SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

April 4, 2001 Hearing Room B

1:00 PM Tapes 73 - 76

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: SJM 6 Public Hearing

SJR 39 Public Hearing

SB 482 Public Hearing

SB 769 Public Hearing

SB 885 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 73, A
003	Chair Fisher	Calls the meeting to order at 1:44 p.m. and opens a public hearing on SJR 39.
SJR 39 PUBLIC HEARING
012	Berkobien	Explains SJR 39 to the committee.
028	Sen. Shields	SD 9. Testifies in support of SJR 39. Gives a background of SJR 39.
080	David Kenagy	Executive Director, Oregon Law Commission. Presents (EXHIBIT A) testimony in support of SJR 39. Explains the Oregon Law Commission and its role with SJR 39.
148	Steven Green	Visiting Professor, Willamette University. Testifies in support of SJR 39. Comments on charitable choice. Explains changes that could be made to SJR 39.
240	Green	Continues testimony.
256	Kenagy	Reviews proposed changes as listed in (EXHIBIT A).
266	Sen. Shields	Comments on the proposed changes.
294	Clarice Bailey	Deputy Administrator, Department of Human Services. Testifies in support of SJR 39. Comments on the relationship between government and faith-based services.
326	Bob Castagna	Oregon Catholic Conference. Testifies in support of SJR 39 (EXHIBIT B). Reviews (EXHIBIT B).
TAPE 74, A
000	Castagna	Continues testimony.
040	David Fidanque	Executive Director, ACLU of Oregon. Testifies in opposition to SJR 39. Comments on Oregon’s Bill of Rights and Constitution. Discusses Oregon’s tradition on separation of church and state.
108	Sen. Shields	Explains the intent of SJR 39. Asks about current practices.
125	Fidanque	Responds by explaining his understanding of the current structure. Explains the importance of following the Oregon Constitution.
153	Sen. Shields	Asks if it is possible that current practices already satisfy the Oregon Constitution.
174	Fidanque	Responds it is possible, but more specific policy needs to be developed.
190	Bob Horenstein	Jewish Federation. Testifies in support of SJR 39. Comments on charitable choice. Presents questions that have been raised.
277	Emily Gottfried	American Jewish Committee. Testifies on SJR 39. States support of the concept. States opposition to charitable choice.
327	Enid Edwards	Ecumenical Ministries of Oregon. Testifies on SJR 39. States that protection needs to be added for organizations already receiving money to practice charity.
383	Sen. Shields	States that SJR 39 and SJM 6 can be changed to meet the needs presented to the committee.
407	Chair Fisher	Closes the public hearing on SJR 39 and opens a public hearing on SJM 6.
SJM 6 PUBLIC HEARING
424	Edwards	Presents (EXHIBIT C).
440	Gottfried	Reiterates previous testimony.
TAPE 73, B
011	Chair Fisher	Closes the public hearing on SJM 6 and opens a public hearing on SB 482.
SB 482 PUBLIC HEARING
013	Berkobien	Explains SB 482 to the committee.
033	Barbara Hernandez	American Liver Foundation. Presents testimony in support of SB 482 (EXHIBIT D).
065	Jody Fischer	Representing GlaxoSmithkine. Testifies in support of SB 482 (EXHIBIT E). Talks about Hepatitis A. Comments on the importance of vaccination.
106	Sen. Carter	Asks if more children in Oregon are contracting Hepatitis A.
112	Fischer	Responds that children are carriers of Hepatitis A.
116	Sen. Carter	Asks if there have been any deaths due to Hepatitis A.
120	Hernandez	Responds that there was an outbreak a few years ago, but is unsure of deaths that resulted. States that Hepatitis A goes in cycles.
138	Chair Fisher	Asks about the average rate listed in (EXHIBIT E).
147	Hernandez	Responds the rate is per 100,000 people. Talks about the effects of Hepatitis A.
158	Fischer	States that Hepatitis A can fatal if combined with other forms of Hepatitis. States there about a 100 deaths a year in the US due to Hepatitis A.
164	Sen. George	Asks about the high rate of infection in Oregon.
170	Hernandez	Responds that is unknown.
174	Chair Fisher	Asks about the make-up of the vaccinations and if it can cause Autism.
183	Fischer	Responds she is unsure of the make-up, but it has been proved it does not cause Autism.
198	Randy Hilderbrand	Legislative Aide, Sen. Bev Clarno. Testifies in support of SB 482 (EXHIBIT F). Comments on Hepatitis A.
237	Lorraine Duncan	Immunization Program Manager, Oregon Health Division. Testifies in opposition to SB 482 (EXHIBIT G). Gives reasons why the health division is opposed to SB 482.
303	Chair Fisher	Asks about immunization implementation.
314	Duncan	Responds by explaining implementation. States the bill would be more appropriate at a later date.
