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.