SENATE COMMITTEE ON HEALTH POLICY
April 25, 2005 Hearing Room B
1:00 P.M. Tapes 62 - 63
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 704 – Public Hearing
SB 1035 – Public Hearing and Work Session
SB 824 – Public Hearing and Work Session
SB 502 – Public Hearing
SB 504 – 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.
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TAPE/# |
Speaker |
Comments |
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TAPE 62, A |
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|
003 |
Chair Monnes Anderson |
Calls the committee to order at 1:04 p.m. Notes that SB 1040 will not be heard today. Opens a public hearing on SB 704. |
|
SB 704 - PUBLIC HEARING |
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|
015 |
Rick Berkobien |
Committee Administrator. Explains the bill and introduces the -2 amendments (EXHIBIT A). |
|
025 |
Bob Nikkel |
Administrator, State Office of Mental Health and Addiction Services, Oregon Department of Human Services (DHS). Testifies with a neutral position to SB 704 and the -2 amendments. |
|
045 |
Arthur Tolan |
Administrator, Counseling and Treatments Services, Department of Corrections. Submits and presents written testimony regarding SB 704 (EXHIBIT B). |
|
085 |
Morrisette |
Asks if inmates continue taking prescribed medication after they leave the corrections system. |
|
090 |
Tolan |
Answers question. |
|
100 |
Sen. Kruse |
Asks if the relationship between doctors and patients changes after a patient has been incarcerated. |
|
106 |
Nikkel |
Responds. |
|
112 |
Sen. Kruse |
Comments on inmates not taking medications properly before they enter into corrections. Asks what the continuity of the relationship is after patients leave the corrections system or the state hospital. |
|
127 |
Tolan |
Answers question. |
|
142 |
Chair Monnes Anderson |
States they she has questions for Tolan, but would like Sen. Margaret Carter to testify first. |
|
147 |
Sen. Margaret Carter |
Senate District 22. Testifies in support of SB 704 with the -2 amendments. |
|
196 |
Chair Monnes Anderson |
Asks Sen. Carter to view testimony from Tolan. Asks Tolan to clarify after thirty (30) days mentally ill inmates receive different medications. |
|
210 |
Tolan |
Responds. |
|
245 |
Sen. Carter |
Comments on the intent of the bill relating to regulations of medications. |
|
256 |
Chair Monnes Anderson |
Remarks that if another amendment is drafted with Tolan’s suggestions, she would like Sen. Carter to review it. |
|
258 |
Sen. Carter |
Refers to page five (5) of EXHIBIT B. States that she will agree to the drafting on an amendment. |
|
261 |
Sen. Morrisette |
Comments on the Department of Corrections being willing to extend prescriptions from thirty (30) to sixty (60) days. Asks Sen. Carter if the sixty (60) days to find a physician should be in statute. |
|
270 |
Sen. Carter |
Answers question. |
|
272 |
Sen. Morrisette |
Comments on a continuity issue raised by a constituent. |
|
273 |
Sen. Carter |
Discusses the issue of continuity once an inmate leaves. |
|
280 |
Chair Monnes Anderson |
States that the work session on SB 704 will be held at the next committee meeting. |
|
284 |
Sen. Kruse |
Comments on concerns of the proposed amendment to SB 704 by Tolan. |
|
290 |
Sen. Carter |
States that she would rather have the -2 amendments to SB 704. |
|
295 |
Tolan |
Addresses concerns about the proposed changes to SB 704. |
|
320 |
Chair Monnes Anderson |
Asks about the fiscal impact of the -2 amendments and Tolan’s proposed changes. |
|
326 |
Tolan |
Responds. |
|
333 |
Sen. George |
Asks Tolan if his proposed changes reflect current practice. |
|
336 |
Tolan |
Affirms. |
|
340 |
Sen. George |
Asks if the bill would still be necessary. |
|
341 |
Tolan |
Discusses how it is needed. |
|
343 |
Sen. George |
Asks Tolan if he is referring to the -2 amendments. |
|
344 |
Tolan |
Responds. |
|
345 |
Sen. George |
Asks question regarding current procedures. |
|
346 |
Tolan |
Responds. |
|
347 |
Sen. George |
