GOOD MORNING.
REPRESENTATIVE WHELAN IF YOU WOULD LIKE TO GO AHEAD AND TALK ABOUT HOUSE FILE 2573.
>>
REPRESENTATIVE WHELAN: THANK YOU SO MUCH FOR THE OPPORTUNITY TO PRESENT THIS BILL. I LIKE TO BEGIN BY PROVIDING SOME
BRIEF BACKGROUND. IN
1990 MINNESOTA LAW REQUIRING DATA RELATED TO ABORTION BE COLLECTED AND MAINTAINED BY THE DEPARTMENT OF HEALTH. SINCE THAT
TIME WE'VE SEEN A LOT OF CHANGES
AND CURRENTLY IS A GAP IN THE REPORTING REQUIREMENTS ON ABORTION. WHICH LEADS TO AN INCOMPLETE PICTURE OF ABORTION IN THE STATE OF MINNESOTA.
SPECIFICALLY THE GAP
CONCERNS HOW
[INAUDIBLE] ABORTION WHICH INVOLVES A PHYSICIAN AND ONE CLINIC AND A CLINIC
PATIENT IN ANOTHER. THE BILL BEFORE HE SPEAKS TO ADDRESS THIS GAP IN INFORMATION IN ORDER TO PROVIDE
A MORE
COMPLETE PICTURE OF ABORTION IN THE STATE OF
MINNESOTA. NOTABLY I THINK WE ALL AGREE INFORMATION IS
VALUABLE AND HELPS LAWMAKERS
MAKE POLICY
DECISIONSAND AS MDH STATES ON THE REPORT; THE DATA THEY PROVIDE ARE IMPORTANT BOTH FROM A DEMOGRAPHIC AND PUBLIC HEALTH VIEWPOINT AND DATA FROM REPORTS
ON ABORTION PROVIDE UNIQUE INFORMATION ON THE CHARACTERISTICS OF WOMEN HAVING
INDUCED ABORTIONS BEEN UNIFORM ANNUAL DATA OF
SUCH QUALITY. WAREHOUSE WILL AVAILABLE
MEDICAL INFORMATION IS PROVIDED TO EVALUATE RISK
ASSOCIATED WITH INDUCED ABORTION AT VARIOUS LENGTHS OF
GESTATION AND THE TYPES OF ABORTION USE.
THE BILL SIMPLY ADDS A [INAUDIBLE] WHICH YOU SHOULD HAVE A COPY OF IF YOU LOOK TO THE FORM
IT REQUIRESTHE FERTILITY CODE BE REQUIRED REQUIRED IN THIS BILL
SIMPLY REQUIRES-AAND I'LL REFER TO
LINE
2.1-3.2-AAT THE [INAUDIBLE] AND THE FACILITY
CODE FOR THE PHYSICIAN ARE BOTH REPORTED.
THIS LANGUAGE WAS DISCUSSED WITH THE DEPARTMENT LAST YEAR AND I REACH OUT TO HIM AGAIN THIS YEAR BEFORE
AND I BELIEVE THEY'RE
HERE TO ANSWER
THE QUESTION. I ALSO REVIEWED THE AUDIO FROM LAST YEAR'S HEARING AND I WANT TO BE VERY VERY CLEAR. ACCORDING
TO BARRY CURRENT REQUIREMENTS IN LAW THE COMMISSIONER MUST ENSURE NONE OF THE INFORMATION INCLUDED IN PUBLIC REPORTS
CAN REASONABLY LEAD TO
THE IDENTIFICATION
OF AN INDIVIDUAL PERFORMING OR RECEIVING
AN ABORTION.
LET ME REPEAT THAT YOUR PRIVACY IS PROTECTED INTO MY NOTE THERE'S NEVER BEEN A CASE OF A WOMAN OR DOCTOR BEEN IDENTIFIED FROM THIS PUBLIC DATA. TO
THAT END; I WOULD SAY THAT CARMEN HAS A
GREAT JOB AND WE SHOULD HAVE NO CONCERNS. I REFER YOU TO YOUR PACKET WHICH ALSO INCLUDES A COPY OF THE
STATUTE 145.4134.
IN CLOSING; AND AGAIN TO BE CLEAR THIS IS JUST UPDATING THE CURRENT
REPORTING FORM
TO PROVIDE A COMPLETE PICTURE OF ABORTION IN
THE STATE.
THIS IS AN UPDATE TO CURRENT REPORTING
REQUIREMENTS AND
MDM. CHAIRMAN I'LL STAND FOR ANY QUESTIONS. >> CHAIR: THANK YOU
REPRESENTATIVE WHELAN.
MEMBERS; QUESTIONS?
REPRESENTATIVE LESCH >> REPRESENTATIVE
LESCH [INAUDIBLE]
>> CHAIR: ANYONE IN THE AUDIENCE WISHING TO TESTIFY FOR OR AGAINST THIS BILL?
I BELIEVE I HAVE
ANDREA LEDGER IS IN
THE AUDIENCE? GOOD MORNING WELCOME TO THE COMMITTEE PLEASE; STATE YOUR NAME FOR THE RECORD AND PROCEED WITH YOUR TESTIMONY >> TESTIFIER: GOOD MORNING.
MY NAME IS ANDREA LESHER
EXECUTIVE DIRECTOR OF NEIGHBOR ALL PRO-CHOICE MINNESOTA AND I'M HERE TO TESTIFY
IN OPPOSITION TO THIS BILL.
