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:

  • amount of tax credit
  • qualifying criteria
  •  statistics on participating providers
  •  current statue
  •  differences between rural and frontier categories
  •  benefits of bill relating to rural health services
  • types of privileges

 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.