SENATE SPECIAL COMMITTEE ON THE OREGON HEALTH PLAN

 

 

5/22/03                                                                                                                    Hearing Room A

4:00 P.M.                                                                                                                            Tapes 7-8

 

MEMBERS PRESENT:         Sen. Peter Courtney, Co-Chair

Sen. Jackie Winters, Co-Chair

Sen. Kate Brown

Sen. Margaret Carter

Sen. Bill Fisher

Sen. Lenn Hannon

Sen. John Minnis

Sen. Bill Morrisette

 

Rep. Alan Bates

 

STAFF PRESENT:                 Marjorie Taylor, Committee Administrator

Heather Gravelle, Committee Assistant

 

MEASURE/ISSUES HEARD:           Informational Meeting:

                                                            Confirmation of Prioritization of Benefits

                                                            Introduction of Cost Scenarios

 

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 7, A

005

Co-Chair Winters

Calls the meeting to order at 4:15 p.m. Opens the informational meeting on the confirmation of prioritization of benefits and the introduction of cost scenarios.

INFORMATIONAL MEETING

010

Co-Chair Winter

States the committee needs to work in a timely fashion.

015

Mike Bonette

Policy Analyst, Senate Republican Office. Provides information on the OHP pricing work sheet Co-Chair budget, and OHP dental services. (EXHIBIT A & B).

020

Bonette

Begins presentation on the prioritization of benefits. Starts off with the Co-Chair OHP budget. Provides a break down of the categories and populations served. States costs associated with each specific category.

030

Bonette

Explains the sooner we make a decision the more money will be saved. Begins explaining the population categories and the benefits. States how much money it currently costs.

040

Bonette

Continues explaining the Co Chair budget. Reiterates how important it is to incorporate the benefits now, vs. later.

045

Bonette

Expresses the cost of 21 months vs. 18 months of coverage.

050

Bonette

Explains the issue regarding the medically needy seniors and the disabled. States initially only looking at the prescription drug benefits.

055

Sen. Morrisette

Asks for clarification on the number of medically needy individuals due to transplant rejection and HIV.

060

Bonette

Responds and provides numbers: 8,700 were enrolled, currently there are 400 enrolled in the medically needy program.

075

Bonette

Clarifies the latest numbers on the medically needy are 175 HIV patients, and 68 transplant patients who are receiving benefits.

077

Sen. Minnis

Wonders what happened to the rest of the patients that aren’t being accounted for.

090

Dr. Bruce Goldberg

Expresses no one knows where the people have gone once they left the program. Explains the medically needy program actually ended December 1, 2003. Adds current patients are in a program receiving money from general funds.

105

Sen. Minnis

Asks what is the group is called since there is no longer a medically needy program.

107

Dr. Goldberg

Explains it is a federal program that has been receiving federal match dollars. Adds the program doesn’t have a name currently.

125

Sen. Minnis

Wonders if the medically needy program was still in existence, how many people would be enrolled.

128

Dr. Goldberg

States it would depend upon how the program was set up.

145

Sen. Minnis

Provides further clarification to original question posed.

150

Dr. Goldberg

Responds 8,000.

152

Sen. Minnis

Expresses disbelief that out of the 8,000 previously enrollees, currently only 400 are being accounted for. Wonders again where the remaining people went.

155

Dr. Goldberg

States he knows where 500 of them are. Explains 200 qualified for the full OHP program. 150 are in long term care, and 150 entered the Employed People with Disabilities Program.

190

Sen. Brown

Wonders if it is fair to say the federal government doesn’t make distinctions or prioritizations amongst those with severe medical needs.

195

Dr. Goldberg

Responds yes, that is correct. Adds that is why they can’t prioritize amongst those populations.

200

Sen. Minnis

Expresses being disturbed by not addressing the populations.

205

Sen. Brown

States they have had long discussion on the issue. Mentions SB 55 and how leadership spent a lot of time making decisions and discussing who will be funded. Explains why the choices were made in the past.

220

Sen. Minnis

States knowing the program was in trouble, Department of Human Services should have tracked the 8,000 enrollees once they left the medically needy program.

260

Dr. Goldberg

Mentions the reason the individuals are no longer part of the program. Adds he agrees they should have been tracked.

290

Bonette

Explains there are some new formulas. Discusses the primary care package as the basic package, and the hospital package would be an add on.

330

Sen. Morrisette

Wonders where the mental illness, alcohol and drug use packages are located.

335

Connie Seely

Senate Presidents Office. Points out in the primary care services package, there is a mental health and chemical dependency component.

TAPE 8, A

005

Seely

Continues explaining the chemical and mental health benefits. Adds if this body chooses to cover those individuals.

030

Rep. Bates

Asks where are the mental health and chemical dependent individuals within the population.

045

Seely

States about 10% of the current adult populations are receiving mental health services.

065

Sen. Minnis

Asks for clarification in regards to the mental health issue. Adds it is unclear if it is a separate program, or is it combined into the same program. States the reason he is asking is to ensure they are maximizing the current resources.

070

Bonette

Explains he doesn’t know the answer, but will attempt to find out.

090

Sen. Fisher

Seeks clarification as to why do we use different formulas for different percentages for adults and families.

100

Bonette

States these individuals are a higher risk. Explains the formulas they use, are based on the assumption they will cost more.

135

Co-Chair Winters

Explains the issue isn’t that because they have less money they are sicker. States the issue is 25% of the population is sicker than the remaining.

140

Rep. Alan Bates

Comments based on his own experience, the individuals who are in the 25%, have mental illnesses or chemical dependency. Adds the reason they have less money is due to their illness or chemical dependency.

170

Sen. Morrisette

Declares he would like to see actual data as to who falls into the categories. Explains this information will help the committee make intelligent decisions.

175

Bonette

Discloses they will provide the information at the next committee meeting.

255

Sen. Minnis

Wonders what decisions are being made today.

260

Co-Chair Winters

States what decisions she would like made today. Explains within the benefit packages, there are mandatory, prescription drugs and chemical dependency. Decision point is whether they will include the optional services under the categorical group.

265

Sen. Minnis

Believes dental coverage should be discussed as well.

280

Bonette

Explains dental is part of the handout provided, located under the mandatory benefit package.

310

Sen. Brown

Wonders if the immense costs associated with the dental program is with the children.

315

Seely

States that dental service for children is mandatory.

318

Co-Chair Winters

Asks for more research and information to be provided to assist the committee to come to a good decision.

320

Bonette

Agrees. Adds they can come back on Wednesday with an explanation of everything which will lead to a better discussion.

365

Co-Chair Winters

Suggests getting the information to the committee members prior to the next meeting, so they have time to review the data and have any questions prepared.

400

Sen. Minnis

Asks for the information to be in a systematic format.

TAPE 7, B

005

Seely

Agrees she will provide the information as requested. Asks for clarification on next week’s committee schedule.

020

Co-Chair Winters

Provides clarification on the committee’s tentative schedule.

030

Co-Chair Winters

Closes the informational meeting. Adjourns the meeting at 5:25 p.m.

 

EXHIBIT SUMMARY

 

A – Informational Meeting, OHP pricing work sheet, co-chair budget, Mike Bonette, 3 pp

B – Informational Meeting, OHP dental services, Mike Bonette, 1 p