79 sections in this chapter.
ORS 741.001 Health insurance exchange; legislative intent. It is the intent of the Legislative Assembly that the health insurance exchange be administered in such a manner as to
1.1K chars
(1) Incorporate the goals of improving the lifelong health of all Oregonians, increasing the quality, reliability and availability of health insurance for all Oregonians and lowering or containing the cost of health insurance so that health insurance is affordable to everyone. (2…
ORS 741.002 Duties, powers and functions of Oregon Health Authority; rules. (1) The duties of the Oregon Health Authority include
3.5K chars
(a) Administering a health insurance exchange in accordance with federal law to make qualified health plans available to individuals and groups throughout this state. (b) Providing information in writing, through an Internet-based clearinghouse and through a toll-free telephone l…
ORS 741.003 Duties and powers of director. (1) The health insurance exchange is under the supervision of the Director of the Oregon Health Authority
1.0K chars
(2) The director has such powers as are necessary to carry out ORS 741.001 to 741.540. (3) The director may employ, supervise and terminate the employment of such staff as the director deems necessary. The director shall prescribe their duties and fix their compensation. Employee…
ORS 741.004 Health Insurance Exchange Advisory Committee. (1) The Health Insurance Exchange Advisory Committee is created to advise the Oregon Health Policy Board in the development and implementation of the policies and operational procedures governing the administration of a health insurance exchange in this state including, but not limited to, all of the following
3.6K chars
(a) The amount of the assessment imposed on insurers under ORS 741.105. (b) The operation of a Small Business Health Options Program in accordance with 42 U.S.C. 18031. (c) The processes and procedures to enable each insurance producer to be authorized to act for all of the insur…
ORS 741.005 [1955 c.737 §2; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.008 Criminal records check; fingerprints required; persons subject to requirement. The Oregon Health Authority shall conduct a state or nationwide criminal records check under ORS 181A.195 on, and for that purpose may require the fingerprints of, a person who
1.5K chars
(1) Is employed by or applying for employment with the authority in a position related to the administration of the health insurance exchange; or (2) Is, or will be, providing services to the authority in a position related to the administration of the health insurance exchange: …
ORS 741.010 [Repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.012 The Oregon Health Authority shall procure and administer an information technology platform or service, separate from the federal platform, to provide electronic access to the health insurance exchange in this state
0.7K chars
Note: Section 7, chapter 585, Oregon Laws 2023, provides: Sec. 7. (1) The amendments to section 2 of this 2023 Act [741.012] by section 5 of this 2023 Act and the amendments to ORS 741.105 and 741.300 by sections 3 and 4 of this 2023 Act become operative on November 1, 2026. (2) …
ORS 741.020 [Amended by 1961 c.466 §7; 1961 c.562 §6; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.022 [1955 c.737 §10; 1963 c.349 §8; 1967 c.359 §426; renumbered 743.402]
0.0K chars
[Repealed or reserved.]
ORS 741.025 [2011 c.415 §4; 2014 c.78 §§3,4; repealed by 2015 c.3 §58]
0.0K chars
[Repealed or reserved.]
ORS 741.027 [2011 c.415 §6; 2012 c.38 §17; 2012 c.107 §94; repealed by 2015 c.3 §58]
0.0K chars
[Repealed or reserved.]
ORS 741.028 [1955 c.737 §11; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.029 [2011 c.415 §7; repealed by 2015 c.3 §58]
0.0K chars
[Repealed or reserved.]
ORS 741.030 [Amended by 1955 c.409 §5; 1959 c.338 §5; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.031 [2011 c.415 §8; repealed by 2015 c.3 §58]
0.0K chars
[Repealed or reserved.]
ORS 741.040 [Repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.050 [Repealed by 1955 c.737 §13]
0.0K chars
[Repealed or reserved.]
ORS 741.060 [Repealed by 1955 c.737 §13]
0.0K chars
[Repealed or reserved.]
