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.