H_HIE_2016A 02/18/2016 01:35:08 PM Committee Summary

01:35 PM -- HB 16-1185



Representative Moreno, prime sponsor, presented House Bill 16-1185. The bill creates the 2016 Birth Certificate Modernization Act. The act requires the state registrar within the Colorado Department of Public Health and Environment to issue new birth certificates to any person born in Colorado who has a gender different from the gender denoted on that person's birth certificate. To do so, the state registrar must receive:

• a written request, signed under penalty of law, from the person, or the person's parents, guardian, or legal representative if he or she is a minor; and
• a statement, signed under penalty of law, from a medical or mental health care provider licensed in good standing stating that the person has undergone surgical, hormonal, or other treatment for the purpose of gender transition or that the person has an intersex condition. This statement must also specify that in the provider's professional opinion the person's gender designation should be changed. The state registrar may contact the medical or mental health care provider to verify the statement.

If a new birth certificate is issued, the certificate must reflect any legal name change that had been made before, simultaneous to, or after the change in gender designation. The state registrar may not disclose information relating to a gender correction unless required in order to conduct official business. Any new birth certificate issued by the state registrar will supercede the original birth certificate and will not be marked as amended. Persons who currently reside in Colorado but who were born in another state or in a foreign jurisdiction may request a decree from a court in Colorado if such a decree is required to issue an amended birth certificate in the place of their birth.











01:40 PM



Representative Moreno answered questions from the committee. Representative Klingenschmitt provided a handout (Attachment A) to the committee.



160218 AttachA.pdf



01:44 PM -- Brad Bergford, representing himself, testified in opposition of the bill. He provided a handout (Attachment B) to the committee. Mr. Bergford answered questions from the committee.



160218 AttachB.pdf



01:50 PM



Representative Moreno answered to questions from the committee. Mr. Bergford answered questions from the committee.



02:04 PM



Committee discussion with Mr. Bergford ensued.



02:18 PM



Representative Moreno answered questions from the committee.



02:24 PM -- Rebecca Messal, representing herself, testified in opposition to the bill. Ms. Messal and Representative Moreno answered questions from the committee.



02:34 PM -- Stephen Ong, Reformation Baptist Church, testified in opposition to the bill. Mr. Ong answered questions from the committee.



02:39 PM -- Sara Connell, representing herself, testified in support of the bill. Ms. Connell answered questions from the committee.



02:44 PM -- Ben Taylor, representing himself, testified in support of the bill. Mr. Taylor answered questions from the committee.



02:48 PM -- Dana Erpeldiy, Colorado Department of Public Health and Environment, testified in support of the bill. Ms. Erpeldiy answered questions from the committee.



02:56 PM -- Todd Garrity, representing himself, testified in support of the bill. Mr. Garrity answered questions from the committee.



03:01 PM -- Dr. Anna Wegleitner, representing herself, testified in support of the bill. Dr. Wegleitner answered questions from the committee.











03:09 PM -- Jenna Clinchard, representing herself, testified in support of the bill.



03:11 PM -- Jude Clinchard, representing herself, testified in support of the bill.



03:13 PM



The committee members made comments.



03:16 PM -- Eric Kluzek, representing himself, testified in support of the bill.



03:21 PM -- Shari Zabel, representing herself, testified in support of the bill.



03:25 PM -- Lara MacWaters, representing herself, testified in support of the bill.



03:29 PM -- Frankie Tritch, representing himself, testified in support of the bill.



03:32 PM -- Dave Montez, One Colorado, testified in support of the bill.



03:35 PM



Representative Moreno discussed amendment L.001 (Attachment C). Representative McCann stated that the committee would wait to vote on amendment L.001 until the missing committee members returned. Representative Moreno provided closing remarks about the bill.



160218 AttachC.pdf





03:38 PM



Committee members made comments about the bill.

03:45 PM



Committee members made comments about the bill.

03:47 PM



Representative McCann recessed the committee.



04:03 PM -- HB 16-1102



Representative McCann called the meeting back to order. Representative Ginal, prime sponsor, presented House Bill 16-1102. She referenced a handout that was distributed to the committee members prior to the meeting. The bill requires that drug manufacturers submit a report to the Colorado Commission on Affordable Health Care (commission) outlining certain information about drugs made available in Colorado for which the wholesale acquisition cost is $50,000 or more per year or per course of treatment. The commission is required to develop a reporting form that captures information on:



• research and development costs;

• clinical trials and regulatory costs;

• material, manufacturing, and administration costs attributable to the drug;

• acquisition costs, including patents and licensing;

• marketing and advertising costs;

• costs paid by other entities, including grants, subsidies, or other support;

• history of prior price increases;

• profit attributable to the drug; and

• financial assistance provided through patient prescription assistance programs.







