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HEALTHIER

COLORADO
LEGISLATIVE
SCORECARD
H
ealthier Colorado works to make
sure all Coloradans have an
equal chance at a healthy life.
We do that by working to change policy
—across party lines and with every tool
possible—to connect Coloradans with
the policies that affect their health.

We are thrilled to present the inaugural


Healthier Colorado legislative scorecard
and to bring even more light to the
Healthier Colorado - Logo (Acceptable/Available Var
policies considered in the 2018 legislative
session. We invite you, our neighbors,
to dive in with us and look at the pieces
of legislation that promised very real
impacts, good and bad, on our state’s
health. We also hope you’ll learn about
the elected officials fighting for our health
under the Gold Dome in Denver.
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Horizontal-Full Color Horizontal-Full Color w/Tagline


A NO TE FROM THE
EXECUTIVE DIRECTOR:

Overview of Legislative Session

We tallied every vote, by every legislator,


on every health-related bill on which we
engaged—both for and against. We gave
special credit to the lawmakers who stuck
their neck out by sponsoring pro-health bills.
We took credit away from the ones who
planted a flag for legislation that would make

H
it harder for Coloradans to live healthy lives.

It was a lot of work and we’re very proud of


ello there, friends. it. We want our fellow Coloradans to know
which legislators performed best on health
Politics can be about inspiration, about issues. And we want our fellow Coloradans
causes bigger than ourselves, about to consider this information when they cast
making people’s lives better. These their ballots and decide which lawmakers
endeavors, on a day-to-day basis, are they’ll send to the Capitol.
often held aloft by . . . spreadsheets.
Case in point: To further our interest in And one more first to mention: This scorecard
catalyzing a movement that can hold our will inform our first-of-its-kind political giving
elected leaders accountable on the policy program. We’re investing staff time and
that can determine that quality and length resources to find out who’s a pro-health
of our lives, we counted legislator votes champion, and we’re investing strategic
and then cooked up an algebraic formula dollars to help make sure there are even more
to come up with a comprehensive view of those champions at every election.
of which state legislators did the most to
There are a lot of big, full pages to follow.
help our state be healthier.
Take them in. Learn lots. There was a huge
So it’s with the churning of Excel formulas range of bills that our lawmakers considered
ringing through the Healthier Colorado that would have a direct impact on every
office that we give you our very first Coloradan’s health. Now you have an
legislative scorecard. We’re especially informed summary.
proud of it because this isn’t just Healthier
Take care,
Colorado’s first comprehensive health-first
legislative scorecard. It’s the first and only
in the country to cover all facets of health
—from healthy eating and active living, to
care in the doctor’s office and economic
opportunity for all Coloradans. Jake

HEALTHIER COLORADO’S

2018 LEGISLATIVE
LEADERSHIP CIRCLE
These 25 legislators—that’s one-in-four in the combined General Assembly—
stood strong and racked up perfectly pro-health voting records this year. We
thank them for their unfailing advocacy and honor them with membership in
our Legislative Leadership Circle.

LEGISLATIVE LEADERSHIP CIRCLE


REPRESENTATIVES SENATORS
1. KC Becker 1. Irene Aguilar
2. Janet Buckner 2. Lois Court
3. Crisanta Duran 3. Kerry Donovan
4. Daneya Esgar 4. Rhonda Fields
5. Tony Exum 5. Matt Jones
6. Joann Ginal 6. John Kefalas
7. Millie Hamner 7. Michael Merrifield
8. Dominique Jackson 8. Dominick Moreno
9. Chris Kennedy 9. Rachel Zenzinger
10. Pete Lee
11. Susan Lontine
12. Barbara McLachlan
13. Dafna Michaelson Jenet
14. Dylan Roberts
15. Joe Salazar
16. Mike Weissman
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Care
Access

Access to affordable, quality health care and services is essential


to making our state healthier. From children’s mental health care
to helping Coloradans afford care at all levels, 2018 was a very
important year for legislation with the goal of improving access in
our state. Healthier Colorado supported and scored legislators on
19 total health access bills during this year’s legislative session,
which included many hoping to help bring transparency to often-
confusing and opaque health care prices.

