SENATE COMMITTEE ON HEALTH POLICY

 

 

March 18, 2003                                                                                                       Hearing Room B

1:00 p.m.                                                                                                                      Tapes  37 - 38

 

MEMBERS PRESENT:         Sen. Bill Morrisette, Chair

Sen. Bill Fisher, Vice-Chair

Sen. John Minnis

Sen. Frank Shields

Sen. Charles Starr

 

MEMBER EXCUSED:          Sen. Vicki Walker

 

STAFF PRESENT:                 Marjorie Taylor, Administrator

Saranelle Allen, Committee Assistant

 

 

MEASURE/ISSUES HEARD:           SB 392 – Public Hearing and Work Session

                                                HB 2487 – Public Hearing and Work Session

                                                Informational Meeting – Oregon Health Plan Workgroup                                                               Informational Meeting- Oregon Insurance Division

 

 

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 37, A

004

Chair Morrisette

Opens meeting at 1:10 p.m. and opens a public hearing on SB 392.

SB 392 – PUBLIC HEARING

010

Marjorie Taylor

Administrator.  Explains SB 392 and the SB 392-1 amendment and the hand engrossed amendment (EXHIBIT A).

 

Art Kiel

Association of Naturopathic Physicians.  Testifies in favor of these amendments that were agreed to at the last hearing. 

 

Taylor

Advises that a fiscal impact statement has not been prepared for the -1 amendment and states most likely no fiscal impact would occur.  However a warning is noted concerning the possibility of multiple task force requirements on other bills, which might require an additional individual to staff these committees.

 

Chair Morrisette

Questions how many task force groups could there be.

 

Taylor

Gives explanation and possible estimate of work load.

 

Chair Morrisette

Closes public hearing and opens a work session on SB 392.

SB 392 - WORK SESSION

089

Sen. Minnis

MOTION:  Moves to ADOPT SB 392-1 amendments dated 03/06/03.

102

 

VOTE:  5-0

EXCUSED:  1 – Sen. Walker

The motion CARRIES.

104

Sen. Shields

MOTION:  Moves SB 392 to the floor with a DO PASS AS AMENDED recommendation.

106

 

VOTE:  5-0

AYE:  In a roll call vote, all members present vote Aye.

EXCUSED:  1 - Sen. Walker

107

Chair Morrisette

The motion CARRIES.

SEN. SHIELDS will lead discussion on the floor.

 

Sen. Fisher

States he supports bill, but has reservations on the task force issue.

 

Sen. Shields

Asks if there’s any way to know how many task forces at this point we might have.

 

Taylor

States we could do a search, but bills still have to make it through the process before you could get a definite number.

 

Sen. Minnis

Explains the intent of a task force and feels it would be a good investment.

110

Chair Morrisette

Concurs with Minnis on comments.

 

Chair Morrisette

Closes work session on SB 392 and opens a public hearing on HB 2487.

HB 2487 – PUBLIC HEARING

 

Marjorie Taylor

Administrator.  Explains HB 2487.

 

Sarah Reeder

Oregon Association for Home Care.  Testifies in favor of HB 2487.

 

Gail Shibley

Administrator.  Office of Public Health Systems.  Gives written testimony on HB 2487 (EXHIBIT B).

 

Chair Morrisette

Closes public hearing and opens a work session on HB 2487.

HB 2487 – WORK SESSION

178

Sen. Fisher

MOTION:  Moves HB 2487 to the floor with a DO PASS recommendation.

 

 

VOTE:  5-0

AYE:  In a roll call vote, all members present vote Aye.

EXCUSED:  1 - Walker

 

Chair Morrisette

The motion CARRIES.

SEN. FISHER will lead discussion on the floor.

 

 

 

INFORMATIONAL MEETING – Overview of Oregon Health Plan Workgroup Discussions

200

Barney Speight

Kaiser Permanente.  Explains his role as the facilitator of a Stakeholder group.

 

 

Gives information on make-up of this committee put together by Rep. Westlund and others (EXHIBIT C).  Goes into explanation on the purpose of the group, and what funds were available to the Oregon Health Plan.

280

 

Reviews details on medicaid program and goes into review of the second part of the handout on cost containment actions and issues.

 

 

Explains where savings could be obtained and any rebates possible, which would allow the state to lower rates.

 

Tape 38, A

044

Sen. Minnis

Raises several questions on last session’s passing of SB 819 and how it applies.

065

Speight

Discusses the Fee for Service drug program. 

 

Sen. Minnis

Questions back and forth on points in the draft with Speight.

204

Chair Morrisette

States that more information is required, and asks what would be recommended to pass on to Ways and Means.

 

Speight

Explains that the hope is to have hearings on recommendations and that some may be forwarded on to Ways and Means for approval.

 

Sen. Minnis

States that the issues have to do with policy.  Also states concerns that the governor is taking some actions, when the policy has not been finalized.

315

Sen. Shields

Asks for clarification on mental health drugs, and if that is being discussed in this draft.

 

Speight

States, yes, talking in two areas, anti-depressant and anti-psychotic drugs.

430

Sen. Minnis

Expresses the concern about medical care for youth. 

Tape 37, B

048

Sen. Jackie Winters

District 10.  In attendance to review action and intent of the Ways and Means committee.

 

Chair Morrisette

Asks what the process would be to get action moving.

078

Sen. Winters

Clarifies that the audit committee has been assembled to work with the Health Policy and Human Resource committee to implement some of these policies.

 

Chair Morrisette

States he thinks questions need to be put to some of the House Committee on what the process should be.

 

Speight

Continues review.

184

Sen. Minnis

Asks how Kaiser handles the generic drug issue.

 

Speight

Advises they have a formulary.

 

Speight

States they were trying to balance the budget and the next level would be reviewed, but were working on the mandatory portion.

 

Sen. Winters

Expresses the difficulty in trying to balance the budget and still handle the basics of the health plan.

390

Sen. Shields

Asks if Speight has numbers of costs to add back in for CHP, FHIAP, and several other programs.

492

Joel Ario

Oregon Insurance Division.  Gives testimony on Health Insurance Mandates done in nationwide surveys (Exhibit D).

Tape 38, B

053

Ario

Reviews the information in the exhibit, covering costs for mandates in Virginia, Maryland, Texas, Maine and a 1991 study of Oregon.

160

Ario

Reviews the old Oregon study.  Explains that mental health, chemical dependency and then maternity are the highest costs.

 

Sen. Shields

Asks about the social aspect, and if there was any measurement on that area. 

320

Ario

Advises there wasn’t any way to measure the philosophical, so no data is available.

396

Sen. Minnis

Reviews the self-insured area that covers some of those non-mandated areas.

462

Chair Morrisette

Adjourns meeting at 3:02 p.m.

 

 

EXHIBIT SUMMARY

 

A – SB 392, -1 hand engrossed and proposed amendment, staff, 4 pp.

B – HB 2487, written testimony, Gail Shibley, 2 pp.

C – Informational – Oregon Health Plan Workgroup, written testimony,

           Barney Speight, 11 pp.

D – Informational – Overview of Mandates, written testimony, Joel Ario,

           22 pp.