17 chapters · 1,638 sections in this title.
ORS 413.006 Establishment of Oregon Health Policy Board
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(1) There is established the Oregon Health Policy Board, consisting of nine members appointed by the Governor. (2) The term of office of each member is four years, but a member serves at the pleasure of the Governor. Before the expiration of the term of a member, the Governor sha…
ORS 413.007 Composition of board
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(1) The Oregon Health Policy Board consists of individuals who: (a) Are United States citizens and residents of this state; (b) Have demonstrated leadership skills in their professional and civic lives; (c) To the greatest extent practicable, represent the various geographic, eth…
ORS 413.008 Chairperson; quorum; meetings
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(1) The Governor shall select from the membership of the Oregon Health Policy Board the chairperson and vice chairperson. (2) A majority of the members of the board constitutes a quorum for the transaction of business. (3) The board shall meet at least once every month and shall …
ORS 413.011 Duties of board
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(1) The duties of the Oregon Health Policy Board are to: (a) Be the policy-making and oversight body for the Oregon Health Authority established in ORS 413.032 and all of the authoritys departmental divisions. (b) Develop and submit a plan to the Legislative Assembly to provide …
ORS 413.014 Rules
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In accordance with applicable provisions of ORS chapter 183, the Oregon Health Policy Board may adopt rules necessary for the administration of the laws that the board is charged with administering. [2009 c.595 §6]
ORS 413.016 Authority of board to establish advisory and technical committees
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(1) The Oregon Health Policy Board may establish such advisory and technical committees as the board considers necessary to aid and advise the board in the performance of the boards functions. These committees may be continuing or temporary committees. The board shall determine …
ORS 413.017 Public Health Benefit Purchasers Committee, Health Care Workforce Committee, Health Plan Quality Metrics Committee and Behavioral Health Committee; rules
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(1) The Oregon Health Policy Board shall establish the committees described in subsections (2) to (5) of this section. (2)(a) The Public Health Benefit Purchasers Committee shall include individuals who purchase health care for the following: (A) The Public Employees Benefit Boa…
ORS 413.022 Metrics and scoring subcommittee; identification of health outcome and quality measures and benchmarks
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(1) As used in this section: (a) Downstream health outcome and quality measures means: (A) The sets of core quality measures for the Medicaid program that are published by the Centers for Medicare and Medicaid Services in accordance with 42 U.S.C. 1320b-9a and 1320b-9b; and (B)…
ORS 413.032 Establishment of Oregon Health Authority
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(1) The Oregon Health Authority is established. The authority shall: (a) Carry out policies adopted by the Oregon Health Policy Board; (b) Administer the Oregon Integrated and Coordinated Health Care Delivery System established in ORS 414.570 and the COFA Dental Program establish…
ORS 413.033 Oregon Health Authority director
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(1) The Oregon Health Authority is under the supervision and control of a director, who is responsible for performing the duties, functions and powers of the authority. (2) The Governor shall appoint the Director of the Oregon Health Authority, who holds office at the pleasure of…
ORS 413.034 Oregon Health Authority officers and employees
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Subject to any applicable provisions of ORS chapter 240, the Director of the Oregon Health Authority shall appoint all subordinate officers and employees of the Oregon Health Authority, prescribe their duties and fix their compensation. [2009 c.595 §13]
ORS 413.036 Use of abuse and neglect reports for screening subject individuals; rules
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(1) As used in this section: (a) Care means treatment, education, training, instruction, placement services, recreational opportunities, support services or case management, or the supervision of such services, for clients of the Oregon Health Authority. (b) Subject individual…
ORS 413.037 Administering oaths; depositions; subpoenas
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(1) The Director of the Oregon Health Authority, each deputy director and authorized representatives of the director may administer oaths, take depositions and issue subpoenas to compel the attendance of witnesses and the production of documents or other written information neces…
ORS 413.038 Service of notice by regular mail
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(1) The Oregon Health Authority may serve a notice described in ORS 183.415 by regular mail or, if requested by the recipient of the notice, by electronic mail. The legal presumption described in ORS 40.135 (1)(q) does not apply to a notice that is served by regular mail under th…
ORS 413.041 Persons authorized to represent parties in contested cases
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Notwithstanding ORS 8.690, 9.160, 9.320 or 203.145 or ORS chapter 180 or other law, in any contested case proceeding before the Oregon Health Authority, a party that is not a natural person may be represented by an attorney or by any officer or authorized agent or employee of the…
ORS 413.042 Rules
