HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

May 02, 2003 Hearing Room D

8:30 AM Tapes  102 – 105

 

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:                     SB 554A – Public Hearing and Work Session

                                                SB 74A – Work Session

                                                HB 3574 – Work Session

                                                SB 401A – Work Session

                                                SB 13 – Public Hearing and Work Session

                                                SB 158 – Public Hearing and Work Session

                                                SB 191 – Public Hearing

                                                SB 606 – Public Hearing and Work Session

                                                SB 155 – Public Hearing and Work Session

                                                HB 2889 – Public Hearing

                                                HB 2165 – 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 102, A

005

Chair Kruse

Calls meeting to order at 8:30 a.m. and opens the meeting as a subcommittee. Opens a public hearing on SB 554A.

SB 554A – PUBLIC HEARNG

010

Sen. Vicki Walker

Senate District 7. Offers testimony in support of SB 554A. Notes need for adequate timeline to seek other services.

030

Chair Kruse

Opens a full committee meeting, and continues SB 554A public hearing.

040

Michael Buckley

Department of Human Services (DHS). Submits written testimony (EXHIBIT A) in support of SB 554A. Relates DHS position on notification of benefit changes.

050

Rep. Monnes Anderson

Asks for a clarification of the witnesses testimony.

055

Buckley

Explains policy regarding standards for general and individual changes.

060

Chair Kruse

Closes the public hearing on SB 554A, and opens a work session on SB 554A.

SB 554A – WORK SESSION

065

Rep. Tomei

MOTION:  Moves SB 554A to the floor with a DO PASS recommendation.

070

 

VOTE:          6-0

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

EXCUSED:  1 - Anderson

 

Chair Kruse

The motion CARRIES.

075

Rep. Tomei

MOTION:  Moves SB 554A be placed on the CONSENT CALENDAR.

 

 

VOTE:          6-0

EXCUSED:  1 - Anderson

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

075

Chair Kruse

Closes the work session on SB 554A, and recesses the meeting.

RECESS

076

Chair Kruse

Reconvenes meeting at 8:55 a.m.. Opens a work session on SB 74A.

SB 74A – WORK SESSION

080

Chair Kruse

Summarizes SB 74A and the proposed –A4 amendments (EXHIBIT B).

085

Rep. Tomei

MOTION:  Moves to ADOPT SB 74A-4 amendments dated 04/29/03.

 

 

VOTE:          6-0

EXCUSED:  1 - Anderson

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

090

Rep. Tomei

MOTION:  Moves SB 74A to the floor with a DO PASS AS AMENDED recommendation.

095

 

VOTE:          6-0

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

EXCUSED:  1 - Anderson

 

Chair Kruse

The motion CARRIES.

REP. DALTO will lead discussion on the floor.

100

Chair Kruse

Closes the work session on SB 74A and opens a work session on HB 3574.

HB 3574 – WORK SESSION

105

Chair Kruse

States the committee is considering the proposed -3 amendments, dated 5/01/03 (EXHIBIT C). Requests Rep. Monnes Anderson to review.

115

Rep. Monnes Anderson

Introduces and explains the proposed -3 amendments dated 5/01/03 (EXHIBIT C). Notes the bill has a subsequent referral to the Joint Committee on Ways and Means.

130

Rep. Monnes Anderson

MOTION:  Moves to ADOPT HB 3574-3 amendments dated 05/01/03.

 

 

VOTE:         6-0

EXCUSED:  1 - Anderson

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

135

Rep. Monnes Anderson

MOTION:  Moves HB 3574 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

140

 

VOTE:          6-0

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

EXCUSED:  1 - Anderson

 

Chair Kruse

The motion CARRIES.

145

Chair Kruse

Closes the work session on HB 3574, and opens a work session on SB 401A.

SB 401A – WORK SESSION

150

Sandy Thiele-Cirka

Committee Administrator. Summarizes SB 401A and explains the the reconsideration. Enters into the record written testimony (EXHIBIT D) from Tammie Phillips of the Oregon State Grange regarding SB 401A.

