HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

February 17, 2003 Hearing Room D

8:30 A.M. Tapes 29 – 30

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

MEMBER EXCUSED: Rep. Ben Westlund

STAFF PRESENT: Sandy Thiele-Cirka, Committee Administrator

Mara McGraw, Committee Assistant

MEASURES HEARD: HB 2124 – Public Hearing

HB 2125 – Public Hearing

HB 2128 – Public Hearing

HB 2120 – Work Session

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 29, A
004	Chair Kruse	Calls meeting to order at 8:41 A.M. and opens a public hearing on HB 2124.
HB 2124 – PUBLIC HEARING
006	Sandy Thiele-Cirka	Administrator. Summarizes HB 2124. Submits written testimony from Oregon Commission on Children and Families (OCCF) (EXHIBIT A).
030	Ed Johnston	Toledo, Oregon. Offers testimony in opposition to HB 2124. Notes concerns with data base and data collection as it relates to family privacy.
065	Velma Hartwig	Harlan, Oregon. Offers testimony in opposition to HB 2124. Speaks to issues of privacy and family rights as they relate to bill.
102	Donna Middleton	Executive Director, OCCF. Testifies in support of HB 2124. Speaks to interagency coordination (EXHIBIT A). Reports challenges in accomplishing goals under current budget.
134	Rep. Tomei	Inquires on budgetary needs to accomplish goals.
137	Midleton	Explains budget status at the time the interagency agreement was signed versus the current budget capabilities.
151	Chair Kruse	Comments on prioritization of service and authorities. Comments on referral to Ways and Means committee. States that HB 2124 continues the process of the state being more responsive to local issues.
182	Janet Carlson	Marion County Commissioner. Provides history on bill. Comments on effort to include local and stat needs.
206	Chair Kruse	Closes public hearing on HB 2124 and opens public hearing on HB 2125.
HB 2125 – PUBLIC HEARING
215	Thiele-Cirka	Summarizes HB 2125. Submits written testimony from Marsha Clark (EXHIBIT B).
239	Hartwig	Speaks in support of increasing local control.
248	Johnston	Speaks in support of local control. Suggests referendum to local communities.
283	Clarke Balcom	Citizens Commission on Human Rights, Oregon (CCHR). Submits written testimony in opposition to HB 2125 (EXHIBIT C). Speaks to root causes of mental health issues.
361	Rep. Tomei	Requests information on CCHR.
264	Balcom	Provides history of CCHR.
380	Rep. Tomei	Inquires on CCHR membership.
381	Balcom	Offers names of Oregon CCHR. Explains relationship between state and international commission.
413	Rep. Barker	Inquires on numbers of children on psychotropic drugs in school system.
419	Balcom	Provides national figures.
432	Chair Kruse	Comments on over use of mental health prescriptions with school-age children as not germane to HB 2125.
TAPE 30, A
005	Carlson	Relates goals of CCF membership reorganization. Explains factors related to changes set for the in HB 2125.
037	Rep. Monnes Anderson	Questions current membership.
039	Carlson	Refers to Administrator to provide specific membership information. Offers membership information.
050	Thiele-Cirka	Distributes membership list (EXHIBIT D).
051	Rep. Monnes Anderson	Questions public membership.
058	Carlson	Explains need for members who understand state and local issues. Details membership requirements regarding lay and professional status.
095	Gina Firman	Director, Association of Community Mental Health Programs. Explains agency’s neutral position on bill. Relates need for mental health services in local communities. Speaks to collaborative effort between communities and government.
119	Chair Kruse	Comments on work group on mental health delivery system.
137	Rep. Monnes Anderson	Comments on geographic diversity of OCCF membership.
152	Rep. Tomei	Questions OCCF perspective on membership changes.
156	Middleton	Details current membership, perspective and variety of disciplines and regions represented.
185	Rep. Monnes Anderson	Inquires on relationship between local and state CCF.
194	Middleton	Explains intent to include local perspective and unite local and state CCF.
210	Rep. Anderson	Questions board membership distribution and appointment.
214	Chair Kruse	Clarifies board membership distribution and appointment.
218	Rep. Anderson	Question Senate representation on OCCF board.
222	Chair Kruse	Explains position filled by Speaker Karen Minnis. Closes public hearing on HB 2125 and opens public hearing on HB 2128.
HB 2128 – PUBLIC HEARING
243	Thiele-Cirka	Summarizes HB 2128. Submits written testimony from Jean Cowan, County Commissioner (EXHIBIT E).
270	Johnston	Speaks in opposition to HB 2128. Speaks to family rights. Quotes from article in Statesman Journal regarding false memories. Continues testimony.
400	Hartwig	Speaks to top down leadership and local control.
426	Balcom	Submits written testimony in opposition to HB 2128 (EXHIBIT F).
TAPE 29, B
001	Balcom	Continues presentation on psychiatry as it relates to HB 2128. Remarks on budget issues related to implementing bill.
