Bill > HB3923

This bill modifies Oregon Revised Statute 414.611 to provide clearer guidelines for transferring members between Coordinated Care Organizations (CCOs) and Dental Care Organizations (DCOs). The bill requires the Oregon Health Authority to approve transfers of 500 or more members between organizations, provided that such transfers do not diminish patient care. Key provisions include allowing members to choose whether to remain with their current organization, permitting providers to communicate with members about their options, and establishing specific conditions for such transfers. The bill clarifies that transfers can occur when a provider has stopped accepting patients from the original organization and has contracted with the receiving organization. The Oregon Health Authority must evaluate the receiving organization to ensure it meets established criteria and must provide members with at least 90 days' notice before any transfer. The bill also includes provisions protecting providers in cases of contract termination, allowing for contested case hearings if a transfer is denied, and specifying that the transfer of dental care organization members does not necessarily require a transfer between coordinated care organizations. The act will take effect on the 91st day following the adjournment of the 2025 regular legislative session.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB3923