SENATE COMMITTEE ON HEALTH POLICY

April 24, 2003 Hearing Room B

1:00 pm Tapes 65 - 66

MEMBERS PRESENT: Sen. Bill Morrisette, Chair

Sen. Bill Fisher, Vice-Chair

Sen. Frank Shields

Sen. Charles Starr

MEMBERS EXCUSED: Sen. John Minnis, Sen. Vicki Walker

STAFF PRESENT: Marjorie Taylor, Administrator

Saranelle Allen, Committee Assistant

MEASURE/ISSUES HEARD: SB 723 – Public Hearing and Work Session

HB 2642 A - Public Hearing and Work Session

SB 636 – Public Hearing

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 65, A
009	Chair Morrisette	Convenes meeting at 1:35 p.m. and opens a public hearing on SB 723.
SB 723 – PUBLIC HEARING
025	Marjorie Taylor	Administrator. Explains the bill and the -2 amendments (EXHIBIT A).
	Tom Holt	Oregon State Pharmacists Association. Explains the -2 amendment and the impact on the bill, and advises that the rewrite was a collaborative effort.
066	Jim Edge	Acting Assistant Administrator, OMAP. States that any previous objections would be removed with the -2 amendment.
089	Pam Harkins	AARP. Testifies in support of SB 723 and the -2 amendments. Expresses concerns against pill splitting (EXHIBIT B).
	Dr. David Pollock	Medical Director. Mental Health & Addiction Services, DHS. States his support and concurs this is a workable amendment.
144	Sen. Fisher	Reviews the problems with scored medications, and states his support of the bill.
	Chair Morrisette	Closes public hearing and opens a work session on SB 723.
SB 723 – WORK SESSION
187	Chair Morrisette	MOTION: Moves to ADOPT SB 723-2 amendments dated 04/23/03.
190		VOTE: 4-0 AYE: In a roll call vote, all members present vote Aye. EXCUSED: 2 - Sen. Minnis, Sen. Walker
	Chair Morrisette	Hearing no objection, declares the motion CARRIED.
208	Chair Morrisette	MOTION: Moves SB 723 to the floor with a DO PASS AS AMENDED recommendation.
210		VOTE: 4-0 AYE: In a roll call vote, all members present vote Aye. EXCUSED: 2 - Sen. Minnis, Sen. Walker
213	Chair Morrisette	Hearing no objection, declares the motion CARRIED. SEN. MORRISETTE will lead discussion on the floor.
	Chair Morrisette	Closes work session on SB 723 and opens a public hearing on HB 2642A.
HB 2642A – PUBLIC HEARING
240	Marjorie Taylor	Administrator. Explains the bill.
248	Peggy Anet	Health Insurance Association of America. Testifies in support of the bill.
266	Jim Anderson	Oregon Chapter of the American College of Emergency Physicians. Testifies in support of the amended bill (EXHIBIT C).
	Chair Morrisette	Closes public hearing and opens a work session on HB 2642A.
HB 2642A – WORK SESSION
289	Sen. Fisher	MOTION: Moves HB 2642A to the floor with a DO PASS recommendation.
293		VOTE: 4-0 AYE: In a roll call vote, all members present vote Aye. EXCUSED: 2 - Sen. Minnis, Sen. Walker
297	Chair Morrisette	Hearing no objection, declares the motion CARRIED.
		SEN. FISHER will lead discussion on the floor.
	Chair Morrisette	Closes work session on HB 2642A and opens a public hearing on SB 636.
SB 636 – PUBLIC HEARING
308	Marjorie Taylor	Administrator. Explains the bill.
	Gina Firman	Association of Oregon Community Mental Health Programs. Submits documentation on the work recently done on this bill (EXHIBIT D).
320	Senator Charlie Ringo	District 17. Submits a chart which explains the per capita dollars distributed (EXHIBIT E).
350	Firman	Speaks on problems with developing formulas for counties, and reviews an outline of action developed by the Equity Committee. Notes the -4 amendment submitted on SB 636 (EXHIBIT F).
420	Rod Branyan	Washington County Mental Health Director. Testifies in support of SB 636, and reviews how general fund health dollars are distributed in Washington County.
Tape 66, A
	Dennis Mulvihill	Washington County. Testifies on several issues relating to distributing funds fairly for mental health care.
108	Gary Smith	Deschutes County Mental Health Department. Testifies in support of SB 636 and states the need for fair distribution of funds (EXHIBIT G).
144	Rick Treliven	Mental Health Director. Jefferson County. Talks about getting formularies set up prior to the next session.
189	Donna Tewksbury	Director, Columbia Mental Health. Reviews the short fall in the distribution of funds, and explains the serious problems in Columbia County due to lack of funds.
288	Bob Nikkel	Acting Administrator. Office of Mental Health & Addiction Services -DHS. Testifies on the many issues of SB 636, and states opposition to the bill, but supports the concept and impact on other areas. States that possibly a phased-in approach would work (EXHIBIT H).
	Chair Morrisette	Asks if legislation is needed, and would there be any fiscal impact.
Tape 65, B
045	Dr. Peter Davidson	Chief Clinical Officer, Clackamas County. Testifies on the loss of funds to Multnomah County with passage of this bill. Expresses the need for some leadership whether or not it is legislative.
173	Melinda Mowery	Clackamas County Mental Health Director. Submits written testimony in opposition to SB 636 (EXHIBIT I). Feels policy needs to be the focus.
199	Commissioner Bill Kennemer	Clackamas County. Testifies in opposition to SB 636, and reviews services needed for mental health care (EXHIBIT J).
	Chair Morrisette	Asks for any suggestions on what to do.
	Sen. Shields	Asks question on decentralization of mental health patients.
330	Kennemer	Gives a reply.
349	Earl Eagan	Washington Co. Testifies concerning his daughter’s mental health issues, and his support of SB 636.
423	Marland Henderson	Chair of the Adult Behavioral Health Council. Testifies to the benefits of the hearing today and asks for support of SB 636 (EXHIBIT K).
Tape 66, B
088	Mitch Anderson	Mental Health Director, Benton County. Testifies to modifying SB 636, and would suggest moving forward using the formulas for Phase 2 and 3.
144	Chair Morrisette	Closes public hearing on SB 636 and adjourns the meeting at 3:12 p.m.

EXHIBIT SUMMARY

A – SB 723 – proposed -2 amendments, staff, 2 pp.

B – SB 723, written testimony, Pam Harkins, 1 p.

C – HB 2642A, written testimony, Jim Anderson, 2 pp.

D – SB 636, written testimony, Gina Firman, 45 pp.

E – SB 636, submitted graph, Senator Charlie Ringo, 1 p.

F – SB 636, proposed -4 amendment, Gina Firman, 2 pp.

G – SB 636, written testimony, Gary Smith, 5 pp.

H – SB 636, written testimony, bob Nikkel, 2 pp.

I – SB 636, written testimony, Melinda Mowery, 4 pp.

J – SB 636, written testimony, Bill Kennemer, 3 pp.

K – SB 636, written testimony, Marland Henderson, 1 p.