HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

February 07, 2003   Hearing Room D

9:00 A.M.   Tape 20 – 22

 

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:                     HJR 4 – Public Hearing and Work Session

                                                HB 2305 – Public Hearing and Work Session

                                                HB 2325 – Public Hearing

                                               

ISSUES HEARD:                     Informational Meeting                     

·         Oregon Commission on Children and Families

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 20, A

005

Chair Kruse

Calls meeting to order at 9:07 A.M. and opens a public hearing on HJR 4.

HJR 4 – PUBLIC HEARING

010

Sen. David Nelson

Senate District 29.  Emphasizes Resolution supports rural health care access.  References amendments. 

041

Chair Kruse

Informs amendments will be addresses later in meeting.  Submits written testimony from Cathrine Britain (EXHIBIT A).  Closes public hearing on HJR 4 and opens public hearing on HB 2305.

HB 2305 – PUBLIC HEARING

045

Sandy Thiele-Cirka

Administrator.  Summarizes bill.

054

Chair Kruse

Announces upcoming Audit Committee presentation on Health Insurance Portability and Accountability Act (HIPAA).

062

Paul Frisch

Director of Medical Legal Affairs, Oregon Medical Association and Vice-Chair SB 104 Advisory Committee.  Explains goal of bill to focus on hospital and clinician responsibilities.  Addresses privacy issues. 

088

Rep. Barker

Inquires on term ‘professional counselor.’

094

Frisch

Explains catch-all in bill as it relates to the term.

100

Chair Kruse

Notes bill referral to Judiciary Committee.  Closes public hearing on HB 2305 and opens work session HB 2305.

HB 2305 – WORK SESSION

112

 Barker

MOTION:  Moves HB 2305 to the floor WITHOUT RECOMMENDATION as to passage and BE REFERRED to the committee on Judiciary.

118

 

VOTE:          5-0-2

AYE:            In a roll call vote, all members present vote AYE.

EXCUSED:  2 - Dalto, Westlund

 

Chair Kruse

The motion CARRIES.

124

Chair

Closes work session on HB 2305 and opens public hearing on HB 2325.

HB 2325 – PUBLIC HEARING

127

Thiele-Cirka

Summarizes bill.

129

Sue Wilson

Director, Health Licensing Agency.  Submits written testimony (EXHIBIT B)  Offers background on health licensing office.  Notes consolidation process.  Explains changes created by bill.

189

Chair Kruse

Requests information on proposed amendments.

191

Wilson

Explains proposed amendments (EXHIBIT B). 

222

Chair Kruse

Clarifies changes in amendments

225

Rep. Barker

Questions change in terminology from ‘hearing aid dealer’ to ‘specialist.’

232

Wilson

Explains changes. 

245

Rep. Anderson

Questions board of denture technology or Health Licensing Agency authority over denturists.

254

Wilson

Explains policy regarding misdemeanors and referrals to board of dentistry. 

276

Scott Austin

Member, Advisory Council on Hearing Aids, Hearing Aid Specialist.  Offers written testimony in support of term ‘hearing aid specialist’ (EXHIBIT C).  Offers information on national standards and terminology.

339

Rep. Tomei

Inquires on education of hearing aid specialists.

342

Austin

Details training, education and licensing requirements for hearing aid specialists.

368

Jane Myers

Oregon Dental Association.  Submits written testimony detailing concerns with bill (EXHIBIT D).  Speaks to issues of patient safety. 

439

Chair Kruse

Questions other legislation that might address issue.

446

Rep. Monnes Anderson

Inquires on cases of improper fitting of dentures.

451

Myers

Discusses relevant cases.  

TAPE 21, A

022

Rep. Anderson

Responds to Rep. Monnes Anderson’s inquiry.  Explains dentistry issues specifics related to dentures. 

040

Chair Kruse

Notes bill doesn’t impact issue.  Notes written testimony from  John McCulley (EXHIBIT E).  Closes public hearing on HB 2325 and opens public hearing on HJR 4.  Submits amendments (EXHIBIT F).

HJR 4 – PUBLIC HEARING

062

Kim Hoffman

Oregon Telecommunication Coordinating Council, Oregon Tele-Health Alliance OTHA).  Offers written testimony in support of HJR 4 (EXHIBIT G).  Details issues and policies relating to  reimbursement.  Offers history on OTHA.  Notes Resolution supports policy changes.  Comments on effort to collaborate between all parties.

169

Edmund Parker

Telecommunications Consultant and Oregon Telecommunication Coordinating Council.  Addresses committee via telecommunication conference from Lincoln City, Oregon.  Speaks to barriers to use of telemedicine.  Details benefits of telemedicine for rural residents.  Notes current reimbursement policies in other states.  Addresses cost savings to third-party health insurance providers and the Oregon Health Plan (OHP).   

240

Chair Kruse

Questions technical aspects of telecommunication and video conferencing.

243

Hoffman

Explains transmission.  Addresses need for high speed access. 

263

Chair Kruse

Inquires on other technical aspects related to legislation.

268

Hoffman

Describes legislation related to high speed conductivity.

279

Rep. Tomei

Requests clarification on process of using telemedicine.

286

Hoffman

Details process of long distance medicine via telemedicine technology.  Explains additional assistive technology used in conjunction with telemedicine.

300

Rep. Tomei

Inquires on number of rural areas accessing telemedicine.

302

Hoffman

Defers to next witness.  Discusses availability of telemedicine in Oregon.

311

Rep. Westlund

Questions OHP reimbursement for mileage and travel of patient versus reimbursement for telemedicine visit.

322

Parker

Concurs OHP does reimburse for travel and not telemedicine.

