SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

April 16, 2001                                                                                                         Hearing Room B

1:00 PM                                                                                                                        Tapes 88 - 91

 

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:                       SB 363 Public Hearing

                                                SB 731 Public Hearing

SB 894 Public Hearing

                                                SB 962 Public Hearing

                                                SB 888 Public Hearing

                                                SB 610 Public Hearing

                                                SB 910 Public Hearing

                                                SB 286 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 88, A

005

Chair Fisher

Calls meeting to order at 1:11 p.m. and opens a public hearing on        SB 363.

SB 363 PUBLIC HEARING

010

Rick Berkobien

Administrator.  Explains SB 363 to the committee.

027

Tom Olsen

Childcare Division, Employment Department.  Testifies in support of SB 363 (EXHIBIT A).  Explains the need for SB 363. 

058

Chair Fisher

Comments on (EXHIBIT A). 

068

Linda Stern

Childcare Division, Employment Department.  Clarifies        (EXHIBIT A) and the intent of SB 363. 

084

Chair Fisher

Asks about regulations for private schools.

088

Stern

Responds that private schools are independent.

092

Sen. Carter

Comments on the intent of the bill.

097

Chair Fisher

Comments on the rights of private schools. 

102

Olsen

Discusses the intent of the original legislation. 

110

Chair Fisher

Provides personal opinion.  Asks if the bill changes the concept of complaints to allow for anonymous complaints.

124

Olsen

Responds the bill clarifies complaints can be anonymously.

142

Tom Gallagher

Oregon Newspaper Association.  Testifies on SB 363.  States the bill would provide an exemption from the public records law. 

178

Stern

Explains the need for anonymity. 

204

Gallagher

States the information in section B is not clear. 

235

Chair Fisher

Closes the public hearing on SB 363 and opens a public hearing on   SB 894.

SB 894 PUBILC HEARING

250

Berkobien

Explains SB 894. 

275

Mike Becker

Regence Blue Cross/Blue Shield.  Testifies on SB 894 (EXHIBIT B).  Comments on the discussions that have taken place on SB 894.  Explains the conceptual agreement that was reached (EXHIBIT B).

358

Kevin Earls

Oregon Association of Hospitals and Health Systems (OAHHS).  Testifies in support of SB 894.  Explains the key elements of SB 894. 

TAPE 89, A

000

Earls

Continues testimony.  

038

Chair Fisher

Enters testimony from the Oregon Medical Association (EXHIBIT C).

059

Sen. George

Asks if the public has been informed about the work group.

064

Gallagher

Explains the make-up of the work group. 

077

Chair Fisher

Comments on the need for the amendments to be finished before hearings can progress. 

091

Sen. Carter

States the need for inclusion of outside people in the work group.

110

Sen. Messerle

Reiterates the need for information to be made public.

122

Chair Fisher

Enters letter from Rep. Cedric Hayden (EXHIBIT D).

128

Earls

Adds follow-up information.

136

Chair Fisher

Closes the public hearing on SB 894 and opens a public hearing on   SB 731.

SB 731 PUBLIC HEARING

144

Berkobien

Explains SB 731 to the committee.

174

Sen. Carter

SD 8.  Testifies in support of SB 731 (EXHIBIT E).  Comments on mental health treatment.  Discusses the need for more services in rural areas. 

233

Sen. Messerle

Asks about insurance coverage in rural areas. 

249

Sen. Carter

Responds that resolution will come when licensed therapists can work and receive reimbursements. 

267

Peggy Anet

Health Insurance Association of America.  Testifies in opposition to  SB 731 (EXHIBIT F).  States the bill adds a new insurance mandate.  Comments on scopes of practice. 

359

Sen. Carter

Asks if people with a Masters in Social Work (MSW’s) are covered under current insurance standards.

365

Anet

Responds affirmatively. 

374

Sen. Carter

Provides personal opinion.

386

Anet

Refers to the language of SB 731.

396

Sen. Carter

Comments on definition of scope of practice for licensed therapists.

TAPE 88, B

003

Sen. Messerle

Comments on cutting needed services to save costs to insurance costs.  Provides personal opinion. 

025

Sen. Carter

Discusses family counseling practices. 

028

Anet

Talks about the complexity of mental health issues.

034

Chair Fisher

Refers to (EXHIBIT F).  Asks for the cost of the bill.

