SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

February 14, 2001                                                                                                   Hearing Room B

1:00 PM                                                                                                                        Tapes 28 - 29

 

 

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:                       HB 2227 Public Hearing

HB 2233 Public Hearing and Work Session

                                                SB 413 Public Hearing

 

 

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 28, A

004

Chair Fisher

Calls meeting to order at 1:15 p.m. and opens a public hearing on          HB 2227.

HB 2227 PUBLIC HEARING

006

Rick Berkobien

Explains HB 2227 to the committee.

038

JoAnn Bones

Board of Dentistry.  Presents testimony in support of HB 2227 (EXHIBIT A).  States that a bill passed during the 1999 Session relating to dentistry accidentally left hygienists out.

051

Paul Cosgrove

Oregon Dental Hygienist Association.  Testifies in support of HB 2227.  Asks the committee to support HB 2227. 

075

Chair Fisher

States that HB 2227 and HB 2469 should be worked at the same time because of their similarities.  Closes the public hearing on HB 2227 and opens a public hearing on HB 2233.

HB 2233 PUBLIC HEARING

082

Berkobien

Explains HB 2233 to the committee. 

100

Bones

Testifies in support of HB 2233 (EXHIBIT B).  States the bill is a fix from legislation that was passed in the 1991 Session. 

123

Cosgrove

Testifies in support of HB 2233. 

128

Chair fisher

Closes the public hearing on HB 2233 and opens a work session on  HB 2233.

HB 2233 WORK SESSION

129

Sen. Carter

MOTION:  Moves HB 2233 to the floor with a DO PASS recommendation.

 

 

VOTE:  5-0

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

153

Chair Fisher

The motion CARRIES.

SEN. FISHER will lead discussion on the floor.

156

Chair Fisher

Closes the work session on HB 2233 and opens a public hearing on   SB 413.

SB 413 PUBLIC HEARING

160

Berkobien

Explains SB 413 to the committee. 

193

Scott Gallant

Oregon Medical Association (OMA).  Presents testimony on SB 413 (EXHIBIT C).  Comments on the OMA’s perception of SB 413.  Comments on proposed amendments to SB 413.

314

Dr. Linda Meloche

Board of Naturopathic Examiners, Naturopathic Physician.  Testifies in support of SB 413 (EXHIBIT D).  Comments on current statute.  Describes licensure requirements.  Discusses the word usage of test versus procedure.    

367

Chair Fisher

Comments on procedure versus test.

382

Sen. George

Comments on language. 

390

Meloche

Discusses diagnoses.

399

Chair Fisher

Relates a possible scenario.  States that ability to order tests and procedures should be equal in urban and rural areas. 

TAPE 29, A

000

Meloche

Comments on medical practices in the Portland area. 

015

Gallant

States the legislation would not obligate a hospital to perform examinations. 

028

Sen. Carter

Asks if the wording “testing procedures” should be used.

033

Gallant

Responds that would not clarify the issue.  Comments on current practices of naturopaths.  States the legislation is an oxymoron. 

056

Chair Fisher

Asks about the obligation of laboratories.

060

Gallant

Responds the lab is only obligated to get the information to the doctor.  Comments on hospital privileges.

080

Sen. George

Gives his interpretation of the language in the bill.

088

Chair Fisher

Comments on issues in rural areas. 

094

Gallant

Relates a possible scenario.  States the bill does not provide parameters.

113

Chair Fisher

States that naturopathic doctors are not putting patients in danger.  Comments on healthcare in urban and rural areas.  Reiterates the need for equality in urban and rural areas.

141

Gallant

States the language in the bill would not help the rural situation.

146

Sen. Shields

Asks what parameters a medical doctor would have in ordering diagnostic procedures.  Relates a scenario.  States that parameters are included in education.

166

Gallant

Comments on the educational differences between medical doctors and naturopaths.  Comments on public interests.  Gives personal philosophy. 

207

Chair Fisher

Responds by describing the legislature’s role in deciding scopes of practice.

221

Sen. George

Comments on current statute requirements.  Reviews proposed amendments. 

248

Meloche

Discusses reciprocity.  Comments on educational requirements for naturopathic physicians.  Discusses referrals.

285

Chair Fisher

Comments on referrals. 

306

Meloche

Relates a possible scenario. 

314

Chair Fisher

Discusses the referral process.  

350

Meloche

States the bill clarifies current law. 

356

Sen. Shields

States the bill establishes what is allowed and not allowed.

370

Meloche

States agreement with Sen. Shields. 

383

Sen. Carter

Asks if the bill expands the scope of practice.

389

Meloche

Responds affirmatively. 

400

Sen. Carter

Asks about the Board of Naturopathic Examiners.

408

Meloche

Responds it is similar to the Board of Medical Examiners.

420

Chair Fisher

Discusses the work that needs to be done on SB 413. 

TAPE 28, B

010

Sen. George

Asks about page three of the bill.

020

Meloche

Responds by explaining the discipline process. 

027

Sen. Carter

Refers to page two line nine. 

031

Meloche

States the proposed changed was to allow people to come from out of state and be licensed in Oregon.  Comments on reciprocity. 

060

Chair Fisher

Recommends referring to other licensing statutes for reciprocity issues. 

073

Sen. Shields

Comments on the importance of qualification requirements. 

080

Meloche

State the bill would not require the board to give licenses, but give the opportunity.

090

Chair Fisher

Closes the public hearing on SB 413 and adjourns the meeting at     2:20 p.m.

 

Submitted By,                                                                           Reviewed By,

 

 

 

Andrew Morris,                                                                        Rick Berkobien,

Committee Assistant                                                                 Administrator

 

EXHIBIT SUMMARY

 

A – HB 2227, Written testimony, JoAnn Bones, 2pp.

B – HB 2233, Written testimony, JoAnn Bones, 1 p.

C – SB 413, Written testimony, Scott Gallant, 3 pp.

D – SB 413, Chapter 685 ORS and letters, Dr. Linda Meloche, 20 pp.