SENATE COMMITTEE ON HEALTH POLICY

 

January 31, 2005                                                                                                     Hearing Room B

1:00 PM                                                                                                                            Tapes  8 -9

Corrected 10/25/2005

MEMBERS PRESENT:         Sen. Laurie Monnes Anderson, Chair

Sen. Jeff Kruse, Vice-Chair

Sen. Peter Courtney

Sen. Gary George

Sen. Bill Morrisette

 

STAFF PRESENT:                 Rick Berkobien, Committee Administrator

Brittany Kenison, Committee Assistant

 

MEASURES/ISSUES HEARD & WITNESSES:      

SCR 1 – Public Hearing and Work Session

      Sen. Winters

      Sen. Brown          

      Barbara Roberts, former Oregon governor

SB 225 – Public Hearing and Work Session

Informational Meeting

Treatment Issues with Mental Health and Addiction Disorders”

      Dr. David Pollack, Department of Human Services

“Problem Gambling Services”

      Dr. Jeffrey Marotta, Department of Human Services

 

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 8, A

003

Chair Monnes Anderson

Opens meeting at 1:02 PM.  Opens public hearing on SCR 1.

SCR 1 – PUBLIC HEARING

005

Rick Berkobien

Committee Administrator.  Explains the resolution.

015

Chair Monnes Anderson

Comments on resolution

020

Sen. Winters

Introduces herself and testifies in support of SCR 1.

047

Sen. Kate Brown

Submits and presents testimony in support of SCR 1 (EXHIBIT A).

065

Barbara Roberts

Former Oregon governor.  Introduces herself and provides written testimony in support of SCR 1 (EXHIBIT B). Gives background on women’s heart disease. 

100

Roberts

Discusses campaign for “Go Red for Women.”

120

Roberts

Discusses preventive solutions for heart disease.

135

Roberts

Summarizes and concludes.

140

Sen. Kruse

Expresses support of SCR 1.

155

Sen. Brown

Comments on importance of the defibrillator equipment.

160

Sen. Morrisette

Recognizes importance of requiring minimum time children spend in a physical education (PE) class.

180

Roberts

Comments on history of exercise and importance of creating good exercising and eating habits.

200

Sen. Winters

Notes difference of PE class between generations.  Notes current issues of obesity and patterns of bad health and exercise habits.

240

Sen. Morrisette

Notes support of requiring minimum time children spend in PE.

250

Sen. Kruse

Mentions increase of diabetes in children. Notes importance of working relationship with the American Heart Association (AHA).

260

Sen. Brown

Notes importance of having defibrillators and knowing where they are located.

265

Chair Monnes Anderson

Speaks about blood pressure and seeking a physician.

280

Chair Monnes Anderson

Closes public hearing on SCR 1. Opens work session on SCR 1.

SCR1 – WORK SESSION

283

Sen. Kruse

MOTION:  Moves SCR 1 be sent to the floor with a BE ADOPTED recommendation.

285

 

VOTE:  3-0-2

EXCUSED:  2 – Sen. Courtney, Sen. George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. BROWN AND SEN. WINTERS will lead discussion on the floor.

305

Chair Monnes Anderson

Closes work session on SCR 1. Opens public hearing on SB 225.

SB 225 – PUBLIC HEARING

308

Chair Monnes Anderson

Closes public hearing on SB 225. Opens work session on SB 225.

SB 225 – WORK SESSION

312

Sen. Kruse

MOTION:  Moves SB 225 to the floor with a DO PASS recommendation.

320

 

VOTE:  3-0-2

EXCUSED:  2 – Sen. Courtney, Sen. George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. KRUSE will lead discussion on the floor.

320

Chair Monnes Anderson

Closes work session on SB 225. Opens informational meeting.

TREATMENT ISSUES WITH MENTAL HEALTH AND ADDICTION DISORDERS INFORMATIONAL MEETING

350

David Pollack

Medical Director, Oregon Mental Health and Addiction Services.  Submits and presents written testimony (EXHIBIT A).

405

Pollack

Begins reviewing slide presentation on Biological Aspects of Mental and Addiction Disorders:

·         Biological Causes

·         Some Disorders have biological causes

450

Pollack

Continues discussing Biological aspects:

·         Biological Consequences

TAPE 9, A

020

Pollack

Continues discussing biological aspects.

040

Pollack

Explains how many disorders interact with other illnesses.

070

Pollack

Explains the impact of disorders is more important than the causes.

085

Rick Berkobien

Committee Administrator. Asks to give examples of some of the disorders that more important than others.

090

Pollack

Explains how they condensed a list of psychiatric illnesses and provided of example illnesses that are on the list.

100

Sen. Kruse

Asks how many are covered under the federal mandate.

105

Pollack

Asks if he means Medicaid.

106

Sen. Kruse

Affirms.

 

Pollack

Explains that the federal mandate is not specifically related to diagnoses and is for disabled and poverty level families.

110

Sen. Kruse

Clarifies question. Refers to the list of diagnoses that Pollack explained and asks how many of the illnesses were covered by the federal mandate.

115

Pollack

Answers that federal mandate does not require mental health so none are covered.

120

Pollack

Discusses parity for mental illness:

·         Begins discussion of how mental illness is prevalent and cause significant suffering

·         Explains how mental illness is costly

·         Psychiatric Knowledge Base

·         Treatment Works…But Barriers are Significant

·         Impact of lack of parity in Oregon

·         How Parity May Help

195

Pollack

Continues discussing parity for mental illness

·         Parity cost less than feared

·         Arguments against parity are bases on misunderstanding

·         Most states have parity laws

235

Pollack

Summarizes and concludes.

245

Jeffrey Marotta

Department of Human Services. Submits and presents written testimony (EXHIBIT C).

