HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM COMMITTEE

February 26, 2003 Hearing Room 50

3:00 PM Tapes 40 - 41

MEMBERS PRESENT: Rep. Ben Westlund, Chair

Rep. Steve March, Vice-Chair

Rep. Jeff Kruse

Rep. Jeff Merkley

Rep. Alan Bates

MEMBERS EXCUSED: Rep. Randy Miller

Rep. Susan Morgan, Vice Chair

GUEST MEMBERS: Rep. Mitch Greenlick

Rep. Gordon Anderson

Rep. Monnes Anderson

STAFF PRESENT: Rick Berkobien, Committee Administrator

Pam Cox, Committee Assistant

ISSUES HEARD: Informational Meeting - Invited Testimony

Oregon Primary Care Association

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, 40 A
001	Chair Westlund	Calls meeting to order 3:15 p.m. and introduces Craig Hostetler, Oregon Primary Care Association and opens informational meeting.
INFORMATIONAL MEETING
025	Ian Timm	Oregon Primary Care Association. Offers information on personal experience and explains he will not be back next year.
034	Craig Hostetler	Oregon Primary Care Association. Explains the association as a non-profit community health care unit and submits written testimony and printed material that describes qualifications and funding (EXHIBIT A & C).
098	Rep. Bates	Asks what is done in the need of a prescription.
099	Hostetler	Responds pharmaceuticals are on site.
115	Vice-chair March	Asks if their clinics have drugs available to patients.
124	Rep. Greenlick	District 33. Asks about prices of pharmaceuticals.
125	Hostetler	Explains the clinics are eligible for federal pricing called the 34B plan.
138	Rep. Bates	Asks if all clinics are federally qualified.
139	Hostetler	Explains some community sponsored clinics do not have qualifications.
157	Rep. Bates	Asks what is needed to qualify.
159	Hostetler	Explains there are a lot of rules and requirements.
171	Rep. Bates	Asks why all clinics do not qualify.
173	Hostetler	Continues on health status issues and competition.
188	Rep. Bates	Asks for additional clarification of qualifications needed for these clinics.
190	Hostetler	Explains there are limited proportions for each state.
205	Rep. Bates	Asks how many clinics are there and where are they located.
206	Hostetler	Indicates locations and refers to written information on statistics (EXHIBIT B).
238	Rick Berkobien	Asks for clarification on the amount of patients that are uninsured who are provided for at the clinics.
247	Hostetler	Refers to report and gives figures.
250	Rep. Bates	Asks if these figures represent people or visits.
265	Hostetler	Comments on the President’s statistics on health care centers over the states with reference to federal dollars used and quality of care and states what these clinics bring to the community and reasons for supporting them: They provide comprehensive services Health centers are cost effective Supply high quality of care They are a federal financial participation vehicle Saves money for Oregon Medicaid Manage Care Quality of care Bring dollars to local community Bring in jobs to local community
386	Jacqueline Mercer	Executive Director of Native American Rehabilitation Association of the NW, Inc. Informs the committee regarding the lack of care for the Native Americans and explains statistics on medical issues.
TAPE 41, A
001	Mercer	Continues.
122	Rep. Greenlick	Asks if the gambling casinos contribute to their association.
123	Mercer	Explains support given but explains the casinos cannot fund everything.
138	Berkobien	Inquires what percentages of people visit the clinics that are not Native Americans.
139	Mercer	Responds to the number and explains the restrictions.
173	Paul Logan	Executive Director of with Northwest Human Services. Offers information on what services are provided at these clinics.
243	Rep. Greenlick	Asks how many patients are turned away by the medical funding cuts.
244	Logan	Answers he does not know the number of patients.
272	Mercer	Offers further clarification on mental health patients needing medications.
374	Rep. Greenlick	Asks if patients are being hospitalized just to receive medications.
378	Logan	Answers there are no options for these patients, without these clinics they will fall through the cracks.
TAPE 40, B
001	Logan	Continues.
020	Berkobien	Asks how some states tend to have more clinics than others.
021	Hostetler	Responds they have cost based reimbursements and indicates that they are trying to expand.
041	Logan	Offers information that we have good federal support Oregon is not attracting doctors.
054	Berkobien	Asks if state gets additional monies from cost reimbursement.
055	Hostetler	Explains they receive wrap around matched money.
065	Vice-chair March	Expresses if there are any other suggestions or written testimony that it would be welcomed.
076	Vice-chair March	Closes informational meeting. Adjourns committee meeting 4:45 p.m.

EXHIBIT SUMMARY

A – Informational, written testimony, Craig Hostetler, 5 pp

B – Informational, prepared report, Craig Hostetler, 18 pp

C – Informational, guide to primary care, Craig Hostetler, 87 pp