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