SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

March 12, 2001                                                                                                       Hearing Room B

1:00 PM                                                                                                                        Tapes 49 - 52

 

MEMBERS PRESENT:         Sen. Bill Fisher, Chair

Sen. Margaret Carter, Vice-Chair

Sen. Frank Shields

Sen. Ken Messerle

 

MEMBER EXCUSED:          Sen. Gary George

 

STAFF PRESENT:                 Rick Berkobien, Administrator

Andrew Morris, Committee Assistant

 

MEASURES HEARD:                       SB 813 Public Hearing

                                                HB 2469A Public Hearing

SB 887 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 49, A

004

Chair Fisher

Calls meeting to order at 1:08 p.m. and opens a public hearing on      SB 813.  Enters a letter into the record (EXHIBIT A).

SB 813 PUBLIC HEARING

012

Rick Berkobien

Administrator.  Explains SB 813 to the committee.

036

Nan Heim

Oregon Ambulance Association.  Testifies in support of SB 813. 

057

Shawn Baird.

Woodburn Ambulance.  Presents testimony in support of SB 813 (EXHIBIT B).  Comments on services provided by his company.  Explains reimbursement rates.  Discusses the disparities with Oregon Medical Assistance Programs (OMAP) reimbursements.

145

Chair Fisher

Asks about reimbursement rates.

150

Baird

Responds by explaining the current situation. 

173

Ted Farr

Salem Fire Department.  Testifies in support of SB 813.  Reiterates Baird’s testimony.  States that ambulances do not have a choice to serve a certain population or not. 

221

Bob Manning

Pacific West Ambulance.  Testifies in support of SB 813.  Comments on ambulance service in rural areas.  Discusses costs and revenues in rural areas. 

258

Chair Fisher

Asks about procedures in responding to emergency calls.

273

Baird

Responds by explaining the procedures and costs.  States that Oregon requires the most training of all 50 states to be an Emergency Medical Technician (EMT).  Comments on continuing education.  States it costs over $100,000 to purchase and ready an ambulance. 

366

Farr

States Salem recently awarded a bid for $166,00 to purchase an ambulance.  States it costs about $500,000 per year to operate a single ambulance. 

399

Chair Fisher

Asks how long it takes to re-service an ambulance after a call.

416

Farr

Responds it takes about an hour to have the ambulance ready again.

TAPE 50, A

004

Sen. Carter

Asks how the $166 figure is reached by OMAP.

015

Sen. Messerle

Asks how a co-pay for the Oregon Health Plan would affect the ambulance industry. 

030

Baird

Responds the impact of a co-pay would be minimal.

041

Farr

Comments on current practices. 

050

Manning

States that in a rural area the time to re-service an ambulance is much longer than the urban area. 

082

Heim

Comments on the fiscal impact.  Discusses the working relationship with OMAP. 

100

Chair Fisher

Comments on federal funding.

103

Sen. Shields

Asks if there are any states below Oregon in reimbursement rates.

108

Baird

Responds that reimbursement rates are a problem throughout the country. 

120

Chair Fisher

Discusses the need for the bill. 

139

Sen. Carter

Asks how long there has been a disparity in reimbursement.

145

Baird

Responds for many years. 

159

Sen. Shields

Asks for comments from OMAP. 

175

Bruce Bishop

Kaiser Foundation.  Testifies in support of SB 813.  States the legislation is needed. 

200

Dick Wilt

West Ambulance.  Testifies in support of SB 813.  Comments on costs associated with service.  States that increasing costs are beyond the control of ambulance operators. 

245

Chair Fisher

Comments on increasing costs. 

256

Sen. Shields

Asks about charges. 

259

Wilt

Responds by explaining charges.  Comments on cost shifting. 

284

Sen. Shields

Asks if there are any companies facing bankruptcy.

290

Wilt

Responds he is unsure, but for his company cutbacks will be required. 

310

Chair Fisher

Closes the public hearing on SB 813 and opens a public hearing on    SB 887.

SB 887 PUBLIC HEARING

325

Berkobien

Explains SB 887 to the committee.

350

Margaret Murphy-Carley

Oregon Health Care Association.  Testifies in support of SB 887 (EXHIBIT C).  Gives a sectional analysis of SB 887. 

TAPE 49, B

011

Vice-Chair Carter

Closes the public hearing on SB 887 and opens a work session on       SB 887.

SB 887 PUBLIC HEARING

014

Sen. Shields

MOTION:  Moves SB 887 to the floor with a DO PASS recommendation.

 

 

VOTE:  4-0

AYE:               4 - Carter, Messerle, Shields, Fisher

EXCUSED:     1 - George

030

Vice-Chair Carter

The motion CARRIES.

SEN. MESSERLE will lead discussion on the floor.

035

Chair Fisher

Closes the work session on SB 887 and opens a public hearing on     HB 2469A.

HB 2496A PUBLIC HEARING

043

Berkobien

Explains HB 2469A to the committee. 

071

Doug Barber

Oregon Dental Health Coalition, Willamette Dental Group.  Testifies in support of HB 2469A (EXHIBIT D).

097

Gary Allen, DMD

Dentist.  Testifies in support of HB 2469A (EXHIBIT E).  States that due to current law, many dentists will not attempt to obtain an Oregon license due to the bureaucracy.  Relates a personal experience.  Comments on shortages in dentistry that Oregon faces.  Explains Washington state’s current law. 

203

Astrid Newell, MD

Center for Child and Family Health.  Presents testimony in support of (EXHIBIT F).  Gives related statistics.  Comments on the need for   HB 2469A.  States licensing by credentials has broad support. 

