HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

April 11, 2003 Hearing Room D

8:30 A.M. Tapes 82 – 85

 

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:                     2153 – Work Session

                                                2631 – Work Session

                                                3508 – Work Session

                                                2963 – Public Hearing

                                                3394 – Public Hearing

                                                3378 – Public Hearing

                                                2842 – Public Hearing

                                                2888 – Public Hearing

                                                3286 – Public Hearing

                                                3570 – Public Hearing

                                                3411 – 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 82, A

001

Chair Kruse

Calls meeting to order at 8:40 A.M.

POSSIBLE RECONSIDERATION

002

Chair Kruse

Requests unanimous consent that the rules be suspended for the purpose of reconsideration of HB 2153.

 

 

VOTE:         6-0-1

EXCUSED:  1 - Dalto

005

Chair Kruse

Hearing no objection, declares the motion CARRIED.

HB 2153 – WORK SESSION

006

Chair Kruse

Requests unanimous consent that the motion on HB 2153 be reconsidered.

007

 

VOTE:         6-0-1

EXCUSED:  1 - Dalto

008

Chair Kruse

Hearing no objection, declares the motion CARRIED.

010

Rep. Tomei

MOTION:  Moves HB 2153 to the floor with a DO PASS recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

013

Rep. Monnes Anderson

Questions Ways and Means referral.

015

Chair Kruse

Notes the need for the bill to move to Ways and Means.

030

 

VOTE:            5-1-1

AYE:               5 - Anderson, Barker, Tomei, Westlund, Kruse

NAY:               1 - Monnes Anderson

EXCUSED:     1 - Dalto

034

Chair Kruse

The motion CARRIES.

035

Chair Kruse

Closes work session on HB 2153 and opens work session on HB 2631

HB 2631 – WORK SESSION

038

Sandy Thiele-Cirka

Administrator. Summarizes bill and -2 amendments, dated 4/8/03 (EXHIBIT A) and   -3 amendments, dated 4/10/03 (EXHIBIT B).

056

Rep. Bob Jensen

House District 58. Speaks to -3 amendments.

087

Tim Martinez

Oregon Medical Association (OMA). Notes OMA does not agree with  -3 amendments. Comments on certain conditions in which the patient should be in a doctor’s office to receive lab results.

102

Rep. Jensen

Notes potential to deny patient access to lab results. Comments on patient’s ability to handle information. Remarks on pregnancy and HIV tests available directly to patient without prescribing physician.

213

Rep. Monnes Anderson

Expresses concern over patient access to results without consult with a physician.

242

Rep. Jensen

Notes lab includes additional instructions if additional consultation is necessary.

029

Rep. Anderson

Acknowledges patients should have access to results. Expresses concern over unexpected results.

347

Rep. Jensen

Asserts the ordering physician will receive results immediately. Notes results will go concurrently to patient only at patient’s request.

377

Martinez

Reiterates OMA opposition to bill without -3 amendments.

397

Rep. Westlund

MOTION:  Moves to ADOPT HB 2631-2 amendments dated 4/8/03.

402

Rep. Monnes Anderson

Requests clarification on -2 amendments.

406

Thiele-Cirka

Summarizes -2 amendments.

428

 

VOTE:         6-0-0

EXCUSED:  1 - Dalto

430

Chair Kruse

Hearing no objection, declares the motion CARRIED.

432

Rep. Monnes Anderson

MOTION:  Moves to ADOPT HB 2631-3 amendments dated 4/10/03.

438

Rep. Monnes Anderson

Notes specific tests of concern.

444

Rep. Jensen

Comments on his interest to develop necessary provisions regarding patient access to results.

479

Rep. Dalto

Inquires on willingness to legislate exceptions for specific tests.

488

Rep. Jensen

States opposition to such provision.

TAPE 83, A

023

Rep. Tomei

Conveys concern over impact of unexpected results. 