Discusses concerns with the -2 amendments to SB 704. Asks how much discretion the Department of Corrections has to change the original prescription in the -2 amendments. |
|
360 |
Nikkel |
Responds to question. |
|
382 |
Sen. George |
States concerns with the -2 amendments to SB 704. |
|
395 |
Chair Monnes Anderson |
States that she would like an amendment to be drafted with Tolan’s suggestions. |
|
410 |
Tom Holt |
Oregon State Pharmacy Association. Testifies in opposition to SB 704 and the -2 amendments. Provides suggestions. |
|
440 |
Angela Kimble |
Association of Oregon Community Mental Health Programs. Testifies in support of SB 704 with the -2 amendments. Presents concerns with the -2 amendments. |
|
TAPE 63, A |
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|
010 |
Chair Monnes Anderson |
Comments on the bill. Closes the public hearing on SB 704 and opens a public hearing on SB 1035. |
|
SB 1035 – PUBLIC HEARING |
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|
015 |
Rick Berkobien |
Committee Administrator. Explains the bill. |
|
028 |
Chair Monnes Anderson |
Seeing no witnesses, closes the public hearing and opens a work session on SB 1035. |
|
SB 1035 – WORK SESSION |
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|
030 |
Sen. Kruse |
MOTION: Moves SB 1035 to the floor with a DO PASS recommendation. |
|
035 |
Sen. Kruse |
Comments on his support of the bill. |
|
037 |
|
VOTE: 4-0-1 EXCUSED: 1 - Sen. Courtney |
|
|
Chair Monnes Anderson |
Hearing no objection, declares the motion CARRIED. SEN. KRUSE will lead discussion on the floor. |
|
040 |
Chair Monnes Anderson |
Closes the work session on SB 1035 and opens a public hearing on SB 824. |
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SB 824 – PUBLIC HEARING |
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|
045 |
Rick Berkobien |
Committee Administrator. Explains SB 826 and introduces the -3 amendments (EXHIBIT C). |
|
055 |
Barney Speight |
Administrator, Office of Medical Assistance Programs, Oregon Department of Human Services (DHS). Testifies in support of SB 824 with the -3 amendments. |
|
058 |
Chair Monnes Anderson |
Closes the public hearing and opens a work session on SB 824. |
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SB 824 – WORK SESSION |
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|
072 |
Sen. Kruse |
MOTION: Moves to ADOPT SB 824-3 amendments dated 4/21/05. |
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|
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VOTE: 5-0-0 |
|
|
Chair Monnes Anderson |
Hearing no objection, declares the motion CARRIED. |
|
072 |
Sen. Kruse |
MOTION: Moves SB 824 to the floor WITHOUT RECOMMENDATION as to passage and BE REFERRED to the committee on Ways and Means. |
|
074 |
Sen. Kruse |
Comments on SB 824 being referred bill going to the committee on Ways and Means. |
|
075 |
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VOTE: 5-0-0 |
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|
|
Chair Monnes Anderson |
Hearing no objection, declares the motion CARRIED. |
|
076 |
Chair Monnes Anderson |
Closes the work session on SB 824 and opens a work session on SB 1035 for the purpose of allowing Sen. Courtney to vote. |
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SB 1035 – WORK SESSION |
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|
080 |
Sen. Kruse |
MOTION: Requests unanimous consent that the rules be SUSPENDED to allow SEN. COURTNEY to BE RECORDED as voting AYE on the "Moves SB 1035 to the floor with a DO PASS recommendation." |
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|
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VOTE: 5-0-0 |
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|
Chair Monnes Anderson |
Hearing no objection, declares the motion CARRIED. |
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|
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VOTE: 5-0-0 |
|
|
Chair Monnes Anderson |
Hearing no objection, declares the motion CARRIED. (Note: See Tape 63 A at 030, page 3 of this document.) |