KEY BILLS
SENA TE BILL 18-146
Freestanding Emergency Departments Require Consumer Notices
Prime Sponsors: Senators Jim Smallwood and John Kefalas and Representatives Jonathan
Singer and Lang Sias
Co-sponsors Upon Introduction: Senators Beth Martinez Humenik, Irene Aguilar, Don Coram,
Larry Crowder, Kerry Donovan, Leroy Garcia, Bob Gardner, Cheri Jahn, Dominick Moreno, Jack Tate,
Nancy Todd, and Angela Williams and Representatives Chris Hansen and Chris Kennedy
Pro-health Position: Support
Final Action: Signed into law 4/25/18
Summary: Ideally, people only need to go to an emergency room (also known as an ‘emergency
department’) in a life-threatening situation. But when folks visit the ED for non-emergency care,
they can face a very high cost that they didn’t expect. Here in Colorado, we have an increasing
number of Free-Standing Emergency Departments (FSEDs), which aren’t attached to a hospital
and are often located in places where we might expect a primary care office or an urgent care
clinic. That means it’s an easy mistake for people to go to an FSED, expecting a non-emergency
office. With emergency care prices up to ten times higher than those for primary care and people
easily mistaking FSEDs for other facilities, SB 18-146 aimed to bring transparency to consumers. It
required FSEDs to better disclose their emergency status and to provide patients with information to
help them make appropriate choices about whether they need emergency care.

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HOUSE BILL 18-1094
Children and Youth Mental Health Treatment Act
Prime Sponsors: Representatives Leslie Herod and Cole Wist and Senators Beth Martinez
Humenik and Dominick Moreno
Co-sponsors Upon Introduction: None
Pro-health Position: Support
Final Action: Signed into law 5/30/18
Summary: Mental health services are often not covered by private insurance and children covered
by Medicaid can have very few options for care. Prior to 2009, some parents who were unable to
afford expenses associated with treatment were faced with the difficult decision to give up their
parental rights, so that the child could access residential mental health treatment through the state.
In 2009, the Colorado legislature authorized the Child Mental Health Treatment Act. That bill sought
to assist children and youth with mental health needs without splitting families apart. The program
proved to be a success. In 2018, the legislature updated the program to make it more expansive and
streamlined. Through increased funding and an updated application process, more children will now
be covered.

HOUSE BILL 18-1260


Prescription Drug Price Transparency
Prime Sponsors: Representatives Dominique Jackson and Joann Ginal and Senator Dominick
Moreno
Co-sponsors Upon Introduction: None
Pro-health Position: Support
Final Action: Postponed indefinitely Senate State Veterans and Military Affairs 4/30/18
Summary: Prescription drugs are one of the biggest factors adding to our health care costs. With
Coloradans in every corner of the state struggling to afford their medications, HB 18-1260 aimed to
help bring some light to what’s going on. The transparency this bill proposed would have been an
important first step in understanding why prescription costs have skyrocketed and the impact those
costs have on the rest of the health care system. Transparency in the pharmaceutical industry –
which provides many critical and life-saving drugs – is one piece of the puzzle in how we can make
sure Coloradans are able to afford the care they need, when they need it.

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Care
Access

During the 2018 session, thirteen legislators stood at the top of the heap
to promote affordable access to care and services in Colorado. Legislators
leading on access issues form the base of support that we need to help all
Coloradans get affordable quality care when they need it.

TOP SCORES | CARE ACCESS

House House Senate Senate


Republicans Democrats Republicans Democrats
1. Chris Kennedy* 1. Jack Tate*
1. Lang Sias* 1. Dominick Moreno*
2. Jonathan Singer
2. Marc Catlin 2. Beth 2. Irene Aguilar
3. Dominique Jackson
3. Lois Landgraf Martinez Humenik 3. John Kefalas
3. Bob Rankin 2. Jim Smallwood

