HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

March 4, 2003 Hearing Room 50

3:00 PM Tapes 46 - 47

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. Carolyn Tomei

STAFF PRESENT: Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

ISSUES HEARD: Informational Meeting - Invited Testimony

“County Perspectives on Mental Health Programs”

Rob Rockstroh, Lane County Health & Human Services

Sharon Guidera, Mid-Columbia Center for Living

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, 46 A
001	Chair Westlund	Calls meeting to order 3:13 p.m. introduces Rob Rockstroh, Lane County Health & Human Services and Sharon Guidera, Mid-Columbia Center for Living and open the informational meeting.
INFORMATIONAL MEETING
005	Guidera	Introduces herself and begins her presentation (EXHIBIT A).
249	Rep. Greenlick	Asks what is going to happen to those who need these services.
255	Guidera	Responds about what will happen to those who need services.
262	Chair Westlund	Asks how the hospital will be reimbursed if the mental health providers are not reimbursed.
265	Guidera	Answers and continues presentation.
324	Rep. Greenlick	States concern about how the system works when a person with a mental disability goes into the emergency room, when they diagnose that this person needs services and wonders what will be done.
350	Guidera	Responds with information about how the system works.
370	Rep. Bates	Asks in the OHP population, do you have any idea which part of that population is the Federally Mandated minimum.
385	Guidera	Responds with percentages.
391	Rep. Bates	Makes additional comments about his question above.
400	Guidera	Responds yes and will check the accuracy of those numbers.
404	Rep. Bates	When the person with Schizophrenia leaves the emergency room how the referral process work and where do they go from there.
TAPE, 47 A
010	Guidera	Explains the process.
023	Rep. Bates	Lets fast forward in the future, what happen when the crisis program is not there.
031	Guidera	Explains what she believes will happen.
042	Rep. Bates	Asks how you evaluate how your services are working currently.
046	Guidera	Explains how they evaluate their services.
141	Rep. Anderson	Asks if she could tell him what percentage of these folks are healthy most of the time.
148	Guidera	Responds about the percentages of these clients are healthy.
170	Rep. Anderson	Asks then are 50 percent are really able to be on the street coming in for counseling some times.
172	Guidera	Comments that they don’t have any residential homes in their county, and elaborates.
184	Chair Westlund	Comments to Rep. Anderson about what he thinks Sharon is saying.
191	Rep. Tomei	Asks questions about the priorities listed in (EXHIBIT A).
204	Guidera	Responds to the priorities listed.
212	Rep. Tomei	Would like to talk about getting rid of the services element funding on page 11 of (EXHIBIT A).
218	Guidera	Responds that page 7 of (EXHIBIT A) as some information and elaborates.
242	Rep. Bates	Asks if it would be helpful to mix mental health programs and alcohol and drug programs together and the money for them together and second do you have any idea what the administrative costs of getting that money to you from the time it leaves the tax payers hands to take care of those patients.
256	Guidera	Can’t answer the question exactly, but refers back to page 7 of (EXHIBIT A).
270	Rep. Bates	Asks two questions on page 11 (EXHIBIT A). Asks what is service element funding.
285	Guidera	Responds with the definition of service element funding.
295	Rep. Bates	Asks if the Medicaid program stop you from providing targeting case management and what does targeted case management mean in mental health.
312	Guidera	Responds about targeted case management.
321	Rep. Bates	Asks if the prohibition you are taking about, is it at the state level or not.
332	Guidera	Responds about it being at the state level or not.
347	Rep. Bates	Asks if they are spending county money to do your case management and not being able to get match for it, because of the problem you just described.
354	Guidera	Responds about matching funds.
368	Rep. Bates	Asks if they have money that they are presently using that is not match money to manage these people.
675	Guidera	Responds yes, that is correct and elaborates.
400	Rep. Greenlick	Do you get any of the block grant money and how do you use it if you do.
407	Guidera	Responds yes and explains in what areas she gets block grant money.
410	Rep. Greenlick	Asks if they are involved in any alcohol and drug treatment.
412	Guidera	Yes, and elaborates.
TAPE 46, B
001	Rep. Greenlick	What is the source of income for the addiction services.
010	Guidera	Responds about the source of money for addiction services.
020	Rep. Greenlick	Asks if that is a risk.
025	Guidera	Answers yes and elaborates.
035	Rockstroh	Introduces himself and begins his presentation. (EXHIBIT B)
129	Rep. Greenlick	Asks what the actual cost is of Methadone.
132	Rockstroh	Gives an explanation of what the costs are.
135	Rep. Greenlick	Comments about methadone models and asks if he has thought of ways to find a less expensive way to serve many of these addicts.
145	Rockstroh	Answers and continues presentation.
260	Rep. Tomei	Asks if he can explain ECMU reimbursement for committed patients slowly.
263	Rockstroh	Responds slowly to make the conversation more clear.
287	Rep. Tomei	Elaborates what she has heard to clarify what is being said.
303	Rockstroh	Responds and continues presentation.
400	Rep. Greenlick	Comments about when the Oregon Health Plan first started.
TAPE 47 B
002	Rockstroh	Agrees with the comment and elaborates.
017	Rep. Greenlick	Makes more comments.
	Chair Westlund	Calls meeting to a close and adjourns 4:38pm

EXHIBIT SUMMARY

A – Informational, Overview of the Mental Health System, Sharon Guidera, 20 pp

B – Informational, prepared testimony, Rob Rockstroh, 3 pp