summary
Introduced
02/25/2025
02/25/2025
In Committee
02/27/2025
02/27/2025
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: This Act makes changes to the claims process for health care providers and insurers and makes changes to the rules for reports, utilization review and information that must be given by some carriers for behavioral health care services. This Act also adds a new member to the HIEAC. This Act creates a new ombudsman. This Act makes it an emergency. (Flesch Readability Score: 61.8). Modifies requirements for certain claims processes for health care providers and insurers. Modifies requirements for utilization review for behavioral health care providers. Adds infor- mation carriers that provide behavioral health benefits must report to the Department of Consumer and Business Services in the yearly report. Establishes certain information these carriers that con- duct medical management techniques must provide to behavioral health care providers in writing. Adds a representative of behavioral health care providers as one of the members who must be ap- pointed to the Health Insurance Exchange Advisory Committee. Establishes the Mental Health Parity Ombudsman in the Department of Consumer and Business Services and appropriates moneys to the department. Declares an emergency, effective on passage.
AI Summary
This bill introduces several significant changes to health care regulations in Oregon, focusing primarily on behavioral health care insurance and claims processes. The bill modifies how health insurers can request refunds from health care providers, extending the time frame for refund requests to 30 months and requiring more detailed written explanations. It also enhances reporting requirements for carriers offering behavioral health benefits, mandating that they provide detailed information about nonquantitative treatment limitations, denial rates, reimbursement rates, and parity compliance. Additionally, the bill establishes a new Mental Health Parity Ombudsman within the Department of Consumer and Business Services, who will advocate for beneficiaries and providers of behavioral health services, investigate complaints about mental health insurance coverage, provide public education, and report quarterly on mental health parity issues. The bill also adds a representative of behavioral health care providers to the Health Insurance Exchange Advisory Committee and appropriates $500,000 to support the new ombudsman's office. The legislation declares an emergency and will take effect immediately upon passage, with the ombudsman's office becoming operational on January 1, 2026.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Referred to Behavioral Health and Health Care. (on 02/27/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB3725 |
| Open Government Impact Statement for HB3725 INTRO | https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureAnalysisDocument/86572 |
| BillText | https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3725/Introduced |
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