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Plan Design and Expenditures Committee

About

The Plan Design and Expenditures Committee is responsible for making recommendations to the board on the elements of the universal health plan, including eligibility, benefit design, quality improvement, provider reimbursements, cost containment strategies, and workforce needs. The first task of this committee is to review any needed changes from the Joint Task Force recommendations to benefits, eligibility, and provider reimbursement plan design to stay within cost estimates and revenue projections determined by the Finance and Revenue Committee.

Meeting Calendar and Materials

Feb. 6, 2025

1-4 p.m.

Register to attend




Committee Member Resources

Committee Members

​Debra Diaz was born and raised in Miami, Florida, and graduated with a bachelor’s degree in psychology from Florida International University. She went on to graduate with a master’s degree in health sciences from The George Washington University Physician Assistant Program in Washington, D.C., in 2014. She worked in the emergency departments at The George Washington University Hospital, Walter Reed National Military Medical Center, and Washington Veterans Affairs Medical Center. She moved to California and took a position at Stanford Hospital’s emergency department observation unit before relocating to Portland, Oregon, in 2018. In Portland, she worked at the emergency department at Legacy Good Samaritan Hospital in Northwest Portland before transitioning to its outpatient clinics. She is a member of the faculty at the Oregon Health & Science University (OHSU) Physician Assistant Program. She recently accepted a clinical position at OHSU’s Richmond clinic, a primary care clinic and Federally Qualified Health Center in Southeast Portland.

Her clinical experience has highlighted the gaps in our current health care system. She is committed to improving access to care in Oregon.

Dr. Helen Bellanca is a family physician who has been practicing in Oregon since completing her residency at Oregon Health & Science University in 1999. For most of that time, she has worked as a primary care physician in Federally Qualified Health Centers, serving primarily uninsured Oregonians and those on Medicaid. She was honored as Oregon’s Rural Health Practitioner of the Year in 2004. She currently provides clinical care through Northwest Permanente.

After completing a master’s degree in public health and a Robert Wood Johnson Fellowship, Helen became engaged in health policy and advocacy, first with the Oregon Public Health Institute, where she worked on the prevention of childhood obesity. She then was medical director for the Oregon Foundation of Reproductive Health, where she was the co-creator of the One Key Question initiative promoting pregnancy intention screening in primary care.

When the coordinated care organization model was created, she joined Health Share of Oregon and served as its associate medical director. Her focus there was integration of behavioral health services and physical health care, and she collaborated with partners to create Project Nurture, which integrates substance-use treatment and maternity care for pregnant and postpartum women. The success of that program led to statewide expansion as Nurture Oregon.

Helen has valuable experience working with complex systems and alternative payment strategies to help communities get the care they need, and she is committed to working for universal health care with a single-payer strategy.


​Chunhuei Chi is a professor at the Oregon State University College of Health and affiliated with its Health Management and Policy Program and Global Health Program. He completed his master’s degree in international public health from the University of Texas School of Public Health in Houston and holds a Doctor of Science in health policy and management from the Harvard T.H. Chan School of Public Health. His doctoral research was focused on health system finance, health insurance coverage, and access to health care.

Chunhuei has helped promote universal health care in Oregon and the United States. He testified three times before the Oregon Legislature to support universal health care in the state. He also contributed to establishing Taiwan’s universal health care system and continues to serve as a policy adviser and give workshops in Taiwan. He continues to research the universal health care systems of Chile, South Korea, and Taiwan. He published peer-reviewed papers focused on community ownership and health governance, equity in health, health care, and the financial burden of health care in Bangladesh, Chile, Ecuador, and Taiwan.

During the COVID-19 pandemic, Chunhuei also developed expertise in international comparative pandemic control policies and was interviewed by U.S. and international media more than 400 times.

Cherryl Ramirez has served as executive director of the Association of Oregon Community Mental Health Programs (AOCMHP) for 12 years. The association represents community mental health programs that manage and provide services for people with mental health and substance-use disorders and community developmental disabilities programs that provide case management services for people with intellectual and developmental disabilities.

The association also provides a wide array of trainings in the areas of mental health promotion and clinical services, suicide prevention and post-suicide intervention, and mobile crisis services, and it houses the Alliance to Prevent Suicide. Cherryl advocates for policies and resources to support and improve the community behavioral health and developmental disabilities systems, in collaboration with behavioral health associations, human service advocacy organizations, and other system partners.