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|
085 |
Chair Monnes Anderson |
Closes the work session on SB 1035 and opens a public hearing on SB 502. |
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SB 502 – PUBLIC HEARING |
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|
090 |
Rick Berkobien |
Committee Administrator. Explains SB 502 and introduces the -3 amendments (EXHIBIT D). |
|
018 |
Chair Monnes Anderson |
Asks Lynn-Marie Crider to explain the rate setting system |
|
120 |
Lynn-Marie Crider |
Service Employees International Union, Local 49. Explains the rate setting system and the -3 amendments to SB 502. |
|
140 |
Chair Monnes Anderson |
Asks for clarification that rates will be the same for Medicare and Medicaid and will decrease for commercial rates. |
|
154 |
Crider |
Responds. |
|
160 |
Chair Monnes Anderson |
Asks Crider if fees for the review board will be taken out of provider rates. |
|
165 |
Crider |
Explains the fees. |
|
185 |
Scott Gallant |
Oregon Medical Association. Submits and presents written testimony in opposition to SB 502 (EXHIBIT E). |
|
215 |
Chair Monnes Anderson |
States that a work session on SB 502 will not be held today. Closes the public hearing on SB 502 and opens a public hearing on SB 504. |
|
SB 504 – PUBLIC HEARING |
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|
220 |
Rick Berkobien |
Committee Administrator. Explains the bill and introduces the -3 amendments to SB 504 (EXHIBIT F). |
|
260 |
Lynn-Marie Crider |
Services Employees International Union, Local 49. Testifies in support of SB 504 with the -3 amendments. |
|
313 |
Chair Monnes Anderson |
Refers to page one (1), lines thirteen (13) through twenty-one (21) of SB 504. Asks Crider to comment on the assessment tests. |
|
323 |
Crider |
Responds. Explains that an income test could be substituted. |
|
330 |
Chair Monnes Anderson |
Asks Crider a question regarding hospitals’ plans and percentage of the poverty level. |
|
350 |
Crider |
Answers question. States possible concerns and solutions. |
|
390 |
Chair Monnes Anderson |
Comments on concerns from other hospitals of rural hospitals. |
|
400 |
Crider |
Explains how self pay varies around the state, including rural areas. |
|
416 |
Chair Monnes Anderson |
Asks Crider a question regarding comparison of other related hospital bills. |
|
425 |
Crider |
Answers that the transparency bills are each separate issues. |
|
446 |
Chair Monnes Anderson |
States possible concerns with SB 504. |
|
TAPE 62, B |
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|
005 |
Crider |
Comments on the Oregon Health Plan and the need of SB 504 with the -3 amendments. |
|
015 |
Chair Monnes Anderson |
States agreement with Crider. State possible concerns regarding Oregon hospitals. |
|
019 |
Crider |
Speaks about low income patients. |
|
026 |
Sen. Morrisette |
Comments on a section being deleted in the SB 504 by an amendment. |
|
029 |
Crider |
Explains why the section was deleted. |
|
031 |
Sen. Morrisette |
Asks about a possible fiscal impact. |
|
035 |
Crider |
Responds. |
|
036 |
Chair Monnes Anderson |
Asks Crider to clarify that data would be collected by the Health Policy and Research Commission. |
|
037 |
Crider |
Answers, no, |
|
040 |
Sen. George |
Asks Crider to comment regarding the liability of the hospitals. |
|
045 |
Crider |
Responds. |
|
054 |
Sen. Kruse |
Clarifies comment made by Crider regarding passed legislation. |
|
057 |
Crider |
Disputes Sen. Kruse’s comment. |
|
060 |
Sen. Kruse |
Clarifies that children and pregnant women were covered. |
|
063 |
Crider |
States agreement that they were covered, but no one else. |
|
064 |
Sen. Kruse |
Adds that more funding was available. |
|
065 |
Chair Monnes Anderson |
Closes the public hearing on SB 504 and adjourns the meeting at 2:09 p.m. |
EXHIBIT SUMMARY
A. SB 704, -2 amendments, staff, 1 p
B. SB 704, written testimony, Arthur Tolan, 5 pp
C. SB 824, -3 amendments, staff, 1 p
D. SB 502, -3 amendments, staff, 3 pp
E. SB 502, written testimony, Scott Gallant, 2 pp
F. SB 504, -3 amendments, staff, 5 pp