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