HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM

 

May 13, 2003 Hearing Room 50

3:15 PM Tapes  111 - 112

 

MEMBERS PRESENT:     

Rep. Steve March, Vice-Chair

Rep. Susan Morgan, Vice-Chair

Rep. Jeff Kruse

Rep. Jeff Merkley

Rep. Alan Bates

 

MEMBERS EXCUSED:            Rep. Randy Miller

                                                Rep. Ben Westlund, Chair

 

GUEST MEMBERS:               Rep. Mitch Greenlick

                                                Rep. Carolyn Tomei

                                                Rep. Laurie Monnes Anderson

 

STAFF PRESENT:                  Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

MEASURES/ISSUES HEARD:            HB 3624 – Public Hearing and Work Session

                                                            HB 2189 – Work Session

                                                            HB 2537 – Work Session

                                                            HB 2641 – Work Session

 

 

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 111, A

003

Chair March

Calls the meeting to order and opens the work session on HB 2189.

HB 2189 WORK SESSION

020

Rep. Kruse

MOTION:  Moves HB 2189 to the floor WITHOUT RECOMMENDATION as to passage and BE REFERRED to the committee on Health and Human Services and BE REFERRED to the Joint Committee on Ways and Means by prior reference.

021

 

VOTE:  4-0-3

EXCUSED:  3 - Merkley, Miller, Westlund

022

Chair March

Hearing no objection, declares the motion CARRIED.

023

Chair March

Closes the work session on HB 2189 and opens the work session on HB 2537.

HB 2537 WORK SESSION

030

Rep. Kruse

MOTION:  Moves HB 2537 to the floor WITHOUT RECOMMENDATION as to passage and BE REFERRED to the committee on Health and Human Service and BE REFERRED to the Joint Committee on Ways and Means by prior reference.

031

 

VOTE:  4-0-3

EXCUSED:  3 - Merkley, Miller, Westlund

032

Chair March

Hearing no objection, declares the motion CARRIED.

037

Chair March

Closes the work session on HB 2537 and opens the work session on HB 2641.

HB 2641 WORK SESSION

041

Rep. Kruse

MOTION:  Moves HB 2641 to the floor WITHOUT RECOMMENDATION as to passage and BE REFERRED to the committee on Health and Human Services and BE REFERRED to the Joint Committee on Ways and Means by prior reference.

042

 

VOTE:  4-0-3

EXCUSED:  3 - Merkley, Miller, Westlund

043

Chair March

Hearing no objection, declares the motion CARRIED.

048

Chair March

Closes the work session on HB 2641 and opens the public hearing on HB 3624.

HB 3624 PUBLIC HEARING

054

Holly Robinson

Gives a detailed explanation of the current summary of the -4 amendments. (EXHIBIT A) (EXHIBIT B)

078

Rep. Greenlick

Asks a question about the ages in one line to another.

080

Robinson

Gives information about the difference in ages.

129

Rep. Greenlick

Comments about what he think section one is stating.

140

Rep. Bates

Replies that this was a major part of our conversations and elaborates.

146

Robinson

Explains what they took away and why and who develops the criteria.

165

Rep. Kruse

Agrees with Holly and comments on what the intentions of this legislation are.

171

Rep. Greenlick

Makes comments about Sub one trying to get more clarification.

182

Rep. Bates

Comments that when we wrote the language we did not want to put in anything other than that we are not prescribing them from getting involved in the conditions you are talking about and elaborates.

197

Rep. Greenlick

Ask legislative council if that is their reading of this amendment.

200

Robinson

Responds yes and continues presentation.

218

Rep. Kruse

Points out that this was a key point in working this out and agreed that we need to be clear and distinct between creation and conversion and elaborates.

226

Robinson

Continues presentation.

299

Rep. Bates

Would like to pause and cover a couple of issues that may come up in testimony.

331

Rep. Kruse

Comments on their intent.

375

Robinson

Continues on section 14 – 16.

390

Rep. Kruse

Comments that in no way is to infringe on the PBM’s  (Pharmacy Benefit Managers) that already exist.

400

Rep. Monnes Anderson

Asks if the fee for service folks would be eligible to participate in this.

403

Rep. Bates

Answers yes, and elaborates.