250

Marotta

Begins discussion on Problem Gambling:

·         Gambling in Oregon is Growing

·         Gives overview of statistics

·         Popularity at all time high

300

Marotta

Continues discussion on problem gambling:

·         More Gamblers, more problem gamblers

·         Oregon’s Legislative Responses to Problem Gambling

·         A public health concern

390

Chair Monnes Anderson

Asks to compare statistics of public health concerns with problem gambling to effects of alcoholism. Also asks to compare the number of problem gamblers to alcoholics population

400

Pollock

Believes that it is five to seven percent of the population.

405

Chair Monnes Anderson

Comments relation of alcohol and gambling issues.

415

Marotta

Reports on the last study performed on the percentage of problem gambling.

TAPE 8, B

010

Marotta

Continues discussing problem gambling services:

·         A public health concern

·         System components

030

Chair Monnes Anderson

Asks if gambling treatment is covered by insurance

035

Marotta

Remarks that it is generally not included.

040

Chair

Asks how problem gambling fits into mental health parity and asks, if possible, to compare statistics from other states.

047

Marotta

Answers that gambling addiction until only recently has been acknowledged as a medical addiction.  Explains that most states and most insurance companies do not cover this problem. Reports that 17 other states offer help and is funded by their state lottery. Adds that 30 percent of Oregon revenue is generated from state lottery.

065

Chair Monnes Anderson

Asks to clarify that 30 percent of Oregon revenue comes from lottery are due to those addicted to gambling.

070

Marotta

Clarifies that the 30 percent is the percentage of lottery revenue that comes from problem gamblers. Also compares percentages of revenue generated internationally.

080

Sen. Morrisette

Asks if the funding is separated from tribal versus state lottery, or if they are mixed

085

Marotta

Gives reports of tribal and state lottery funds.

100

Sen. Morrisette

Asks the witness if lottery is justified.

115

Marotta

Explains there is no bottom line, or easy solution. Notes trying to create a more balanced approach, make games less addictive and provide more education to the public.

135

Marotta

Continues discussing problem gambling services:

·         System components

150

Berkobien

Asking for number women versus men incarcerated for gambling addiction.

155

Marotta

Answers that he does not have data for Oregon. Nationally, more men have gambling problems and that more males than females are in jail.

165

Marotta

Continues discussing problem gambling services:

·         Reviewed evaluation for Marion County

·         Reviewed chart for new enrollments.

185

Chair Monnes Anderson

Asks how the number of enrollments compares to alcohol and addiction.

190

Marotta

Defers to Pollack.

195

Pollack

Believes that it is vastly more; up to ten times more.

198

Marotta

Continues discussing problem gambling services:

·         Reviews enrollment trends

·         Reviews client demographics

·         Consequences of gambling

·         System evaluation results

270

Sen. Morrisette

Asks what the maximum amount of money should be spent for online gaming.

285

Marotta

Addresses concerns of online games relating to an increase of problem gamblers and increase revenue.

335

Marotta

Summarizes and concludes.

355

Sen. Kruse

MOTION:  Requests unanimous consent that the rules be SUSPENDED to allow SEN. COURTNEY AND SEN. GEORGE to BE RECORDED as voting AYE on the MOTION: Moves SCR 1 be sent to the floor with a BE ADOPTED recommendation and MOTION:  Moves SB 225 to the floor with a DO PASS recommendation.

358

Chair Monnes Anderson

Closes informational meeting. Opens work session on SB 225

SCR 1 – WORK SESSION

360

 

VOTE:  5-0-0

 

Chair Anderson

Hearing no objection, declares the motion CARRIED.

SEN. BROWN AND SEN. WINTERS will lead discussion on the floor.

360

Chair Monnes Anderson

Closes work session on SCR 1. Opens work session on SB 225

SB 225 – WORK SESSION

375

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. KRUSE will lead discussion on the floor.

375

Chair Monnes Anderson

Closes work session on SB 225.  Resumes informational meeting.

PROBLEM GAMBLING SERVICES INFORMATIONAL MEETING

375

Chair Monnes Anderson

Comments on range of ages of gambling and growing addition.

385

Sen. George

Asks if there encouragement for problem gamblers to return to the program again if they encounter gambling addiction again.

393

Marotta

Affirms.

395

Sen. George

Asks to address “addictive rhythm” in games.

400

Marotta

Explains how the “addictive rhythm” feature and other addictive features are used in games.

430

Pollack

Reports on recent study on problem gamblers and chemical dependency.

435

Sen. George

Comments on ads about gambling.  Asks if people feel good about “contributing to Oregon.”

465

Pollock

Explains characteristics of addiction, and if they do feel that way, they are rationalizing and justification of behavior.

TAPE 9, B

040

Sen. George

Asks if people become addicted because of the amount of the pay out from the game.

050

Marotta

Explains that games are designed to make money and the ultimate level of payout.  Comments on how games on built on virtual wheel and how it is deceptive.

080

Chair

Summarizes and concludes. Comments that no meeting will be held on Wednesday. Closes informational meeting. Adjourns meeting at 2:34 PM.

 

 

EXHIBIT SUMMARY

 

A.     SCR 1, written testimony, Sen. Kate Brown, 1 p

B.     SCR 1, written testimony, Barbara Roberts, 2 pp

C.     Treatment Issues with Mental Health and Addiction Disorders, slide presentation,   David Pollack, 9 pp

D.    Problem Gambling Services, slide presentation, Jeffrey Marotta, 4 pp

E.     Problem Gambling Services, fact sheet, Jeffrey Marotta, 3 pp

F.      Problem Gambling Services, written testimony, Jeffrey Marotta, 5 pp

G.    Problem Gambling Services, report, Jeffrey Marotta, 4 pp