HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

January 31, 2003 Hearing Room D

9:00 A.M. Tapes 11 – 13

MEMBERS PRESENT: Rep. Jeff Kruse, Chair

Rep. Carolyn Tomei, Vice-Chair

Rep. Gordon Anderson

Rep. Jeff Barker

Rep. Laurie Monnes Anderson

Rep. Ben Westlund

MEMBER EXCUSED: Rep. Billy Dalto, Vice-Chair

STAFF PRESENT: Sandy Thiele-Cirka, Administrator

Mara McGraw, Assistant

MEASURE HEARD: HB 2164 – Public Hearing and Work Session

HB 2171 – Public Hearing and Work Session

HB 2192 – Public Hearing and Work Session

HB 2165 – Public Hearing

HB 2244 – Public Hearing

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 11, A
006	Chair Kruse			Calls meeting to order at 8:36 A.M. and opens a public hearing on HB 2164.
HB 2164 – PUBLIC HEARING
012		Sandy Thiele-Cirka	Administrator. Summarizes bill.
019		Sue Wilson	Director, Health Licensing Agency. Provides written testimony (EHIBIT A). Explains membership, roles and authorities of Advisory Council on Hearting Aids. Provides background on the measure.
045		Rep. Monnes Anderson	Questions the current agency budget.
049		Wilson	Details budget and fees associated.
061		Rep. Anderson	Inquires on split vote of council regarding change.
063		Wilson	Responds the Council requested the bill be presented to the Legislature.
076		Fred Peters	Consumer Member, Advisory Council on Hearting Aids. Speaks to technical and professional aspects of council. Provides testimony in support of HB 2164.
104		Rep. Barker	Comments on the current consumer representation on board.
111		John Brenneman	Representing Oregon Hearing Society (OHS). Explains span and role of OHS as group of hearing aid fitters. Notes problem solving efforts within OHS. Notes OHS concerns with changing membership.
158		Rep. Monnes Anderson	Questions issues brought to council.
161		Brenneman	Defers to Sue Wilson.
172		Wilson	Responds the council establishes best practice, performs test writing and clinical examination, competency standards and consumer reporting.
187		Rep. Monnes Anderson	Questions process of consumer input.
190		Wilson	Explains private versus public meeting process. Reports consumer groups attend public meetings frequently.
198		Rep. Tomei	Question split vote.
202		Wilson	Explains inability to answer question.
206		Rep. Barker	Restates need for additional consumer on board. Requests explanation regarding opposition to change in council membership.
218		Wilson	Defines opposition as it relates to the expertise of professionals.
235		Brenneman	Explains issues related to shifting the balance on a council. Refers to membership of similar boards.
261		Rep. Anderson	Inquires on council’s role as peer review and/or technical advisory services. Questions council’s ability to handle consumer complaints.
266		Wilson	Explains agency role as an advisory role dealing with enforcement and compliance. Clarifies council is not a peer review board.
283		Wayne Seely	Self Help for Hard of Hearing People of Oregon. Provides written testimony (EHINIT B). Explains need for stronger representation on council.
307		Chair Kruse	Questions if concern is philosophical or to address a specific problem with current council.
313		Seely	Readdresses issue of balance brought by consumer input versus professional input. Explains focus of users toward assistive technology and options used alongside hearing aids.
360		Chair Kruse	Comments on consumer role on board. Clarifies Seely’s testimony.
364		Seely	Restates position on representation of consumers.
379		Chair Kruse	Questions scope of board.
389		Wilson	Responds the council’s focus is consumer protection and notes the council as advisory in nature. Explains uncertainty of impact relating to change in membership.
419		Rep. Tomei	Inquires on the membership of similar councils and existing representation by consumers.
425		Wilson	Reports more than one consumer as atypical.
445		Rep. Barker	Notes role of advisory board as it relates to consumer protection.
TAPE 12, A
023		Chair Kruse	Closes public hearing on HB 2164 and opens work session on HB 2164.
HB 2164 – WORK SESSION
027		Rep. Anderson	Notes functioning of current board operations. Suggests delaying change until need is presented.
