SENATE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

February 26, 2001                                                                                                   Hearing Room B

1:00 PM                                                                                                                       Tapes  37 - 39

 

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:                       HJR 24 Public Hearing and Work Session

SB 45 Public Hearing

                                                SB 539 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 37, A

004

Chair Fisher

Calls meeting to order at 1:10 p.m. and opens a public hearing on    HJR 24.

HJR 24 PUBLIC HEARING

006

Rick Berkobien

Administrator.  Explains HJR to the committee.

016

Rep. Steve March

HD 15.  Reads testimony in support of HJR 24 (EXHIBIT A).  Explains bone marrow donations.

044

Chair Fisher

Relates personal experience. 

063

Chair Fisher

Closes the public hearing on HJR 24 and opens a work session on   HJR 24.

HJR 24 WORK SESSION

065

Sen. Carter

Motions adoption do pass

065

Sen. Carter

MOTION:  Moves HJR 24 be sent to the floor with a BE ADOPTED recommendation.

 

 

VOTE:  5-0

AYE:               5 - Carter, George, Messerle, Shields, Fisher

072

Chair Fisher

The motion CARRIES.

SEN. FISHER will lead discussion on the floor.

078

Chair Fisher

Closes the work session on HJR 24 and opens a public hearing on     SB 539.

SB 539 PUBLIC HEARING

080

Berkobien

Explains SB 539 to the committee.

107

Dr. Jay Wylam

Dentist, Oregon Dental Association (ODA).  Testifies in support of SB 539 (EXHIBIT B).  Comments on the need for SB 539.  Explains payment of services. 

160

Jane Myers

Oregon Dental Association.  Testifies in support of SB 539.    Comments on the claims process.

167

Suzanne Hattabaugh

Dental Employee.  Testifies in support of SB 539.  Explains the claims process.  Comments on problems with the current system.

189

Chair Fisher

Asks if payment problems are common.

198

Hattabaugh

Responds it is not too common.  States a persistent problem is the insurance company sends money directly to subscribers after making one payment to the dentist.

215

Chair Fisher

Asks which insurance companies send payment directly to the subscribers.

220

Hattabaugh

Responds by explaining insurance companies that have problems.

228

Myers

Provides further comments on the payment process. 

247

Wylam

States that most insurance companies are easy to work with, and only some companies act in bad faith.

262

Chair Fisher

Asks if the Employee’s Trust insurance company is a federally subsidized company through Arissa.

270

Hattabaugh

Responds she is unsure.

285

Myers

Comments on insurance payments.  Explains different dental plans.  Comments on the language of the bill. 

330

Sen. Carter

Asks why the bill is needed.

347

Hattabuagh

Responds by explaining the billing process and problems with insurance companies.  

357

Sen. Carter

States the need for the money to go directly to the dentist. 

367

Myers

Explains the intent of SB 539.  Relates a possible scenario. 

388

Sen. Carter

States a need for legislation that directs payments to go directly to the dentist.

400

Myers

Explains the language of SB 539.

419

Sen. Carter

Comments on payment of dental services. 

430

Chair Fisher

Provides personal observation of the current situation.

TAPE 38, A

006

Myers

Explains development of dental plans. 

020

John Powell

Regence Blue Cross/Blue Shield.  Testifies in opposition to SB 539.  Gives reasons the bill should not pass.  Explains how Blue Cross/Blue Shield handles claims. 

054

Sen. Carter

Asks how the problem should be dealt with.

061

Powell

Responds he is unsure.  Comments on dental coverage.  States the bill could not regulate self-funded insurance companies. 

083

Chair Fisher

Asks if the process could be clarified by dental staff.

090

Powell

Responds the staff could request payment options from the insurance companies.  States payment problems come from specific companies.

116

Peggy Anet

Health Insurance Association of America (HIAA).  Presents testimony in opposition to SB 539 (EXHIBIT C).  Comments on unintended consequences the bill would have.  Comments on enrollee status. 

191

Bruce Bishop

Kaiser Health Plans Northwest.  Testifies in opposition to SB 539.  States the bill is too broad.  Explains dental plans and services offered by Kaiser.  Rebuts ODA testimony.

249

Sen. Shields

Asks about how the payment process should be changed to help dentists.

261

Bishop

Responds he is unsure. 

274

Sen. Carter

States there is a solution to the problem.

279

Anet

Suggests having similar procedures as people who do not have insurance coverage.

296

Rep. Cedric Hayden

HD 43.  Testifies in support of SB 539.

303

Chair Fisher

Asks if there are insurance companies that have more problems than others.

316

Rep. Hayden

Responds by explaining billing procedures.  States the bill would be beneficial to dentists.  States the problem is occasional. 

357

Sen. Messerle

Asks about the percentage of time the problems occur. 

368

Rep. Hayden

Responds he is unsure, but will find out the information.

442

Sen. Fisher

Closes the public hearing on SB 539 and opens a public hearing on    SB 45.

SB 45 PUBLIC HEARING

TAPE 37, B

000

Berkobien

Explains SB 45 and the –1 amendments to the committee.

030

Rep. Alan Bates

HD 52.  Testifies in support of SB 45.  Recommends that other states laws are looked at.  Comments on the relationship between optometrists and Board of Medical Examiners.  States that the language of the bill should be clear and direct.

