SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

February 19, 2001                                                                                                   Hearing Room B

1:00 PM                                                                                                                        Tapes 31 - 32

 

MEMBERS PRESENT:         Sen. Bill Fisher, Chair

Sen. Gary George

Sen. Frank Shields

Sen. Ken Messerle

 

MEMBER EXCUSED:          Sen. Margaret Carter, Vice-Chair

 

STAFF PRESENT:                 Rick Berkobien, Administrator

Andrew Morris, Committee Assistant

 

MEASURES HEARD:                       HJM 1 Public Hearing and Work Session

SB 562 Public Hearing and Possible Work Session

SB 569 Public Hearing and Possible Work Session

                                                SB 570 Public Hearing and Possible 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 31, A

004

Chair Fisher

Opens a sub-committee at 1:10 p.m. and opens a public hearing on     HJM 1.

HJM 1 PUBLIC HEARING

005

Rick Berkobien

Administrator.  Explains HJM 1 to the committee.

010

Verna Porter

Oregon State Council of Senior Citizens.  Testifies in support of     HJM 1.  Comments on Medicare reimbursements.  Relates an example.  Presents testimony on behalf of Jim Davis (EXHIBIT A).

058

Chair Fisher

Opens a full committee.

061

Joe Coss

Oregon State Council of Senior Citizens.  Reads testimony in support of HJM 1 (EXHIBIT B).

094

Sen. Messerle

Comments on the differences between urban and rural payments.

102

Chair Fisher

States the differences are due to the voting strength of the urban areas.

106

Cross

States that health care costs are higher in rural areas.  Comments on Medicare payments in the country’s urban areas.

124

Sen. Messerle

Comments on rural services. 

138

Chair Fisher

Further comments on rural services.

145

Cross

Comments on the disbursement differences between states.

154

Sen. Messerle

Asks if Oregon has a cap.

160

Cross

Responds affirmatively. 

164

Porter

States that many people do not realize the discrepancy is a federal issue. 

171

Cross

Comments on recent congressional action.  Explains the effects of the inflation rate on reimbursement rates.

188

Ed Patterson

Oregon Association of Hospitals and Health Systems.  Testifies in support of HJM 1.  Comments on the work Oregon’s congressional delegates have done.  Explains the impact of the federal Balanced Budget Act. 

232

Sen. George

Comments on Medicare reimbursement. 

264

Chair Fisher

Closes the public hearing on HJM 1 and opens a work session on   HJM 1.

HJM 1 WORK SESSION

270

Sen. George

MOTION:  Moves HJM 1 be sent to the floor with a BE ADOPTED recommendation.

 

 

VOTE:  4-0

AYE:               4 - George, Messerle, Shields, Fisher

EXCUSED:     1 - Carter

275

Chair Fisher

The motion CARRIES.

SEN. GEORGE will lead discussion on the floor.

300

Chair Fisher

Closes the work session on SB 562 and opens public hearing on        SB 562.

SB 562 PUBLIC HEARING

302

Berkobien

Explains SB 562 to the committee.

333

Paul Cosgrove

Oregon Dental Hygienist’s Association.  Presents testimony in support of SB 562 (EXHIBIT C). Relates statistics.

381

Jo Ann Bones

Board of Dentistry.  Presents testimony in support of SB 562 (EXHIBIT D).  Discusses services provided by hygienists. 

437

Sen. Shields

Comments on (EXHIBIT D).

446

Cosgrove

Further explains statistics.

TAPE 32, A

005

Bones

States there is a shortage of dentists developing in the US.  Relates possible solutions to help dentists. 

021

Chair Fisher

Asks about educational requirements for dental assistants.

032

Bones

Responds that extra courses would be required.

052

Chair Fisher

Asks about functions that could be preformed under the supervision of a dentist.

063

Bones

Responds by explaining the necessary training to be a dental assistant. 

079

Cosgrove

Comments that an amendment is needed.

102

Sen. George

Asks about expanded practice and asks for other states practices. 

107

Cosgrove

Responds he will look into other states.  Comments on the scopes of practice between assistants and hygienists. 

