HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

April 16, 2003 Hearing Room D

8:30 A.M. Tapes  88 – 92

 

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:                          HB 3156 – Work Session

                                                HB 2884 – Work Session

                                                HB 2964 – Work Session

                                                HB 3506 – Work Session

                                                HB 2692 – Work Session

                                                HB 2888 – Work Session

                                                HB 3570 – Work Session

                                                HB 2970 – Work Session

                                                HB 2987 – Work Session

                                                HB 3153 – Work Session

                                                HB 3156 – Work Session

                                                HB 2324 – Work Session

                                                HB 3157 – Work Session

                                                HB 3396 – 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 88, A

004

Chair Kruse

Calls meeting to order at 8:54 A.M. and open work session on HB 3153.

HB 3153 – WORK SESSION

014

Lawrence Skolick, MD

Submits written testimony in support of bill (EXHIBIT A). Presents overview of hypnotherapy.  Addresses need for licensing board. Proposes role and regulatory authority of board. 

148

Rep. Tomei

Inquires on board membership.

155

Skolick

Notes amendment addresses board membership.

159

Chair Kruse

Clarifies amendments speak to board membership. Closes work session on HB 3153 and opens work session on HB 2884.

 

 

 

 

 

 

HB 2884 – WORK SESSION

181

Sandy Thiele-Cirka

Administrator. Summarizes bill and -1 amendments, dated 4/9/03 (EXHIBIT B).

196

Grant Higginson, MD

State Public Health Officer, Health Services, Department of Human Services (DHS). Submits written testimony in opposition to bill and -1 amendments (EXHIBIT C). Presents overview of certificate of need programs and subsequent exemptions.

262

Rep. Tomei

Inquires on closed systems.

263

Higginson

Explains closed system program. Discusses issues related to allowing closed systems to open beds to regular nursing care beds. Addresses role of certificate of need program. Comments on -1 amendments.  

319

Rep. Barker

Requests example of closed system.

322

Higginson

Explains buy-in process for term of life care.

328

Julia Huddleston

Administrator, Office of Rate Setting for Finance and Policy Analysis, DHS and Administrator, Senior and People with Disabilities Budget Office, DHS. Submits written testimony in opposition of bill and -1 amendments (EXHIBIT D). Addresses fiscal issues related to Medicaid funding. Suggests certificate of need faculties be examined for long term success.

380

Jim Carlson

Oregon Health Care Association. Testifies in opposition to bill. Speaks to equity issues related to exempting certain classes of facilities. Notes -1 amendments address leveling playing field.

415

Chair Kruse

Comments on need for certificate of need program. Inquires on development of program.

424

Carlson

Provides history of program. Notes control of expenditures.

448

Chair Kruse

Comments on eligibility and level of services in regard to program purpose.

457

Carlson

Details Medicare and Medicaid policies related to occupancy of nursing care facilities for cost management.

TAPE 89, A

023

Chair Kruse

Discusses viability and market in regard to duplicate processes.

031

Carlson

Notes cost shift into private pay. Comments on philosophy behind certificate of need program.

048

Chair Kruse

Reiterates issues related to venture capital and determining market.

054

Carlson

Speaks to opinion of membership regarding certificate of need. Reintegrates membership desire to level playing field.

070

Rep. Anderson

Inquires on -1 amendments.

072

Carlson

Reports on development of -1 amendments.

075

Chair Kruse

States intent regarding bill.

091

Rep. Westlund

MOTION:  Moves to ADOPT HB 2884-1 amendments dated 4/9/03.

093

 

VOTE:  7-0-0

094

Chair Kruse

Hearing no objection, declares the motion CARRIED.

096

Rep. Westlund

MOTION:  Moves HB 2884 to the floor with a DO PASS AS AMENDED recommendation.

105

Rep. Tomei

Inquires on need for change via statute.

109

Chair Kruse

Notes process may need revision.

121

Rep. Tomei

Comments on responsibility to invest in senior care.

129

Chair Kruse

Notes certificate of need not used in assisted living facilities which is inequitable.

