SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

January 24, 2001                                                                                                     Hearing Room B

1:00 PM                                                                                                                        Tapes 11 - 12

 

MEMBERS PRESENT:         Sen. Bill Fisher, Chair

Sen. Margaret Carter, Vice-Chair

Sen. Gary George

Sen. Frank Shields

Sen. Ken Messerle

 

STAFF PRESENT:                 Rick Berkobien, Administrator

Andrew Morris, Committee Assistant

 

 

MEASURES HEARD:                       SJR 8 Public Hearing and Work Session

                                                SB 287 Public Hearing and Work Session

                                                SB 413 Public Hearing

SB 429 Public Hearing and Work Session

                                               

These minutes are in compliance with Senate and House Rules.  Only text enclosed in quotation marks reports a speaker’s exact words.  For complete contents, please refer to the tapes.

 

TAPE/#

Speaker

Comments

TAPE 11, A

004

Chair Fisher

Calls meeting to order at 1:18 p.m. and opens a public hearing on     SJR 8.

SJR 8 PUBLIC HEARING

010

Rick Berkobien

Explains SJR 8 to the committee.

026

Sen. Avel Gordly

Senate District 10.  Testifies in support of SJR 8.  Comments on the life of Josiah Hill III. 

090

Sen. Carter

Testifies in support of SJR 8.  Relates personal experiences with Josiah Hill III. 

117

Sen. Gordly

Introduces Dr. Richard Bayer.

123

Richard Bayer, MD

Board of Directors, Physicians for Social Responsibility.  Reads testimony in support of SJR 8 (EXHIBIT A). 

200

Bayer

Continues reading testimony. 

238

Chair Fisher

Asks about Hill’s physician assistant practice.

240

Bayer

Responds he was the first practicing physician assistant in Oregon.  Relates other activities Hill participated in. 

297

Chair Fisher

Closes the public hearing on SJR 8 and opens a work session on SJR 8.

SJR 8 WORK SESSION

300

Sen. CARTER:

MOTION:  Moves SJR 8 be sent to the floor with a BE ADOPTED recommendation.

 

 

VOTE:  4-0-1

AYE:               4 - Carter, Messerle, Shields, Fisher

EXCUSED: 1 – George

323

Chair Fisher

The motion CARRIES.

SEN. GORDLY will lead discussion on the floor.

328

Chair Fisher

Closes work session on SJR 8 and opens a public hearing on SB 287.

SB 287 PUBLIC HEARING

335

Berkobien

Explains SB 287 to the committee.

369

Jeff Svejcar

Executive Director, Student Assistance Commission.  Testifies in support of SB 287.  Comments on the student debt of people working in rural areas.

387

Chair Fisher

Asks about funding.

392

Svejcar

Responds they are not seeking any additional funds.  States the money can be divided differently.  Relates an example.

TAPE 12, A

000

Chair Fisher

Asks how dividing the money differently would affect rural services.

005

Svejcar

Responds that current needs are not being met, so it would not adversely affect anything.  States the program could help attract providers to rural areas.

014

Sen. Carter

Asks about student debt.

025

Svejcar

Responds by explaining how the program would work. 

038

Sen. Carter

Comments on past efforts to get people to work in rural healthcare. 

060

Berkobien

States a tax credit is available to physicians in rural areas.

067

Svejcar

States the proposed program is a reward based system.

092

Chair Fisher

Closes the public hearing on SB 287 and opens a work session on      SB 287.

SB 287 WORK SESSION

097

Sen. Carter

MOTION:  Moves SB 287 to the floor with a DO PASS recommendation.

 

 

VOTE:  4-0-1

AYE:               4 - Carter, George, Shields, Fisher

EXCUSED: 1- Messerle

107

Chair Fisher

The motion CARRIES.

SEN. SHIELDS will lead discussion on the floor.

SB 413 PUBLIC HEARING

112

Chair Fisher

Closes the work session on SB 287 and opens a public hearing on      SB 413.

114

Berkobien

Explains SB 413 to the committee.

142

Linda Meloche

Naturopathic Physician.  Reads testimony in support of SB 413 (EXHIBIT B).  Explains naturopathic medicine.  Gives a sectional analysis of SB 413.

210

Don Walker

Naturopathic Physician.  Reads testimony in support of SB 413 (EXHIBIT C).  Comments on the language of SB 413. 

250

Greg Garcia

Naturopathic Physician.  Testifies in support of SB 413.  Comments on the academic requirements of naturopathic medicine.

275

Sen. Carter

Asks about other states requirements.

279

Garcia

Responds that Oregon’s statute is followed in other schools around the country.

