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 speaker’s 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.