Kickoff Meeting:

Training Advisory Committee

(TAC) for SB 19-238

October 10, 2019

Facilitator: Government Performance Solutions, Inc.

1

Welcome

2

Objectives, agenda, and introductions

Objectives:

• Align on the training advisory committee’s goals, roles,

ground rules, and charter

• Discuss the timeline to achieve the legislative mandate

of SB 19-238

• Define key questions for the listening sessions

Agenda: see handout

3

Meeting Overview

This group was selected to represent the diverse requirements of the bill

and the real-world environment that home care serves (different types of

care, diverse geographies, etc).

4

TAC Membership

Committee Members Department Members

Melissa Benjamin Cynthia Hardiman Ginny Brown

David Bolin Jeanette Hensley Colin Laughlin

Christina Brown Kelley Horton Elaine McManis

Lorin Chevalier Alexa Lanpher Pat Teegarden

Pat Cook James Moore

Stephanie Felix Sarah Serrar

Liz Gerdeman Karen Spivey

Jennifer Gilchriest Stacy Warden

Facilitation and Coordination

Greg Bellomo Kate Newberg Laura Sigrist

Hayley Gleason Erin Thatcher

Please tell us:

• Name

• Organization and Role

• Which stakeholder group(s) you

represent

• Why you agreed to contribute

5

TAC Member Introductions1. Consumer advocacy organizations

2. Personal care workers

3. Worker organizations

4. Home care agencies

5. Disability advocacy organizations

6. Senior advocacy organizations

7. Children’s advocacy organizations

8. Members / representatives of

members who receive personal care,

homemaker, or in-home support

services

9. Representatives of state departments

Introduction to

Senate Bill (SB) 19-238

6

SB 19-238

• Requires the Department of Health Care Policy and Financing (HCPF) to

request an 8.1% increase to the reimbursement rate for personal care

and homemaker services

• Establishes parameters through which home care agencies must pass

through rate increases to personal care workers and report compliance to

HCPF

• Sets an hourly minimum wage for personal care workers of $12.41 per

hour effective July 1, 2020

• Requires HCPF to work collaboratively with the Colorado Department of

Public Health and Environment (CDPHE) and stakeholders to establish a

process for reviewing and enforcing initial and ongoing training

requirements for persons who provide covered services

7

Senate Bill 19-238

By January 1, 2020, HCPF, CDPHE and stakeholders are required

to establish a process to review and enforce initial and ongoing

training requirements for employees providing personal care,

homemaker, and/or respite care services

• Applies to over 400 service agencies, and

• Over 6,000 employees

8

Section 25.5-6-1604. C.R.S.

SB 19-238 requires the following:

1. Manner in which non-administrative employees will be

notified of compensation increases and minimum wage

2. Process to review and enforce initial and ongoing

training requirements for employees providing personal

care, homemaker, and/or respite care services

9

Required Discussion

Topics Include:

Overview of

Roles, Responsibilities,

and Charter

10

See handout for full charter

Per the SB 19-238, the TAC shall:

• Review the current state of initial and ongoing training for home care

agency employees

• Review the current enforcement practices for initial and ongoing

training for home care agency employees

• “Advise the Departments concerning the manner in which non-

administrative employees will be notified of the compensation increases

and minimum wage.”

• Develop recommendations for future initiatives to be reviewed by the

Departments

• Produce a report of its findings and recommendations by January 1, 2020

11

Charge of the TAC

• Attend all Committee meetings, including any extended meetings, for

example, half- or full-day work sessions. In the event that a member

misses more than one meeting, the facilitator and the Department

project manager will contact the member to discuss possible

replacement by another appointee.

• Attend at least one of the five Community Listening Sessions in person or

by phone.

• Be prepared for all meetings. In the event of problems with access of

any work materials, contact the facilitator and Department project

manager immediately.

12

Advisory Committee

Requirements (1 of 2)

• Communicate promptly with other Committee members, the facilitator

and Department project manager, to move the work along between

meetings.

• Seek input from the member’s constituency of peers (for example, other

parents, other providers, etc.) as needed to provide meaningful input

into the work.

• Engage during Committee meetings with respect for differing opinions

and perspectives.