THIS LEGISLATION IS UNNECESSARY AND
DISCRIMINATES AGAINST A PARTICULAR TYPE OF
MEDICAL PROCEDURE. THE FACTS ARE
THAT OCCASIONAL ABORTION IS EXTREMELY SACRED PROVIDERS ARE ALREADY SUBJECT TO NUMEROUS REPORTING REQUIREMENTS AND THAT THIS BILL WOULD SINGLE OUT ABORTION FOR A
GRANULARITY OF REPORTING NOT REQUIRED FOR ANY OTHER TELEMEDICINE PROCEDURES
AND MEDICATION ABORTION WHICH CAN
BE PROVIDED VIA TILE MEDICINE HAS OVER 99% SAFETY RECORD. THE NUMBER OF ADVERSE EFFECTS ASSOCIATED WITH
THE MEDICATION USED FOR MEDICAL ABORTION IS LESS FOR EXAMPLE THAN FOR SUCH MEDICATION IS
TYLENOL AND
[INAUDIBLE]. THE MINNESOTA DEPARTMENT OF HEALTH 2016 REPORT ON INDUCED ABORTION
[INAUDIBLE] ONE THIRD
OF WOMEN CHOOSE MEDICATION ABORTION TELEMEDICINE IS A METHOD BY WHICH PHYSICIANS PROVIDE MEDICATION ABORTION AND IT'S JUST THE SAME AS MEDICATION ABORTION ACCESS AT THE SAME LOCATION AS THE PHYSICIAN.
A STUDY OF IOWA PATIENTS FOUND THAT 600 WOMEN UTILIZED AN ABORTION VIA TELEMEDICINE AT COMPARABLE CLINICAL OUTCOMES TO THOSE
SAW DOCTORS IN PERSON. THE AMERICAN CONGRESS OF OBSTETRICIANS AND GYNECOLOGISTS OPPOSES LEGISLATION THAT RATES
VARIOUS TO
[INAUDIBLE] INCLUDING TEST TO RESTRICT
MEDICATION ABORTION
THROUGH TELEMEDICINE TELEMEDICINE IS BECOMING MORE COMMON PRACTICE. IN 2015 THE MINNESOTA LEGISLATURE LED BY A
BIPARTISAN COALITION
VOTED TO EXTEND TELEMEDICINE BY REQUIRING INSURERS TO PROVIDE PARITY FOR
TELEMEDICINE
COMFORT CONSULTATION TELEMEDICINE IS
AN ESPECIALLY
IMPORTANT FOR AMERICANS TO LIVE IN REMOTE OR RURAL AREAS AND DO NOT ACCESS TO A NEARBY DOCTOR OR IF YOU NEED A SPECIALIST ACROSS THE COUNTRY TO APPROXIMATE ONE FOURTH OF AMERICANS LIVE IN RURAL AREAS WHILE ONLY 10% OF PHYSICIANS PRACTICE IN
THESE AREAS.
95% OF MINNESOTA COUNTIES HAVE NO
ABORTIONS PROVIDER.
IT'S EXTREMELY DIFFICULT FOR SOME WOMEN TO TRAVEL TO A REPRODUCTIVE
HEALTH PLAN WHERE THEY CAN ACCESS ABORTION SERVICES DIRECTLY FROM
A PROVIDER. NO OTHER
TELEMEDICINE PROCEDURE HAS BEEN SINGLED OUT FOR THIS
KIND OF ADDITIONAL REPORTING. THE REPORT ON INDUCED ABORTIONS IN MINNESOTA IS ALREADY A LENGTHY ENCUMBRANCE OF DOCUMENT
WITH A 2016 REPORT OF 2015 DATA COMING AT 32 PAGES AND IT INCLUDES
DEMOGRAPHIC DATA WOMEN
SEEKING ABORTIONS;
NUMBERS BY COUNT OF WOMEN SEEKING ABORTIONS; COUNTY
OF WOMEN SEEKING ABORTION; THE TYPE OF PROCEDURE PERFORMED; THE REASON FOR ABORTION; AND
COMPLICATION RATE.
IN AN ATMOSPHERE OF HEIGHTENED RHETORIC AGAINST
ABORTION PROVIDERS; WHICH BE HESITANT TO
A CRATE ADDITIONAL
REPORTING REQUIREMENTS WHICH COULD LEAD TO [INAUDIBLE] A 2015 PRO PUBLIC INVESTIGATION DETERMINED THAT ANTIABORTION EXTREMISTS
SEE STATE COLLECTED ABORTION DATA AS A RESOURCE FOR TARGETING AND HARASSING PATIENTS AND PROVIDERS. ACCORDING TO THE INVESTIGATION
ABORTION OPPONENT SEGMENT EXPERTS AT ACCESSING PUBLIC RECORDS SUCH AS REPORTING
911 CALLS AUTOPSY REPORTS; AND
DOCUMENTS FROM
STATE HEALTH DEPARTMENT AND
MEDICAL BOARDS AND PUBLISHING THE INFORMATION ON
THE WEBSITE. THE BILL BEFORE YOU TODAY DOES NOTHING TO PROTECT WOMEN'S HEALTH. INSTEAD; LAYS THE GROUNDWORK TO CRATE ADDITIONAL BERRIES FOR WOMEN.
THANK YOU FOR YOUR TIME TODAY.
>> CHAIR: THANK YOU TO ANYONE IN THE AUDIENCE
WISHING TO TESTIFY BEFORE OR AGAINST
THE BILL?
SEEING NONE; WILL OPEN IT UP FOR
MEMBER QUESTIONS. FIRST OF ALL I'LL GIVE REPRESENTATIVE WHELAN A CHANCE TO WEIGH IN ON ANYTHING.
