Government Affairs Update CHARM Beverly Razon, Vice President of Public Affairs

COPIC’s Public Engagement COPIC’s Mission: To improve medicine in the communities we serve. COPIC’s Vision: To be an essential partner in improving the lives of patients. COPIC’s Values: Integrity. Accountability. Respect. Fiscal Responsibility. Equity. Openness. Service. COPIC’s mission, vision and values guide our engagement in the community as well as how we review policies impacting health care delivery and patients. COPIC’s goal is to protect patient safety, ensure access to quality health care, maintain the physician-patient relationship, and guard against unreasonable burdens being placed on providers. MAXIMIZE EXPETISE + COLLABORATE RESULTS

Colorado’s Political Environment Executive Branch: Democratic Governor John Hickenlooper General Assembly Senate 18 Republicans 17 Democrats House 34 Democrats 31 Republicans

Governor’s Priorities The hopes of Governor Hickenlooper and Lieutenant Governor Lynne have been hampered by the federal government’s moves to repeal and replace. However, they are moving forward with measures to increase transparency and accountability around the rising cost of health care. The Lieutenant Governor Lynne is championing a number of bills aimed at: Requiring reporting of: quality metrics, pharmaceutical costs, and hospital financials Increasing transparency around free-standing emergency clinics and regulating the billing for Services Making health insurance more affordable in certain geographic rating areas Using the State employee plan contract as a lever to influence price, coverage and pooling Addressing opioid abuse Improving the process for managing mental health patients and access to services NEWS Health Care in the House? Governor John Hickenooper nominates Donna Lynne, former executive vice president of Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals, as Lieutenant Governor and Chief Operating Officer.

2017 Legislative Watch List SB17-65 CONCERNING A REQUIREMENT THAT HEALTH CARE PROVIDERS DISCLOSE THE CHARGES THEY IMPOSE FOR COMMON HEALTH CARE SERVICES WHEN PAYMENT IS MADE DIRECTLY RATHER THAN BY A THIRD PARTY. SB17 – 74 CREATE MEDICATION-ASSISTED TREATMENT PILOT PROGRAM. SB17 – 146 CONCERNING ACCESS TO THE ELECTRONIC PRESCRIPTION DRUG MONITORING PROGRAM. HB17 – 1094 TELEHEALTH COVERAGE UNDER HEALTH BENEFIT PLANS. HB17 -1121 CONCERNING CERTAIN HEALTH CARE PROFESSIONS REGULATED BY THE DORA, AND REQUIRING CRIMINAL HISTORY RECORD CHECKS FOR INDIVIDUALS WITH PRESCRIPTIVE AUTHORITY AND ENACTING THE ENHANCED NURSE LICENSURE COMPACT. HB17-1165 CONCERNING THE RESOLUTION OF DISCIPLINARY ACTIONS BY AGENCIES WITHIN THE DORA.

2017 Regulatory Watch List Rule 800 RULES REGARDING THE DELEGATION AND SUPERVISION OF MEDICAL SERVICES TO UNLICENSED HEALTH CARE PROVIDERS PURSUANT TO SECTION DELEGATION OF MEDICAL ASSISTANTS CLARITY - LANGUAGE SUGGESTED TO THE BOARD THAT HAS BEEN ACCEPTED: “Physician assistants or anesthesiologist assistants may delegate medical services to unlicensed healthcare providers who are acting under the direct supervision of the licensed physician assistant or anesthesiologist assistant, where appropriate, within the scope of the physician assistant's or anesthesiologist assistant's delegated medical services."

Questions? Beverly Razon Brazon@COPIC.com