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.