HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

April 09, 2003 Hearing Room D

8:30 A.M. Tapes 80 – 81

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 3036 – Public Hearing and Work Session

HB 3066 – Work Session

HB 3157 – Public Hearing

HB 2700 – Public Hearing

HB 2834 – Public Hearing

HB 2889 – Public Hearing

HB 2919 – Public Hearing

HB 3285 – Public Hearing

HB 3502 – Public Hearing

HB 3585 – 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 80, A
004	Chair Kruse	Calls meeting to order at 8:47 A.M. and opens public hearing on HB 3036.
HB 3036 – PUBLIC HEARING
010	Rep. Steve March	House District 46. Testifies in support of HB 3036. Submits written testimony and -1 amendment dated 4/7/03 (EXHIBIT A). Comments on benefits of Oregon Project Independence (OPI).
051	Rep. Bob Jensen	House District 58. Testifies in support of HB 3036. Notes cost benefit analysis of OPI relating to nursing home savings. Urges committee to make strong statement regarding care of seniors.
106	Rep. Monnes Anderson	Questions routing of earned interest.
110	Rep. March	Explains interest policy as it relates to reserves and General Fund. Discusses funding relationship between OPI and General Fund.
145	Rep. Jensen	Notes bipartisan effort and support of HB 3036.
156	Sen. Gary George	Senate District 12. Comments on security of fund for future. Discusses -1 amendment (EXHIBIT A).
177	Lee Hazelwood	Senior Advocate. Submits written testimony in support of bill (EXHIBIT B). Presents history of OPI and data on its clients.
267	Rep. Westlund	Notes Oregon’s history of senior care and acknowledges all the senior advocates.
282	Rep. Dalto	Comments on senior advocacy.
305	Jim Davis	Representing United Seniors. Testifies in support of HB 3036. Comments on benefits of OPI.
326	Dolores Hubert	Chair, Health and Long Term Care Committee, Governors Commission on Senior Services. Testifies in support of bill. Speaks to programs success and cost benefit analysis.
350	Ruth Shepherd	Oregon Project Independence (OPI). Submits testimony in support of bill (EXHIBIT C). Notes unique aspects of OPI. Points out many seniors do not need institutionalization but can live independently with minimal assistance. Discusses funding options and matching grants.
472	Ralph Groener	American Federation of State-County Municipal Employees (AFSME). Comments on issues relating to employing staff to serve seniors through in-home care.
TAPE 81, A
033	Chair Kruse	Close public hearing on HB 3036 and opens work session on HB 3036.
HB 3036 – WORK SESSION
034	Rep. Tomei	MOTION: Moves to ADOPT HB 3036-1 amendments dated 4/7/03.
035		VOTE: 7-0-1
036	Chair Kruse	Hearing no objection, declares the motion CARRIED.
045	Rep. Tomei	MOTION: Moves HB 3036 to the floor with a DO PASS recommendation and BE REFERRED to the committee on Ways and Means by prior reference.
046	Rep. Monnes Anderson	Comments on impact to General Fund.
057	Rep. Barker	Acknowledges importance of program.
061	Rep. Anderson	Asserts the need for programs that support senior’s independence.
066		VOTE: 7-0-0 AYE: In a roll call vote, all members present vote AYE.
070	Chair Kruse	The motion CARRIES.
	Chair Kruse	Closes work session on HB 3036 and orders committee to stand at ease. Reconvenes meeting and announces scheduling changes. Opens work session on HB 3066.
HB 3066 – WORK SESSION
080	Sandy Thiele-Cirka	Summarizes bill and -2 amendments dated 4/4/03 (EXHIBIT D). Notes fiscal impact.
099	Chair Kruse	Explains intent.
104	Rep. Westlund	MOTION: Moves to ADOPT HB 3066-2 amendments dated 4/4/03.
106		VOTE: 7-0-0
107	Chair Kruse	Hearing no objection, declares the motion CARRIED.
108	Rep. Westlund	MOTION: Moves HB 3066 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.
114	Rep. Monnes Anderson	Notes hesitancy to endorse one single model.