ORS 741.070 [Repealed by 1955 c.737 §13]
0.0K chars
[Repealed or reserved.]
ORS 741.080 [Repealed by 1955 c.737 §13]
0.0K chars
[Repealed or reserved.]
ORS 741.090 [Repealed by 1955 c.737 §13]
0.0K chars
[Repealed or reserved.]
ORS 741.100 [Repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.101 [2011 c.415 §18; 2012 c.38 §2; 2012 c.107 §89; repealed by 2015 c.3 §59]
0.0K chars
(Financing Operations of Exchange)
ORS 741.102 Health Insurance Exchange Fund. The Health Insurance Exchange Fund is established in the State Treasury, separate and distinct from the General Fund. Interest earned by the Health Insurance Exchange Fund shall be credited to the fund. The Health Insurance Exchange Fund consists of moneys received by the Oregon Health Authority under ORS 741.001 to 741.540. Moneys in the fund are continuously appropriated to the authority for carrying out the purposes of ORS 741.001 to 741.540. [2015 c.3 §14; 2015 c.3 §15; 2021 c.569 §22]
0.0K chars
[Repealed or reserved.]
ORS 741.105 (1) The Oregon Health Authority shall establish, by rule, an administrative charge. The authority shall impose and collect the charge from all insurers participating in the health insurance exchange or offering a health plan certified by the authority and state programs participating in the health insurance exchange. The Health Insurance Exchange Advisory Committee shall advise the authority in establishing the administrative charge. The charge must be in an amount sufficient to cover the costs of grants to navigators, in-person assisters and application counselors certified under ORS 741.002 and to pay the administrative and operational expenses of the authority in carrying out ORS 741.001 to 741.540. The charge shall be paid in a manner and at intervals prescribed by the authority
3.4K chars
(2)(a) Each insurer’s charge shall be based on the number of individuals, excluding individuals enrolled in state programs, who are enrolled in health plans: (A) Offered by the insurer through the exchange; and (B) Certified by the authority. (b) The charge to each state program …
ORS 741.107 [2015 c.3 §36a; 2021 c.569 §24; repealed by 2023 c.585 §6]
0.0K chars
[Repealed or reserved.]
ORS 741.110 [1955 c.737 §3; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.120 [1955 c.737 §4; 1967 c.359 §427; renumbered 743.405]
0.0K chars
[Repealed or reserved.]
ORS 741.130 [1955 c.737 §5; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.140 [1955 c.737 §6; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.145 [1955 c.737 §12; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.150 [1955 c.737 §7; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.160 [1955 c.737 §8; repealed by 1967 c.359 §704]
0.0K chars
[Repealed or reserved.]
ORS 741.170 [1955 c.737 §9; 1967 c.359 §455; renumbered 743.489]
0.0K chars
[Repealed or reserved.]
ORS 741.180 [1965 c.35 §2; 1967 c.359 §456; renumbered 743.492]
0.0K chars
[Repealed or reserved.]
ORS 741.190 [1965 c.573 §2; 1967 c.359 §457; renumbered 743.495]
0.0K chars
[Repealed or reserved.]
ORS 741.200 [1965 c.573 §3; 1967 c.359 §458; renumbered 743.498]
0.0K chars
[Repealed or reserved.]
ORS 741.201 [2011 c.415 §9; 2012 c.38 §5; 2012 c.107 §92; 2015 c.3 §19; renumbered 741.003 in 2015]
0.0K chars
(Audits and Reports)
ORS 741.220 Financial and performance audits of health insurance exchange accounts; report of audit. (1) The Oregon Health Authority shall keep an accurate accounting of the operation and all activities, receipts and expenditures of the authority with respect to the health insurance exchange
2.4K chars
(2) The Secretary of State shall conduct an annual financial audit of the authority’s revenues and expenditures in carrying out ORS 741.001 to 741.540. The audit shall include but is not limited to: (a) A review of the sources and uses of the moneys in the Health Insurance Exchan…
ORS 741.222 Annual reports to Legislative Assembly. (1) The Director of the Oregon Health Authority shall report to the Legislative Assembly each year on
1.2K chars
(a) The financial condition of the health insurance exchange, including actual and projected revenues and expenses of the administrative operations of the exchange and commissions paid to insurance producers out of fees collected under ORS 741.105 (6); (b) The operation of the Sm…
ORS 741.250 [2011 c.415 §19; 2012 c.38 §7; 2012 c.107 §68; repealed by 2015 c.3 §58]
0.0K chars
[Repealed or reserved.]
