SENATE COMMITTEE ON HEALTH POLICY

 

April 27, 2005                                                                                                         Hearing Room B

1:00 P.M.                                                                                                                      Tapes 64 - 66

Corrected 10/25/05

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 503 – Public Hearing

SB 501 – Public Hearing and Work Session

SB 541A – Public Hearing and Work Session

SB 819 – Work Session

SB 704 – Work Session

SB 490A – Work Session

 

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 64, A

003

Chair Monnes Anderson

Calls the meeting to order at 1:06 p.m.  Opens a public hearing on SB 503.

SB 503 - PUBLIC HEARING

005

Rick Berkobien

Committee Administrator.  Explains SB 503 and introduces the -5 amendments (EXHIBIT A) and the -8 amendments (EXHIBIT B).

068

Lynn-Marie Crider

Service Employees International Union (SEIU), Local 49.  Testifies in support of SB 503 with the -8 amendments.

105

Crider

Testifies in opposition to the -5 amendments to SB 503.

125

Bruce Bishop

Oregon Association of Hospitals and Health Systems.  Testifies in support of SB 503 with the -5 amendments.

155

Bishop

Testifies in opposition to the -8 amendments to SB 503.

170

Sen. Morrisette

Asks if an existing clinic will be able to able to expand under Certificate Of Need (CON) process.

172

Bishop

Answers question.

180

Sen. Morrisette

Asks if the clinics would be grandfathered into the process if the -5 amendments to SB 503 passed.

185

Bishop

Responds that the -5 amendments apply to new facilities.

192

Sen. Morrisette

States concerns on the impact of new facilities.

195

Bishop

Comments on the new facilities.

215

Mike Crew

Attorney, Lake Oswego, Oregon.  Submits and presents written testimony in opposition to SB 503 with the -5 amendments and the -8 amendments (EXHIBIT C).

265

Crew

Continues testimony.

300

William Mooney

President, Oregon Hematology Oncology Associates (OHOA).  Testifies in opposition to SB 503.

350

Mooney

Continues to testify in opposition to SB 503.

390

Sen. Morrisette

Asks if Oregon Health and Science University (OHSU) is a cancer center.

395

Mooney

Responds.

403

Susan Nance

Nurse Administrator, Bend Surgery Center, Bend, Oregon.  President, Oregon Ambulatory Surgery Association.  Submits and presents written testimony in opposition to SB 503 with the -5 amendments and the -8 amendments (EXHIBIT D).

TAPE 65, A

010

Nance

Continues testimony.

030

Chair Monnes Anderson

Asks Nance if the Ambulatory Surgical Center is allowed to turn anyone away.

035

Nance

Responds.

045

Chair Monnes Anderson

Asks if the hours of the Bend Surgical Center have daytime business hours.

046

Nance

Answers, yes.

058

David Fryefield

M.D., Radiation Oncologist.  Medical Director, Willamette Valley Cancer Center, Eugene, Oregon.  Testifies in opposition to SB 503.

089

Sen. Morrisette

Asks Fryefield if he has written testimony.

090

Fryefield

Answers, no.

092

Sen. Morrisette

Asks Fryfield what the significance is of age 85 that he spoke of.

096

Fryefield

Responds.  Continues to testify in opposition to SB 503.

122

Michael McKay

Citizen, Springfield, Oregon.  Testifies in opposition to SB 503.  Shares his experience with cancer and the treatment he received.

185

Sen. George

Comments on McKay’s personal testimony.

196

Chair Monnes Anderson

Explains that the CON process would not affect the facility that McKay attends.

199

Sen. Morrisette

Verifies that it would affect the ability to expand or add another site.

202

Fryefield

Responds.

204

Chair Monnes Anderson

Clarifies that the CON process would affect new facilities only.

208

Judy Corwin

Representative, The Corvallis Clinic.  Submits and presents written testimony in opposition to SB 503 (EXHIBIT E).

260

Corwin

Continues to testify in opposition to SB 503.

315

John Erkkila

Orthopedic Surgeon, Corvallis, Oregon.  Submits and presents written testimony in opposition to SB 503 (EXHIBIT F).

400

Erkkila

Continues to testify in opposition to SB 503.

TAPE 64, B

005

Doug Walta

M.D., The Oregon Clinic.  Submits and presents written testimony in opposition to SB 503 (EXHIBIT G).

