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John Kitzhaber on Health Care

Democratic Governor

 


Healthcare reform needed at both state and federal levels

The Governor emphasized the need to focus on the "triple aim" of improving the health of the population, reducing per capita cost, and improving the patient experience. Transforming the system involves reorganizing the delivery system to get at the root causes of medical inflation: overutilization; lack of prevention; and poor service integration and care coordination. There is clear waste and inefficiency in the system and as a state--and a nation--we cannot afford to pay for it.
Source: 2011 gubernatorial press release #100411 , Oct 4, 2011

No federal pre-emption of employee health plan regulation.

Kitzhaber adopted the National Governors Association position paper:

The Issue

In 1999, 42.6 million Americans did not have health insurance. All states have been fervently working to reduce the number of uninsured Americans, to make health insurance more affordable and secure, and to provide quality health care at a reasonable cost to the uninsured. However, the federal government has also expressed an interest in this issue. Any action taken at the federal level could have serious implications for traditional state authority to regulate the health insurance industry and protect consumers.

NGAís Position

Although the Governors are extremely sensitive to the concerns of large multi-state employers, the fact remains that the complete federal preemption of state laws relating to employee health plans in the Employment Retirement Income Security Act (ERISA) is the greatest single barrier to many state reform and patient protection initiatives.

The Governors support efforts designed to enable small employers to join together to participate more effectively in the health insurance market. In fact, Governors have taken the lead in facilitating the development of such partnerships and alliances. However, these partnerships must be carefully structured and regulated by state agencies in order to protect consumers and small businesses from fraud and abuse and underinsurance. NGA opposes attempts to expand federal authority under ERISA. The Governors have identified the prevention of such federal legislation in the 107th Congress as a top legislative priority.

States have the primary responsibility for health insurance regulation. Across the nation, Governors are working to protect consumers and patients and to properly regulate the complicated health insurance industry.

Source: National Governors Association "Issues / Positions" 01-NGA13 on Oct 5, 2001

More federal funding for rural health services.

Kitzhaber signed the Western Governors' Association resolution:

  1. Western Governors want rural areas to have an adequate and able workforce to deliver needed health care services. The governors call on the federal government to provide necessary funding for programs such as the National Health Service Corps (NHSC) that have a state-based component, and the Health Professions programs that help health professionals serve in rural and frontier areas.
  2. Western Governors believe that rural health care providers should be paid fairly by Medicare in order to ensure access to health care for rural citizens. The governors encourage the federal government to take further steps to ensure equity in Medicare reimbursement for urban and rural areas.
  3. Alaska, Hawaii, America Samoa, the Northern Mariana Islands and Guam face extraordinary geographic barriers in providing healthcare services and they should be designated for special consideration and adequate funding to overcome their frontier barriers.
  4. Federal programs like the Rural Health Outreach Grants and the Rural Hospital Flexibility program need to continue to provide funds to states and communities to experiment with new programs, integration of services and coalition building to develop new types of providers, facilities, and services.
  5. Western Governors believe in strengthening the existing health care system. Support for home health agencies, rural health clinics, public health nursing and critical access hospitals are partial solutions.
  6. Western Governors support the elimination of barriers to the use of telemedicine as outlined in the WGAís 1998 report. In particular, we request that the federal efforts to increase reimbursement for telemedicine consultations, to protect the privacy of patient-identifiable medical information and to support rural health provider telecommunication costs with universal service funds continue.
Source: WGA Policy Resolution 01 - 06: Rural Health Improvements 01-WGA06 on Aug 14, 2001

Protect state tobacco settlement funds from federal seizure.

Kitzhaber adopted a letter to Congressional leaders from 53 Governors:

As you know, preserving and protecting the state tobacco settlement funds is the nationís Governorsí highest priority. We strongly urge you to reach final agreement and pass the conference report on the emergency supplemental appropriations bill soon, and to retain the Senate provision that protects our settlement funds from federal seizure.

Many of our state legislatures are currently in session, and some have already completed work on their budgets. Therefore, it is critical that conferees reach agreement quickly on this issue. Governors are unified in their commitment to ensuring that the funds remain in the states and that there be no restrictions on statesí ability to tailor spending to meet the needs of their citizens.

We offer our strongest support for conferees to recede to the Senate version of the bill containing the Hutchison/Graham bipartisan tobacco recoupment protection legislation.