160

Chair Kruse

States the Speaker has approved the rescinding of the subsequent referral to Ways and Means.

165

Rep. Tomei

MOTION:  Moves SB 401A to the floor with a DO PASS recommendation and the SUBSEQUENT REFERRAL to the committee on Ways and Means BE RESCINDED.

170

 

VOTE:         7-0

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

 

Chair Kruse

The motion CARRIES.

175

Rep. Tomei

MOTION:  Moves SB 401A be placed on the CONSENT CALENDAR.

 

 

VOTE:  7-0

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

180

Chair Kruse

Closes the work session on SB 401A, and opens a public hearing on

SB 13.

SB 13 – PUBLIC HEARING

185

Thiele-Cirka

Summarizes SB 13.

200

Donna Middleton

Director, Oregon Commission on Children and Families (OCCF). Offers testimony in support of SB 13. Presents the Audit of Oregon’s Programs For Children and Families: Evaluation of Local Coordinated Comprehensive Planning (EXHIBIT E).

230

Sheila Baker

Legislative Analyst, Legislative Fiscal Office. Explains effort to match outcome report language with statutory language. Addresses reporting requirements.

 

Chair Kruse

Closes the public hearing on SB 13, and opens a work session on SB 13.

SB 13 – WORK SESSION

260

Rep. Anderson

MOTION:  Moves SB 13 to the floor with a DO PASS recommendation.

265

Rep. Anderson

Acknowledges support for SB 13.

280

 

VOTE:         7-0

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

 

Chair Kruse

The motion CARRIES.

285

Rep. Tomei

MOTION:  Moves SB 13 be placed on the CONSENT CALENDAR.

 

 

VOTE:  7-0

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

290

Chair Kruse

Closes the work session on SB 13, and opens a public hearing on

SB 158.

SB 158 – PUBLIC HEARING

295

Thiele-Cirka

Summarizes SB 158.

305

Mickey Lansing

Deputy Director, OCCF. Offers testimony in support of SB 158. Explains defining language regarding community learning centers. Notes effort to make language consistent with statue.

335

Chair Kruse

Acknowledges support for SB 158. Closes the public hearing on SB 158 and opens a work session on SB 158.

SB 158 – WORK SESSION

340

Rep. Tomei

MOTION:  Moves SB 158 to the floor with a DO PASS recommendation.

345

 

VOTE:         7-0

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

 

Chair Kruse

The motion CARRIES.

350

Rep. Tomei

MOTION:  Moves SB 158 be placed on the CONSENT CALENDAR.

 

 

VOTE:  7-0

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

355

Chair Kruse

Closes the work session on SB 158 and opens a public hearing on SB 191.

SB 191 – PUBLIC HEARING

360

Thiele-Cirka

Summarizes SB 191.

385

Katy King

Intergovernmental Relations Liaison, DHS. Submits written testimony (EXHIBIT F) in support of SB 191, with overview reference of the bill (EXHIBIT G). Submits into the record written testimony from Donald Austin (EXHIBIT H), and Christy Brewsaugh (EXHIBIT I).

445

Chair Kruse

Questions the status of  the -1 amendments.

450

King

Indicates that the conceptual amendment was submitted to staff.

455

Thiele-Cirka

Explains that what she has provided to the committee is a hand engrossed version.

460

Scott Gallant

Representing Oregon Medical Association (OMA). Explains the proposed amendments.

470

Rep. Tomei

Notes change to term “related condition.”

490

Chair Kruse

Closes the public hearing on SB 191 and opens a public hearing on SB 606.

TAPE 103, A

SB 606 – PUBLIC HEARING

030

Thiele-Cirka

Summarizes SB 606.

The following prepared testimony is submitted for the record without public testimony for SB 606:

 

Staff

Submits written testimony (EXHIBIT J) regarding SB 606.

 

Staff

Submits written testimony (EXHIBIT K) regarding SB 606.

035

Chair Kruse

Reviews legislative history on the issue.

