Colorado Legislative Roundtable Eric Speer, MBAHA, FACMPE Jennifer Souders, FAMCPE

2019 Colorado Legislative Roundtable We’re at the Table!

2019 Colorado Legislative Roundtable Bills that Became Law HB19-1001 Hospital Transparency Measures to Analyze Efficacy Governor Signed HB19-1004 Proposal For Affordable Health Coverage Option HB19-1009 Substance Use Disorders Recovery HB19-1028 Medical Marijuana Condition Autism HB19-1032 Comprehensive Human Sexuality Education HB19-1033 Local Government May Regulate Nicotine Products HB19-1069 Sign Language Interpreters Title Certification HB19-1077 Pharmacist Dispense Without Prescription in Emergency Situations HB19-1083 Athletic Trainer Licensure HB19-1131 Prescription Drug Cost Education HB19-1145 Primary Residence Exempt for Medical Debt Postponed indefinitely

2019 Colorado Legislative Roundtable Bills that Became Law HB19-1168 Reinsurance Amendment Governor Signed HB19-1174 Out of Network Health Care Services Signed by President of Senate HB19-1208 Physical Therapists Youth Athletes Head Trauma HB19-1211 Prior Authorization Requirements Health Care Services HB19-1216 Reduce Insulin Prices HB19-1233 Investments in Primary Care to Reduce Healthcare Costs HB19-1237 Licensing Behavioral Health Entities HB19-1241 University of Colorado Training and Scholarship Rural Physicians Failed HB19-1242 Board of Pharmacy Regulate Pharm Techs HB19-1269 Mental health Parity Insurance Medicaid HB19-1287 Treatment for Opioids and Substance Use Disorders

2019 Colorado Legislative Roundtable Bills that Became Law HB19-1301 Health Insurance for Breast Imaging Governor Signed HB19-1312 School Immunization Requirements Laid over SB19-001 Expand Medication-assisted Treatment Pilot Program SB19-004 Address high-Cost Health Insurance Pilot Program SB19-005 Import Prescription Drugs From Canada SB19-008 Substance use Disorder Treatment in Criminal Justice System SB19-013 Medical Marijuana Condition Opiates Prescribed For SB19-073 Statewide System of Advanced Medical Directives SB19-079 Electronic Prescribing Controlled Substances SB19-110 Licensing Regulation Ambulatory Surgical Centers Postpone Indefinitely

2019 Colorado Legislative Roundtable Bills that Became Law SB19-133 Require License to Practice Genetic Counseling Governor Vetoed SB19-134 Out of Network Health Care Disclosures and Charges Postpone Indefinitely SB19-153 Sunset Podiatry Board Governor Signed SB19-193 Sunset Continue Colorado Medical Practice Act SB19-217 Healthcare Provider Liens First Conference Committee SB19-218 Sunset Medical Marijuana Program SB19-219 Sunset Continue Licensing of Controlled Substances SB19-227 Harm Reduction Substance Use Disorders SB19-228 Substance Use Disorders Preventive Measures SB19-234 Sunset Professional Review Committees

2019 Colorado Legislative Roundtable Federal Legislation Eliminate copays for Chronic Care Management (CCM) Services - This Chronic Care Management Improvement Act (HR 3436) would remove the requirement to collect patient copays for CCM services, having Medicate pay 100% of the service Surprise Bills and Fair Physician Payments - this is a grassroots effort to urge Congress to hold insurers accountable for surprise medical bills.

2019 Colorado Legislative Roundtable Federal Legislation Safe Step Act of 2019 - Puts common sense parameters and reasonable timelines around the practice of step therapy. Medicare Care Coordination Improvement Act of 2019 - seeks to modernize Stark Law (self-referral) prohibitions to promote care coordination and facilitate participation in APMs.

2019 Colorado Legislative Roundtable Federal Legislation Resident Physician Shortage Reduction Act of 2019 – supports expanding the physician workforce Improving Seniors Timely Access to Care Act of 2019 – This bill aims to increase transparency and streamline the prior authorization process for MA plans by: Requiring MA plans to support electronic PA Requiring MA plans to make real-time PA decisions Exempting pre-op services from PA Requiring MA plans to publicly reveal what services require PA, how many are approve and how long they take to approve

2019 Colorado Legislative Roundtable Federal Legislation MGMA makes it incredibly easy to contact your congressional leaders: "Contact Congress" Portal Patients Over Paperwork Proposed Rule for 2019 Public Comment Period Ended 8/12/19 Sign Up for email Updates Get the latest Patients over Paperwork newsletters

2019 Colorado Legislative Roundtable CMGMA/CMS Advocacy Collaboration Goal: To provide effective data-driven advocacy on behalf of physicians and their practices Purpose: To establish a mechanism for CMGMA to inform the AMS advocacy team of issues directly impacting physicians’ practices Who: CMGMA Legislative Liaison will represent CMGMA on the CMS Council on Legislation and will be the conduit for getting information to and from CMS relative to advocacy/legislative issues Process: CMGMA will create a subcommittee of specialty practice leaders representing a multitude of specialties and practice settings with the purpose of gaining a cross-section of perspectives on legislative or administrative issues.

2019 Colorado Legislative Update Questions? Eric Speer ESpeer@centenoschultz.com Jen Souders Jennifer.soduers@uchealth.org