HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES
February 5, 2003 Hearing Room D
8:30 A.M. Tapes
18 – 19
MEMBERS PRESENT: Rep. Jeff Kruse, Chair
Rep. Billy Dalto, Vice-Chair
Rep. Carolyn Tomei, Vice-Chair
Rep. Gordon Anderson
Rep. Jeff Barker
Rep. Laurie Monnes Anderson
Rep. Ben Westlund
STAFF PRESENT: Sandy
Thiele-Cirka, Committee Administrator
Mara McGraw, Committee Assistant
MEASURES HEARD: HB
2153 – Public Hearing and Work Session
HB 2129 – Public Hearing and Work
Session
HB 2159 – Public Hearing and Work
Session
HB 2160 – 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 18, A |
||
|
004 |
Chair Kruse |
Calls meeting to order at 8:39 A.M. and opens a
public hearing on HB 2153. |
|
HB 2153
– PUBLIC HEARING |
||
|
008 |
Sandy Thiele-Cirka |
Administrator. Summarizes HB 2153. |
|
020 |
James K. Lace, M.D., F.A.A.P. |
Childhood Health Associates of Salem. Offers
testimony in support of HB 2153 (EXHIBIT
A).Addresses issues of confidentiality. Comments on child clients
acquired via methadone arrests. Reports benefits to immunization registry. |
|
045 |
Rep. Anderson |
Inquires on issue of duplicate immunizations.. |
|
051 |
Lace |
Explains risks of duplicate immunizations. |
|
062 |
Rep. Dalto |
Inquires on children contacted via methadone arrests. |
|
068 |
Lace |
Explains health risks and presenting symptoms of
children. |
|
080 |
Rep. Dalto |
Inquires on how the children enter the agency. |
|
081 |
Lace |
Explains process for remanding children into agency custody. |
|
089 |
Rep. Barker |
Inquires on contracts with other states in sharing immunization
records. |
|
099 |
Lorraine Duncan |
Immunization Program Manager, Health Services, Department
of Human Services (DHS). Speaks to benefits of sharing interstate records (EXHBIT B). Acknowledges issues of
differing state confidentiality policies.
|
|
152 |
Rep. Monnes Anderson |
Questions confidentiality issues relating to
children in need of protection. |
|
160 |
Duncan |
Explains the process to seal records from public.
Discusses authorized users of immunization registry. Speaks to website data
available to public. |
|
186 |
Barney Speight |
Kaiser Permanente. Discusses benefits of Kaiser’s
privately developed relationship with registries in other states. |
|
205 |
Chair Kruse |
Closes public hearing on HB 2153 and opens work
session on HB 2153. |
|
HB 2153
– WORK SESSION |
||
|
211 |
Rep.
Anderson |
MOTION: Moves HB 2153 to the
floor with a DO PASS recommendation and the SUBSEQUENT REFERRAL to the
committee on Ways and Means BE RESCINDED. |
|
220 |
|
VOTE: 7-0-0 AYE: In a roll call vote, all members present vote AYE. |
|
|
Chair Kruse |
The motion CARRIES. |
|
228 |
Rep. Tomei |
MOTION:
Moves HB 2153 be placed on the CONSENT CALENDAR. |
|
231 |
|
VOTE:
7-0-0 |
|
|
Chair Kruse |
Hearing no objection, declares the
motion CARRIED. |
|
231 |
Chair
Kruse |
Closes
work session on HB 2153 and opens public hearing on HB 2129. |
|
HB 2129
– PUBLIC HEARING |
||
|
235 |
Thiele-Cirka |
Summarizes HB 2129. |
|
265 |
Wayne Schumacher |
Executive Director, Oregon Optometric Physicians
Association. Offers written testimony in support of HB 2129 (EXHIBIT C). Explains bill as
critical for rural health. Comments on redistricting of rural and frontier
categorization relating to service areas. |
|
302 |
Charles Wardle, M.D. |
Rural Health Council Committee, Optometric Physician.
