72 sections in this chapter.
ORS 415.335 Order to liquidate. (1) An order to liquidate the business of a coordinated care organization shall direct the Oregon Health Authority to
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(a) Take possession of the property of the coordinated care organization; (b) Liquidate the business of the coordinated care organization; (c) Deal with the coordinated care organization’s property and business in the name of the authority or in the name of the coordinated care o…
ORS 415.340 Oregon Health Authority to be appointed receiver in delinquency proceeding; powers and duties. (1) Whenever a receiver is to be appointed in delinquency proceedings for a coordinated care organization, the court shall appoint the Oregon Health Authority as the receiver. The court shall direct the receiver to take possession of the property of the coordinated care organization and to administer the property as ordered by the court
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(2) Any deed or other instrument executed in a delinquency proceeding or by an order of liquidation shall be valid and effectual for all purposes as though the same had been executed by the person affected by any proceedings or by the officers of the coordinated care organization…
ORS 415.341 Immunity from civil liability for receivers. (1) The following persons are entitled to protection under this section
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(a) All receivers responsible for the conduct of a delinquency proceeding under ORS 415.203 to 415.430, including present and former receivers. (b) All employees of the receiver described in paragraph (a) of this subsection. For purposes of this section, such employees include al…
ORS 415.350 Right to assets of CCO fixed as of date of order to liquidate. The rights and liabilities of the coordinated care organization, its creditors and all other persons interested in its assets shall, unless otherwise directed by the court, be fixed as of the date on which an order directing the liquidation of the coordinated care organization is filed in the office of the clerk of the court that made the order, subject to the provisions of ORS 415.404 with respect to the rights of claimants holding contingent claims. [2019 c.478 §50]
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(Claims Against Insolvent Coordinated Care Organization)
ORS 415.400 Filing proof of claim against CCO declared by court to be insolvent. (1) A court may make an order declaring a coordinated care organization insolvent at the time it grants an order of liquidation or at any time during the liquidation proceedings. When the order is issued, the Oregon Health Authority shall provide notice, in the manner determined by the court, to all persons who may have claims against the coordinated care organization and who have not filed proper proofs of their claims. The notice must instruct the persons to present their claims to the authority, at a specified place, within four months from the date of the entry of the insolvency order or within a longer time as the court prescribes. The notice must specify the last day that persons may file proofs of claims
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(2) A claimant filing a proof of claim after the last day specified for filing a claim may share in the distribution of the assets after all allowed claims for which proofs were timely filed are paid in full. [2019 c.478 §31]
ORS 415.401 Requirements for proof of claim. (1) All claims against a coordinated care organization against which delinquency proceedings have been begun shall
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(a) Set forth in reasonable detail: (A) The amount of the claim or the basis upon which the amount can be ascertained; (B) The facts upon which the claim is based; and (C) The priorities asserted, if any; (b) Be verified by the affidavit of the claimant or someone authorized to a…
ORS 415.402 Preference of claims. Except as provided in ORS 415.406 for secured claims, the claims to be paid in full in delinquency proceedings against a coordinated care organization prior to the payment of any other claims, and the order of payment, shall be
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(1) The expenses of administering the delinquency proceedings; (2) Claims that are legally due and owing by the coordinated care organization to the United States; (3) Compensation or wages owed to employees other than officers of the coordinated care organization, for services r…
ORS 415.403 Priority of preferred claims. All claims that are preferred under the laws of the state, whether owing to residents or nonresidents, shall be given equal priority of payment from the general assets of a coordinated care organization in a delinquency proceeding against the coordinated care organization regardless of where the assets are located. [2019 c.478 §39]
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[Repealed or reserved.]
ORS 415.404 Contingent claims. (1) A contingent claim against a coordinated care organization shall be filed, presented and reported in the same manner and within the same time limitations as provided in ORS 415.400 for a noncontingent claim. Contingent claims shall be allowed to share in a distribution of assets in the same manner as noncontingent claims of the same class and priority, provided that the contingent claim becomes an absolute claim either as a result of proof presented or litigation
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(2) Nothing in subsection (1) of this section prevents or bars the Oregon Health Authority from compromising a disputed claim with a claimant, whether contingent or noncontingent, if the compromise is justified and supported by the facts and circumstances. (3) If full or partial …
ORS 415.405 Priority of special deposit claims. The owners of special deposit claims against a coordinated care organization for which a receiver is appointed shall be given priority against their several special deposits in accordance with the provisions of the statutes governing the creation and maintenance of the deposits. If there is a deficiency in any deposit so that claims secured by the deposit are not fully discharged, the claimants may share in the general assets of the coordinated care organization after
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(1) The payment of claims of general creditors; and (2) Claimants against other special deposits, who have received smaller percentages from their respective special deposits, have been paid percentages of their claims equal to the percentage paid from the special deposit. [2019 …
ORS 415.406 Priority of secured claims. The owner of a secured claim against a coordinated care organization for which a receiver has been appointed may surrender the security and file a claim as a general creditor, or the claim may be discharged by resort to the security, in which case the deficiency, if any, shall be treated as a claim against the general assets of the coordinated care organization on the same basis as claims of unsecured creditors. [2019 c.478 §47]
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[Repealed or reserved.]
