SENATE COMMITTEE ON HEALTH POLICY

 

 

February 14, 2005                                                                                                   Hearing Room B

1:00 P.M.                                                                                                                     Tapes  14 - 15

 

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:

SB 490 – Public Hearing

Introduction of committee measures – Work Session

SB 289 – Public Hearing and Work Session

SB 458 – 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 14, A

003

Chair Monnes Anderson

Calls meeting to order at 1:02 p.m.  Opens public hearing on SB 490.

SB 490 – PUBLIC HEARING

015

Tom Holt

Executive Director, Oregon State Pharmacy Association. Submits and presents written testimony in support of SB 490 (EXHIBIT A).

065

Holt

Continues to discuss testimony in support of SB 490.

080

Holt

Addresses concerns by the opponents.

110

Holt

Discusses belief of minimal fiscal impact.

120

Holt

Mentions an amendment to have the minimum age at 12, however the amendments could not be ready.

140

Sen. Kruse

Asks what the minimum age parental consent is no longer required.

145

Holt

Offers to return information to the committee.

146

Chair Monnes Anderson

Comments that the age is 15 years old.

148

Linda Howard

PHr, Pharmacy Department, Fred Myer.  Testifies in support of SB 490.  Discusses concern of the minimum age being 18 years old and how that affects their business.

170

Jim Lace

MD, Salem, OR.  Submits and presents testimony in opposition of SB 490 (EXHIBIT A)..

240

Lace

Continues to discuss reasons for opposition to SB 490.

285

Lace

Expresses concern of businesses having the flu vaccines, while there office could not get any.

325

Sen. Morrisette

Asks if Lace would have concerns if the pharmacy only administers the flu vaccine.

330

Lace

Answers no and adds to fix the flu distribution.

340

Sen. Morrisette

Asks if it would be cheaper and timely for patients to go to pharmacy.

345

Lace

Answers no and explains how.

360

Sen. Kruse

Clarifies that even if the flu vaccine distribution issue was fixed, the witness would still not agree for pharmacies to administer flu vaccinations to children.

363

Lace

Affirms.

365

Sen. Kruse

Asks if that is considered good access.

369

Lace

Clarifies that his clinic sets up days where they only administer flu vaccines.

370

Sen. Kruse

Comments on the access for having parents and children able to get their flu shots at one place.

372

Lace

Explains how children should only being seeing one doctor to make sure that the child receives all the proper shots.

392

Sen. Kruse

Comments on issues of the immunization schedule and asks why people should have to go to two different places to receive the flu shot.

415

Lace

Explains what is best for children.  Clarifies in the bill that they can administer any vaccine to persons under the age of 18.

TAPE 15, A

003

Lorraine Duncan

Immunization Program Manager, Health Services, Office of Family Health, Oregon Department of Human Services. Submits and presents testimony in opposition to SB 490 (EXHIBIT C).

035

Chair Monnes Anderson

Asks if the cut off age for pharmacies to administer the flu shot, if Department of Human Services objects.

037

Duncan

Explains that they would oppose the bill still and explains why.

040

Sen. Morrisette

Asks if they would object to pharmacies only administering the flu vaccine.

042

Duncan

Answers yes and explains how children usually receive multiple shots.

045

Sen. Morrisette

Asks up to what age do children receive multiple vaccines.

050

Duncan

Answers up to twenty four months.

051

Sen. Morrisette

Clarifies Duncan’s answer.

052

Lace

Clarifies immunization schedule.

055

Sen. Morrisette

Clarifies that they are only discussing the flu vaccine. Asks if after 24 months, parents could take child in for the flu shot with out interfering with the immunization schedule.

060

Duncan

Explains how many children fall behind in schedule.

063

Sen. Morrisette

Asks if a three year old received a flu shot at a pharmacy would interfere with the immunization scheduled.

067

Duncan

Answers that only if the child needs other shots that they are behind in.

070

Chair Monnes Anderson

Asks Holt to come back up to address concerns from the opponents of the bill.  Comments on complexity of immunization scheduled.

085

Holt

Comments that they will compromise on age level. Comments on the pharmacies being an access point.  Suggests order from a physician below age limit.  Comments on Oregon being a national model for reporting each immunization to primary care.

105

Chair Monnes Anderson

Asks if pharmacies are required to report to the Children immunization registry.

106

Holt

Answers no.