Testifies in support of HB 2129. Requests removal of hospital privilege to
improve rural access to provider tax credit.
|
|
377 |
Rep. Dalto |
Inquires on process to receive consulting privileges
from a hospital. |
|
380 |
Schumacher |
Responds and explains application and credentialing process. |
|
398 |
Rep. Barker |
Questions distance rural residents must travel to
receive eye care. |
|
403 |
Schumacher |
Provides information on rural community eye care
services. |
|
409 |
Rep. Barker |
Inquires on ability to provide emergency eye care. |
|
414 |
Schumacher |
Explains recent expansion of optometric providers role. |
|
422 |
Bill Cross |
Oregon Optometric Physicians. Speaks to policy on
tax credits. |
|
TAPE 19, A |
||
|
001 |
Cross |
Comments on benefit of tax credits regarding current
budget. Mentions upcoming information from the Office of Rural Health.
Suggests attaining a revenue projection. |
|
030 |
Karen Whitaker |
Oregon Health and Sciences University (OHSU) Office
of Rural Health. Offers written testimony relating to HB 2129 (EXHIBIT D). Presents history on
provider tax credit relating to the rural health bill. Discusses:
States
position on proposed amendment. Discusses position of Governor’s advisory
group. |
|
119 |
Chair Kruse |
Requests clarification on medical staff
classification. |
|
125 |
Whitaker |
Explains staff categories. |
|
138 |
Chair Kruse |
Inquires on obligations of allied health criteria. |
|
140 |
Whitaker |
Describes obligations to a provider for specific
categories. Discusses intentions of original law. Urges examination of potential
revenue impact. |
|
164 |
Chair Kruse |
Inquires on terminology and issues relating to
classification of providers. |
|
182 |
Schumacher |
Explains efforts of physicians to access privileges.
Discusses limits to health care access as they relate to providers forced to
split practice between rural and urban communities. Speaks to need for
practitioners in rural areas. |
|
207 |
Chair Kruse |
Discusses the dynamic created via provider
relationship with hospital. Questions
range of revenue impact. |
|
233 |
Rep. Anderson |
Questions provider benefits as a privilege and the
importance of provider on-site at hospital. |
|
246 |
Schumacher |
Speaks to services provided in optometric offices
versus hospitals. Discusses reasoning
to move bill to revenue committee. |
|
268 |
Rep. Monnes Anderson |
Questions removal of restriction as it pertains to
other medical professions. |
|
279 |
Schumacher |
Explains impact of policy change to other areas of
practice. States change doesn’t impact dynamic other than for
optometrist. |
|
291 |
Rep. Tomei |
Questions wording directed at optometry. |
|
299 |
Chair Kruse |
Explains qualification for eligibility relating to
optometry. Discusses impact of additional optometrists in rural areas.
Questions motivation of privilege. |
|
331 |
Cross |
Explains intention of tax credit to entice an retain
practitioners in smaller rural areas. |
|
351 |
Rep. Dalto |
Observes bill creates improved access to health care
in rural Oregon. |
|
367 |
Chair Kruse |
Closes public hearing on HB 2129 and opens work
session on HB 2129. |
|
HB 2129
– WORK SESSION |
||
|
368 |
Rep. Tomei |
Inquires on Chair’s concerns. |
|
371 |
Chair Kruse |
Restates concerns and commitment to rural health
care access. Comments on bill as it
relates to Revenue Committee and policy issues. |
|
|
Chair Kruse |
Explains amendment (EXHIBIT E). |
|
391 |
Rep. Tomei
|
MOTION: Moves to ADOPT HB 2129 -1 amendment dated 1/24/03 . |
|
420 |
Rep. Monnes Anderson |
Explains objection.
