SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

April 9, 2001                                                                                                           Hearing Room B

1:00 PM                                                                                                                        Tapes 79 - 82

 

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 30 Public Hearing

SB 369 Public Hearing

                                                SB 567 Public Hearing

                                                SB 819 Public Hearing

                                                SB 730 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 79, A

004

Chair Fisher

Calls meeting to order at 1:08 p.m. and opens a public hearing on      SB 30.

SB 30 PUBLIC HEARING

005

Rick Berkobien

Explains SB 30 to the committee.

025

Mark Bigger

Legislative Aide to Sen. George.  Testifies in support of SB 30 (EXHIBIT A). 

043

Edward Peterson

Consumer.  Testifies in support of SB 30.  Relates a personal experience. 

116

Chair Fisher

Asks if the care was paid for privately.

117

Peterson

Responds affirmatively. 

130

Jane-Ellen Wiedanz

Senior and Disabled Services Division.  Testifies in opposition to      SB 30 (EXHIBIT B).   States that SB 30 would eliminate oversight that SDSD provides.

147

Chair Fisher

Asks what the problem exists if someone pays privately.

151

Wiedanz

Responds that there would not be any way to monitor treatment of clients.  Comments on current federal regulations.

171

Sen. Carter

Asks about home investigations.

178

Wiedenz

Explains the process for initiating investigations.

187

Sen. Carter

Asks for clarification on SDSD’s interest.

194

Wiedenz

Responds by explaining the interest of SDSD.

200

Chair Fisher

Asks about current regulations.

210

Wiedenz

Responds she is unsure.

215

Sen. Carter

Comments on nursing home care versus adult foster home care.

222

Wiedenz

Gives definitions of nursing home care and adult foster care.

228

Meredith Cote

Long Term Care Ombudsman.  Testifies in opposition to SB 30.  Comments on the need for licensing facilities. 

252

Chair Fisher

Clarifies SDSD’s role.

261

Cote

Continues testimony. 

288

Chair Fisher

Discusses nursing home care versus adult foster home care.

294

Cote

Relates a possible scenario. 

305

Chair Fisher

Relates personal opinion.

315

Cote

Comments on her long term care responsibilities.

322

Sen. Shields

Provides personal opinion.

330

Chair Fisher

Comments on the government’s role in personal lives.

355

Cote

Provides further comments.

363

Sen. Messerle

Asks if a compromise can me reached. 

377

Wiedenz

Responds to Sen. Messerle’s question.

384

Sen. Messerle

Asks what the difference is for a single resident or multiple residents.

391

Wiedenz

Responds by relating possibilities. 

406

Sen. Messerle

Asks about current rules.

412

Wiedenz

Responds she will get him a copy of the current rules.

422

David Nebel

Oregon Law Center.  Testifies in opposition to SB 30.  Gives reasons why the bill should be not be passed.

TAPE 80, A

000

Nebel

Continues testimony.

015

Chair Fisher

Relates a possible scenario.

024

Nebel

Comments on elderly abuse. 

036

May Dasch

Oregon Alzheimer’s Association.  Testifies in opposition to SB 30 (EXHIBIT D). 

065

Jaqueline Zimmer

Oregon Association of Area Agencies on Aging and Disabilities.  Testifies in opposition to SB 30 (EXHIBIT C).  Relates a possible scenario.

102

Chair Fisher

Asks how this bill would increase fiscal responsibility. 

116

Sen. Messerle

Asks what the bill would encompass.

119

Chair Fisher

Responds it concerns 24-hour care.

128

Sen. Shields

Refers to (EXHIBIT A).  Asks if the situation could have been handled differently. 

144

Zimmer

Responds she is unsure.  States the association’s goal is voluntary compliance.  Comments on problems with in-home care. 

172

Chair Fisher

Comments on the background of the bill.

181

Zimmer

Comments on respite care. 

185

Chair Fisher

Provides personal opinion. 

195

Sen. Carter

Asks about respite care options.

196

Chair Fisher

Comments on respite care.

218

Sen. Carter

Comments on differences in philosophy.  Asks for further background clarification.

230

Peterson

Responds by further explaining the background of SB 30.  Comments on the state’s role in the situation. 

270

Sen. Carter

Discusses the background of SB 30. 

297

Peterson

Responds to Sen. Carter’s comments. 

