Bill

Bill > HB2223


OR HB2223

Relating to coordinated care organizations; prescribing an effective date.


summary

Introduced
01/13/2025
In Committee
01/17/2025
Crossed Over
Passed
Dead

Introduced Session

2025 Legislative Measures

Bill Summary

The statement includes a measure digest written in compliance with applicable readability standards. Digest: The Act requires CCOs to contract with providers of services to which there is limited access. (Flesch Readability Score: 63.6). Requires coordinated care organizations to contract with providers outside of a particular ge- ographic area when the area has limited access to a medical assistance care or service. Directs the Oregon Health Authority to identify the medical assistance care or services to which there is lim- ited access. Takes effect on the 91st day following adjournment sine die.

AI Summary

This bill addresses healthcare accessibility by requiring Coordinated Care Organizations (CCOs) to expand their provider networks in areas with limited medical service access. Specifically, the legislation mandates that when the Oregon Health Authority identifies a geographic area with restricted access to certain medical services—such as acute psychiatric care for children and adolescents—CCOs must contract with providers located outside that area to ensure reasonable healthcare accessibility. The bill amends existing Oregon Revised Statutes (ORS) 414.609 to formally codify this requirement, with the changes becoming operative on January 1, 2026. The legislation aims to improve healthcare coverage by compelling CCOs to create more comprehensive provider networks that can serve populations in underserved regions, thereby ensuring that Oregon Health Plan members have adequate access to necessary medical care. The bill will take effect 91 days after the 2025 regular legislative session adjourns, giving the Oregon Health Authority time to prepare for implementation and allowing CCOs to adjust their provider contracts accordingly.

Committee Categories

Health and Social Services

Sponsors (0)

No sponsors listed

Last Action

Referred to Behavioral Health and Health Care. (on 01/17/2025)

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