The commission is required to develop the reporting form by June 1, 2016, and manufacturers must submit information to the commission by August 1, 2016. The commission is required to analyze the data and submit a report to the General Assembly by December 1, 2016, outlining the information collected and any recommendations.



04:09 PM



Representative Ginal answered questions from the committee. Representative Klingenschmitt distributed a handout (Attachment D).



160218 AttachD.pdf



04:32 PM -- Nancy Steinfurth, Liver Health Connection, testified in opposition to the bill. Ms. Steinfurth answered questions from committee members.



04:40 PM



Committee discussion with Representative Ginal continued.



04:51 PM -- Matt Ressner, Pfizer, testified in opposition to the bill. Mr. Ressner answered questions from the committee.



04:57 PM -- Carleen McGuffey, representing herself, testified in opposition to the bill. Ms. McGuffey answered questions from the committee.



05:09 PM -- Leah Lindahl, Colorado BioScience Association, testified in opposition to the bill. Ms. Lindahl provided a handout (Attachment E) to the committee. Ms. Lindahl answered questions from the committee.



160218 AttachE.pdf



05:24 PM -- Tara Ryan, Pharma, testified in opposition to the bill. Ms. Ryan answered questions from the committee.



05:46 PM



Ms. Ryan continued to answer questions from the committee.



05:51 PM -- Joe McCormack, representing himself, testified in opposition to the bill. Mr. McCormack answered questions from the committee.



05:59 PM -- Jake Williams, Healthier Colorado, testified in support of the bill. Mr. Williams and Representative Ginal answered questions from the committee.





06:10 PM



Mr. Williams continued to answer questions from the committee. He provided a handout (Attachment F) to the committee.



160218 AttachF.pdf



06:17 PM



Representative Ginal answered questions from the committee.



06:19 PM -- Bill Lindsay, Colorado Commission on Affordable Health Care, testified on the bill. Mr. Lindsay answered questions from the committee.



06:33 PM -- Cindy Sovine-Miller, Colorado Commission on Affordable Health Care, answered questions from the committee.



06:35 PM



Mr. Lindsay and Ms. Sovine-Miller continued to answer questions from the committee.



06:47 PM -- Tony Gagliardi, National Federation of Independent Business, testified in support of the bill. He read a statement from Club 20 in support of the bill. Mr. Gagliardi answered questions from the committee members.



06:58 PM -- Nick Baldessari, United Food and Commercial Workers Union Local 7, testified in support of the bill.



07:00 PM -- Sandra Chavez, United Food and Commercial Workers Union Local 7, testified in support of the bill.



07:01 PM -- Henry Sandoval, United Food and Commercial Workers Union Local 7, testified in support of the bill. Mr. Sandoval answered questions from the committee.



07:05 PM



Ms. Chavez, Mr. Baldessari, and Mr. Sandoval answered questions from the committee.



07:11 PM -- Elana Light, representing herself, testified in support of the bill. Ms. Light answered questions from the committee.



07:18 PM -- Ed Shackelford, Colorado Senior Lobby, testified in support of the bill. Mr. Shackelford answered questions from the committee.



07:26 PM -- Caitlin Westerson, Colorado Consumer Health Initiative, testified in support of the bill.



07:30 PM -- Bethany Pray, Colorado Center on Law and Policy, testified in support of the bill.





07:32 PM -- Tim Gaudette, Small Business Minority, testified in support of the bill. Mr. Gaudette answered question from the committee.



07:38 PM -- Tim Markham, Colorado Wins, testified in support of the bill. Mr. Markham answered questions from the committee.



07:43 PM -- Charlie Sheffield, Colorado Association of Health Plans, testified in support of the bill.



07:46 PM -- Virginia Morrison Love, America's Health Insurance Plans, testified in support of the bill.



07:51 PM



Mr. Sheffield and Ms. Morrison Love answered questions from the committee.



08:23 PM -- Dr. Jandel Allen-Davis, Kaiser Permanente, testified in support of the bill.



08:27 PM -- Dr. Amy Duckro, Kaiser Permanente, testified in support of the bill.



08:31 PM -- Tony Barrueta, Kaiser Permanente, testified in support of the bill. Mr. Barrueta answered questions from the committee.



08:54 PM



Representative Ginal discussed amendment L.001 (Attachment G). The Legislative Council Staff memorandum regarding the fiscal assessment of proposed amendment HB 1102_L.001 (Attachment H) was distributed to the committee.



160218 AttachG.pdf160218 AttachH.pdf



08:56 PM



Representative DelGrosso discussed a conceptual amendment. Committee discussion ensued.





09:02 PM



Bill Zepernick, Legislative Council Staff, answered questions from the committee members. Committee discussion ensued.

09:07 PM



Representative McCann laid the bill over until a date to be determined.



09:08 PM



Sandra Payne submitted a written statement (Attachment I) since she was unable to stay to testify on the bill. The committee adjourned.



160218 AttachI.pdf