052		Rep. Barker	Comments council structure to protect consumers would benefit from one additional consumer member.
067		Rep. Barker	MOTION: Moves HB 2164 to the floor with a DO PASS recommendation and the SUBSEQUENT REFERRAL to the committee on Ways and Means BE RESCINDED.
083		Rep. Monnes Anderson	Reports council advisory in nature thus one additional consumer would not upset the existing balance.
100		Chair Kruse	Comments on the lack of evidence relating to dysfunction of council as it stands.
121		Rep. Tomei	Concurs.
131		Rep. Barker	Withdraws the motion.
126		Chair Kruse	Closes work session on HB 2164 and opens public hearing on HB 2171.
HB 2171 – PUBLIC HEARING
139		Thiele-Cirka	Summarizes HB 2171.
151		Chair Kruse	Explains position on bill.
163		Jack Kenny	Deputy Director, Oregon Housing and Community Services. Submits written testimony (EXHIBIT C). Introduces self.
164		Betty Markey	Housing Resources Manager, Oregon Housing and Community Services. Introduces self.
167		Kenny	Details project services and budget needs. Details benefits of Oregon Affordable Housing Tax Credit (OAHTC) funds. Defines specifications of OAHTC and need for type of funding.
244		Rep. Anderson	Questions interest rate requirements.
249		Kenny	Details components of rent pass-through in pre-development loans as they relate to analysis of loan structure.
262		Chair Kruse	Comments in support of the addition of predevelopment loans.
275		Bill Van Vliet	Executive Director, Network for Oregon Affordable Housing (NOAH). Provides written testimony (EXHIBIT D). Provides background of NOAH. Testifies in support of HB 2171.
433		John Blatt	Association of Oregon Community Development Organizations. Testifies in support of HB 2171 (EXHIBIT E). Explains partnerships in affordable housing and the relationship between state and private funding.
TAPE 11, B
005		Blatt	Continues testimony. Details current costs of predevelopment and the savings related to development costs.
026		Peter Hainley	Executive Director, CASA of Oregon. Defines scope of projects in regard to affordable housing for Oregon farm workers. Reports proposed changes would help with initial risk capital and early loan funds. Describes stimulation of healthy competition between banks.
050		Chair Kruse	Closes public hearing on HB 2171 and opens work session on HB 2171.
HB 2171 – WORK SESSION
052		Rep. Monnes Anderson	Proclaims potential conflict of interest. Comments in support of HB 2171.
054		Rep. Monnes Anderson	MOTION: Moves HB 2171 to the floor with a DO PASS recommendation and BE REFERRED to the Committee on Revenue by prior reference.
072		Rep. Anderson	Comments on solutions provided by bill.
080		Rep. Westlund	States support of bill.
091			VOTE: 6-0-1 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 1 - Dalto
		Chair Kruse	The motion CARRIES.
098		Chair Kruse	Closes work session on HB 2171 and opens public hearing on HB 2192.
HB 2192 – PUBLIC HEARING
100		Thiele-Cirka	Summarizes HB 2192.
111		Terri Johansen	Assistant Commissioner, Department of Community Colleges and Work Force Development. Testifies in support of HB 2192 and offers amendment language.
134		Ron Adams	Director, Oregon Youth Conservation Corps (OYCC). Testifies in support of HB 2192 and submits written testimony (EXHIBIT F). Describes scope of project and funding issues and the participants and restrictions as they relate to the bill.
187		Rep. Monnes Anderson	Questions OYCC status as a day or residential program.
190		Adams	Details day and residential programs.
201		Chair Kruse	Closes public hearing on HB 2192 and opens work session on HB 2192.
HB 2192 – WORK SESSION
205		Rep. Westlund	MOTION: Moves HB 2192 to the floor with a DO PASS recommendation.
209		Rep. Westlund	Comments in support of HB 2192.
228		Rep. Anderson	Comments in support of HB 2192.
262			VOTE: 6-0-1 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 1 - Dalto
		Chair Kruse	The motion CARRIES. REP. WESTLUND will lead discussion on the floor.
276		Chair Kruse	Closes work session on HB 2192 and opens public hearing on HB 2165.
HB 2165 – PUBLIC HEARING
