HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

 

 

February 24, 2003   Hearing Room 50

3:00 PM Tapes  36 - 37

 

MEMBERS PRESENT:            Rep. Ben Westlund, Chair

Rep. Steve March, Vice-Chair

Rep. Jeff Kruse

Rep. Jeff Merkley

 

MEMBERS EXCUSED:            Rep. Randy Miller

                                                Rep. Susan Morgan, Vice Chair

                                                Rep. Bates

 

GUEST MEMBERS:               Rep. Laurie Monnes Anderson

                                                Rep. Mitch Greenlick

                                                Rep. Gordon Anderson

                                                Rep. Billy Dalto

 

STAFF PRESENT:                  Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

 

ISSUES HEARD:            Informational Meeting - Invited Testimony

                                    Ken Rutledge, President of the Oregon Association of Hospitals and

                                    Health Systems

                                    “The Economic and Health Care Contributions of Oregon Hospitals”

 

 

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 36, A

002

Chair Westlund

Calls meeting to order, introduces Ken Rutledge, President of Oregon Association of Hospitals and Health Systems and opens the informational meeting.

INFORMATIONAL MEETING

010

Rutledge

Gives an overview of his presentation materials and begins his presentation. (EXHIBIT A)

113

Rep. Kruse

Asks if health care the largest industry in California.

116

Rutledge

Responds to the question about the health care industry in California.

125

Rep. Kruse

Comments that one would assume that there is no other industry that can measure up to it nation wide.

128

Rutledge

Concurs and continues presentation.

179

Berkobien

Asks if he knows roughly how this compares across the nation.

185

Rutledge

Comments how this compares across the nation and continues.

211

Rep. Greenlick

Asks a question about figures on patient revenue margin.

237

Rutledge

Concurs that he is correct and elaborates on his handouts and the figures being discussed. (EXHIBITS  A, B, C, D, E)

TAPE 37, A

012

Rep. Kruse

Asks what the 12 percent proposed hits going to do to this number.

020

Rutledge

Comments about what the cuts are going to do to this figure.

091

Rep. Kruse

Makes comments about his hearing this morning.

097

Chair Westlund

Asks for clarification on the figures in (EXHIBIT A).  Asks how many hospitals are there in Oregon.  Asks if it fair to say that some of the 60 hospitals in Oregon are losing money.

123

Rutledge

Agrees with the comments and elaborates.

128

Rep. Greenlick

Makes comments about the percentage of small hospitals breaking even.

135

Rutledge

Gives more detail about the small hospitals.

144

Rep. Greenlick

Comments that it is probably optimistic that 7 broke even out of the 31.

145

Rep. Kruse

Comments that is based on the projected cuts to A & B that will not happen.

148

Rutledge

Gives more clarification.

199

Berkobien

Asks if he is going to go into charitable care that hospitals are suppose to provide.

205

Rutledge

Comments on charitable care.

242

Chair Westlund

Comments that you only have to accept those patients if you accept Federal dollars.

255

Rutledge

In terms of the emergency rooms you have to cover everyone., evaluation, treated and stabilized.

265

Rep. Greenlick

Asks if there is some obligation for education research and for charitable care required.

180

Rutledge

Makes comments about the obligation for education research and for charitable care.

299

Rep. Monnes Anderson

Asks if charitable care is a tax exemption for hospitals.

307

Rep. Greenlick

Clarifies his comments for Rep. Monnes Anderson.

313

Rutledge

Elaborates and makes additional comments.

346

Rep. March

Asks if we could have the raw numbers of charity use and emergency care, what the percentages are.

355

Rutledge

Comments that he will bring those figures for tomorrows meeting and continues presentation.  Discusses (EXHIBIT B).

TAPE 36, B

062

Rep. Kruse

Comments that part of the reason hospital stays are less in Oregon is because we have a better network than other places.

070

Rutledge

Agrees and elaborates.

087

Rep. Kruse

Comments that it would be interesting to see the matrix of the mix between home health care and nursing homes that are owned by hospital and those that are not.

095

Rutledge

Responds to the questions on the matrix.

098

Rep. Kruse

Comments that hospital deliver a lot of services outside of hospitalization, some are profitable and some are not and there is a fear that we may lose them.

105

Rutledge

Responds.

114

Chair Westlund

Asks for a chart on Medicaid.

120

Rutledge

Will get the chart for us from his office.

 

Chair Westlund

Calls for any questions from the committee, seeing none, closes the informational meeting and adjourns  4:48pm

 

 

EXHIBIT SUMMARY

 

A – Informational, prepared testimony, Ken Rutledge, 27 pp

B – Informational, Projected Impact of DHS Proposed Cuts, Ken Rutledge, 1 p

C – Informational, Oregon Hospitals, Ken Rutledge, 10 pp

D – Informational, Oregon Hospitals, Ken Rutledge, 2 pp

E – Informational, Health Professional Shortages, Ken Rutledge, 11 pp