Official Summary

Digest: Tells some insurers to report more data to DCBS and makes rules about prior authorization for some procedures. Tells some insurers to use a program by a set date. (Flesch Readability Score: 60.8). [Digest: This Act tells insurers, PEBB, OEBB and CCOs to exempt some health care providers from prior authorization in some situations and makes rules about how to do so. Adds reporting rules for these insurers to DCBS and OHA. (Flesch Readability Score: 60.6).] [Creates a process that exempts certain health care providers from prior authorization requirements under certain circumstances.] Requires additional reporting about prior authorization to the Department of Consumer and Business Services from insurers offering a health benefit plan and tells the department to make [certain] this data publicly available. [Applies these requirements to commercial health insurance, the Public Employees' Benefit Board, the Oregon Educators Benefit Board and coordinated care organizations.] [Takes effect on the 91st day following adjournment sine die.] Creates restrictions for prior authorization requirements during certain surgical procedures for insurers offering a health benefit plan. Requires certain insurers offering a health benefit plan to implement a prior authorization programming interface by January 1, 2027.