044	Rep. Monnes Anderson	Comments on medication and diagnosis issues related to children. Inquires on witness’ philosophy regarding use if medications.
059	Balcom	Reports CCHR philosophy on medication and psychiatric issues. Relates need for simultaneous physical and psychological exams for comprehensive care.
086	Carlson	Submits and summarizes -2 amendment (EXHIBIT G). Suggests further action to refine state and local collaboration. Speaks to county authority regarding local agency delivery of mental health services. Refers to additional amendments to include language regarding county delivered mental health.
181	Rep. Monnes Anderson	Requests clarification on amendments.
194	Carlson	Further clarifies changes to bill as they related to the Executive Order (EXHIBIT H) in HB 2124.
199	Rep. Monnes Anderson	Inquires on intent of amendment regarding budgeting.
209	Carlson	Explains intent of OCCF regarding collaborative budget process between state and local agencies.
246	Rep. Monnes Anderson	Inquires on local control regarding budgets.
254	Carlson	Explains presence of local representation during original budget decisions.
267	Rep. Monnes Anderson	Relates individual needs of each county as they relate to DHS and CCF.
276	Carlson	Relates budget and revenue estimate process during budget decisions.
285	Rep. Monnes Anderson	Requests Department of Human Services (DHS) representation to further explain logistics of implementation.
288	Carlson	Further details steps in budget process and intent to give local input to DHS and OCCF.
292	Rep. Tomei	Questions membership of budget committee.
301	Carlson	Explains local membership in regard to state budget decisions. Relates intent of local and state partnership.
324	Rep. Anderson	Comments on complicating state to local budget process.
346	Carlson	Explains local participation prior to legislatively approved budget.
370	Rep. Anderson	Requests clarification.
371	Carlson	Explains state level decision making related to budget issues.
379	Gordon Fultz	Association of Oregon Counties (AOC). Details intent of amendment regarding interim planning. Explains amendments as attempt for early collaboration between local communities and state agencies.
413	Chair Kruse	Clarifies the codification of budget note.
419	Rep. Monnes Anderson	Inquires on county involvement in establishing budget priorities.
433	Fultz	Explains need for local input during the early state budget planning process.
TAPE 30, B
014	Rep. Monnes Anderson	Question current ability to offer input to DHS.
020	Fultz	Explains budget process as it relates to input by stakeholders. Submits written testimony (EXHIBIT I).
033	Carlson	Clarifies intent is to provide opportunity for input at early stage of planning process.
053	Chair Kruse	Comments on creating language to meet intent. Closes public hearing on HB 2128 and opens work session on HB 2120.
HB 2120 – WORK SESSION
062	Thiele-Cirka	Summarizes HB 2120. Submits -1 and -2 amendments (EXHIBIT J and K). Notes fiscal impact is yet undetermined and possible referral to Ways and Means.
101	Carlson	Explains reasoning behind amendments.
119	Rep. Monnes Anderson	Inquires on county position on bill.
127	Firman	States AOC is neutral on the bill. Notes concerns with specific aspects of bill. Suggests combining bill with others to collapse and condense.
152	Fultz	Speaks on behalf of Coalition of Local Health Officials. Explains concerns regarding previous plans and additional staff workload and funds to implement.
183	Carlson	Clarifies intent of HB 3024 and SB 555 (1999). Explains partnerships created via bill and relationship to staff workload during implementation.
206	Chair Kruse	Relates intent to examine local statutes and consolidate statutes. Recommends making additions and deletions in one process.
251	Carlson	Explains complexity of process to collapse and combine services. Explains state charge to reduce duplication with local input on implementation.
279	Chair Kruse	Suggests more comprehensive examination of local needs and existing resources as they relate to collapsing planning processes. Addresses budget issues and directs stakeholders to develop a workgroup.
328	Fultz	Notes agreement with work group suggestion.
337	Firman	Concurs.
338	Chair Kruse	Comments on administrative burden on local CCF regarding service delivery. Recommends collaboration of service delivery system to draft new amendments. Requests preliminary report by mid March. Closes work session on HB 2120 and adjourns meeting at 10:26 A.M.
TAPE 31 – NOT USED

EXHIBIT SUMMARY

A – HB 2124, Interagency Agreement, staff, 3 pp.

B – HB 2125, Written testimony, Marsha Clark, 2 pp.

C – HB 2125, Written testimony, Clarke Balcom, 2 pp.

D – HB 2125, State Commission Member List, staff, 2 pp.

E – HB 2128, Written testimony, Jean Cowen, 2 pp.

F – HB 2128, Written testimony, booklet, Clarke Balcom, 54 pp.

G – HB 2128, -1 amendment, staff, 1 p.

H – HB 2128, Executive Order, staff, 4 pp.

I – HB 2128, Legislative Principles and Program, Gordon Fultz, 2 pp.

J – HB 2120, -1 amendment, staff, 2 pp.

K – HB 2120, -2 amendment, staff, 1 p.