SENATE COMMITTEE ON HUMAN SERVICES

 

 

April 26, 2005                                                                                                         Hearing Room D

3:00 P.M.                                                                                                                      Tapes 68 - 69

 

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 885 – Public Hearing and Work Session

SB 895 – Public Hearing and Work Session

SB 1026 – 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 68, A

004

Chair Morrisette

Calls the meeting to order at 3:10 p.m.  Opens a public hearing on SB 885.

SB 885 - PUBLIC HEARING

005

Rick Berkobien

Committee Administrator.  Explains SB 885 and introduces the -2 amendments (EXHIBIT A).

020

Roy Schear

Legislative Intern, Sen. Charlie Ringo, Senate District 17.  Testifies in support of SB 885.

030

Sue Abrams

Administrator, Office of Prevention and Transitional Benefits, Children, Adults and Families, Oregon Department of Human Services (DHS).  Submits and presents written testimony in opposition to SB 885 (EXHIBIT B).

034

Sen. Kruse

Asks question regarding a “full” waiver.

035

Abrams

Answers question.  States concerns regarding federal level.

042

Sen. Kruse

Asks how much time is involved in putting together a waiver.  Asks question regarding the sunset provision.

055

Abrams

Responds.

064

Schear

Speaks about the sunset provision and the waiver for DHS.

072

Sen. Kruse

Discusses possible changes to the sunset provision in SB 885.

085

Chair Morrisette

Asks Abrams why she is in opposition to the bill.

087

Abrams

Testifies why DHS is in opposition to the bill.

098

Chair Morrisette

Asks Abrams if she could estimate the fiscal impact.

100

Abrams

Answer, no.  Elaborates.

102

Chair Morrisette

Asks Abrams if she has any other objections to SB 885 other than a possible fiscal impact.

103

Abrams

Answers, no.

106

Berkobien

Asks question regarding DHS providing fiscal projections.

112

Abrams

Responds.

126

Sen. C. Starr

Asks if a fiscal statement has been received.

128

Berkobien

Answers, no.

129

Sen. C. Starr

Recommends that the bill should move to the Senate floor.

133

Sen. Morrisette

States that the Senate President’s Office will make the decision.  Asks Schear why the sunset provision is set for the year 2016.

143

Schear

Responds.

147

Chair Morrisette

Asks Sen. Kruse if the ten year sunset provision is too long.

154

Sen. Kruse

Responds.  Discusses concerns regarding the application process.

160

Abrams

Addresses Sen. Kruse’s concerns regarding the application process.

172

Sen. Kruse

Comments on the history of Oregon’s waiver application process.

185

Schear

States his understanding of the waiver acceptance and denial procedure.

195

Sen. Kruse

Comments on using discretion when applying for an annual waiver.

209

Chair Morrisette

States that a work session will be held.

215

Sen. Monnes Anderson

States why she is opposed to the bill.

235

Chair Morrisette

Closes the public hearing and opens a work session on SB 885.

SB 885 – WORK SESSION

238

Sen. Kruse

MOTION:  Moves to ADOPT SB 885-2 amendments dated 4/26/05.

240

Sen. Kruse

Comments regarding the ambiguity in the -2 amendments.

245

 

VOTE:  4-1-0

AYE:               4 - Metsger, Monnes Anderson, Starr C., Morrisette

NAY:               1 - Kruse

 

Chair Morrisette

The motion CARRIES.

248

Sen. Kruse

MOTION:  Moves SB 885 to the floor with a DO PASS AS AMENDED recommendation.

249

 

VOTE:  3-2-0

AYE:               3 - Metsger, Starr C., Morrisette

NAY:               2 - Kruse, Monnes Anderson

 

Chair Morrisette

The motion CARRIES.

SEN. RINGO will lead discussion on the floor.

250

Chair Morrisette

Closes the work session on SB 885 and opens a public hearing on SB 895.

SB 895 – PUBLIC HEARING

265

Rick Berkobien

Committee Administrator.  Explains SB 895 and introduces the -1 amendments (EXHIBIT C).

280

Una Swanson

Program Manager, Child Protective Services, Oregon Department of Human Services (DHS).  Submits and presents written testimony in opposition to SB 895 and the -1 amendments (EXHIBIT D).

302

Chair Morrisette

Asks Swanson if they contract with the Oregon Department of Justice (DOJ).

304

Swanson

Answers question.

307

Chair Morrisette

Asks Kevin Neely question regarding the contract between the DOJ and DHS.

314

Kevin Neely

Assistant, Attorney General Hardy Myers.  Answers that the billing department will charge the normal billing rate for the production of instructional videos.  States that they may be able to lower the cost.

334

Chair Morrisette

Asks Neely to clarify the fiscal impact.

336

Neely

Provides clarification.

340

Chair Morrisette

Asks if written material is included with the instructional video.

345

Neely

Responds, yes.  Elaborates.

350

Chair Morrisette

Comments on sending SB 895 to the Senate floor.

370

Roger Williams

OCEAN At Work.  Submits and presents an informational packet on past legislation (EXHIBIT E) and a report sample manual entitled, “The Constitution and Child Protective Services,” (EXHIBIT F) in support of SB 895 with the -1 amendments.

TAPE 69, A

020

Williams

Continues to testify in support of SB 895 with the -1 amendments.