*pictured

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CARE ACCESS BILLS SCORED
1. SB 18-050 (support) Concerning including staff of free-standing emergency facilities
as part of Colorado’s safe haven laws
2. SB 18-080 (support) Concerning wholesale importation of pharmaceuticals from
Canada for resale to Colorado residents
3. SB 18-146 (support) Concerning a requirement that a freestanding emergency
department inform a person who is seeking medical treatment about the health care options
that are available to the person
4. SB 18-148 (support) Concerning the continuation of certain benefits through the
“State Employee Group Benefits Act” for dependents of a state employee who dies in a
work-related death
5. SB 18-152 (support) Concerning a prohibition against price gouging on certain
prescription drugs
6. SB 18-237 (support) Concerning health care services provided by an out-of-
network provider that are covered benefits under a covered person’s health benefit plan
and in connection therewith requiring carriers to cover emergency services rendered by
an out-of-network provider at the in-network benefit level; requiring health care facilities,
out-of-network providers, and carriers to disclose specified information to a covered
person regarding services provided by an out-of-network provider; and specifying billing
procedures for out-of-network providers
7. HB 18-1007 (support) Concerning payment issues related to substance use
disorders
8. HB 18-1012 (support) Concerning vision care plans for eye care services
9. HB 18-1045 (support) Concerning the application of silver diamine fluoride to
dental patients
10. HB 18-1094 (support) Concerning the reauthorization of the “Child Mental Health
Treatment Act”
11. HB 18-1097 (support) Concerning the ability of a person eligible for prescription
drug benefits to choose the pharmacy at which to fill a prescription drug order
12. HB 18-1136 (support) Concerning treatment for individuals with substance use
disorders and in connection, therewith adding residential and inpatient treatment to the
Colorado medical assistance program
13. HB 18-1179 (support) Concerning a prohibition against price gouging on certain
prescription drugs
14. HB 18-1207 (support) Concerning hospital transparency measures required to
analyze the efficacy of hospital delivery system reform incentive payments
15. HB 18-1212 (support) Concerning the licensing of freestanding emergency departments
16. HB 18-1260 (support) Concerning prescription drug price transparency
17. HB 18-1282 (support) Concerning a requirement that a health care provider include
certain identifying information on all claims for reimbursement for health care services
18. HB 18- 1284 (support) Concerning the cost of prescription drugs purchased at a
pharmacy
19. HB 18-1321 (support) Concerning efficient administration of non-emergency
medical transportation within the existing benefit under the medical assistance program 7
Bridging
The Gap

Some of the most common barriers to all Coloradans living a healthy life are the
substantial disparities faced by many of our neighbors. Those include access
divides between urban and rural citizens, health outcome differences between
people of color and white people, access to jobs depending on region, and
many others. Economic development and shrinking gaps between our fellow
Coloradans are priorities for Healthier Colorado.

Important bills aimed at decreasing health disparities in 2018 took the shape
of efforts to expand insurance options and affordability, increase the number
of Coloradans with access to high-speed internet service, and improve rural
education.

KEY BILLS

SENA TE BILL 18-002


Financing Rural Broadband Deployment
Prime Sponsors: Senators Don Coram and Jerry Sonnenberg and Representatives KC Becker
and Crisanta Duran
Co-sponsors Upon Introduction: Senators Randy Baumgardner, John Cooke, Kevin
Grantham, and Chris Holbert
Pro-health Position: Support
Final Action: Signed into law 4/2/18
Summary: From job applications to travel directions to chatting with a doctor, many Coloradans
live a day-to-day life ruled by access to high-speed internet. But that isn’t the case in many rural
areas of the state. Senate Bill 18-002 provides grant funding to establish broadband access to the
parts of our state which currently lack it. The bill will bolster economic development, as well as
provide opportunities for telehealth and electronic prescribing services to areas with health access
issues.

8
SENA TE BILL 18-085
Financial Incentives for Education in Rural Areas
Prime Sponsors: Senator Nancy Todd and Representative Barbara McLachlan
Co-sponsors Upon Introduction: Senators Don Coram, Michael Merrifield,
and Rachel Zenzinger
Pro-health Position: Support
Final Action: Signed into law 5/24/18
Summary: Communities in Colorado that are struggling economically are also facing a serious
barrier to those communities’ access to a local health care provider. This bill increases the number
of stipends available to teachers in rural parts of the state as they seek national certification or
other professional development through continuing education. By maintaining additional options for
employment, communities may be more appealing for physicians to live and practice in the same
rural areas of the state, helping lift those communities on multiple economic fronts at once.

HOUSE BILL 18-1384


Study Health Care Coverage Options
Prime Sponsors: Representatives Dylan Roberts and Marc Catlin and Senators Don Coram and
Kerry Donovan
Co-sponsors Upon Introduction: Representative Jim Wilson
Pro-health Position: Support
Final Action: Postponed indefinitely Senate State Veterans and Military Affairs 5/4/18
Summary: Too many Coloradans face high premiums, lack of competition, and/or health insurance
instability. Rural Colorado was hit by average rate increases of 30% or more this year. Fourteen
counties have only one health insurer to choose from. With a strong history of innovation in health
care, Colorado is well positioned to explore using existing state infrastructure like Medicaid, a
public-private partnership, and/or the private sector to create more affordable and more competitive
health insurance options in the individual market. This bill would have required the state to conduct
an extensive study of state, local, and regional approaches, to provide Coloradans with a quality
and affordable health care plan.

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Bridging
the Gap

Seventeen legislators stood out from the crowd when it came to working
on reducing health disparities in our state. Their leadership helps us get
ever-closer to a state where all Coloradans have the same chance at
living a healthy life.