332	Chair Fisher	States a concern with the long time needed to implement new immunizations.
345	Duncan	Explains new procedures could be implemented through administrative rules.
363	Sen. Carter	Comments on the loss of life and waiting to introduce new immunizations.
386	Duncan	Explains that counties are starting to use Hepatitis A vaccines.
403	Sen. Carter	States support of Hepatitis A vaccination.
409	Chair Fisher	Closes the public hearing on SB 482 and opens a public hearing on SB 769.
SB 769 PUBLIC HEARING
413	Berkobien	Explains SB 769 to the committee.
TAPE 74, B
010	Dixie Hannon	Legislative Aide to Sen. Hannon. Testifies in support of SB 769. Comments on diabetes (EXHIBIT L). States that diabetes is on the rise, specifically on the west coast. States that diabetes tracking is insufficient.
058	Chair Fisher	Enters a letter into the record (EXHIBIT H).
067	Hannon	States amendments will be forthcoming.
080	Chair Fisher	Comments on his intentions for SB 769.
111	Katherine Cowan	Juvenile Diabetes Research Foundation. Testifies in support of SB 769 (EXHIBIT I). Comments on juvenile diabetes.
126	Lindsay Cowan	Juvenile Diabetic. Testifies in support of SB 769. Relates her personal story.
160	K. Cowan	Adds comments to L. Cowan’s testimony.
175	Dr. James Hansen	Emanuel Children’s Diabetic Clinic. Testifies in support of SB 769. States that Oregon has an unusually high rate of diabetes. Comments on the affects of diabetes. States there is a need for more research.
260	Chair Fisher	Discusses L. Cowan’s insulin treatment.
272	Sen. Carter	Comments on the onset of Type II Diabetes in children.
285	Hansen	States that with fitness and nutrition education it can help keep Type II Diabetes under control. Reiterates the need for data collection.
338	Chair Fisher	Enters letters and e-mails into the record (EXHIBIT J).
361	Francene Boullsa	Pediatric Physician Assistant. Testifies in support of SB 769 (EXHIBIT K). Relates examples of patients she sees. Comments on Type II Diabetes.
407	Brynna Herwitz	Children’s Diabetes Seminars. Testifies in support of SB 769. Relates a personal anecdote. Comments on her work.
TAPE 75, A
000	Herwitz	Continues testimony.
050	Chair Fisher	Provides personal opinion.
080	K. Cowan	Presents Video people afflicted with diabetes.
130	Chair Fisher	Closes the public hearing on SB 769 and opens a public hearing on SB 885.
SB 885 PUBLIC HEARING
150	Sen. Joan Dukes	SD 1. Testifies in support of SB 885 (EXHIBIT M). Comments on the history of SB 885. Explains the need for the commission on pain management. Discusses the make-up of the proposed commission.
199	Sen. Ginny Burdick	SD 6. Testifies in support of SB 885. Reads testimony on her sister’s behalf. Explains chronic pain.
300	Sen. Dukes	Explains (EXHIBIT M).
353	Dr. Paul Stull	Medical Doctor. Testifies in support of SB 885. Discusses pain management. Points out pain issues in long term care facilities.
TAPE 76, A
000	Stull	Continues testimony.
024	Chair Fisher	Introduces letters from the Oregon Medical Association and the Oregon Dental Association (EXHIBIT N). Asks about education requirements in SB 885.
038	Sen. Dukes	Responds the requirement would be a one-time class. Comments on the ability to bypass the education in certain instances.
060	Stull	Comments on licensure and continuing education units.
073	Sen. Dukes	Discusses new treatments and without continuing education, medical professionals will not know about them. Comments on the intent of the bill. States that Oregon is ahead of other states in pain management, but improvement is needed.
117	Stull	Explains chronic pain management.
139	Ellie Jenny	Consumer. Testifies in support of SB 885. Comments on the proposed make-up of the commission.
202	Chair Fisher	Closes the public hearing on SB 885 and adjourns the meeting at 4:21 p.m.

Submitted By, Reviewed By,

Andrew Morris, Rick Berkobien,

Committee Assistant Administrator

EXHIBIT SUMMARY

A – SJR 39, Written testimony, Dave Kenagy, 7 pp.

B – SJR 39, Program Information, Bob Castagna, 12 pp.

C – SJR 39, Article, Enid Edwards, 1 p.

D – SB 482, Written testimony, Barbara Hernandez, 10 pp.

E – SB 482, Written testimony, Jody Fischer, 2 pp.

F – SB 482, Written testimony, Randy Hilderbrand, 1 p.

G – SB 482, Written testimony, Lorraine Duncan, 3 pp.

H – SB 769, Letter, Sen. Bill Fisher, 2 pp.

I – SB 769, Written testimony, Katharine Cowan, 25 pp.

J – SB 769, Letters, Sen. Bill Fisher, 5 pp.

K – SB 769, Written testimony, Francine Boullsa, 3 pp.

L – SB 769. Written testimony, Dixie Hannon, 1 p.

M – SB 885, Articles, Sen. Joan Dukes, 12 pp.

N – SB 885, Letters, Sen. Bill Fisher, 3 pp.