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