ANY STATEMENTS. IF YOU DON'T WANT
TO WEEK THAT'S FINE; TOO WE CAN JUST GO TO MEMBER QUESTIONS. >>
REPRESENTATIVE WHELAN ONE POINT I WOULD JUST MAKE-THANK YOU TO THE TESTIFY FOR THEIR ENGAGEMENT ON THE ISSUE-TO THE
POINT THAT IT IS UNNECESSARY
OR DISCRIMINATES AND THERE'S ALREADY MANY
REPORTING REQUIREMENTS; THIS ISSUE OF
TELEMEDICINE ABORTIONS IS CLEARLY SOMETHING ACROSS THE COUNTRY HAS CAUSED
CONCERN AMONG OTHER STATES
AND SEVERAL STATES OF ACTUALLY BANDED.
>> CHAIR: THAN
K YOU REPRESENTATIVE HOWE
>>
REPRESENTATIVE HOWE: I WAS GOING TO ASK THE TESTIFY BUT
I'LL GUESS
I'LL ASK REPRESENTATIVE WHELAN; IS THERE ANYTHING IN THIS CHANGE IN
REPORTING REQUIREMENTS THA
T BANDS FROM THE
TESTIFIER'S COMMENTS; I WOULD THINK THIS IS GOING TO RESTRICT THOSE IN
RURAL AREAS
THAT LOOK FOR THIS PROCEDURE THAT WOULD RESTRICT THEM IN ANY WAY? IS THERE ANYTHING IN HERE THAT RESTRICTS
THEIR ACCESS TO THIS PROCEDURE?
>> REPRESENTATIVE WHELAN: NO..
>> CHAIR: REPRESENTATIVE HILSTROM >> REPRESENTATIVE HILSTROM IS THERE ANY OTHER PROCEDURE
FORM VIA TELEMEDICINE THAT YOU COLLECT ANY OF THIS
DATA ON? ANY OTHER?
>> REPRESENTATIVE WHELAN:
OTHER TELEMEDICINE PROCEDURES ARE SUBJECT TO CERTAIN
REPORTING REQUIREMENTS.
>> CHAIR: REPRESENTATIVE HILSTROM >> REPRESENTATIVE HILSTROM SO WHAT DID YOU COLLECT ABOUT
THOSE PROCEDURES?
DID YOU COLLECT THE DOCTOR INFORMATION AND PATIENT CODE INFORMATION; OR WHAT INFORMATION YOU COLLECT ABOUT
OTHER TELEMEDICINE PROCEDURES? >> REPRESENTATIVE WHELAN: I
ACTUALLY DON'T COLLECT ANYTHING BUT THE DEPARTMENT
I BELIEVE THE DEPARTMENT OF HEALTH DOES BUT THEY'RE HERE TO
ANSWER QUESTIONS
IF YOU HAVE QUESTIONS ON THAT I WOULD REFER
TO THEM. >>
REPRESENTATIVE HILSTROM: I'M JUST POINT OUT THIS PARTICULAR PROCEDURE FOR ADDITIONAL DATA COLLECTION WOULD BE HELPFUL
TO KNOW
OF THIS PROCEDURE COMPARED TO OTHER DATA
THAT'S BEEN COLLECTED ON OTHER
TELEMEDICINE PROCEDURES.
IF SOMEONE COULD ANSWER THAT QUESTION THAT CERTAINLY WOULD BE HELPFUL. >> CHAIR:
DOES THE DEPARTMENT OF HEALTH WANT TO
COME FORWARD SO SOMEBODY CAN ANSWER
THE QUESTION? MR. POLLOCK?
GOOD MORNING AND WELCOME TO THE COMMITTEE. PLEASE; STATE YOUR NAME TO THE RECORD AND PROCEED TO ANSWER THE QUESTION IF YOU KNOW THE ANSWER >> TESTIFIER: DAN POLLOCK
DEPUTY COMMISSIONER DEPARTMENT OF HEALTH
REPRESENTATIVE HILSTROM QUESTION WAS I BELIEVE; WHAT IS TELEMEDICINE PROCEDURES DO WE COLLECT ANY ANSWERS; NONE. WE DON'T COLLECT DATA ON TELEMEDICINE
PROCEDURES. IF THERE WERE PALMS ABOUT ANOTHER
TELEMEDICINE PROCEDURE [INAUDIBLE] BOARD
OF NURSING. >> REPRESENTATIVE HILSTROM:
REPRESENTATIVE WHELAN; IN LIGHT OF THAT TESTIMONY; WHY
HAVE YOU SPECIFICALLY TARGETED ONLY THIS
PARTICULAR FORM
OF TELEMEDICINE AND NOT OTHERS?
>>
REPRESENTATIVE WHELAN: FORGIVE ME FOR MISSPEAKING.
[INAUDIBLE] TELEMEDICINE
STATUTE ON AND IT SAYS SUBDIVISION THREE
MINNESOTA STATUTE 256B 256B0265
TELEMEDICINE [INAUDIBLE] LICENSE HEALTHCARE PROVIDERS MUST DOCUMENT EACH OCCURRENCE
[INAUDIBLE] SO THERE MIGHT BE A
LITTLE BIT
OF CLARITY THAT I NEED TO PROVIDE
JUST FOR THE RECORD TO SAY THAT
THE STATUTE DOES ADDRESS TELEMEDICINE IN REGARDS TO LICENSE HEALTHCARE PROVIDERS THEY MUST DOCUMENT THE OCCURRENCE OF A HEALTH SERVICE PROVIDER BY TELEMEDICINE INCLUDING THE LOCATION OF THE ORIGINATING SITE
REGARDING THIS PROCEDURE IN PARTICULAR; CURRENTLY WE
HAVE AGREED IS A STATE OF MINNESOTA
IN 1990-ACTUALLY A DFL -CONTROLLED LEGISLATURE HAVING INFORMATION ON ABORTION
IS IMPORTANT
FOR POLICYMAKING PURPOSES AND
OTHER REASONS. RIGHT NOW; THERE'S AN
INCOMPLETE PICTURE OF
THE ABORTION INDUCED
ABORTION SERVICES AND BECAUSE OF THIS
1990 TELEMEDICINE SERVICE WAS NOT PROVIDED AND NOW IT IS IN SIMPLY UPDATING THE CURRENT LAW TO PROVIDE A MORE COMPLETE PICTURE.
