SENATE COMMITTEE ON HUMAN SERVICES

 

 

February 17, 2005                                                                                                   Hearing Room D

3:00 P.M.                                                                                                                     Tapes  20 - 21

 

MEMBERS PRESENT:         Sen. Bill Morrisette, Chair

Sen. Jeff Kruse, Vice-Chair

Sen. Laurie Monnes Anderson

Sen. Charles Starr

 

MEMBER EXCUSED:          Sen. Rick Metsger

 

STAFF PRESENT:                 Rick Berkobien, Committee Administrator

Brittany Kenison, Committee Assistant

 

MEASURES/ISSUES HEARD:

SB 540 – Public Hearing

Oregon Health Plan: Quality assurance and consumer satisfaction with fully capitated health plans – Informational Meeting.

 

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 20, A

005

Chair Morrisette

Calls the meeting to order at 3:03 p.m.  Opens public hearing on SB 540.

SB 540 – PUBLIC HEARING

008

Rick Berkobien

Committee Administrator.  Explains bill.

035

Steve Manela

Director, Community Health Centers of Lane County.  Submits and presents informational handout on Federally Qualified Health Centers (FQHC) “wrap around” payments (EXHIBIT A).  Also testifies in support of SB 540.

075

Chair Morrisette

Asks Manela to explain “LIPA” and “OMAP.”

080

Manela

Answers that OMAP stands for the Office of Medical Assistance and LIPA stands for Lane Independent Practitioners Association.

085

Manela

Explains the process for receiving payments from multiple organizations.

120

Manela

Discusses issues in lag time in wrap around payments for the FQHC’s.

145

Manela

Addresses goals and possible solutions to help with possible cash flow.

155

Manela

Summarizes and concludes.

180

Sen. Monnes Anderson

Clarifies that the community centers in Lane County do not do electronic billing.

185

Manela

Answers that yes they do with OMAP.

190

Jim Marr

Oregon Primary Care Association (OPCA).  Submits and presents written testimony on behalf of Laura Sisulak, Director of Policy, OPCA (EXHIBIT B).

245

Gil Munoz

Executive Director, Virginia Garcia Memorial Health Center. Submits PowerPoint presentation on the health center (EXHIBIT C).

300

Munoz

Continues to provide information in support of SB 540.

380

Joy Soaras

Representative, CareOregon Inc. Submits and presents testimony on behalf of Margaret Crowley in support of SB 540 (EXHIBIT D).

TAPE 21, A

005

Dave Ford

Chief Executive Officer, CareOregon, Inc.  Testifies in support of SB 540.

050

Chair Morrisette

Comments on Ford’s testimony.  Asks if Ford volunteered to be a part of the work group.

058

Ford

Answers yes.

060

Sen. Kruse

Asks if dual eligible patients create difficulties.

065

Ford

Answers yes.

067

Sen. Kruse

Comments on the long term benefits to resolve the situation.

070

Ford

Agrees.  Elaborates.

073

Sen. Monnes Anderson

Asks if all clinics have electronic billing.

075

Ford

Answers that most clinics do.  Discusses consolidated billing.

100

Soaras

Explains that smaller clinics do not have electronic billing.  Elaborates.

104

Sen. Monnes Anderson

Asks Soaras if she knows the percentage who do not have electronic billing.

105

Soaras

Answers no.

106

Ford

Offers to return information to the committee.

110

Soaras

Asks if it is for all providers or for primary care only.

113

Monnes Anderson

Answers that it is for all providers.  Explains the beneficial use of electronic billing.  Mentions bill to be introduced addressing the issue.

120

Kruse

States what he would like to provide the non federally qualified centers.

122

Soaras

Affirms statement.

135

Ed Patterson

Executive Director, Rural Health Association.  Provides background on rural clinics in Oregon.  Testifies in support of SB 540.

160

Karen Whitaker

Vice Provost, Rural Health office, Oregon Health and Science University (OHSU).  Comments on the finished survey of rural health clinics.  Explains the difference of rural healthcare clinics versus urban.

180

Troy Soenen

Field Service Specialist, Rural Health office, OHSU.  States that he spent a summer with rural clinics across Oregon and expresses concerns with cash flow and reimbursement. 

215

Whitaker

States that she spoke with Barney Speight about the issue of the rural health clinics.

220

Chair Morrisette

Asks Soenen where his office is located.

222

Soenen

Answers that it is in Portland at the OHSU center for Rural Health.

225

Chair Morrisette

Asks Soenen if he would like to be part of a work group.

227

Soenen

Answers that he would like to attend.

230

Sen. Kruse

Expresses need to aggregate small rural health centers to be qualified for federal money.

240

Whitaker

Responds that it would be great idea and will look into pursuing it.

245

Chair Morrisette

Closes public hearing on SB 540.  Opens informational meeting on the Oregon Health Plan: Quality assurance and consumer satisfaction with fully capitated health plans.

OREGON HEALTH PLAN: QUALITY ASSURANCE AND CONSUMER SATISFACTION WITH FULLY CAPITATED HEALTH PLANS – INFORMATIONAL MEETING

255

Barney Speight

Administrator, Health Services, Office of Medical Health, Oregon Department of Human Services.  Submits written testimony related to reimbursement to Federally Qualified Health Centers and Rural Health Clinics (EXHIBIT E).

300

Speight

Provides overview of reimbursement process.

350

Speight

Continues to provide overview of reimbursement process.

410

Chair Morrisette

Refers to clinics without electronic billing or computers.  Asks if the lag time is due to paper billing.

425

Speight

Explains the issue with lag time.

TAPE 20, B

020

Chair Morrisette

Asks if he is aware of another model in other states

025

Speight

Answers that he is not aware and will speak with Ford.

035

Sen. Kruse

Clarifies that regulations state that Oregon’s Medical Assistance Program (OMAP) is to pay quarterly.

040

Speight

Answers that he will have to check on the regulations.  Provides further explanation on quarterly billing.

050

Speight

Summarizes and concludes.

055

Chair Morrisette

Comments on a future work group to address reimbursement issue.

068

Chair Morrisette

Closes informational meeting on the Oregon Health Plan: Quality assurance and consumer satisfaction with fully capitated health plans.  Adjourns meeting at 4:07 p.m.

 

 

EXHIBIT SUMMARY

 

A.     SB 540, informational handout, Steve Manela, 2 pp

B.     SB 540, written testimony of Laura Sisulak, Jim Marr, 3 pp

C.     SB 540, PowerPoint presentation, Gil Munoz, 5 pp

D.    SB 540, written testimony of Margaret Crowley, Joy Soaras, 1 p

E.     SB 540, healthcare, written testimony, Barney Speight, 3 pp