SENATE COMMITTEE ON HUMAN SERVICES

 

 

March 29, 2005                                                                                                       Hearing Room D

3:00 P.M.                                                                                                                     Tapes  44 - 45

 

MEMBERS PRESENT:         Sen. Bill Morrisette, Chair

Sen. Jeff Kruse, Vice-Chair

Sen. Rick Metsger

Sen. Laurie Monnes Anderson

Sen. Charles Starr

 

STAFF PRESENT:                 Rick Berkobien, Committee Administrator

Brittany Kenison, Committee Assistant

 

MEASURES/ISSUES HEARD:

SB 443 – Public Hearing

SB 605 – Public Hearing

SB 778 – Public Hearing and 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 44, A

003

Chair Morrisette

Calls the meeting to order at 3:08 p.m.  Opens a public hearing on SB 443.

SB 443 – PUBLIC HEARING

010

Rick Berkobien

Committee Administrator.  Explains the bill and introduces the -2 amendments (EXHIBIT A).

025

Sen. Alan Bates

Senate District 3.  Testifies in support of SB 443 with the -2 amendments.

055

Sen. Bates

Discusses desire to revise the -2 amendments.

062

Sen. Ben Westlund

Senate District 27.  Testifies in support of SB 443 with the -2 amendments.

105

Sen. Monnes Anderson

Asks if the bill would take into account nurses and physician assistants.

112

Sen. Westlund

Answers question.

115

Sen. Bates

Provides further explanation.

130

Bill Markam

Former State Representative.  Testifies in support of SB 443.

135

Sen. Kruse

Refers to the -2 amendments, section one (1), line five (5) through ten (10).  Asks why the definition of health clinic is added if it is already in statute.

160

Sen. Bates

Notes that the -2 amendments were just released, and he has not had time to review them.

170

Sen. Kruse

Comments on the need to make sure that the definition is not being changed.

171

Sen. Bates

States that he agrees with Sen. Kruse’s comment.  States that he will make the change.

174

Sen. Westlund

Comments on the language of the bill.

180

Sen. Kruse

Discusses possible effects of the definition.

190

Kathleen Haley

Executive Director, Oregon Board of Medical Examiners.  Testifies in support of SB 443 with the -2 amendments. 

200

Chair Morrisette

Asks if Haley would support the expansion of similar bills.

205

Haley

States that she cannot comment.

225

Ron Carver

M.D.  Medical Director, Volunteers in Medicine Clinic of the Cascades, Bend, Oregon.  Submits and presents written testimony in support of SB 443 (EXHIBIT B).

275

Carver

Continues testifying in support of SB 443.

325

Carver

Continues testifying in support of SB 443.

355

Sen. Monnes Anderson

Asks if there is an issue with volunteers who are not retired.

367

Carver

Answers question.

385

Chair Morrisette

Asks Haley to comment on adding volunteers who are not retired to the bill.

393

Haley

Explains the position of the Oregon Board of Medical Examiners and addresses how SB 443 with the -2 amendments will accomplish the Chair’s suggestion.

410

Chair Morrisette

Asks to confirm which bill Haley is referring to.

412

Haley

Answers, SB 443 with the -2 amendments.

415

Chair Morrisette

Clarifies that without the -2 amendments, Carver’s suggestion cannot be done.

420

Haley

Affirms.

422

Chair Morrisette

Asks if she would support Carver’s suggestion added to the bill.

430

Haley

Answers question.

440

Carver

Comments on the licensing fees Haley referred to.

445

Haley

Remarks that the bill would not require the examination Carver referred to.

TAPE 45, A

003

Sen. Kruse

Comments on the intent of the bill.

007

Sen. Monnes Anderson

States that she is in support of the bill.  Comments on Carver’s suggestions. States that she would like to monitor the progress first.

017

Chair Morrisette

States that he would like to consider Carver’s comments as a bill, instead of an amendment.  Closes the public hearing on SB 443 and opens a public hearing on SB 605.

SB 605 – PUBLIC HEARING

040

Barney Speight

Administrator, Office of Medial Assistance Programs (OMAP).  Testifies with a neutral position to SB 605 and introduces the -2 amendments (EXHIBIT C).

065

Sen. Kruse

Refers to line eighteen (18) of the bill. Asks about intent of the language used.

070

Speight

Provides explanation.

098

Sen. Kruse

Clarifies the question and which language he was referring to.  Provides an example.

110

Speight

States that he cannot answer.  States agreement that there may be some unclear definitions.

118

Sen. Monnes Anderson

Discusses clinics and the different types of patients they serve.

130

Sen. Ben Westlund

Senate District 27.  States that he will receive clarification for SB 605 regarding Sen. Monnes Anderson’s concern.

140

Sen. Kruse

Discusses the wording that makes the language unclear.

147

Sen. Westlund

Comments on the language Sen. Kruse referred to.

150

Sen. Speight

Provides further explanation.

160

Chair Morrisette

Asks about the fiscal impact for SB 605.

165

Speight

States that with the deletion of lines 8-10, there will be no fiscal impact.