>> REPRESENTATIVE HILSTROM: REPRESENTATIVE WHELAN A MORE COMPLETE PICTURE. DOES THAT MEAN IF YOU PASS THIS PROVISION THAT YOU WILL HAVE ALL THE INFORMATION THAT YOU'RE LOOKING FOR
ARE YOU STILL LOOKING FOR MORE THAT WILL NOT BE IN
THE STATUE? >> REPRESENTATIVE WHELAN:
I THINK IT
IS IMPORTANT FOR US TO HAVE AS
MUCH INFORMATION AS WE CAN OUT BEFORE MAKING DECISIONS AND MOVING FORWARD; I WANT TO SAY THIS ALL THE DATA
THAT I WOULD EVER THINK WOULD
BE HELPFUL OR USEFUL
BUT THIS WILL HELP US
MOVING FORWARD TO A MORE COMPLETE PICTURE.
>> REPRESENTATIVE HILSTROM: I
KNOW THAT THIS IS ONE OF THE ISSUES THAT YOU WOULD LIKE TO SEE STOPPED IN THE STATE
OF MINNESOTA. I KNOW AND I
UNDERSTAND THAT AND WE SEE ACROSS THE COUNTRY THE PEOPLE ARE USING THESE DATA COLLECTIONS
PROCEDURES IN ORDER TO STOP BEHAVIOR AND NORMALLY
THIS COMMITTEE WANTS TO KEEP FOLKS
FROM COLLECTING OR ACCESSING OR USING ANY KIND OF DATA; SO
IT STRIKES
ME AS--WELL I WON'T GO THERE-IT STRIKES ME THIS IS THE ONE ISSUE AREA WHERE YOU JUST SEEM TO NOT BE ABLE TO
GET ENOUGH.
>> CHAIR: REPRESENTATIVE LESCH >> REPRESENTATIVE LESCH:
MME. CHAIRMAN IS THERE ANYONE SCHEDULED TO TESTIFY
ON THIS? ARE WE JUST ASKING-REPRESENTATIVE WHELAN ON THE
FIRING LINE IF ANYONE ELSE CAN COME DOWN
THEY CAN WHAT'S THE
STORY NOT? >> CHAIR: THERE'S NO ONE ELSE
SIGNED UP. >> REPRESENTATIVE LESCH: THEN I WAS SEEING NONE; WHELAN.
REPRESENTATIVE WHELAN;
I THINK THE TESTIMONY WAS THERE'S VERY
LITTLE CHANCE THAT ANY
INDIVIDUAL PATIENTS OR PROVIDERS
COULD BE IDENTIFIED USING
THAT THAT
IS THAT CORRECT? >>
REPRESENTATIVE WHELAN: THAT IS CORRECT
ACCORDING TO STATUTE THE COMMISSIONER IS REQUIRED TO
ENSURE THAT ANY DATA
THAT COULD LEAD TO THE IDENTIFICATION OF AN INDIVIDUAL EITHER RECEIVE
OR PERFORMING AN ABORTION NOT BE IN THE PUBLIC.
>> REPRESENTATIVE
LESCH: HISTORICALLY; THOSE KINDS
OF ASSURANCES
HAVEN'T NECESSARILY SATISFIED THE CONCERNS OF
THIS COMMITTEE; NOR WOULD I SAY
HAS IT SATISFIED
YOUR CAUCUS WHEN WE TALK
ABOUT FIREARMS;; BACKGROUND CHECKS FOR EXAMPLE.
I'M
WONDERING IF WITH RESPECT TO THE SECURITY OF THE DATA YOU
BE SATISFIED IF WE SAID
CITY FARMS BACKGROUND CHECK THAT WE COULD BE ASSURED THAT NO ONE WOULD KEEP THE IDENTITY OF THE HOLDERS OF THOSE LICENSES
OR PERMITS; WOULD THAT
SATISFY YOU THAT DATA WAS SECURED IF WE WERE TO VOTE ON THAT?>>
REPRESENTATIVE WHELAN
: TO MAKE SURE I UNDERSTAND THE QUESTION CORRECTLY; IF THE COMMISSIONER
WAS REQUIRED TO SUPPRESS DATA ON FARMS BACKGROUND CHECKS
THAT INDIVIDUAL CAN
BE IDENTIFIED; WITH THAT SATISFY
IS THAT WHAT YOU'RE ASKING? >> REPRESENTATIVE LESCH
YES. >>
REPRESENTATIVE WHELAN: I WOULD ACTUALLY WANT TO KNOW I THINK HISTORICALLY IF
THE COMMISSIONER
OF PUBLIC SAFETY HAS BEEN REQUIRED TO DO THAT
AND [INAUDIBLE]THE DEPARTMENT OF HEALTH AND THE STATE
OF MINNESOTA
HAS FANTASTIC TRACK RECORD ON THE SPECIFIC ISSUE
;; AND TO MY KNOWLEDGE; THEY'VE
NEVER BEEN A CONCERN
BROUGHT FORWARD FOR AN INDIVIDUAL IDENTIFIED FROM THIS DATA.
