Hearing on HB 2922, the Affordable Health Care for All Oregon Act: video
House Committee on Health Care, Salem, May 13, 2013
Filmed by the Capitol staff and edited by Maegan Prentice, MidValley Health Care Advocates
The bill is Sponsored in the House by Michael Dembrow D-45 and Jennifer Williamson D-36.
It is sponsored in the Senate by Chip Shields D-22.
The following are the Co-Sponsors in the House (alphabetically).
Jules Bailey D-42
Jeff Barker D-28
Phil Barnhart D-11
Peter Buckley D-5
Lew Frederick D-43
Joe Gallegos D-30
Chris Garrett D-38
David Gomberg D-10
Chris Gorsek D-49
Mitch Greenlick D-33
Chris Harker D-34
Paul Holvey D-8
Val Hoyle D-14
Alissa Keny-Guyer D-46
Nancy Nathanson D-13
Jeff Reardon D-48
Carolyn Tomei D-41
Jessica Vega Pederson D-47
Brad Witt D-31
Co-Sponsors in the Senate are:
Jackie Dingfelder D-23
Rod Monroe D-24
HCAO Summary HB 2922:
An Act for the Affordable Health Care for All Oregon Plan
PURPOSE OF THE ACT
The purpose of the Act is to insure access to quality, patient-centered, and affordable health care for all Oregonians, to improve population health, and to control the cost of health care for the benefit of individuals, families, business, and society.
WHO IS COVERED
The Act covers all persons residing or working in Oregon.
CO-PAYMENTS AND DEDUCTIBLES
There will be no co-payments and no deductibles under the Act.
PAYMENT IN FULL
The provider must accept as payment in full amounts received from the Plan and not bill enrollees for those services.
Patients are free to choose any health care providers licensed in the state of Oregon and practicing within the scope of their licenses.
Medically necessary benefits defined by the Board in each of the following categories:
Primary and preventive care, including health education; Specialty care other than elective cosmetic care; Inpatient care; Outpatient care; Emergency care; Home health; Prescription drugs (formulary); Durable medical equipment; Mental health services; Substance abuse treatment; Dental services other than elective cosmetic dentistry; Certified nurse midwife services; Chiropractic and Naturopathic services; Basic vision and vision correction; Diagnostic imaging, laboratory services, and other diagnostic and evaluation services; Inpatient and outpatient rehabilitative services; Emergency transportation; Language interpretation and translation services; Hospice care; Podiatry; Acupuncture; and Dialysis.
The Board of Directors shall consist of nine voting members, appointed by the Governor. One of the appointed members shall be a licensed health care provider, one shall be a public health official, and one each shall be from labor and business.
RESPONSIBILITIES OF THE BOARD
The Board is responsible for the development of the Plan and the oversight of its implementation and management.
The Board's responsibilities in regard to the Plan include, but are not limited to:
Determining policies and adopting administrative rules; Establishing a balanced budget; Determining the specific benefits package; Overseeing management of the Affordable Health Care for All Oregon Fund; Ensuring that health services reimbursed by the Plan are evidence-based and cost-effective in promoting health; Ensuring access to quality health services; Emphasizing disease prevention and health promotion; Establishing a process by which proposed major capital expenditures will be evaluated for approval; Seeking all waivers, exemptions, and agreements from federal, state, and local government sources that are necessary to provide funding for the Plan; Partnering with public health agencies to improve population health; Submitting to the State Legislature the funding goal required from State taxes to adequately fund the Plan; Assuring that implementation of the Act shall affect all individuals equally, regardless of classifications such as health status, age, disability, employment status, and income; Reporting, at least annually, to the Legislature and the public on the performance of the Plan and recommending needed amendments to this Act and related legislation.
DISTRICT ADVISORY COMMITTEES
In each of the five Congressional Districts, District Advisory Committees will solicit input, receive complaints, conduct public hearings, facilitate accountability, and assist the Board with planning for health service needs.
OREGON HEALTH AUTHORITY
The Oregon Health Authority shall implement and administer the Affordable Health Care for All Oregon Plan under the general direction, policies, and oversight of the Board.
FUNDING THE PLAN
In lieu of premiums, co-payments, co-insurance, and deductibles, the Affordable Health Care for All Oregon Act will be funded by a system of dedicated taxes, progressive in nature, and based on ability to pay, which will be paid directly to "The Affordable Health Care for All Oregon Fund." Following arrangements for necessary waivers, exemptions, and agreements, the Legislative Assembly shall enact legislation necessary to provide that all payments for health care services provided to participants from federal, state, county, and local government sources will also be paid directly to the "The Affordable Health Care for All Oregon Fund."
THE AFFORDABLE HEALTH CARE FOR ALL OREGON FUND
All money in the Fund shall be used only for payments to health care providers, for administrative overhead, and for temporary payments to workers displaced by the Plan.
FUND FOR DISPLACED WORKERS
The Board will provide funds in the budget for two years for the re-training of workers who are displaced as a result of this Act.
This Act repeals the Oregon Health Insurance Exchange, Oregon Medical Insurance Pool Board, Oregon Medical Insurance Pool, Office of Private Health Partnerships, Family Health Insurance Assistance Program, and the private health option under Health Care for All Oregon Children program on January 1, 2017.