041

Chair Kruse

Notes intent regarding -2 amendments.

066

 

VOTE:            2-5-0

AYE:               2 - Anderson, Monnes Anderson

NAY:               5 - Barker, Dalto, Tomei, Westlund, Kruse

071

Chair Kruse

The motion FAILS.

074

Rep. Westlund

MOTION:  Moves HB 2631 to the floor with a DO PASS AS AMENDED recommendation.

078

 

VOTE:            6-1-0

AYE:               6 - Anderson, Barker, Dalto, Tomei, Westlund, Kruse

NAY:               1 - Monnes Anderson

080

Chair Kruse

The motion CARRIES.

REP. JENSEN will lead discussion on the floor.

083

Chair Kruse

Closes work session on HB 2631 and opens work session on HB 3508.

HB 3508 – WORK SESSION

055

Thiele-Cirka

Summarizes bill.

097

Rep. Monnes Anderson

Questions Department of Human Services (DHS) opposition.

100

Chair Kruse

Clarifies amendments were not submitted.

101

Rep. Anderson

Comments on change of authority over x-ray dental technicians.

120

Rep. Monnes Anderson

Questions the impact on other professions regarding change in authority.

138

Rep. Dalto

MOTION:  Moves HB 3508 to the floor with a DO PASS recommendation.

141

 

VOTE:            6-1-0

AYE:               6 - Anderson, Barker, Dalto, Tomei, Westlund, Kruse

NAY:               1 - Monnes Anderson

144

Chair Kruse

The motion CARRIES.

REP. ANDERSON will lead discussion on the floor.

145

Chair Kruse

Closes work session on HB 3508 and opens public hearing on HB 2963.

HB 2963 – PUBLIC HEARING

148

Thiele-Cirka

Summarizes bill.

165

Jean Lasater

Oregon Homeless and Runaway Youth Coalition. Submits written testimony in support of bill (EXHIBIT C). Offers data on Oregon target population and programs serving at-risk youth. Presents solutions.

283

Galen Phipps

Oregon Homeless and Runaway Youth Coalition. Submits written testimony in support of bill (EXHIBIT D). Notes coalition will staff task force. Request findings of task force be discussed in committee during interim.

355

Donna Middleton

Director, Oregon Commission on Children and Families (OCCF). Submits written testimony in support of bill (EXHIBIT E). Expresses the need to look holistically at youth homelessness with emphasis on prevention.  

390

Ramona Foley

Assistant Director, DHS. Testifies in support of bill. Notes data on homeless and runaway youth, youth employment and school drop-out rate. Reports problem is statewide issue. Notes DHS role in current youth crisis. Emphasizes need to focus on prevention.

TAPE 82, B

022

Chair Kruse

Relates intention regarding bill. Directs interested parties to continue as work group throughout the 2003-2004 interim. Closes public hearing on HB2963 and opens public hearing on HB 3384.

HB 3394 – PUBLIC HEARING

071

Rep. Alan Bates

House District 5. Submits written testimony in support of bill (EXHIBIT F). Summarizes bill, proposed amendment language, current system and other state models.

137

Rep. Vic Backland

House District 25. Details fund increase and trauma programs supported by increase.

170

Rep. Bates

Speaks to personal injury protection (PIP) increase agreed to by insurers.

176

Rep. Monnes Anderson

Questions the phone bill increase as it relates to trauma care.

195

Rep. Bates

Notes public favor for similar increase in California. Notes increase does not impact funds delegated to 9-1-1 system.

220

Rep. Monnes Anderson

Questions the fee. Comments on fee to agencies and businesses with multiple phones.

225

Rep. Bates

Clarifies fee increase. Notes Medicaid fund match.

229

Rep. Backland

Notes benefits of trauma system justify increase.

251

Rep. Anderson

Questions the PIP funds.

253

Rep. Bates

Clarifies use of additional PIP funds as they relate to trauma system.