SO I WOULD THINK THAT MAYBE WE SHOULD CHECK WITH THEM TO SEE HOW THEY DO IT
AND THEN GO FROM THERE BUT I WOULD WANT TO
MAKE SURE WE HAVE ALL THE INFORMATION WE CAN. >> REPRESENTATIVE LESCH: THA
NK YOU. THAT WAS A GOOD DODGE.
I'M IMPRESSED. I MEAN THAT GENUINELY BECAUSE IT'S A TOUGH QUESTION TO ANSWER; RIGHT?
THERE'S NO QUESTION THAT WHEN WERE TALKING
ABOUT DATA YOU CAN
SATISFY SOMETHING WHEN YOU CAN AND USUALLY WHETHER YOU
CAN SATISFY COMES DOWN TO
THE POLITICS
OF THE SUBJECT MATTER OF THE DATA. I THINK WE
ALL UNDERSTAND IT'S BEEN DANCED AROUND A LITTLE BIT BUT THE REASON YOU'RE BRINGING
THIS BILL HERE IS BECAUSE OF ABORTION AND THERE STILL
A DIVISION IN TH
IS LEGISLATURE ABOUT WHETHER OR NOT
PEOPLE HAVE THE RIGHT TO
CHOOSE THAT; OR WHETHER OR NOT THEY
SHOULD NOT IN VARYING DEGREES
. I WOULD JUST POINT OUT TO YOU;
THIS LEGISLATURE HAS CHANGED
IN ATTITUDES ABOUT THAT OVER
THE YEARS. YOU HAD STATED
THIS WAS PASSED IN 1998.
I WOULD POINT OUT IN 1990 THAT WAS THE SAME YEAR THIS LEGISLATURE PASSED THE DEFENSE OF MARRIAGE ACT
GAY PEOPLE CANNOT GET MARRIED.
AND NOW IT'S LEGAL IN THE STATE OF MINNESOTA. OKAY; SO ATTITUDES CHANGE A LOT.
I UNDERSTAND YOUR PASSION FOR THIS ISSUE
BUT THERE ARE THOSE OF US WHO
DO HAVE LEGITIMATE CONCERNS
THAT BECAUSE OF THE POLITICS OF
THIS ISSUE; FOLKS COULD COME AFTER
THESE PEOPLE; WHETHER THEY ARE PROVIDERS OR WHETHER THEY
ARE PATIENTS
. THAT'S A LEGITIMATE CONCERN OF MINE I UNDERSTAND YOUR MOTIVATION AND I'M NOT GOING TO ARGUE WITH YOU ABOU
T YOUR MOTIVATIONS BECAUSE I UNDERSTAND AND I KNOW WHERE YOU ARE COMING FROM BUT
I DO THINK THE LONG-TERM SECURITY OF
THE DATA SHOULD BE
PARAMOUNT IMPORTANCE JUST A BIG
CAUSE OF THE WAY THE POLITICAL
ATTITUDES CHANGE.
SO; NO OTHER QUESTIONS. THANK YOU.
>> CHAIR:
THANK YOU I'VE BEEN INFORMED WE NEED TO SPEAK LOUDER INTO OUR MICROPHONES.
THERE'S SOME TECHNICAL DIFFICULTIES GOING ON HERE THIS MORNING SO I WILL TALK LOUDER.
REPRESENTATIVE CARLSON IF YOU WANT TO SPEAK LOUDLY FOR
THE TAPE?
>>
REPRESENTATIVE CARLSON: I WILL DO MY BEST. [INAUDIBLE]
THANK YOU MME. CHAIRMAN
REPRESENTATIVE WHELAN; YOUR STRONG SUPPORT OF
DATA PRIVACY RIGHTS. WE HEARD THAT IN YOUR COMMENTS DURING REAL ID COULD
YOU SPEAK
FAIRLY ELOQUENTLY IN TERMS OF PROTECTING
YOUR CONSTITUENTS PRIVACY BUT I SEE A LOT OF POTENTIAL [INAUDIBLE]
IN THIS BILL YOU BROUGHT CAN YOU SPEAK TO HOW YOU
CAN GUARANTEE
THOSE PROTECTIONS OF THOSE PRIVACY RIGHTS WITHIN
THIS BILL? >> REPRESENTATIVE WHELAN: I
WOULD JUST REFER EVERYONE
AGAIN TO A STATUTE THAT HIS
CURRENT LAW
. THE COMMISSIONER SHALL ENSURE THAT NONE OF
THE INFORMATION INCLUDED IN THE
PUBLIC REPORTS
AND THAT REASONABLY LEADS TO AN INDIVIDUAL HAVING PERFORMED OR HAVING HAD AN ABORTION
. THIS WOULD NOT CHANGE THAT AND I AM
CONFIDENT IN THE DEPARTMENT TO CONTINUE TO UPHOLD CURRENT LAW AS THEY HAVE DONE SO WELL
FOR THE PAST SEVERAL YEARS.
>> REPRESENTATIVE CARLSON:
THANK YOU
FOR POINTING THAT OUT IN THE STATUTE. YES; WE CAN ALL SEE IT'S THERE. MY CONCERN
IS; THOUGH; WITH THIS
INHERENT RISK FOR WHAT I SEE
AS SOMETHING THAT IS DOING NOTHING
IN WHICH TO PROTECT WOMEN'S RIGHTS; IT SEEMS LIKE A GREAT RISK
BASED ON THE READING OF THAT
AND WHAT WE'RE AFTER HERE. SO; I JUST DON'T THINK THAT THIS IS
WORTH THAT RISK IN TERMS OF
PUTTING THOSE
POTENTIAL PRIVACY RIGHTS AT RISK. I THOUGHT THAT WOULD BE SOMETHING THAT
WOULD CAUSE YOU CONCERN AS WELL; BUT THANK YOU FOR POINTING THAT OUT.
