HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

May 23, 2003 Hearing Room D

9:00 A.M. Tapes 111 – 112

MEMBERS PRESENT: Rep. Jeff Kruse, Chair

Rep. Billy Dalto, Vice-Chair

Rep. Carolyn Tomei, Vice-Chair

Rep. Gordon Anderson

Rep. Laurie Monnes Anderson

MEMBER EXCUSED: Rep. Jeff Barker

Rep. Ben Westlund

STAFF PRESENT: Sandy Thiele-Cirka, Committee Administrator

Mara McGraw, Committee Assistant

MEASURES HEARD: HB 2462 – Work Session

HB 2641 – Work Session

SB 470A – Work Session

ISSUES HEARD: Report from Task Force on Paid Family Leave

· Rep. Alan Brown, House District 18

· Rep. Diane Rosenbaum, House District 42

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 111, A
004	Chair Kruse	Calls meeting to order at 9:10 A.M. and opens work session on HB 2462.
HB 2462 – WORK SESSION
006	Sandy Thiele-Cirka	Administrator. Summarizes bill and -3 amendments, dated 5/21/03 (EXHIBIT A).
017	Rep. Tomei	MOTION: Moves to ADOPT HB 2462-3 amendments dated 5/21/03.
018		VOTE: 4-0-3 EXCUSED: 3 - Barker, Dalto, Westlund
019	Chair Kruse	Hearing no objection, declares the motion CARRIED.
020	Rep. Tomei	MOTION: Moves HB 2462 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.
024	Rep. Monnes Anderson	Inquires on department input on -3 amendments.
027	Jim Edge	Acting Assistant Administrator, Office of Medical Assistant Programs (OMAP), Department of Human Services (DHS). Reports support for -3 amendments.
021		VOTE: 4-0-3 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 3 - Barker, Dalto, Westlund
022	Chair Kruse	The motion CARRIES.
039	Chair Kruse	Closes work session on HB 2462 and opens work session on HB 2641.
HB 2641 – WORK SESSION
041	Thiele-Cirka	Summarizes bill and -1 amendments, dated 5/20/03 (EXHIBIT B).
058	Edge	Testifies in support of concept. Details concerns with bill and -1amendments. Notes issues with Center for Medicare/Medicaid Services (CMS) approval.
077	Chair Kruse	States intent regarding bill and CMS.
087	Rep. Anderson	Inquires legislation versus administrative rule regarding changes.
089	Chair Kruse	Discusses process to establish policy.
095	Edge	Concurs with suggested options.
101	Rep. Tomei	Inquires on impact to hospitals regarding cost shifts.
102	Edge	Reports cost shift absorbed by hospitals.
108	Rep. Anderson	Inquires on hospital administration policies regarding emergency care.
110	Edge	Relates emergency intake policy.
120	Bruce Bishop	Oregon Association of Hospitals and Health Systems. Testifies in support of concept.
137	Rep. Tomei	Inquires on impact of cost shift to hospitals.
139	Bishop	Discusses current and potential impact. Notes preventative nature of bill.
151	Rep. Tomei	Clarifies use of bill as deterrent.
154	Bishop	Addresses appropriate and inappropriate levels of care.
161	Rep. Anderson	Inquires on fully capitated care in regard to indigent care and emergency services.
168	Bishop	Relates benefits and consequences of current models.
176	Chair Kruse	Discusses issues related to access to appropriate care. Orders committee to stand at ease. Reconvenes meeting.
195	Rep. Anderson	MOTION: Moves to ADOPT HB 2641-1 amendments dated 5/22/03.
196	Rep. Monnes Anderson	Comments on impact to hospitals. Notes proposed legislation regarding managed care model for Oregon Health Plan (OHP). Comments on CMS approval process. Explains vote.
229	Rep. Tomei	Expresses reservations. Explains vote.
231	Rep. Anderson	Notes time frame with CMS.
233	Chair Kruse	Reports on time line.
