Section 414.869 – Establishment of Hospital Quality Assurance Fund.
(1) The Hospital Quality Assurance Fund is established in the State Treasury, separate and distinct from the General Fund. Interest earned by the Hospital Quality Assurance Fund shall be credited to the Hospital Quality Assurance Fund. (2) Amounts in the Hospital Quality Assurance Fund are continuously appropriated to the Oregon Health Authority for the purpose […]
Section 414.871 – Applicability of hospital assessment.
ORS 414.853 to 414.869 and 414.900 apply to net revenues earned by hospitals during a period beginning July 1, 2019, and ending the earlier of September 30, 2025, or the date on which the assessment no longer qualifies for federal financial participation under Title XIX or XXI of the Social Security Act. [2003 c.736 §10; […]
Section 414.880 – Managed care organization assessment; rate.
(1) As used in this section and ORS 414.882 and 414.902: (a) “Managed care organization” means: (A) A coordinated care organization as defined in ORS 414.025; and (B) A prepaid managed care health services organization as defined in ORS 414.025. (b) “Premium equivalent” means the payments made to the managed care organization by the Oregon […]
Section 414.882 – Refund of managed care organization assessment; right to contested case hearing.
(1) A managed care organization that has paid an amount that is not required under ORS 414.880 may file a claim for refund with the Oregon Health Authority. (2) Any managed care organization that is aggrieved by an action of the authority taken pursuant to subsection (1) of this section shall be entitled to notice […]
Section 414.884 – Applicability of managed care organization assessment.
ORS 414.880, 414.882 and 414.902 apply to any payments made to a managed care organization by the Oregon Health Authority for the period beginning January 1, 2020, and ending December 31, 2026. [2017 c.538 §12; 2019 c.2 §10] Note: See note under 414.880.
Section 414.900 – Hospital assessment; penalties.
(1) A hospital that fails to file a report or pay an assessment under ORS 414.855 by the date the report or payment is due shall be subject to a penalty of up to $500 per day of delinquency. The total amount of penalties imposed under this section for each reporting period may not exceed […]
Section 414.902 – Managed care organization assessment; penalties.
(1) If a managed care organization fails to timely pay an assessment under ORS 414.880, the Oregon Health Authority shall impose a penalty on the managed care organization of up to $500 per day of delinquency. The total amount of penalties imposed under this section for a calendar quarter may not exceed five percent of […]
Section 414.857 – Reduction in rate required by federal law.
Notwithstanding ORS 414.855, the Director of the Oregon Health Authority shall reduce the rate of assessment imposed under ORS 414.855 (1) to the maximum rate allowed under federal law if the reduction is required to comply with federal law. [2003 c.736 §3; 2013 c.608 §3; 2017 c.538 §30] Note: 414.857 is repealed January 2, 2031, […]
Section 414.772 – Limits on use of step therapy.
(1) As used in this section, “step therapy” means a drug protocol in which the cost of a prescribed drug is reimbursed only if the patient has first tried a specified drug or series of drugs. (2) A coordinated care organization that requires step therapy shall make easily accessible to any provider who is reimbursed […]
Section 414.860
[Formerly 414.090; renumbered 566.360]