Source: National Governor's Association letter to Congress 99-NGA31 on Apr 14, 1999

Other governors on Health Care: John Kitzhaber on other issues:
OR Gubernatorial:
Bud Pierce
Casey Kulla
Kate Brown
Kerry McQuisten
Knute Buehler
Nicholas Kristof
Paul Romero
Tina Kotek
Tobias Read
OR Senatorial:
Jeff Merkley
Kevin Stine
Mark Callahan
Paul Romero
Ron Wyden
Gubernatorial Debates 2021:
CA Recall:
S.D.Mayor Kevin_Faulconer(R)
vs.Former Gov. nominee John Cox(R)
vs.Former U.S.Rep Doug Ose(R)
vs.Laura Smith(R)
vs.Former Olympian Caitlyn Jenner(R)
vs.Radio Host Larry Elder(R)
vs.Kevin Paffrath(D)
vs.Gavin Newsom(D)
NJ: Incumbent Phil Murphy(D)
vs.State Rep. Jack Ciattarelli(R)
vs.Candidate Hirsh Singh(R)
vs.GOP Chair Doug Steinhardt(R)
VA: Incumbent Ralph Northam(D,term-limited)
vs.Former Governor Terry McAuliffe(D)
vs.CEO Glenn Youngkin(R)
vs.A.G. Mark Herring(D)
vs.State Sen. Amanda Chase(I)
vs.Lt. Gov. Justin Fairfax(D)
vs.State Rep. Jennifer Carroll Foy(D)
vs.State Rep. Lee Carter(D)
vs.State Sen. Jennifer McClellan(D)
vs.State Rep. Kirk Cox(R)
vs.CEO Pete Snyder(R)

Gubernatorial Debates 2023:
KY: Incumbent Andy Beshear(D)
vs.Former Gov. Matt Bevin(? R)

vs.Senator Rand Paul(? R)
vs.State Auditor Mark Harmon(R)
LA: Incumbent John Bel Edwards(D,term-limited)
vs.Biden Adviser Cedric Richmond(? D)
vs.Senator John Neely Kennedy(? R)
MS: Incumbent Tate Reeves(R)
vs.Bill Waller(R)

