HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

 

 

March 10, 2003†† Hearing Room 50

3:00 PM Tapes52 - 53

 

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. Laurie Monnes Anderson

††††††††††††††††††††††† ††††††††††† ††††††††††† Rep. Gordon Anderson

 

STAFF PRESENT:††††† ††††††††††† Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

ISSUES HEARD:†††††††† ††††††††††† Informational Meeting - Public Hearing

Public input on draft recommendations for changes to the Oregon Health Plan and to the Stateís Mental Health Services.

 

These minutes are in compliance with Senate and House Rules.Only text enclosed in quotation marks reports a speakerís exact words.For complete contents, please refer to the tapes.

 

TAPE/#

Speaker

Comments

TAPE 52, A

003

Chair Westlund

Calls meeting to order and opens public testimony

PUBLIC HEARING

014

Bruce Piper

From Roseburg, has concern about adults losing services that are currently on the OHP.Would like to see add backs durable medical and etc.

089

Rep. Kruse

Asks what do you mean by fringe.

093

Piper

Responds that he meant benefits.

099

Rep. Greenlick

Asks how he ran his programs before.

109

Piper

Responds with informational on how he ran his programs before.

115

Rep. Greenlick

Asks what the other funds were.

124

Piper

Explains what the other funds were.

127

Chair Westlund

Makes comments to the general audience about the cuts and the work they have been doing and discussed the March and May budget forecasts.Asks the group to allow those who have to travel to come up first.He calls Ed Johnsten up to testify.

179

Ed Johnsten

States that he is a disabled worker, has concerns that these cuts will be detrimental.

251

Rep. March

Asks for any questions from the committee and calls the next witness.

256

Rick Treleaven

Introduces himself being from Bend representing Best Care Treatment Services and Mental Health Director for Deschutes and Jefferson County..Has concerns that we will be losing A&D services and elaborates.

287

Rep. Bates

Asks if he heard him say that he treats the standard population.

290

Treleaven

Responds yes, for A & D.

300

Rep. Bates

Asks if the majority of his care is for OHP standard patients.

305

Treleaven

Responds to the question about OHP standard patients.

311

Rep. Bates

For non resident clients are they most private pay or OHP clients.

318

Treleaven

Responds to the type of clients he sees.

328

Rep. Bates

Asks why the numbers are higher for OHP compared to private pay or individuals.

332

Treleaven

Responds about the higher rates for OHP.

345

Rep. Bates

Asks if in the outpatient programs do you need to have the same percentage.

350

Rep. Greenlick

How does that A & D Block Grant fit into this situation.

365

Treleaven

Responds that he cannot answer that question and continues presentation.

TAPE 53, A

021

Rep. March

Asks if there is a percentage difference in the two counties that he represents.

030

Treleaven

Responds with the differences in the two counties.

045

Rep. Monnes Anderson

Asks what percentage are repeat offenders and what percentage are in the program.

049

Treleaven

Was not prepared for that question but give some elaboration with some rough figures.

055

Chair Westlund

Asks if he can make a distinction between controlled substances and alcohol.

060

Treleaven

Comments that you want to focus on the severity of the usage, not the drug.

065

Rep. Monnes Anderson

Comments that studies showed home visits are very successful in other areas and would like statistics on the same visits on the addiction field.

082

Treleaven

Comments on how the systems works in the addiction field.

104

Rep. Greenlick

Makes comments about chronic disorders related to substance abuse, Asks if DUII has really disappeared.

126

Treleaven

Comments about the money in DUII running out.

140

Rep. Greenlick

Asks questions about diversion programs, if the folks donít have money for treatment, they will just end up in jail.

148

Treleaven

Comments yes, they will just end up in jail.

166

Chair Westlund

Comments about unitary assessment.

199

Treleaven

Yes, that is his understand as well.

202

Chair Westlund

Comments that we need to discuss the recovery rates for alcoholics and drug addicts.

225

Treleaven

Discusses the joy of providing A&D treatment is when people coming up to him saying that he saved someoneís life.The recovery is a miracle for some.

245

Chair Westlund

Thanks Rick Treleaven for his testimony and calls the next witness.

253

Leslie Ford

Cascadia Behavioral Health Care, begins her testimony, gives examples of those that have lost their services.

363

Chair Westlund

Makes comments about Leslie Fordís testimony.

378

Ford

Gives more statistics.

383

Rep. Merkley

Asks how many people have lost their coverage in your area.

401

Ford

3000 people have lost their coverage that we serve directly and we serve 21 thousand annually.