340

 

440

Eric Alexander

Chief Operating Officer, Cascade Health Systems and Executive, Central Oregon Hospital Network.  Addresses committee via telecommunication conference from Bend, Oregon.  Relates isolation of rural communities from specialty care.  Explains uses of telemedicine in Central and Eastern Oregon.  Addresses importance of provider reimbursement to expand usage and access.  Lists benefits of telemedicine. 

TAPE 20, B

052

Rep. Monnes Anderson

Questions other aspects of telecommunication.

066

Alexander

Explains relationships with community colleges and agencies to expand educational opportunities to medical professionals in rural areas. 

052

Ruth Geisking

Details other partnerships and information on second language opportunities via telecommunication.

093

Alexander

Addresses further aspects of reimbursement. 

107

Josie Henderson

Oregon Tele-Health Alliance, Executive Director, Association of Tele-Health Service Providers.  Provides background information on the Association.  Explains patient options between traveling or telemedicine for medical services.  Refers to Medicare reimbursement policy.  Details equal access to health care.

148

Rep. Anderson

Questions reimbursement relating to clinician to clinician services.

158

Hoffman

Describes provider policy on reimbursement.  Explains clinician to clinician services not currently reimbursable under OHP as basis for decision not to pursue for telemedicine.

174

Chair Kruse

Submits Oregon Telecommunications Executive Summary (EXHIBIT H).  Closes public hearing on HJR 4 and opens work session on HJR 4.

HJR 4 – WORK SESSION

179

Rep. Tomei

MOTION:  Moves to ADOPT HJR 4-2 amendments dated 02/07/03.

181

 

VOTE:  7-0-0

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

183

Rep. Tomei

MOTION:  Moves HJR 4 be sent to the floor with a BE ADOPTED AS AMENDED recommendation.

188

Tomei

Comments on innovation of technology and reimbursement for services. 

196

Anderson

Comments on benefit to rural Oregon and international medicine.

206

 

VOTE:  7-0-0

AYE:            In a roll call vote, all members present vote AYE.

 

Chair Kruse

The motion CARRIES.

213

Chair Kruse

Close work session on HJR 4 and opens informational meeting on Oregon Commission on Children and Families (OCCF). 

INFORMATIONAL MEETING

237

 

 

 

450

Donna Midleton

Executive Director, Oregon Commission on Children and Families (CCF).  Explains organizational aspects of infrastructure in combination with local structures.  Offers written testimony for informational purposes (EXHIBIT I).  Describes several program aspects of local commissions under commission.  Details collaborative efforts within communities and agencies. 

TAPE 21, B

020

Midleton

Continues presentation on CCF.  Details resources provided to communities by CCF.  Explains recent child care block grant.  Discusses challenged faced by CCF. 

060

Rep. Tomei

Questions local and state commission relationship as it relates to legislation issues.

068

Midleton

Explains connection between local and state commissions as they relate to research based and best practice mandates. 

088

Chair Kruse

Speaks to outcomes versus data driven objectives in regard to local autonomy.

112

Midleton

Summarizes budget reductions as they apply to specific programs.   

153

Chair Kruse

Inquires on county budgets.

154

Midleton

Offers county data.

158

Rep. Monnes Anderson

Questions total budget as it relates to difference between state and local funding. 

170

Midleton

Details General Fund dollars and other funds. 

177

Chair Kruse

Inquires on Governor’s recommendation on General Fund dollars to CCF. 

180

Midleton

Reports dollar figure.

186

Randy Franke

Coordinator, Local Coalition of Children and Family Commissions.  Offers background on Coalition.  Speaks to state mandates and local flexibility.  Emphasizes relationship between state and local commissions.    

252

Gillian Nicolaides

Director, Douglas County CCF.  Offers written testimony on local commission (EXHIBIT J).  Discusses CCF effort to address gaps and overlaps between local services.  Explains Douglas County CCF programs.  Submits informational packet (EXHIBIT K).

389

Jo Ann Miller

Director, Benton County CCF.  Offers written testimony describing local commission (EXHIBIT L).  Emphasizes importance of local input.  Details specific programs in Benton County.

TAPE 22, A

029

William Willey

Member, Yamhill County CCF.  Offers written testimony describing local commission (EXHIBIT M). Relates perspective collaboration within system as a whole.  Details specific programs.  Discusses Commission role in implementing services. 

054

 

 

140

Debra Bridges

Volunteer, Yamhill County CCF, Executive Director of Yamhill County United Way.  References point 2 (EXHIBIT M).  Address community, accountability and leverage.  Describes local accomplishments.  Details collaborative efforts and increased service delivery via community progress teams.  Discusses efforts of safety-net program. 

156

Willey

Discusses barriers presented by reduction of funds.  Expresses commitment to addressing community challenges despite budget reductions.  Emphasizes role of CCF.

185

Bridges

Distinguishes local CCF role from role of government. 

209

Chair Kruse

Offers closing remarks.  Closes informational meeting and adjourns meeting at 11:07 A.M.

 

EXHIBIT SUMMARY

 

A – HJR 4, written testimony, Catherine Britain, 1 p.

B – HB 2325, written testimony, Susan Wilson, 5 pp.

C – HB 2325, written testimony, newsletter, Scott Austin, 8 pp.

D – HB 2325, written testimony, Jane Myers, 1 p.

E – HB 2325, written testimony, John McCulley, 1 p.

F – HJR 4, amendment, staff. 1 p.

G – HJR 4, written testimony, Kim Hoffman, 20 pp.

H – HJR 4, summary, staff, 5 pp.

I – Informational, prepared testimony, Donna Middleton, 13 pp.

J – Informational, prepared testimony, Gillian Nicolaides, 1 p.

K – Informational, prepared testimony, Gillian Nicolaides, 12 pp.

L – Informational, written testimony, Joanne Miller, 4 pp.

M – Informational, written testimony, William Willey, 2 pp.