Cherryl served four years as president of the National Association of County Behavioral Health and Developmental Disabilities Directors Board and four years as its past president. She also represented the public behavioral health system on the Joint Task Force on Universal Health Care. Before her position with AOCMHP, Cherryl served as the executive director of the Association of Community Mental Health Authorities of Illinois for eight years.


Rosemarie Hemmings has a master’s degree in social work and a doctorate in public health. With more than 30 years of experience as a clinical social worker, Rosemarie has been in private practice as a psychotherapist for more than 20 years and owns a group practice in Beaverton, where she focuses on the mental health of Black, Indigenous, Latina/x/o, and other people of color. Her experience includes being an assistant professor in public health dentistry and director of social work at the Oregon Health & Science University School of Dentistry. She has developed and taught an innovative interprofessional curriculum related to social determinants of health, health equity, and social justice within the School of Dentistry. All these professional experiences and her lived experience have contributed to her commitment to health equity, where everyone has a chance to achieve their best health outcomes.​

Angela Michalek is the chief innovation officer at One Community Health, a federally qualified health center serving 35,000 patients in the Columbia River Gorge. In her position, she oversees quality improvement, risk management, marketing, and outreach. Angela has more than 17 years of experience in health care and public health, having worked for the American Hospital Association and the University of Illinois at Chicago in previous roles. Angela has a master’s degree in policy and planning from the University of Michigan and is a certified project management professional. ​​​

Dr. Antonio (Tony) Germann is a family physician centered in rural primary health care, clinical health education, and public health with a focus on policy that results in better health outcomes for the most vulnerable communities of Oregon. He is medical director of the Salud and Pacific pediatric clinics of the Yakima Valley Farm Workers Clinic system (a federally qualified health care). Tony is also the founder of the Salud Rural Maternal Child Health Fellowship. The fellowship prepares family physicians for practice in a rural or underserved setting through advanced training in low- and high-risk obstetrics; surgical obstetrical skills; management of neonatal complications, including resuscitation; and advanced office gynecologic procedures. Tony serves as a member of the Oregon Health Policy Board, which is responsible for many of the state’s major health systems, including the Medicaid program, the Oregon State Hospital, public health, behavioral health, the Public Employees’ Benefit Board, and the Oregon Educators Benefit Board.​

Betsy Boyd-Flynn has served physician organizations for nearly 20 years. Since she joined the Oregon Academy of Family Physicians (OAFP) in 2018, the organization has launched a collaborative network supporting family medicine training programs statewide, and public-health-oriented programs on vaccine hesitancy and better connecting public health, primary care, and community-based organizations. Before joining OAFP, she worked for a small health information technology (IT) consultancy helping Medicaid agencies secure funding for health IT infrastructure. She also worked as a program director at the Oregon Health Care Quality Corporation (now Comagine Health) on Oregon Health Authority contracts related to clinical quality measurement and utilization. In the past six years, she has held volunteer roles with the Oregon Foundation for Reproductive Health, the Oregon Rural Health Association, and Comagine Health.​

Dr. Brian Frank is a family physician in Portland. Since 2011, he has had the good fortune to provide care to multigenerational families and individuals in all stages of life at a federally qualified health center. Outside of his clinical duties, Brian leads research to increase employer responsiveness to employees’ social and medical needs by identifying returns on investment for these efforts. He is chairperson of the Oregon Academy of Family Physicians’ External Affairs Committee and co-chairperson of the National Academies of Science, Engineering, and Medicine’s Action Collaborative on Business Engagement in Building Healthy Communities. ​

Christine Zinter is an attorney specializing in the Employee Retirement Income Security Act (ERISA), employee benefits, and employment law. Before starting her second career as a licensed attorney in 2015, Christine worked as a health and welfare consultant in the Portland metropolitan area since the early 1990s. She is well-versed in health care underwriting practices and health care financing, ERISA preemption issues, and determinative factors related to public health and health disparity. ​

Eve Gray is the director of Lane County Health & Human Services, where she helps guide the organization’s eight divisions and 850 staff members on a mission-based approach to helping the most underserved in Lane County access vital services. Eve has 13 years of health care administration experience, including roles in quality, patient safety, and operational leadership in both inpatient and outpatient settings. She has experience in primary care and numerous specialties, including medical and surgical specialty practices. Before coming to Lane County, Eve served with Oregon Medical Group, as well as PeaceHealth Sacred Heart Medical Center in Springfield. Since starting her role at Lane County, Eve has focused heavily on building her understanding of the local crises related to homelessness and untreated behavioral health conditions, as well as building a more inclusive experience of health care for those who are historically marginalized. ​