278

William Long, MD

Trauma Director, Emmanuel Hospital, Portland, Oregon and Chairman of State Trauma Advisory Board. Reads written testimony in support of bill (EXHIBIT G). Offers data on Oregon’s trauma system.

387

Mary Ann Wish

Constituent. Reads written testimony is support of bill (EXHIBIT H). Relates personal story related to trauma services.

TAPE 83, B

039

Dick Wilt

Owner, West Ambulance Services, Roseburg, Oregon. Testifies in support of bill. Speaks to staffing of ambulance services. Notes Emergency Medical Services (EMS) does not obtain insurance information at time of service and fee increase will assist with lost revenue. Comments on trauma care in rural Oregon.

087

Shawn Baird

Paramedic and Owner, Ambulance Service, Woodburn, Oregon and President, State Ambulance Service. Submits written testimony in support of bill (EXHIBIT I). Notes fund increase will help ensure quality of care. Assures bill will not impact 911 funding.

132

Susan King

Oregon Nurses Association (ONA). Testifies in support of bill. Discusses Poison Center and rural trauma services.

197

Sandy Giffen

Department Director, Oregon Poison Center. Submits written testimony in support of bill (EXHIBIT J). Relates history of poison center. Notes current funding from Oregon Health and Sciences University (OHSU) may be at risk. Presents data on access to poison center.

282

Rep. Monnes Anderson

Questions the cost to operate poison center.

283

Giffen

Notes poison center is most cost effective way to handle poison traumas.

305

Gail Shibley

Administrator, Office of Public Health Systems, DHS. Submits written testimony in support of bill (EXHIBIT K). Provides overview of Oregon’s trauma system. Speaks to cost shift within hospitals. Reports bill address under compensation issue. Notes costs have increased and reimbursements have not.

TAPE 84, A

003

Bill Olson

Board Member, Brain Injury Association of Oregon. Submits written testimony in support of bill (EXHIBIT L). Relates personal and professional stories related to trauma services. Reports data on brain injury. Speaks to proposed amendment language.

102

Chair Kruse

Announces HB 3396 and HB 3439 will not be heard.

116

John Powell

State Farm Insurance Company. Speaks to PIP portion of the bill. Provides overview of PIP.

179

Scott Gallant

Oregon Medical Association (OMA). Submits written testimony in support of bill on behalf of Bruce Bishop and the Oregon Association of Hospitals and Health Systems (EXHIBIT M). Discusses trauma system issues and funding.

245

Jim Anderson

American College of Emergency Physicians. Submits written testimony in support of bill (EXHIBIT N). Notes additional supporters.

273

Brant Wolf

Oregon Telecommunications Association. Submits written testimony in opposition to the bill (EXHIBIT O). Addresses impact of fee increase to telecommunications system. Submits written testimony on behalf of David Paulson, Sprint (EXHIBIT P).

316

Shelley Jensen

Regulatory and Government Affairs Manager, Verizon. Testifies in opposition to bill. Notes change in fee to pay for actual services rather than dispatching.

337

Ginny Lang

Representing Qwest. Testifies in opposition to bill. Notes current fees included on phone bill to subsidize other services. Comments on fee as it relates to policy change. 

389

Rep. Dalto

Questions the percent of Oregonians that have phone service.

392

Lang

Offers estimate.

403

Elise Brown

Representing AT&T. Testifies in opposition of bill. Comments on fee increase.

421

Richard Kosesan

Representing Verizon Wireless. Testifies in opposition to bill. Notes funding of trauma services and 9-1-1 services are separate issues. Comments on impact of fee increase to small business owners.

466

Hasina Squires

Representing Oregon Association of Public Safety Communications Officers and Oregon Fire District Directors Association. Testifies in opposition to bill. Echoes concern over purity of current tax. Addresses mobile phone locator services not yet enacted in Oregon. 

