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 increase reimbursement rates for inpatient psychiatric services provided by hospitals to medical assistance recipients.

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

Prohibits the recovery of reimbursements paid on claims in the medical assistance program if the provider can verify that the patient visit occurred or the service or item was provided.

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

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

Exempts a county or other entity that operates a nurse-family partnership program from paying the nonfederal share of the costs of targeted case management services provided by the program to medical ...

Directs the Oregon State University Extension Service to oversee a project to accelerate the promotion of behavioral health in Oregon.

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...

Establishes minimum amounts of reimbursement for primary care, optometry, dental care and behavioral health services provided to recipients of medical assistance.

Directs the Oregon Health Authority to study alternative payment methodologies to improve access to behavioral health care in federally qualified health centers in this state.

Establishes minimum amounts of reimbursement for primary care, optometry, dental care and behavioral health services provided to recipients of medical assistance.

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 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...

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 ...

Establishes the Seniors Emergency Dental Program in the Oregon Health Authority to provide certain emergency dental services to eligible low-income seniors without any corresponding copayments, deduct...

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

Requires the Oregon Health Authority to establish minimum reimbursement rates for behavioral health services provided to medical assistance recipients.

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

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

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

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 courts to delay residential eviction trials for nonpayment until at least 90 days following defendants' motion and declaration regarding their health-related social needs housing supports.

Directs the Oregon Health Authority to assess current fee-for-service billing practices and non-fee-for-service payment pathways for community health workers serving medical assistance recipients to i...

Directs the Oregon Health Authority to prescribe criteria for mobile integrated health care providers to enroll as providers in the state medical assistance program.

Appropriates moneys from the General Fund to the Oregon Health Authority and the Department of Human Services for certain programs, reimbursements and incentive payments to support the health care wor...

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...

Directs the Oregon Health Authority and the Department of Human Services to provide certain payments to hospitals, long term care facilities, residential care facilities and federally qualified health...

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

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 ...

Provides a credit against an employer's unemployment insurance taxes for calendar year 2025 if the employer's tax rate for calendar year 2025 is at least 2.5 percentage points less than the employer's...

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...

Modifies procedure for rebutting presumption of inability to pay child support when an obligor earns wages from work performed while the obligor is a patient at the state hospital or incarcerated.

Requires a hospital to report on the amount of money the hospital spends on strategies to discourage, avoid or prevent labor organizing.

Requires a hospital to establish, update and make public a list of standard charges that lists the regular rates or prices established by the hospital for items or services and shoppable services offe...

Restores former provisions restricting the payment of unemployment insurance benefits to certain nonprofessional educational workers that were repealed by enrolled Senate Bill 489 (2023).

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

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

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...

Requires health care facilities, health care providers, local public health authorities and public and private safety agencies to maintain capacity, including sufficient amounts of certain supplies, t...

Requires a hospital to report on an annual basis to the Oregon Health Authority the percentage of medical assistance program payments and the amount of other public funds that were invested in stocks.

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 ...

Directs the Oregon Health Authority to administer a program to reimburse the cost of hyperbaric oxygen therapy for low-income veterans who have been diagnosed with traumatic brain injury or post-traum...

Directs the Oregon Health Authority to establish a primary care provider loan repayment program to provide loan repayment subsidies to specified primary care providers.

Requires a policy or certificate of health insurance to reimburse medical care provided at an eligible urgent care center in an amount that is 20 percent higher for the same services when the services...

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...

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

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 Public Employees' Benefit Board to count payments made by or on behalf of an enrollee for the cost of certain prescription drugs when calculating the enrollee's contribution to an out-of-...

Requires the Oregon Educators' Benefit Board to count payments made by or on behalf of an enrollee for the cost of certain prescription drugs when calculating the enrollee's contribution to an out-of-...

Permits the State Accident Insurance Fund Corporation to evaluate the risk the corporation has insured for employers during the past three years and reduce the premium the corporation charges the empl...

Requires a hospital to establish, update and make public a list of standard charges that lists the regular rates or prices established by the hospital for items or services and shoppable services offe...

Revises the insurance rate review process.

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...