HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

May 7, 2003 Hearing Room D

8:30 A.M. Tapes 106 – 107

MEMBERS PRESENT: Rep. Jeff Kruse, Chair

Rep. Billy Dalto, Vice-Chair

Rep. Carolyn Tomei, Vice-Chair

Rep. Gordon Anderson

Rep. Laurie Monnes Anderson

Rep. Ben Westlund

MEMBER EXCUSED: Rep. Jeff Barker

STAFF PRESENT: Sandy Thiele-Cirka, Committee Administrator

Mara McGraw, Committee Assistant

MEASURES HEARD: HB 3394 – Work Session

SB 191 – Work Session

SB 56 A – Public Hearing and Work Session

SB 390 – Public Hearing and Work Session

SB 470 A – Public Hearing

SB 723 A – 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 106, A
004	Chair Kruse	Calls meeting to order at 8:40 A.M. and opens work session on HB 3394.
HB 3394 – WORK SESSION
012	Rep. Kruse	MOTION: Moves to SUSPEND the rules for the purpose of Reconsideration of HB 3394.
013		VOTE: 4-0-3 EXCUSED: 3 - Anderson, Barker, Westlund
014	Chair Kruse	Hearing no objection, declares the motion CARRIED.
015	Rep. Kruse	MOTION: Moves to RECONSIDER the vote by which "DO PASS AS AMENDMEND, BE PRINTED ENGROSSED, AND RESCIND THE SUBSEQUESNT REFERRAL TO WAYS AND MEANS."
016		VOTE: 4-0-3 EXCUSED: 3 - Anderson, Barker, Westlund
017	Chair Kruse	Hearing no objection, declares the motion CARRIED.
020	Rep. Tomei	MOTION: Moves HB 3394 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.
023		VOTE: 4-0-3 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 3 - Anderson, Barker, Westlund
026	Chair Kruse	The motion CARRIES.
027	Chair Kruse	Closes work session on HB 3394 and opens work session on SB 191.
SB 191 – WORK SESSION
029	Sandy Thiele-Cirka	Administrator. Summarizes bill and -1 amendments, dated 5/6/03 (EXHIBIT A).
041	Rep. Tomei	MOTION: Moves to ADOPT SB 191-1 amendments dated 5/6/03.
042		VOTE: 5-0-2 EXCUSED: 2 - Barker, Westlund
043	Chair ruse	Hearing no objection, declares the motion CARRIED.
044	Rep. Tomei	MOTION: Moves SB 191 to the floor with a DO PASS AS AMENDED recommendation and be placed on the CONSENT CALENDAR.
045		VOTE: 5-0-2 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 2 - Barker, Westlund
051	Chair Kruse	The motion CARRIES.
058	Chair Kruse	Closes work session on SB 191 and opens public hearing on SB 56 A.
SB 56 A – PUBLIC HEARING
060	Thiele-Cirka	Summarizes bill and -A2 amendments, dated 5/6/03 (EXHIBIT B).
073	Janet Carlson	Marion County Commissioner. Submits written testimony in support of bill (EXHIBIT C). Presents background of bill. Discusses issues related to fiscal impact.
142	David Foster	Policy Strategist, Oregon Housing and Community Services. Testifies in support of A2 amendment. Addresses issues and resolution of continuously appropriated funding.
165	Michael Parker	Executive Director, Oregon College Savings Network, State Treasurers Office. Testifies in support of bill. Speaks to financial literacy and education within targeted population.
185	Chair Kruse	Closes public hearing on SB 56 A and opens work session on SB 56 A.
SB 56A – WORK SESSION
189	Rep. Tomei	Inquires on referral to ways and means.
192	Chair Kruse	Notes issue is addressed with budget bill.
200	Thiele-Cirka	Notes rescind of prior reference to ways and means.
205	Rep. Tomei	MOTION: Moves to ADOPT SB 56-A2 amendments dated 5/6/03.
208		VOTE: 5-0-2 EXCUSED: 2 - Barker, Westlund
209	Chair Kruse	Hearing no objection, declares the motion CARRIED.
210	Rep. Tomei	MOTION: Moves SB 56A to the floor with a DO PASS AS AMENDED recommendation and the SUBSEQUENT REFERRAL to the committee on BE RESCINDED and be placed on the CONSENT CALENDAR.
216		VOTE: 5-0-2 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 2 - Barker, Westlund
217	Chair Kruse	The motion CARRIES.
223	Chair Kruse	Closes work session on SB 56 A and opens public hearing on SB 390.
SB 390 – PUBLIC HEARING
241	Clayton Stearns	Dentist. Submits written testimony in support of bill (EXHIBIT D). Presents background of bill.
254	Jane Meyers	Oregon Dental Association. Submits written testimony in support of bill (EXHIBIT E). Presents overview and history of bill.
331	Barney Speight	Kaiser Permanente. Testifies in support of bill.
351	Jim Davis	Oregon Denturist Association, United Seniors of Oregon and Portland Gray Panthers. Submits written testimony in opposition to bill (EXHIBIT F). Notes restrictions placed on ownership and collaborative relationships. Addresses quality of care issues. Speaks to education level of Denturists.