139

Rep. Barker

Comments on protections on behalf of seniors regarding long term care.

149

Chair Kruse

Closes work session on HB 2884 and opens work session on HB 2964.

HB 2964 – WORK SESSION

157

Thiele-Cirka

Summarizes bill and -1 amendments, dated 4/3/03 (EXHIBIT E), -2 amendments, dated 4/7/03 (EXHIBIT F), -3 amendments, dated 4/14/03  (EXHIBIT G).

185

Anderson

Comments on dental industry and best practice policies. Reads dental student letter in opposition to ownership by non-dentists. Request passage of -2 amendments. 

260

Chair Kruse

Notes Senate passage of identical bill excepting ownership piece.

293

Rep. Anderson

MOTION:  Moves to ADOPT HB 2964-2 amendments dated 4/7/03.

298

Rep. Monnes Anderson

Comments on non-dentist ownership as access issue.

330

Rep. Anderson

Speaks to advantages and benefits of ownership by dentists.

346

Chair Kruse

Notes non-dentist ownership is optional.

356

Rep. Barker

Comments on non-dentists ownership.

368

Rep. Dalto

Notes lack of support by dentists.

399

 

VOTE:  3-4-0

AYE:               3 - Anderson, Barker, Dalto

NAY:               4 - Monnes Anderson, Tomei, Westlund, Kruse

405

Chair Kruse

The motion FAILS.

410

Rep. Monnes Anderson

MOTION:  Moves to ADOPT HB 2964-1 amendments dated 4/3/03.

415

Thiele-Cirka

VOTE:  4-3-0

AYE:               4 - Monnes Anderson, Tomei, Westlund, Kruse

NAY:               3 - Anderson, Barker, Dalto

422

Chair Kruse

The motion CARRIES.

428

Rep. Monnes Anderson

Notes neutral position on -3 amendments.

435

Thiele-Cirka

Submits written testimony form Oregon State Denturists Association (EXHIBIT H) and United Seniors of Oregon (EXHIBIT I).

TAPE 88, B

003

Joe Coss

Oregon State Denturists Association. Speaks to -3 amendments. Discusses reason for requesting exclusion of denturists from bill.

037

Jane Myer

Oregon Dental Association (ODA). Testifies in opposition to -3 amendments. Speaks to broad authority by dentists. Comments on non-dentists ownership.  

064

Rep. Tomei

Requests clarification on -3 amendments.

067

Myer

Explains impact of -3 amendments regarding non-dentist ownership of Denturist practices. Speaks to quality of care. Discusses recent Denturist ballot measure.

107

Rep. Tomei

Requests clarification on Denturist ownership and -3 amendments.

108

Myer

Clarifies amendment language regarding Denturist ownership of dental practices.

116

Rep. Tomei

Comments on benefits of mutual practice.

118

Myer

Explains current protocol and policy regarding diagnosis and quality of care.

132

Rep. Anderson

Inquires on Denturist training level.

136

Myer

Reports licensing requirements and scope of practice. Reads email form Director of Health Licensing Office. Notes statute is not necessary to uphold ballot measure.  

191

Rep. Monnes Anderson

MOTION:  Moves HB 2964 to the floor with a DO PASS AS AMENDED recommendation.

198

 

VOTE:  4-3-0

AYE:               4 - Monnes Anderson, Tomei, Westlund, Kruse

NAY:               3 - Anderson, Barker, Dalto

202

Chair Kruse

The motion CARRIES.

REP. BATES will lead discussion on the floor.

210

Chair Kruse

Closes work session on HB 2964 and opens work session on HB 3506.

HB 3506 – WORK SESSION

216

Thiele-Cirka

Summarizes bill

227

Rep. Gordon Anderson

House District 3. Explains bill. Introduces witness.

261

Lyle Jackson, MD

Physician, Josephine County. Describes local Independent Practice Association (IPA) services. Reports support for Oregon Health Plan (OHP) and impact of budget reductions. Discusses surrogate mother participation on OHP. Addresses challenge in proving surrogate status. Notes law may prevent abuses of system.

