Bill Text: OR HB2313 | 2013 | Regular Session | Introduced

---

Bill Title: Relating to reimbursement of nurse practitioner services.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Failed) 2013-07-08 - In committee upon adjournment. [HB2313 Detail]

Download: Oregon-2013-HB2313-Introduced.html

---

     77th OREGON LEGISLATIVE ASSEMBLY--2013 Regular Session

NOTE:  Matter within  { +  braces and plus signs + } in an
amended section is new. Matter within  { -  braces and minus
signs - } is existing law to be omitted. New sections are within
 { +  braces and plus signs + } .

LC 1685

                         House Bill 2313

Sponsored by Representative READ (Presession filed.)

                             SUMMARY

The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure as
introduced.

  Requires insurer to provide process for nurse practitioner
practicing in rural or frontier area to earn same reimbursement
paid to primary care physician.

                        A BILL FOR AN ACT
Relating to reimbursement of nurse practitioner services;
  amending ORS 743A.036.
Be It Enacted by the People of the State of Oregon:
  SECTION 1. ORS 743A.036 is amended to read:
  743A.036. (1) Whenever any policy of health insurance provides
for reimbursement for any service which is within the lawful
scope of practice of a duly licensed and certified nurse
practitioner, including prescribing or dispensing drugs, the
insured under the policy is entitled to reimbursement for such
service whether it is performed by a physician licensed by the
Oregon Medical Board or by a duly licensed nurse practitioner.
   { +  (2) An insurer shall provide a process through which a
nurse practitioner may obtain the same reimbursement for a
service that the insurer pays to a primary care physician for the
service if:
  (a) The nurse practitioner maintains an independent primary
care practice in a rural or frontier area, as designated by the
Office of Rural Health; and
  (b) No licensed primary care physician is practicing in a
location that is less than 15 miles from the location of the
practice of the nurse practitioner. + }
    { - (2) - }  { +  (3) + } This section does not apply to
group practice health maintenance organizations that are
federally qualified pursuant to Title XIII of the Health
Maintenance Organization Act  { +  or to nurse practitioners
employed by or in a professional services contract with a
licensed health care facility, ambulatory surgical center or
physician's office + }.
                         ----------