TOP SCORES | BRIDGING THE GAP

House House Senate Senate


Republicans Democrats Republicans Democrats
1. Marc Catlin* 1. Dylan Roberts* 1. Don Coram* 1. Kerry Donovan*
2. Jim Wilson 2. Chris Kennedy 2. Larry Crowder 2. Irene Aguilar
3. Yeulin Willett 3. Barbara McLachlan 2. Kevin Priola 3. Stephen Fenberg
3. Dafna Michaelson 2. Jack Tate 3. Michael Merrifield
Jenet 3. Nancy Todd
3. Rachel Zenzinger

*pictured

10
BRIDGING THE GAP BILLS SCORED

1. SB 18-002 (support) Concerning the financing of broadband deployment


2. SB 18-024 (support) Concerning modifications to the Colorado health service
corps program administered by the department of public health and environment to
expand the availability of behavioral health care providers in shortage areas in the state
3. SB 18-027 (support) Concerning the enactment of the “Enhanced Nurse
Licensure Compact”
4. SB 18-085 (support) Concerning providing financial incentives for educators to
work in rural areas
5. HB 18-1017 (support) Concerning the adoption of an interstate compact to
allow a person authorized to practice psychology in a compact state in which the
person is not licensed
6. HB 18-1205 (support) Concerning a financial relief program to provide financial
assistance to an individual earning a household income of not more than 500% of the
federal poverty line of which the individual spends more than 20% on health insurance
premiums for individual health insurance purchased through the Colorado health benefit
exchange
7. HB 18-1384 (support) Concerning a study to identify affordable, competitive
health care coverage options for Colorado
8. HB 18-1392 (support) Concerning the creation of the Colorado reinsurance
program to provide reinsurance payment to health insurers to aid in paying high
cost insurance claims and in connection therewith, authorizing the commissioner of
insurance to seek approval from the federal government to waive applicable federal
requirements, provide federal funds or both to enable the state to implement the
reinsurance program making the program contingent upon the waiver or funding
approval

11
Healthy
Communities

All of Colorado’s communities deserve the same chance at healthy lives.


Our lawmakers have the power to help put communities throughout the
state on equal health footing—or to let some communities fall behind. In
2018, we saw positive bills aimed at increasing access to affordable school
lunches, curbing the opioid crisis, and helping prevent suicides. We also
saw troubling bills that promoted tobacco use and would have increased
indoor air pollution. All these bills and more contributed to the scores below.

KEY BILLS

SENA TE BILL 18-013


Expand Child Nutrition School Lunch Protection Act
Prime Sponsors: Senators Bob Gardner and Rhonda Fields and Representative Dafna
Michaelson Jenet
Co-sponsors Upon Introduction: Senators Beth Martinez Humenik, Dominick Moreno, and
Kevin Priola
Pro-health Position: Support
Final Action: Signed into law, 5/29/18
Summary: Many students who qualify for the federal Free and Reduced Lunch Program still have
to pay a fee for each lunch they eat. For many families, even that small fee is too much. Families
often end up in collections and students often choose not to eat if they can’t afford the fee. Several
years ago, Colorado passed a bill to remedy this by having the state cover the small fee for students
in kindergarten through the 5th grade. Senate Bill 18-013 increased the number of kids who receive
a free lunch, expanding the program to students through their 8th grade year. This bill helps ensure
that every hungry kid is getting to eat and that families are not sent to collections over school lunch
debt.

12
SENA TE BILL 18-040
Substance Use Disorder Harm Reduction
Prime Sponsors: Senators Kent Lambert and Cheri Jahn and Representative Jonathan Singer
Co-sponsors Upon Introduction: Senators Irene Aguilar, Dominick Moreno, Kevin Priola and
Jack Tate and Representatives Chris Kennedy and Britany Pettersen
Pro-health Position: Support
Final Action: Postponed indefinitely Senate State Veterans and Military Affairs, 2/14/18
Summary: People who become addicted to legally obtained opioids often have few places to turn
when their legal prescriptions run out. Many have resorted to illegal drugs, heroin being the most
common. This has led to a sharp increase in overdoses. In hopes of reducing deaths and harm, safe
use sites provide medical support and overdose treatment to those not yet in recovery from opioid
addiction. Had SB 18-040 passed, one site in Colorado would be allowed to pilot a safe use site to
determine if this approach was appropriate for our state.