110

Chair Morrisette

Comments to witnesses to work on amendments. Closes public hearing on SB 490 and opens a public hearing on SB 189.

SB 189 – PUBLIC HEARING

115

Chair Monnes Anderson

Seeing no witnesses, closes public hearing and opens a work session on SB 189.

SB 189 – WORK SESSION

120

Sen. Kruse

MOTION:  Moves SB 189 to the floor with a DO PASS recommendation.

125

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. MORRISETTE will lead discussion on the floor.

130

Chair Monnes Anderson

Closes work session on  SB 189.  Opens work session for introduction of committee measures.

INTRODUCTION OF COMMITTEE MEASURES - WORK SESSION

135

Rick Berkobien

Committee Administrator.  Introduces LC 1650 (EXHIBIT D) and LC 2781 (EXHIBIT E).

140

Sen. Kruse

MOTION:  Moves LC's:  1650, 2781 BE INTRODUCED as committee bills.

145

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

150

Chair Monnes Anderson

Closes work session for introduction of committee measures and opens a public hearing on SB 458.

SB 458 – PUBLIC HEARING

165

Doug Barber

Willamette Dental.  Testifies in support of SB 458.

175

Gary Allen

Director of Clinical Support, Quality Improvement and Training, Willamette Dental. Submits and presents testimony in support of SB 458 (EXHIBIT F).

255

Steve Duffin

Oregon Dental Association. Submits and presents testimony in support of SB 458 (EXHIBIT G).

300

Chair Monnes Anderson

Comments on shortage of dentists. Asks if California has the same laws as Washington.

310

Steve

Answers no.

315

Paul Cosgrove

Oregon Dental Hygienist Association. Testifies in support of SB 458.

355

Jay Wylam

Chairman, Government Relations Panel, Oregon Dental Association.  Testifies in opposition to SB 458.

410

Wylam

Continues to discuss reasons of opposition for SB 458

430

Sen. Kruse

Asks how the regional exams are different.

435

Wylam

Explains that the east coast schooling is very different from the west coast.  Does not know the specific differences, offers to return information to the committee.

460

Chair Monnes Anderson

Asks if Virginia’s schooling is considered the same as the Northeast.

TAPE 14, B

020

Wylam

Answers that he is not sure.

025

Chair Monnes Anderson

Comments on her experience visiting a dental clinic in Virginia and did not notice a difference from the West coast.

040

Wylam

Comments on difference of opinion.

050

Patrick Braatz

Oregon Board of Dentistry. Comments that they are not taking position on the bill.  Submits and presents statistics of access for dentistry (EXHIBIT H).

100

Sen. Kruse

Clarifies that statistics assume that dentists who don’t have Oregon address, don’t practice here.

105

Braatz

Answers people who live in Seattle are not included but offers to return information to the committee..

110

Sen. Kruse

Asks what the people were disciplined for.

115

Braatz

Comments on issue of misdistribution and access.  Reviews statistics where out of state licensures per county.

140

Braatz

Discusses concern about the bill.

160

Chair Monnes Anderson

Asks if Doug has met with Oregon Board of Dentistry to address issues.

165

Barber

Answers no the have not.  Would be willing to meet to address concerns.

175

Chair Monnes Anderson

Addresses concerns of bill.

178

Sen. George

Refers to Gary Allen’s testimony.  Asks if previously, they have experienced out of state dentists who have not practiced in a clinic, then apply in Oregon.

185

Barber

Answer that they do not have data to support that situation.

200

Sen. Kruse

Comments on need for dentists in Eastern Oregon.

210

Sen. Morrisette

Comments on dentist in John Day, Oregon that cannot retire because there is no one to replace him.

215

Barber

Comments on issues with out of state dentists.

230

Sen. George

Comments on considering dentists with less experience to get dentists to eastern Oregon.

245

Chair Monnes Anderson

Closes public hearing on SB 458 and adjourns the meeting at 2:15 p.m.

EXHIBIT SUMMARY

 

A.     SB 490, written testimony, Tom Holt, 5 pp

B.     SB 490, written testimony, Jim Lace, 3 pp

C.     SB 490, written testimony, Lorraine Duncan, 2 pp

D.    Introductions, LC 1650, staff, 5 pp

E.     Introductions, LC 2781, staff, 10 pp

F.      SB 458, written testimony, Gary Allen, 2 pp