HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

 

 

March 11, 2003   Hearing Room 50

3:00 PM Tapes  54 – 55 – 55*

 

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. Billy Dalto

 

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 State's Mental Health Services

 

 

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 54, A

003

Chair Westlund

Calls the meeting to order and opens the meeting for public testimony.

INFORMATIONAL - PUBLIC HEARING

030

Margaret Taylor

Introduces herself as a Health Care Consultant and presents testimony. (EXHIBIT A)

099

Chair Westlund

Do you how many are federal requirements.

102

Taylor

Responds about the federal requirements.

105

Rep. Bates

Is it correct that you get about 8 percent overhead.  If you could drop it to 7 percent, would you.

109

Taylor

Comment that yes, they do get 8 percent overhead and they would look into taking the 1 percent cut.  Continues presentation.

259

Chair Westlund

Thank you for coming in to testify with real solutions.

265

Kim Scott & Robert Roy

Introduce themselves from Trillium Family Services and Children’s Farm Home, presents testimony. (EXHIBIT B)

368

Robert Roy

Shares the same concern as Kim Scott and elaborates.

TAPE, 55 A

003

Rep. Greenlick

Asks what happens if OHP goes away for big portions of this population.

011

Scott

Responds to the question about what will happen if the OHP goes away shares the costs of care and shares his beliefs about the system.

026

Rep. Greenlick

Related an experience that he had had previously, are there not some imaginative ways to come up with solutions to fix this problem.

046

Roy

Responds to the comments about solutions.

059

Chair Westlund

Sums up what he has heard in this testimony.

063

Roy

Responds about the current funding model.

074

Chair Westlund

Asks where the 5 pilots are located.

076

Scott

Responds about where the pilots are.

085

Chair Westlund

Calls the next witness to testify.

088

Debby Ammon

Home care worker, presents testimony about her health issues. (EXHIBIT C)

118

Chair Westlund

Thanks Debby for coming and expressed she was very articulate in sharing the cost shift issues we are dealing with.

125

Adrienne Daniel

Came to testify from the Oregon Health Plan, not for the Oregon Health Plan, she would like to see the health plan protected, she is in a position where she works with people who are denied coverage.  Reports that staff moral is low, and states how sad this issue is and would like to stress that the committee save the OHP.

155

Chair Westlund

Asks how many clients she sees a day.

159

Daniel

States that they are required to process at least 15 applications per day.

162

Chair Westlund

Asks how many call she will field in a day.

166

Daniel

Frequently fields a dozen calls per day.

180

Chair Westlund

How many of these call do you give disturbing news to that they are denied.

186

Daniel

Comments that’s it could be 4-5 people.

194

Rep. Merkley

Asks now that Debby is unemployed will she qualify for OHP.

200

Ammon

No, because of unemployment benefits she is $25.00 over the limit.

215

Rep. Merkley

What is an estimate of the health care cost you have.

219

Rep. Bates

Has your job changed drastically as of late, with more calls etc.

225

Daniel

Yes, drastically.  The phone bank staff deal with most of those calls on a frequent basis.

229

Rep. Bates

Asks how long she has been employed by the State in this position.

231

Daniel

Responds that she has been employed since Fall of 1999.

240

Chair Westlund

Calls the next witness’s to testify.

245

Ruth Shepherd

Presents testimony and asks the questions listed on (EXHIBIT D).

TAPE, 54 B

026

Chair Westlund

Makes comments about the opportunity to serve on this committee and comments that as we go forward with this it is extraordinarily difficult to do what we are doing, but if we are successful with our tasks we will be able to demonstrate a successful process.

056

Shepherd

Believes in zero based budgeting but to get all of this done in the next few weeks is beyond comprehension.

060

Chair Westlund

Comments about what a struggle this has been.

070

Rep. Greenlick

Makes comments about the systems as it is today, would like Ruth to consider what made it possible at some times for the legislature to go to the citizens and ask for more of them then we seem to be willing to ask from them now.

110

Shepherd

Responds to Rep. Greenlick’s questions about going to the citizens.

135

Chair Westlund

Comments that one of the challenges is whether or not Oregonians have recognized this problems.

145

Shepherd

Comments that she doesn’t think we are believed beyond this building and offers suggestions to do so.

156

Chair Westlund

Was impressed that the press did a good job at presenting the problem and the impact of the budget shortfall.

164

Rep. Greenlick

Has a fear that we have lost a generation that understand that altruism is a survival tool.

195

Chair Westlund

Elaborates that it would be horrible if we lost a sense of community and place.

202

Chair Westlund

Calls Phyllis Rand to testify.

207

Phyllis Rand

Capitol Coordinator for the Governor on Senior Services.  Came with recommendations for the committee.  Begins testimony.

348

Rep. March

Makes comments to the witnesses.

354

Shepherd

Responds to Rep. March.

359

Chair Westlund

Calls next witness to testify.

365

Susan King

Nurse, begins her testimony

TAPE, 55 B

056

Chair Westlund

Calls Marcia Kelley

059

Marcia Kelley

Supports Women’s Rights Coalition, begins testimony, concerned that the funding has been focused on first and then policy second.  Asks that we please slow down, look at the policies and then the revenues.

118

Chair Westlund

Thanks Marcia for her testimony and calls the next witness to testify.

120

Gweneth Griffiths van Frank Carlson

Thanks the members for allowing her to testify and gives background of why she has come to Salem and what her passion is all about.

215

Elizabeth Byers

Represents the Mental Health Association of America, begins presentation.  She came today with what she feels works for the mental health services.

229

Chair Westlund

Thanks them for their testimony and calls the next witness to testify.

235

Lynn-Marie Crider

Represents Oregon AFL-CIO and begins testimony with her cause and chooses to give suggestions and skip testimony.

010

Rep. Merkley

Assuming you are not talking about the actual provision of the health care, but are you referring to administration.

017

Crider

Responds to the question about her testimony she prepared for last session.

029

Chair Westlund

Comments about a small wordsmith issue in question 3 in (EXHIBIT E )..

031

Crider

Responds that she doesn’t think we can save that money in the long haul.

035

Chair Westlund

Questions if she is including all payrolls and is she getting into the self insured with the 1.5 percent tax.

039

Crider

Responds about the 1.5 percent tax.

045

Rep. Merkley

You say co pays are a real issue to the working poor, asks did people fail to go to the doctor because of co-pays.

065

Crider

Not the best person to answer that question.

068

Chair Westlund

Thanks everyone for their testimony and calls the meeting of public testimony to a close and adjourns 5:00pm

 

 

EXHIBIT SUMMARY

 

A – Informational, prepared testimony, Margaret Taylor, 29 pp

B – Informational, prepared testimony, Robert Roy,  3 pp

C – Informational, prepared testimony, Debbie Ammon, 1 p

D – Informational, Recommendations of Stakeholders groups, Ruth Sheppard, 3 pp

E – Informational, prepared testimony, Lynn-Marie Crider, 13 pp