SENA TE BILL 18-179


Extend Credit for Out of State Tobacco Sales
Prime Sponsors: Senators Owen Hill and Angela Williams and Representatives Edie Hooton
and Dan Pabon
Co-sponsors Upon Introduction: Senators Kevin Grantham, Lucia Guzman, Randy
Baumgardner, John Cooke, Don Coram, Larry Crowder, Chris Holbert, Daniel Kagan, Kevin
Lundberg, Vicki Marble, Beth Martinez Humenik, Tim Neville, Kevin Priola, Ray Scott, Jim
Smallwood, Jerry Sonnenberg, and Jack Tate and Representatives Jim Coleman, Stephen
Humphrey, Jovan Melton, Paul Rosenthal, Lang Sias and Dave Williams
Pro-health Position: Oppose
Final Action: Vetoed by Governor 6/1/18
Summary: Tobacco distributors currently have the right to claim a credit on taxes they pay for
products they ship out of state. The credit had been set to expire in September of 2018. This
bill would have made the tax credit permanent. The money from the expiration of the tax credit
would go toward children’s health and smoking cessation programs. Though the bill passed both
chambers, we fought for and secured the governor’s veto, helping make sure that fewer children
would become addicted to tobacco products.

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Healthy
Communities

These twelve legislators planted a flag for healthy communities during the
2018 Legislative Session, coming out on top for their leadership on the most
critical health issues facing communities throughout Colorado.

TOP SCORES | HEALTHY COMMUNITIES

House House Senate Senate


Republicans Democrats Republicans Democrats
1. Jim Wilson* 1. Dafna Michaelson 1. Kevin Priola* 1. Dominick Moreno*
2. Marc Catlin Jenet* 2. Bob Gardner 2. Rhonda Fields
2. Dan Thurlow 2. Chris Kennedy 3. Beth 3. Irene Aguilar
3. Brittany Pettersen Martinez Humenik

*pictured

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HEALTHY COMMUNITIES BILLS SCORED

1. SB 18-013 (support) Concerning expanding the grades eligible for the child
nutrition school lunch protection program
2. SB 18-040 (support) Concerning measures to address the opioid crisis
in Colorado and in connection therewith, providing immunity for individuals who
provide clean syringes through a clean syringe exchange program, creating a
supervised injection facility pilot program allowing school districts to develop
policies for the supply and administration of opiate antagonists, and requiring
the commission on criminal and juvenile justice to study certain topics related to
sentencing for opioid-related offenses
3. SB 18-071 (support) Concerning an extension of the repeal of the state
substance abuse trend and response task force
4. SB 18-114 (support) Concerning preventing suicide by strengthening life skills
in students
5. SB 18-139 (oppose) Concerning statewide regulations of products that
contain nicotine
6. SB 18-179 (oppose) Concerning adjustments to total gross purchases for
purposes of calculating the excise tax on tobacco products
7. SB 18-211 (oppose) Concerning licensing marijuana consumption clubs
8. HB 18-1003 (support) Concerning measures to prevent opioid misuse in
Colorado
9. HB 18-1093 (support) Concerning the allowable uses of reclaimed domestic
wastewater and in connection therewith, allowing reclaimed domestic wastewater to
be used for food crops
10. HB 18-1177 (support) Concerning multiple approaches to help prevent youth
suicide

15
YES vote NO vote SP = Sponsored Introduced Bill E = Excused

100% score Care Access Bridging the Gap Healthy Communities

SB-002

SB-013

SB-024

SB-027

SB-050

SB-071
Legislator Awards

Irene Aguilar (D) SP SP

Randy Baumgardner (R) SP

John Cooke (R) SP SP SP

Don Coram (R) SP S

Lois Court (D) SP

Larry Crowder (R) SP SP

Kerry Donovan (D) SP

Stephen Fenberg (D) SP

Rhonda Fields (D) SP SP

Leroy Garcia (D) SP

Bob Gardner (R) SP E

Kevin Grantham (R) SP SP

Lucia Guzman (D) SP

Owen Hill (R) SP

Chris Holbert (R) SP SP

Cheri Jahn (U) SP SP

Matt Jones (D)


Daniel Kagan (D) SP

John Kefalas (D) SP

Andy Kerr (D) SP

Kent Lambert (R) SP SP SP

Kevin Lundberg (R) SP

Vicki Marble (R)