364

Rep. Barker

Inquires on policy regarding detecting surrogates. Comments on complexity of issue. Inquires on eligibility.

397

Jackson

Notes intent of bill. Comments on financial responsibility of adoptive parents toward surrogate mother and child. Notes Oregon Medical Assistance Program (OMAP) states OHP can not be denied as law is currently written. Notes payment for surrogacy is made post natal.

457

Rep. Barker

Inquires on reporting of income. Inquires on specific cases.

465

Jackson

Speaks to issues related to Josephine County. Reports data on specific cases.

490

Rep. Anderson

Comments on prevention of OHP abuses.

500

Jackson

Notes law will deter adoptive parents and surrogate mother from abuses.

TAPE 89, B

027

Rep. Anderson

Notes adoption fees.

035

Jackson

Notes arrangement is free enterprise agreement and government should not subsidize. Notes socioeconomic status of OHP mothers subsequent health risks during pregnancy.

049

Rep. Anderson

Inquires on obstetrics practice.

052

Jackson

Reports private obstetrics practice.

070

Andrea Myer

Legislative Director, American Civil Liberties Union (ACLU) Oregon. Testifies in opposition to bill. Notes challenge of enforcement and invasion of privacy in reproductive choices. Notes not all surrogate arrangements are reimbursed. Comments on attempt to bar all medical access including issues not related to pregnancy. Expresses concerns over constitutionality of bill.

113

Rep. Barker

Inquires on technical definitions of surrogacy.

118

Myer

Discusses broad scope of surrogacy.

126

Rep. Dalto

Inquires on number of surrogate births in Oregon.

134

Myer

Notes data may not be available due to private nature of issue. Estimate small number.

143

Rep. Anderson

Discusses number of surrogate births and cost to state.

150

Rep. Barker

Discusses estimate.

156

Chair Kruse

States intent. Comments on federal issues related to bill. Closes public hearing on HB 3506 and opens work session on HB 2692.

HB 2692 – Work Session

156

Thiele-Cirka

Summarizes bill.

205

Tom Barrows

Oregon Podiatric Medical Association. Submits written testimony in support of bill (EXHIBIT J). Explains intent of bill. Points out bill does not expand scope of practice. Notes opinions of interested parties.    

280

Richard Peffley, DPM

Podiatrist. Details professional experience. Discusses need for statute. Defines medical education and training of podiatrists. Comments on parity between podiatrists and orthopedists. Speaks to cost effective medicine.

TAPE 90, A

040

Peffley

Reports data on podiatric care. Notes bill will not expand scope of practice. Addresses issues with Board of Medical Examiners (BME).

080

Kathleen Haley

Executive Director, Board of Medical Examiners (BME). Submits written testimony in opposition to bill (EXHIBIT K). Presents reasons BME opposes bill. Discusses current definition of physician.

118

Scott Gallant

Oregon Medical Association (OMA). Submits written testimony in opposition to bill (EXHIBIT L). Emphasizes impact of general change in definition of physician. Addresses issues of scope of practice and parity. Notes statutory references that will amend current statutes. Comments on current statute regarding reimbursement and hospital privileges.    

221

Rep. Dalto

Inquires on OMA position on specific treatments. Inquires on OMA position in regard to another specific treatment.

225

Gallant

Restates issue of creating statutory policy for specific treatments. Comments on implications on change regarding ORS. Reiterates OMA intent to establish impact of policy change on Oregon Revised Statues (ORS) and scope of practice.

277

Rep. Dalto

Inquires on OMA position regarding reimbursement. Inquires on reimbursement issue as it relates to skill level of subspecialty doctors.

284

Gallant

Comments on reimbursement of subspecialties. Addresses reimbursement differential between sub specialists.

330

Rep. Monnes Anderson

Inquires on definition of physician.

334

Haley

Reports current definition of physician.

341

Rep. Tomei

Clarifies distinctions and qualifies of “physician” as defined by statue.

353

Haley

Notes definition relates to level of training.

