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