HOUSE COMMITTEE ON HEALTH AND HUMAN SERVICES

 

May 27, 2003 Hearing Room D

9:00 A.M. Tape 113 – 114

 

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

 

MEMBER EXCUSED:             Rep. Ben Westlund

 

STAFF PRESENT:                  Sandy Thiele-Cirka, Committee Administrator

Mara McGraw, Committee Assistant

 

ISSUES HEARD: Statutory Framework in Developing Health Care Coverage for Prioritized Populations: Holly Robinson, Deputy Legislative Counsel

 

MEASURES HEARD:                     HB 2189 – Work Session

                                                HB 2537 – 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 113, A

004

Chair Kruse

Calls meeting to order at 9:18 A.M. and opens informational meeting.

INFORMATIONAL MEETING

011

Holly Robinson

Deputy Legislative Counsel, Office of Legislative Counsel. Submits proposed 2511-1 amendments, dated 5/23/03 (EXHIBIT A) and Population Prioritization Draft Plan (EXHIBIT B). Details implementation plan.

073

Rep. Monnes Anderson

Inquires on impact to reinstate children before other populations.

081

Robinson

Discusses fiscal impact related to Children’s Health Insurance Program (CHIP). Discusses implementation plan as it relates to federal regulations. Highlights current services provided under Medicaid as they differ from proposed service categories. Discusses benefits of service matrix. Addresses use of federal poverty line to implement services. 

186

Chair Kruse

Discusses subsets of service in regard to use of service matrix.

200

Robinson

Notes definition used to modify services is that specific to Oregon Health Plan (OHP).

213

Rep. Anderson

Requests clarity on proposal.

218

Robinson

Details addition of populations to chart.

225

Chair Kruse

Notes intent of chart (EXHIBIT B) currently discussed in Senate Health Policy Committee.

249

Rep. Anderson

Inquires if changes can be made as revenue becomes available.

253

Chair Kruse

Discusses intent regarding laying a framework for future expansion and flexibility in reshuffling priorities.

266

Robinson

Notes current draft does not allow for flexibility.

277

Chair Kruse

Notes future legislature can work on changes as they see fit.

287

Robinson

Discusses need for clarity in future flexibility.

294

Rep. Merkley

Inquires on impact to specific populations.

301

Robinson

Notes chart (EXHIBIT B) is merely a guide to generate the questions, not the actual proposal.

304

Rep. Merkley

Inquires on non-citizen clause as it relates to chart (EXHIBIT B).

319

Robinson

Notes group will be added to chart.

332

Rep. Anderson

Inquires on potential to temporarily redistribute funding from children to medically needy program.

350

Chair Kruse

Notes other proposed benefits packages regarding children and medically needy.

385

Rep. Monnes Anderson

Requests clarity on other legislation impacting hospitals.

395

Robinson

Does not know of any legislation to address issue.

399

Chair Kruse

Notes proposed amendments are draft issues. Closes information meeting and opens work session on HB 2189.

HB 2189 – WORK SESSION

317

Sandy Thiele-Cirka

Administrator. Summarizes bill.

434

Rocky King

Administrator, Insurance Pool Governing Board, Oregon Medical Insurance Pool (OMIP). Submits written testimony related to bill and proposed amendments (EXHIBIT C).

TAPE 114, A

010

King

Summarizes program and billing process. Notes fiscal impact. 

042

Rep, Monnes Anderson

Inquires on funding for Family Health Insurance Assistance Program (FHIAP) and OMIP.

046

King

Differentiates funding between two programs. Notes intent of bill to assess and replace funds. Summarizes proposed amendments regarding fund splitting and benchmarks.

123

Chair Kruse

Points out focus on group market.

135

King

Continues presentation on proposed amendments regarding specific definitions.

198

Chair Kruse

States intent regarding bill and proposed amendments. Closes work session on HB 2189 and opens work session on HB 2537.

HB 2537 – WORK SESSION

205

Thiele-Cirka

Summarizes bill and -2 amendments, dated 3/20/03 (EXHIBIT D).

217

J. L. Wilson

National Federation of Independent Businesses (NFIB). Notes membership concerns regarding premium increases. Presents insurance coverage data. Discusses mandated coverage as it impacts small business. Notes employer flexibility to implement specific coverage.

297

Lisa Trussell

Associated Oregon Industries (AOI). Notes similar cost issues in private sector as compared to Oregon Health Plan (OHP) regarding mandates. 

341

Rep. Anderson

Inquires on relief from mandates.

346

Wilson

Discusses basic health plan for small group market.

358

Rep. Dalto

Inquires on amendments.

360

Wilson

Notes position on -2 amendments.

371

Rep. Monnes Anderson

Inquires on difference between large and small employers cooperation with mandates.

374

Wilson

Notes regulation and impact to small employers.

387

Rep. Tomei

Inquires on impact of mandates to premiums.

391

Wilson

Presents figures.

406

Trussell

Notes insurance division report with current data.

412

Chair Kruse

Comments on small business perspective. 

434

Mark Nelson

Public Affairs Counsel, Oregon Society of Clinical Social Workers. Testifies in support of -2 amendments. Discusses impact of elimination of mental health and alcohol and drug treatment benefits. Notes long term cost reduction when alcohol and drug and mental health benefits are included in basic health package.  

509

Rep. Tomei

Requests data.

514

Nelson

 

TAPE 113, B

035

Rep. Monnes Anderson

Notes ability for small business owners to add provisions at will.

038

Nelson

Notes plan is offered as a package reducing flexibility in coverage. Reiterates need for alcohol and drug and mental health in basic are packages.

055

Chair Kruse

Notes bill does allow for supplemental coverage.

061

Michael Morter

Analyst, Insurance Division, Department of Business and Consumer Services. Expresses agency reservations with bill. Discusses removal of two specific provisions in bill.

081

Chair Kruse

Requests further clarity regarding changes.

083

Morter

Addresses impact of changes on department. Offers to submit information regarding mandates at future date.

096

Chair Kruse

Notes policy decision to separate mandates and benchmarks.

102

Rep. Tomei

Inquires on pregnancy coverage.

104

Morter

Explains pregnancy is not mandated and would need to be an employer add-on.

113

Chair Kruse

Comments on employer flexibility regarding pregnancy coverage.

124

Morter

Notes addition is possible.

131

Rep. Tomei

Comments on family planning issues.

135

Chair Kruse

Orders committee to stand at ease. Reconvenes meeting and closes work session on HB 2537. Adjourns meeting at 10:19 A.M.

 

EXHIBIT SUMMARY

 

A – Informational, draft 2511-1 amendments, dated 5/23/03, Holly Robinson, 3 pp.

B – Informational, Population Prioritization Draft Plan, Holly Robinson, 1 p. 

C – HB 2189, written testimony, Rocky King, 5 pp.

D – HB 2537, -2 amendments, dated 3/20/03, staff, 1 p.