Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers.

Requires the Oregon Health Authority and coordinated care organizations to increase reimbursement rates for inpatient psychiatric services provided by hospitals to medical assistance recipients.

Removes provisions relating to the use of the prioritized list of health services in the state medical assistance program.

Requires the Oregon Health Authority to adopt a payment mechanism to pay certain nonprofit reproductive health care providers that are not eligible to receive federal Medicaid funds for services provi...

Requires certain health benefit plans to provide coverage for preventive health services in accordance with federal rules in effect on June 30, 2025, and immunizations recommended by the Public Health...

Directs the Oregon Health Authority to study a methodology for calculating a coordinated care organization's global budget and report the authority's findings to the Legislative Assembly.

Establishes the Higher Education Behavioral Health Workforce Expansion Fund.

Extends the term of a contract entered into between the Oregon Health Authority and a coordinated care organization to 10 years and allows the authority to reevaluate a contract after the initial five...

Extends the term of a contract entered into between the Oregon Health Authority and a coordinated care organization to 10 years and allows the authority to reevaluate a contract after the initial five...

Requires the Department of Human Services to pay parents to provide attendant care services for children with developmental disabilities who have very high behavioral health or medical needs.

Requires the Oregon Health Authority to develop, implement and administer a program to support consumer engagement efforts aimed at increasing and optimizing consumer involvement in planning and decis...

Appropriates moneys from the General Fund to the Oregon Health Authority for distribution to community mental health programs.

Creates a civil penalty for drug manufacturers that interfere directly or indirectly with certain entities acquiring 340B drugs, delivering 340B drugs to certain health care providers or dispensing 34...

Establishes a complaint process for health care providers to submit complaints to the Department of Consumer and Business Services or the Oregon Health Authority regarding health insurers or coordinat...

Requires the Oregon Health Authority to study behavioral health.

Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers.

Authorizes the Oregon Health Authority, a coordinated care organization or a county to contract with a recovery residence to provide housing supports to individuals with substance use disorders only i...

Requires dental insurers to follow certain rules for payment and denial of claims.

Directs the Oregon Health Authority to award grants to eligible entities to foster the recruitment and retention of behavioral health care providers at the entities.

Requires the Oregon Health Authority to conduct studies and adopt rules relating to residential treatment facilities, residential treatment homes, secure residential treatment facilities and secure re...

Establishes the Residential Behavioral Health Capacity Program within the Oregon Health Authority to fund behavioral health programs that are determined by the authority to increase residential behavi...

Provides funding to the Higher Education Coordinating Commission to be distributed to Oregon Health and Science University for purposes of the Addiction Medicine Fellowship program.

Modifies requirements for certain claims processes for health care providers and insurers.

Directs the Oregon Health Authority to award grants to certain recipients for certain workforce development activities.

Requires the Oregon Health Authority to collaborate with the Department of Human Services and the Employment Department to submit an annual report that provides information about employers that employ...

Directs the State Board of Pharmacy to issue a license to operate a mobile pharmacy to a qualified applicant.

Expands the rural health care income tax credit to include pharmacist services performed in rural communities.

Allows an attending physician to provide ibogaine to a patient for the patient's consumption to treat certain disorders.

Directs that a hospital shall comply with either the nurse staffing plan for a unit if a nurse staffing plan for the unit has been adopted or, if a nurse staffing plan for the unit has not been adopte...

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 this data publ...

Creates additional rules and requirements for pharmacy benefit managers and a policy or certificate of health insurance or other contract providing for the reimbursement of the cost of a prescription ...

Requires the Oregon Health Authority to study hospital discharges.

Requires individual and group health benefit plans and benefit plans offered by the Public Employees' Benefit Board and the Oregon Educators Benefit Board to reimburse services provided by naturopathi...

Prohibits insurers offering policies or certificates of health insurance and pharmacy benefit managers from requiring that a claim for reimbursement of a prescription drug include a modifier or other ...

Requires the Oregon Health Authority to establish a fee-for-service rate for all medical assistance recipients at a certain rate for certain services.

Requires pharmacy services administrative organizations operating in this state to be licensed by the Department of Consumer and Business Services and creates rules for licensing requirements.

Prohibits a mail-order, specialty or online pharmacy from transferring prescription drugs intended for dispensation to a patient to a pharmacy located in this state unless the pharmacy has agreed to r...

Directs the Oregon Health Authority to increase by 30 percent the reimbursement rates for addiction medicine services.

Creates workplace violence prevention requirements for certain health care entities.

Establishes the Health Insurance Mandate Review Advisory Committee, staffed by the Legislative Policy and Research Director, to meet during interims between sessions of the Legislative Assembly to rev...

Prohibits a hospital from closing or ceasing, reducing or relocating health services without first providing notice 275 days in advance.

Requires insurers to reimburse mental health professionals at the same rate as physicians and other mental health professionals for the same services.

Requires home health agencies and home hospice programs to establish home health and home hospice staffing committees to develop staffing plans.

Prohibits cost-sharing on certain health insurance coverage of cervical cancer screenings and follow-up examinations.

Requires a person that advertises, solicits, markets, sells or offers a health care cost sharing arrangement in this state or enters into a health care cost sharing arrangement with a resident must re...

Prohibits drug manufacturers from interfering directly or indirectly with a pharmacy or drug outlet acquiring 340B drugs, delivering 340B drugs to certain health care providers or dispensing 340B drug...

Includes pharmacy services administrative organizations within the definition of pharmacies for the purpose of ensuring that pharmacy benefit managers are subject to laws regulating their activities e...

Includes outpatient facilities with a certified substance use disorder program that employ certified alcohol and drug counselors as providers for the purposes of mental health treatment insurance cove...

Prohibits balance billing for ambulance ground transportation services in certain circumstances and creates rules for health benefit plan reimbursement of ambulance services.

Prohibits per-visit compensation for home health care and home hospice care staff.

Creates workplace violence prevention requirements for certain health care entities.

Authorizes the Director of the Employment Department to waive the unpaid waiting week period for unemployment insurance claimants who are unable to perform services due a state-declared emergency rela...