Legislation Signed into Law
|Primary Focus||Mandated Benefit: SUD|
|Title/Description||Treatment of chemical dependency, including alcoholism, and mental or nervous conditions; rules|
|Citation||ORS § 743A.168|
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.
Formerly 743.556. Amended by Ore. HB 3091.
|Primary Focus||Access to services/Eligibility|
|Title/Description||Provider networks; rules|
|Citation||ORS § 743B.505|
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:
Amended by Ore. HB 2341.
|Status||Signed into Law 8/2017|
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.
|Sponsor||Office of the Governor|
|Status||Signed into Law 5/2015|
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.
|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.|
|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.|
|Primary Focus||Parity: General|
|Title/Description||Services provided by psychologist|
|Citation||ORS § 743A.048|
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:
|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.|
|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.|