|
|
429 |
Rep. Anderson |
Suggests creating limits to amendment. |
|
|
Chair
Kruse |
Hearing no
objection, declares the motion CARRIED. |
|
450 |
Rep. Dalto |
Speaks to bill as a valuable recruitment tool. |
|
455 |
Rep. Tomei |
MOTION: Moves HB 2129 to the floor
with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on
Revenue. |
|
460 |
|
VOTE:
5-1 AYE: 5 - Anderson, Barker, Dalto, Tomei, Kruse NAY: 1 - Monnes Anderson EXCUSED: 1 - Westlund |
|
|
Chair Kruse |
The motion CARRIES. |
|
470 |
Chair
Kruse |
Closes
work session on HB 2129 and opens public hearing on HB
2159. |
|
HB 2159
– PUBLIC HEARING |
||
|
474 |
Thiele-Cirka |
Summarizes HB 2159. |
|
TAPE 18, B |
||
|
037 |
Rocky King |
Administrator, Oregon Medical Insurance Pool and
Insurance Pool Governing Board (IPGB). Submits written testimony (EXHIBIT F). Explains changes in language in the bill. Provides
history on Family Health Insurance Assistance Program (FHIAP). |
|
082 |
Chair Kruse |
Questions fiscal impact. |
|
087 |
King |
Responds zero. |
|
088 |
Chair Kruse |
Closes public hearing on HB 2159 and open work
session on HB 2159. |
|
HB 2159
- WORK SESSION |
||
|
098 |
Rep. Monnes Anderson |
MOTION: Moves
HB 2159 to the floor with a DO PASS recommendation and the SUBSEQUENT
REFERRAL to the committee on Ways and Means BE RESCINDED and be placed on the
CONSENT CALENDAR. |
|
108 |
|
VOTE:
6-0 AYE: In a roll call vote, all members present vote Aye. EXCUSED: 1 - Westlund |
|
|
Chair Kruse |
The motion CARRIES. |
|
114 |
Chair Kruse |
Closes work session on HB 2159 and opens public
hearing on HB 2160. |
|
HB 2160
– PUBLIC HEARING |
||
|
120 |
Thiele-Cirka |
Summarizes HB 2160. Mentions amendments have been
submitted to Legislative Counsel. |
|
128 |
King |
Provides written testimony in support of HB 2160 (EXHIBIT G). Explains restrictions on
subsidies for dental and medical plans.
Explains benefit of bill. Explains impact on market. |
|
158 |
Rep. Monnes Anderson |
Requests clarification on subsidies. |
|
164 |
King |
Responds and explains that the subsidy applies to
spouse or dependent. Defines premiums
as they apply to additional family members.
|
|
174 |
Rep. Monnes Anderson |
Requests clarification on results of bill.. |
|
178 |
King |
Reiterates process for offering subsidy. |
|
182 |
Rep. Monnes Anderson |
Readdresses access issues for employee and
additional family members. |
|
184 |
King |
Speaks to requirements for accessing coverage for
additional family members. Offers summary on proposed amendment. Comments on
fiscal impact of amendment. |
|
251 |
Jane Myers |
Director of Governmental Affairs, Oregon Dental
Association (ODA). Offers written
testimony in support of HB 2160 (EXHIBIT
H). |
|
273 |
Chair Kruse |
Summarizes proposed actions to bill. Closes public
hearing on HB 2160 and adjourns meeting at 9:50 A.M. |
EXHIBIT
SUMMARY
A
– HB 2153, written testimony, James Lace, 1 p.
B
– HB 2153, written testimony, Lorraine Duncan, 4 pp.
C – HB 2129, written testimony, Wayne Schumacher, 2
pp.
D – HB 2129, written testimony, Karen Whitaker, 3 pp.
E – HB 2129, -1 amendment, staff, 1 p.
F – HB 2159, written testimony, Rocky King, 1 p.
G – HB 2160, written testimony, Rocky King, 2 pp.
H – HB 2160, written testimony, Jane Myers, 1 p.