SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

March 26, 2001                                                                                                       Hearing Room B

1:00 PM                                                                                                                        Tapes 63 - 64

 

MEMBERS PRESENT:         Sen. Bill Fisher, Chair

Sen. Margaret Carter, Vice-Chair

Sen. Gary George

Sen. Frank Shields

Sen. Ken Messerle

 

MEMBER EXCUSED:

 

STAFF PRESENT:                 Rick Berkobien, Administrator

Jennifer Simmons, Committee Assistant

 

 

MEASURES HEARD:                       SCR 8 Public Hearing and Work Session

                                                SB 9 Public Hearing

SB 927 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 63, A

003

Chair Fisher

Opens the meeting at 1:25 p.m.  Opens a public hearing on SB 927.

PUBLIC HEARING – SB 927

006

Rick Berkobien

Administrator.  Gives brief overview of the bill.

035

Sen. Carter

Introduces two students that are observing the committee meeting in the audience.

045

Tom Holt

Oregon State Pharmacists Association.  Reads from written testimony (EXHIBIT A).

089

Sen. Carter

Says that she does not like the idea of being required to have a primary pharmacist.

096

Holt

Says that the purpose is to allow an enrollee to select a pharmacy and commit to it.

104

Sen. Carter

Says that she understands this but it irritates her that we have to go from having a primary doctor to having a primary pharmacy.

121

Sen. Minnis

Testifies in favor of the bill.  Says that uninsured seniors are at greatest risk to not receive necessary prescription drugs.  Explains what this bill would do to alleviate the problem.

174

Sen. Sheilds

Asks how large of a demographic we are talking about.

180

Sen. Minnis

Answers about 35,000 senior citizens.  Says that the ultimate cost would be eleven and a half million dollars

228

Sen. Messerle

Says that Brookings Harbor has the highest percentage of seniors in the state.  Asks if Sen. Minnis has reviewed SB 9.

235

Sen. Minnis

Answers that he has not reviewed SB 9.

251

Rep. V. Walker

Testifies in favor of the bill.  Submits written materials (EXHIBIT B).  Explains the difference between her House Bill 3774 and this bill.  Says that her father in law has spent over $3000 a year for prescription medications. 

332

Rep. Bates

States his support of the bill.  Speaks about seniors suffering due to the rising cost of prescription drugs.  Says that as a physician he has hospitalized many patients because they could not afford their drugs and stopped taking them.  Suggests a different way of handling the co-pay section of the bill. 

420

Sen. Sheilds

Asks about low income people whose hospital costs are often paid by the state.

445

Rep. Bates

Answers that it would certainly save money if these people could take their medications without worry about cost.  Gives an example of a senior whose hospital costs far out weighed the price of his medications.

TAPE 64, A

013

Sen. Sheilds

Asks if the state paid any of this hospital cost.

022

Rep. Bates

Answers that he was uninsured and paid none of his hospital bill.

037

Jim Davis

Oregon Council of Senior Citizens.  States his support of the bill.  Reiterates the point that other health care costs would be avoided if people could afford their medications.  Says that thirty percent of all prescription users are seniors.  Speaks about co-payments. 

100

Sen. Carter

Says that Democrats do support seniors when it comes to prescription drugs.  Explains that most people would prefer to have a choice.  Asks if he agrees with the numbers provided by Sen. Minnis.

115

Davis

Answers that those numbers were regarding his specific district.  Explains the benefits of using one pharmacy.

133

Sen. Carter

Responds that all of these pharmacies are big chains and are not capable of providing the customized care that he is speaking of.

155

Dan Kaplan

Department of Human Services.  Reads from written testimony (EXHIBIT C).

188

Sen. Sheilds

Asks how we can have such varied fiscal amounts for this bill.

200

Hersh Crawford

Office of Medical Assistance Program.  Answers by going through the assumptions they used to create their fiscal impact statement.

256

Sen. Sheilds

Asks if they can provide this formula in writing.

261

Crawford

Answers that he can provide this.

270

Sen. Messerle

Asks if there are other ideas that are being brought forward that can provide better service without this fiscal amount.

282

Crawford

Answers that the only bill he knows of is SB 876.