367

Rep. Dalto

Inquires on study prepared by OMA.

373

Gallant

Apologizes for delay in submitting report.

395

Rep. Dalto

Inquires on official position of BME.

399

Haley

Reports BME position and Board meeting schedule.

416

Gallant

Comments on original legislation.

443

Chair Kruse

Closes work session on HB 2692 and opens work session on HB 3156.

HB 3156 – WORK SESSION

459

Thiele-Cirka

Submits licensing fee information (EXHIBIT M).

TAPE 91, A

007

Michael McCallum

Oregon Restaurant Association. Testifies in support of bill and amendments. Discusses intergovernmental agreement.

056

Gail Shibley

Administrator, Office of Public Health Systems, Department of Human Services (DHS). Testifies in support of bill and amendments. Speaks to results of change regarding staffing and funding. Notes no General Fund impact. Submits written testimony of Linda Fleming (EXHIBIT N).

116

Gordon Fultz

Association of Oregon Counties (AOC). Reports amendments have not been reviewed and AOC takes no position on bill.

126

Chair Kruse

Submits -2 amendments, dated 4/15/03 (EXHIBIT O). Closes work session on HB 3156 and orders committee to recess at 11:22 A.M.

RECONVENES MEETING

137

Chair Kruse

Reconvenes meeting at 5:20 P.M. and opens work session on HB 2888.

HB 2888 – WORK SESSION

154

Rep. Diane Rosenbaum

House District 42. Submits written testimony in support of bill (EXHIBIT P). Address issues related to hunger and access to food stamp services.

190

Patty Whitney Wise

Director, Oregon Hunger Relief Task Force. Speaks to benefits and impact of Food Stamp Outreach program.

 

 

 

216

Rep. Barker

MOTION:  Moves HB 2888 to the floor with a DO PASS recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

222

 

VOTE:  6-0-1

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

EXCUSED:  1 - Westlund

225

Chair Kruse

The motion CARRIES.

227

Chair Kruse

Closes work session on HB 2888 and opens work session on HB 3570.

HB 3570 – WORK SESSION

229

Thiele-Cirka

Summarizes bill and –1 amendments, dated 4/11/03 (EXHIBITQ).

260

Katy King

Intergovernmental Relations Liaison, Health Services, DHS. Submits written testimony on behalf of Jim Edge (EXHIBIT R) and on behalf of the Governor’s office in support of bill (EXHIBIT S. Discusses eligibility to senior prescription assistance programs as it relates to bill.

307

Rep. Anderson

Inquires on enrollment fees.

308

King

Discusses fees.

332

Chair Kruse

Comments on website for prescription programs.

344

Rep. Monnes Anderson

MOTION:  Moves to ADOPT HB 3570-1 amendments dated 4/11/03.

346

 

VOTE:  6-0-1

EXCUSED:  1 - Westlund

347

Chair Kruse

Hearing no objection, declares the motion CARRIED.

351

Rep. Monnes Anderson

MOTION:  Moves HB 3570 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

360

 

VOTE:  6-0-1

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

EXCUSED:  1 - Westlund

364

Chair Kruse

The motion CARRIES.

365

Chair Kruse

Closes work session on HB 3570 and opens work session on HB 2970.

HB 2970 – WORK SESSION

370

Thiele-Cirka

Summarizes bill.

381

Rep. Monnes Anderson

MOTION:  Moves HB 2970 to the floor with a DO PASS recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

389

 

VOTE:  6-0-1

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

EXCUSED:  1 - Westlund

393

Chair Kruse

The motion CARRIES.

394

Chair Kruse

Closes work session on HB 2970 and opens  work session on HB 2987.

HB 2987 – WORK SESSION

410

Thiele-Cirka

Summaries bill and -2 amendments, dated 4/16/03 (EXHIBIT T).

454

Rep. Monnes Anderson

Inquires on impact to small business.

461

John Powell

Regence Blue Cross Blue Shield of Oregon. Discusses impact of rate bands on small businesses.

TAPE 90, B

037

Rep. Monnes Anderson

Inquires on differences in premiums. Requests further clarification on rate differentials.

