HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

 

 

February 20, 2003   Hearing Room 50

3:00PM Tapes  34 - 35

 

MEMBERS PRESENT:            Rep. Ben Westlund, Chair

Rep. Steve March, Vice-Chair

Rep. Jeff Kruse

Rep. Jeff Merkley

Rep. Alan Bates

 

MEMBER EXCUSED:            Rep. Randy Miller

Rep. Susan Morgan, Vice-Chair

 

 

GUEST MEMBERS:               Rep. Gordon Anderson

                                                Rep. Laurie Monnes Anderson

                                                Rep. Mitch Greenlick

 

STAFF PRESENT:                  Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

 

ISSUES HEARD:                     Invited Testimony by Barney Speight,

                                                Kaiser Permanente Health Plan

“Stakeholder Group Report”

 

 

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 34, A

005

Chair Westlund

Calls meeting to order and introduces Barney Speight, Kaiser Permanente Health Plan and opens informational meeting.

INFORMATIONAL MEETING

015

Speight

Gives an overview of the stakeholder group and the handouts presented. (EXHIBIT A ) and (EXHIBIT B).

181

Chair Westlund

Made comments about what the group has been doing and will be doing within the current budget and opens for any questions about Speight’s testimony.

231

Rep. Monnes Anderson

Has questions about number eight on the (EXHIBIT A) would like to know if this would also be a possible economic incentive for employers as well as physicians.

240

Speight

Responds to the question.

275

Rep. Bates

Elaborates in more detail to the question on this being an economic incentive for employers.

295

Rep. Monnes Anderson

Asks a follow up question and makes comments.

309

Speight

Give an explanation of the issue that was just raised.

317

Rep. Bates

Makes comments about how well this process is working and how quickly things are coming together.  Comments that he is personally very impressed.

362

Speight

Continues presentation.

TAPE 35, A

015

Westlund

Asks if everyone understands page 2 of (EXHIBIT A).

024

Speight

Presents more detailed information on page 2 of (EXHIBIT A).

050

Rep. Greenlick

Asks questions about Oregon optional populations, is that the maximum that can be added under Medicaid regulations.

056

Speight

Responds that those are the options that are currently in place, approved and in operation under the Oregon Health Plan.

058

Rep. Greenlick

Asks if drugs are not a required benefit, what is the current minimum covered for services currently.

069

Speight

Responds question on mandatory services.

085

Berkobien

Asks question about pharmacy benefits from the zero to twenty one range.

090

Speight

Responds to question about pharmacy benefits.

098

Rep. Bates

Comments that just because you are supposedly covering these historically the pay for covering these has been much less than the average cost, so what you need to keep in mind is that there is cost shift built into this even if you cover this group.

105

Speight

Continues presentation.

200

Rep. Monnes Anderson

Asks questions about the financial projections.

203

Speight

Responds about the projections.

211

Chair Westlund

Restates the answer to give it some clarity.

224

Rep. Kruse

Makes additional comments.

232

Chair Westlund

Elaborates.

236

Rep. Bates

Makes his comments about the issue to Rep. Monnes Anderson and the rest of the committee.

247

Rep. Kruse

Makes additional comments.

255

Rep. Greenlick

Would like more clarity between the State and Federal funds.

275

Speight

Responds to the question about State and Federal funds.

293

Rep. Greenlick

Different options produce more or less Federal funds.

305

Speight

Responds.

349

Rep. Kruse

Responds about matching Federal funds.

367

Rep. Greenlick

Comments with his feelings on the matter.

379

Rep. Kruse

States that their number one priority is to the most vulnerable.

393

Speight

Continues presentation.

TAPE 34, B

047

Rep. March

Asks if they will have the mandatory service costs and then will run the same calculations.

060

Speight

Responds positively and elaborates.

067

Rep. March

Asks if we will also create some options that are the what if, for instance here is our minimum and this is what we have to cover and if we have more, this is where it will go.

077

Speight

Responds to the questions about options.

082

Chair Westlund

Makes additional comments to make the process more clear.

115

Rep. March

Responds and gives his points of clarification.

129

Rep. Monnes Anderson

Responds that she would love to still be creative and wonders if there are ways to decrease utilization and decreasing the cost of prescription drugs.

148

Speight

Responds that they are going to look hard at that issue and continues to look at a way to use these services more creatively.  Stresses that the difficulty will be budgeting for that.

180

Rep. Westlund

Comments that we are doing quite a bit in Oregon, we do more with less than most.

189

Rep. Anderson

Relates a concern, and asks is there any thought toward fattening up the reimbursement in any way, maybe though eligibility, we need to look at keeping our providers.

204

Speight

Responds the concern and to provider reimbursement.

220

Rep. Anderson

We need to make sure we balance it out so that we make it livable for service providers.

238

Chair Westlund

Relates that he understands what is being said.

248

Speight

Concurs and elaborates.

247

Rep. Kruse

Comments that if we reduce that number it reduces the pot of money between mandated and any adds that we do, job one here is to save the system.

274

Rep. Greenlick

Has more questions about the figures in (EXHIBIT A).

287

Berkobien

Asks Barney if he could reflect maybe under the OHP Medicaid with Mental Health, we don’t get full Medicaid benefit for anyone except zero to twenty one and sixty four up.  Asks if that changes any figures in that line.

293

Speight

Answers and makes additional comments.

301

Rep. Bates

Want clarification about the questions from Rep. Greenlick.

311

Speight

Comments and closes his discussion.

320

Chair Westlund

Comments that he would like to make Thursday the day for Facilitator reports.

 

 

Closes informational meeting and adjourns 4:34pm

 

 

EXHIBIT SUMMARY

 

A – Informational OHP, Stakeholder Group Packet, Barney Speight, 4 pp

B – Informational OHP, Proposed Draft, Barney Speight, 1 p