065

Craig Fausel

M.D., Executive Vice President, The Oregon Clinic.  Submits and presents written testimony in opposition to SB 503 (EXHIBIT H).

105

Scott Gallant

Oregon Medical Association.  Submits and presents written testimony in opposition to SB 503 (EXHIBIT I).

147

Paul Cosgrove

Oregon Ambulatory Surgical Center.  Testifies in opposition to SB 503.

165

Chair Monnes Anderson

Asks Barney Speight to describe the history of the Oregon CON process.

170

Barney Speight

Administrator, Oregon Medical Assistance Programs (OMAP).  States that he is testifying on behalf of the Director, Department of Human Services (DHS).  Discusses the history of the CON process. 

240

Speight

Testifies with a neutral position to SB 503.

275

Sen. Morrisette

Comments on the CON process in the Portland area.  Asks to comment on the process in Multnomah county.

293

Speight

Responds.

305

Sen. Morrisette

States that he would like the information that Speight referred to.

310

Speight

Offers to return the information to the committee.

312

Chair Monnes Anderson

Discusses concerns that need to be addressed in SB 503.

320

Speight

Comments on the need for clarification of the effective date.

325

Chair Monnes Anderson

States her agreement with Speight.  Discusses other concerns that need to be addressed before a work session is held.

333

Speight

Explains why a statutory definition would be more effective than a rules definition.

355

Chair Monnes Anderson

Comments on the concerns of the fees related to the CON process.

362

Speight

States that he will work with the Health Division.

365

Chair Monnes Anderson

Discusses concern that the length of time and the appeals process needs to be clarified.  States that the meeting will reconvene at 5:00 p.m.

380

Speight

States that he will try to obtain information in time for the 5:00 p.m. meeting.

384

Sen. George

Asks Speight if he agrees that Oregon’s facilities provide the lowest healthcare costs.

387

Speight

Asks Sen. George to clarify what types of facilities he is referring to.

389

Sen. George

Provides clarification.

390

Speight

Responds to Sen. George’s question regarding Oregon’s healthcare costs.

400

Sen. George

Asks Speight to verify that the facilities do not need SB 503.

405

Speight

Responds.

410

Sen. Kruse

Comments on why he opposes the bill.

427

Chair Monnes Anderson

Closes the public hearing on SB 503 and opens a public hearing on SB 501.

SB 501 – PUBLIC HEARING

450

Rick Berkobien

Committee Administrator.  Explains SB 501 and introduces the -2 amendments (EXHIBIT J).

470

Megan Sweeny

Service Employees International Union (SEIU).  Submits and presents written testimony in support of SB 501 with the -2 amendments (EXHIBIT K).

TAPE 65, B

030

Laurie Long

HealthNet Health Plans, Oregon.  Testifies in support of SB 501 with the -2 amendments.

045

John Powell

Regence BlueCross BlueShield - Oregon.  Testifies in support of SB 501 with the -2 amendments.

050

Walt Samodurov

Director of Underwriting, HealthNet Health Plans, Oregon.  Testifies in support of SB 501 with the -2 amendments.

060

Powell

Urges passage of SB 501 with the -2 amendments.  States that there are a few technical changes needed.

064

Chair Monnes Anderson

Asks to explain what the changes are.

067

Long

Provides explanation.

100

Chair Monnes Anderson

States that the she will carry over the bill to the meeting on Friday, April, 29, 2005. 

105

Morrisette

Asks Long to clarify why the change is needed on page two (2), line eleven (11) of SB 501.

108

Long

Responds.

115

Sen. Morrisette

Clarifies the intent of the change.

117

Long

Affirms Sen. Morrisette’s clarification.

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

 

Shannon Callahan

Staff Attorney.  Consumer Advocate, Oregon State Public Interest Research Group (OSPIRG).  Submits written testimony in support of SB 501 (EXHIBIT L).

120

Chair Monnes Anderson

Submits written testimony from Jim Davis, Oregon Association for Retired Citizens and the United Seniors of Oregon, in support of SB 501 (EXHIBIT M).  Closes the public hearing on SB 501 and opens a work session on SB 541A.

SB 541A – WORK SESSION

125

Rick Berkobien

Explains the bill.  Introduces the –A3 amendments to SB 541A (EXHIBIT N).

