Bill > HB2214

This bill modifies the financial requirements and operational standards for Coordinated Care Organizations (CCOs) in Oregon, which are healthcare organizations that manage and coordinate medical services for Medicaid recipients. The bill specifically updates financial reserve and spending requirements, mandating that CCOs maintain restricted reserves of $250,000 plus 50% of total liabilities above that amount, and maintain a capital or surplus of at least $2.5 million. A key change is in how CCOs can use excess annual net income, now requiring that these funds be spent on activities that improve healthcare quality or are consistent with community health improvement plans, rather than solely addressing health disparities. The bill also reinforces existing requirements for CCOs to provide integrated, patient-centered care, engage with community members, coordinate various healthcare services, and maintain a diverse governance structure that includes healthcare providers, community members, and recipients of medical assistance. Additionally, the bill specifies that these new requirements will apply to CCO contracts entered into, amended, or renewed on or after the effective date of the 2025 Act, ensuring a gradual implementation of the new standards.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB2214