Section 743A.264 – Disease outbreaks, epidemics and conditions of public health importance.
(1) As used in this section: (a) “Condition of public health importance” has the meaning given that term in ORS 431A.005. (b) “Disease outbreak” has the meaning given that term in ORS 431A.005. (c) “Enrollee” means an individual residing in this state who: (A) Is enrolled in a health benefit plan; and (B) The Public […]
Section 743A.185 – Telemedical health services for treatment of diabetes.
(1) As used in this section: (a) “Health benefit plan” has the meaning given that term in ORS 743B.005. (b) “Originating site” means a location where health services are provided or where the patient is receiving a telemedical health service. (c) “Telemedical” means delivered through a two-way electronic communication, including but not limited to video, […]
Section 743A.188 – Inborn errors of metabolism.
(1) All individual and group health insurance policies providing coverage for hospital, medical or surgical expenses, other than coverage limited to expenses from accidents or specific diseases, shall include coverage for treatment of inborn errors of metabolism that involve amino acid, carbohydrate and fat metabolism and for which medically standard methods of diagnosis, treatment and […]
Section 743A.190 – Children with pervasive developmental disorder.
(1) A health benefit plan, as defined in ORS 743B.005, must cover for a child enrolled in the plan who is under 18 years of age and who has been diagnosed with a pervasive developmental disorder all medical services, including rehabilitation services, that are medically necessary and are otherwise covered under the plan. (2) The […]
Section 743A.192 – Clinical trials.
(1) A health benefit plan, as defined in ORS 743B.005: (a) Shall provide coverage for the routine costs of the care of patients enrolled in and participating in approved clinical trials; (b) May not exclude, limit or impose additional conditions on the coverage of the routine costs for items and services furnished in connection with […]
Section 743A.111 – Consumer education about post-mastectomy services.
(1) The Department of Consumer and Business Services shall make written materials available on the department’s website to educate breast cancer patients about the availability of insurance coverage for breast reconstruction surgery and breast prostheses following a mastectomy. The department shall update the materials at least annually. (2) The department shall place a link to […]
Section 743A.250 – Emergency eye care services.
(1) As used in this section: (a) “Eye care practitioner” means an optometrist or ophthalmologist licensed by the State of Oregon. (b) “Eye care services” means health care services related to the care of the eye and related structures as specified by a health benefit plan. (c) “Health benefit plan” has the meaning provided for […]
Section 743A.124 – Colorectal cancer screenings and laboratory tests.
(1) A health benefit plan, as defined in ORS 743B.005, shall provide coverage for all colorectal cancer screening examinations and laboratory tests assigned either a grade of A or a grade of B by the United States Preventive Services Task Force. (2) If an insured is 50 years of age or older, an insurer may […]
Section 743A.252 – Child abuse assessments.
(1) As used in this section: (a) “Child abuse assessment” has the meaning given that term in ORS 418.782. (b) “Children’s advocacy center” has the meaning given that term in ORS 418.782. (c) “Forensic interview” has the meaning given that term in ORS 418.782. (d) “Health benefit plan” has the meaning given that term in […]
Section 743A.130 – Proton beam therapy.
(1) A health benefit plan, as defined in ORS 743B.005, that provides coverage of radiation therapy for the treatment of prostate cancer must provide coverage for proton beam therapy for the treatment of prostate cancer on a basis no less favorable than the coverage of radiation therapy. (2) The coverage of proton beam therapy under […]