TAPE 52, B

003

Rep. Merkley

Comments that 1/3 were from the Medically Needy Program and 1/3 were from OHP Standard and 1/3 were general fund, Asks what she means by general fund.

010

Ford

Responds about what general fund she if referring to.

012

Rep. Merkley

Of those that lost their services, were any of their services restored with the changes we have just made.

016

Chair Westlund

Makes comments about Cascadia surviving and would like her to elaborate about how long they will keep business open for services.

025

Ford

Gave statistics about their services.

028

Rep. Bates

Comments that he has the sense they are yanking the rug out of programs that are finally working and asks if that is a fair assessment.

035

Ford

Comments that this is absolutely right.

038

Rep. Bates

Elaborates and asks if then people will then go back in to the hospitalization process.

040

Ford

Responds that that is correct and elaborates.

045

Rep. Bates

Do you have any idea on what the expense will be to corrections and hospitals.

050

Ford

Comments that it would be really hard to calculate, she does know thatmany providers will go out of business.

060

Chair Westlund

Comments that will be expensive in this processes to get this though our senses.

065

Ford

Makes comments that she is going to speak to the Lodging Association tomorrow and never thought she would be venturing into this area.

071

Rep. Merkley

Hopes we will not end up with these people un funded, asks if she knows about credible studies in other states on these issues.

080

Ford

As she understands this is the worst that anyone has ever seen, they could sit down and come up with some estimates.

092

Rep. Merkley

Would love to see studies to help with these decisions, comments that it would be very helpful.

100

Ford

Knows some researches that could put something together.

104

Rep. Anderson

If we could put more money into the medications, where in your opinion would we take the money from.

116

Ford

Gives solutions of what the legislators could do.

127

Rep. Anderson

Comments that the voters turned away a tax increase and therefore there is no extra money.

135

Ford

I think we need to look beyond just adding taxes and beyond pitting children against people with disabilities.

138

Chair Westlund

Thanks Leslie for her testimony and calls the next witness.

143

Sheila North

Introduces herself as the Executive Director from DePaul treatment centers in Portland, and begins her testimony.

262

Rep. Merkley

Asks how many treatment beds were lost out of 72 funded beds.

273

North

13 beds were lost.

178

Rep. Merkley

Asks if those still there the balance of those still funded.

285

North

Comments that this population will end up in correction and hospitals.

292

Rep. Merkley

Asks and comments that some in the policy community assumes those who have lost their funding will have family members step up and help with the care and actually there is no one that is going to step up.

300

North

Responds no, with this population it is just a matter of cost shifting, they will either end up on the street, jails or hospitals.

310

Rep. Merkley

Has their been any studies done that have looked at those that have not received treatment and the costs that they imposed on society if you will, verses those who were able to get treatment.

315

North

Cannot give a definitive answer, but knows that most of the people that come to them have come from a referral from a probation officer.

319

Chair Westlund

Asks the people in the audience to let us know what it meant to the state in terms to job in the economy, loss of life, cost shift and what that means to us.

339

Rep. Bates

Was trying to think what was different before we had these programs.

360

North

Makes comments to answer Rep. Bates to the best of her ability.

395

Chair Westlund

Thanks Sheila for her testimony and calls next witness.

TAPE 53, B

004

Mary Botkin

Gives testimony and makes some solutions to the problem.

101

Chair Westlund

Thanks Mary for her testimony and calls the next two witnesses.

106

Martha Strong Morris

Introduces herself as a founding collaborators of the family involvement team in Multnomah County.

108

Ann Hannon

Worker at DHS, she works with parents to get them into treatment.

110

Hannon

Begins testimony.

120

Strong Morris

We are very concerned about this population of children and elaborates.

152

Rep. Merkley

Asks if they have studies that show these children are better off with their mothers after A&D treatment.

164

Hannon

Responds yes, that they do have a study and children benefited behaviorally and developmentally and give more elaboration.

168

Rep. Merkley

So we are not simply that this is a nice thing to have the kids back with their parents, but this will help the children better succeed.

170

Chair Westlund

Makes comments about the populations that did not make it through treatment at all.

176

Strong Morris

Comments that there is different methodology and explains.

180

Rep. Merkley

Would like any of these studies if possible.

182

Hannon

Comments that they will get the stuff to them.

185

Rep. Bates

Asks if any of these studies include children that have been adopted and elaborates.

190

Hannon

Does not believe so, just children in foster care with relatives.

200

Chair Westlund

Calls meeting to a close and adjourns 4:49pm

 

 

EXHIBIT SUMMARY

 

A - NONE