Tuesday, June 27, 2000

1:00 p.m.

Call to order
Roll call
Consideration of minutes of February 24-25, 2000, meeting

HEALTH CARE STUDY

1:05 p.m.

Presentation by a representative of the State Department of Health on changes in the delivery of health care in North Dakota as a result of managed care

1:20 p.m.

Presentation by a representative of the State Department of Health on the results of the department's survey of health care access by farm and ranch families

1:40 p.m.

Comments by Mr. Michael B. Unhjem, President and CEO, Blue Cross Blue Shield of North Dakota, relating to the committee's study

2.10 p.m.

Presentation by a representative of the Department of Human Services on Medicaid reimbursement changes being considered by the department for:

Critical access hospitals

Outpatient hospital care

2:40 p.m.

Presentation by a representative of the Department of Human Services on intergovernmental transfer programs relating to hospitals, rather than long-term care facilities, including:

Other states' use of such programs

The feasibility of establishing a similar program in North Dakota

Legislative requirements and items for consideration relating to the establishment of such a program

3:10 p.m.

Presentation by Mr. Joel Rotvold, Administrator, Lake Region Clinic, Devils Lake, on issues relating to payments for health care services by the Indian Health Service and the coordination of payments for services by the Indian Health Service, Medicaid, and the state children's health insurance program

3:30 p.m.

Presentation by a representative of the Indian Affairs Commission on issues relating to payments for health care services by the Indian Health Service and the coordination of payments for services by the Indian Health Service, Medicaid, and the state children's health insurance program

3:50 p.m.

Presentation by a representative of the Department of Human Services on issues relating to payments for health care services by the Indian Health Service and the coordination of payments for services by the Indian Health Service, Medicaid, and the state children's health insurance program

4:10 p.m.

Presentations by representatives of the State Department of Health and the Department of Human Services on a proposed health care needs assessment study, including the issues to be addressed by such a study, a proposed timeline for its completion, and a proposed budget identifying related costs

4:40 p.m.

Comments by interested persons and committee discussion

5:00 p.m.

Recess

Wednesday, June 28, 2000

CHILDREN'S HEALTH INSURANCE PROGRAM

9:00 a.m.

Presentation by a representative of Blue Cross Blue Shield of North Dakota on trends in health insurance premium rates, including potential future rate increases in children’s health insurance program premiums

9:20 a.m.

Presentation by a representative of the Department of Human Services of information relating to the children’s health insurance program, including:

The number of children enrolled in the children's health insurance program

The number of additional children enrolled in the Medicaid program as a result of the department's outreach efforts relating to the children's health insurance program

The percentage of eligible children enrolled in the children's health insurance program and the estimated cost of increasing that percentage to 90percent

9:40 a.m.

Presentation by a representative of the Department of Human Services relating to the proposal to expand eligibility for the children’s health insurance program by increasing the limitation on allowable income from 140 to 170 percent of the federal poverty level, including:

The number of children affected

The estimated per child cost of implementing the proposal

The estimated cost of implementing the proposal if the percentage of eligible children enrolled in the program continues at the current level

The estimated cost of implementing the proposal if 90 percent of eligible children are enrolled

10:00 a.m.

Comments by interested persons and committee discussion

LONG-TERM CARE INCENTIVES STUDY

10:30 a.m.

Presentation by a representative of the Department of Human Services on the status of the intergovernmental transfer program established pursuant to 1999 Senate Bill No. 2168

11:00 a.m.

Presentation by representatives of the North Dakota Long Term Care Association on the status of the cooperative project between the health care and long-term care facilities in New Rockford and Carrington

11:20 a.m.

Comments by interested persons and committee discussion

12:00 noon

Luncheon recess

1:00 p.m.

Presentation by a representative of the North Dakota Long Term Care Association on the estimated cost of providing to employees of long-term care facilities a benefits package similar to the state employee benefits package

1:20 p.m.

Presentation by a representative of the Task Force on Long-Term Care Planning on the development of definitions for the terms "assisted living" and "basic care"

2:00 p.m.

Comments by interested persons and committee discussion

COMMUNITY HEALTH GRANT PROGRAM

2:30 p.m.

Presentation by the Legislative Council staff of an analysis of the tobacco settlement trust fund and the community health trust fund

2:40 p.m.

Presentation by the Legislative Council staff of a bill draft to allow the community health trust fund to retain the interest earned on moneys deposited in the fund

2:50 p.m.

Presentation by a representative of the State Department of Health on:

The potential need to maintain a contingency reserve balance in the community health trust fund

Proposals for the use of moneys accruing in the community health trust fund during the 1999-2001 biennium

3:20 p.m.

Comments by interested persons and committee discussion

3:40 p.m.

Presentation by a representative of the State Department of Health on the proposed healthy schools grant program

3:50 p.m.

Comments by Mr. Bill Demaree, Association of Elementary School Principals, and Ms.Beth Dunlop and Ms. Kathy Mack, North Dakota school nurses, on the proposed healthy schools grant program

4:20 p.m.

Comments by interested persons and committee discussion

5:00 p.m.

Adjourn