(at the request of Senate Interim Committee on Health Care)
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Regular Sponsors:
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Bill Title:
Relating to health care; and declaring an emergency.
Catchline/Summary:
Allows Public Health Director to direct and deploy volunteer emergency health care providers under specified circumstances.Allows volunteer qualified health care providers to administer health care services in this state during health care emergency.] Allows Public Health Director to direct and deploy volunteer emergency health care providers during health care emergency] under specified circumstances. Requires Oregon Health Authority to provide workers' compensation coverage for volunteer emergency health care providers. Defines "health care emergency.]
Requires individual and group health insurance policies, health care service contractors and multiple employer welfare arrangements to provide reimbursement for at least three primary care visits annually in addition to one annual preventive primary care visit covered without cost-sharing. Exempts commercial plans offered to public employees by Public Employees' Benefit Board and Oregon Educators Benefit Board.
Requires enrollee in individual or group policy or certificate of health insurance and member of coordinated care organizations to be assigned by insurer or coordinated care organization to primary care provider if enrollee has not selected primary care provider within specified timelines. Allows enrollee or member to select different primary care provider at any time.
Prohibits individual and group health insurance policies, health care service contractors, multiple employer welfare arrangements and, beginning January 1, 2024, state medical assistance program from denying coverage for services provided by behavioral health home and patient centered primary care home because services were provided on same day or in same facility. Limits copayments for services provided by behavioral health home and patient centered primary care home on same day or in same facility.
Prohibits individual and group health insurance policies, health care service contractors, multiple employer welfare arrangements and, beginning January 1, 2024, state medical assistance program from requiring prior authorization for specialty behavioral health services provided at behavioral health home or patient centered primary care home.
Clarifies that certain contracts between pharmacies or pharmacists and pharmacy benefits managers are subject to specified requirements.
Declares emergency, effective on passage.
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SB 1529
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