HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

March 3, 2003 Hearing Room D

8:30 A.M. Tapes 40 – 41

 

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 2566 – Public Hearing

                                                HJM 2 – Public Hearing and Work Session

                                                HB 2287 – Public Hearing

                                                HB 2288 – 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 40, A

004

Chair Kruse

Calls meeting to order at 8:36 A.M. and opens public hearing on       HB 2566.

HB 2566 – PUBLIC HEARING

012

Rep. Mark Hass

House District 27. Offers testimony in support of HB 2566. Relates story of former Rep. Montgomery whose grandson died of sudden cardiac arrest at a public swimming pool. Discusses need for defibrillators in high schools and public buildings. Points out amendment to eliminate appropriation from General Fund. Urges committee to adopt amendment upon receipt.

048

Rep. Dalto

Inquires on implementation cost.

050

Rep. Hass

Quotes price per unit.

067

Alicia Philpot

Executive Director, Oregon Pediatric Society. States utility of bill.  Emphasizes need for public education and training.  States support for proposed amendment.

079

John Valley

Oregon Advocacy Director, American Heart Association. Submits written testimony (EXHIBIT A). Explains ventricular fibrillation and links to survival from cardiac arrest. Relates priority list for location of defibrillators. 

114

Rep. Anderson

Inquires on program funding.

117

Valley

Refers to Rep. Hass’ amendments regarding seeking federal grant funds to implement and administer program.

125

Rep. Anderson

Inquires on adult need for defibrillators in schools.

131

Valley

Explains reasoning behind priority list for placement of defibrillators in high schools.

144

Bob Sewart

Associate Superintendent, Office of Curriculum and Instruction, Department of Education. Reports on special needs students and related heart health issues.

162

Andrea Morgan

Education Specialist, Office of Curriculum and Instruction, Department of Education. Estimates cost of defibrillator placement in schools across the state. Reports variety of prices on defibrillation units.  Speaks to training required for use and related costs and explains defibrillator maintenance and upkeep expenses.

231

Rep. Monnes Anderson

Reports defibrillation stationed at Capitol for use, demonstration and training.

237

Chair Kruse

 Notes upcoming amendments. Closes public hearing on HB2566 opens public hearing on HJM 2.

HJM 2 – PUBLIC HEARING

247

Rep. Donna Nelson

House District 24. Submits written testimony in support of HJM 2 (EXHIBIT B). Relates need for transportation to Veterans Administration (VA) medical facilities. Explains cost and time savings to veterans and state agencies. 

347

Rep. Nelson

Continues presentation on HJM 2. Speaks to changing VA policy regarding honoring prescriptions from private physicians. Submits and reads constituent letter (EXHIBIT C).

427

Rep. Barker

Inquires on impact to rural medical facilities.

435

Rep. Nelson

Defers to next witness.

TAPE 41, A

022

Greg Warnock

Executive Director, Oregon Veterans Association. Submits written testimony in support of HJM 2 (EXHIBIT D). Speaks to solution for programmatic problems in Veteran’s Services. Relates challenges with time, expense and physical stress to veterans who must travel long distances to receive care.

048

Matt McDonald

Veteran’s of Foreign Wars (VFW). Reports current use and challenges of vans and volunteer drivers to transport veterans to medical facilities. 

061

John Mangis

Director, Oregon Department of Veterans Affairs. Testifies in support of HJM 2. Notes corrections to data listed in HJM 2. Details locations of all veterans medical facilities. Speaks to “mainstreaming” policy to address issues of adequate care. Continues testimony and explains Veterans Integrated Service Network (VISN).    

159

Rep. Monnes Anderson

Inquires on access issues related to reduction in eligibility categories. 

164

Mangis

Reports lack of adequate funding and issues related to priority eligibility categories. Explains VA health care system as back up system to military defense. Reports move to HJM 2 will most likely result in a priority lists.

179

Rep. Monnes Anderson

Suggests additional language to ensure all veteran are eligible for care.

186

Mangis

Comments VA Hospitals are of high quality of care and research oriented. 

204

Rep. Tomei

Questions veteran categories and related delay in services.

212

Mangis

Explains veterans services operate on a timeline similar to private care facilities regarding wait for appointments with the exception of emergency care. Reports impact of patient overload to system. 

235

Rep. Tomei

Restates question regarding wait for veterans with service related health issues.

239

Mangis

Explains service and non-service connected disabilities, the priority list and subsequent care for emergency and non-emergency care.

255

Rep. Anderson

Comments on policy to transport veterans long distances to receive emergency care. Addresses issues of duplication of services and impact on effective medical care.   

