the bill. Sarah Staron, representing Young Invincibles, testified in support of the bill. Linda Schiller, representing Young Invincibles, testified in support of the bill. 09:20:32 PM Dr. Emily Zadvorny, representing the Colorado Pharmacist Society, testified in opposition to the bill. Zach Zaslow, representing Children's Hospital Colorado, testified on the bill from an amend position. The witnesses responded to questions from the committee. 09:34:03 PM Katelin Lucariello, representing the Pharmaceutical Research and Manufacturers of America (PhRMA), testified in opposition to the bill. Dr. Ashley Mains Espinosa, representing the Colorado Pharmacist Society, testified in opposition to the bill. The witnesses responded to questions from the committee. 09:44:31 PM Dr. Brett McQueen, representing the Center for Pharmaceutical Outcomes Research and the Colorado Pharmacists Society, testified in opposition to the bill. Dr. Tom Tobin, representing Community Hospital, testified in opposition to the bill. Laura Rizzo, representing the Denver Metro Chamber of Commerce, testified in opposition to the bill. The witnesses responded to questions from the committee. 10:11:52 PM Emily Roberts, representing the Colorado BioScience Association, testified in opposition to the bill. Lauren Masias, representing the Colorado Competitive Council, testified in opposition to the bill. The witnesses responded to questions from the committee. 10:22:41 PM Siri Vaeth, representing the Cystic Fibrosis Research Institute, testified in opposition to the bill. Brian Warren, representing the Biotechnology Innovation Organization, testified in opposition to the bill. Angie Howes, representing the Colorado Retail Council, testified in opposition to the bill. Joshua Ewing, representing the Colorado Hospital Association, testified in opposition to the bill. The witnesses responded to questions from the committee. 10:50:51 PM Lindsey Vigoda, representing Small Business Majority, testified in support of the bill. Jessalyn Hampton, representing the National Multiple Sclerosis Society, testified in support of the bill. Insurance Commissioner Michael Conway, representing the Division of Insurance, testified in support of the bill. The witnesses responded to questions from the committee. 11:18:03 PM Additional written testimony that was submitted to the committee for consideration is provided as Attachment M. 11:18:23 PM Representative Soper introduced Amendments L.104, L.106, L.098, L.097, L.103, L.100, L.102, L.099, L.101 (Attachments N - V). Committee discussion ensued. 11:20:59 PM Motion Adopt amendment L.104 Moved Soper Seconded McKean Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone No Williams Yes Caraveo No Lontine No YES: 4 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: FAIL 11:25:29 PM Motion Adopt amendment L.106 Moved Soper Seconded McKean Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone No Williams Yes Caraveo No Lontine No YES: 4 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: FAIL 11:35:13 PM Motion Adopt amendment L.098 Moved Soper Seconded McKean Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone No Williams Yes Caraveo No Lontine No YES: 4 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: FAIL 11:39:13 PM Motion Adopt amendment L.097 Moved Soper Seconded Baisley Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone Yes Williams Yes Caraveo No Lontine No YES: 5 NO: 7 EXC: 1 ABS: 0 FINAL ACTION: FAIL 11:42:44 PM Motion Adopt amendment L.103 Moved Soper Seconded McKean Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone No Williams Yes Caraveo No Lontine No YES: 4 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: FAIL 11:45:27 PM Motion Adopt amendment L.100 Moved Soper Seconded McKean Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone No Williams Yes Caraveo No Lontine No YES: 4 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: FAIL 11:54:05 PM Motion Adopt amendment L.102 Moved Soper Seconded McKean Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone No Williams Yes Caraveo No Lontine No YES: 4 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: FAIL 12:00:56 AM Motion Adopt amendment L.099 Moved Soper Seconded McKean Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone No Williams Yes Caraveo No Lontine No YES: 4 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: FAIL 12:10:21 AM Motion Adopt amendment L.101 Moved Soper Seconded McKean Baisley Yes Hanks Excused Jackson No Kennedy No McCormick No McKean Yes Mullica No Ortiz No Soper Yes Titone No Williams Yes Caraveo No Lontine No YES: 4 NO: 8 EXC: 1 ABS: 0 FINAL ACTION: FAIL 12:10:22 AM The bill sponsors and committee members made closing remarks on the bill. 12:29:41 AM Motion Refer Senate Bill 21-175 to the Committee on Appropriations. Moved Caraveo Seconded Kennedy Baisley No Hanks Excused Jackson Yes Kennedy Yes McCormick Yes McKean No Mullica Yes Ortiz Yes Soper No Titone Yes Williams No Caraveo Yes Lontine Yes Final YES: 8 NO: 4 EXC: 1 ABS: 0 FINAL ACTION: PASS 12:29:52 AM The committee adjourned.