040

Powell

Addresses variance in premiums. Defines rating criteria as it relates to premiums.

067

Rep. Monnes Anderson

Rephrases impact of rate bands.

072

Powell

Clarifies rate bands as they relate to age of insure.

083

Leonard Hagen

Legislative Affairs, Regence Blue Cross Blue Shield of Oregon. Speaks to market decline and fiscal impact of rate bands.

106

Chair Kruse

Comments on preventing loss in private market to create stability in overall health care system.

116

Rep. Anderson

Inquires on age bands.

119

Powell

Addresses differences between rate and age bands.

137

Rep. Anderson

Inquires on waivers for specific conditions.

141

Powell

Points out waiver issue is addressed in -1 amendments, dated 3/31/03 (EXHIBIT U).

172

Rep. Dalto

Inquires on differential rates between age groups.

179

Powell

Notes premium fee inequity.

195

Rep. Dalto

Inquires on rate approval process.

199

Hagen

Reports all rates are filed with insurance division.

211

Rep. Tomei

Comments on issues for small employers that employ older workers.

224

Michael Morter

Analyst, Insurance Division. Notes concerns of regulators and requests sunset clause.

231

Rep. Tomei

Inquires on sunset.

233

Rep. Monnes Anderson

Reports sunset is repealed in 2008.

239

Morter

Points out sunset is only on waiver.

240

Chair Kruse

Notes legislature can readdress issue at any time.

242

Rep. Tomei

Comments on possible negative impact.

253

Morter

Notes challenges to small business. Requests more information before bill is moved.

267

Rep. Westlund

MOTION:  Moves to ADOPT HB 2987-1 amendments dated 3/31/03.

272

 

VOTE:  7-0-0

273

Chair Kruse

Hearing no objection, declares the motion CARRIED.

274

Rep. Westlund

MOTION:  Moves to ADOPT HB 2987-2 amendments dated 4/16/03.

276

 

VOTE:  7-0-0

277

Chair Kruse

Hearing no objection, declares the motion CARRIED.

278

Rep. Westlund

MOTION:  Moves HB 2987 to the floor with a DO PASS AS AMENDED recommendation.

281

Rep. Tomei

Comments on consequences. Explains vote.

287

Rep. Monnes Anderson

Notes need for study to clarify impact on market.

301

Chair Kruse

Notes concerns can be addressed on Senate side. Submits written testimony from Joel Ario (EXHIBIT W) and Lynn-Marie Crider (EXHIBIT X).

307

Powell

Agrees to include sunset clause on rate band during Senate hearing.

317

Morter

Agrees to further amendments on Senate side to address committee concerns.

323

 

VOTE:  7-0-0

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

336

Chair Kruse

The motion CARRIES.

REP. KRUSE will lead discussion on the floor.

342

Chair Kruse

Closes work session on HB 2987 and opens work session on HB 3153.

HB 3153 – WORK SESSION

351

Thiele-Cirka

Summarizes bill and -2 amendments, dated 4/16/03 (EXHIBIT Y).

374

Chair Kruse

Presents history on bill.

403

Sue Wilson

Director, health Licensing Office, DHS. Submits written testimony (EXHIBIT Z). Discusses -2 amendments. Explains role of Health Licensing Office.

456

Thiele-Cirka

Offers clarification on amendment language.

476

Rep. Barker

MOTION:  Moves to ADOPT HB 3153-2 amendments dated 4/16/03.

490

 

VOTE:  7-0-0

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

500

Chair Kruse

The motion CARRIES.

511

Rep. Barker

MOTION:  Moves HB 3153 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

TAPE 91, B

034

 

VOTE:  7-0-0

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

037

Chair Kruse

The motion CARRIES.

038

Chair Kruse

Closes work session on HB 3153 and opens work session on HB 3156.

HB 3156 – WORK SESSION

042

Thiele-Cirka

Summarizes bill and -3 amendments, dated 4/16/03 (EXHIBIT AA).

