SENATE COMMITTEE ON HEALTH POLICY

 

 

March 16, 2005                                                                                                       Hearing Room B

1:00 P.M.                                                                                                                     Tapes  41 - 42

 

MEMBERS PRESENT:         Sen. Laurie Monnes Anderson, Chair

Sen. Jeff Kruse, Vice-Chair

Sen. Peter Courtney

Sen. Bill Morrisette

 

MEMBER EXCUSED:          Sen. Gary George

 

STAFF PRESENT:                 Rick Berkobien, Committee Administrator

Brittany Kenison, Committee Assistant

 

MEASURES/ISSUES HEARD:

SB 601 – Public Hearing

SB 883 – Public Hearing

SB 510 – Public Hearing and Work Session

SB 617 – Public Hearing and Work Session

SB 819 – 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 41, A

005

Chair Monnes Anderson

Calls the meeting to order at 1:16 p.m.  Opens public hearing on SB 601. Opens a subcommittee.

SB 601 - PUBLIC HEARING

020

Rick Berkobein

Committee Administrator.  Explains the bill.

025

Sen. Morrisette

Comments that he will be leaving for another work session later.

030

Sen. Alan Bates

Senate District 3.  Testifies in support of SB 601.

055

Sen. Courtney

Asks if the bill will affect the 1145 program.

057

Sen. Bates

Explains how it affects the 1145 program.

060

Chair Monnes Anderson

Asks Sen. Bates to explain the 1145 program.

061

Sen. Bates

Explains the 1145 program.

075

Sen. Courtney

Notes that the 1145 program was passed in the 1995 session.  Provides further explanation.

080

Sen. Bates

Also points out the benefits inmates lose in the prison system.

083

Chair Monnes Anderson

Asks for Sen. Bates to define the differences between hospitals.

085

Sen. Bates

Answers that it varies from hospital to hospital.

100

Paul Snyder

Association of Oregon Counties.  Testifies in support of SB 601.

120

Chair Monnes Anderson

Enters in to a full committee.

125

Bruce Bishop

Oregon Association of Hospitals and Health Systems (OAHHS).  Submits and presents written testimony in opposition to SB 601 (EXHIBIT A).

175

Bishop

Continues to review testimony in opposition to SB 601.

210

Sen. Ben Westlund

Senate District 27.  Testifies in support of SB 601.

255

Sen. Courtney

Refers to EXHIBIT A and asks for Sen. Westlund to respond.

257

Sen. Westlund

Responds and adds that he would be willing to work with Bishop on amendments.

275

Chair Monnes Anderson

States that she will not hold a work session until amendments are agreed upon.

280

Sen. Westlund

States that he appreciates the Chair’s comments.

290

Chair Monnes Anderson

Closes public hearing on SB 601 and opens a public hearing on SB 883.

SB 883 – PUBLIC HEARING

299

Rick Berkobien

Committee Administrator.  Introduces the -1 amendments for SB 883 (EXHIBIT B).

300

Sen. Ben Westlund

Senate District 27.  Testifies in support of SB 883.

335

Barney Speight

Director, Office of Medical Assistance Programs (OMAP), Oregon Department of Human Services.  Testifies with a neutral position on SB 883.

385

Speight

Continues discussing information regarding SB 883.

425

Speight

Continues discussing information regarding SB 883.

TAPE 42, A

020

Speight

Continues discussing information regarding SB 883.

030

Chair Monnes Anderson

Explains why she created the bill and the incentives.

040

Speight

Discusses background on paper claims and goals to lower the amount of paper claims received.

055

Chair Monnes Anderson

Comments that she is looking forward to working on this issue.

060

Sen. Westlund

Comments on the cash flow issue with facilities not receiving timely payments.

070

Bruce Bishop

Oregon Association of Hospitals and Health Systems (OAHHS).  Testifies in support of the bill’s idea.  States concerns that need to be addressed with amendments.

105

Chair Monnes Anderson

Closes the public hearing on SB 883 and opens a public hearing of SB 510.

SB 510 – PUBLIC HEARING

130

Rick Berkobien

Committee Administrator.  Explains the bill and introduces the -1 amendments for SB 510 (EXHIBIT C).

150

Jim Carlson

Oregon Health Care Association.  Submits and presents slide presentation on Licensing Moratorium Extension (EXHIBIT D).

200

Carlson

Continues to review testimony in support of SB 510 with the -1 amendments.

250

Carlson

Continues to review testimony in support of SB 510 with the -1 amendments.

290

Chair Monnes Anderson

Comments on personal experience of having a family member in a nursing home.

300

Berkobien

Asks if there has been a shortage of facilities to meet special health conditions.

310

Carlson

Explains using the Alzheimer’s population as an example.

340

Sen. Morrisette

Asks if they will have to go through the Certificate of Need (CON) process.

343

Carlson

Comments on previous discussions of whether CON was considered.

355

Sen. Morrisette

Re-clarifies question.

360

Carlson

Answers re-clarification.

363

Sen. Kruse

Notes that the CON has been responsible.

370

Carlson

Comments on the CON process.  Also states that -1 amendments are necessary to address the pipeline issue.

The following material is submitted for the record without public testimony:

 

James Toews

Assistant Director, Seniors and People with Disabilities, Oregon Department of Human Services.  Submits written testimony in support of SB 510 with the -1 amendments (EXHIBIT E).

 

Bob Repine

Director, Oregon Housing and Community Services.  Submits written testimony in support of SB 510 (EXHIBIT F).

375

Chair Monnes Anderson

Closes the public hearing and opens a work session on SB 510.

