Directs the Oregon Health Authority and coordinated care organizations to reimburse certain rural hospitals at rates no less than 150 percent of the rates paid as of the effective date of the Act.

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 provide reimbursement for air ambulance services provided to medical assistance recipients at rates in accordance with the na...

Requires the Oregon Health Authority and coordinated care organizations to reimburse the cost of clinically validated blood pressure cuffs prescribed to medical assistance recipients.

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

CCO Rate Reform and Accountability

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...

Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers.

Requires the Oregon Health Authority to develop a transparent and data-driven process for developing capitation rates for coordinated care organizations.

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.

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 Oregon Health Authority to convene a work group to study adult residential mental health services provided by facilities to medical assistance recipients enrolled in coordinated care orga...

Establishes the Task Force on Provider Credentialing to make recommendations for expanding and improving a provider credentialing database maintained by the Oregon Health Authority.

Extends the dates by which the Joint Task Force on Regional Behavioral Health Accountability must provide draft recommendations and submit a final report to the interim committees of the Legislative A...

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 Oregon Health Authority and coordinated care organizations to ensure that access to behavioral health treatment in the medical assistance program is comparable to access to medical and su...

Authorizes the Director of the Employment Department to adopt rules establishing an accounting system for handling moneys in the Paid Family and Medical Leave Insurance Fund.

Requires a coordinated care organization to collaborate with local public health authorities, community mental health programs, local planning committees and hospitals in conducting a community health...

Requires the Director of the Department of Consumer and Business Services to transfer the proceeds of certain taxes, fees, fines, penalties and other monetary obligations the director imposes upon out...

Establishes two new subaccounts in the Consumer and Business Services Fund: the Consumer Financial Education Account and the Consumer Insurance Education Account.

Increases the Retirement Health Insurance Account subsidy under the Public Employees Retirement System.

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

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...

Prohibits a person from engaging in or refusing to engage in an economic relationship with a resident of this state, or allowing or barring the resident from entry into a place of public accommodation...

Requires the Oregon Health Authority and coordinated care organizations to reimburse hospitals for inpatient psychiatric services provided to medical assistance recipients at rates no less than the re...

Directs the Oregon Health Authority and coordinated care organizations, to the extent permitted by federal law, to establish reimbursement rates for labor and delivery services provided by hospitals t...

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...

Directs the Oregon Health Authority and coordinated care organizations to reimburse dental care organizations for dental services provided to medical assistance recipients at a rate no less than 59.8 ...

Requires the Oregon Health Authority to pay out of the Law Enforcement Medical Liability Account any copayment or other cost-sharing amounts owed by an individual for the cost of medical services, or ...

Requires the Oregon Health Authority to study Medicaid supplemental reimbursement for ground emergency medical transportation services.

Requires the Oregon Health Authority to study Medicaid supplemental reimbursement for ground emergency medical transportation services.

Requires the Oregon Health Authority to approve the transfer of 500 or more members of a coordinated care organization or dental care organization if the transfer meets specified conditions, unless th...

Prohibits residential landlords from considering the credit score of an applicant who demonstrates eligibility for medical assistance under the Oregon Health Plan.

Requires the Oregon Health Authority and coordinated care organizations to reimburse pharmacies and pharmacists in the same manner as other health care providers for certain services related to HIV tr...

Requires the Oregon Health Authority or a coordinated care organization to make a determination on a request for prior authorization for medical assistance coverage for the cost to repair complex reha...