summary
Introduced
04/16/2025
04/16/2025
In Committee
04/22/2025
04/22/2025
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 a process for some health insurers and some health providers to choose to mediate and arbitrate when they are not able to agree on a new contract. Tells the Governor to make the final decision and permits penalties. (Flesch Readability Score: 60.1). Establishes a voluntary mediation and arbitration process that certain health insurers and pro- viders may participate in if the insurer and provider are unable to reach an agreement during a contract renewal negotiation. Establishes that the Governor, or a designee, shall issue a final de- termination in the arbitration process and may impose penalties for failure to comply.
AI Summary
This bill establishes a voluntary mediation and binding arbitration process for health insurers and providers when they cannot agree on contract renewal terms that would impact over 30,000 Oregonians. The process begins with a 15-day cooling-off period, after which the parties must choose a mediator (either a senior judge or a qualified legal practitioner with extensive health insurance and mediation experience). If they cannot agree on a mediator, each side submits three names to the Governor, who then selects one. The parties then engage in mediation for up to 120 days or until a mediator declares an impasse. If no agreement is reached, another 15-day cooling-off period follows, during which both parties develop final offers. Arbitration then occurs with the Governor or a designated representative, who must issue a final determination within five days. The determination sets contract terms and arbitration costs. If either party fails to implement the determination, they must pay the full mediation and arbitration costs and can be subject to civil penalties up to $10,000, plus an additional $1,000 per day of non-compliance, which will be paid into the state's General Fund. This process is designed to help resolve contract negotiations between health insurers and providers without disrupting health care services.
Committee Categories
Health and Social Services
Sponsors (2)
Last Action
Referred to Behavioral Health and Health Care. (on 04/22/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
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State Bill Page | https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB3964 |
Open Government Impact Statement for HB3964 INTRO | https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureAnalysisDocument/90961 |
BillText | https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB3964/Introduced |
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