Title 56, Insurance
17 chapters · 1,565 sections in this title.
ORS 743B.607 Nonopioid prescription drug coverage requirements
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(1) As used in this section: (a) Clinically appropriate means supported by nationally recognized compendia, clinical guidelines or generally recognized standards of care. (b) Compendia means those resources widely accepted by the medical profession in the efficacious use of d…
ORS 743B.610 Clinician-administered drugs for treatment of cancer
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(1) As used in this section: (a) Administer means to directly apply a drug to the body of a patient by injection, inhalation, ingestion or any other means. (b)(A) Clinician-administered drug means an outpatient prescription drug that: (i) Cannot reasonably be: (I) Administere…
ORS 743B.800 Risk adjustment procedures; rules
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(1) As used in this section, health benefit plan means a health benefit plan, as defined in ORS 743B.005, that is offered in the individual or small group market. (2) The Department of Consumer and Business Services may establish by rule a procedure for adjusting risk between i…
ORS 743B.810 Enrollees covered by workers compensation
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(1) A health benefit plan may not exclude, and shall expedite preauthorizations required for, work-related injuries or occupational diseases if: (a) The injured worker is covered by workers compensation insurance and the health benefit plan; and (b) The injured worker has submit…