238	Rep. Anderson	Comments on long range planning.
240		VOTE: 4-0-3 EXCUSED: 3 - Barker, Dalto, Westlund
244	Chair Kruse	Hearing no objection, declares the motion CARRIED.
246	Rep. Anderson	MOTION: Moves HB 2641 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.
252		VOTE: 4-0-3 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 3 - Barker, Dalto, Westlund
256	Chair Kruse	The motion CARRIES.
258	Chair Kruse	Closes work session on HB 2641 and opens informational meeting for the purpose of receiving the report from the Task Force on Paid Family Leave.
INFORMATIONAL MEETING
266	Rep. Diane Rosenbaum	House District 42. Submits written testimony (EXHIBIT C). Offers overview of issue.
308	Tamara Brickman	Legislative Coordinator, Oregon Employment Department. Submits Interim Task Force on Paid and Family Leave and Unemployment Insurance (EXHIBIT D). Presents background on family leave issues. Discusses relevant Acts regarding paid leave.
427	Rep. Rosenbaum	Relates data regarding family leave needs.
TAPE 112, A
010	Rep. Rosenbaum	Details past Oregon legislation regarding family leave. Discuses the creation of the task force.
042	Brickman	Continues presentation on development and membership of task force. Addresses funding sources. Presents models detailed in report (EXHIBIT D).
085	Rep. Rosenbaum	Continues presentation on funding and existing models in other states. Discusses submitted Women’s Health and Wellness Act 2003 (EXHIBIT C). Suggests methods to act on results of task force.
184	Brickman	Discusses examples from other states (EXHIBIT D, pages 14-20). Notes current proposed Oregon legislation as example of other mechanisms to support concept.
221	Chair Kruse	Closes informational meeting and opens work session on SB 470A.
SB 470A – WORK SESSION
239	Rep. Kruse	MOTION: Moves to SUSPEND the rules for the purpose of reconsideration of SB 470A.
240		VOTE: 5-0-2 EXCUSED: 2 - Barker, Westlund
243	Chair Kruse	Hearing no objection, declares the motion CARRIED.
244	Rep. Kruse	MOTION: Moves to RECONSIDER the vote by which "DO PASS AS AMENDED to the floor and BE PLACED ON CONSENT CALENDAR".
246		VOTE: 5-0-2 EXCUSED: 2 - Barker, Westlund
247	Chair Kruse	Hearing no objection, declares the motion CARRIED.
248	Rep. Kruse	MOTION: Moves to RECONSIDER the vote by which "ADOPT SB 470-A5 amendments dated 5/15/03.".
249		VOTE: 5-0-2 EXCUSED: 2 - Barker, Westlund
256	Chair Kruse	Hearing no objection, declares the motion CARRIED.
258	Chair Kruse	Announces SB 470A is now before committee in original form, as though it were never amended.
260	Thiele-Cirka	Summarizes process.
280	Rep. Dalto	MOTION: Moves SB 470A to the floor with a DO PASS recommendation.
284	Rep. Tomei	Inquires on agreement among interested parties.
287	Chair Kruse	Notes intent.
294		VOTE: 5-0-2 AYE: In a roll call vote, all members present vote AYE. EXCUSED: 2 - Barker, Westlund
298	Chair Kruse	The motion CARRIES.
299	Rep. Tomei	MOTION: Moves SB 470A be placed on the CONSENT CALENDAR.
300		VOTE: 5-0-2 EXCUSED: 2 - Barker, Westlund
303	Chair Kruse	Hearing no objection, declares the motion CARRIED.
304	Chair Kruse	Closes work session on SB 470A and adjourns meeting at 10:02 A.M.

EXHIBIT SUMMARY

A – HB 2462, -3 amendments, dated 5/21/03, staff, 1 p.

B – HB 2641, -1 amendments, dated 5/22/03, staff, 1 p.

C – Informational, written testimony, Rep. Diane Rosenbaum, 1 p.

D – Informational, 2001 Interim Task Force on Paid Family Leave and Unemployment Insurance report, Tamara Brickman, 25 pp.