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.