Bill Text: OR HB3260 | 2013 | Regular Session | Enrolled
Bill Title: Relating to health care; and declaring an emergency.
Sponsorship: Partisan Bill (Democrat 8)
Status: (Passed) 2013-08-01 - Chapter 712, (2013 Laws): Effective date August 1, 2013. [HB3260 Detail]
Download: Oregon-2013-HB3260-Enrolled.html
77th OREGON LEGISLATIVE ASSEMBLY--2013 Regular Session
Enrolled
House Bill 3260
Sponsored by Representatives DEMBROW, WILLIAMSON, Senator
ROSENBAUM; Representative GELSER, Senators EDWARDS, MONNES
ANDERSON, SHIELDS, STEINER HAYWARD
CHAPTER ................
AN ACT
Relating to health care; and declaring an emergency.
Be It Enacted by the People of the State of Oregon:
SECTION 1. { + (1) The Legislative Assembly finds that the
best system for the delivery and financing of health care in this
state will be the system that:
(a) Provides universal access to comprehensive care at the
appropriate time.
(b) Ensures transparency and accountability.
(c) Enhances primary care.
(d) Allows the choice of health care provider.
(e) Respects the primacy of the patient-provider relationship.
(f) Provides for continuous improvement of health care quality
and safety.
(g) Reduces administrative costs.
(h) Has financing that is sufficient, fair and sustainable.
(i) Ensures adequate compensation of health care providers.
(j) Incorporates community-based systems.
(k) Includes effective cost controls.
(L) Provides universal access to care even if the person is
outside of Oregon.
(m) Provides seamless birth-to-death access to care.
(n) Minimizes medical errors.
(o) Focuses on preventative health care.
(p) Integrates physical, dental, vision and mental health care.
(q) Includes long term care.
(r) Provides equitable access to health care, according to a
person's needs.
(s) Is affordable for individuals, families, businesses and
society.
(2) To the extent practicable using only the funds received
under section 2 of this 2013 Act, the Oregon Health Authority
shall contract with a third party to conduct a study overseen by
the authority to examine at least four options for financing
health care delivery in this state, including:
(a) An option for a publicly financed single-payer model for
financing privately delivered health care, that is decoupled from
employment and allows commercial insurance coverage only of
supplemental health services not paid for under the option.
(b) An option that allows a person to choose between a publicly
funded plan, including a basic health program under 42 U.S.C.
Enrolled House Bill 3260 (HB 3260-B) Page 1
18051, and private insurance coverage and allows for fair and
robust competition among public plans and private insurance.
(c) The current health care financing system in this state,
including the:
(A) Oregon Integrated and Coordinated Health Care Delivery
System;
(B) Oregon health insurance exchange; and
(C) Full implementation of the Patient Protection and
Affordable Care Act (P.L. 111-148), as amended by the Health Care
and Education Reconciliation Act (P.L. 111-152) and other
subsequent amendments.
(d) An option for a plan that provides essential health
benefits, including preventive care and hospital services, and
that:
(A) Allows a person to access the commercial market to purchase
coverage that is not covered under the plan;
(B) Limits the role of the plan to collecting and distributing
revenue while preserving private sector delivery options and
optimizing consumer choice;
(C) Offers to Oregonians who earn more than 400 percent of the
federal poverty guidelines a deductible plan that could be
contributed to by employees and employers;
(D) Exempts Oregonians who earn no more than 400 percent of the
federal poverty guidelines from deductibles;
(E) Accesses all sources of available federal funding; and
(F) Identifies program savings that can be achieved by
providing health care coverage to all Oregonians, including but
not limited to using the program to replace the state medical
assistance program and the medical portion of worker's
compensation, then applies the savings to finance the plan.
(3) The researchers conducting the study shall review and
consider:
(a) Previous studies in this state of alternative models of
health care financing or delivery.
(b) Studies of health care financing and delivery systems in
other states and countries.
(c) This state's current health care reform efforts.
(d) The impact on and interplay with each option of all of the
following:
(A) The Patient Protection and Affordable Care Act (P.L.
111-148), as amended by the Health Care and Education
Reconciliation Act (P.L. 111-152) and other subsequent
amendments;
(B) The Employee Retirement Income Security Act of 1974; and
(C) Titles XVIII, XIX and XXI of the Social Security Act.
(4) The contractor shall prepare a report that summarizes the
findings of the study and:
(a) Analyzes the costs and benefits of requiring copayments and
of not requiring copayments.
(b) Describes options for health care financing by a government
agency, by commercial insurance and by a combination of both
government and commercial insurance.
(c) For each option:
(A) Evaluates the extent to which the option satisfies the
criteria described in subsection (1) of this section;
(B) Estimates the cost of implementation, including anticipated
costs from increased services, more patients, new facilities and
savings from efficiencies;
(C) Assesses the impact of implementation on the existing
commercial insurance and publicly funded health care systems;
Enrolled House Bill 3260 (HB 3260-B) Page 2
(D) Estimates the net fiscal impact of implementation on
individuals and businesses including the tax implications;
(E) Assesses the impact of implementation on the economy of
this state; and
(F) Estimates the potential savings to local governments and
government agencies that currently administer health care
programs, provide health care premium subsidies or provide
funding for health care services.
(5) The report must include a recommendation for the option for
health care delivery and financing that best satisfies the
criteria described in subsection (1) of this section and that:
(a) Maximizes available federal funding; and
(b) Ensures that health care providers receive adequate
compensation for providing health care. + }
SECTION 2. { + (1) The Oregon Health Authority shall accept
gifts, grants and other funds from public and private sources for
the purpose of carrying out the study described in section 1 of
this 2013 Act.
(2) All moneys received by the authority under this section
shall be paid into the State Treasury and deposited to the credit
of the Oregon Health Authority Fund established in ORS 413.101.
Such moneys shall be used by the authority solely for the
purposes of section 1 of this 2013 Act. + }
SECTION 3. { + (1) The Oregon Health Authority shall report on
the progress of the study described in section 1 of this 2013 Act
to the 2014 regular session of the Legislative Assembly.
(2) No later than November 1, 2014, the authority shall submit
the report described in section 1 of this 2013 Act to the interim
committees on health care in the House of Representatives and the
Senate.
(3) The authority shall submit the report to the 2015 regular
session of the Legislative Assembly in the manner prescribed by
ORS 192.245. + }
SECTION 4. { + Sections 1 and 2 of this 2013 Act are repealed
on January 2, 2016. + }
SECTION 5. { + This 2013 Act being necessary for the immediate
preservation of the public peace, health and safety, an emergency
is declared to exist, and this 2013 Act takes effect on its
passage. + }
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Passed by House June 28, 2013
.............................................................
Ramona J. Line, Chief Clerk of House
.............................................................
Tina Kotek, Speaker of House
Passed by Senate July 6, 2013
.............................................................
Peter Courtney, President of Senate
Enrolled House Bill 3260 (HB 3260-B) Page 3
Received by Governor:
......M.,............., 2013
Approved:
......M.,............., 2013
.............................................................
John Kitzhaber, Governor
Filed in Office of Secretary of State:
......M.,............., 2013
.............................................................
Kate Brown, Secretary of State
Enrolled House Bill 3260 (HB 3260-B) Page 4
