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