HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

 

May 08, 2003 Hearing Room 50

3:15 PM Tapes  109 - 110

 

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. Laurie Monnes Anderson

 

STAFF PRESENT:                  Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

ISSUES HEARD:                     Informational Meeting

                                                Discussion on possible changes to HB 3624

                                                Holly Robinson, Legislative Council

 

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 109, A

003

Chair Westlund

Calls the meeting to order and opens the informational meeting.

INFORMATIONAL MEETING

016

Chair Westlund

Recesses the committee meeting to get the -3 Amendments for the committee to work off of.

018

Chair Westlund

Welcomes Holly Robinson from Legislative Council to walk us through the -3 Amendments.

033

Holly Robinson

Legislative Council, presents testimony (EXHIBIT A & B) and begins presentation walking through the -3 Amendments.

100

Chair Westlund

Would like to point out the importance in adding those in our focus on the physical health side, we are leaving some benefits out that would have not been added in the categorical population i.e. dentistry and also if we are able to expand populations for additional the Mental Health services.

106

Robinson

Continues Presentation.

138

Chair Westlund

Points out that the exemption process is a major change.

144

Rep. Monnes Anderson

What was the reason for eliminating a woman in her third trimester of pregnancy.

150

Robinson

Comments that we are not eliminating them, they will still continue to get services through fee for service and elaborates.

153

Rep. Bates

Makes additional comments about the process involved in the third trimester.

160

Chair Westlund

Makes additional comments as well.

165

Rep. Kruse

Comments that by making it permissible, it would allow the plan to pick up that person so that the infant is getting immediate care after birth.

168

Rep. Merkley

Asks is there then a mechanism after the child is born and then do we try to transition them into a Managed Care program.

170

Rep. Kruse

Comments that in many cases, after delivery the mother may not be eligible, but the child will be instantaneously.

177

Rep. March

Comments that we show a person under nineteen who is medically fragile with special health care needs, how about someone over nineteen.

180

Robinson

Relates how why the bill was written the way that it was.

197

Rep. Bates

Comments that he thinks Medicare becomes involved after age nineteen, these people are well taken care of, but not the people that would be necessarily under a capitated system.

210

Robinson

Continues presentation.

230

Rep. Merkley

Asks how is that determination made, is it given to a particular group or at the call of the organization itself.

237

Robinson

Comments that it is part of the contract process with the Department.

241

Chair Westlund

Comments at this time, we are trying to revise this number and elaborates.

255

Rep. Kruse

Comments that he feels that there is a piece missing.

270

Robinson

Continues presentation.

332

Rep. Kruse

Concerned with in the designated, comments in section 5 does that tie the FCHIP to a designated area.

341

Robinson

Comments that it does not so long as there is an FCHIP that can not expand.

343

Rep. Kruse

Does that preclude and FCHIP from coming into any area.

350

Robinson

No, they are two different thoughts, if you have an FCHIP or one or more that can’t grow they can contract with any PCO, it is not the same entity, I don’t think is would preclude what you are saying and continues presentation.

384

Chair Westlund

Makes comments about the policy that they are trying to achieve here and explains in more detail.

TAPE 110, A

012

Robinson

Continues presentation.

024

Rep. Kruse

Asks if page six, line six, was in the -2 Amendments.

035

Robinson

Comments that yes, they were added in the -2 Amendments.  Continues presentation.

053

Rep. Kruse

Page six line nine through sixteen he noticed a glaring omission of the public.

063

Rep. Bates

Comments that the commission does that and in line 17 – 19 they are directed to take public testimony.

067

Chair Westlund

But his point is shouldn’t a member of the commission.

069

Rep. Kruse

Comments no, it says in sub one the commission shall solicit testimony and information from advocates submitting information.

077

Robinson

States she will be happy to work with Rep. Kruse on that section and continues presentation.

088

Chair Westlund

Asks if we finished going over section eight.

093

Robinson

Replies yes, and continues.

105

Chair Westlund

Comments that the concept here is to allow OMAP to do what they are doing, but we also want the health services commission to employ an actuary to help determine costs.  Discusses the appropriation.

118

Rep. Kruse

Comments that we are trying to set a process that is as transparent as possible so that it is understandable and they can look at it and realize what is there.

132

Robinson

Continues with section ten.

147

Rep. Bates

In awarding the contracts to administer these services, one of the concepts we dealt with was that it had to show savings, does the capacity and competence take care of that.

157

Robinson

Probably not as much as you would want it to.  Continues on section eleven and twelve.

169

Rep. Merkley

Asks is not capitated the same as fee for service.

174

Robinson

States yes and continues with section thirteen.

226

Rep. Bates

Comment that this is the cleanest we have ever seen it and that we are almost there.

238

Rep. Kruse

Makes comments about all of the people involved in this process.

245

Chair Westlund

Closes the information meeting and adjourns 4:23 pm.

 

 

EXHIBIT SUMMARY

 

A - -3 Amendments to HB 3624 pp. 13

B – Summary of the current Amendments – Staff, pp.2