055

Rep. Barker

MOTION:  Moves to ADOPT HB 3156-3 amendments dated 4/15/03.

057

 

VOTE:  7-0-0

058

Chair Kruse

Hearing no objection, declares the motion CARRIED.

060

Chair Kruse

Notes potential fiscal impact. Orders committee to stand at ease. Reconvenes meeting.

080

Rep. Barker

MOTION:  Moves HB 3156 to the floor with a DO PASS AS AMENDED recommendation.

055

Rep. Anderson

Inquires on role of county health inspectors.

091

Gordon Fultz

Association of Oregon Counties. Discusses intergovernmental agreement.

102

Rep. Anderson

Inquires on fees

103

Fultz

Details fees imposed.

117

Rep. Dalto

Inquires on local input.

130

Fultz

Notes continuation of local input issue.

137

Chair Kruse

Comments on changes enacted by amendments.

182

 

VOTE:  7-0-0

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

188

Chair Kruse

The motion CARRIES.

172

Rep. Westlund

MOTION:  Moves HB 3156 be placed on the CONSENT CALENDAR.

173

 

VOTE:  7-0-0

174

Chair Kruse

Hearing no objection, declares the motion CARRIED.

175

Chair Kruse

Closes work session on HB 3156 and opens work session on HB 2324.

HB 2324 – WORK SESSION

183

Thiele-Cirka

Summarizes bill.

189

Rep. Monnes Anderson

MOTION:  Moves HB 2324 to the floor with a DO PASS recommendation and be placed on the CONSENT CALENDAR.

192

 

VOTE:  7-0-0

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

198

Chair Kruse

The motion CARRIES.

200

Chair Kruse

Closes work session on HB 2324 and opens work session on HB 3157.

HB 3157 – WORK SESSION

205

Thiele-Cirka

Summarizes bill and submits packet including -4 amendments, dated 4/15/03 and -5 amendments, dated 4/15/03 (EXHIBIT BB).

227

Paul Cosgrove

Oregon Dental Hygienists Association. Submits written testimony in support of -4 amendments (EXHIBIT CC). Provides overview of issue.

287

Jane Myers

Oregon Dental Association (ODA). Submits written testimony in support of -5 amendments (EXHIBIT DD). Notes broad scope of current law.

344

Rep. Anderson

MOTION:  Moves to ADOPT HB 3157-5 amendments dated 4/15/03.

348

Rep. Tomei

Clarifies differences between amendments.

357

Rep. Monnes Anderson

Inquires if change could be done by rule.

375

Cosgrove

Addresses issue of broad authority and ability to make changes by administrative rule.

396

Myer

Disagrees with Boards rule making authority.

413

 

VOTE:  4-3-0

AYE:               4 - Anderson, Barker, Tomei, Westlund

NAY:               3 - Dalto, Monnes Anderson, Kruse

419

Chair Kruse

The motion CARRIES.

424

Rep. Anderson

MOTION:  Moves HB 3157 to the floor with a DO PASS AS AMENDED recommendation.

431

 

VOTE:  7-0-0

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

440

Chair Kruse

The motion CARRIES.

442

Rep. Tomei

MOTION:  Moves HB 3157 be placed on the CONSENT CALENDAR.

443

 

VOTE:  7-0-0

450

Chair Kruse

Hearing no objection, declares the motion CARRIED.

451

Chair Kruse

Closes work session on HB 3157 and opens work session on HB 3396.

HB 3396 – WORK SESSION

460

Thiele-Cirka

Summarizes bill and -1 amendments, dated 4/16/03 (EXHIBIT EE).

477

Tom Holt

Oregon State Pharmacists Association. Testifies in support of -1 amendments.

TAPE 92, A

027

Rep. Tomei

Requests clarification on language.

031

Holt

Rephrases amendment language.

044

Chair Kruse

Clarifies elimination of voluntary co-pays.

063

Jim Edge

Acting Assistant Administrator, Office of Medical Assistance Programs (OMAP), Department of Human Services (DHS). Addresses issues related to voluntary co-pay and impact on DHS budget.