Gabriel Andeen, M.D., MPH, is a family physician who practices broad scope family medicine at a federally designated rural health clinic in Scappoose and at Oregon Health & Sciences University Hospital, where he teaches students and residents in hospital and maternity care. He has interests in integrated community behavioral health clinics and health care workforce development through Oregon’s Area Health Education Centers program. Inspired by Oregon’s history as a policy innovator, and informed by his day-to-day experiences caring for patients in our complex health care system, Gabriel is eager to support Oregon’s drive toward a universal health plan for all Oregonians.​

Jamie Osborn is a family doctor who started life as a patient in Roseburg, where her first doctor discovered she had a heart problem that required open heart surgery. Jamie has spent most of her career training physicians and other providers of health care to be innovators in team-based, patient-centered primary care in various settings. She delivers whole person care to her patients while serving as the population health officer at La Clinica in Medford. Jamie believes everyone needs and deserves excellent primary care, and she wants to leave a legacy of a more excellent, accessible, affordable, compassionate, and just health care system for her children and grandchildren.​

As a born and raised Oregonian, Julianne Horner has a vested interest in the health and livelihood of Oregonians and their health care. Having served in the health insurance industry for decades, Julianne has been through multiple iterations and efforts at providing the best for our state, and she can recognize the good and bad of both. Julianne’s extensive experience on boards and commissions representing both public- and private-sector interests gives her perspective and experience that will be of great value in a decision-making process that affects the lives of Oregonians. As a mother, wife, and parent to three children raised in Oregon, she brings perspective from all of these experiences to the Universal Health Plan Governance Board in an effort to create the best possible health outcomes for Oregonians.​

Max Kaiser is a board-certified physician in family medicine and osteopathic manipulative treatment. He is the medical director for InterCommunity Health Network Coordinated Care Organization/Samaritan Health Plans in Corvallis after practicing outpatient family medicine for Samaritan. He completed a master’s degree in bioethics, humanities, and society at Michigan State University before beginning his medical studies and has served on various ethics committees and institutional review boards.​

Mike Durbin is the clinical operations chief of staff at Aviva Health, a federally qualified health center in rural Douglas County, where he synchronizes service lines and promotes process improvements while collaborating on long-term strategic planning. Previously, he served as vice president of clinical operations, overseeing various medical and dental services across multiple sites. Mike has also led provider network contracting for a local coordinated care organization and was an administrator for its clinically integrated network. He holds a degree in economics from Harvard University and a Juris Doctor from George Washington University Law School, with prior experience as vice president and general counsel for an East Coast company.​

Peter H. Addy, a licensed professional counselor with more than 15 years of experience, is an expert in psychedelic substances, states of consciousness, and treating adults with chronic pain and related health issues. His unique perspective, shaped by professional expertise and personal experience living with chronic pain, enhances his understanding of the complex intersections between chronic conditions, mental health, and societal expectations. An accomplished speaker and researcher, Peter is passionate about developing inclusive health care practices and is committed to contributing his diverse expertise to design a more equitable and responsive universal health plan for all Oregonians.​

Peter Merritt is the public affairs manager for Project Access NOW, an organization working to create equitable access to whole person care and social services in Oregon. Building on more than a decade of experience in nonprofit health care access work in Oregon and Washington, he brings a community-based perspective to solving the problems of our fragmented health care system. With a focus in health coverage policy, the intersection between health and social services, and community information exchange, Peter holds a deep passion for building the future of health care in Oregon.​

Robert Fisette is an associate of the Society of Actuaries, a member of the American Academy of Actuaries, and holds a doctorate in mathematics from the University of Oregon. Since 2018, he has been the principal and consulting actuary at Apollo Actuarial Services in Eugene. Robert has more than a decade of professional experience in health care actuarial consulting working with provider groups, health plans, and other stakeholders.​

Tashrique Rahman is an accomplished clinical pharmacy specialist with a robust background in oncology and specialty medications, including monoclonal antibodies. Tashrique has a proven record of optimizing therapeutic outcomes, driving cost-efficient strategies, and enhancing patient care quality. Tashrique’s experience includes collaborating with diverse health care stakeholders to improve operational efficiency and patient outcomes. Additionally, he is adept at mentoring and coaching, focusing on continuous professional development and maintaining innovative medical knowledge. As an advocate for a single-payer health care system, Tashrique is eager to contribute to the implementation of a pioneering health care model in the United States.​