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In accordance with applicable provisions of ORS chapter 183, the Director of the Oregon Health Authority may adopt rules necessary for the administration of the laws that the Oregon Health Authority is charged with administering. [2009 c.595 §14]
ORS 413.046 Right to courteous, fair and dignified treatment; grievances
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(1) All applicants for and recipients of medical assistance, as defined in ORS 414.025, shall be treated in a courteous, fair and dignified manner by Oregon Health Authority employees. (2) Any applicant or recipient who alleges discourteous, unfair or undignified treatment by an …
ORS 413.071 Authorization to request federal waivers
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Notwithstanding any other provision of law, federal laws shall govern the administration of federally granted funds. The Director of the Oregon Health Authority may request a waiver of any federal law in order to fully implement provisions of state law using federally granted fun…
ORS 413.072 Public process required if waiver of federal requirement involves policy change
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(1) As used in this section, policy change includes any change in the operation of medical assistance programs that affects recipients adversely in any substantial manner, including but not limited to the denial, reduction, modification or delay of benefits. Policy change doe…
ORS 413.083 Dental director; duties; rules
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(1) The Oregon Health Authority shall appoint a dental director who serves at the pleasure of the authority. The authority may establish by rule additional qualifications for the dental director. The dental director: (a) Must be a dentist licensed to practice under ORS chapter 67…
ORS 413.084 State School Nursing Consultant; duties
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The position of State School Nursing Consultant is created in the Oregon Health Authority. The responsibilities of the consultant include, but are not limited to, all of the following: (1) Coordinating and collaborating with the school nurse specialist within the Department of Ed…
ORS 413.085 Cross-delegation by directors of Department of Human Services, Department of Consumer and Business Services and Oregon Health Authority
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The Director of Human Services, the Director of the Department of Consumer and Business Services and the Director of the Oregon Health Authority may delegate to each other by interagency agreement any duties, functions or powers granted to the Department of Human Services, the De…
ORS 413.101 Oregon Health Authority Fund
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(1) The Oregon Health Authority Fund is established in the State Treasury, separate and distinct from the General Fund. Interest earned by the Oregon Health Authority Fund shall be credited to the fund. (2) Except as provided in subsection (3) of this section, moneys in the fund …
ORS 413.105 Deposit of reimbursements received for medical assistance expenditures
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All sums of money recovered by or paid to the Oregon Health Authority as reimbursement for funds expended for medical assistance shall be paid into the Oregon Health Authority Fund established by ORS 413.101 and may be used for the provision and administration of medical assistan…
ORS 413.109 Acceptance and expenditures of funds received from private sources
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(1) The Oregon Health Authority may accept funds, money or other valuable things from relatives, corporations or interested persons or organizations for the care and support of needy persons and may expend the same for the care and support of the individual or individuals for who…
ORS 413.115 Opioid Reversal Medication and Harm Reduction Clearinghouse Bulk Purchasing Fund
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(1) The Opioid Reversal Medication and Harm Reduction Clearinghouse Bulk Purchasing Fund is established in the State Treasury, separate and distinct from the General Fund. Interest earned by the Opioid Reversal Medication and Harm Reduction Clearinghouse Bulk Purchasing Fund shal…
ORS 413.121 Oregon Health Authority Special Checking Account
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(1) There is established an Oregon Health Authority Special Checking Account in the State Treasury. Upon the written request of the Director of the Oregon Health Authority, the Oregon Department of Administrative Services shall draw payments in favor of the authority to be charge…
ORS 413.125 Revolving fund
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(1) On written request of the Oregon Health Authority, the Oregon Department of Administrative Services shall draw warrants on amounts appropriated to the authority for operating expenses for use by the authority as a revolving fund. The revolving fund may not exceed the aggregat…
ORS 413.129 Aggregation of warrants and payments
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The Oregon Department of Administrative Services shall draw warrants in favor of the Oregon Health Authority for the aggregate amounts of the authoritys expenses. The authority shall deposit the warrants in the State Treasury in a checking account in reimbursement of those expen…
ORS 413.135 Combining and eliminating accounts
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Notwithstanding any other law, the Oregon Health Authority may, with the approval of the Oregon Department of Administrative Services and the State Treasurer, combine or eliminate any accounts that are established in statute and appropriated to the authority if economy and effici…
ORS 413.151 Setoff of liquidated and delinquent debts
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Liquidated and delinquent debts owed to the Oregon Health Authority may be set off against amounts owed by the authority to the debtors. [2011 c.720 §43] Note: See first note under 413.105.
