SENATE COMMITTEE ON HEALTH POLICY

 

 

April 06, 2005                                                                                                         Hearing Room B

1:00 P.M.                                                                                                                     Tapes  53 - 54

 

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 541 – Public Hearing

SB 675 – Public Hearing and Work Session

SB 824 – Public Hearing and Work Session

SB 490 – Public Hearing and Work Session

SB 618 – Public Hearing

SB 936 – Public Hearing

SB 962 – 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 53, A

003

Chair Monnes Anderson

Calls the meeting to order at 1:04 p.m.  Opens a public hearing on SB 541.

SB 541 – PUBLIC HEARING

020

Sen. Frank Morse

Senate District 8.  Introduces the -1 amendments to SB 541 (EXHIBIT A).  Submits and presents written testimony in support of SB 541 with the -1 amendments (EXHIBIT B). Submits written testimony on behalf of Duncan Wyse, President, Oregon Business Council, in support of SB 541 (EXHIBIT C) and Luis Machuca, Chief Executive Officer, Kryptiq Corporation, in support of SB 541 with the -1 amendments (EXHIBIT D).

040

Judy Pettit

M.D.  Internal Physician.  Chair, Providence Portland Medical Center Internal Medicine Residency.  Submits and presents a report entitled “Electronic Health Records and Data Connectivity” (EXHIBIT E) in support of SB 541.

120

Chair Monnes Anderson

Asks Pettit to address the -1 amendments to SB 541.

122

Sen. Morse

Responds.

124

Bruce Goldberg

Administrator, Office of Oregon Health Policy and Research, Oregon Department of Human Services (DHS).  Testifies in support of SB 541.

135

Chair Monnes Anderson

Asks Goldberg to also explain the -1 amendments to SB 541.

140

Goldberg

Responds.

170

Chair Monnes Anderson

Asks if there would be a fiscal impact from SB 541 and the -1 amendments.

171

Sen. Morse

Answers, no.  Elaborates.

184

Chair Monnes Anderson

Asks Sen. Morse for verification that SB 541 may not need the referral to the Ways and Means committee.

187

Sen. Morse

Defers to the leadership of the Senate.  Provides speculation.

193

Chair Monnes Anderson

Asks to clarify that the Office of Oregon Health Policy and Research will not need the Ways and Means committee to address reallocation of funds.

195

Goldberg

Answers, yes.  Elaborates.

202

Sen. Morrisette

Asks if he is familiar with the Leapfrog program.

203

Sen. Morse

Responds, yes.

204

Sen. Morrisette

Comments on the grant that the Leapfrog program received.

209

Goldberg

Comments on the intent of the bill.

215

Sen. George

Comments on provisions of the informational system.  Asks if there is a way to capitalize on the informational system once it is created.

227

Sen. Morse

Comments on the need for standards for transferability.  Defers to expert.

243

Catherine Britain

(Note: This witness testified via video conference) Chair, Telehealth Alliance of Oregon.  Submits and presents written testimony in support of SB 541 (EXHIBIT F).

306

Chair Monnes Anderson

Comments on letters, EXHIBIT C and EXHIBIT D submitted by Sen. Frank Morse.

312

Bruce Bishop

Oregon Association of Hospitals and Health Systems.  Testifies in support of SB 541 with the -1 amendments.

345

Chair Monnes Anderson

Closes the public hearing on SB 541 and opens a public hearing on SB 675.

SB 675 – PUBLIC HEARING

355

Sen. Richard Devlin

Senate District 19.  Testifies in support of SB 675.

TAPE 54, A

020

Chair Monnes Anderson

Asks Sen. Devlin if he has met with Bruce Goldberg, Office of Oregon Health Policy and Research, Oregon Department of Human Services (DHS).

021

Devlin

Answers, yes.

022

Chair Monnes Anderson

Asks for the response from the department.

032

Sen. Devlin

Responds.

033

Sen. Kruse

Comments on intent of the bill.

040

Mel Kohn

State Epidemiologist, Oregon DHS.  Testifies in support of SB 675.

058

Sen. Morrisette

Comments on appropriate proposals from the Health Policy Commission.  Adds that local agencies need to work together.

068

Sen. Courtney

Asks Sen. Delvin to define the word “childhood.”

070

Delvin

Responds.

073

Sen. Courtney

Refers to the age range in the bill.

080

Sen. George

Refers to page two (2), line four (4) of SB 675.  Comments on the intent of the bill.

083

Chair Monnes Anderson

Closes the public hearing and opens a work session on SB 675

SB 675 – WORK SESSION

088

Sen. Kruse

MOTION:  Moves SB 675 to the floor with a DO PASS recommendation.

090

Sen. Kruse

Comments on Sen. Courtney’s concerns about the age range.  Believes that the age range used in the bill is appropriate.

094

Sen. Morrisette

Comments on using age fifteen (15) in the bill.