Beth Martinez Humenik (R) SP SP

Michael Merrifield (D) SP S

Dominick Moreno (D) SP SP SP

Tim Neville (R) SP

Kevin Priola (R) SP SP SP SP

Ray Scott (R) E

Jim Smallwood (R) SP SP SP

Jerry Sonnenberg (R) SP SP

Jack Tate (R) SP SP SP

Nancy Todd (D) SP SP S

Angela Williams (D) SP SP

Rachel Zenzinger (D) SP S

16
2018 SENATE VOTES
Score Card

HB18-1282

HB18-1284

HB18-1321
SB18-179

HB-1003

HB-1007

HB-1012

HB-1017

HB-1045

HB-1093

HB-1094

HB-1136
SB-085

SB-146

SB-148

SP SP SP SP E SP E
SP E E

P SP

SP SP SP SP

SP SP SP SP

SP

SP

SP SP

SP SP

SP

SP SP E SP

SP

SP

SP SP SP SP SP

SP

SP SP SP SP SP

SP SP SP SP

SP SP

SP
SP SP SP SP SP SP

SP

SP SP SP SP SP

SP

SP SP SP SP

SP

SP SP SP SP

SP E SP

SP SP SP SP SP SP SP

SP SP SP

SP SP SP

SP

17
YES vote NO vote SP = Sponsored Introduced Bill E = Excused

100% score Care Access Bridging the Gap Healthy Communities

SB-002

SB-013

SB-024

SB-027

SB-050

SB-071

SB-085

SB-146
Legislator Awards

Jeni Arndt (D) SP

Jon Becker (R) E SP

KC Becker (D) SP SP

Susan Beckman (R)


Adrienne Benavidez (D) SP

Jeff Bridges (D) SP

Perry Buck (R) SP

Janet Buckner (D) SP/E

Terri Carver (R) SP/E

Marc Catlin (R) E SP

James Coleman (D) SP

Phil Covarrubias (R) SP/E

Jessie Danielson (D)


Crisanta Duran (D) SP SP

Daneya Esgar (D) SP SP

Justin Everett (R)


Tony Exum (D) E SP

Mike Foote (D)


Alec Garnett (D) SP

Joann Ginal (D) SP

Matt Gray (D) SP/E

Millie Hamner (D) SP

Chris Hansen (D) SP SP

Leslie Herod (D) SP

Edie Hooton (D) SP

Stephen Humphrey (R)


Dominique Jackson (D) SP E

Chris Kennedy (D) SP SP SP SP

Tracy Kraft-Tharp (D) SP E

Lois Landgraf (R) SP

Polly Lawrence (R) SP SP

Pete Lee (D)


18
E

SP
SP

SP
SP
SB-148

E
SP
SP
SP
SB18-179

E
E
E

SP
HB-1003

E
E
E

SP
HB-1007

E
SP
SP
HB-1012

SP
HB-1017

E
E
E
E
HB-1045

SP
SP

HB-1093

E
E
E

SP
HB-1094

E
E

SP
SP
HB-1097

E
E
E

SP
SP
HB-1136

E
E
E

HB-1177

E
HB18-1205

SP
HB18-1207

SP
SP
HB18-1212
E
E

SP
SP
HB18-1260

E
E

HB18-1282

E
SP
2018 HOUSE VOTES

HB18-1284

E
SP
SP

HB18-1321

E
SP

HB18-1384
Score Card

SP
SP
SP
SP
HB18-1392

19
YES vote NO vote SP = Sponsored Introduced Bill E = Excused

100% score Care Access Bridging the Gap Healthy Communities

SB-002

SB-013

SB-024

SB-027

SB-050

SB-071

SB-085

SB-146
Legislator Awards

Tim Leonard (R)


Kimmi Lewis (R)
Larry Liston (R) E

Susan Lontine (D) SP

Paul Lundeen (R) SP

Hugh McKean (R) SP E

Barbara McLachlan (D) SP SP

Jovan Melton (D)


Dafna Michaelson Jenet (D) SP SP

Patrick Neville (R)


Dan Pabon (D) SP E E

Brittany Pettersen (D) SP

Bob Rankin (R)


Kim Ransom (R)
Judy Reyher (R)
Dylan Roberts (D) SP

Paul Rosenthal (D) SP

Lori Saine (R) E

Joe Salazar (D) E

Shane Sandridge (R) n/a

Lang Sias (R) SP

Jonathan Singer (D) SP SP E SP

Dan Thurlow (R) SP

Donald Valdez (D) SP

Kevin Van Winkle (R) SP

Mike Weissman (D)


Yeulin Willett (R) E

Dave Williams (D)