250

Vice-Chair Carter

Asks how credentials are determined. 

264

Allen

Responds by explaining the licensing process.  States that administrative rules would be developed if the bill were passed. 

289

Mike Shirtcliff, DMD

Director, Northwest Dental Services.  Testifies in opposition to         HB 2469A (EXHIBIT G).  States that the bill needs amendments.  States the bill could decrease the dental population.  States the bill would allow for corporate dental companies to come into Oregon.  Explains the bill would not help rural Oregon.  Comments on reciprocity. 

397

Ian Timm

Executive Director, Oregon Primary Care Association.  Testifies in support of HB 2469A (EXHIBIT H).

TAPE 50, B

000

Timm

Continues testimony.  Comments on dentist shortages.  Relates statistics from (EXHIBIT H).  Comments on barriers to practicing dentistry in Oregon.  Relates open positions throughout Oregon. 

069

Sen. Messerle

Asks how a designation of need is determined.

080

Timm

Responds a non-profit clinic usually pursues the designation.

087

Sen. Messerle

Asks about survey’s done in counties.

092

Timm

Explains how the surveys were done. 

096

Sen. Messerle

Asks if needs are determined through responses to surveys.

100

Timm

Responds by describing how needs are determined.

106

Shirtcliff

Comments on the survey that was done.  Discusses rural statistics. 

132

Sen. Messerle

Asks about the waiting period to get into a dentist.

136

Shirtcliff

Responds the wait is up to three months. 

147

Sen. Messerle

Asks about the waiting period in urban areas and pediatric dental care.

152

Timm

Responds there is a growing shortage of dentists.

171

Bill Timpass, DMD

Dentist.  Testifies in opposition to HB 2469A.  States the bill takes options away from the Oregon Board of Dentistry.  Comments on pediatric dentistry in Oregon.  Explains lack of access.  Comments on the importance of quality care.  Comments on the position of the American Dental Association. 

282

Sen. Carter

Comments on continuing education. 

288

Timpass

Comments on Washington’s law.  Gives conclusions.

311

Clayton Stearns, DMD

Oregon Board of Dentistry.  Reads testimony in opposition to HB 2469A (EXHIBIT I).  States the Oregon Dental Association is opposed to HB 2469A.  Comments on the licensing exam process.  Explains the function of the Board of Dentistry. 

TAPE 51, A

000

Stearns

Gives statistical data comparing Oregon and Washington.  Rebuts testimony provided by the proponents.  States that Oregon ranks tenth in the nation for dentist/patient ratio. 

091

Chair Fisher

Asks about the recently enacted law in Washington.

097

Stearns

Responds by explaining Washington law. 

129

Stearns

Continues reading testimony. 

229

Stearns

Comments on the examination process. 

270

Chair Fisher

Asks about military dentists.

275

Stearns

Responds that dentists in the military are expected to have licensure in at least one state. 

285

Chair Fisher

Asks about the impacts of the bill.

288

Stearns

Responds by explaining different practices.  States the examination process evolves with time. 

332

Hart Laws

Reads Steven Duffin’s, DMD, testimony in support of HB 2469A (EXHIBIT J).

420

Sen. Carter

States a need for a more progressive approach. 

431

Stearns

Explains the original proposal was different than HB 2469A. 

TAPE 52, A

000

Stearns

States that Oregon allows open testing twice a year for specialists.  States the Western Regional Board has testing 14 times a year. 

036

Chair Fisher

Asks about a presented scenario.

041

Stearns

Responds a possible situation that could have occurred.

052

Chair Fisher

Asks about physicians.

055

Stearns

Responds that physicians have different guidelines. 

075

Timpass

Relates a personal experience.  States a need for a competent exam. 

088

Stearns

Comments on licensure. 

095

Chair Fisher

Asks about Oregon Health Sciences University’s (OHSU) program.

102

Stearns

Responds it is possible for unqualified people to graduate.

108

Timpass

Discusses licensure.  Comments on current statutes. 

125

Stearns

Comments on OHSU’s program.  Explains his work on the Board of Dentistry. 

164

Jack Clinton

Associate Dean, School of Dentistry, OHSU.  Testifies on HB 2469A (EXHIBIT K). 

210

Chair Fisher

Closes the public hearing on HB 2469A and reopens the work session on SB 887 and declares a potential conflict of interest.  Closes the work session on SB 887 and adjourns the meeting at 3:45 p.m.

 

Submitted By,                                                                           Reviewed By,

 

 

 

Andrew Morris,                                                                        Rick Berkobien,

Committee Assistant                                                                 Administrator

 

EXHIBIT SUMMARY

 

A – SB 813, Letter, Sen. Bill Fisher, 1 p.

B – SB 813, Written testimony, Shawn Baird, 2 pp.

C – SB 887, Written testimony, Margaret Murphy-Carley, 2 pp.

D – HB 2469A, Written testimony, Doug Barber, 1 p.

E – HB 2469A, Written testimony, Gary Allen, 5 pp.

F – HB 2469A, Written testimony, Astrid Newell, 2 pp.

G – HB 2469A, Written testimony, Mike Shirtcliff, 2 pp.

H – HB 2469A, Information Packet, Ian Timm, 16 pp.

I – HB 2469A, Written testimony and information, Clayton Stearns, 27 pp.

J – HB 2469A, Written testimony, Hart Laws, 2 pp.

K – HB 2469A, Written testimony, Jack Clinton, 2 pp.