July 27, 2010
Harris Hall Main Floor
Commissioner Bill Fleenor presided with Commissioners Bill Dwyer, Rob Handy, Pete Sorenson and Faye Stewart present. County Administrator Jeff Spartz, County Counsel Liane Richardson and Recording Secretary Melissa Zimmer were also present.
1. ADJUSTMENTS TO THE AGENDA
Bill Klupenger, Eugene, said he is now on Medicare and pays $25.00 per month for supplemental Part B with no prescription drugs. He said health care in the community is fragmented and expensive. He believes in providing medical services to other human beings. He wanted a home base clinic that provides a card with all the health care information on it. He wanted to separate health care from insurance. He commented that insurance adds to the expense without benefit. He wanted the commissioners to do what they can do make this vision a reality and he is willing to help the Board do it.
John Deleau, Springfield, talked about San Franciscoís health plan. He encouraged people to investigate the San Francisco Plan and come up with something that could be recommended for Lane County.
Marc Shapiro, Eugene, said he was a proponent of
single payer. He reported there were
60,000 uninsured citizens in Lane County last year and there are now 72,000
uninsured citizens in Lane County. He
noted the parallels between
3. COMMISSIONERS' RESPONSE TO PUBLIC COMMENTS AND/OR OTHER ISSUES AND REMONSTRANCE
Dwyer stated that he is a single payer advocate. He announced the birth of his great-granddaughter.
Sorenson thought the idea they could do something with medical care (like San Francisco) was an optimistic thing. He thought they could look at the innovations that are in other communities for a medical home for people, minimizing the transaction costs of the health care system.
Stewart recommended contacting Val Hoyle as she works at
Handy acknowledged the passing of former Lane County Commissioner Chuck Ivey.
5. COMMISSIONERSí BUSINESS
a. RECOGNITION/Outstanding Lane County Citizen
b. REPORT BACK/National Association of Counties (NACo) Prescription Drug Program.
Richardson said NACo has a prescription drug plan that they have had for a few years. She said if they sign up with NACo, they will provide the prescription drug card for the citizens. She said it could say Lane County and it would allow the citizens to go to 60,000 participating pharmacies, getting reduced costs for most prescription drugs. She said there is a 22 percent average discount off of the full price. She noted counties across the country have been joining. She said Lane County was asked to joint the NACo program. She discovered the United Way has a similar program with no cost. She asked if the Board wants to go forward with NACo or another prescription drug program, what they need to do.
Laidlaw stated that Lane County could publish an ad in its interest in sponsoring a prescription drug discount program for Lane County residents, outlining the main components and indicate they are considering the NACo program and that NACo offers administrative assistance to Lane County in managing the program and Lane County would be involved in a national market share. She said they can then ask companies who wish to compete to send in a letter of interest addressing some of the main issues: how many pharmacies participating, average discount price or any other fees they charge, ease of use to consumers and if they can make a decision to do a more formal process. She said if the Board decided Caremark was the appropriate plan to go with, then the Board could sign the contract through NACo and get the benefits they have gotten through the process. She said the second component is signing the contract with Caremark. She noted one issue is that it states any contract executed is a confidential document. She said they are asking Lane County to agree the entire contract is confidential. She said they have to give notice and opportunity to object before they make the document public. She said they have to explain to the public what type of services they are getting and not keep it in secrecy.
Dwyer thought the best bang for the buck was not the NACo card but going through the FQHC. He thought that was the direction they needed to go.
Rob Rockstroh, Health and Human Services, said not everyone can be a member of the Federally Qualified Health Center. He said Family Wise at United Way is a 20 percent or higher discount and the State of Oregon also has a plan. He said the problem with the FQHC is the size and the clients they can take. He said anyone can use a drug card but to get access to the 340 B program, they would have to be a member of the FQHC. He said they want the whole community to have access to primary care. He said if they want the Lane County logo, it would be good to have a card. He noted for Family Wise or other cards, it would be the same for individuals.
Sorenson thought the larger issue is whether the County
provides it as another option for the citizens.
He said without the program in existence in the County, people are
finding ways to get access. He asked
if this provides additional access. He
asked what the cost would be to
Laidlaw responded that there are no costs, but there would be costs with cards with the County logo on it. She spoke with Health and Human Services and with other counties. She said there are no hidden costs and there was ease of use.
Sorenson wanted to move ahead with the promotion of their own clinic and with this as well. He didnít see a drawback advantages and the ability to have bulk purchasing.
Fleenor asked if the Board wants to move forward, they should have a proposal to bring back a board order with the stipulation of the caveats with advertising and open records law.
Richardson said they didnít need an official board order, but if the Board wants to proceed with the advertisement and conversations with NACo as described by Laidlaw, they could have a motion.
MOTION: to move to proceed with the advertisement and conversations with NACo as described by Trina Laidlaw.
Dwyer MOVED, Stewart SECONDED.
Stewart said he would support a larger conversation of health care options to save employees costs.
Fleenor asked to bring this back and include a report to be put in the motion.
Dwyer amended the motion to have a report back on September 15. Stewart SECONDED.
7. PERFORMANCE AUDITOR
Stewart Bolinger, Performance Auditor, indicated that he
made a list of recommendation collection actions for Justice Courts.
He is working on clearing the list. He
said he is drafting a list of risk conditions and background on those conditions
so a new auditor will have his assessment on where they stand on the critical
issues to consider if they adopt a new Risk Assessment Plan with a new auditor.
He was offered an opportunity to be Auditor Director for Save the
8. EXECUTIVE SESSION as per ORS 192.660
There being no further business, Commissioner Fleenor recessed the meeting at 12:00 p.m.