055

Chair Morrisette

Closes the public hearing and opens a work session on SB 895.

SB 895 – WORK SESSION

060

Sen. Kruse

MOTION:  Moves to ADOPT SB 895-1 amendments dated 4/15/05.

062

Sen. Monnes Anderson

States concerns with the bill.

080

 

VOTE:  5-0-0

 

Chair Morrisette

Hearing no objection, declares the motion CARRIED.

083

Sen. Kruse

MOTION:  Moves SB 895 to the floor with a DO PASS AS AMENDED recommendation.

085

Chair Morrisette

States why he supports the bill.

095

 

VOTE:  4-1-0

AYE:               4 - Kruse, Metsger, Starr C., Morrisette

NAY:               1 - Monnes Anderson

 

Chair Morrisette

The motion CARRIES.

SEN. KRUSE will lead discussion on the floor.

100

Chair Morrisette

Closes the work session on SB 895 and opens a public hearing on SB 1026.

SB 1026 – PUBLIC HEARING

105

Rick Berkobien

Committee Administrator.  Explains SB 1026 and introduces the -1 amendments (EXHIBIT G).

135

Kathy Loretz

Director of Operations, Public Employees Benefit Board (PEBB). 

138

Chair Morrisette

Asks Loretz to clarify the fiscal impact for SB 1026.

141

Loretz

Responds.

145

Sen. Monnes Anderson

Asks how many members belong to PEBB.

147

Loretz

Answers, 106,000 members.

150

John Powell

Regence BlueCross BlueShield – Oregon.  Submits and presents written testimony regarding SB 1026 (EXHIBIT H).

152

Chair Morrisette

Asks about changing the exam to a bi-annual check-up.

157

Powell

Responds.

160

Chair Morrisette

Asks if exams are offered on a bi-annual basis.

162

Powell

States his understanding of the benefits offered by PEBB.

176

Chair Morrisette

Asks if the mandate would allow patients to take the exam.

178

Powell

Responds, yes.

179

Chair Morrisette

Asks to clarify that Regence does not currently cover the full cost of the exam.

182

Powell

Responds that they are not covered under the PEBB program, unless ordered by a physician.

190

Chair Morrisette

Asks to verify that the exam would be fully covered by PEBB with a referral from the doctor.

196

Powell

Responds that it would depend on the doctor’s note.  Elaborates.

202

Chair Morrisette

Provides example regarding PEBB employee coverage.

220

Sen. C. Starr

Comments on the money saved by the patient and the insurance company for early prevention.

242

Powell

Discusses the increased cost of exams and treatment.

290

Sen. C. Starr

Comments regarding exams.

300

Powell

Comments on health centers and exams.

314

Elise Brown

America’s Health Insurance Plans.  Introduces herself.

318

Chair Morrisette

Asks Abrams if she received the fiscal information from Regence.

320

Abrams

Responds, yes.  Elaborates.

330

Chair Morrisette

Asks Abrams to clarify statistics.

332

Abrams

Provides clarification.

343

Chair Morrisette

Asks Abrams if the number of members in the analysis is fifteen thousand (15,000) for the annual exam.

350

Abrams

Responds, yes.

353

Sen. Metsger

Comments on the analysis provided using the number of incidents among the fifteen thousand (15,000) members.

380

Abrams

Comments regarding number received from Regence.

385

Brown

Comments on program from other health plans.

400

Chair Morrisette

Comments on holding the work session until amendments are received.  Discusses exams advised by physicians.  Asks Sen. C.  Starr to comment regarding how often a exam should be conducted.

425

Sen. C. Starr

Responds.

435

Chair Morrisette

States that amendments are needed.

440

Sen. Metsger

States why he would be more comfortable with the bi-annual exam.

TAPE 68, B

015

Chair Morrisette

Asks Sen. C. Starr about exams performed in a clinic.

018

Sen. C. Starr

Responds.

020

Chair Morrisette

Asks question regarding exams ordered by a doctor.

021

Brown

Answers question.

022

Chair Morrisette

Asks question regarding patients requesting to have the exam.

023

Brown

Responds.

028

Chair Morrisette

Comments on tracking the 15,000 members.

035

Berkobien

Asks for data from other states that have mandated annual prostate exams.  Asks how Regence will be impacted by the bill.

042

Chair Morrisette

Comments that Regence is in negotiations with PEBB.

043

Loretz

Reiterates that they are in negotiations.

048

Sen. Monnes Anderson

Discusses cost containment for healthcare and allowing insurance companies to have flexibility.

065

Sen. C. Starr

Comments on previous legislation passed for women.

071

Chair Morrisette

Closes the public hearing on SB 1026.  Adjourns the meeting at 4:18 p.m.

 

 

 

EXHIBIT SUMMARY

 

A.     SB 885, -2 amendments, staff, 1 p

B.     SB 885, written testimony, Sue Abrams, 2 pp

C.     SB 895, -1 amendments, staff, 1 p

D.    SB 895, written testimony, Una Swanson, 2 pp

E.     SB 885, informational packet, Roger Williams, 3 pp

F.      SB 885, sample manual, Roger Williams, 17 pp

G.    SB 1026, -1 amendments, staff, 1 p

H.    SB 1026, written testimony, John Powell, 1 p