HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES
January 27, 2003 Hearing
Room D
8:30 A.M. Tapes 9
10
MEMBERS PRESENT: Rep. Jeff Kruse, Chair
Rep. Billy Dalto, Vice-Chair
Rep. Carolyn Tomei, Vice-Chair
Rep. Laurie Monnes Anderson
Rep. Gordon Anderson
Rep. Jeff Barker
Rep. Ben Westlund
STAFF PRESENT: Sandy
Thiele-Cirka, Committee Administrator
Mara McGraw, Committee
Assistant
MEASURES HEARD: HB
2152 Work Session
HJR 6 Public Hearing and Work
Session
HB 2151 Public Hearing
HB 2157 Public Hearing and Work
Session
These minutes are in
compliance with Senate and House Rules.
Only text enclosed in quotation marks reports a speakers exact
words. For complete contents,
please refer to the tapes.
|
TAPE/# |
Speaker |
Comments |
|
TAPE 9, A |
||
|
004 |
Chair
Kruse |
Calls
meeting to order at 8:38 A.M. and opens work session on HB 2152. |
|
HB 2152 WORK SESSION |
||
|
014 |
Rep. Tomei |
MOTION:
Moves HB 2152 to the Revenue Committee WITHOUT RECOMMENDATION to
passage. |
|
019 |
|
AYE:
In a roll call vote,
all members present vote AYE. VOTE: 7-0-0 |
|
|
Chair Kruse |
The motion CARRIES. |
|
028 |
Chair
Kruse |
Closes
work session on HB 2152 and opens public hearing on HJR 6. |
|
HJR 6 PUBLIC HEARING |
||
|
037 |
Rep.
Laurie Monnes Anderson |
House
District 50. Discusses benefits of collaborative effort between county and
state funding. Provides statistics on school-based health center reductions (EXHIBIT A). |
|
090 |
Grant
Higginson |
State
Public Health Officer, Health Services, Department of Human Services (DHS). Provides
background on school-based health centers in Oregon. Discusses teen access to
health care and the critical need for the program (EXHIBIT B). |
|
120 |
Chair
Kruse |
Requests
research relating to other states using Medicaid funding for school-based
health centers. |
|
127 |
Higginson |
Discusses
grants and other subsidies. |
|
134 |
Rep.
Monnes Anderson |
Reports
on status of bill from Rep. March, Rep. Bates and Rep. Monnes Anderson as it
relates to Medicaid dollars. |
|
148 |
Higginson |
Refers
to mental health issues presenting as other symptoms later diagnosed as
mental health issues. Offers to provide data at later date. |
|
159 |
Rep.
Anderson |
Inquires
on costs related to mental health triage. |
|
164 |
Higginson |
Defines
underlying issues and rapport as they pertain to screening. |
|
172 |
Chair
Kruse |
Explains
logistics of HJR 6. Closes public hearing on HJR 6 and opens work session on
HJR 6. |
|
HJR 6 WORK SESSION |
||
|
204 |
Rep. Monnes Anderson |
MOTION:
Moves HJR 6 be sent to the floor with a BE ADOPTED recommendation. |
|
|
|
AYE: In a roll call vote, all members present vote AYE. VOTE: 7-0-0 |
|
218 |
Chair Kruse |
The motion CARRIES |
|
|
|
REP. MONNES ANDERSON will lead
discussion on the floor. |
|
|
Chair
Kruse |
Closes
work session on HJR 6 and opens public hearing on HB 2151. |
|
HB 2151 PUBLIC HEARING |
||
|
231 |
Sandy
Thiele-Cirka |
Administrator.
Summarizes bill. |
|
254 |
Rep.
Alan Bates |
House
District 5. Requests and offers proposed language to amend the bill for
program expansion. States the expansion will allow the state flexibility and will
improve primary and subspecialty medical services in rural areas. |
|
317 |
Chair
Kruse |
Requests
clarification on amended language. |
|
322 |
Rep.
Bates |
Details
additional language. |
|
324 |
Chair
Kruse |
Inquires
on flexibility with federal regulations and current statues. |
|
327 |
Rep.
Bates |
Explains
research underway regarding federal restrictions. Clarifies flexibility in
statues. Provides additional explanation. |
|
334 |
Chair
Kruse |
Restates
changes to bill as additions only. |
|
335 |
Rep.
Bates |
Concurs.
