Bill Text: OR HB3246 | 2011 | Regular Session | Introduced

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Bill Title: Relating to state agency contracts for health insurance.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Failed) 2011-06-30 - In committee upon adjournment. [HB3246 Detail]

Download: Oregon-2011-HB3246-Introduced.html

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     76th OREGON LEGISLATIVE ASSEMBLY--2011 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 2115

                         House Bill 3246

Sponsored by Representative KOTEK

                             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.

  Prohibits specified state agencies from contracting with health
insurers until Oregon Health Policy Board approves insurer's
five-year plan to increase primary care reimbursement rates by
lowering reimbursement rates paid to providers of specialty care.
  Sunsets January 2, 2017.

                        A BILL FOR AN ACT
Relating to state agency contracts for health insurance.
Be It Enacted by the People of the State of Oregon:
  SECTION 1.  { + (1) As used in this section:
  (a) 'Insurer' includes:
  (A) An insurer offering a health benefit plan as defined in ORS
743.730;
  (B) A fully capitated health plan as defined in ORS 414.736;
and
  (C) A physician care organization as defined in ORS 414.736.
  (b) 'Primary care provider' means a clinician who provides
integrated, accessible health care services and who is
accountable for addressing a large majority of personal health
care needs including providing preventive and health promotion
services for men, women and children of all ages, developing a
sustained partnership with patients and practicing in the context
of family and community.
  (c) 'State agency' includes:
  (A) The Oregon Health Authority.
  (B) The Department of Human Services.
  (C) The Public Employees' Benefit Board.
  (D) The Oregon Educators Benefit Board.
  (E) The trustees of the Public Employees Retirement System.
  (2) An insurer that contracts with a state agency or seeks to
contract with a state agency shall submit to the Oregon Health
Policy Board a plan to achieve within five years the goal of
increasing the reimbursement rates paid by the insurer to primary
care providers by lowering the reimbursement rates paid by the
insurer to providers of specialty care.
  (3) A state agency may not contract with or renew a contract
with an insurer unless the Oregon Health Policy Board approves
the insurer's five-year plan submitted under subsection (2) of
this section.
  (4) After an insurer's five-year plan has been approved by the
Oregon Health Policy Board, the insurer must report to the board
annually on its progress in achieving the goal of the five-year
plan and must receive the board's approval of the progress
achieved before the state agency may renew a subsequent contract
with the insurer. + }
  SECTION 2.  { + Section 1 of this 2011 Act applies to contracts
entered into or renewed on or after the effective date of this
2011 Act. + }
  SECTION 3.  { + Section 1 of this 2011 Act is repealed January
2, 2017. + }
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