040

Sheila Ahern

Oregon Association of Licensed Electrologists. Testifies in support of SB 606.                                                       

090

Jaimee Bloom

Oregon Association of Licensed Electrologists. Testifies in support of SB 606, outlining the benefits of injection anesthetics.   

110

Rep. Anderson

Questions the length of procedures in question.

115

Bloom

Details the length of the procedures. States that use of such anesthetic in tattooing is allowed.

130

Rep. Anderson

Comments on the length of the procedural timeframe.

135

Bloom

Notes previous use of injected anesthetic.

145

John Christenson

Legislative Aide, Senator Margaret Carter. Notes Senator Carter’s the support for SB 606.

 

Chair Kruse

Closes the public hearing on SB 606 and opens a work session on SB 606.

SB 606 – WORK SESSION

150

Rep. Tomei

MOTION:  Moves SB 606 to the floor with a DO PASS recommendation.

155

 

VOTE:          6-0

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

EXCUSED:  1 - Westlund

 

Chair Kruse

The motion CARRIES.

160

Rep. Dalto

MOTION:  Moves SB 606 be placed on the CONSENT CALENDAR.

 

 

VOTE:          6-0

EXCUSED:  1 - Westlund

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

165

Chair Kruse

Closes the work session on SB 606 and opens a public hearing on SB 155.

SB 155 – PUBLIC HEARING

170

Thiele-Cirka

Summarizes SB 155 and notes the subsequent referral to Ways and Means. Introduces the proposed -1 amendment (EXHIBIT L), and introduces into the record submitted written testimony (EXHIBIT M) from Kathy Mann of the Oregon State Board of Psychologist Examiners.

185

David Wade

Hood River, Oregon. Submits written testimony (EXHIBIT N) in support of SB 155 and the proposed -1 amendments. Outlines the problems with administering psychiatric care in rural Oregon.

360

Peter Grover

Adult Psychiatrist Unit at Providence Hospital. Testifies in support of SB 155, and the proposed -1 amendments. Outlines the problems with administering psychiatric care in Portland, Oregon.

TAPE 102, B

010

Susan Patchin

Oregon Psychological Association. Submits written testimony (EXHIBIT O) in support of SB 155 and informational packet (EXHIBIT P). Details educational and experience requirements for practice. Submits written testimony from Dr. Russ Newman (EXHIBIT Q), and Lt. Col. Elaine Mantell (EXHIBIT R). Notes support from rural communities. Relates client stories regarding accessing services.

080

Rep. Tomei

Inquires on formulary determination.

085

Patchin

Outlines the policy regarding formulary.

095

Rep. Anderson

Questions if the patients in question experience physical pain.

100

Grover

Comments on issues related to chronic pain, and defers to Dr. Patchin.

105

Patchin

Notes psychologists’ participation on the Pain Commission. Comments on practice regarding treatment of pain.

110

Grover

Notes referral to other professionals.

115

Rep. Monnes Anderson

Inquires on specific drug in formulary as it related to blood draw for monitoring purposes.

120

Patchin

Describes the model as multidisciplinary, and less based on blood analysis.

150

Grover

Discusses extensive training and effort to collaborate with medical professionals.

155

Wade

Points out practice of psychologists in holistic care and assessment.

170

Rep. Phil Barnhart

House District 11. Offers testimony regarding the proposed -1 amendments. Submits proposed -2 amendments (EXHIBIT S), and -3 amendments (EXHIBIT T). Comments on collaborative efforts between professionals. Addresses training issues.

175

Grover

Questions if other states have similar statutes.

270

Rep. Barnhart

Describes those states currently using similar policy. Discusses -2 and -3 amendments. Discusses administration on psychological tests in Oregon and other states. Enters into the record written testimony (EXHIBIT U) from Billie Hinnefeld of the American Psychological Association.

380

John McCully

 Representing Oregon Psychiatric Association. Submits written testimony (EXHIBIT V) in opposition to SB 155.

TAPE 103, B

002

Teresa Shelby

Beaverton, Oregon. Testifies in opposition to SB 155. Comments on the shortage of care, training and public safety.