>> REPRESENTATIVE WHELAN WELL
REPRESENTATIVE CARLSON ON THIS REPORT INFORMED AFTER LIST OF FACILITY CODE AND THE PHYSICIAN
REPORTING CODES. SO;
REGARDLESS OF THE TYPE OF ABORTION IT WAS;
YOU COULD STILL-THE SAME
PRIVACY RISKS ARE THERE NOW.
YOU COULD ARGUE BECAUSE
THEY STILL HAVE TO PUT THE FACILITY
REPORTING CODES WHERE
THE ABORTION ARE BEING PERFORMED AND THE PHYSICIAN CODE
WITH A PHYSICIAN IS. SO I DON'T SEE THIS AS CHANGING THAT. YOU
COULD STILL PINPOINT IT TO
IN THE DEPARTMENT STILL HAS
THE SAME OBLIGATION TO PROTECT
PEOPLE'S PRIVACY
EVEN IF THERE'S ONE PERSON IN
THE COUNTY; LET'S SAY THERE'S ONLY
ONE PERSON THAT IS ASIAN IN
THE COUNTY
. THAT COULD BE SOMETHING THAT MIGHT IDENTIFY THEM. THAT'S WHERE THIS
PIECE OF STATUTE WHERE THE DEPARTMENT
HAS TO
PROTECT THEIR IDENTITY COMES INTO PLAY.
REPRESENTATIVE CARLSON;
GIVE YOU A CHANCE TO SPEAK BROADLY ON IT.
>> REPRESENTATIVE
CARLSON: THANK YOU; YES I REVIEWED THE
FORM AS
THESE INFRINGEMENTS ON DATA PRIVACY COULD SHOULD CALL THAT ALL INTO QUESTION.
[INAUDIBLE] I WOULD BE PUSHING BACK IN THE OPPOSITE DIRECTION
SAYING THAT PUTTING PLACE
PEOPLE AT GREAT RISK WITH VERY SENSITIVE DATA WITH THESE TYPES
OF REQUESTS.
SO; WHETHER I THINK IT CALLS INTO
QUESTION WHETHER OR NOT
RECEIVING THIS KIND OF INFORMATION IS
EVEN NECESSARY.
>> CHAIR: WELL I DON'T KNOW THE HISTORY OF THIS REPORT
OR HOW LONG IT IS BEEN AROUND; BUT I'M GUESSING IT'S BEEN AROUND A LONG TIME AND THE DEPARTMENT
OF HEALTH
FIND SOME VALUE IN HAVING THIS INFORMATION.
I THINK THIS GOES ALSO TO PROTECTING WOMEN'S HEALTH.
IF ONE OF THE REASONS THAT THEY COLLECT THIS DATA IS TO MAKE SURE ABORTION IS SAFE; AND SO
I THINK THERE'S VALUE IN THAT
DATA. REPRESENTATIVE SMITH >> REPRESENTATIVE SMITH: COULD WE HAVE THE DEPARTMENT COME DOWN AND TESTIFY AS TO
THE LENGTH
OF TIME THIS REPORT HAS BEEN IN EXISTENCE? >> CHAIR: CERTAINLY.
MR. POLLOCK
THE CLOSEST ONE TO THE CHAIR. I DON'T KNOW IF HE WANTS TO ANSWER THE QUESTION?
THANK YOU FOR BEING HERE.
PLEASE; INTRODUCE YOURSELF WITH THE TAPE AND PROCEED WITH THE TESTIMONY >> TESTIFIER: I'M CAROL
I CHECKED
I HAVE MANAGE THE COLLECTION OF THE DATA
AND I PRODUCE THE ANNUAL
ABORTION REPORT TO THE LEGISLATURE.
>> CHAIR: OKAY
GOOD REPRESENTATIVE
SMITH DID YOU WANT TO ASK A QUESTION?
>> REPRESENTATIVE SMITH HOW LONG HAS THIS REPORT OF INDUCED
ABORTION HAS THIS BEEN
EXISTED TO YOUR KNOWLEDGE? >> TESTIFIER: THE DATA WAS FIRST COLLECTED ON THIS FORM IN OCTOBER 1990 TO THE FIRST PUBLISHED REPORT COVER THOSE LAST FEW MONTHS OF 1998
AND ALL OF 1999. IT'S BEEN AN ANNUAL REPORT SINCE THAT TIME.
>> CHAIR: THANK YOU REPRESENTATIVE SMITH >> REPRESENTATIVE SMITH: IN ADDITION; HOW MANY BREACHES OF DATA SECURITY HAVE THERE BEEN
REPORTED TO YOUR KNOWLEDGE SINCE OCTOBER 1998?
>> TESTIFIER: THERE HAVE
BEEN NONE.
>> CHAIR: THANK YOU. ANY OTHER MEMBER
QUESTIONS? REPRESENTATIVE
O'NEILL >> REPRESENTATIVE
O'NEILL I THOUGHT WE HEARD IN THE TESTIMONY NOT FROM THE HEALTH THE VARMINT BUT
I MAY HAVE MISSED UNDERSTOOD BUT I THOUGHT YOU SAID THAT ONE THIRD
OF ABORTIONS FROM TELEMEDICINE
WAS THAT; NO? MAYBE YOU COULD TESTIFY AS TO HOW MANY YOU THINK
ARE VIA TELEMEDICINE; AND HOW MANY ABORTIONS WERE MISSING IN THIS REPORT RIGHT NOW
WERE OF REPRESENTATIVE WHELAN KNOWS
THAT ANSWER?
