Chapter 414 — Chapter 414

ORS 414.635 [2011 c.602 §§8,9; 2012 c.8 §5; 2013 c.27 §1; 2017 c.618 §4; 2019 c.364 §3; renumbered 414.605 in 2019]

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ORS 414.637 [2014 c.55 §6; renumbered 414.772 in 2019]

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ORS 414.638 [2011 c.602 §10; 2012 c.8 §21; 2015 c.389 §10; 2023 c.584 §13; renumbered 413.022 in 2023]

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ORS 414.640 [1983 c.590 §4; 1991 c.66 §25; 2003 c.794 §276; 2009 c.595 §318; renumbered 414.615 in 2011]

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ORS 414.645 [2011 c.417 §2; 2015 c.27 §43; renumbered 414.609 in 2019]

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ORS 414.646 [2012 c.80 §4; 2012 c.80 §5; renumbered 414.613 in 2019]

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ORS 414.647 [2011 c.417 §3; 2013 c.234 §1; 2015 c.27 §44; renumbered 414.611 in 2019]

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ORS 414.650 [1983 c.590 §7; 1987 c.660 §19; 1989 c.513 §1; 1991 c.66 §26; repealed by 1995 c.727 §48]

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ORS 414.651 [Formerly 414.725; 2015 c.792 §6; 2019 c.478 §59; renumbered 414.591 in 2019]

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ORS 414.652 [2013 c.535 §2; 2015 c.799 §1; 2016 c.79 §1; 2018 c.49 §5; 2019 c.478 §60; 2019 c.529 §9; renumbered 414.590 in 2019]

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ORS 414.653 [2011 c.602 §5; 2015 c.798 §12; 2017 c.489 §4; renumbered 414.598 in 2019]

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ORS 414.654 Persons served by prepaid managed care health services organizations; funding of health information technology. (1)(a) The Oregon Health Authority shall continue to contract with one or more prepaid managed care health services organizations, as defined in ORS 414.025, that are in compliance with contractual obligations owed to the state or local government on July 27, 2015, and that serve

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ORS 414.655 Utilization of patient centered primary care homes and behavioral health homes by coordinated care organizations. (1) The Oregon Health Authority shall establish standards for the utilization of patient centered primary care homes and behavioral health homes by coordinated care organizations

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ORS 414.660 [1983 c.590 §5; 1985 c.747 §3; 1991 c.66 §27; 2009 c.11 §57; repealed by 2009 c.595 §1204]

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ORS 414.661 [2015 c.552 §1; renumbered 414.595 in 2019]

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ORS 414.665 Traditional health workers utilized by coordinated care organizations; rules. (1) As used in this section, “traditional health worker” includes any of the following

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ORS 414.667 Definitions for ORS 414.667 to 414.671. As used in ORS 414.667 to 414.671

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ORS 414.668 Access to services provided by doulas, lactation counselors and lactation educators. (1) In determining the types and extent of health care and services to be provided to medical assistance recipients under ORS 414.065, the Oregon Health Authority and a coordinated care organization shall ensure that recipients have access to services provided by doulas, lactation counselors and lactation educators

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ORS 414.669 Payment for doula, lactation counselor and lactation educator services. (1) The Oregon Health Authority, in coordination with the Traditional Health Workers Commission, shall in each even-numbered year review, and revise if necessary, any rates of reimbursement in the state medical assistance program for doulas. When reviewing and revising rates of reimbursement, the authority shall consider factors including retention of doulas and the need to ensure that a career as a doula is financially sustainable, access to culturally specific doulas and evidence-based factors and empirical studies related to the cost-effectiveness of services provided by doulas

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ORS 414.670 [1983 c.590 §6; 1985 c.747 §3a; 1991 c.66 §28; repealed by 2009 c.595 §1204]

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ORS 414.671 Report on status of doulas. (1) No later than September 15 of each even-numbered year, the Oregon Health Authority, in coordination with the Traditional Health Workers Commission, shall report on the status of doulas in this state, in the manner provided in ORS 192.245, to the interim committees of the Legislative Assembly related to health

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ORS 414.672 Tribal-based practices for mental health and substance abuse prevention, counseling and treatment. A medical assistance program shall consider tribal-based practices for mental health and substance abuse prevention, counseling and treatment services for members who are Native American or Alaska Native as equivalent to evidence-based practices for purposes of meeting standards of care and shall reimburse for those tribal-based practices. [2019 c.364 §6]

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ORS 414.679 [2011 c.602 §12; 2015 c.389 §11; 2019 c.280 §9; renumbered 414.607 in 2019]

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ORS 414.685 [2011 c.602 §15; 2017 c.17 §34; renumbered 414.619 in 2019]

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ORS 414.686 Health assessments for foster children. (1) A coordinated care organization shall provide an initial health assessment on any child enrolled in the coordinated care organization who is in the custody of the Department of Human Services no later than 60 days after the date that the Oregon Health Authority notifies the coordinated care organization that the child has been taken into the department’s custody

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ORS 414.688 Commission established; membership. (1) As used in this section

