HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM COMMITTEE

February 27, 2003 Hearing Room 50

3:00PM Tapes 42 - 43

MEMBERS PRESENT: Rep. Ben Westlund, Chair

Rep. Steve March, Vice-Chair

Rep. Jeff Kruse

Rep. Alan Bates

Rep. Jeff Merkley

MEMBERS EXCUSED: Rep. Randy Miller

Rep. Susan Morgan, Vice-Chair

GUEST MEMBERS: Rep. Mitch Greenlick

Rep. Gordon Anderson

Rep. Laurie Monnes Anderson

STAFF PRESENT: Sandy Thiele-Cirka, Committee Administrator

Kelly Fuller, Committee Assistant

ISSUES HEARD: Informational Meeting - Invited Testimony Only

Stakeholder Group Reports

Barney Speight, Kaiser Permanente Health Plan

Geoff Guilfoy, Aldrich Kilbride & Tatone, LLC

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, 42 A
005	Chair Westlund	Calls the meeting to order and introduces Geoff Guilfoy, Aldrich Kilbride & Tatone, LLC and Barney Speight, Kaiser Permanente Health Plan and opens the informational meeting.
INFORMATIONAL MEETING
011	Jeff Guilfoy	Presents testimony and begins with a progress report of the Mental Health Budget Task Force.
138	Rep. March	On number 37 of (EXHIBIT A), on the low flexibility item, is that because the projects have already been designated and are running as projects or are available as new projects.
145	Chair Westlund	Makes comments to Rep. March and other members.
175	Chair Westlund	Opens discussion among members.
180	Rep. Greenlick	When talking about low, high or medium class are we talking about the general fund.
186	Guilfoy	Responds yes and elaborates about how the general fund is matched.
188	Rep. Greenlick	Asks if he has some sense of what the other funds are.
193	Speight	Answers to the best of his knowledge.
201	Rep. Greenlick	Is there any possibility of increasing funding from private pay or insurance.
208	Speight	We could certainly ask tonight when Barry Kast is present.
215	Chair Westlund	Is hearing that the most important component is the pharmaceutical component.
242	Rep. Greenlick	Asks if there was any discussion of the block grants.
227	Speight	Comment that there was some discussion of block grants and they will have more discussion tonight.
280	Rep. Greenlick	It was his understanding that some of the block grant money was mixed with how we were paying for OHP services. Afraid we may lose the flexibility and that does not want to see the money fall off the table.
288	Speight	Relates his understanding about those moneys being mixed.
320	Rep. Greenlick	Has heard there was a trade off for buying residential services where the block grant was moved over to cover that and freeing up some general fund money over to be match on the Medicaid side for A & D services.
350	Speight	Will come up with the information and report back to him at a later date.
355	Chair Westlund	Makes comments to Rep. Greenlick about the amounts of money that we are working with.
371	Rep. March	Had heard about some folks moving out of the Oregon State Hospital.
389	Guilfoy	Responds that we have talked about that and will discuss it more.
393	Rep. March	Comments that if they have prisoners that are in the Oregon State Hospital and are there and they get moved out, they have no where to go.
405	Chair Westlund	Comments that they have been using Eastern Oregon for overflow and if it wasn’t such a vital link, it would be easier to close Eastern.
TAPE, 43 A
001	Speight	Introduces himself and begins presentation on the OHP Stakeholders group.
142	Chair Westlund	Asks Barney if he would like to go over (EXHIBIT B and C) that was handed out and talk about the difference in the two.
144	Speight	Goes over (EXHIBIT C).
186	Chair Westlund	Asks if he has a laundry list off the top of his head to share with the members.
187	Speight	Responds and elaborate about the laundry list.
217	Rep. Monnes Anderson	On your list do you include a cap on SSI waiting period.
225	Speight	Comments that he will look into that and elaborates to the best of his knowledge.
233	Rep. Greenlick	Asks about the 120 million of other funds and 40 million comes back for drugs, so that of that must be out of the drug side.
237	Speight	Responds that he will follow up next week on this issue.
243	Rep. Greenlick	Are values being factored into that and I don’t see CHIP as an option.
257	Speight	Comments that we have focused first on the mandatory populations, but have all of that on the list, the money is not spend and we will have follow up discussion.
277	Rep. Greenlick	So part of the process will be comparing expanded services for mandatory populations with expanding populations. C
281	Rep. Bates	First thanks Barney for all the work he has done on this and wants to define things a little more globally for those who may not understand or those that are not so familiar with this.
315	Speight	Elaborates on Rep. Bates comments.
336	Chair Westlund	Comment to Rep. Bates that we are not forced to have Medicaid. Makes additional comments on a Medicaid minimum.
	Chair Westlund	Closes the informational meeting and adjourns 4:11pm

EXHIBIT SUMMARY

A - Informational, 2003-05 Governor’s Budget Summary, Geoff Guilfay, 5 pp

B – Informational, Block Grant Summary, Barney Speight, 1 p

C – Informational, Mandatory Services, Barney Speight, 1 p