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.