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ORS 414.689 Members; meetings. (1) The Health Evidence Review Commission shall select one of its members as chairperson and another as vice chairperson, for terms and with duties and powers the commission determines necessary for the performance of the functions of the offices

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ORS 414.690 Prioritized list of health services. (1) The Health Evidence Review Commission shall regularly solicit testimony and information from stakeholders representing consumers, advocates, providers, carriers and employers in conducting the work of the commission

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ORS 414.694 Commission review of covered reproductive health services. The Health Evidence Review Commission shall review the coverage described in ORS 743A.067 (2) and, no later than November 1 of each even-numbered year, report to the interim committees of the Legislative Assembly related to health any recommended changes to the coverage described in ORS 743A.067 (2) based upon the latest clinical research. [2017 c.721 §9]

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ORS 414.695 Medical technology assessment. (1) As used in this section and ORS 414.698

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ORS 414.698 Comparative effectiveness of medical technologies. (1) The Health Evidence Review Commission shall conduct comparative effectiveness research of medical technologies selected in accordance with ORS 414.695. The commission may conduct the research by comprehensive review of the comparative effectiveness research undertaken by recognized state, national or international entities. The commission may consider evidence relating to prescription drugs that is relevant to a medical technology assessment but may not conduct a drug class evidence review or medical technology assessment solely of a prescription drug. The commission shall disseminate the research findings to health care consumers, providers and third-party payers and to other interested stakeholders

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ORS 414.701 Commission to rely on range of research; research referencing quality of life in general measure under limited circumstances. (1) As used in this section, “peer-reviewed medical literature” has the meaning given that term in ORS 414.690

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ORS 414.704 Advisory committee. The Health Evidence Review Commission shall consult with an advisory committee in determining priorities for mental health care and chemical dependency. The advisory committee shall include mental health and chemical dependency professionals who provide inpatient and outpatient mental health and chemical dependency care. [Formerly 414.730]

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ORS 414.705 [1989 c.836 §2; 1991 c.753 §4; 2003 c.735 §1; 2003 c.810 §7; repealed by 2011 c.602 §§64,70]

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ORS 414.706 Persons eligible for medical assistance; rules. Within available funds and subject to the rules of the Oregon Health Authority, medical assistance shall be provided to an individual who is a resident of this state and who

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ORS 414.707 [2003 c.735 §4; 2009 c.595 §319; 2009 c.867 §44; 2011 c.602 §42; 2011 c.720 §143; repealed by 2013 c.688 §98]

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ORS 414.708 [2003 c.735 §11; 2005 c.381 §16; 2007 c.70 §194; 2009 c.595 §320; 2011 c.720 §144; repealed by 2013 c.688 §98]

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ORS 414.709 Adjustment of population of eligible persons in event of insufficient resources prohibited. If insufficient resources are available during a biennium, the population of eligible persons receiving health services may not be reduced below the population of eligible persons approved and funded in the legislatively adopted budget for the Oregon Health Authority for the biennium. [2003 c.735 §4a; 2009 c.595 §321; 2013 c.688 §78]

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ORS 414.710 Services not subject to prioritized list. The following services are not subject to ORS 414.690

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ORS 414.712 Health services for certain eligible persons. The Oregon Health Authority shall provide health services under ORS 414.591, 414.631 and 414.688 to 414.745 to eligible persons who are determined eligible for medical assistance as defined in ORS 414.025. The Oregon Health Authority shall also provide the following

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ORS 414.715 [1989 c.836 §4; 1991 c.753 §12; 2009 c.469 §1; repealed by 2011 c.720 §228]

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ORS 414.717 Palliative care program; rules. (1) As used in this section

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ORS 414.719 Housing navigation services and social determinants of health; rules. The Oregon Health Authority shall adopt by rule requirements for coordinated care organizations to provide housing navigation services and address the social determinants of health through care coordination. [2021 c.667 §11]

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ORS 414.720 [1989 c.836 §4a; 1991 c.753 §6; 1991 c.916 §2a; 1993 c.754 §1; 1993 c.815 §19; 1997 c.245 §2; 2003 c.735 §10; 2003 c.810 §8; 2009 c.595 §324; 2011 c.545 §48; repealed by 2011 c.720 §228]

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ORS 414.721 [2009 c.867 §16; 2009 c.828 §50; repealed by 2015 c.70 §18]

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ORS 414.722 Post-hospital extended care benefit. (1) As used in this section

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ORS 414.723 Telemedicine services; rules. (1) As used in this section

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ORS 414.725 [1989 c.836 §6; 1991 c.753 §8; 2003 c.14 §194; 2003 c.735 §13; 2003 c.794 §277; 2003 c.810 §4; 2005 c.806 §8; 2007 c.458 §1; 2009 c.595 §325; 2009 c.795 §3; 2011 c.602 §26; renumbered 414.651 in 2011]

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ORS 414.726 Requirement to use certified or qualified health care interpreters; reimbursement; rules. (1) As used in this section

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ORS 414.727 [1997 c.642 §2; 1999 c.546 §2; 2005 c.806 §2; 2009 c.595 §326; 2013 c.688 §79; repealed by 2015 c.792 §14]

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