095

Sen. Melvin

Addresses concerns of the age range.

105

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. MONNES ANDERSON will lead discussion on the floor.

110

Chair Monnes Anderson

Closes the work session on SB 675 and opens a public hearing on SB 824.

SB 824 – PUBLIC HEARING

115

Rick Berkobien

Committee Administrator.  Explains SB 824 and introduces the -1 amendments (EXHIBIT G).

125

Chair Monnes Anderson

Seeing no witnesses, closes the public hearing and opens a work session on SB 824.

SB 824 – WORK SESSION

128

Sen. Morrisette

MOTION:  Moves to ADOPT SB 824-1 amendments dated 4/5/05.

 

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

130

Sen. Morrisette

MOTION:  Moves SB 824 to the floor with a DO PASS AS AMENDED recommendation.

136

Sen. Kruse

States why he is in opposition to SB 824.

143

Chair Monnes Anderson

Introduces letter from Barney Speight, Administrator, Office of Medical Assistance Program (OMAP) in regarding SB 824 (EXHIBIT H).

180

Sen. Kruse

Comments on other premium assistance programs.

190

Sen. Courtney

Comments on how the Human Resource committee during the 2003-2004 interim.

 

 

 

 

 

 

200

 

VOTE:  4-1-0

AYE:               4 - George, Morrisette, President Courtney, Monnes Anderson

NAY:               1 - Kruse

 

Chair Monnes Anderson

The motion CARRIES.

SEN. SHIELDS will lead discussion on the floor.

210

Chair Monnes Anderson

Closes the work session on SB 824 and opens a public hearing on SB 490.

SB 490 – PUBLIC HEARING

 

Rick Berkobien

Committee Administrator.  Introduces the -1 amendments to SB 490 (EXHIBIT I).

225

Tom Holt

Executive Director, Oregon State Board of Pharmacy.  Testifies in support of SB 490 with the -1 amendments.

293

Sen. Kruse

Asks what could  happen to patients who do not have a primary care provider.

297

Holt

Responds.

301

Sen. Kruse

Discusses vaccines and immunizations.

314

Holt

Explains the immunization register that Pharmacists have to use for patients under the age of eighteen (18).

318

Sen. George

Asks if there is a need for a parent to approve a vaccine for children under the age of eighteen (18).

320

Holt

Answers, no.

323

Chair Monnes Anderson

Verifies that patients fifteen (15) years of age and older do not need consent.

328

James Lace

Pediatrician. Oregon Medical Association.  Oregon Pediatric Society.  Testifies in opposition to SB 490.

340

Lorraine Duncan

Immunization program, Oregon Department of Human Services (DHS).  Testifies in opposition to SB 490.

350

Ann Johnson

Adolescence Health Program, Oregon DHS.  Testifies in opposition to SB 490.

407

Lace

Remarks that different age ranges apply for different types of services.

425

Chair Monnes Anderson

Discusses why she supports SB 490 with the -1 amendments.

450

Chair Monnes Anderson

Stands the committee at ease.

451

Chair Monnes Anderson

Calls the meeting back to order.  Closes the public hearing and opens a work session on SB 490.

SB 490 – WORK SESSION

456

Sen. Kruse

MOTION:  Moves to ADOPT SB 490-1 amendments dated 3/15/05.

 

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

464

Chair Monnes Anderson

Discusses concerns of the committee members regarding SB 490.

480

Sen. Courtney

States why he is opposed to SB 490.

TAPE 53, B

022

Sen. Kruse

States that he supports the program.  Comments on concerns that should be addressed later.

032

Sen. Morrisette

States that he supports the bill but would also like concerns addressed.

037

Sen. Kruse

MOTION:  Moves SB 490 to the floor with a DO PASS AS AMENDED recommendation.

042

Sen. George

Discuses why he supports the bill.

045

 

VOTE:  4-1-0

AYE:               4 - George, Kruse, Morrisette, Monnes Anderson

NAY:               1 - President Courtney

 

Chair Monnes Anderson

The motion CARRIES.

SEN. MONNES ANDERSON will lead discussion on the floor.

050

Chair Monnes Anderson

Closes the work session on SB 490 and opens a public hearing on SB 618.

SB 618 – PUBLIC HEARING

060

Rick Berkobien

Explains the bill and introduces the -1 amendments to SB 618 (EXHIBIT J).

075

Diane Garrett

Oregon Mothers Council.  Testifies in support of SB 618 with the -1 amendments.  Asks if line five (5) and six (6) of the bill will be clarified.

090

Chair Monnes Anderson

Comments on the intent of the bill.  Remarks that the section Garrett referred to should be taken out. States that the bill will be carried over to the next meeting. Closes the public hearing on SB 618 and opens a public hearing on SB 936.

SB 936 – PUBLIC HEARING

 

Rick Berkobien

Committee Administrator.  Introduces the -1 amendments (EXHIBIT K), and the -2 amendments (EXHIBIT L) to SB 936.