TAPE 112, A

017

Robinson

Continues on section 16.

029

Rep. Kruse

Makes closing comments for Holly Robinson.

045

Bruce Bishop

Presents testimony and begins presentation. (EXHIBIT C )

082

Rep. Merkley

Asks the panel of experts a question for clarification related to the OHP.

095

Rep. Bates

Give an explanation of what happens when you show up at a hospital and gives more elaboration.

142

Rep. Kruse

Comments his preference would be, rather than removing section twelve, lets make section nine is very clear as to what reimbursement will be.

153

Lynn Read

Presents testimony (EXHIBIT D) and begins presentation.

180

Rep. Bates

Ask if she is suggesting that some PCO’s may be exempt from having to manage pharmaceuticals.

185

Read

Comments about their intent.

190

Rep. Bates

Comments that a PCO that does not take risks for prescription drugs does not have much value from my point of view and elaborates.

205

Read

Continues presentation.

229

Rep. Bates

Comments on the purpose of this section.

247

Rep. Monnes Anderson

Please re define what FCHP is.

248

Rep. Bates

Responds Fully Capitated Health Plan.

250

Read

Continues presentation.

256

Rep. Kruse

Comments that he does not think the language precludes an MHO contracting with a PBM for a purchase of drugs.

260

Read

Continues with section ten through twelve.

298

Rep. Monnes Anderson

Asks what is the incentive for the hospitals to accept those with an FCHP if they will get the same reimbursement rate if they get the plan or not.

312

Rep. Kruse

Conveys how the system works.

343

Rep. Monnes Anderson

Gives an example to make sure she understands.

371

Read

Continues with section thirteen.

TAPE 111, B

005

Rep. Tomei

Asks if she has any idea about the amount of staff that they would need.

010

Read

Responds no and elaborates.

012

Rep. Tomei

Asks if they will also need a new computer system.

013

Read

Responds yes, as it is written and explains.

018

Rep. Bates

Comments that he would like to talk to the PBM’s for their feedback and elaborates.

026

Read

Continues presentation with section fifteen.

041

Rep. Kruse

Comments why we used that date for completion.

052

Rep. Bates

Would like to agree with Rep. Kruse and comments that we choose that date so we could move forward at a good pace.

068

Rep. Kruse

Comments that his understanding is that this allows us to move further out in time.

073

Chair March

Thanks Lynn Read for her testimony and call the next witness.

075

Ellen Lowe

Represent the Oregon Law Center and the low income folks that they serve and makes comments on section nine.

100

Paul Cosgrove

Would like to put a point on the record having to do with the interplay with section ten and section thirteen.

137

Rep. Bates

Makes comment about the fee for service and prescription drugs.

154

Cosgrove

Makes additional comments.

156

Rep. Bates

Comments that that is one question he would disagree with and elaborates.

164

Chair March

Closes public hearing on HB 3624 and opens the work session on HB 3624.

HB 3624 - WORK SESSION

181

Rep. Kruse

MOTION:  Moves to ADOPT HB 3624-4 amendments dated 05/12/03.

182

 

VOTE:  4-0-3

EXCUSED:  3 - Miller, Morgan, Westlund

183

Chair March

Hearing no objection, declares the motion CARRIED.

 

 

MOTION:  Moves HB 3624 to the floor with a BE ADOPTED AS AMENDED recommendation and the SUBSEQUENT REFERRAL to the committee on Ways and Means BE RESCINDED.

190

 

VOTE:  4-0-3

EXCUSED:  3 - Miller, Morgan, Westlund

200

Rep Kruse

Comment that we miss Rep. Westlund and this is not the same without him.

205

Rep. Merkley

Compliments the inner circle that has worked so hard on this bill.

215

Chair Westlund

Hearing no objection, declares the motion CARRIED.

232

Rep. March

Motion passes and closes the work session on HB 3624 and adjourns 4:27 PM.

 

EXHIBIT SUMMARY

 

A – HB 3624 -4 amendment, staff, 13. pp.

B – HB 3624 Section by Section Breakdown, staff, 2 pp.

C – HB 3624 Written testimony, Bruce Bishop, 1. p

D – HB 3624 Written testimony, Lynn Read, 3 pp.