Notes actions being taken by other states. |
|
343 |
Chair
Kruse |
Inquires
on action of other states regarding flexibility. |
|
347 |
Higginson |
Reports
intention to petition for federal waiver if flexibility not permitted. States basic intent of amendment. Adds
program is established and approved, key issue is financing. Explains fees. |
|
390 |
Chair
Kruse |
Questions
the 30 position cap. |
|
392 |
Higginson |
Provides
current statistics on participants and notes that the cap should not be a
problem. |
|
401 |
Chair
Kruse |
Inquires
about regulations regarding participant reapplication. |
|
404 |
Higginson |
Explains
participant obligation and retention rates. |
|
420 |
Chair
Kruse |
Questions
subspecialties. |
|
421 |
Rep.
Bates |
Clarifies
the emphasis on medical subspecialties. |
|
429 |
Chair
Kruse |
Inquires
if specificity will prohibit primary care. |
|
438 |
Rep.
Bates |
Agrees
that wording should expand flexibility. |
|
440 |
Rep.
Anderson |
Inquires
if option extends to other medical professions. |
|
446 |
Higginson |
Responds
that the program relates only to physicians. |
|
452 |
Chair
Kruse |
Suggests
Rep. Bates work with language for amendment and return to committee. |
|
TAPE 10, A |
||
|
024 |
Ian
Timm |
Executive
Director of Oregon Primary Care Association. Explains J1 VISA waiver program
is commonly called Conrad 30 program. Relates changes in waiver and
sponsorship process post Sept 11. Testifies in support of the bill (EXHIBIT C). Reads report by Hugh Phillips, Executive Director of Valley Family Health Care. |
|
121 |
Rep.
Monnes Anderson |
Defines
potential risks. Questions the Immigration and Naturalization Service (INS)
monitoring. |
|
130 |
Timm |
Responds
with explanation of INS and J1 VISA waiver program process and the monitoring
of participants. |
|
168 |
Rep.
Anderson |
Questions
the protection of the participants. |
|
179 |
Timm |
Outlines
sponsorship process and obligation of recruiting organization to participant. Describes minimal liabilities. |
|
197 |
Chair
Kruse |
Closes
public hearing on HB 2151 and opens public hearing on HB 2157. |
|
HB 2157 PUBLIC HEARING |
||
|
216 |
Thiele-Cirka |
Summarizes
bill. |
|
231 |
Chair
Kruse |
Explains
relationship of bill to Judiciary Committee. Suggests bill be moved if
supported by testimony. |
|
246 |
Michael
Skeels |
Administrator, Office of Oregon
State Public Health Laboratories, Health Services, DHS. Introduces self. |
|
248 |
Elizabeth
Carpenter |
Lab Director, Oregon Department of
State Police. Introduces self. |
|
251 |
Jeff
Rost |
Director
of State Breath Alcohol Testing Program, Oregon State Police. Introduces self. |
|
254 |
Skeels |
Testifies
in support of HB 2157. Discusses the lab accreditation process as it relates
to current statues. Explains testing and reporting process as a system of
connected laboratories (EXHIBIT D). |
|
322 |
Carpenter |
Testifies
in support of HB 2157. Explains laboratory accreditation process (EXHIBIT E). |
|
366 |
Rep.
Barker |
Requests
clarification on consistency between testing facilities. |
|
340 |
Skeels |
Reiterates
licensure and accreditation process as it relates to consistency of
facilities. |
|
348 |
Chair
Kruse |
Closes
public hearing on HB 2157 and opens work session on HB 2157. |
|
HB 2157 WORK SESSION |
||
|
351 |
Rep. Tomei |
MOTION:
Moves HB 2157 to the floor with a DO PASS recommendation. |
|
358 |
|
AYE: In a roll call vote, all members present vote AYE. VOTE:
6-0-1 EXCUSED: 1 - Westlund |
|
|
Chair Kruse |
The motion CARRIES REP. BARKER will lead discussion on
the floor. |
|
374 |
Chair
Kruse |
Closes
work session on HB 2157. Adjourns meeting
at 9:29 A.M. |
EXHIBIT
SUMMARY
A
HJR 6, written testimony, Rep. Monnes Anderson, 6 pp.
B
HB 2151, written testimony, Grant Higginson, 2 pp.
C
HB 2151, written testimony, Ian Timm, 3 pp.
D
HB 2157, written testimony, Michael Skeels, 2 pp.
E
HB 2157, written testimony, Elizabeth Carpenter, 1 p.