120

Stephen Kafoury

Oregon Acupuncture Association.  Testifies in support of SB 936 with the 1 amendments.

122

Chair Monnes Anderson

Asks if he misspoke and is testifying in favor of the -2 amendments to SB 936.

125

Kafoury

States that he does not have the -2 amendments to SB 936.

128

Sen. Courtney

States that he only has the -1 amendments to SB 936.

130

Chair Monnes Anderson

States that she has the -2 amendments to SB 936.

132

Sen. Kruse

States that he has the -1 amendments to SB 936.

135

Chair Monnes Anderson

Asks for Kafoury to look over the -2 amendments.  Explains how the -2 amendments differ from the -1 amendments to SB 936.

140

Sen. Kruse

Comments on the difference between the amendments.

143

Chair Monnes Anderson

Asks Kafoury to continue his testimony regarding SB 936.

145

Kafoury

Continues testimony.

173

Berkobien

States that they will need clarification as to which amendments are needed.

160

Chair Monnes Anderson

Asks Kafoury to explain why the bill is needed.

165

Kafoury

Answers question.

185

Chair Monnes Anderson

Closes the public hearing on SB 936 and opens a public hearing on SB 962.

SB 962 – PUBLIC HEARING

188

Rick Berkobien

Committee Administrator.  Explains SB 962 and introduces the -1 amendments (EXHIBIT M), -5 amendments (EXHIBIT N) and the -6 amendments (EXHIBIT O).

207

Chair Monnes Anderson

Questions regarding the -5 amendments and the -6 amendments to SB 962.

213

Berkobien

Responds.

225

Sen. Courtney

Provides additional explanation.

232

Sen. Kruse

States that there are -1 amendments to SB 962.

236

Rick Berkobien

Explains the -1 amendments to SB 962.

240

Sen. Kruse

Provides further explanation of the -1 amendments to SB 962.

250

Chair Monnes Anderson

Comments on the difference between the -1 amendments and the -5 amendments.

270

Matt Blevins

Oregon Environmental Council.  Testifies without a stated position on SB 962.  Address concerns of the bill.

303

Catherine Thomasson

Physicians for Social Responsibility.  Testifies in opposition to the -1 amendments of SB 962.  Asks that Deca levels be addressed.

370

Rhett Lawrence

Environmental Advocate, Oregon State Public Interest Research Group (OSPIRG).  Testifies in opposition to the -1 amendments and the -5 amendments to SB 962.

390

Sen. Kruse

Requests data that provide alternatives to Deca.

394

Blevins

Offers to return information to the committee.

400

Chair Monnes Anderson

Discusses the time she has spent researching this issue.  Explains the different toxic flame retardant materials.

TAPE 54, B

010

Paul Cosgrove

Alliance of Automobile Manufactures.  Explains the -6 amendments to SB 962.  Comments on a technical issue to be corrected with the -6 amendments.

032

Sen. Morrisette

States that he does not want to hold a work session until the amendments are corrected.

040

Chair Monnes Anderson

Stands the committee at ease to call the Legislative Counsel office.

041

Chair Monnes Anderson

Reconvenes the meeting. States that SB 962 will be carried over to the meeting on Friday, April 8th, 2005, in Bend, Oregon.

045

Jim Marquee

American Chemistry Council.  Clarifies the difference between the       -1 amendments and the -5 amendments to SB 962. Testifies in support of the -1 amendments.

077

Chair Monnes Anderson

Comments that the issues will be addressed.  Closes the public hearing on SB 962.  Discusses the out of building meeting on April 8th.

085

Sen. Kruse

States that Sen. George and himself cannot attend the April 8th meeting and would appreciate the bills to be carried over to a different date.

090

Chair Monnes Anderson

States that the deadline for committees to work on Senate bills is April 8th, 2005.  Adjourns the meeting at 2:43 p.m.

EXHIBIT SUMMARY

 

A.     SB 541, -1 amendments, Sen. Frank Morse, 4 pp

B.     SB 541, written testimony, Sen. Frank Morse, 2 pp

C.     SB 541, written testimony of Duncan Wyse, Sen. Frank Morse, 1 p

D.    SB 541, written testimony of Luis Machuca, Sen. Frank Morse, 1 p

E.     SB 541, report, Jodi Pettit, 19 pp

F.      SB 541, written testimony, Catherine Britain, 2 pp

G.    SB 824, -1 amendments, staff, 1 p

H.    SB 824, letter, Barney Speight, 4 pp

I.       SB 490, -1 amendments, staff, 1 p

J.      SB 618, -1 amendments, staff, 1 p

K.    SB 936, -1 amendments, staff, 1 p

L.     SB 936, -2 amendments, staff, 1 p

M.  SB 962, -1 amendments, staff, 1 p

N.    SB 962, -5 amendments, staff, 1 p

O.    SB 962, -6 amendments, staff, 3 pp