Jim Wilson (R)
Faith Winter (D) SP

Cole Wist (R) SP

Dave Young (D) SP


20
E

SP
SP
E
SB-148

SP
SP
SP
SP
SB18-179

SP/E

SP
SP
HB-1003

SP
SP
HB-1007

SP
SP
SP
HB-1012

E
SP
HB-1017

SP
HB-1045

SP
HB-1093

SP
HB-1094

E
E
E
HB-1097

SP
SP
HB-1136

E
SP
HB-1177

SP
SP
HB18-1205

SP
HB18-1207

HB18-1212

HB18-1260
E

SP
SP

HB18-1282

E
E

SP
2018 HOUSE VOTES

HB18-1284
SP

HB18-1321

SP
SP
HB18-1384
Score Card

SP
SP
SP
SP
SP
SP

HB18-1392

21

FINAL SENATE VOTES


Tier 1 SB18-013 Expand Child Nutrition School Lunch Protection Act

SB18-024 Expand Access Behavioral Health Care Providers


Tier 2
SB 18-050 Freestanding Emergency Facility as Safe Haven
SB 18-146 Freestanding Emergency Departments Required Consumer Notices
HB 18-1007 Substance Use Disorder Payment and Coverage
HB 18-1012 Vision Care Plans Carriers Eye Care Providers
HB 18-1094 Children and Youth Mental Health Treatment Act
HB 18-1136 Substance Use Disorder Treatment
HB 18-1282 Health Care Provider Unique Identification Per Site or Services

Tier 3 SB18-002 Financing Rural Broadband Deployment


SB18-027 Enhanced Nurse Licensure Compact
SB18-071 Extend Substance Abuse Trend and Response Task Force
SB18-085 Financial Incentives for Education in Rural Areas
SB18-148 Medical Benefits After State Employee Work-related Death
HB 18-1003 Opioid Misuse Prevention
HB 18-1017 Psychology Interjurisdictional Compact
HB 18-1045 Dental Hygienist Apply Silver Diamine Fluoride
HB 18-1093 Reclaimed Water Use for Edible Crops
HB 18-1284 Disclosure of Prescription Costs at Pharmacies
HB 18-1321 Efficient Administration Medicaid Transportation
Opposed SB 18-179 Extend Credit for Out-of-State Tobacco Sales

FINAL HOUSE VOTES


Tier 1 SB18-013 Expand Child Nutrition School Lunch Protection Act
HB 18-1260 Prescription Drug Price Transparency
HB 18-1384 Study Health Care Coverage Options
Tier 2 SB18-024 Expand Access Behavioral Health Care Providers
SB 18-050 Freestanding Emergency Facility as Safe Haven
SB 18-146 Freestanding Emergency Departments Required Consumer Notices
HB 18-1007 Substance Use Disorder Payment and Coverage
HB 18-1012 Vision Care Plans Carriers Eye Care Providers
HB 18-1094 Children and Youth Mental Health Treatment Act
HB 18-1136 Substance Use Disorder Treatment
HB 18-1205 Financial Relief Defray Individual Health Plan Costs
HB 18-1207 Hospital Financial Transparency Measures
HB 18-1212 Free Standing Emergency Departments Licensure
HB 18-1282 Health Care Provider Unique Identification Per Site or Services
HB 18-1392 State Innovation Waiver Reinsurance Program

Tier 3 SB18-002 Financing Rural Broadband Deployment


SB18-027 Enhanced Nurse Licensure Compact
SB18-071 Extend Substance Abuse Trend and Response Task Force
SB18-085 Financial Incentives for Education in Rural Areas
SB18-148 Medical Benefits After State Employee Work-related Death
HB 18-1003 Opioid Misuse Prevention
HB 18-1017 Psychology Interjurisdictional Compact
HB 18-1045 Dental Hygienist Apply Silver Diamine Fluoride
HB 18-1093 Reclaimed Water Use for Edible Crops
HB 18-1097 Patient Choice of Pharmacy
HB 18-1177 Youth Suicide Prevention
HB 18-1284 Disclosure of Prescription Costs at Pharmacies
HB 18-1321 Efficient Administration Medicaid Transportation