>> REPRESENTATIVE WHELAN:
I BELIEVE IT WAS
MEDICINAL ABORTIONS WHICH ARE
WITH TELEMEDICINE ABORTION WOULD BE.
SO IT'S NOT THAT ONE TOWARD
OF ABORTIONS ARE TELEMEDICINE. BUT THAT THEY ARE PERFORMED WITH
MEDICINAL
-WITH DRUGS-AND THOSE DRUGS CAN BE USED IN A
TELEMEDICINE ABORTION.
IF THAT ANSWERS THE QUESTION?
>> REPRESENTATIVE O'NEILL:
SO THERE'S A POTENTIAL WE COULD BE MISSING ONE THIRD OF ALL THE ABORTIONS IF WE DON'T
CHANGE THIS THAT'S THE POTENTIAL
IS THERE?
WERE DEFINITELY MISSING A WHOLE LOT. >> REPRESENTATIVE WHELAN:
I DON'T BELIEVE SO BUT I CAN DEFER TO THE APARTMENT ON THE I WILL SAY THAT I BELIEVE RIGHT NOW; THE METHOD OF ABORTION IS
REPORTED SO IN THE REPORT THERE'S A TABLE THAT SHOWS THE
METHOD INCLUDING
NON--I THINK IT'S NONSURGICAL OR MEDICINAL.
WITHIN THAT THAT'S WHERE
YOU WOULD
HAVE TELEMEDICINE ABORTION SHOW UP. ALL OF THOSE
I WOULD HOPE ARE
BEING REPORTED AND WE WANT TO KNOW WHICH ONES ARE BEING DONE VIA
WEBCAM AND TELEMEDICINE >> CHAIR: TO THE TESTIFIER FROM THE DEPARTMENT THEM YOU HAPPEN TO KNOW THE ANSWER TO THAT?
OTHERWISE WILL BRING UP THE PREVIOUS TESTIFIER.
>> TESTIFIER: TO THE BEST OF OUR KNOWLEDGE ALL ABORTIONS PERFORMED IN MINNESOTA ARE
REPORTED TO US. THE PIECE OF INFORMATION YOU ARE REFERRING TO US THAT'S MISSING WE DO NOT COLLECT
INFORMATION ON WHETHER THE PHYSICIAN OR THE PATIENT OR
AT THE
LOCATION. >> CHAIR: THANK
YOU. REPRESENTATIVE MARIANI ANY
FOLLOW-UP? OKAY; THANK YOU. I HAVE A QUESTION FOR THE
ANDREA LEDGER. THANK YOU FOR
BEING HERE. MS. LEDGER; DID
YOU TESTIFY THAT IN IOWA THEY HAVE
A COUNT ON HOW MANY ABORTIONS ARE PERFORMED BY TELEMEDICINE
? >> TESTIFIER: KNOW. TO CLEAR UP THE CONFUSION;
THE COUNT I REPORTED WAS THE ONE THIRD OF ABORTIONS IN MINNESOTA
ARE PERFORMED VIA MEDICATION
NOT SURGICAL. THE DEPARTMENT
JUST TESTIFIED. THAT METHOD IS THE
METHOD USED IN TELEMEDICINE THE ONLY ISSUE WOULD BE WHERE THE DOCTOR AND THE PATIENT
ARE LOCATED. THAT IS WHERE
THE TELEMEDICINE ANGLE COMES IN. THE INFORMATION ABOUT IOWA
WAS FROM AN IOWA STUDY;
AND LET ME LOOK BACK AND FIND OUT -EXCUSE
ME - IN IOWA STUDY
INDICATES THE POUND 600 WOMEN
THERE UTILIZE
ABORTION VIA TELEMEDICINE AT COMPARABLE CLINICAL OUTCOMES TO THOSE
THAT SAW THE DOCTOR IN PERSON
>> CHAIR:
SO THERE WAS INFORMATION COLLECTED IN THE STATE OF IOWA THAT
600 ABORTIONS WERE DONE VIA
TELEMEDICINE. THAT'S WHAT YOU JUST DATA. IS THAT CORRECT?
>> TESTIFIER: IT WAS A
CLINICAL
STUDY. [INAUDIBLE] ANY OTHER CLINICAL STUDY THAT TAKES
INTO [INAUDIBLE]
WITH THE DATA COLLECTION PIECE.
>> CHAIR: OKAY. WELL I THINK
YOU KNOW IOWA SAW IT AS A
VALUABLE IN INFORMATION
TO HAVE IT I DON'T SEE WHITE MINNESOTA SHOULD BE ANY DIFFERENT. THANK YOU FOR YOUR TESTIMONY TO ANY OTHER MEMBER QUESTIONS? REPRESENTATIVE HILSTROM
BE DIVVY HILSTROM: I DON'T KNOW IF MS. LEDGER KNOWS THE ANSWER TO THIS QUESTION BUT THE DAY IDENTIFY THE DOCTOR AND
THE PATIENT CODE IN
THE INFORMATION THAT THEY COLLECTED OR WAS THERE
ANY WAY-ANY REASON THE STATE WOULD'VE HAD
THAT INFORMATION IN THE STUDY
BECAUSE MEMBERS THAT'S WHAT WHERE ARE TALKING ABOUT HERE. SHOULD GOVERNMENT COLLECT THE DOCTOR CODE AND THE
LOCATION CODE AND DISCLOSED TO THE
PUBLIC INFORMATION ABOUT
YOUR CONSTITUENTS; AND AS FOLKS ON THIS COMMITTEE WHO
DON'T LIKE IT WHEN GOVERNMENT COLLECTS DATA ABOUT THEIR CITIZENS; I FIND THIS INTERESTING. SO; DOES THE GOVERNMENT IN IOWA COLLECT THIS DATA ABOUT THE PEOPLE WHERE PERFORMING-
>> TESTIFIER:
I AM NOT FAMILIAR WITH WHAT
I WAS STATE STATUTE REQUIRES IN TERMS OF REPORTING I CAN SAY THAT TH
E INFORMATION COLLECTED IN
THIS STUDY WAS A CLINICAL STUDY.