Gubernatorial Debates 2022:
AK: Incumbent Mike Dunleavy(R)
vs.Bill Walker(I)
vs.Les Gara(D)
vs.Billy Toien(L)
AL: Incumbent Kay Ivey(R)
vs.Chris Countryman(D)
vs.Stacy Lee George(R)
vs.Ambassador Lynda Blanchard(R)
AR: Incumbent Asa Hutchinson(R,term-limited)
vs.Trump Adviser Sarah Huckabee Sanders(R)
vs.A.G. Leslie Rutledge(R,withdrew Nov.2021)
vs.Ricky Dale Harrington(L)
vs.Anthony Bland(D)
AZ: Incumbent Doug Ducey(R,term-limited)
Mayor Marco Lopez(D)
vs.Former news anchor Kari Lake(R)
vs.Secretary of State Katie Hobbs(D)
vs.State Treasurer Kimberly Yee(R)
vs.U.S.Rep.Matt Salmon(R)
vs.Steve Gaynor(R)
vs.State Rep.Aaron Lieberman(D)
vs.Jorge Rivas(R)
vs.Karrin Taylor Robson(R)
CA: Incumbent Gavin Newsom(D)
vs.S.D.Mayor Kevin_Faulconer(R)
vs.Former Gov. nominee John Cox(R)
vs.Kevin Paffrath(D)
CO: Incumbent Jared Polis(D)
vs.Mayor Greg Lopez(R)
vs.Heidi Ganahl(R)
CT: Incumbent Ned Lamont(D)
vs.Bob Stefanowski(? R)
FL: Incumbent Ron DeSantis(R)
vs.Former Gov.Charlie Crist(D)
vs.Agriculture Commissioner Nikki Fried(D)
vs.Annette Taddeo(D)
GA: Incumbent Brian Kemp(R)
vs.Minority Leader Stacey Abrams(D)
vs.Senate candidate Shane Hazel(L)
vs.State Rep.Vernon Jones(R)
vs.2020 candidate Kandiss Taylor(R)
vs.Senator David Perdue(R)
HI: Incumbent David Ige(D,term-limited)
vs.Marissa Kerns(R)
vs.Lt.Gov.Josh Green(D)
vs.Vicky Cayetano(D)
vs.Paul Morgan(R)
vs.State Rep.Kirk Caldwell(D)
IA: Incumbent Kim Reynolds(R)
vs.Deidre DeJear(D)
vs.State Rep.Ras Smith(D)
ID: Incumbent Brad Little(R)
vs.Raul Labrador(R)
vs.Lt. Gov. Janice McGeachin(R)
vs.Ammon Bundy(R)
vs.Ed Humphreys(R)
IL: Incumbent J.B. Pritzker(D)
vs.State Sen.Darren Bailey(R)
vs.Paul Schimpf(R)
vs.Jesse Sullivan(R)
KS: Incumbent Laura Kelly(D)
vs.Jeff Colyer(R)
vs.State Sen.Derek Schmidt(R)
vs.Chase LaPorte(R)
Gubernatorial Debates 2022 (continued):
MA: Incumbent Charlie Baker(R)
vs.Lt.Gov.Karyn Polito(R)
vs.State Rep. Geoff Diehl(R)
vs.Harvard Professor Danielle Allen(D)
vs.State Sen.Ben Downing(D)
vs.State Sen.Sonia Chang-Diaz(D)
vs.Shiva Ayyadurai(I)
MD: Incumbent Larry Hogan(R,term-limited)
vs.State Del.Robin Ficker(R) vs.State Del.Peter Franchot(D) vs.State Del.Kelly M. Schulz(R) vs.Secretary John B. King(D) vs.Ashwani Jain(D) vs.State A.G. Doug Gansler(D) vs.County Exec. Rushern Baker(D) vs.Secretary Thomas Perez(D) vs.Wes Moore(D) vs.Dan Cox(R)
ME: Incumbent Janet Mills(D)
vs.Former Gov. Paul LePage(R)
MI: Incumbent Gretchen Whitmer(D)
vs.Chief James Craig(R)
vs.Police Chief Tudor Dixon(R)
vs.Garrett Soldano(R)
vs.John E. James(? R)
MN: Incumbent Tim Walz(DFL)
vs.Mayor Mike Murphy(R)
vs.State Sen.Scott Jensen(R)
vs.Michelle Benson(R)
vs.Paul Gazelka(R)
NE: Incumbent Pete Ricketts(R,term-limited)
vs.U.S.Senator Bob Krist(R)
vs.Chuck Herbster(R)
vs.Jim Pillen(R)
vs.Brett Lindstrom(R)
vs.Carol Blood(D)
NH: Incumbent Chris Sununu(R)
vs.Dan Feltes(D)
vs.Karen Testerman(R)
NM: Incumbent Michelle Lujan Grisham(D)
vs.Commissioner Jay Block(R)
vs.State Rep.Rebecca Dow(R)
vs.Mark Ronchetti(R)
NV: Incumbent Steve Sisolak(D)
vs.A.G.Adam Laxalt(R)
vs.North Las Vegas Mayor John Lee(R)
vs.Dean Heller(R)
vs.Joe Lombardo(R)
vs.Mayor Michele Fiore(R)
NY: Incumbent Andrew Cuomo(D,resigned)
vs.Acting Gov.Kathy Hochul(D)
vs.Rob Astorino(R)
vs.Andrew Giuliani(R)
vs.US.Rep.Lee Zeldin(R)
vs.Tom Suozzi(D)
vs.Attorney General Letitia James(D)
OH: Incumbent Mike DeWine(R)
vs.Former Rep.Jim Renacci(R)
vs.Dayton Mayor Nan Whaley(D)
vs.Mayor John Cranley(D)
OK: Incumbent Kevin Stitt(R)
vs.State Sen. Ervin Yen(R)
vs.Connie Johnson(D)
vs.Joy Hofmeister(D)
OR: Incumbent Kate Brown(D,term-limited)
vs.Gov. nominee Bud Pierce(R)
vs.Paul Romero(R)
vs.Casey Kulla(D)
vs.Kerry McQuisten(R)
vs.Tina Kotek(D)
vs.Nicholas Kristof(D)
vs.Tobias Read(D)
PA: Incumbent Tom Wolf(D,term-limited)
vs.U.S.Rep. Lou Barletta(R)
vs.Commissioner Joe Gale(R)
vs.A.G.Josh Shapiro(D)
vs.William McSwain(R)
vs.U.S.Rep.Melissa Hart(R)
vs.State Sen.Scott Martin(R)
RI: Incumbent Gina Raimondo(D,to Cabinet)
vs.Gov. Dan McKee(D)
vs.Secy.Matt Brown(D)
vs.Mayor Allan Fung(R ?)
vs.Luis-Daniel Munoz(D)
vs.RI Secretary of State Nellie Gorbea(D)
vs.Seth Magainer(D)
vs.Helena Foulkes(D)
SC: Incumbent Henry McMaster(R)
vs.US.Rep.Joe Cunningham(D)
vs.State senator Mia McLeod(D)
SD: Incumbent Kristi Noem(R)
vs.State Rep. Billie Sutton(? D)
TN: Incumbent Bill Lee(R)
vs.Carnita Atwater(D)
vs.J B Smiley(D)
TX: Incumbent Greg Abbott(R)
vs.Beto O`Rourke(D)
vs.Chad Prather(R)
vs.State Sen.Don Huffines(R)
vs.U.S.Rep. Allen West(R)
vs.Deidre Gilbert(D)
VT: Incumbent Phil Scott(R)
(no prospective opponents yet)
WI: Incumbent Tony Evers(D)
vs.CEO Jonathan Wichmann(R)
vs.Rebecca Kleefisch(R)
WY: Incumbent Mark Gordon(R)
vs.Rex Rammell(R)
vs.Minority Leader Chris Rothfuss(? D)
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Page last updated: Dec 19, 2021