Opposed SB 18-179 Extend Credit for Out-of-State Tobacco Sales



22
Footnotes
1. Total stars were awarded to Senators based by dividing members into quintiles after ranking members
1-35 based on the total percentage of their overall voting and sponsorship record.
2. Total stars were awarded to Representatives by dividing members into quintiles after ranking members
1-64 based on the total percentage of their overall voting and sponsorship record.
3. Methodology for awarding points:
a. Only votes with a recorded third reading were scored for the entire general assembly.
b. Points for sponsorships are included regardless of a third reading vote taking place.
c. Sponsorship of Healthier Colorado tier 1 bill +3 points;
d. Sponsorship of Healthier Colorado tier 2 bill +1 point;
e. Sponsorship of Healthier Colorado tier 3 bill +0.333 points;
f. Sponsorship of Healthier Colorado opposed bill -0.333 points;
g. Voting aligned with Healthier Colorado position +0.333 points;
h. Votes against Healthier Colorado’s position resulted in no points awarded
i. Votes occurring when legislators were excused or absent were not included in final score
4. Bill Tiers
a. Tier 1: Healthier Colorado has spent significant time and resources on this priority campaign and has
been deeply involved in the strategy of achieving the sought policy change.
b. Tier 2: Healthier Colorado has opted to institutionally support this campaign, but are not intimately
involved in the strategy.
c. Tier 3: Healthier Colorado has made a nominal endorsement of a campaign or spent a brief amount
of time advancing the policy.
5. Representatives Steve Lebsock and Alexander Winkler were not present for the entirety of the
Legislative Session and are not included.
6. All bills included in the 2018 scorecard, tier and final action: SB 18-002 Tier 3 Signed into law 4/2/18,
SB 18-013 Tier 1 Signed into law 5/29/18, 18-024 Tier 2 Signed into law 5/21/18, SB 18-027 Tier 3
Signed into law 1/18/18, SB 18-040 Tier 2 Postponed indefinitely Senate State Veterans and Military
Affairs 2/14/18, SB 18-50 Tier 2 Signed into law 3/7/18, SB 18-071 Tier 3 Signed into law 4/26/18, SB
18-80 Tier 3 Postponed indefinitely Senate State Veterans and Military Affairs 2/5/18, SB 18-085 Tier
3 Signed into law 5/24/18 SB 18-114 Tier 3 Postponed indefinitely Senate State Veterans and Military
Affairs 2/14/18, SB 18-139 Postponed indefinitely Senate Business, Labor and Technology 2/21/18,
SB 18-146 Tier 2 Signed into law 4/25/18, SB 18-148 Tier 3 signed into law 3/7/18, SB 18-152 Tier
2 Postponed indefinitely Senate State Veterans and Military Affairs 2/14/18, SB 18-179 Vetoed by
Governor 6/1/18, SB 18-211 Postponed indefinitely Senate Business Labor and Technology, 4/2/18
SB 18-237 Tier 3 Postponed indefinitely Senate Health and Human Services 4/18/18, HB 18-1003 Tier
3 Signed into law 5/21/18, HB 18-1007 Tier 2 Signed into law 5/21/18, HB 18-1012 Tier 2 Signed into
law 3/29/18, HB 18-1017 Signed into law 4/12/18, HB 18-1045 Signed into law 3/22/18, HB 18-1093
Signed into law 4/28/18, HB 18-1094 Tier 3 Signed into law 5/30/18, HB 18-1097 Tier 3 Postponed
indefinitely Senate Business Labor and Technology 3/19/18, HB 18-1136 Tier 2 Signed into law 6/7/18,
HB 18- 1177 Postponed indefinitely Senate State Veterans and Military Affairs 5/1/18, HB 18-1179 Tier
2 Laid Over House 2nd reading 5/2/18, HB 18-1205 Tier 2 Postponed indefinitely Senate State Veterans
and Military Affairs 5/3/18, HB 18-1207 Tier 2 Postponed indefinitely Senate State Veterans and Military
Affairs 4/30/18, HB 18-1212 Tier 2 Postponed indefinitely State Veterans and Military Affairs 5/1/18, HB
18-1260 Tier 1 Postponed indefinitely State Veterans and Military Affairs 4/30/18, HB 18-1282 Tier 2
Signed into law 4/25/18, HB 18- 1284 Tier 3 Signed into law 4/30, HB 18-1321 Tier 3 Signed into law
5/30/18, HB 18-1384 Tier 1 Postponed indefinitely Senate State Veterans and Military Affairs 5/4/18, HB
18-1392 Tier 2 Postponed indefinitely State Veterans and Military Affairs 5/4/18

23
EVER Y
COLORADAN SHOULD
HAVE A FAIR CHANCE
A T LIVING A HEALTHY LIFE.

NOW YOU
KNOW THE
SCORES.
Healthier Colorado
Take action - Logo (Acceptable/Available Variations)
at healthiercolorado.org

1536 Wynkoop St. Suite 224


Denver, CO. 80202

720.515.3206
info@healthiercolorado.org
healthiercolorado.org
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