460	Rep. Tomei	Requests clarification on ownership issues.
465	Davis	Discusses potential conflict with Measure 24. Discusses scope of authority regarding ownership.
494	Rep. Tomei	Inquires if statue would disallow joint ownership.
TAPE 107, A
019	Davis	Discusses potential issues regarding clarity of ownership.
023	Rep. Monnes Anderson	Inquires on patient access to Denturists.
026	Davis	Notes bill addresses joint ownership between Dentists and Denturist.
042	Speight	Points out language in bill regarding role of non-dentists in ownership of practices.
060	Rep. Tomei	Clarifies definition of ownership. Inquires on division of profit.
063	Speight	Details aspects of ownership by non-dentists. Notes issues resolved by contract.
101	Doug Barber	Willamette Dental Group. Testifies in support of bill. Notes effort of interim work group.
112	Chair Kruse	Closes public hearing on SB 390 and opens work session on SB 390.
SB 390 – WORK SESSION
125	Rep. Anderson	MOTION: Moves SB 390 to the floor with a DO PASS recommendation.
128		VOTE: 7-0-1 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 1 - Barker
133	Chair Kruse	The motion CARRIES. Rep. ANDERSON will lead discussion on the floor.
134	Chair Kruse	Closes work session on SB 390 and opens public hearing on SB 470 A.
SB 470 A – PUBLIC HEARING
140	Thiele-Cirka	Summarizes bill and -A4 amendments dated 5/7/03 (EXHIBIT G).
156	Martin Taylor	Community Providers Association of Oregon (CPAO). Testifies in support of bill. Provides overview of bill. Notes –A4 amendments have not yet been reviewed by sponsors.
211	Sheila Barker	(CPAO) and Executive Director, Spruce Villa. Submits written testimony in support of bill (EXHIBIT H). Discusses stability factors in housing targeted population. Details submitted graphs. Addresses fees and funding resource issues.
329	Taylor	Requests time to review amendments. Discusses compromises made on Senate side.
351	Rep. Monnes Anderson	Inquires on funding. Request clarification on section 5 of amendments.
360	Taylor	Details funding sources. Discuses concept behind amendments.
400	Rep. Tomei	Requests clarification on retaliation and reimbursement issues.
405	Taylor	Provides background on package of bills indented to create housing stability among targeted population.
424	Paul Snyder	Association of Oregon Counties. Discusses compromises reached via A-engrossed version of bill. Discusses communication issues between counties and CPAO.
463	Chair Kruse	States intent regarding bill and amendments. Closes public hearing on SB 470 A and opens public hearing on SB 723 A.
TAPE 106, B
SB 723 A – PUBLIC HEARING
026	Thiele-Cirka	Summarizes bill and -A3 amendments, dated 5/7/03 (EXHIBIT I).
041	Tom Holt	Oregon State Pharmacists Association. Provides overview of bill. Discusses cost savings to state.
088	Rep. Monnes Anderson	Notes split dosage should be medical issue handled by physician.
098	Holt	Address process of pharmacists receiving information to split dosage.
107	Rep. Monnes Anderson	Inquires on profit issues.
111	Holt	Discusses issues related to cost incentives.
123	Jeff Heatherington	Executive Director, Osteopathic Physicians and Surgeons of Oregon and President, FamilyCare, Inc. Submits written testimony in opposition to bill (EXHIBIT J). Discusses cost savings related to split dosage. Addresses policy related to formulary. Notes issues should remain under authority of physician.
187	Chair Kruse	Orders committee to stand at ease. Reconvenes. States intent regarding bill. Closes public hearing on SB 723 A and adjourns meeting at 9:54 A.M.

EXHIBIT SUMMARY

A – SB 191, -1 amendments, dated 5/6/03, staff, 6 pp.

B – SB 56 A, -A2 amendments, dated 5/6/03, staff, 1 p.

C – SB 56 A, written testimony, Janet Carlson, 10 pp.

D – SB 390, written testimony, Clayton Stearns, 1 p.

E – SB 390, written testimony, Jane Meyers, 3 pp,

F – SB390, written testimony, Jim Davis, 1 p.

G – SB 470 A, -A4 amendments, dated 5/7/03, staff, 2 pp.

H – SB 470 A, written testimony, Sheila Barker, 6 pp.

I – SB 723 A, -A3 amendments, dated 5/7/03, staff, 1 p.

J – SB 723 A, written testimony, Jeff Heatherington, 1 p.