079

Rep. Dan Doyle

HD 30.  Testifies in support of SB 45.  States it would be cost efficient to give optometrists the ability to write prescriptions for eye related care.  States that 38 states have similar laws.  Relates a personal experience. 

140

Scott Walters

President, Oregon Optometric Physicians Association (OOPA).  Reads testimony in support of SB 45 (EXHIBIT D).  Comments on the need for the bills.  Points out that none of the states with similar laws have repealed the laws after passage.  Explains the Board of Optometry’s role in implementation of SB 45.  Comments on the competency of optometrists. 

273

Chair Fisher

Asks for clarification on section one of SB 45.

281

Walters

Explains the Optometric scope of practice.

290

Chair Fisher

Asks about schedule one and two prescriptions.

300

Walters

Explains the drugs that are included in schedule one and two. 

321

Dr. Leland Carr

Dean, Pacific University, College of Optometry and Optometrist.  Reads testimony in support of SB 45 (EXHIBIT E).  Gives reasons the bill should be passed.  Comments on the development of eye care services.  Describes coursework for optometry. 

TAPE 38, B

000

Carr

Continues testimony.

036

Dr. Paul Shenk

Medical Doctor.  Testifies in support of SB 45 (EXHIBIT F).  Comments on Optometric practices.  Relates a personal experience. 

071

Chair Fisher

Comments on the availability of Ophthalmologists in rural areas.

100

Jody Fischer

Oregon Academy of Ophthalmology.  Reviews testimony in opposition to SB 45 (EXHIBIT G).  Comments on the current scope of practice for Optometrists in Oregon.  Describes the current formulary.  Explains schedule one and two drugs.  States the bill would remove boundaries for Optometrists. 

177

Sen. Carter

Asks about oversight.

187

Fischer

Responds by explaining the concerns of SB 45.  Comments on course requirements of Ophthalmologists and Optometrists.  Explains the importance of a formulary.  States the Board of Medical Examiners (BME) should have oversight over the formulary. 

298

Dr. Robert Tibolt

Ophthalmologist.  Testifies in opposition to SB 45.  Comments on his cooperative work with Optometrists.  Comments on coursework required for Ophthalmology.  Relates a personal experience.  States concern over the independence of the Board of Optometry. 

TAPE 39, A

000

Tibolt

Continues testimony. 

021

Dr. Merritt Linn

Ophthalmologist.  Testifies in opposition to SB 45.  Gives concerns over SB 45.  Comments on his practice of 36 years. 

084

Dr. Frank Baumeister

Gastroenterologist, MD.  Testifies in opposition to SB 45.  States the bill could redefine the practice of medicine.  States that Optometrists are not MD’s.  States that schools of Optometry do not prepare optometrists to act as medical doctors. 

147

Chair Fisher

Comments on scope of practice issues. 

172

Chair Fisher

Recesses the public hearing on SB 45 and reopens the work session on HJR 24.

HJR 24 WORK SESSION

176

Sen. Carter

Motions to allow Sen. Messerle to vote aye.

176

Sen. Carter

MOTION:  Requests unanimous consent that the rules be SUSPENDED to allow SEN. MESSERLE to BE RECORDED as voting AYE on the adoption of       HJR 24.

178

Chair Fisher

Hearing no objection, declares the motion CARRIED.

190

Chair Fisher

Introduces letters in support of SB 539 (EXHIBIT H).

211

Chair Fisher

Closes the public hearing on HJR 24 and reopens the public hearing on SB 45.

SB 45 PUBLIC HEARING

215

Anet

Testifies in opposition to SB 45 (EXHIBIT I).  States concerns over SB 45. 

262

Sen. Carter

Asks about implementation of SB 45 and the affect on insurance companies.

273

Anet

Responds by relating possible scenarios. 

281

Sen. George

Asks about specific criteria which would set boundaries.

292

Anet

Responds by explaining vision plans.

308

Sen. Carter

Asks about the increase in medical costs.

313

Anet

Responds there would be an increase in prescriptions due to the expanded scope of practice. 

338

David Plunket

Executive Director, Board of Optometry.  Testifies in support of SB 45.  Explains the role of the board.   

383

Sen. Carter

Asks about scopes of practice in other states.

389

Plunket

Responds he is unsure. 

404

Chair Fisher

Closes the public hearing on SB 45 and adjourns the meeting at       3:30 p.m.

 

Submitted By,                                                                           Reviewed By,

 

 

 

Andrew Morris,                                                                        Rick Berkobien,

Committee Assistant                                                                 Administrator

 

EXHIBIT SUMMARY

 

A – HJR 24, Written testimony, Rep. Steve March, 1 p.

B – SB 539, Written testimony, Dr. Jay Wylam, 3 pp.

C – SB 539, Written testimony, Peggy Anet, 2 pp.

D – SB 45, Written testimony and materials, Scott Walter, 46 pp.

E – SB 45, Written testimony and materials, Dr. Leland Carr, oversized.

F – SB 45, Written testimony from Dr. Frank Baumeister, Dr. Paul Shenk, 10 pp.

G – SB 45, Written testimony and letters, Jody Fischer, 59 pp.

H – SB 45 and SB 539, Letters, Sen. Bill Fisher, 15

I – SB 45, Written testimony, Peggy Anet, 2 pp.