HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

 

 

March 26, 2003   Hearing Room 50

3:00 PM Tapes  71 - 72

 

MEMBERS PRESENT:            Rep. Ben Westlund, Chair

Rep. Steve March, Vice-Chair

Rep. Susan Morgan, Vice-Chair

Rep. Jeff Kruse

Rep. Jeff Merkley

Rep. Alan Bates

 

MEMBERS EXCUSED:            Rep. Randy Miller

 

GUEST MEMBERS:               Rep. Carolyn Tomei

                                                Rep. Laurie Monnes Anderson

                                                Rep. Mitch Greenlick

                                                Rep. Gordon Anderson

 

STAFF PRESENT:                  Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

 

ISSUES HEARD:                     Informational Meeting - Invited Testimony

                                                    “Comments on the OHP cost containment recommendations and

                                                    concepts for improved management of mental health medications”

                                                    David Pollack, MD, DHS Office of Mental Health and Addiction

                                                    Services

    “Importance of comprehensive mental health and addiction

    treatment for ethnic minority women and their families”

    Jean Cohen and consumers of Legacy Health Systems, Project   

    Network

 

 

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 71, A

003

Chair Westlund

Calls the informational meeting to order at 3:00 p.m.

INFORMATIONAL MEETING

012

David Pollack

Medical Director, Office of Mental Health and Addiction Services.  Presents prepared materials and summarizes the mental health system  (EXHIBIT A).

146

Rep Greenlick

Asks if it includes the A & D block grant.

155

Pollack

Responds no it does not and continues presentation.

233

Rep. Tomei

Asks if most primary care physicians treat depression.

240

Pollack

Indicates they do.

251

Rep Tomei

Asks then how does this model work.

256

Pollack

Comments that it works with primary care physicians.

273

Rep. Merkley

States this sounds like Multnomah County’s reworked system or are they going in a different directions.

285

Pollack

Describes his system verses the system in Multnomah County.

327

Chair Westlund

Asks for a definition of disease management.

330

Pollack

Offers a definition.

385

Rep. Bates

Offers additional explanation.

TAPE 72, A

001

Pollack

Agrees with the explanation.

048

Rep. Tomei

Asks if the mandatory intervention is prior authorization.

050

Pollack

Explains it is when a physician has to get prior approval before a medication may be prescribed.

249

Rep. March

States the interest on comparison of medication used now for schizophrenia as apposed to 1980.

260

Pollack

Offers the difference of medications and new discoveries.

300

Rep. March

Asks how are the new medications adapted and interjected into this system.

310

Pollack

Describes the new medications.

450

Jean Cohen

Director, Project Network, Legacy Health System.  Offers written testimony and explains Project Network (EXHIBIT B).

TAPE 71, B

002

Geri Morgan

Informs the committee on her personal experiences.

030

Rep. Tomei

Asks how long she has been in Project Network.

031

Morgan

Responds five and one half months.

034

Rep. Tomei

Ask how she found out about the program.

035

Morgan

Answers her caseworker and doctor.

052

Liza Mikes

Informs the committee on her mental health issues and drug addiction.

151

Gina Paswell

Informs the committee on her personal diagnosis.

296

Morgan

Continues to offer testimony.

322

Mikes

Asks how do you make the decisions on what cuts are made.

325

Chair Westlund

Responds painfully and explains.

TAPE 72, B

005

Rep. Greenlick

Comments on the last measure that people voted against and states we have to work at home in our own neighborhoods to get them to vote.

023

Mikes

Asks why we are pouring all the money into the max line instead of into the people and babies.

034

Rep. Greenlick

Explains the money for the max comes from Federal funds.

040

Rep. Anderson

Notes we are the answer in changing the spirit of America as to moving away from drugs, stopping the single family process and getting all of us working together.

077

Morgan

Asks how we could get Measure 28 back.

086

Rep. March

Comments on the Multnomah County proposal and how it is going to back fill where the money is short.

120

Chair Westlund

Asks how many graduates the program has had in 14 years.

125

Cohen

Responds to the number.

150

Rep. Merkley

Asks about Oregon Health Plan (OHP) Plus and OHP Standard in their program.

157

Cohen

Responds to the how OHP is involved in their programs.

170

Rep. Kruse

Indicates he is celebrating 17 years clean and offers encouragement.

179

Chair Westlund

Calls informational meeting to a close and adjourns committee meeting at 4:48 p.m.

 

 

EXHIBIT SUMMARY

 

A –Informational,  prepared testimony, David Pollack, 10 pp

B – Informational, Project Network Overview, Jean Cohen, 16 pp