HOUSE COMMITTEE ON

 AUDIT & HUMAN SERVICES BUDGET REFORM COMMITTEE

 

 

February 06, 2003   Hearing Room 50

3:00 PM Tapes  20 - 21

 

MEMBERS PRESENT:            Rep. Ben Westlund, Chair

Rep. Steve March, Vice-Chair

Rep. Susan Morgan

Rep. Jeff Merkley

Rep. Jeff Kruse

Rep. Alan Bates

 

MEMBER EXCUSED:            Rep. Randy Miller

 

GUEST MEMBERS:               Rep. Gordon Anderson

                                                Rep. Carolyn Tomei

                                                Rep. Laurie Monnes Anderson

                                                Rep. Billy Dalto

 

STAFF PRESENT:                  Rick Berkobien, Administrator

Kelly Fuller, Committee Assistant

 

ISSUES HEARD:                     Informational Meeting

                                                Jean Thorne, Director Department of Humans Services

                                                “Department of Human Services and Relationship of Services to the                                                       Oregon Health Plan”  Part II

 

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 20, A

001

Chair Westlund

Meeting called to order at 3:10 p.m. and opens the committee meeting by introducing invited guest Jean Thorne

INFORMATIONAL MEETING

010

Thorne

Director, Department of Human Services.  Offers a chart describing  the comparison of Oregon and others states in regards to the percentages and  population of people that are on Medicaid. (EXHIBIT A).

065

Rep. Bates

Asks for the amount of general fund dollars the government provides.

071

Thorne

Explains how the Oregon Health Plan can provide lower cost services and managed care.

075

Rep. Bates

Asks about other states having higher percentages of population which will drag down federal match dollars for overall programs.

090

Thorne

Notes California in the early 90’s had more people with benefit coverage but had a skinny benefit package.

099

Rep. Kruse

Asks about reimbursement rates of other states.

103

Thorne

Asks for clarification of the question.

116

Rep. Kruse

Explains he wants to know how we compare with reimbursement rates of all states.

117

Thorne

Asks if he is looking more for the figures on acute care or long term care.

119

Berkobien

Clarifies wanting to have current data in both categories.

130

Thorne

Answers and states she will look to see what is available as other states measure in different values, and submits and summarizes written testimony describing extended Medicaid benefits (EXHIBIT B).

165

Kruse

Asks does that exclude prescriptions and herbal medicines.

 

Thorne

Answers it covers everything.

195

Monnes Anderson

Asks for further clarification about prescriptions.

205

Thorne

Points out what the process is for receiving veteran’s benefits and explains length of time to receive medical treatment.

224

Rep. G. Anderson

Comments on people going out of town and receiving duplicate coverage.

230

Thorne

States she will have her staff follow up and responds to Rep. Merkley’s question asked at a previous meeting regarding the figures on suicides.

270

Merkley

Offers thanks for the research that’s been done.

275

Thorne

Points out that Medicaid is a health plan that’s more than just an insurance program.

303

Rep. Monnes-Anderson

Relays comments about public perception on spending Oregon Health Plan (OHP) dollars on Illegal citizens and asks for information to better answer the questions of the public.

325

Thorne

Describes the qualifications and proof needed for benefits and indicates she will provide written information to the committee.

375

Rep. Monnes-Anderson

Asks about illegal aliens in this country that get sick and  where are these costs absorbed.

387

Thorne

Reminds the members about the Citizenship Alien Waved Emergency Medical (CAWEM) program.

399

Rep. Tomei

Asks if this is the program that provides the money for hospitalization.

400

Thorne

Explains CAWEM is the organization that pays for these services.

449

Rep. Tomei

Asks if an illegal alien is hospitalized do they have to show any financial information.

451

Thorne

Explains the hospital gathers information to determine if they meet the financial criteria.

TAPE 21, A

025

Rep. Kruse

Asks what determines a person legal.

 

Thorne

Answers there are documents required and she will inquire about the legality and  respond back.

035

Rep. Kruse

Comments this is a system problem not just for health plans.

 

Berkobien

Notes he has that information from the 5th special session and will bring it to the next committee meeting.

050

Rep. Bates

Inquires about people on the Oregon Health Plan  needing services out of state.

056

Thorne

Explains process of payment to these hospitals.

054

Lynn Read

Administrator, Office of Medical Assistance Program.  Offers information on contiguous providers.

071

Rep. G. Anderson

Asks if the mandates are state or federal.

 

Read

Answers they are state rules.

 

Rep. G. Anderson

Asks if other states have the same rules.

082

Read

Answers she does not know the specific rules and services for other states relating to Medicaid.

099

Rep. Merkley

Asks what Medicaid dollars come to us and how are the matched.

100

Thorne

Explains every year the federal government calculates matching rates and each state is provided differently.

141

Rep. Merkley

Asks what percentage of matched money does the state provide.

142

Thorne

Answers the federal government puts up the preponderance of the funds.

147

Rep. Merkley

Asks to what degree are people on the OHP plan fraudulently.

154

Thorne

Describes changes in application process and qualifications in the past and present years.

249

Rep. Bates

Inquires what does the match percentage represent in real dollars.

252

Thorne

States over 50 million.

254

Rep. Bates

Asks if the asset figure for Family health Insurance Assistance Program (FHIAP) includes group coverage.

270

Thorne

Answers yes a person cannot have over 10 thousand in liquid assets.

274

Rep. Bates

Asks if this refers to the car or house.

303

Thorne

Answers  no it would be anything that a  person could cash out.

310

Rep. Bates

Asks if  the same person could provide services for multiple programs such as, OHP, Food Stamps and such.

320

Thorne

Explains yes it is being done but she’s not sure if that involves the food stamp program.

330

Rep. Tomei

Inquires what are  the percentage of people who are cheating these programs.

340

Thorne

Responds the error rates are from 4 to 10%.

360

Rep. G. Anderson

Asks about services provided when crossing state lines.

384

Thorne

Answers she is not sure but will research and get back to the committee.

388

Rep. G. Anderson

Asks if Canada does any reimbursement for people receiving services here in Oregon.

399

Thorne

States it’s possible but needs to look into it further.

403

Chair Westlund

Asks committee for any further questions.  Closes the informational meeting and adjourns 4:50 pm

 

 

 

 

EXHIBIT SUMMARY

 

A – Informational – DHS, prepared charts, Jean Thorne,  4 pp

B – Informational – DHS, overview of DHS, Jean Thorne,  31 pp