SENATE SPECIAL COMMITTEE ON THE OREGON HEALTH PLAN

6/13/03 Hearing Room C

8:00 a.m. Tape 35

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

STAFF PRESENT: Marjorie Taylor, Committee Administrator

Heather Gravelle, Committee Assistant

MEASURE/ISSUES HEARD: HB 3624A – Work Session

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 35, A
005	Co-Chair Courtney	Calls the meeting to order at 8 30 a.m. Opens a work session on HB 3624A.
HB 3624A – WORK SESSION
010	Holly Robinson	Legislative Counsel. Introduces and explains the -A29 amendments and the -A30 amendments to HB 3624 A. (EXHIBITS A & B). States they represent the decision the committee made to consolidate the information. States the differences between the two amendments. Explains the -A29 amendments contains two items the -A30 amendments don’t.
025	Robinson	Explains on page 2, line 29-30 of the -A29 amendments, the category of those exempted from the mandatory enrollment into the fully capitated health plan, those who have special health care needs. Adds that category is not reflected in the -A30 amendments.
040	Robinson	Explains the other difference is in Section 12, Payment of Hospital Services, page 14-15, is not reflected in the –A30 amendments. Adds another change is the operative date is back to October 1.
050	Sen. Fisher	Asks if the –A29 and the –A30 are a consolidation of all the previous amendments agreed upon by the committee. Inquires if so, what happened to the definition of community based residential facility. Explains the language has been changed.
055	Robinson	Expresses the amendments are a consolidation of the previously heard amendments. States there were two separate definitions, but the impact of them are the same. Explains why she chose the language she did. Adds she misunderstood if there was an objection of the definitions, explains she was trying to be consistent with the verbiage.
080	Sen. Brown	Questions Page 2, F, regarding persons with chronic health problems, asks if there is a way to narrow the language.
085	Robinson	Responds if the committee was able to more narrowly identify the population they want to capture, then yes. Explains otherwise, someone with asthma qualifies.
100	Sen. Brown	Wonders if Section D helps the issue as to who needs special care.
110	Robinson	State yes, but emphasizes her concerns. Mentions for example, there is a difference between a medical fragile child vs. a medical fragile adult.
120	Sen. Minnis	Informs the language in the bill states the Department, by rule, can make the exemptions. Feels the Department can narrow the language.
135	Sen. Minnis	Points out a flaw in Section 22, line 6, in the -A29 amendments. States the language is narrower than it needs to be. Suggests deleting the verbiage “in a drug class,” in order to make it consistent with the original intent.
155	Sen. Minnis	MOTION: Moves to SUSPEND the rules for the purpose of a conceptual amendment to the –A29 amendments to HB 3624 A.
		VOTE: 8-0
165	Co-Chair Courtney	Hearing no objection, declares the motion CARRIED.
200	Sen. Minnis	MOTION: Moves to conceptually amend the –A29 amendments to HB 3624 A: Page 21, Section 22, line 6, delete the verbiage “in a drug class.”
		VOTE: 8-0
205	Co-Chair Courtney	Hearing no objection, declares the motion CARRIED.
208	Sen. Hannon	MOTION: Moves to ADOPT the -A29 amendments to HB 3624 A, dated 6/12/03, AS CONCEPTUALLY AMENDED.
		VOTE: 8-0
210	Co-Chair Courtney	Hearing no objection, declares the motion CARRIED.
215	Sen. Hannon	States a sincere desire that the fully capitated health groups and the hospitals reach a compromise. Adds he is hopeful to have any amendments taken care of in the Committee on Ways and Means.
220	Sen. Minnis	Supports the motion. Adds the question of hospital vs. fully capitated health groups is an issue that needs to be resolved. States he is troubled by the mandated language. Suggests there may need to be a methodology to resolve the dispute.
225	Sen. Fisher	Agrees with Sen. Minnis. Explains he can’t see how legislators can offer proper health care if we don’t have the full support of everyone involved.
235	Co-Chair Winters	MOTION: Moves HB 3624 A AS AMENDED to the Committee on Ways and Means with a DO PASS recommendation.
		VOTE: 8-0
245	Co-Chair Courtney	Hearing no objection, declares the motion CARRIED.
255	Co-Chair Winters	Closes the work session on HB 3624 A. Adjourns the committee at 9:25 a.m.

EXHIBIT SUMMARY

A – HB 3624 A, -A29 amendments, dated 6/12/03, Staff, 22 pp

B – HB 3624 A, -A30 amendments, dated 6/12/03, Staff, 22 pp