HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

 

 

March 19, 2003   Hearing Room 50

3:00 PM  Tapes 63 - 64

 

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. Carolyn Tomei

                                                Rep. Gordon Anderson

 

STAFF PRESENT:                  Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

ISSUES HEARD:                     Informational Meeting – Invited Testimony

                                                “Dental Care within the Oregon Health Plan”

                                                Dr. Mike Shirtcliff, Northwest Dental Service

                                                Dr. Cedric Hayden, Hayden Family Dental Group

                                                Deborah Loy, Capitol Dental and Managed Dental Care

                                                Barry  Rice, ODS Health Plans

 

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, 63 A

001

Chair Westlund

Calls the meeting to order and opens the meeting for invited testimony and committee discussion.

INVITED TESTIMONY

050

Deborah Loy

Director, Capital Dental Care-Oregon Health Plan.  Introduces herself and describes the services provided (EXHIBIT A).

 

Barry Rice

Director, Oregon  Health Plan Dental Service.  Introduces himself and explains the growth  process of the plan.

095

Dr. Mike Shirtcliff

CEO, Northwest Dental Services.  Outlines for the committee the details of who is involved and the services they provide for the community.

133

Deborah Loy

Describes the mission of the Oregon Health Plan  (OHP) and notes the importance of prioritizing, preventive maintenance and primary care delivery systems.

168

Rice

Describes the care of mentally ill patients.

200

Dr. Cedric Hayden

Introduces himself and expresses how important dental care is and states it is in the upper two thirds of health care services provided.  Presents (EXHIBIT B).

354

Rep. Bates

Informs the committee on how people have responded to the importance of dental care.

TAPE, 64 A

004

Rep. Tomei

Refers to written testimony on the dollar amounts being charged for dental care (EXHIBIT B).

007

Hayden

States they can provide  a survival dental care program with the full premium costing ten dollars.

013

Shirtcliff

Offers examples of patients going to the emergency hospital for care and explains the fees charged. (EXHIBIT C).

055

Loy

Submits testimony and photos of dental patients with disease and decay (EXHIBIT D)

072

Shirtcliff

Offers slides of dental hygiene  (EXHIBIT E)

100

Loy

Offers a written scenario of poor dentistry resulting in death.

104

Shirtcliff

Expresses concern for prevention.

123

Hayden

Submits possible solutions for funding programs.

207

Rep. Greenlick

Comments on his experience in the dental arenas and asks how we can keep people enrolled much longer than we do.

227

Barry

Explains the importance for patients to keep coming.

236

Rep. Greenlick

Asks if there is a fee for service model operating.

272

Rep. March

Asks about prevention in the case of the pregnant woman.

280

Shirtcliff

Explains notices were sent out and she elected not to receive care until she had to go in to the emergency.

303

Rep. March

Indicates the value of a capitated plan when patients fail to receive there services.

320

Loy

Comments on new patients and managed care.

339

Hayden

Informs that in a fee for service it is hard to get the people to show up they do better under managed care.

350

Rep. March

Asks how many times does the typical patient on OHP receive service in a year.

360

Hayden

Responds almost three times per year and they are entitled to be seen four times a year.

TAPE, 63 B

001

Loy

Informs the committee on access, utilization and the delivery system.

024

Barry

Notes an ounce of maintenance is worth a pound of cure.

040

Chair Westlund

Asks if it was indicated how much the administrative costs would be.

047

Shirtcliff

Notes the question was not asked regarding the administrative costs.

052

Chair Westlund

Offers information regarding the cost to buy back the population and asks what the cost would be for Office of Medical Assistance Program (OMAP) to administer.

072

Hayden

Answers we pay them eight cents per  premium and OMAP could probably match it.

088

Rep. Greenlick

Comments on the possibility of collecting the money from the state up front.

100

Chair Westland

Notes twenty five dollars up front would be a lot for these people.

103

Loy

Comments on how critical preventative maintenance is.

128

Chair Westlund

Indicates confusion.

134

Shirtcliff

Notes the need for a structured managed care program and cannot offer amounts but suggests ways that have not been considered.

166

Rep. Merkley

Expresses a thank you for the photos and testimony and asks if there are states that have had a soda tax related to dental care.

185

Shirtcliff

Explains taking on the  Coca Cola Corporation and  not succeeding but points out the photos shared are decays from drugs or alcohol.

212

Chair Westland

Closes informational meeting.  Adjourns at 4:48p.m.

 

 

EXHIBIT SUMMARY

 

A – Informational, prepared testimony, Deborah Loy, 3 pp

B – Informational,  prepared testimony, Dr. Cedric Hayden, 4 pp

C – Informational, prepared testimony, Dr. Cedric Hayden, 7 pp

D – Informational, prepared testimony, Deborah Loy, 6 pp

E – Informational, Slides, Dr. Shirtcliff, 1 p