077

Chair Kruse

Addresses general changes to co-pay structure.

089

Rep. Monnes Anderson

Inquires on impact figure.

091

Edge

Estimates impact.

098

Rep. Tomei

Inquires on necessity of bill.

100

Holt

Explains need for statute.

112

Chair Kruse

Comments on co-pay issue in relation to Oregon Health Plan (OHP).

136

Rep. Barker

MOTION:  Moves to ADOPT HB 3396-1 amendments dated 4/16/03.

136

 

VOTE:  7-0-0

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

137

Chair Kruse

The motion CARRIES.

139

Rep. Barker

MOTION:  Moves HB 3396 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

145

Rep. Tomei

Expresses concern over fiscal impact

151

 

VOTE:  6-1-0

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

NAY:               1 - Tomei

154

Chair Kruse

The motion CARRIES.

155

Chair Kruse

Closes work session on HB 3396 and orders committee to stand at ease. Reconvenes and announces HB 3431 and HB 3574 will not be heard. Opens work session on HB 2884.

HB 2884 – WORK SESSION

168

Thiele-Cirka

Sums bill and -1 amendment. Notes bill stands as amended.

177

Rep. Westlund

MOTION:  Moves HB 2884 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means.

184

Rep. Westlund

Notes bill is specific to long term care issues.

195

 

VOTE:  5-2-0

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

NAY:               2 - Monnes Anderson, Tomei

199

Chair Kruse

The motion CARRIES.

200

Chair Kruse

Closes work session on HB 2884 and announces committee schedule. Adjourns meeting at 7:55 P.M.

 

EXHIBIT SUMMARY

 

A – HB 3153, written testimony, Dr. Lawrence Skolick, 4 pp.

B – HB 2884, -1 amendments, dated 4/9/03, staff, 3 pp.

C – HB 2884, written testimony, Grant Higginson, 3 pp.

D – HB 2884, written testimony, Julia Huddleston, 1 p.

E – HB 2964, -1 amendments, dated 4/3/03, staff, 1 p.

F – HB 2964, -2 amendments, dated 4/7/03, staff, 1 p.

G – HB 2964, -3 amendments, dated 4/14/03, staff, 1 p.

H – HB 2964, written testimony, Joe Coss, 1 p.

I – HB 2964, written testimony, Bob Porter, J.D., 1 p.

J- HB 2692, written testimony, Tom Barrows, 8 pp.

K – HB 2692, written testimony, Kathleen Haley, 2 pp.

L – HB 2692, written testimony, Scott Gallant, 5 pp.

M – HB 3156, written testimony, staff, 4 pp.

N – HB 3156, written testimony, staff, 1 p.

O – HB 3156, -2 amendments, dated, 4/15/03, staff, 20 pp.

P – HB 2828, written testimony, Rep. Diane Rosenbaum, 2 pp.

Q – HB 3570, -1 amendments, dated 4/11/03, staff, 2 pp.

R – HB 3570, written testimony, Katy King, 3 pp.

S – HB 3570, written testimony, Katy King, 1 p.

T – HB 2987, -2 amendments, dated 4/16/03, staff, 1 pp.

U – HB 2987, -1 amendments, dated 3/31/03, John Powell, 14 pp.

V – not used

W – HB 2987, written testimony, Joel Ario, 1 p.

X – HB 2987, written testimony, Lynn-Marie Crider, 2 pp.

Y – HB 3153, -2 amendments, dated 4/16/03, staff, 10 pp.

Z – HB 3153, written testimony, Sue Wilson, 3 pp.

AA – HB 3156, -3 amendments, dated 4/16/03, staff, 20 pp.

BB – HB 3157, - 4 amendments, dated 4/15/03 and -5 amendments, dated 4/15/03, and written testimony from Board of Dentistry, staff, 11 pp.

CC – 3157, written testimony, Paul Cosgrove, 1 p.

DD –HB 3157, written testimony, Jane Myers, 3 pp.

EE – HB 3396, -1 amendments, dated 4/16/03, staff, 1 p.