045

Anet

Responds she will look for data.

068

Lara Smith

Oregon Mental Health Counselors Alliance.  Reads testimony in support of SB 731 (EXHIBIT G). States the added costs to insurance companies will be one-tenth of one percent.

114

Sen. Shields

Asks about the role of faith-based counseling centers.

122

Smith

Responds she is unsure. 

130

Sen. Carter

Responds that the bill affects licensed counselors and therapists. 

141

Smith

Clarifies Sen. Carter’s statement.  States the bill does not expand the scope of practice for licensed counselors and therapists.

158

Ada Hawkinson

Ph. D.  Clinical Psychologist.  Testifies in opposition to SB 731.  Discusses competency and consumer protection.  Relates a personal experience.  Reviews the required training for Psychologists.  Comments on mental health in rural areas. 

280

Chair Fisher

Provides personal opinion.

290

Hawkinson

Continues testimony. 

300

Lisa Trussell

Association of Oregon Industries.  Testifies in opposition to SB 731.  Discusses new mandates. 

332

John Powell

Regence Blue Cross/Blue Shield.  Testifies in opposition to SB 731.  Comments on insurance costs.  Discusses the differences in training requirements. 

378

Mike Dewey

ODS Health Plans.  Testifies in opposition to SB 731.  Explains increased costs. 

TAPE 89, B

000

Sen. Messerle

Provides opinion of increased insurance costs.  States a need for solutions. 

013

Dewey

Explains the increased costs of drugs and technology.

030

Sen. Messerle

Comments on business practices of insurance companies. 

036

Powell

States a willingness to work with Sen. Messerle to provide data.

061

Dewey

States a need to balance the insurance system.

069

Chair Fisher

Closes the public hearing on SB 731 and opens a public hearing on   SB 962.

SB 962 PUBLIC HEARING

071

Berkobien

Explains SB 962 to the committee.

085

Chair Fisher

Enters letter from the Board of Pharmacy  (EXHIBIT H).

092

Jo Bell

OAHHS.  Testifies in support of SB 962 (EXHIBIT I).  Gives the background of SB 962.  Explains the need for the bill. 

184

Brian DeLashmutt

Oregon Nurses Association (ONA).  Testifies on SB 962.  Gives reasons that the ONA has opposed the concept of SB 962 in the past.

225

Louise Shores

Oregon State Board of Nursing.  Testifies in opposition to SB 962 (EXHIBIT J).  States the bill is ambiguous.  Gives a sectional analysis of SB 962.   

344

Chair Fisher

Closes the public hearing on SB 962 and opens a public hearing on   SB 888.

SB 888 PUBLIC HEARING

350

Berkobien

Explains SB 888 to the committee.

389

Jim Carlson

Oregon Health Care Association.  Testifies in support of SB 888 (EXHIBIT K).  Explains the –1 amendments.  Discusses the need for the task force that SB 888 creates. 

TAPE 90, A

000

Carlson

Continues testimony.

039

Chris Otis

Oregon Alliance of Senior and Health Services.  Testifies in support of SB 888.  Explains the goals and objectives of SB 888.

055

Sen. Carter

Asks about state directed oversight.

059

Carlson

Responds that oversight would occur with SB 888. 

063

Sen. Carter

Asks if something similar to the proposal is in place.

065

Carlson

Responds no.

071

Sen. Carter

Asks about data collection.

075

Carlson

Explains the uniqueness of Oregon’s programs for home and community based care.  Reviews occupancy of nursing facilities in Oregon. 

093

Sen. Carter

Asks about the need for strategic planning.

103

Carlson

Explains the role of nursing facilities.  Comments on the need to have stable financing. 

138

Chair Fisher

Comments on anti-trust issues.  Asks about the need for the task force to be included in legislation.

177

Carlson

Responds affirmatively.  Explains the role of the task force.

207

Sen. Carter

Asks if the bill is included in the governor’s budget.

211

Carlson

Responds the fiscal impact statement has not been finished yet.

222

Otis

Reiterates the need to include the task force in the legislation. 

256

Verna Porter

Oregon Council of Senior Citizens.  Testifies in support of SB 888.  Relates personal experiences.  States the need to include community advocates on the task force. 

294

Wilma Gritton

Oregon Council of Senior Citizens.  Testifies in support of SB 888. 

