(at the request of House Interim Committee on Health Care for Representative Rob Nosse for Richard Blackwell, PacificSource Health Plans)
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Bill Title:
Relating to medical assistance; declaring an emergency.
Catchline/Summary:
Requires the Oregon Health Authority to develop a transparent and data-driven process for developing capitation rates for coordinated care organizations. Digest: The Act requires OHA to change the way it sets rates for CCOs. The Act adds steps that OHA must take before making new rules. The Act prevents OHA from taking certain costly measures until January 2, 2028. (Flesch Readability Score: 69.3).
Requires the Oregon Health Authority to develop a transparent and data-driven process for developing capitation rates for coordinated care organizations. Requires the Oregon Health Policy Board to establish a process for public review of and comment on the authority's rate development process. Requires the authority to commission an independent review of the current rate development process and report back to the Legislative Assembly.
Requires the authority to prepare a medical assistance cost impact statement before adopting rules other than procedural rules.
Prohibits the authority from adopting a new rule, program or contractual requirement that will cost $1 million or more during a biennium. Sunsets on January 2, 2028.
Imposes a three-year moratorium on the requirement for a coordinated care organization to spend a portion of the organization's annual net income or reserves on addressing health disparities and the social determinants of health.
Declares an emergency, effective on passage.
Chapter Number:
Fiscal Impact:
May Have Fiscal Impact, But No Statement Yet Issued
Revenue Impact:
May Have Revenue Impact, But No Statement Yet Issued
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HB 4039 House Committee On Health Care
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