170

Chair Morrisette

Closes the public hearing on SB 605 and stands the meeting at ease.

175

Chair Morrisette

Reconvenes the meeting.  Opens a public hearing on SB 778.

SB 778 – PUBLIC HEARING

177

Rick Berkobien

Committee Administrator.  Introduces the -3 amendments (EXHIBIT D).

180

Rep. Tom Butler

House District 60.  Testifies in support of SB 778 with the -3 amendments.

240

Irv Fletcher

Legislative Assistant, Representative Brad Witt, House District 31.  Submits and presents written testimony on behalf of Rep. Witt in support of SB 778 (EXHIBIT E).

260

Rep. George Gilman

House District 55.  Testifies in support of SB 778.

285

Ed Patterson

Executive Director, Oregon Rural Health Association.  Submits and presents written testimony in support of SB 778 with the -3 amendments (EXHIBIT F).

340

Sen. Kruse

Comments on the different laws and regulations used in the bill.

345

Patterson

Comments on the process in the Legislative Counsel office.  Continues to testify in support of SB 778 with the -3 amendments.

395

Patterson

Continues to testify in support of SB 778 with the -3 amendments.

445

Patterson

Continues to testify in support of SB 778 with the -3 amendments.

TAPE 44, B

003

Karen Whitaker

Director, Office of Rural Health, Oregon Health and Science University (OHSU).  Submits and presents written testimony in support of SB 778 with the -3 amendments (EXHIBIT G).

035

Chair Morrisette

Comments that they have been working with the Oregon Department of Transportation.  Discusses how traffic will increase over the next few years.

050

Whitaker

Affirms Chair’s statement.  Elaborates on why deaths occur on rural roads.

085

Whitaker

Continues to testify in support of SB 778 with the -3 amendments.

135

Whitaker

Continues to testify in support of SB 778 with the -3 amendments.

185

Whitaker

Addresses concerns about funding sources for SB 778.

190

Chair Morrisette

Comments on prior discussions about a foundation grant for rural areas in the Southwest section of the United States.  Discusses finding and investing grants for Oregon’s rural areas.

250

Sen. Kruse

Comments on the intent of the bill.

270

Donald Nyberg

MD, Health Facilities Consultant.  Testifies in support of SB 778.  Discusses the review process and results for hospitals.

320

Nyberg

Continues discussing the review process and results for hospitals in Oregon.

370

Nyberg

Continues discussing the review process and results for hospitals in Oregon.

430

Nyberg

Concludes testimony.

TAPE 45, B

003

Chair Morrisette

Comments on the rural hospitals and Nyberg’s testimony.

020

Ken Armstrong

Oregon Volunteer Fire Fighters Association.  Testifies in support of SB 778.

035

Ellen Lowe

Legislative Advocate, Oregon Food Bank. Low Income Clients of the Oregon Law Center. United Way of the Columbia/Willamette.  Testifies in support of SB 778.

065

Chair Morrisette

States that Lowe should convey her feelings to Sen. Monnes Anderson when she returns.

075

Angie Dukes

Coalition for a Healthier Oregon.  Testifies in opposition to SB 778.

085

Charles Crispin

M.D., Pediatrician, Grants Pass, Oregon.  Testifies in opposition to SB 778.

150

Chair Morrisette

States that the bill will have to be referred to the Ways and Means committee.

158

Sen. Kruse

Comments that money from the tobacco tax will not be used.  Comments on funding sources.

175

Ruby Haughton

CareOregon, Inc.  Testifies in opposition to SB 778. States concerns with the bill.

255

Chair Morrisette

Discusses a new program with the Ford Foundation which distributes grants to rural areas.

262

Haughton

Continues to testify in opposition to SB 778.

265

Chair Morrisette

Speaks about the bill relating to solving the wrap-around payment issue. Closes the public hearing and opens a work session on SB 778.

SB 778 – WORK SESSION

275

Sen. Kruse

MOTION:  Moves to ADOPT SB 778-3 amendments dated 3/24/05.

279

Sen. Monnes Anderson

States why she will vote aye for the bill, but that it does not ensure that the bill will find guaranteed funding.

287

Chair Morrisette

Comments on Ellen Lowe’s concerns.

292

 

VOTE:  5-0-0

 

Chair Morrisette

Hearing no objection, declares the motion CARRIED.

294

Sen. Kruse

MOTION:  Moves SB 778 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 Morrisette

Hearing no objection, declares the motion CARRIED.

305

Chair Morrisette

Closes the work session on SB 778 and adjourns the meeting at 5:02 p.m.

 

 

EXHIBIT SUMMARY

 

A.     SB 443, -2 amendments, staff, 2 pp

B.     SB 443, written testimony, Ron Carver, 18 pp

C.     SB 605, -2 amendments, Barney Speight, 1 p

D.    SB 778, -3 amendments, staff, 2 pp

E.     SB 778, written testimony of Rep. Brad Witt, Irv Fletcher, 1 p

F.      SB 778, written testimony, Ed Patterson, 8 pp

G.    SB 778, written testimony, Karen Whitaker, 6 pp