307

Sen. Carter

Provides further comments.

314

Chair Fisher

Comments on interference of the state government. 

331

Sen. Carter

Discusses protecting the interest of constituents.

345

Chair Fisher

Comments on the rights on individuals. 

357

Peterson

Provides personal opinion.

374

Cote

Comments on long term care issues.  Explains the difficulty of knowing who does and does not need protection.

416

Sen. Carter

Asks how the issue can be resolved using a “hands off” approach.

426

Zimmer

Responds she is unsure.  States a willingness to work with Peterson.

441

Sen. Carter

Asks Zimmer to make an agreement to work with Peterson.

448

Zimmer

Responds a willingness to work with Peterson. 

TAPE 79, B

000

Zimmer

Continues response to Sen. Carter.

013

Chair Fisher

States that Mr. Peterson would like to remain independent. 

018

Peterson

Asks for independence. 

025

Sen. Shields

Asks for clarification.

033

Peterson

Further clarifies the background of SB 30.

061

Chair Fisher

Closes the public hearing on SB 30 and opens a public hearing on     SB 369.

SB 369 PUBLIC HEARING

069

Berkobien

Explains SB 369 to the committee.

090

Dugan Petty

Department of Administrative Services.  Testifies in support of SB 369 (EXHIBIT E).  Explains the need for SB 369.  Explains how the bill would be used. 

149

Tim Kral

Oregon Rehabilitation Association.  Testifies in support of SB 369 (EXHIBIT F).  States the bill is a housekeeping issue. 

170

Sandra Bishop

Fair Competition Alliance (FCA).  Testifies in opposition to SB 369 (EXHIBIT G). 

185

Jerry Egger

Fair Competition Alliance.  Reads testimony in opposition to SB 369 (EXHIBIT H). 

212

Sen. Carter

Asks about the make-up of the FCA.

214

Egger

Describes the make-up of the FCA.

226

Chair Fisher

Enters a letter into the record (EXHIBIT I).  Opens SB 567.

SB 567 PUBLIC HEARING

230

Berkobien

Explains SB 567 to the committee.

255

Chair Fisher

Comments on SB 567 as written.

270

Lynn Read

Office of Medical Assistance Programs (OMAP).  Testifies in opposition to SB 567 (EXHIBIT J).  Explains why OMAP is opposed to SB 567. 

311

Sen. Messerle

Asks about durable items.

317

Read

Responds that items that are reusable are listed as durable. 

328

Sen. Messerle

Comments on services provided to local people and businesses. 

351

Chair Fisher

Comments on the intention of the bill.

373

Jane Boren

Business Owner.  Testifies in support of SB 567 (EXHIBIT K).  Explains the background of SB 567. 

TAPE 80, B

000

Boren

Gives idea for an amendment.  States that her company would have to lay off half of the employees and face closure if SB 567 is not passed. 

060

Chair Fisher

Provides comments on the fiscal impact of SB 567. 

072

Sen. Shields

Comments on the economic affects relating to SB 567. 

086

Tom Holt

Oregon State Pharmacists Association.  Testifies in support of SB 567 (EXHIBIT L).  Comments on the administrative rules that OMAP developed. 

118

Ellie Jenny

Consumer.  Testifies in support of SB 567.  Comments on the client impact of the administrative rules that were made.  States that without the bill, clients would lose options.

140

Chair Fisher

Closes the public hearing on SB 567 and opens a public hearing on    SB 819.

SB 819 PUBLIC HEARING

143

Berkobien

Explains SB 819 to the committee. 

177

Read

Testifies on the –3 amendments (EXHIBIT M).  Gives a sectional analysis of the –3 amendments. 

270

Read

Continues testimony. 

317

Karen Whitaker

Office of Rural Health.  Testifies on section five of the –3 amendments.  Explains critical access to hospitals. 

381

Lynn-Marie Cridder

Oregon AFL-CIO.  Testifies in opposition to the –3 amendments (EXHIBIT N). 

TAPE 81, A

000

Cridder

Continues testimony. 

043

Frank Baumeister

Oregon Medical Association (OMA), M.D.  Testifies in opposition to the –3 amendments (EXHIBIT O).  Comments on the original intent of       SB 819.