145

Sen. Morrisette

MOTION:  Moves to ADOPT SB 541A-A3 amendments dated 4/26/05.

 

 

VOTE:  5-0-0

 

 

 

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

158

Sen. Morrisette

MOTION:  Moves SB 541A to the floor with a DO PASS AS AMENDED recommendation and the SUBSEQUENT REFERRAL to the committee on Ways and Means BE RESCINDED.

158

Sen. Morrisette

VOTE:  5-0-0

AYE:               5 - George, Kruse, Morrisette, President Courtney, Monnes Anderson

 

Chair Monnes Anderson

The motion CARRIES.

SEN. MORSE will lead discussion on the floor.

160

Chair Monnes Anderson

Closes the work session on SB 541A and opens a work session on SB 819.

SB 819 – WORK SESSION

 

Rick Berkobien

Committee Administrator.  Introduces the -3 amendments to SB 819 (EXHIBIT O).

165

Sen. Kruse

MOTION:  Moves to SUSPEND the rules for the purpose of reconsidering the vote on adoption of the SB 819-1 amendments on April 8.

 

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

170

Sen. Kruse

MOTION:  Moves to RECONSIDER the vote by which "the -1 amendments were adopted to SB 819 on April 8th 2005".

 

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

180

Sen. Kruse

MOTION:  Moves to ADOPT SB 819-3 amendments dated 4/27/05.

189

Sen. Kruse

Comments on the intent of the -3 amendments to SB 819.

195

Sen. George

Asks to clarify that the -3 amendments replace SB 819.

196

Chair Monnes Anderson

Answers, yes.

200

Sen. George

Asks for the -3 amendments to SB 819 be explained.

207

Chair Monnes Anderson

Asks Sen. Ben Westlund and Sen. Alan Bates to describe the -3 amendments to SB 819.

209

Sen. Ben Westlund

Senate District 27.  Explains the -3 amendments to SB 819.

215

Sen. Kruse

States that he supports the -3 amendments to SB 819.

238

Sen. Alan Bates

Senate District 3.  Explains section two (2) of the -3 amendments to SB 819.

 

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

240

Sen. Kruse

MOTION:  Moves SB 819 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means by prior reference.

 

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

264

Chair Monnes Anderson

Closes the work session on SB 819 and recesses the meeting at 2:56 p.m.

267

Chair Monnes Anderson

Reconvenes the meeting at 5:02 p.m.  Opens a work session on SB 704.

SB 704 – WORK SESSION

275

Chair Monnes Anderson

Introduces the -3 amendments to SB 704 (EXHIBIT P).  States that the bill will go to the committee on Ways and Means.

277

Sen. Kruse

Asks why the bill is being sent to the committee on Ways and Means.

280

Chair Monnes Anderson

States that the bill has a fiscal impact.

285

Sen. Kruse

Explains why he would dispute the fiscal impact.

295

Chair Monnes Anderson

Refers to the fiscal estimate received.  Asks Rick Berkobien to explain SB 704 and the -3 amendments.

310

Rick Berkobien

Committee Administrator.  Explains SB 704 and the -3 amendments.

318

Sen. Kruse

Comments on his concerns of the fiscal estimate and that it should not go to the committee on Ways and Means.

327

Chair Monnes Anderson

Discusses why the bill should go to the committee on Ways and Means.

334

Sen. Kruse

MOTION:  Moves to ADOPT SB 704-3 amendments dated 4/26/05.

 

 

VOTE:  3-0-2

EXCUSED:  2 - Courtney, George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

340

Sen. Kruse

MOTION:  Moves SB 704 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means.

 

 

VOTE:  3-0-2

EXCUSED:  2 - Courtney, George

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

349

Chair Monnes Anderson

Closes the work session on SB 704 and opens a work session on SB 490A.

SB 490A – WORK SESSION

354

Rick Berkobien

Committee Administrator.  Explains SB 490A and introduces the –A2 amendments (EXHIBIT Q).

364

Chair Monnes Anderson

Clarifies the intent of the bill and the amendment.

372

Sen. Kruse

MOTION:  Moves to ADOPT SB 490A-A2 amendments dated 4/25/05.