SB 510 – WORK SESSION

380

Sen. Kruse

MOTION:  Moves to ADOPT SB 510 -1 amendments dated 3/9/05.

 

 

VOTE:  3-0-2

EXCUSED:  2 – Sen. Courtney, Sen. George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

390

Sen. Kruse

MOTION:  Moves SB 510A to the floor with a DO PASS AS AMENDED recommendation.

 

 

VOTE:  3-0-2

EXCUSED:  2 - Sen. Courtney, Sen. George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. BATES will lead discussion on the floor.

408

Chair Monnes Anderson

Closes the work session on SB 510 and opens a public hearing on SB 617.

 

SB 617 – PUBLIC HEARING

435

Jim Anderson

Oregon Chapter, American College of Emergency Physicians (OCEP).  Submits and presents written testimony in support of SB 617 (EXHIBIT G).

TAPE 41, B

010

Chair Monnes Anderson

Asks to explain Health Insurance Association of America (HIAA).

011

Anderson

Explains HIAA.  Explains that it is now called America’s Health Insurance Plans (AHIP).

015

Sen. Kruse

Asks if the concerns have been resolved and how.

017

Anderson

Explains that the issue was creating a mandate and the issue has been resolved.

027

Sen. Kruse

Asks question relating to time involved.

028

Anderson

Answers, since 1997.

030

Chair Monnes Anderson

Closes the public hearing and opens a work session on SB 617.

SB 617 – WORK SESSION

032

Sen. Kruse

MOTION:  Moves SB 617 to the floor with a DO PASS recommendation.

035

Sen. Morrisette

Comments on appreciation for support on the bill.

045

 

VOTE:  3-0-2

EXCUSED:  2 - Sen. Courtney, Sen. George

 

Chair Morrisette

Hearing no objection, declares the motion CARRIED.

SEN. COURTNEY will lead discussion on the floor.

048

Chair Monnes Anderson

Closes work session on SB 617 and opens a public hearing on SB 819.

SB 819 – PUBLIC HEARING

055

Tim Nesbitt

Oregon American Federation of Labor-Congress of Industrial Organizations.  Testifies in support of SB 819.

110

Sen. Morrisette

Comments on an employee owned grocery store and an employee owned hardware home shopping chain in Oregon.

115

Nesbitt

Comments on Winco.  Remarks that he is not familiar with Bi-mart.

123

Sen. Morrisette

Comments on employee owned businesses.

135

Sen. Alan Bates

Senate District 3.  Testifies in support of SB 819.

185

Sen. Morrisette

Clarifies number of employees in the bill.

187

Sen. Bates

States that it is 25 or more employees, but may reconsider a lower number of employees.  Provides further explanation.

192

Sen. Morrisette

Comments on additional criteria that could be established.

205

Sen. Bates

Discusses Sen. Morrisette’s recommendations.

215

Chair Monnes Anderson

Asks if he knows how many patients on the Oregon Health Plan (OHP) are working or not working.

220

Sen. Bates

States that he does not know.  Speculates.

225

Chair Monnes Anderson

Comments on tracking information of where OHP patients work.

230

Sen. Bates

Speculates what information OHP tracks.

235

Chair Monnes Anderson

Comments that patients have to prove with pay stubs to be eligible for the OHP.

236

Sen. Bates

Comments relating to tracking data.

240

Sen. Kruse

Explains the Georgia program.  Asks if he has data from the Georgia program.

245

Sen. Bates

States that he does not.  Discusses other states with similar programs.

250

Sen. Kruse

Comments if the program is going to be considered it is important to look at other state’s data.

260

Sen. Bates

Agrees with statement. 

267

Sen. Ben Westlund

Senate District 27.  Testifies in support of SB 819.  Offers to return information to the committee about Georgia.

315

Patty O’Sullivan

Legislative Director, Oregon Department of Human Services.  Testifies in opposition to SB 819.

338

Chair Monnes Anderson

Asks about the information that Oregon Medical Assistance Program (OMAP) has.

340

O’Sullivan

Explains OMAP current procedures and explains how it would be difficult to retrieve the information as it is on an application and not in a database.

355

Chair Monnes Anderson

Asks who would be the contact at OMAP to verify all of the information that in put in the database.

358

O’Sullivan

Answers that she will retrieve that information.

362

Chair Monnes Anderson

States that she would like the clarification if employers are included.

364

O’Sullivan

States that she knows the information is not included.

367

Sen. Kruse

Comments on the focus of the bill.

376

O’Sullivan

States that they have concerns about Health Insurance Portability and Accountability Act (HIPAA) requirements.

383

J.L. Wilson

National Federation of Independent Businesses (NFIB).  Testifies in opposition to SB 519.

420

J.L. Wilson

Discusses reasons for opposition to SB 819.

435

Lisa Trussell

Association of Oregon Industries (AOI).  Testifies in opposition to SB 819.

TAPE 42, B

020

Sen. Kruse

Comments on Trussell’s concern.

030

Sen. Morrisette

Comments that the bill needs to be much more specific.

040

Chair Monnes Anderson

Closes public hearing on SB 819 and adjourns meeting at 2:49 p.m.

 

 

 

EXHIBIT SUMMARY

 

A.     SB 601, written testimony, Bruce Bishop, 2 pp

B.     SB 883, proposed -1 amendments, staff, 1 p

C.     SB 510, proposed -1 amendments, staff, 1 p

D.    SB 510, PowerPoint presentation, Jim Carlson, 11 pp

E.     SB 510, written testimony, James Toews, 1 p

F.      SB 510, written testimony, Bob Repine, 1 pp

G.    SB 617, written testimony, Jim Anderson,