TAPE 85, A

033

Kristina Wilde

Manager, Central Lane Communications. Submits written testimony in opposition to bill (EXHIBIT Q). Speaks to policy issues related to transferring fees to support trauma services.

050

Larry Hatch

Assistant Director, Washington County 911 Center. Notes funding should be generated by a separate tax not 911 fee.

058

Chair Kruse

States intent regarding bill. Closes public hearing on HB 3394 and opens public hearing on 3378.

HB 3378 – PUBLIC HEARING

070

Thiele-Cirka

Summarizes HB 3378.

083

Michael Bond

CEO, PrimeCare, Inc. Submits written testimony in support of bill (EXHIBIT R). Details health benefit program. Lists companies currently using this type of plan. Speaks to stability plan offers to employers and employees.

232

Gallant

Acknowledges merits of bill. Comments on pre-tax accounts for medical expenses. Notes funds paid by employer and do not impact employee wages.

284

Bond

Notes gains to physicians are patient relationship focused not economic. Emphasizes focus on price stability not price savings.

341

Rep. Anderson

Questions source of account balance.

345

Bond

Explains policy and administration process.

357

Rep. Anderson

Requests clarification on ownership of balance.

358

Bond

Reports balance is property of employee.

396

Cindy Robert

Pacific Source Health Plans. Testifies in support of program but notes statue is not necessary. Discusses health reimbursement plan currently being negotiated between private carriers.

404

John Powell

Regence Blue Cross/Blue Shield. Testifies in opposition to bill. Notes similar bill currently in Senate. Disagrees with specific deductible rates as they relate to administrative costs.

456

Bond

Notes second paragraph of written testimony (EXHIBIT R) clarifies deductible issues.

476

Chair Kruse

Closes public hearing on HB 3378.

HB 2842 – PUBLIC HEARING

477

Chair Kruse

Opens public hearing on HB 2842 and closes public hearing on HB 2842.

HB 2888 – PUBLIC HEARING

479

Chair Kruse

Opens public hearing on HB 2888 and closes public hearing on HB 2888.

HB 3286 – PUBLIC HEARING

481

Chair Kruse

Opens public hearing on HB 3286 and closes public hearing on HB 3286.

HB 3570 – PUBLIC HEARING

483

Chair Kruse

Opens public hearing on HB 3570 and closes public hearing on HB 3570.

HB 3411 – PUBLIC HEARING

485

Chair Kruse

Opens public hearing on HB 3411 and closes public hearing on HB 3411.

487

Chair Kruse

Adjourns meeting at 11:26 A.M.

 

EXHIBIT SUMMARY

 

A – HB 2631, -2 amendments, dated 4/8/03, staff, 1 p.

B – HB 2631, -3 amendments, dated 4/10/03, hand engrossed amendments, staff, 2 pp.

C – HB 2963, written testimony, Jean Lasater, 6 pp.

D – HB 2963, written testimony, Galen Phipps, 3 pp.

E – HB 2963, written testimony, Donna Middleton, 1 p.

F – HB 3394, written testimony, Rep. Alan Bates, 2 pp.

G – HB 3394, written testimony, William Long, 6 pp.

H – HB 3394, written testimony, Mary Ann Wish, 6 pp.

I – HB 3394, written testimony, Shawn Baird, 1 p.

J – HB 3394, written testimony, Sandy Giffen 9 pp.

K – HB 3394, written testimony, Gail Shibley, 5 pp.

L – HB 3394, written testimony, Bill Olson, 9 pp.

M – HB 3394, written testimony, Bruce Bishop, 2 pp.

N – HB 3394, written testimony, Jim Anderson, 2 pp.

O – HB 3394, written testimony, Brant Wolf, 2 pp.

P – HB 3394, written testimony, David Paulson, 1 p.

Q – HB 3394, written testimony, Kristina Wilde, 1 p.

R – HB 3378, written testimony, Michael Bond, 8 pp.