• Notify the facilitator and Department project manager immediately

should any situation prohibit further participation in the Committee

13

Advisory Committee

Requirements (2 of 2)

Roles of each agency as envisioned by SB 19-238:

HCPF

• Hire contractor to assist with five conferences for stakeholder engagement and

gather input from the Training Advisory Committee

CDPHE

• Verify the training requirements for home care service agency staff

CDLE

• Contribute expertise around workforce development and training

DORA

• Provide expertise around professional licensure, education, and training

14

Agency Roles

• Provide executive oversight and logistic support

• Coordinate implementation activities between advisory

committee and other groups

• Conduct policy analysis of suggested options

• Communicate status to the public and legislature

• Launch and manage a survey to gather input from a wider

array of individuals

15

HCPF Responsibilities

• Provide a structured approach for gathering input

• Keep stakeholders focused and progressing towards the goals

and objectives

• Provide progress updates to advisory committee members

• Help the advisory committee balance the inputs from

stakeholders to achieve consensus

16

Facilitator Responsibilities

Stakeholders should share their issues, concerns and/or

ideas related to:

• training for home care agency employees,

• enforcement practices for initial and ongoing training

for home care agency employees, and

• suggestions for notifying non-administrative employees

compensation increases and minimum wage

17

Stakeholder Responsibilities

TAC Meeting Structure

18

1. Call to order

2. Announcements

3. Old business

4. Department updates

5. Meeting topics including but not limited to:a) Presentation of information

b) Discussion

c) Breakout exercises

d) Next steps

e) Public comment period

19

TAC Meeting Structure

• Be focused—engage actively on discussion related to SB19-238

• Be respectful—understand differences of opinion on complex

issues

• Be present—silence all devices and if an emergency occurs,

return ASAP

• Be creative—evaluate alternatives and seek common ground

• Be action-minded—ideas should be practical & “doable”

• Be good to yourself—if you need a break or a drink or a snack

or a stretch, do it!

Working Together

20

Goal: The Training Advisory Committee is charged with preparing

recommendations that will guide processes that are operable and

transparent

Proposal for decision process:

• Discussion on topics will be directed by the facilitator with polling used

to understand the Committee members’ position

• For recommendations, a proposal will be offered by one of the

members (“I think we should recommend…”)

• The group will discuss the proposal and seek common ground

• The facilitator will re-poll the group to confirm consensus

• If no consensus is available, the facilitator will direct a vote; simple

majority carries

• We will document minority opinions where strong feelings remain

Making Decisions

21

Stakeholder Engagement

Methods, and Timeline with

Deliverables

22

• The general public can submit comments and input via

email (HCPF_DCWorkforce@state.co.us), mail, or phone

• Five (5) public listening sessions in regional locations

throughout the state

• Two (2) in-person and two (2) ‘digital’ focus groups for

home care workers

• Home care aide survey

Engagement Methods

23

Timeline and Deliverables

October November December

Initial Draft of

Recommendations

by 11/22/19

Kickoff Meeting on

10/10/19

(5) regional

public

listening

sessions

(2) in-person and

(2) ‘digital’ focus

groups with

home care

workers

Advisory

Committee

meetings on

10/24, 11/7,

11/21, and 12/5

Final Report Due

12/27/19

24

1. How do we ensure public participation from the

stakeholder groups impacted by SB 19-238?

2. What insights did you hope to gain from the listening

sessions?

3. What questions do you need the stakeholders to

answer?

Discussion: Stakeholder

Engagement Questions

25

Current Training

Requirements

26

HCBS Waiver Provider Agencies

• General Certification Standards (8.487.10)

• Certification Standards for Personal Care Services (8.489.40)

• Homemaker Provider Agency Responsibilities (8.490.4)

• IHSS Agency Responsibilities (8.552.6)

Pediatric Personal Care Services Benefit Coverage Standard (10

CCR 2505-10, SECTION 8.500-8.599, APPENDIX A)

Current Requirements: HCPF

27

Health Facilities and Emergency Medical Services Division (6 CCR

1011-1 Chapter 7)

• Personal Care Worker Training

• Assisted Living Staff Training (6 CCR 1011-1 Chapter 7)

Current Requirements: CDPHE

28

Next Steps

29

• TAC members read relevant portions of the Rules

• Facilitators to confirm dates, times and locations for future:

• Stakeholder listening sessions→ TAC members, please

choose one or more to attend

• Advisory committee meetings

• Develop a roadmap of future meetings (topics, milestones)

• Finalize listening session questions

Next Steps

30

31

Questions?

32

Public Comment

We will allow 2 minutes per person. The public is

also welcome to submit comments and questions

to HCPF_DCWorkforce@state.co.us

Thank You!

33

Greg Bellomo greg@governmentperformance.us 303.601.7319

Kate Newberg kate@governmentperformance.us 720.515.9477

Laura Sigrist laura@governmentperformance.us 720.474.7291

Government Performance Solutions, Inc. (GPS)

Contact Info