THAT PATIENTS OPTED INTO. SO
THEY CHOSE TO GIVE THAT INFORMATION TO THE RESEARCHER
WHO WERE PERFORMING THE STUDY.
>> CHAIR: THANK YOU. REPRESENTATIVE HILSTROM DO YOU CONSIDER ABORTION WOMEN'S HEALTH? >> REPRESENTATIVE HILSTROM: MDM. CHAIRMAN; I BELIEVE THAT
THINGS THAT HAPPENED BETWEEN DOCTORS AND PATIENTS
ARE BETWEEN THE DOCTOR AND THE PATIENT AND MME. CHAIRMAN; I HAVE KNOWN YOU FOR A LONG TIME TO NOT WANT TO DISCLOSE WHAT HAPPENS BETWEEN DOCTORS AND PATIENTS. EXCEPT IN THIS CASE. SO MME. CHAIRMAN; I BELIEVE WE NEED TO PROTECT WOMEN'S ACCESS
TO ALL FORMS OF HEALTHCARE. WE ARE NOT HERE REGULATING
OR SAYING ANY TIME A MALE HAS A VASECTOMY OR ANYTIME A MEAL GETS VIAGRA THEY SHOULD BE PLACED IN A DATABASE
THAT'S WHAT YOU ARE SAYING YOUR MME. CHAIRMAN. WHEN A WOMEN RECEIVES A PARTICULAR TYPE OF HEALTHCARE SHE SHOULD BE PLACED IN A STATE
DATABASE. WHEN A DOCTOR PERFORMS A PARTICULAR TYPE OF HEALTHCARE; HE SHOULD BE PLACED IN A STATE DATABASE.
THAT'S WHAT YOU
ARE DOING. >> CHAIR: THANK YOU BE OKAY IF WE DID NOT HAVE THIS FORM?
AND NONE OF THESE RECORDS WERE KEPT? >> REPRESENTATIVE HILSTROM I HAVE LONG SINCE SUPPORTED PEOPLE'S RIGHTS TO THEIR DATA PRIVACY IN THEIR HEALTHCARE. IT
IS INTERESTING THAT WERE HAVING THIS CONVERSATION BECAUSE I ACTUALLY WANT TO ACCESS
PRESCRIPTION MONITORING
WHICH WE ALREADY COLLECT AND MME. CHAIRMAN YOU WOULD EVEN A GOT
TO BE ONE
BAKER'S BILL HEARINGS WERE OFFERING THAT AS AN AMENDMENT ON DOWN THE FLOOR TODAY SO IT'S OKAY TO COLLECT ALL THIS DATA
AND DISCLOSE IT TO THE PUBLIC
WITH A RELATED TO THIS PARTICULAR KIND OF PROCEDURE; BUT IT'S NOT OKAY WHEN IT COMES TO EVEN A PRESCRIPTION BILLS FOR OPIOID ADDICTION.
>> CHAIR: I WOULD ARGUE
THE DEPARTMENT KEEPS-THE
DEPARTMENT OF HEALTH KEEPS A LOT OF
DATA THAT MANY OF US DISAGREE WITH
YOU ARE ABSOLUTELY RIGHT. SO THE NEWBORN SCREENING IS ONE
OF THOSE. I'M SURE THAT IF WE OFFERED A BILL ON THAT EVERYONE
-EVERYONE WOULD AGREE THAT THEY SHOULD BE COLLECTING THE DATA.
[INAUDIBLE] I'M JUST SAYING THERE'S INCONSISTENCY
THROUGHOUT LAW.
REPRESENTATIVE WHELAN I WILL GIVE YOU A
LAST WORD.
BTV WHELAN: THANK YOU MEMBERS AND YOUR TESTIFIER FOR ENGAGEMENT ON THE TOPIC.
I JUST WANT TO CLARIFY ONE MORE TIME
CURRENT STATUTE DOES REQUIRE
THAT ANY DATA THAT COULD REASONABLY LEAD TO THE IDENTIFICATION OF AN INDIVIDUAL PERFORMING RECEIVING AN ABORTION
WOULD NOT BE MADE PUBLIC
AS URBAN
A FEW INSINUATIONS. THAT THIS COULD BE LEAKED AND MADE PUBLIC AND THAT IS NOT AT ALL WITH THIS BILL DOES; NOR WOULD IT IS SEEKING TO DO.
FURTHERMORE THEY FOUND SOME OF THE COMMENTS MADE REGARDING WHY
WE DO
DIFFERENT REPORTING REQUIREMENTS FOR THIS SPECIFIC PROCEDURE VERSUS
OTHER PROCEDURES AS HAS ALSO BEEN
EITHER STATED OR LISA
ALLUDED TO; THERE IS A
DIFFERENCE REGARDING
THE ABORTION PROCEDURE IN THE MINDS OF MANY NOT NECESSARILY EVERYONE IN THE
ROOMS OF BUT IN THE MINDS
OF MANY OF MYSELF AND MANY
MY CONSTITUENTS'S BABY ONE INDIVIDUAL. IT'S A WOMAN AND
ANOTHER INDIVIDUAL WHICH COULD BE A MAN OR WOMAN. A BABY.
SO THIS IS A DIFFERENCE AND IT
IS IMPORTANT THAT WE COLLECT
THIS INFORMATION SO THAT WE AS
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