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

CCO Rate Reform and Accountability

Prohibits the Oregon Health Authority from taking enforcement actions against providers or payers under the Health Care Cost Growth Target program before January 1, 2036.

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 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...

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

Creates an Oregon personal income tax subtraction for premiums paid for medical, dental or vision insurance coverage for a child dependent of the taxpayer.

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

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 ...

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

Directs the Oregon Department of Administrative Services to establish a program to provide reinsurance against the risk of economic loss for insurers that issue policies of insurance against damage or...

Requires certain health insurers to reimburse the cost of primary care providers in an independent practice at the same rate as primary care providers within a hospital-based or hospital-affiliated sy...

Requires health insurance coverage of specified fertility services and treatments with exemption for certain insurers.

Requires health insurance coverage of specified fertility services and treatments with exemption for certain insurers.

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

Requires certain health insurers offering a health benefit plan in this state that provide utilization review or have utilization review provided on their behalf to notify a health care provider each ...

Requires certain carriers that offer health benefit plans in this state to report additional information to the Department of Consumer and Business Services and requires the department to keep this in...

Allows insurers offering policies or certificates of health insurance and pharmacy benefit managers to require that a claim for reimbursement of a prescription drug include a modifier or other indicat...

Provides for 50 percent of awards of restitution ordered to an insurance carrier to be paid to the Department of Justice for purposes of victim services funding.

Prohibits an insurer from canceling fire insurance policies, or raising policy premiums by more than three percent, if an insured's property is located within the wildland-urban interface or the insur...

Prohibits insurers from using any device or technology that records, discloses or allows access to information that tracks or reveals the geographic location of an insured during any time in which the...

Establishes a voluntary mediation and arbitration process that certain health insurers and providers may participate in if the insurer and provider are unable to reach an agreement during a contract r...

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

Defines "wildfire risk" for the purpose of determining certain obligations of insurers related to homeowner insurance.

Directs an insurer to consider only specified information in determining rates for a motor vehicle liability insurance policy.

Prohibits health insurers and pharmacy benefit managers from restricting coverage of physician-administered prescription drugs that are obtained by nonparticipating pharmacies.

Requires a person that intends to register to do business in this state as a pharmacy benefit manager to demonstrate to the satisfaction of the Director of the Department of Consumer and Business Serv...

Prohibits insurers that issue a policy of insurance that provides coverage or benefits to an insured for veterinary services for the insured's pet from excluding, limiting or reducing the coverage or ...

Requires the person that has ultimate control over an insurer to file a group capital calculation with the chief insurance regulatory official of the state that the Director of the Department of Consu...

Makes various changes to the responsibilities of the Oregon Insurance Guaranty Association with respect to providing coverage for the obligations of member insurers.

Extends the assessment on earnings from health plan premiums, the assessment on payments by the Oregon Health Authority to managed care organizations, the assessment on hospitals and the Oregon Reinsu...

Requires certain health insurers, the Oregon Educators Benefit Board and the Public Employees' Benefit Board to cover treatment for perimenopause, menopause and postmenopause.