ORS 413.161 Collection of data on race, ethnicity, language, disability status, sexual orientation and gender identity; rules
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(1) The Oregon Health Authority, in collaboration with the Department of Human Services, shall adopt by rule uniform standards, based on local, statewide and national best practices, for the collection of data on race, ethnicity, preferred spoken and written languages, disability…
ORS 413.162 Reports to Legislative Assembly on collection of data under ORS 413.161
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No later than June 1, 2014, and every two years thereafter, the Oregon Health Authority and the Department of Human Services shall report to the appropriate committees of the Legislative Assembly in the manner provided in ORS 192.245 on the implementation of ORS 413.161. The repo…
ORS 413.163 System for collecting data on race, ethnicity, language, disability, sexual orientation and gender identity
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The Oregon Health Authority shall establish a data system for data on race, ethnicity, preferred spoken and written languages, disability status, sexual orientation and gender identity collected under ORS 413.164. The data system established under this section must include: (1) A…
ORS 413.164 Collection and reporting of data by health care providers and insurers; rules
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(1) As used in this section and ORS 413.163 and 413.167: (a) Board means the: (A) State Board of Examiners for Speech-Language Pathology and Audiology; (B) State Board of Chiropractic Examiners; (C) State Board of Licensed Social Workers; (D) Oregon Board of Licensed Profession…
ORS 413.166 Grants for data collection; rules
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(1) The Oregon Health Authority shall develop and administer a grant program to provide funding for the purpose of supporting safe data collection by community health organizations and community-based groups with demonstrated experience serving tribal communities, communities of …
ORS 413.167 Reports to Legislative Assembly
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No later than June 1, 2022, and every two years thereafter, the Oregon Health Authority shall report to the appropriate committees of the Legislative Assembly in the manner provided in ORS 192.245 on the implementation of ORS 413.163 and 413.164. The report must include, but is n…
ORS 413.171 Sharing of data with Department of Human Services; rules
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(1) The Oregon Health Authority shall adopt and enforce rules governing the custody, use and preservation of the records, papers, files and communications of the authority in accordance with applicable privacy laws. The use of the records, papers, files and communications is limi…
ORS 413.175 Prohibition on disclosure of information; exceptions
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(1) For the protection of applicants for and recipients of public assistance and medical assistance, as defined in ORS 414.025, except as otherwise provided in this section, the Oregon Health Authority may not disclose or use the contents of any public assistance or medical assis…
ORS 413.181 Disclosure of insurer information by Department of Consumer and Business Services for purpose of administering Oregon Integrated and Coordinated Care Delivery System
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(1) The Department of Consumer and Business Services and the Oregon Health Authority may enter into agreements governing the disclosure of information reported to the department by insurers with certificates of authority to transact insurance in this state and the disclosure of i…
ORS 413.195 Disclosure of information about cremated or reduced remains
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(1) As used in this section: (a) Family member means any individual related by blood, marriage or adoption to a person whose cremated or reduced remains are in the possession of the Oregon Health Authority. (b) Reduced remains means the remains of a human body after completio…
ORS 413.196 Confidentiality and inadmissibility of information obtained in connection with epidemiologic morbidity and mortality studies; exceptions; nonliability of informants
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(1)(a) All information procured by or furnished to the Oregon Health Authority, any federal public health agency or any nonprofit health agency that is exempt from taxation under the laws of this state or procured by any agency, organization or person acting jointly with or at th…
ORS 413.201 Targeted outreach for Cover All People program; grants to address health care access barriers
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(1) The Oregon Health Authority is responsible for statewide outreach, education and engagement for the Cover All People program established in ORS 414.231 and administered by the authority with the goal of enrolling in the program all eligible individuals residing in this state.…
ORS 413.213 Community Acute Psychiatric Facility Capacity Program Fund
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(1) The Community Acute Psychiatric Facility Capacity Program Fund is established in the State Treasury, separate and distinct from the General Fund. Interest earned by the Community Acute Psychiatric Facility Capacity Program Fund must be credited to the fund. The Community Acut…
ORS 413.223 School-based health centers; certification; best practices; rules
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The division of the Oregon Health Authority that is charged with public health functions: (1) Shall develop and continuously refine a system of care that: (a) Meets the developmental needs of adolescents; (b) Promotes evidence-based practices for children; and (c) Prioritizes pub…
ORS 413.225 Grants to safety net providers; evaluation of implementation of Cover All People program; rules
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(1) As used in this section: (a) Community health center or safety net clinic means a nonprofit medical clinic or school-based health center that provides primary physical health, vision, dental or mental health services to low-income patients without charge or using a sliding …
ORS 413.227 Oregon Health Authority reimbursement of coordinated care organizations costs to provide services related to improving student access to school-based oral health services
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(1) As used in this section: (a) Coordinated care organization has the meaning given that term in ORS 414.025. (b) Global budget has the meaning given that term in ORS 414.025. (2) The Oregon Health Authority may not reduce a global budget or deny reimbursement for the costs …
ORS 413.231 Recruitment of primary care providers
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The Oregon Health Authority, through the Health Care Workforce Committee created pursuant to ORS 413.017, shall work with interested parties, which may include Travel Oregon, the State Workforce and Talent Development Board, medical schools, physician organizations, hospitals, co…
ORS 413.234 Supplemental payments to emergency services providers
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(1) As used in ORS 413.234 and 413.235: (a) Emergency medical services means the services provided by emergency medical services providers to an individual experiencing a medical emergency in order to: (A) Assess, treat and stabilize the individuals medical condition; or (B) P…
ORS 413.235 Emergency services intergovernmental transfer program
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(1) The Oregon Health Authority shall develop and implement an intergovernmental transfer program to provide for the transfer of funds from an emergency medical services provider to the authority to pay the costs of providing emergency medical services to members of a coordinated…