291

Meloche

Comments on reciprocity.

296

Sen. Carter

Discusses the importance of Oregon’s standards.

305

Meloche

Explains the process of becoming licensed in Oregon.

330

Scott Gallant

Representing the Oregon Medical Association (OMA).  Testifies in opposition SB 413.  States that the current statute is very specific about what naturopathic doctors may or may not do.  Comments on current statute.  Comments on drugless therapy. 

TAPE 11, B

000

Gallant

Continues testimony. 

048

Sen. Carter

Asks if the language change to statute is too broad.

053

Gallant

Responds affirmatively.

055

Sen. Carter

Asks if the bill is needed.

063

Gallant

Responds the bill needs more background research.

072

Chair Fisher

Asks about the language.

075

Gallant

Responds that there may be a need for amendments to clarify the language.  Comments on various medical tests that may not be appropriate to be ordered by naturopaths.

095

Sen. Shields

States the bill needs more input from other agencies.

113

Chair Fisher

Asks for a response to Gallant’s testimony. 

122

Meloche

Responds there are times when x-rays or MRIs are needed and it would be appropriate for a naturopathic physician to order.  States that insurance companies cover diagnostic costs.

148

Garcia

Comments on the ethics of naturopathic medicine. 

162

Chair Fisher

Asks about diagnostics.

174

Walker

Responds by explaining various diagnostics and how they work.

183

Garcia

States that most diagnostics take place in hospitals.

204

Chair Fisher

Comments on medical practices. 

223

Sen. Shields

Asks about the Board of Education accreditation.

229

Garcia

Responds by explaining the accreditation for the school in Portland.

270

Chair Fisher

Asks about the school in Arizona.

274

Garcia

Responds the school in Arizona’s accreditation will be gone in two years. 

299

Meloche

States that deleting “drugless therapy” and adding “naturopathic medicine” to the statute would be the best way to distinguish between medical doctors and naturopathic doctors.

318

Sen. George

Comments on the current formulary for naturopathic doctors. 

333

Walker

Discusses the x-ray machine in his office.

365

Sen. George

Comments on the diagnosis practice.

377

Meloche

Relates example of diagnoses.

387

Chair Fisher

Discusses license responsibility.

409

Meloche

Comments on the reasons for the proposed language changes.

TAPE 12, B

000

Chair Fisher

Comments on the enforcement of current statutes.

012

Meloche

States the need for clear and concise statues.

016

Chair Fisher

Closes the public hearing on SB 413 and opens a public hearing on    SB 429.

SB 429 PUBLIC HEARING

024

Berkobien

Explains SB 429 to the committee. 

045

Mary Claire Buckley

Executive Director, Psychiatric Security Review Board.  Testifies in support of SB 429.  Comments on placement of convicted criminals in psychiatric care.  Describes the language of SB 429. 

088

Chair Fisher

Asks about immediate treatment and having to wait through a holiday weekend.

095

Buckley

Responds that needed services would be provided.

103

Sen. Carter

Asks who would be in charge during the time in between immediate and practical.

110

Buckley

Responds it is the law enforcement’s official responsibility. 

117

Sen. Carter

Comments on the costs of holding someone for an extended time.

130

Buckley

Responds by relating possible scenarios in rural counties. 

159

Chair Fisher

Comments on treatment in rural communities.

165

Buckley

States that depending on the urgency of the matter, law enforcement officials have discretion in handling clients.

200

Bob Montgomery

Representing County Mental Health Providers.  Testifies on SB 429.  Comments on the importance of having clear definitions in statute. 

230

Chair Fisher

Discusses possible scenarios.

241

Buckley

Comments on proposed language. 

264

Chair Fisher

Closes the public hearing on SB 429 and opens a work session on      SB 429

SB 429 WORK SESSION

269

Sen. Shields

MOTION:  Moves SB 429 to the floor with a DO PASS recommendation.

 

 

VOTE:  5-0

AYE:               5 - Carter, George, Messerle, Shields, Fisher

279

Chair Fisher

The motion CARRIES.

SEN. FISHER will lead discussion on the floor.

282

Chair Fisher

Closes the public hearing on SB 429 and adjourns the meeting at     3:02 p.m.

 

 

 

Submitted By,                                                                           Reviewed By,

 

 

 

Andrew Morris,                                                                        Rick Berkobien,

Committee Assistant                                                                 Administrator

 

EXHIBIT SUMMARY

 

A – SJR 8, Written testimony, Richard Bayer, MD, 2 pp.

B – SB 413, Written testimony, Linda Meloche, ND, 3 pp.

C – SB 413, Written testimony, Don Walker, ND, 3 pp.