284		Thiele-Cirka	Summarizes HB 2165.
303		Kathleen Haley	Executive Director, Oregon Board of Medical Examiners (BME). Provides background on HB 2165 and submits written testimony (EXHIBIT G). Explains request for bill and proposed amendments.
348		Rep. Tomei	Clarifies amendment objective.
353		Haley	Concurs amendment speaks specifically to time limits on reporting. Explains amendment also defines term official event.
358		Rep. Tomei	Inquires on hospital reporting requirements.
362		Haley	Explains requirements and reiterates objective to create time limit on reporting.
373		Rep. Tomei	Inquires on lack of sanctions for not reporting.
374		Haley	Relates benefits of self reporting.
387		Rep. Barker	Questions opposition to bill.
391		Haley	Unable to answer question.
399		Bruce Bishop	Representing Oregon Association of Hospital and Health Systems (OAHHS). Reports concerns about drafting and provisions as basis for opposition.
TAPE 12, B
001		Bishop	Continues explanation and details concerns with HB 2165 as written.
075		Bishop	Continues discussion.
129		Rep. Monnes Anderson	Inquires on BME position as it relates to OAHHS support of the bill.
131		Bishop	Comments on OAHHS position.
133		Rep. Monnes Anderson	Questions ability to accomplish object via rules versus legislation.
137		Bishop	Defers to Haley. Explains limitations in creating administrative rules.
147		Steven Kafaury	Oregon Acupuncture Association. Comments on the lack of clarity of the bill language. Explains concern over acupuncturist’s responsibility regarding bill. .
167		Edward Johnston	Lincoln County, Oregon. Defines proposed changes as they relate to personal medical experiences. Relates consumer rights regarding details in bill and the bill be referred to voters.
245		Chair Kruse	Suggests interested parties work toward acceptable amendment language. Closes public hearing on HB 2165 and opens public hearing on HB 2244.
HB 2244 – PUBLIC HEARING
256		Thiele-Cirka	Summarizes bill.
276		Lorraine Duncan	Immunization Program Manager, Health Services, Office of Family Health, DHS. Provides written testimony in support of HB 2244 (EXHIBIT H). Explains Immunization ALERT program.
347		Rep. Monnes Anderson	Comments in support and value of program. Questions usage/access by providers.
364		Duncan	Explains fee is related to usage for business purposes. Explains proposed fee.
399		Rep. Anderson	Inquires on budget.
403		Duncan	Explains budget figures.
405		Rep. Anderson	Inquires on HEDIS.
408		Duncan	Reports HEDIS is an organization which provides quality improvement measures to providers. Submits written testimony of Sara Brickner, Douglas County Immunization Coalition(EXHIBIT I).
TAPE 13, A
007		Rep. Alan Bates	House District 5, and physician. Explains scope of immunization project and registry benefits.
069		Paige Sipes-Metzler	Chair of Oregon Immunization Alert Advisory Committee. States organization’s support of HB 2244.
084		Edward Johnston	Relates concerns with bill regarding fees charged to public and confidentiality of public data bases. Emphasizes provision for protection of citizens.
140		Chair Kruse	Reports issues from previous legislative session related to clarity of fees. Suggests clarity of language to define who will and will be charged fees and who will qualify for voluntary fees.
159		Rep. Anderson	Offers interpretation of bill’s language.
164		Chair Kruse	Questions term authorized user and speaks to intent of requirement.
171		Rep. Westlund	Comments on difference between terms may and shall.
172		Chair Kruse	Comments on terminology approved by legislative counsel. Closes public hearing on HB 2244 and adjourns meeting at 10:45 A.M.

EXHIBIT SUMMARY

A – HB 2164, written testimony, Sue Wilson, 1 p.

B – HB 2164, written testimony, D. Wayne Seely, 1 p.

C – HB 2171, written testimony, Jack Kenny, 3 pp.

D – HB 2171, written testimony, Bill Van Vliet, 5 pp.

E – HB 2171, written testimony, John Blatt, 3 pp.

F – HB 2192, written testimony, Ron Adams, 8 pp.

G – HB 2165, written testimony, Kathleen Haley, 2 pp.

H – HB 2244, written testimony, Lorraine Duncan, 3 pp.

I – HB 2244, written testimony, Sara Breckner, 4 pp.