Bill > HB2229

This bill modifies Oregon's regulations for Coordinated Care Organizations (CCOs), which are health care organizations that provide comprehensive medical services. The key changes include extending the contract term between CCOs and the Oregon Health Authority from 5 to 10 years, with a mandatory reevaluation after the initial 5 years. The bill introduces a new "good standing" definition for CCOs and establishes more rigorous guidelines for contract amendments, terminations, and renewals. The Oregon Health Authority must now develop transparent standards for evaluating and awarding new CCO contracts, considering factors like existing organizational performance, community impact, and continuity of care. The bill also adds restrictions on new CCOs entering service areas already served by existing organizations, requiring a comprehensive service area entry assessment that includes public input and considers factors such as member population and regional care dynamics. Additionally, the bill mandates more detailed notification processes for contract changes, provides opportunities for CCOs to cure performance issues, and includes provisions for protecting member welfare. The legislation is declared an emergency and will become operative on December 1, 2025, aiming to improve the efficiency and accountability of Oregon's healthcare delivery system.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB2229