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.

 

TAPE/#

Speaker

Comments

TAPE 62, A

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

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

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

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

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.

SB 824 – PUBLIC HEARING

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.

SB 824 – WORK SESSION

072

Sen. Kruse

MOTION:  Moves to ADOPT SB 824-3 amendments dated 4/21/05.

 

 

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

 

VOTE:  5-0-0

 

 

 

 

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.

SB 1035 – WORK SESSION

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."

 

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

 

 

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.)

 

 

 

085

Chair Monnes Anderson

Closes the work session on SB 1035 and opens a public hearing on SB 502.

SB 502 – PUBLIC HEARING

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

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

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