295

Sen. Messerle

Asks if he is familiar with SB 9.

297

Crawford

Answers that he is not.

307

Sen. Fisher

Closes public hearing on SB 927 and opens public hearing on SCR 8.

PUBLIC HEARING – SCR 8

316

Berkobien

Explains the bill.

361

Mary Slawosky

American Association of Retired People.  Reads from written testimony (EXHIBIT D).

440

Jim Davis

Oregon Council of Senior Citizens.  Reads from written testimony (EXHIBIT E).

TAPE 63, B

078

Brad Fields

Legislative Assistant, Senator Trow.  Says that he is there to speak for Sen. Trow who is in favor of this bill.

109

Mike Canton

Sacred Heart Medical Center.  Reads from written testimony (EXHIBIT F).

152

Rita VanDoren

OSU College of Pharmacy.  Explains her experience with the program that Canton is speaking of.

174

Dr. Yves Vimignon

Oregon Medical Education Program.  Reads from written testimony (EXHIBIT G).

246

Verna VanDuynhoven

Oregon Nurses Association.  States their support of the bill.  Says that she as seen many seniors die prematurely due to incorrect dosages of prescription drugs.

264

Chair Fisher

Closes public hearing on SCR 8 and opens work session on SCR 8.

WORK SESSION – SCR 8

273

Sen. George

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

281

 

VOTE:  5-0

 

Chair Fisher

Hearing no objection, declares the motion CARRIED.

SEN. CARTER will lead discussion on the floor.  Closes work session on SCR 8 and opens public hearing on SB 9.

PUBLIC HEARING – SB 9

299

Sen. Messerle

Testifies in favor of the bill.  Says that this will help gain access for prescription drugs for low income citizens.  Explains the bill and how it would be managed and implemented.

360

Chair Fisher

Enters a letter from the Oregon Health Resources Commission into the record (EXHIBIT H).  Enters a letter from Sen. Clarno into the record (EXHIBIT I).

375

Sen. Sheilds

Asks what the reaction of pharmaceutical representatives is to this bill.

394

Sen. Messerle

Answers that they have not been in contact with him.

414

Sen. Sheilds

Asks if this bill could create an opportunity to collaborate with pharmaceutical representatives.

423

Sen. Messerle

Answers that this bill would keep them individual.

TAPE 64, B

001

Wayne Kradjan

Oregon State University.  Speaks from written material (EXHIBIT J).

052

Jim Davis

Oregon State Council of Senior Citizens.  Expresses their strong support of SB 9.  Says that they would like to see a more cooperative system to make all of these programs available to all who meet the criteria.

085

Sen. Sheilds

Asks how much of the seniors that are hooked into the web would meet the criteria.

087

Davis

Answers that those hooked into the web are probably at a higher income level.

089

Sen. Carter

Says that many of the low income seniors can get access to the internet.

096

Davis

Stresses that internet access is growing and there is also the 800 phone number.

103

Berkobien

Asks if there is any way to project the savings to the state.

108

Kradjan

Answers that he cannot give an exact dollar amount.

124

Davis

Responds that when access is increased it does have an aspect on other parts of health care costs.

138

Chair Fisher

Thanks the witnesses for testifying.  Adjourns the meeting at 3:00 p.m.

 

 

Submitted By,                                                                           Reviewed By,

 

 

 

Jennifer Simmons,                                                                     Rick Berkobien,

Committee Assistant                                                                 Administrator

 

 

EXHIBIT SUMMARY

 

A – written testimony, SB 927, Tom Holt, 1 pp

B – written materials, SB 927, Rep. V. Walker, 4 pp

C – written testimony, SB 927, Dan Kaplan, 1 pp

D – written testimony, SCR 8, Mary Slawosky, 1 pp

E – written testimony, SCR 8, Jim Davis, 2 pp

F – written testimony, SCR 8, Mike Canton, 1 pp

G – written testimony, SCR 8, Dr. Yves Vimignon, 2 pp

H – written testimony, SB 9, Oregon Health Resources Commission, 1 pp

I – written testimony, SB 9, Sen. Clarno, 1 pp

J – written testimony, SB 9, Wayne Kradjan, 1 pp