ORS 741.255 [2011 c.415 §20; 2015 c.3 §23; renumbered 741.008 in 2015]
0.0K chars
HEALTH INSURANCE EXCHANGE (Definitions)
ORS 741.300 As used in ORS 741.001 to 741.540
1.7K chars
(1) “Coordinated care organization” has the meaning given that term in ORS 414.025. (2) “Essential health benefits” has the meaning given that term in ORS 731.097. (3) “Health benefit plan” has the meaning given that term in ORS 743B.005. (4) “Health care service contractor” has …
ORS 741.310 Requirements for purchase of insurance through exchange and for participation of insurers in exchange. (1)(a) Individuals and families may purchase qualified health plans through the health insurance exchange
4.0K chars
(b) The following groups may purchase qualified health plans through the Small Business Health Options Program: (A) Small employers as defined in ORS 743B.005; and (B) Districts and eligible employees of districts that are subject to ORS 243.886, unless their participation is pre…
ORS 741.340 Health benefit plans offered through exchange. The Oregon Health Authority, in developing and offering the health benefit package required by ORS 413.011 (1)(j), may not establish policies or procedures that discourage insurers from offering more comprehensive health benefit plans that provide greater consumer choice at a higher cost. The health benefit package approved by the Oregon Health Policy Board shall
0.9K chars
(1) Promote the provision of services through an integrated health home model that reduces unnecessary hospitalizations and emergency department visits. (2) Require little or no cost sharing for evidence-based preventive care and services, such as care and services that have been…
ORS 741.342 Small Business Health Options Program. Health benefit plans offered through a Small Business Health Options Program, as defined in ORS 741.300, are subject to ORS 743.004, 743.022, 743.535 and 743B.003 to 743B.127 and to other provisions of the Insurance Code applicable to small employer group health insurance. [2015 c.3 §36]
0.2K chars
Note: 741.342 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 741 or any series therein. See Preface to Oregon Revised Statutes for further explanation.
ORS 741.381 Application of antitrust laws. The activities of insurers working under the direction of the Oregon Health Authority and the Department of Consumer and Business Services pursuant to ORS 413.011 (1)(j) or participating in the health insurance exchange administered under ORS 741.002 do not constitute a conspiracy or restraint of trade or an illegal monopoly, nor are they carried out for the purposes of lessening competition or fixing prices arbitrarily. [Formerly 413.075; 2012 c.38 §19; 2015 c.3 §26]
0.0K chars
[Repealed or reserved.]
ORS 741.390 False or misleading filings prohibited. A person may not file or cause to be filed with the Oregon Health Authority any article, certificate, report, statement, application or any other information related to the health insurance exchange required or permitted by the authority to be filed, that is known by the person to be false or misleading in any material respect. [2011 c.415 §24; 2015 c.3 §28; 2021 c.569 §29]
0.0K chars
[Repealed or reserved.]
ORS 741.400 Service of eligibility notices; when notice becomes final order; opportunity to contest actual receipt of notice. (1) The Oregon Health Authority may serve by regular mail or, if requested by the recipient, by electronic mail a notice described in ORS 183.415 of the authority’s determination of
2.7K chars
(a) A person’s eligibility to purchase or to continue to purchase a qualified health plan through the health insurance exchange; (b) A person’s eligibility for a premium tax credit for purchasing a qualified health plan or the amount of the person’s premium tax credit; or (c) A p…