095

Scott Gallant

Oregon Medical Association.  Testifies in support of SB 819 and in opposition to the current form of the –3 amendments (EXHIBIT P).  Gives ideas for changes to SB 819. 

157

Chair Fisher

Enters a letter into the record (EXHIBIT Q). 

163

Alison Little

COIHS, Deschutes County.  Testifies in support of SB 819.  Comments on a prescription drug formulary.  Enters a letter for the record (EXHIBIT S).

189

Sen. Carter

Reads a letter from a constituent (EXHIBIT R). 

217

Holt

Comments on the –3 and –4 amendments. 

273

Gary Schnabel

Executive Director, Board of Pharmacy.  Testifies in support of the –3 amendments.  Explains the reason for supporting the –3 amendments. 

303

Chair Fisher

Closes the public hearing on SB 819 and opens a public hearing on   SB 730.

SB 730 PUBLIC HEARING

307

Berkobien

Explains SB 730 to the committee. 

331

Chair Fisher

Enters a letter into the record (EXHIBIT T). 

340

Abby Hoffar

Oregon Midwifery Council.  Testifies in support of SB 730   (EXHIBIT U).  Explains licensing procedures.  Gives reasons why the bill is needed. 

TAPE 82, A

000

Hoffar

Explains the –1 amendments.   

063

Hoffar

Continues testimony. 

137

Donalda Dodson

Oregon Health Division.  Reads testimony on SB 730 (EXHIBIT V). 

161

Chair Fisher

Asks if midwifes to have to obtain individual prescriptions from physicians.

168

Hoffar

Responds affirmatively.

172

Chair Fisher

Asks if midwifes can share prescriptions.

174

Hoffar

Responds no. 

190

Jim Lace

M.D.  Testifies in opposition to SB 730 (EXHIBIT W).  Gives reasons he is opposed to SB 730.  Comments on the importance of education, regulation, and oversight.

261

Chair Fisher

Asks if Lace would be in agreement to allowing access to medications.

265

Lace

Responds it is up to the Obstetricians. 

275

Jim Anderson

OMA.  Testifies in opposition to SB 730.  Comments on the –1 amendments. 

366

Holt

Testifies on SB 730.  Comments on scopes of practice in prescribing authority.  States concern about the –1 amendments.

TAPE 81, B

000

Chair Fisher

Provides personal opinion. 

056

Anderson

Comments on Legislative Counsel’s position in regards to SB 730. 

085

Chair Fisher

Closes the public hearing on SB 30 and adjourns the meeting at       4:04 p.m.

 

Submitted By,                                                                           Reviewed By,

 

 

 

Andrew Morris,                                                                        Rick Berkobien,

Committee Assistant                                                                 Administrator

 

EXHIBIT SUMMARY

 

A – SB 30, Written testimony, Mark Bigger, 4 pp.

B – SB 30, Written testimony, Jane-Ellen Wiedanz, 2 pp.

C – SB 30, Written testimony, Jacqueline Zimmer, 1 p.

D – SB 30, Written testimony, May Dasch, 1 p.

E – SB 369, Written testimony, Dugan Petty, 2 pp.

F – SB 369, Written testimony, Tim Kral, 1 p.

G – SB 369, Written testimony, Sandra Bishop, 2 pp.

H – SB 369, Written testimony, Jerry Egger, 1 p.

I – SB 369, Letter, Sen. Bill Fisher, 2 pp.

J – SB 567, Written testimony, Lynn Read, 2 pp.

K – SB 567, Information, Jane Boren, 4 pp.

L – SB 567, Written testimony, Tom Holt, 1 pp.

M – SB 819, Written testimony, Lynn Read, 5 pp.

N – SB 819, Written testimony, Lynn-Marie Crider, 8 pp.

O – SB 819, Written testimony, Frank Baumeister, 9 pp.

P – SB 819, Written testimony, Scott Gallant, 4 pp.

Q – SB 819, Letter, Sen. Bill Fisher, 3 pp.

R – SB 819, Letter, Sen. Margaret Carter, 1 p.

S – SB 819, Written testimony, Alison Little, 2 pp.

T – SB 730, Letter, Sen. Bill Fisher, 1 p.

U – SB 730, Administrative rules, Abby Hoffar, 3 pp.

V – SB 730, Written testimony, Donalda Dodson, 1 p.

W – SB 730, Written testimony, Jim Lace, 2 pp.