Oregon Statutes
Parity Report
Legislation Signed into Law
2018
Primary Focus | Mandated Benefit: SUD |
Title/Description | Treatment of chemical dependency, including alcoholism, and mental or nervous conditions; rules |
Citation | ORS § 743A.168 |
Summary | A group health insurance policy providing coverage for hospital or medical expenses, other than limited benefit coverage, shall provide coverage for expenses arising from the diagnosis of and treatment for chemical dependency, including alcoholism, and for mental or nervous conditions at the same level as, and subject to limitations no more restrictive than, those imposed on coverage or reimbursement of expenses arising from treatment for other medical conditions. |
Effective Date | 1/1/2018 |
Notes | Formerly 743.556. Amended by Ore. HB 3091. |
2017
Primary Focus | Access to services/Eligibility |
Title/Description | Provider networks; rules |
Citation | ORS § 743B.505 |
Summary | An insurer offering a health benefit plan in this state that provides coverage to individuals or to small employers, as defined under the law, through a specified network of health care providers shall: |
Effective Date | 5/25/2017 |
Notes | Amended by Ore. HB 2341. |
SB 860
Introduced | 2/2017 |
Sponsor | Health Care |
Status | Signed into Law 8/2017 |
Summary | This bill changed the section of state insurance law so that the Department of Consumer and Business Services must do the following:
The bill authorized a maximum of $600,000 to fund the examinations and report above. |
2015
HB 2468
Introduced | 1//2015 |
Sponsor | Office of the Governor |
Status | Signed into Law 5/2015 |
Summary | This bill changed the section of state insurance law so that insurance plans had to meet health care provider network standards. Among other things, the bill requires that a plan’s provider network have a sufficient number, geographic distribution, and type of providers to ensure access to covered services. The bill specifically mentions that mental health and substance use treatment must be accessible. |
2013
SB 365
Introduced | 1/2013 |
Sponsor | Rep. Conger, Sen. Devlin, Rep. McLane, Rep. Parrish, Sen. Hass, and Sen. Johnson |
Status | Signed into Law 8/2013 |
Summary | This bill changed the section of the state insurance law about autism coverage to what it is currently, particularly the requirements about applied behavior analysis. Scroll to the bottom of the page to read the summary of this section of the law. |
HB 2385
Introduced | 1/2013 |
Sponsor | Rep. Barnhart and Rep. Greenlick |
Status | Signed into Law 6/2013 |
Summary | This bill changed the parity section of the state insurance law so that insurance plans are no longer exempt from covering court-ordered services that are the result of a conviction for driving while intoxicated. |
2011
Primary Focus | Parity: General |
Title/Description | Services provided by psychologist |
Citation | ORS § 743A.048 |
Summary | Whenever any provision of any individual or group health insurance policy or contract provides for payment or reimbursement for any service which is within the lawful scope of a licensed psychologist: |
Notes | Formerly 743.709. |
HB 2103
Introduced | 1/2011 |
Sponsor | Requested by the Oregon Health Authority |
Status | Signed into Law 6/2011 |
Summary | This bill changed state law so that court-ordered services that are the result of a conviction for driving while intoxicated can be covered by Medicaid, if the services are medically necessary. |
2009
HB 2506
Introduced | 2/2009 |
Sponsor | Rep. Buckley |
Status | Signed into Law 6/2009 |
Summary | This bill changed state law so that if a plan provides coverage for services offered by a clinical social worker, the plan must also cover services provided by a professional counselor or marriage and family therapist. |
National Parity Map
View the state parity reports to learn about legislation, regulation, and litigation related to parity implementation
National Parity MapGet Support
- Oregon Insurance Division
- http://dfr.oregon.gov/Pages/index.aspx
- cp.ins@oregon.gov
- 1-888-877-4894
Common Violations
In seeking care or services, be aware of the common ways parity rights can be violated.