297

Mangis

Comments on facility in Jackson County. Points out reasoning behind veterans shuttling from private to agency care. Reports related costs resulting from shuttling between private to agency care. 

355

Chair Kruse

Notes issue of third party payer is addressed in bill by Sen. Fisher. 

369

Rep. Anderson

Inquires on impact of HJM 2 on local and VA hospitals.

374

Mangis

Explains “mainstreaming” veterans to private, primary care would not have dramatic impact on VA hospitals. 

400

Rep. Barker

Thanks veterans for attending committee meeting and speaking to  HJM 2. Comments on 18-month wait period for services.

424

Mangis

Addresses issue of 18-month wait to receive care.

465

Chair Kruse

Offers procedural suggestions to move HJM 2 through committee.

TAPE 40, B

039

Debra Gill

Veteran. Testifies in support of HJM 2. Relates personal story.    

074

Richard McKnight

Veteran. Testifies in support of HJM 2. Relates personal story regarding challenges in receiving medical care services.  

109

Gill

Explains difficulty obtaining an appointment with primary care physician.   

134

Dennis Hodyman

Veteran. Testifies in support of HJM 2. Relates stories of fellow veterans in regard to obtaining medical care services and prescription drugs. Relates personal story.

230

Dennis Hodyman

Discusses issues related to coordinating appointments and transportation to care facilities. Addresses Rep. Anderson’s question regarding duplication of care by signing release forms

286

Rep. Anderson

Points out release of records by both veteran and physician would expedite care.

300

Lloyd Abbott

Veteran. Testifies in support of HJM 2. Relates personal story regarding the challenges in receiving primary care services. Speaks to issues related to volunteer veteran drivers who provide medical transpiration to VA facilities.

365

Chair Kruse

Closes public hearing on HJM 2 and opens work session on HJM 2.

HJM 2 – WORK SESSION

367

Rep. Dalto

MOTION:  Moves HJM 2 be sent to the floor with a BE ADOPTED recommendation.

374

Rep. Tomei

Comments on need for more concrete measure to ensure quality services.

385

Chair Kruse

Comments on Congress and Oregon’s need to make a statement.

394

 

VOTE:         6-0-1

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

EXCUSED:  1 - Westlund

 

Chair Kruse

The motion CARRIES.

REP. NELSON will lead discussion on the floor.

404

Chair Kruse

Notes Nelson’s amendments. Closes public hearing on HJM 2 and opens public hearing on HB 2287 and HB 2288.

HB 2287 and HB 2288 – PUBLIC HEARING

428

Jacqueline Zimmer-Jones

Director, Oregon Association of Area Agencies on Aging and Disabilities (O4ADs). Submits written testimony (EXHIBIT E) in support of HB 2287 and HB 2288.

TAPE 41, B

007

John Mulin

Director, Clackamas County Social Services. Testifies in support of HB 2287 and HB 2288. Provides history of local and state government relating to the equity issue. Notes collaborative effort with state. 

075

James Toews

Acting Assistant Director, Seniors and People with Disabilities, Department of Human Services (DHS). Submits written testimony in support of HB 2287 and HB 2288 (EXHIBIT F). Speaks to establishing an equitable formula and efficient management across the state. Addresses issues related to state and local government collaborations in regard to equity. Notes funding is not included in current Governors budget. 

110

Rep. Tomei

Inquires on Governors plan for programs that will be inadequately funded. 

112

Toews

Explains worst care scenarios for O4ADs.. 

128

Rep. Tomei

Inquires the impact during the interim period.

130

Toews

Explains ease in reaching equitable formula. Relates issue is budget related not collaboration related. Speaks to implementation issues for current and subsequent biennium. 

145

Chair Kruse

States intent of committee regarding HB 2287 and HB 2288. Submits informational packet (EXHIBIT G). Closes public hearing on HB 2287 and HB 2288. Adjourns meeting at 10:07 A.M. 

 

EXHIBIT SUMMARY

 

A – HB 2566, written testimony, John Valley 1 p.

B – HJM 2, information packet, Rep. Donna Nelson, 6 pp.

C – HJM 2, written testimony, Rep. Donna Nelson, 1 p.

D – HJM 2, written testimony, Greg Warnock, 1 p.

E – HB 2287 and HB 2288, written testimony, Jacqueline Zimmer-Jones, 2 pp.

F – HB 2297 and HB 2288, written testimony, James Toews, 1 p.

G – HB 2287 and HN 2288, information packet, staff, 6 pp.