Bill Text: OR SB210 | 2011 | Regular Session | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Relating to the rate of reimbursement for primary care practitioners; declaring an emergency.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Failed) 2011-06-30 - In committee upon adjournment. [SB210 Detail]

Download: Oregon-2011-SB210-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 2672

                         Senate Bill 210

Sponsored by Senator BATES (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 Oregon Health Authority to reimburse primary care
practitioners directly or through prepaid managed care health
services organizations based on Medicare reimbursement rate.
  Declares emergency, effective on passage.

                        A BILL FOR AN ACT
Relating to the rate of reimbursement for primary care
  practitioners; and declaring an emergency.
Be It Enacted by the People of the State of Oregon:
  SECTION 1.  { + Section 2 of this 2011 Act is added to and made
a part of ORS chapter 414. + }
  SECTION 2.  { + (1) As used in this section 'primary care
practitioner' means a nurse practitioner who is certified by the
Oregon State Board of Nursing under ORS 678.375 and who is acting
within the scope of practice for a nurse practitioner, or a
physician licensed under ORS chapter 677 whose specialty is
family practice, general practice, internal medicine, pediatrics
or obstetrics and gynecology.
  (2) The Oregon Health Authority shall reimburse primary care
practitioners who are paid for providing health services to
recipients of medical assistance on a fee-for-service basis at a
rate equal to or greater than 150 percent of the Medicare
reimbursement rate for the practitioners.
  (3) The Oregon Health Authority shall calculate the capitation
rate for each prepaid managed care health services organization
as defined in ORS 414.736 using a cost for reimbursing primary
care practitioners providing services through the organization at
the rate established under subsection (2) of this section. + }
  SECTION 3. Section 2 of this 2011 Act is amended to read:
  (1) As used in this section 'primary care practitioner ' means
a nurse practitioner who is certified by the Oregon State Board
of Nursing under ORS 678.375 and who is acting within the scope
of practice for a nurse practitioner, or a physician licensed
under ORS chapter 677 whose specialty is family practice, general
practice, internal medicine, pediatrics or obstetrics and
gynecology.
  (2) The Oregon Health Authority shall reimburse primary care
practitioners who are paid for providing health services to
recipients of medical assistance on a fee-for-service basis at a
rate equal to or greater than   { - 150 percent of - }  the
Medicare reimbursement rate for the practitioners.
  (3) The Oregon Health Authority shall calculate the capitation
rate for each prepaid managed care health services organization
as defined in ORS 414.736 using a cost for reimbursing primary
care practitioners providing services through the organization at
the rate established under subsection (2) of this section.
  SECTION 4.  { + Section 2 of this 2011 Act becomes operative
July 1, 2011. + }
  SECTION 5.  { + The amendments to section 2 of this 2011 Act by
section 3 of this 2011 Act become operative July 1, 2012. + }
  SECTION 6.  { + This 2011 Act being necessary for the immediate
preservation of the public peace, health and safety, an emergency
is declared to exist, and this 2011 Act takes effect on its
passage. + }
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