322

Jacqueline Zimmer

Oregon Association of Area Agencies on Aging and Disabilities.  Testifies in support of SB 888.  Comments on community participation.

347

Chair Fisher

Closes the public hearing on SB 888 and opens a public hearing on   SB 610.

SB 610 PUBLIC HEARING

350

Berkobien

Explains SB 610 to the committee. 

373

Powell

Testifies in support of SB 610.  Explains the bill addresses a mandate placed on insurance companies in 1981.  Explains maxillofacial prosthetic services.

TAPE 91, A

005

Jane Myers

Oregon Dental Association.  Testifies in opposition to SB 610.

011

Dr. Henry Windell

Oregon Dental Association.  Testifies in opposition to SB 610 (EXHIBIT L).  States there is not a need to change the statute. 

030

Chair Fisher

Closes the public hearing on SB 610 and opens a public hearing on    SB 910

SB 910 PUBLIC HEARING

031

Berkobien

Explains SB 910 to the committee.

044

Chair Fisher

Testifies in support of SB 910.  Explains the work that has been done on the bill. 

070

Michael Skeels

Oregon Health Division.  Testifies in SB 910 (EXHIBIT M).  Comments on needs of the health division if SB 910 is passed.

149

Chair Fisher

Closes the public hearing on SB 910 and opens a public hearing on   SB 286.

SB 286 PUBLIC HEARING

151

Berkobien

Explains SB 286 to the committee. 

175

Jody Fischer

American Diabetes Association.  Testifies in support of SB 286 (EXHIBIT N).  Comments on the history of SB 286. 

240

Chair Fisher

Enters Sen. Carter’s testimony into the record (EXHIBIT O). 

253

Clare Rosenfeld

National Youth Advocate, American Diabetes Association.  Testifies in support of SB 286 (EXHIBIT P).  Comments on the effects of diabetes. 

294

Chair Fisher

Commends Rosenfeld for her work. 

308

Sen. Carter

Asks about Oregon’s diabetes education system.

314

Rosenfeld

Responds that Oregon has a good system for the people who can afford it.  States that equal access is needed.

318

Sen. Shields

Provides personal opinion. 

331

Judy Fry

Registered Nurse, Diabetic Educator.  Testifies in support of SB 286 (EXHIBIT Q).  States that access to certified diabetes education is limited to the urban areas.  Relates the costs of hospital services versus diabetes education.  Relates a study that was done on gestational diabetes.

TAPE 90, B

000

Fry

Continues testimony.

035

Chair Fisher

Asks for clarification of (EXHIBIT Q). 

040

Fry

Explains insulin pump education. 

060

Sen. Shields

Asks Rosenfeld about her experience using an insulin pump.

064

Rosenfeld

Explains her usage of the insulin pump. 

082

Trussel

Testifies in opposition to SB 286 due to costs imposed on insurance companies. 

095

Chair Fisher

Closes the public hearing on SB 286 and adjourns the meeting at     4:05 p.m.

 

Submitted By,                                                                           Reviewed By,

 

 

 

Andrew Morris,                                                                        Rick Berkobien,

Committee Assistant                                                                 Administrator

 

EXHIBIT SUMMARY

 

A – SB 363, Written testimony, Tom Olsen, 3 pp.

B – SB 894, Memo, Mike Becker, 2 pp.

C – SB 894, Information and letters, Scott Gallant, 21 pp.

D – SB 894, Letter, Sen. Bill Fisher, 1 p.

E – SB 731, Written testimony, Sen. Margaret Carter, 2 pp.

F – SB 731, Written testimony, Peggy Anet, 10 pp.

G – SB 731, Written testimony, Lara Smith, 2 pp.

H – SB 962, E-mail, Sen. Bill Fisher, 1 p.

I – SB 962, Written testimony, Jo Bell, 18 pp.

J – SB 962, Written testimony, Louise Shores, 1 p.

K – SB 888, Written testimony, Jim Carlson, 2 pp.

L – SB 610, Written testimony, Henry Windell, 7 pp.

M – SB 910, Written testimony, Michael Skeels, 2 pp.

N – SB 286, Written testimony, Jody Fischer, 5 pp.

O – SB 286, Written testimony from Sen. Carter, Sen. Bill Fisher, 4 pp.

P – SB 286, Written testimony, Clare Rosenfeld, 1 p.

Q – SB 286, Written testimony, Judy Fry, 4 pp.