Bill > HB2040

This bill establishes a new complaint process for health care providers to report potential violations by health insurers and coordinated care organizations (CCOs) in Oregon. Specifically, the Department of Consumer and Business Services (DCBS) will create a mechanism for health care providers to submit complaints about health insurers if they believe a violation of the Insurance Code has occurred, with the ability to establish fees to cover administrative costs. Similarly, the Oregon Health Authority (OHA) will develop a parallel process for providers to file complaints against coordinated care organizations regarding potential violations of Chapter 414 of Oregon Revised Statutes. Both departments are authorized to impose reasonable fees to support the complaint process and are required to adopt implementing rules. The bill specifies that these new complaint processes will become operative on July 1, 2026, giving the agencies time to prepare, and the bill itself will take effect 91 days after the 2025 legislative session adjourns. The goal appears to be providing health care providers with a formal avenue to report potential regulatory infractions by health insurers and CCOs, enhancing oversight and accountability in the state's health care system.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB2040