117

Jane Myers

Oregon Dental Association.  Testifies in opposition to SB 562.  Comments on the quality of service.  States that the presented statistics are skewed.  States that there are not any serious shortages of dentists in Oregon.  Explains current rules and regulations. 

180

Myers

Continues testimony. 

250

Sen. Shields

Asks if a large portion of the population has not seen a dentist, then how can there not be a shortage of dentists.

365

Myers

Responds that there are barriers to treatment. 

305

Sen. Shields

Asks about accessibility to hygienists. 

323

Myers

Responds by explaining the referral process.  Discusses current requirements and record keeping. 

376

Chair Fisher

Asks what “available to treat” means.

378

Myers

Responds that is dentists who are taking new patients.  Comments on the original intent of previous legislation. 

415

Sen. Messerle

Comments on business practices and the referral process. 

435

Sen. George

Asks about the language.

446

Myers

Responds by explaining what the bill would and would not change.

TAPE 31, B

000

Sen. George

Comments on the scope of practice issues. 

012

Chair Fisher

Opines on the referral process.

020

Myers

Explains past referral proposals.

039

Chair Fisher

Clarifies intent. 

065

Myers

Comments on screening and services. 

079

Sen. Shields

Comments on existing administrative rules. 

087

Myers

States the administrative rules are not effective.

094

Sen. Messerle

Asks how the association would resolve their issues with SB 562.

100

Myers

Responds to not pass the bill and further develop administrative rules.

107

Sen. Messerle

Asks for the Dental Association’s figures.

111

Myers

Responds she will look for data. 

124

Chair Fisher

Asks if their issue is not knowing if people are being referred.

127

Myers

Responds affirmatively.

130

Cosgrove

Comments on current administrative rules.  Describes record keeping practices.  Opines on further record keeping requirements. 

171

Bones

Explains the current administrative rules.  States the board does not want to be overly regulatory.  Comments on referrals. 

202

Chair Fisher

Comments on possible amendments. 

220

Sen. George

Asks if hygienists could have independent practices. 

231

Bones

Responds that hygienists must work under the supervision of a dentist.  States that the dentist does not have to be on the premises, but they would have to give permission to the hygienist. 

273

Sen. Messerle

Asks who serves developmentally disabled clients. 

284

Cosgrove

Responds it depends on the agency and facility. 

311

Sen. Messerle

Asks about the discrepancies between rural and urban Oregon.

323

Cosgrove

Responds by explaining services in rural Oregon. 

338

Myers

Comments on current statute requirements. 

420

Chair Fisher

Reviews amendments to be drafted. 

448

Sen. Messerle

Clarifies opinion on SB 562.

457

Chair Fisher

Closes the public hearing on SB 562 and opens a public hearing on    SB 569 and SB 570.

SB 569 AND SB 570 PUBLIC HEARING

TAPE 32, B

005

Jennifer Webber

Oregon Society of Physician Assistants, OSPA.  Presents testimony in support of SB 569 (EXHIBIT E). 

025

Curt Hawkinson

President, OSPA.  Testifies in support of SB 569.  States the bill would better serve people in Oregon. 

044

Jim Anderson

Oregon Medical Association, OMA.  Testifies on SB 569 and SB 570.  States that the OMA will work out issues with the OSPA.

062

Hawkinson

Testifies in support of SB 570.  Discusses the affects of SB 570.  States the Board of Medical Examiners would still have authority over physician assistants. 

092

Chair Fisher

Closes the public hearing on SB 569 and SB 570 and adjourns the meeting at 2:47 p.m.

 

Submitted By,                                                                           Reviewed By,

 

 

 

Andrew Morris,                                                                        Rick Berkobien,

Committee Assistant                                                                 Administrator

 

EXHIBIT SUMMARY

 

A – HJM 1, Written testimony, Verna Porter, 2 pp.

B – HJM 1, Written testimony, Joe Cross, 3 pp.

C – SB 562, Statistics, Paul Cosgrove, 1 p.

D – SB 562, Written testimony, Jo Ann Bones, 1 p.

E – SB 569, SB 570, Written testimony, Jennifer Webber, 4 pp.