 

 

VOTE:  4-0-1

EXCUSED:  1 - Courtney

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

376

Sen. Kruse

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

 

 

 

 

 

VOTE:  4-0-1

EXCUSED:  1 - Courtney

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

SEN. MONNES ANDERSON will lead discussion on the floor.

384

Chair Monnes Anderson

Closes the work session.  Stands the meeting at ease.

410

Chair Monnes Anderson

Calls the meeting back to order.  Opens a work session on SB 704 for the purpose of allowing Sen. Courtney and Sen. George to vote.

SB 704 – WORK SESSION

415

Sen. Kruse

MOTION:  Requests unanimous consent that the rules be SUSPENDED to allow SEN. COURTNEY AND SEN. GEORGE to BE RECORDED as voting AYE on the " Motion to move SB 704 to the floor with a DO PASS AS AMENDED recommendation and BE REFERRED to the committee on Ways and Means.".

420

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

 

 

VOTE:  5-0-0

422

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

(Note: See Tape 65, B at 334 of this document.)

 

 

 

428

Chair Monnes Anderson

Closes the work session on SB 704.  Opens a work session on SB 490A for the purpose of allowing Sen. Courtney to vote.

SB 490A – WORK SESSION

430

Sen. Kruse

MOTION:  Requests unanimous consent that the rules be SUSPENDED to allow SEN. COURTNEY to BE RECORDED as voting AYE on the "Motion to move SB 490A to the floor with a DO PASS AS AMENDED recommendation.".

 

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

431

 

VOTE:  5-0-0

 

Chair Monnes Anderson

Hearing no objection, declares the motion CARRIED.

(Note: See Tape 65, B at 372 of this document.)

432

Chair Monnes Anderson

Closes the work session on SB 490A and opens a work session on SB 501.

TAPE 66, A

SB 501 – WORK SESSION

003

Rick Berkobien

Committee Administrator.  Explains SB 501 and introduces the -4 amendments (EXHIBIT R).

010

Sen. Morrisette

MOTION:  Moves to ADOPT SB 501-4 amendments dated 4/28/05.

020

 

VOTE:  4-1-0

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

NAY:               1 - George

 

 

 

 

Chair Monnes Anderson

The motion CARRIES.

030

Sen. Morrisette

MOTION:  Moves SB 501 to the floor with a DO PASS AS AMENDED recommendation and the SUBSEQUENT REFERRAL to the committee on Ways and Means BE RESCINDED.

045

Sen. Kruse

States why he opposes SB 501.

055

Chair Monnes Anderson

Discusses the intent of the bill.

080

 

VOTE:  3-2-0

AYE:               3 - Morrisette, President Courtney, Monnes Anderson

NAY:               2 - George, Kruse

 

Chair Monnes Anderson

The motion CARRIES.

SEN. MONNES ANDERSON will lead discussion on the floor.

085

Sen. Courtney

Speaks about the referrals he considers for rescinding the bill from the committee on Ways and Means.

100

Chair Monnes Anderson

Comments that the “review team” was removed from the bill.  Closes the work session on SB 501 and adjourns the meeting at 5:25 p.m.

 

EXHIBIT SUMMARY

 

A.     SB 503, -5 amendments, staff, 8 pp

B.     SB 503, -8 amendments, staff, 9 pp

C.     SB 503, written testimony, Mike Crew, 2 pp

D.    SB 503, written testimony, Susan Nance, 4 pp

E.     SB 503, written testimony, Judy Corwin, 3 pp

F.      SB 503, written testimony, John Erkkila, 3 pp

G.    SB 503, written testimony, Douglas Walta, 7 pp

H.    SB 503, written testimony, Craig Fousel, 5 pp

I.       SB 503, written testimony, Scott Gallant, 7 pp

J.      SB 501, -2 amendments, staff, 2 pp

K.    SB 501, written testimony, Megan Sweeny, 1 p

L.     SB 501, written testimony of Shannon Callahan, staff, 1 p

M.  SB 501, written testimony, Jim Davis, 2 pp

N.    SB 541, -A3 amendments, staff, 1 p

O.    SB 819, -3 amendments, staff, 4 pp

P.      SB 704, -3 amendments, staff, 1 p

Q.    SB 490, -A amendments, staff, 1 p

R.    SB 501, -4 amendments, staff, 2 pp