055

McCully

Points out article summaries attached (EXHIBIT V) to his testimony which outline the concerns in the psychiatric community regarding this issue.

060

Rep. Monnes Anderson

Readdresses the access issue. Questions the psychologist’s relationship with the primary care physician.

070

Shelby

Comments on the referrals to primary care physicians.

095

Connie Powell

Medical Director, OMA.  Reports data on mental illness in Oregon. Discusses treatment by primary care physicians. Emphasizes medical evaluation as public safety issue.

180

Rep. Tomei

Comments on training for psychologists. Questions training for general practitioners.

185

Powell

Discusses text based training versus clinical internships.

200

Rep. Tomei

Comments on percent of mental illness treated by primary care doctors as it relates to psychologists training in field.

210

Powell

Reiterates the length of supervised training.

255

Rep. Tomei

Health Insurance Association of America (HIAA). Testifies in opposition to SB 155 with the proposed -1 amendments.

375

Rep. Tomei

Clarifies Ms. Anet’s opposition to the proposed -1 amendments.

380

Anet

Notes the possible impact to health insurance companies.

390

Angela Kimball

National Alliance for the Mentally Ill (NAMI). Relates her personal experience with psychiatric assessments.

TAPE 104, A

035

Sandy Bumpass

NAMI  Testifies in opposition to the proposed -1 amendments to SB 155. Relates personal experience in assessing mental health issues. Points out the expertise of psychiatrists in diagnosis.

135

Kathy Mann

Oregon State Board of Examiners (BME). Presents history and intent of the original bill. Notes BME does not have position on prescriptive authority as outlined in the -1 amendments.

155

Chair Kruse

Closes the public hearing on SB 155 and opens a work session on SB 155.

SB 155 – WORK SESSION

160

Rep. Tomei

MOTION:  Moves to ADOPT SB 155-1 amendments dated 04/29/03.

165

 

VOTE:            1-5

AYE:               1 - Tomei

NAY:               5 - Anderson, Dalto, Monnes Anderson, Westlund, Kruse

EXCUSED:     1 - Barker

 

Chair Kruse

The motion FAILS.

170

Rep. Westlund

MOTION:  Moves to ADOPT SB 155-2 amendments dated 05/02/03.

 

 

VOTE:          6-0

EXCUSED:  1 - Barker

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

175

Rep. Westlund

MOTION:  Moves SB 155 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

180

Rep. Tomei

Questions the referral to Ways and Means.

185

Thiele-Cirka

Notes fiscal impact of the bill which was issued on the Senate side.

190

Chair Kruse

Offers his perception of the reasoning for the subsequent referral.

195

 

VOTE:          6-0

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

EXCUSED:  1 - Barker

 

Chair Kruse

The motion CARRIES.

205

Chair Kruse

Closes the work session on SB 155 and opens a public hearing on HB 2889.

HB 2889 – PUBLIC HEARING

210

Thiele-Cirka

Summarizes HB 2889.

220

Rep. Billy Dalto

House District 21. Offers testimony in support of HB 2889. Discusses need for affordable housing for people with developmental disabilities. Addresses need for planning as caretakers of population are aging out of ability to provide care. Comments on the current agency utilizing model.

270

Bob Repine

Director, Oregon Housing and Community Services. Offers testimony in support of HB 2889. Describes current needs and resources for the developmentally disabled population.

355

Marge Turner

Parents. Enters into the record written testimony (EXHIBIT W) from Francisco Lopez of the Child, Youth, and Family Integrated Services Network.

400

Dave Turner

Parents. Offers written testimony (EXHIBIT X) in support of providing affordable housing for adults with developmental disabilities. Notes population of aging caregivers. 

440

Chair Kruse

Points out his reluctance to form costly task force’s during the recent economic times. Inquires whether alternative methods of addressing issue could not be explored.

470

Repine

Responds affirmatively. Explains issues related to using a work group versus a task force.

TAPE 105, A

030

Chair Kruse

Notes intent regarding work group report to legislature.