ORS 415.420 Attachment or garnishment prohibited during delinquency proceeding. During the pendency of a delinquency proceeding against a coordinated care organization, an action or proceeding to obtain an attachment, garnishment or execution may not be commenced or maintained in the courts of this state against the delinquent coordinated care organization or its assets. An attachment, garnishment or execution obtained prior to the commencement of a delinquency proceeding or at any time thereafter shall be void as against any rights arising in the delinquency proceeding unless the attachment, garnishment or execution obtained by the action or proceeding was obtained more than four months prior to the commencement of the delinquency proceeding. [2019 c.478 §40]
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[Repealed or reserved.]
ORS 415.422 Voidable transfers or liens. (1) A transfer of or lien upon the property of a coordinated care organization, other than as provided in ORS 415.420, is voidable if the transfer or lien is
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(a) Made or created within four months prior to the commencement of a delinquency proceeding; (b) Made with the intent of giving to a transferee or lienor or enabling the transferee or lienor to obtain a greater percentage of the debt than any other creditor of the same class; an…
ORS 415.424 Offsets of mutual debts or credits. Offsets may not be allowed in cases of mutual debts or mutual credits between the coordinated care organization and another person in connection with a delinquency proceeding, except with respect to reinsurance. [2019 c.478 §43]
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[Repealed or reserved.]
ORS 415.430 Liability of member of CCO to pay provider for cost of care. (1) For the purpose of this section only, and only in the event of a finding of impairment by the Oregon Health Authority, as described in ORS 415.203, or of a final order of liquidation, any covered health care service furnished within this state by a provider to a member of a coordinated care organization shall be considered to have been furnished pursuant to a contract between the provider and the coordinated care organization with whom the member was enrolled when the services were furnished
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(2) Each contract between a coordinated care organization and a provider of health care services shall provide that if the coordinated care organization fails to pay for covered health care services as set forth in the coordinated care organization’s contract with the authority, …
ORS 415.500 As used in this section and ORS 415.501 and 415.505
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(1) “Corporate affiliation” has the meaning prescribed by the Oregon Health Authority by rule, including: (a) Any relationship between two organizations that reflects, directly or indirectly, a partial or complete controlling interest or partial or complete corporate control; and…
ORS 415.501 Procedures for review of material change transactions; rules. (1) The purpose of this section is to promote the public interest and to advance the goals set forth in ORS 414.018 and the goals of the Oregon Integrated and Coordinated Health Care Delivery System described in ORS 414.570
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(2) In accordance with subsection (1) of this section, the Oregon Health Authority shall adopt by rule criteria approved by the Oregon Health Policy Board for the consideration of requests by health care entities to engage in a material change transaction and procedures for the r…
ORS 415.505 Conflicts of interest prohibited. (1) An officer or employee of the Oregon Health Authority who is delegated responsibilities in the enforcement of ORS 415.501 or rules adopted pursuant to ORS 415.501 may not
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(a) Be a director, officer or employee of or be financially interested in an entity that is a party to a proposed material change transaction except as an enrollee or patient of a health care entity or by reason of rights vested in compensation or benefits related to services per…
ORS 415.510 Quadrennial study of impact of health care consolidation. Every four years, the Oregon Health Authority shall commission a study of the impact of health care consolidation in this state. The study must review consolidation occurring during the previous four-year period and include an analysis of
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(1) The impact on costs to consumers for health care either to the benefit or the detriment of consumers; and (2) Any increases or decreases in the quality of care, including: (a) Improvement or reductions in morbidity; (b) Improvement or reductions in the management of populatio…
ORS 415.512 Fees; rules. (1) The Oregon Health Authority shall prescribe by rule a fee to be paid under ORS 415.501 (3), proportionate to the size of the parties to the transaction, sufficient to reimburse the costs of administering ORS 415.501
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(2) Moneys received by the authority under this section shall be deposited to the Oregon Health Authority Fund established in ORS 413.101 to be used for carrying out ORS 415.501. [2021 c.615 §4]
ORS 415.900 Civil penalties. (1) In addition to any other penalty imposed by law, the Director of the Oregon Health Authority may impose a civil penalty, as determined by the director, for a violation of ORS 413.037 or 415.501. The amount of the civil penalty may not exceed $10,000 for each offense. The civil penalty imposed on an individual health professional may not exceed $1,000 for each offense
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(2) Civil penalties shall be imposed and enforced in accordance with ORS 183.745. (3) Moneys received by the Oregon Health Authority under this section shall be paid to the State Treasury and credited to the General Fund. [2021 c.615 §5]
ORS 415.990 [Repealed by 1957 c.388 §17]
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