128		VOTE: 7-0-0 AYE: In a roll call vote, all members present vote AYE.
131	Chair Kruse	The motion CARRIES.
133	Chair Kruse	Closes work session on HB 3066 and opens public hearing on HB 3157.
HB 3157 – PUBLIC HEARING
135	Thiele-Cirka	Summarizes bill and -1 amendment dated 4/8/03 (EXHIBIT E). Submits written testimony on behalf of Board of Dentistry (EXHIBIT F).
151	Paul Cosgrove	Representing Oregon Dental Hygienists Association. Submits written testimony in support of bill (EXHIBIT G). Explains technical aspects of bill.
268	Chair Kruse	Inquires on other amendments.
269	Cosgrove	Notes additional amendments.
295	Karla Girtz, RDH	Dental Hygienist. Relates difficulty in obtaining limited access permit with current geographic restrictions.
313	Rep. Tomei	Questions the educational courses modifications.
317	Girtz	Explains modifications to educational requirements and courses. Conveys that the courses are not lab oriented and can be offered through distance learning programs.
370	Cosgrove	Notes continuing education for dentists and hygienists are currently offered via distance learning. Asserts the change addresses limited access permits only.
380	Rep. Anderson	Questions the impact to defective diagnosis.
387	Cosgrove	Notes diagnosis is done by dentists and limited access services focus on screenings.
407	Rep. Anderson	Questions several technical aspects of bill including supervision, scope of practice and definition of dental assistant.
417	Cosgrove	Notes additional changes have not been made from HB 2240. Explains supervision structure, authority in scope of practice, and defines dental assistant.
TAPE 80, B
020	Jane Myers	Representing Oregon Dental Association (ODA). Submits written testimony (EXHIBIT H). Speaks to recruitment and liability issues. Details proposed protocol for limited access settings. Requests scope of dental assistant practice be maintained and supervision remain under the authority of the dentists.
213	Gary Allen, DMD, MS	Dentists, Member ODA. Submits written testimony in support of bill and -1 amendment (EXHIBIT I). Speaks to qualification of hygienists. Notes improved access to dental care as result of bill.
286	Jo Ann Bones	Executive Director, Board of Dentistry. Submits written testimony in support of bill and -1 amendment (EXHIBIT J).
340	Chair Kruse	Comments on need for interested parties to develop additional amendments. Closes public hearing on HB 3157.
HB 2700 – PUBLIC HEARING
365	Chair Kruse	Opens public hearing on HB 2700 and closes public hearing on HB 2700.
HB 2834 – PUBLIC HEARING
368	Chair Kruse	Opens public hearing on HB 2834 and closes public hearing on HB 2834.
HB 2889 – PUBLIC HEARING
369	Chair Kruse	Opens public hearing on HB 2889 and closes public hearing on HB 2889.
HB 2919 – PUBLIC HEARING
371	Chair Kruse	Opens public hearing on HB 2919 and closes public hearing on HB 2919.
HB 3285 – PUBLIC HEARING
373	Chair Kruse	Opens public hearing on HB 3285 and closes public hearing on HB 3285.
HB 3502 – PUBLIC HEARING
375	Chair Kruse	Opens public hearing on HB 3502 and closes public hearing on HB 3502.
HB 3585 – PUBLIC HEARING
377	Chair Kruse	Opens public hearing on HB 3585 and closes public hearing on HB 3585. Adjourns meeting at 10:10 A.M.

EXHIBIT SUMMARY

A – HB 3036, -1 amendment, dated 4/7/03, written testimony, Rep. Steve March, 1 p.

B – HB 3036, written testimony, Lee Hazelwood, 12 pp.

C – HB 3036, written testimony, Ruth Shepherd, 1 p.

D – HB 3066, -2 amendments, dated 4/4/03, staff 2 pp.

E – HB 3157, -1 amendment, dated 4/8/03, staff 1 p.

F – HB 3157, written testimony, Jo Ann Bones, 2 pp.

G – HB 3157, written testimony, Paul Cosgrove, 2 pp.

H – HB 3157, written testimony, Jane Myer, 7 pp.

I – HB 3157, written testimony, Gary Allen, 1 p.

J – HB 3157, written testimony, Jo Ann Bones, 1 p.