1-09-13 LS; 12-6-12 MCH
Room 453, 900 Court St NE, Salem, OR 97301 503-986-1535
Chair Representative Mitch Greenlick (D) D33 Portland 503-986-1433
Vice-Chair Representative Alissa Keny-Guyer (D) D46 Portland 503-986-1446
Vice-Chair Representative Jim Thompson (R) D23 Dallas 503-986-1423
Member Representative Jim Weidner (R) D24 Yamhill 503-986-1424
Member Representative John Lively (D) D12 Springfield 503-986-1412
Member Representative Chris Harker (D) D34 Beavertpm 503-986-1434
Member Representative Bill Kennemer (R) 39 Oregon City 503-986-1439
Member Representative Brian Clem (D) D21 Salem 503-986-1421
Member Representative Jason Conger (R) D54 Bend 503-986-1454
HB 3260 A-Engrossed* – the study bill
House Bill 3260 requires the Oregon Health Authority to conduct a study (or contract with a third party to study) and then recommend the best option for financing health care in state. HB 3260 specifies four options to be studied.
Option (a) Single Payer Model – Publicly financed and decoupled from employment, for financing privately delivered health care. Allows commercial insurance coverage only of supplemental health services not paid for under the option.
Option (b) Public Option Model – adds one or more publicly funded plans to the competition among private insurance plans in the state insurance exchange. The Public Option also includes implementation of Basic Health. This program from the Affordable Care Act has received almost no publicity because Health and Human Services has not issued any guidelines for compliance.
Option (c) Oregon’s current system of financing health care, with the addition of (1) the Oregon Integrated and Coordinated Health Care Delivery System, (2) the Oregon health insurance exchange (called Cover Oregon), and (3) the full implementation of the Affordable Care Act.
Oregon Integrated and Coordinated Health Care Delivery System began with thirteen CCOs on October 1, 2012. When completed, it will be a statewide network of Coordinated Care Organizations (CCOs) that provide health care for Oregon Health Plan enrollees.
Option (d) A Sales Tax constitutionally dedicated to funding essential health benefits. The role of the plan is limited to collecting and distributing revenue while preserving private sector delivery options and optimizing consumer choice. The sales tax option uses public dollars to purchase private health insurance. Its advocates call this “single funder” as opposed to “single payer.”
HB 3260 specifies 19 criteria the Oregon Health Authority is to use in evaluating the four options and deciding which is the best system. You can see the criteria here:
HB 3260 requires the Oregon Health Authority to report on the progress of the study to the 2014 regular session of the Legislative Assembly.
No later than November 1, 2014 the Health Authority shall submit the Report to the Interim Committees on Health Care in the House of Representatives and the Senate. The Report must include a recommendation for the option for health care delivery and financing that best satisfies the criteria.
The Health Authority shall submit the Report to the 2015 regular session of the Legislative Assembly.
*A-Engrossed means that this is the final version of the bill, printed with its amendments.
Bob Fischer, Bandon June, 2013
Update on HB 3260
HB 3260, the bill for a feasibility study of different options for financing health care, passed out of the House of Representatives on Friday June 28, 37- 23.
Note that several representatives voted for the bill in committee, but did not vote for final passage. Every Democrat except Brent Barton (Oregon City) and Caddy McKeown (Coos Bay) voted for passage. Five Republicans voted to support it: Bob Jenson (Pendleton), Andy Olson (Albany), Dennis Richardson (Central Point), Jim Thompson (Dallas), and Gene Whisnant (Sunriver).
The bill is awaiting referral from the Senate President, Peter Courtney. It will be referred to the Joint Ways and Means Committee for paperwork before it is brought back to the Senate floor for a vote. Please hold your emails and phone calls at this time.
7th OREGON LEGISLATIVE ASSEMBLY--2013 Regular Session
House Bill 3260
Sponsored by Representatives DEMBROW, WILLIAMSON; Senators MONNES ANDERSON, SHIELDS
The following summary is not prepared by the sponsors of the measure and is not a part of the body thereof subject to consideration by the Legislative Assembly. It is an editor’s brief statement of the essential features of the measure:
Requires Oregon Health Authority to conduct study or contract with third party to study and
recommend best option for financing health care in state.
Specifies criteria for evaluating options.
Requires report to interim health care committees and to 2015 regular session of Legislative
Declares emergency, effective on passage.
Witnesses in sequence for the hearing on HB 3260. 5 April 2013
- Michael Dembrow, Sponsor
- Jennifer Williamson, Sponsor
- Chunwei Chi SciD, from OSU
- John McConnell PhD from OHSU
Written statements from individuals and organizations include:
State Senator Ginny Burdick
Rep. Jules Bailey
Liz Baxter representing We Can Do Better
Jim Houser and Mark Kellenbeck representing Main Street Alliance
Asia Pacific American Network of Oregon (APANO)
The Oregon Nurses Association
Citizens for Peace and Justice
Jim Gilbert representing his small business and Main Street Alliance
Oregon Rural Action
The Oregon Medical Association
Nine small businesses in La Grande: The Rowdy Goddess, Copies Plus, Direct Music Source, Blue Turtle Gallery, Community Merchants, Looking Glass Books, The Nickel, Bubbles Laundry, TMcM Enterprises
The City of Corvallis
Oregon Public Health Association
Bruce Goldberg, MD, Oregon Health Authority
Elders in Action
Oregon State Council for Retired Citizens
Chunwei Chi, SciD, Oregon State University
John McConnell, PhD representing Oregon Health & Science University
113th Congress (2013-2014) (US House)
HCAO Endorsement of HR 676: Letter to Rep. Conyers
Single-Payer Health Care Is Still Right Way To Go
Published on Saturday, March 23, 2013 by The Capital Times (Wisconsin)
by Dave Zweifel
For the 11th straight year, Michigan Democratic Rep. John Conyers has introduced what he calls the Expanded and Improved Medicare for All Act to establish a universal, single-payer health care system in the United States similar to what exists in most developed countries throughout the world.
Conyers’ plan is the real health care reform that the United States, if its politicians weren’t so beholden to special interests, would have adopted decades ago.
Instead, we are struggling with more jury-rigged reform that allows governors like Wisconsin’s Scott Walker to play cynical political games to make it as complicated as possible.