035

Rep. Dalto

Questions if the work group idea would satisfy Mr. and Ms. Turner.

045

Rep. Anderson

Inquires on similarity of bill to Sparks Industries in Grants Pass, Oregon and ability to use as model.

050

Repine

Discusses alternative housing nonprofits as they related to a coalition of parents and caregivers. Notes effort to examine existing models.

055

Rep. Anderson

Comments on the cooperation between nonprofit organizations and parent groups.

080

Rep. Dalto

Thanks the Chair for hearing the issue, and requests formal commitment from Mr. Repine to continue in spirit of the bill.

085

Repine

Indicates his groups support such a commitment.

090

Rep. Anderson

Requests that he be included in future discussions.

095

Chair Kruse

Closes the public hearing on HB 2889 and opens a work session on HB 2165.

HB 2165 – WORK SESSION

100

Chair Kruse

Explains that the committee is reconsidering the bill to rescind the referral to Ways and Means.

105

 Chair Kruse

MOTION:  Moves to SUSPEND the rules for the purpose of RECONSIDERING the vote on HB 2165.

 

 

VOTE:          6-0

EXCUSED:  1 - Barker

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

110

 Chair Kruse

MOTION:  Moves to RECONSIDER the vote by which HB 2165 was sent Do Pass as Amended to the floor and be placed on the Consent calendar.

 

 

VOTE:          6-0

EXCUSED:  1 - Barker

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

115

Rep. Tomei

MOTION:  Moves HB 2165 to the floor with a DO PASS AS AMENDED recommendation and the SUBSEQUENT REFERRAL to the committee on Ways and Means BE RESCINDED.

 

 

VOTE:          6-0

EXCUSED:  1 - Barker

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

120

Rep. Tomei

MOTION:  Moves HB 2165 be placed on the CONSENT CALENDAR.

 

 

VOTE:  6-0

 

Chair Kruse

Hearing no objection, declares the motion CARRIED.

125

Chair Kruse

Closes the work session on HB 2165, and adjourns the meeting at 11:10 a.m.

EXHIBIT SUMMARY

 

A – SB 554A, written testimony, Michael Buckley, 1 p.

B – SB 74A, -A4 amendments, Staff, 3 pp.

C – HB 3574, -3 amendments, Rep. Monnes Anderson, 5 pp.

D – SB 401A, submitted written testimony from Tammie Phillips, Staff, 1 p.

E – SB 13, Audit of Oregon’s Programs For Children and Families: Evaluation of Local Coordinated Comprehensive Planning, Donna Middleton, 6 pp.

F – SB 191, written testimony, Katy King, 2 pp.

G – SB 191, bill overview, Katy King, 2 pp.

H – SB 191, submitted written testimony from Donald Austin, Katy King, 1 p.

I – SB 191, submitted written testimony from Christy Brewsaugh, Katy King, 5 pp.

J – SB 606, submitted written testimony, Staff, 3 pp.

K – SB 606, submitted written testimony, Staff, 16 pp.

L – SB 155, -1 amendments, Staff, 3 pp.

M – SB 155, submitted written testimony from Kathy Mann, Staff, 2 pp.

N – SB 155, written testimony, David Wade, 1 p.

O – SB 155, written testimony, Susan Patchin, 1 p.

P – SB 155, informational pamphlet, Susan Patchin, 20 pp.

Q – SB 155, submitted written testimony from Russ Newman, Susan Patchin, 4 pp.

R – SB 155, submitted written testimony from Elaine Mantell, Susan Patchin, 3 pp.

S – SB 155, -2 amendments, Rep. Barnhart, 1 p.

T – SB 155, -3 amendments, Rep. Barnhart, 4 pp.

U – SB 155, submitted written testimony from Billie Hinnefeld, Rep. Barnhart, 2 pp.

V – SB 155, written testimony, John McCully, 8 pp.

W – HB 2889, submitted written testimony from Francisco Lopez, Marge Turner, 15 pp.

X – HB 2889, written testimony, Dave Turner, 1 p.