SENATE COMMITTEE ON HEALTH POLICY

 

February 4, 2003                                                                                                     Hearing Room B

1:00 PM                                                                                                                       Tapes  12 - 13

 

MEMBERS PRESENT:         Sen. Bill Morrisette, Chair

Sen. Bill Fisher, Vice-Chair

Sen. John Minnis

Sen. Frank Shields

Sen. Charles Starr

Sen. Vicki Walker

 

STAFF PRESENT:                 Marjorie Taylor, Administrator

Saranelle Allen, Committee Assistant

 

MEASURE/ISSUES HEARD:           INFORMATIONAL MEETING

                                                Invited Testimony

                                                            Barney Speight – Overview of the Oregon Health Plan

                                                            Bob DiPrete – Future of the Oregon Health Plan

                                                            Rep. Ben Westlund - Legislative Perspective

 

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 12, A

004

Chair Morrisette

Calls meeting to order at 1:12 pm, for an informational meeting.

INFORMATIONAL MEETING

Overview of the Oregon Health Plan

007

Barney Speight

Director  of Public Policy and Government Relations for Kaiser Permanente.  Gives an overview of the history of the Oregon Health Plan, and states that details will be more qualitative than quantitative (EXHIBIT A).

065

 

Relates goals of OHP, specifically universal access to an adequate level of high quality health care at an affordable cost. 

147

 

Reviews page 5 which outlines the dates of legislation for the Oregon Health Plan.

285

 

Gives information on FHIAP (Family Health Insurance Assistance Program), which was a small part of the program and was not listed in Exhibit A. 

 

Sen. Fisher

Asks what the time line was on SB 5530. 

345

Speight

Gives reply on the intent of the bill.

390

Speight

Explains what has transpired since 1994, shown on page 6.

417

Sen. Minnis

Gives further information on how legislature understood funding would be utilized during lean years, at the time Oregon Health Plan was implemented.

 

Speight

States information on how managed-care role would impact costs.

Tape 13, A

 

Speight

Reviews economics at the time the plan was put in place.

084

Speight

Reviews two charts, pages 7 and 8 (EXHIBIT A), showing private health spending, and health insurance premium changes.   

115

Speight

Testifies further on fiscal tools available and framing a new consensus, pages 9 and 10 (EXHIBIT A).

 

Chair Morrisette

Asks how we deal with populations within populations.

 

Speight

Replies that there are constraints in the law, and that it would be good to look back on earlier plans before the Oregon Health Plan.

 

Speight

Reviews new article out of the Seattle Post-Intelligencer, dated February 4, 2003 (EXHIBIT B).

 

Sen. Walker

Relates an email recently received from a trooper concerning glaring problems in the abuse of the Oregon Health Plan.

300

Speight

Replies about misuse, abuse of the plan, and how to correct these problems.  

 

Sen. Fisher

Asks if it would help to have an inventory reporting system from troopers or others to get a line on the amount of abuse occurring.

 

Speight

Expresses hope that the management staff would pursue any fraud issues.

 

Sen. Fisher

States feedback is coming in to legislative groups instead of to the plan management.

Tape 12 B

 

Sen. Shields

States that he would like the committee to try to solve the problem, since things don’t seem to change from year to year, only the perspective.

065

Speight

Advises it most likely is bad this year.

 

Sen. Minnis

Wants to look at health care trends to understand the issues and the gaps in care.

INFORMATIONAL MEETING

Future of the Oregon Health Plan-

149

Bob DiPrete

Deputy Administrator, Oregon Health Policy & Research.  Testifies as to the rising costs of health care and coverage and issues associated with the Oregon Health Plan (EXHIBIT C).

164

Chair Morrisette

States that the medical rate of increase is going up higher than the general rate of increase.

177

Sen. Minnis

Asks about percentage of increase, as noted in the (EXHIBIT A) chart, pages 7, 8, and if an analyst would be able to give any explanation of trends.

201

Speight

Offers to try to find a health care analyst.

 

Sen. Minnis

Expresses concern that on health care issues there appears to be no knowledge available to help understand the trends.

249

DiPrete

Reviews page 24 (EXHIBIT C) on emerging cost drivers and declining employer assistance.

 

Sen. Fisher

Asks if costs of government regulations are included as a cost driver. 

 

Chair Morrisette

Also expresses concern on federal costs.

 

Speight

Replies that mandates have added costs.

383

DiPrete

Shares information on what the future holds, as noted on page 30.

432

Sen. Shields

Poses a what if question on implementing a Canadian-type health plan 10 years ago, would we be ahead of the game.

Tape 13B

008

DiPrete

Gives his opinion on a national health care plan.

INFORMATIONAL MEETING

Legislative Perspective

010

Rep. Ben Westlund

Representative, House District 53, and Chair, House Audit and Human Services Budget Reform.  Gives an overview on goals for the House Audit Committee, with an explanation on what has been done so far, and how he views accomplishments for this session.

28

Sen. Minnis

Asks for clarification on mention of a funding increase.

 

Rep. Westlund

Gives specifics on what the Audit Committee is about and his areas of focus for his committee.

 

Chair Morrisette

States that this committee will work on compiling a list of priorities to accomplish before the end of session, in conjunction with the Audit Committee’s goals.

200

Chair Morrisette

Adjourns meeting at 2:35 pm.

 

 

 

 

 

 

 

 

 

 

 

EXHIBIT SUMMARY

 

A – Informational, Oregon Health Plan, written testimony, Barney Speight, 10 pp.

B – Informational, news article, Seattle Post Intelligencer, Barney Speight, 3 pp.

C – Informational, Oregon Health Plan, written testimony, Bob DiPrete, 39 pp.