SENATE SPECIAL COMMITTEE ON THE OREGON HEALTH PLAN

 

 

5/14/03 Hearing Room C

3:00 P.M.      Tapes 1-2

 

MEMBERS PRESENT:            Sen. Peter Courtney, Co-Chair

Sen. Kate Brown

Sen. Margaret Carter

Sen. Bill Fisher

Sen. Lenn Hannon

Sen. John Minnis

Sen. Bill Morrisette

 

Rep. Alan Bates

Rep. Jeff Kruse

 

 

MEMBERS EXCUSED:             Sen. Jackie Winters, Co-Chair

 

STAFF PRESENT:                  Marjorie Taylor, Committee Administrator

Heather Gravelle, Committee Assistant

 

 

MEASURE/ISSUES HEARD: Organizational Meeting

                                                            Adoption of Committee Rules

                                                Informational Meeting

                                                            Committee Charge

                                                            Overview of the Structure of the Oregon Health Plan

 

 

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 1, A

005

Sen. Hannon

Calls the meeting to order at 3:15 p.m. Opens the organizational meeting.

ORGANIZATIONAL MEETING

010

Co-Chair Courtney

Refers members to the memo he distributed regarding the committee agenda (EXHIBIT A).

030

Co-Chair Courtney

Provides information as to future meetings, and states what today’s meeting will consist of.

060

Co-Chair Hannon

States the first order of business is to adopt committee rules. Refers committee members to the proposed committee rules (EXHIBIT B).

065

Sen. Minnis

Raises issue with item 9. Asks to consider waiving that item.

080

Co-Chair Hannon

Explains why the specific language was inserted. Explains the Co-Chairs may waive the requirement.

090

Sen. Carter

MOTION: Moves to ADOPT the proposed Committee Rules dated 05/14/03.

 

 

VOTE: 7-0

EXCUSED – 1 - Sen. Winters

095

Co-Chair Hannon

Hearing no objection, declares the motion CARRIED.

095

Co-Chair Hannon

Asks for any other comments regarding the charge of the committee. Thanks all the members for taking on an additional committee.

100

Co-Chair Hannon

Closes the organizational meeting. Opens the informational meeting on the committee charge, and the overview of the structure of the Oregon Health Plan.

INFORMATIONAL MEETING

110

Dr. Bruce Goldberg

Administrator, Office of Health Policy. States his charge today, is to quickly review the Oregon Health Plan and to provide vocabulary definitions for future reference.

125

Goldberg

Refers members to the memo distributed by Sen. Courtney. Explains there are four main issues to discuss:

Ř      Eligibility: Who is eligible for the Oregon Health Plan.

Ř      Benefits: What will be covered.

Ř      Reimbursements: How the program operates.

Ř      How the Oregon Health Plan fits into the current health care delivery system.

145

Goldberg

States the issues and challenges that faces the Oregon Health Plan, are the same issues and challenges that face the health care system in general. States those issues are increases in cost and problems gaining access.

195

Goldberg

Refers to the benefit packages: OHP Plus, the State’s basis Medicaid benefit package. OHP Standard: the reduced Medicaid benefit package. Outlines the specific programs and what they include.

215

Goldberg

Reviews the populations that are served by the Oregon Health Plan. Discusses the eligibility and income criteria. Specifies numbers of HIV patients and transplant patients covered by the Oregon Health Plan.

345

Sen. Fisher

Asks Dr. Goldberg to review the numbers.

350

Goldberg

States as of January 2003, there are 8, 750 individuals who are covered through the Oregon Health Plan. Adds 288 HIV patients, and 138 transplant patients.

365

Sen. Brown

Expresses concerns regarding the lack of funding for the medically needy program. Asks whether there have been any lawsuits which have been brought forth challenging the State’s funding figures.

370

Goldberg

Explains that he is unsure, but will obtain that information for the committee.

TAPE 2, A

015

Sen. Hannon

Thanks Dr. Goldberg for his testimony and information.

025

John Britton

Health Services Budget Analyst, Legislative Fiscal Office. Speaks about the Governor’s budget and how it affected the Oregon Health Plan. Outlines the costs to cover given the providers increases.

110

Sen. Minnis

Inquires what the assumption is based upon population and costs per participant.

115

Britton

Responds states there were significant increases in respect to full health plans. Adds rebasing, utilization and cost inflation.

118

Sen. Minnis

Asks if the figure is higher or lower.

125

Britton

Responds under the current proposal, it will be significantly higher. Explains it would depend upon the populations covered.

130

Sen. Minnis

Clarifies the cost per participant is higher.

135

Britton

States yes, absolutely.

140

Sen. Minnis

Expresses there is a significant problem of accessibility to the Oregon Health Plan. States according to the Secretary of States audit that was conducted, persons were accessing the program that had no right or privilege by law.

145

Goldberg

Agrees there have been problems with eligibility issues. Adds they need to be certain the benefit goes to the people they were intended to.

160

Sen. Morrisette

States people come to Oregon for the delivery of their children. Asks if this is done legally, and if the issue is being addressed.

165

Britton

Responds, no adjustment made for that particular situation. States HB 2634 had verbiage regarding eligibility.

170

Sen. Morrisette

Seeks clarification.

180

Rep. Alan Bates

District 5. Mentions there is a companion bill related to the issue which will respond directly to the issue of eligibility. Adds they have not completed pricing the groups.

185

Sen. Morrisette

Asks if Oregon is required by law to treat those who come from out of state. Wonders if there is there a conflict between State requirements and Federal requirements.

200

Rep. Bates

States there is two issues:

Ř      Properly trained personnel employees.

Ř      Time to address eligibility dilemma.

210

Sen. Minnis

Requests copies of the audit conducted by the Secretary of the State. Stresses again how important it is to tighten up eligibility requirements.

230

Sen. Brown

Asks Britton, according to the Co-Chairs proposal, rather than FHIAP being 1/3 group market and 2/3 individual, it is now all under group market. Wonders what the rational is.

235

Britton

Responds it is clear serving under the group market you will save money and are able to serve more individuals.

240

Sen. Carter

Asks how much money will be saved.

245

Britton

States that is a good question for the Department of Human Services.

285

Britton

Continues explaining the projected costs of the program. Adds the sooner a decision is made, and a waiver of change is applied for, the more money will be saved. States it will cost 20-25 million dollars of general funds each month we delay.

360

Sen. Hannon

Asks if it is predicated on insurance fees being instituted. Wonders if it will raise the necessary difference.

365

Britton

Answers he isn’t sure if it will raise the necessary difference.

370

Sen. Minnis

Comments there is a good possibility it may, but there could be legal issues to address.

385

Sen. Minnis

Asks if 6 months is a reasonable assumption versus the three month assumption.

395

Britton

Responds yes. States 3 months is cutting it too tight.

TAPE 1, B

010

Sen. Minnis

Asks if they will create two budgets.

015

Britton

Answers hopefully, one budget based on the best assumption they can make.

025

Sen. Hannon

Closes the informational meeting. Adjourns the committee meeting at 4:35 p.m.

 

 

EXHIBIT SUMMARY

 

A – Organizational Meeting, Outline of Committee Agenda, Sen. Peter Courtney, 9 pp

B – Informational Meeting, Senate Proposed Committee Rules, Staff, 2 pp