HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

 

February 10, 2003   Hearing Room D

8:30 A.M. Tapes 23 – 24

 

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 2160 – Work Session

                                                HB 2021 – Public Hearing and Work Session

                                                HB 2240 – Public Hearing

                                                HB 2191 – 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 23, A

005

Chair Kruse

Calls meeting to order at 8:40 A.M. and opens work session on HB 2160 including -1 amendments (EXHIBIT A).

HB 2160 – WORK SESSION

009

Sandy Thiele-Cirka

Administrator.  Summarizes bill.

020

Chair Kruse

Explains session protocol for Ways and Means referrals.

028

Rep.  Tomei

MOTION:  Moves to ADOPT HB 2160 -1 amendments dated 02/06/03.

055

Rep. Monnes Anderson

Questions section 3 of amendment regarding Family Health Insurance Assistance Program (FIAP) coverage.

067

Craig Urbani

Insurance Pool Governing Board (IPGB). Explains amendment regarding subsidies for coverage.

072

Rep. Monnes Anderson

Inquires on payments and tracking system.

074

Urbani

Responds and explains the contracts and Health Insurance Portability and Accountability (HIPAA) billing practices.

081

 

VOTE:  6-0-1

EXCUSED:  1 - Westlund

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

082

Rep. Tomei

MOTION:  Moves HB 2160 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

 

 

VOTE:  6-0-1

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

EXCUSED:  1 - Westlund

 

Chair Kruse

The motion CARRIES.

092

Chair Kruse

Closes work session on HB 2160 and opens public hearing on HB 2021.

HB 2021 – PUBLIC HEARING

087

Cedric Hayden

Constituent, residing in Fall Creek, Oregon. Summarizes bill. Explains capital reserve requirements for dental practices and details impact of requirement on small business practitioners and Oregon economy.

159

Chair Kruse

Inquires on the rationale for requirement change in 2001.

160

Hayden

Explains changes related to other medical professions.

178

Rep. Monnes Anderson

Inquires on specifics of capital reserve requirements.

188

Hayden

Explains insurance company requirements.

198

Rep. Anderson

Questions relationship to small business. 

200

Hayden

Details deductible, premiums and co-pay as they relates to small businesses.

227

Rep. Monnes Anderson

Requests more background on reserve requirement. 

245

Chair Kruse

Explains return to requirements of 2 years previous with no fiscal or revenue impact. Closes public hearing and opens work session on HB 2021.

HB 2021 – WORK SESSION

259

Rep. Tomei

MOTION:  Moves HB 2021 to the floor with a DO PASS recommendation.

265

 

VOTE:  7-0

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

 

Chair Kruse

The motion CARRIES.

REP. ANDERSON will lead discussion on the floor.

272

Chair Kruse

Closes work session on HB 2021 and opens public hearing on HB 2240.

HB 2240 – PUBLIC HEARING

283

Thiele-Cirka

Summarizes HB 2240.

310

Paul Kleinstub, M.D.

Dental Director, Chief Investigator, Oregon Board of Dentistry.  Submits written testimony in support of HB 2240 (EXHIBIT B).  Explains current rule regarding supervision of dental assistants and hygienists.   

367

Rep. Monnes Anderson

Questions billing for dental assistant services. 

376

Kleinstub

Explains role of assistant relating to billing. Addresses issues of disciplinary actions as they relate to licensure. 

421

Rep. Monnes Anderson

Questions time limit on disciplinary actions.

424

Kleinstub

Explains authority to discipline after retirement.

440

Lori Lindley

Assistant Attorney General, Department of Justice. Explains statues.  Details effort to expand discretion for disciplinary actions.

TAPE 24, A

022

Chair Kruse

Addresses suggested amendments. Requests input on amendments.  Clarifies intent of language. 

035

Kleinstub

Offers input on restrictions of proposed amendments. 

049

Jane Myer

Representing Oregon Dental Association (ODA). Submits written testimony (EXHIBIT C). Explains intent of proposed amendments relating to issues of liability and patient safety. Explains language in bill not supported by ODA. 

068

Chair Kruse

Questions whether hygienists can supervise assistants.

070

Myer

Reports supervision as possible according to current rule if board decided to allow it.

071

Chair Kruse

Inquires if board currently allows hygienists to supervise assistants.

072

Myer

Reports this type of supervision may already take place. Informs on certain skill sets that could not be properly supervised by hygienists.  Suggests appropriate training to comply with statue. 

100

Rep. Dalto

Questions supervision of hygienists in school settings. 

104

Myer

Explains supervision policies within dental schools.

108

Rep. Dalto

Requests clarification regarding intent of bill relating to supervision of assistants.

112

Myer

Offers language to clarify role of supervision and to establish permissible independent work of both hygienists and assistants. 

127

Rep. Monnes Anderson

Inquires on impact to volunteer work and Job Corps.

136

Myer

Explains permits and ability to perform services without supervision.  Explains amendment will clarify roles and ability to perform services.

151

Rep. Monnes Anderson

Request more information on roles of hygienists and assistants regarding permits.

172

Myer

Clarifies roles and services authorized for hygienists and assistants in relation to board rules on supervision.

193

Kleinstub

Offers input on roles of hygienists and assistants. Addresses present rules and statues regarding limited access permits.

214

Rep. Anderson

Offers information on duties, skill sets and supervision of assistants and hygienists. Suggests revision of language in amendment to ensure clarity of roles and responsibilities.

262

Kleinstub

Explains current rules regarding supervision of dental assistants. 

275

Myer

Relates Board of Dentistry’s rule-making authority.

298

Chair Kruse

Explains statute. 

316

Rep. Anderson

Discusses previous legislation as it relates to proposed amendment.

321

Myer

Clarifies two separate issues with legislation. Explains intent of language in proposed amendments regarding permits and supervision.  Comments on ODA’s willingness to work on clarity of amendments.

424

Rep. Dalto

Offers information on drafting process.

437

Kleinstub

Explains why amendments were drafted as such.

465

Paul Cosgrove

Oregon Dental Hygienists Association (ODHA). Relates ODHA support for HB 2240 as written. Explains Board of Dentistry does not currently understand it’s authority to write rules of supervision. 

500

Chair Kruse

Closes public hearing on HB 2240 and opens a public hearing on HB 2191.

TAPE 23, B

HB 2191 – PUBLIC HEARING

050

Thiele-Cirka

Summarizes HB 2191. 

075

Tom Olsen

Administrator, Child Care Division, Oregon Employment Department.  Submits written testimony relating to bill (EXHIBIT D). Introduces bill and describes the collaborative process. 

084

Bobby Weber

Work Group Chair, Task Force on Financing Quality Child Care.   Offers written testimony in support of HB 2191 (EXHIBIT E). Speaks to the incorporation of child care into the state’s plan and the aspects of voluntary placements of children into care outside of the home. Speaks to proposed amendment to insert language relating to child care. 

155

Webber

Continues presentation on comprehensive child care plan. Relates childhood care and education as a marketplace, private enterprise of profit or nonprofit businesses. States new language will strengthen and broaden system. 

204

Rep. Monnes Anderson

Inquires on definition of local child care resource and referral agency. 

217

Webber

Explains role and services offered by resource and referral agencies and their network statewide.

257

Marion Smith

Member, Task Force on Financing Quality Child Care. Offers information specific to child care legislation. Submits written testimony on behalf of Kitty Piercy, Chair, and Oregon Commission for Child Care (EXHIBIT F).

271

Olsen

Explains function of resource and referral agencies as they relate to grant funds match requirement. Explains legislation that increased federal funding to local agencies and proposed amendment to change obligation in match requirement. 

321

Rep. Monnes Anderson

Questions federal match.

328

Olsen

Explains match obligation as it relates to revenue impact.

339

Rep. Monnes Anderson

Inquires on relationship to General Fund.

344

Olsen

Explains match requirement is state statue and will not impact federal match requirement. Explains redefinition of term ‘child’ as it relates to children with special needs as a technical adjustment in language, the regulation of teen parent programs and child development programs in high schools.

414

Rep. Monnes Anderson

Comments on licensure process as it relates to quality child care and education.

437

Olsen

Requests emergency clause to enact legislation upon passage. Defines term ‘parent cooperative’. 

TAPE 24, B

012

Rep. Monnes Anderson

Question how change prevents of abuse of statue.

018

Olsen

Details language that tightens restriction and regulations on cooperative childcare programs.

032

Vice-Chair Tomei

Inquires on board representation for cooperative childcare programs.

033

Olsen

Reports on membership for board at cooperatives. Explains change in language from ‘group home’ to ‘family home.’

057

Donna Midleton

Director of Oregon Commission on Children and Families (OCCF).  Reports OCCF does not have a position on HB 2191. Explains the existing relationship between Employment Department, OCCF, Department of Education (ODE) and Department of Human Services (DHS).

103

Jim Austin

Legislative Aid, Rep. Jackie Dingfelder House District 45. Offers testimony in support of HB 2191. 

111

Larissa Eichacker

Parent-Child Preschools of Oregon. Explains services provided by and need for cooperative childcare. Defines board for cooperatives.

141

Austin

Requests emergency clause effective upon passage to accommodate fall enrollment for cooperative child care programs. 

158

Rep. Anderson

Questions cooperative programs relationship to child care resource and referral (CCRR) agencies.

168

Austin

Explains amendment as a re-inclusion of previous statue. Offers statutory definitions of child care cooperatives. 

176

Olsen

Explains relationship between CCRR agencies and cooperative child care programs.

188

Eichacker

Offers further information on relationship between CCRR and cooperatives.

197

Vice-Chair Tomei

Closes public hearing on HB 2191 and adjourns meeting at 10:01 A.M.

 

EXHIBIT SUMMARY

 

A – HB 2160, amendments, Staff, 3 pp.

B – HB 2240 written testimony, Paul Kleinstub, D.D.S., 1 p.

C – HB 2240, written testimony, Jane Myer, 2 pp.

D – HB 2191, written testimony, Tom Olsen, 2 pp.

E – HB 2191, written testimony, Bobby Webber, 1 p.

F – HB 2191, written testimony, Kitty Piercy, 1 p.