Requires Oregon Health Authority to adopt standards for types of data collected for all payer, all claims database that are consistent with standards adopted for collection of data on race, ethnicity, language, disability, sexual orientation and gender identity.
Allows authority to charge fee for releasing information from database.
Removes obsolete provisions related to individual shared responsibility provisions of Patient Protection and Affordable Care Act.
Modifies membership of Health Insurance Exchange Advisory Committee and sunsets requirement for authority to report to interim committees of Legislative Assembly on integration into authority of duties, functions and powers transferred from Department of Consumer and Business Services.
Repeals COFA Premium Assistance Program.
Replaces provisions related to Health Plan Quality Metrics Committee with provisions creating Metrics and Scoring Committee under Oregon Health Policy Board. Modifies duties of committee. Repeals metrics and scoring subcommittee.]
Beginning in reporting year 2025, requires metrics and scoring subcommittee of Health Plan Quality Metrics Committee to select, based on specified criteria, downstream health outcome and quality measures for coordinated care organizations from sets of core quality measures for Medicaid program published by Centers for Medicare and Medicaid Services and at least four upstream health outcome and quality measures that focus on social determinants of health.
Requires Oregon Health Authority to annually update health outcome and quality measures if necessary to conform to latest sets of core quality measures published by Centers for Medicare and Medicaid Services.
Authorizes members of Public Health Benefit Purchasers Committee, Health Care Workforce Committee, Health Plan Quality Metrics Committee, Behavioral Health Committee and metrics and scoring subcommittee who are not members of Oregon Health Policy Board to receive compensation and actual and necessary travel and other expenses as prescribed by Oregon Health Authority by rule.
Repeals requirement that initial assessment by coordinated care organization of child in custody of Department of Human Services be performed in accordance with metrics established by metrics and scoring subcommittee.
Requires Oregon Health Authority to study coordinated care organization quality incentive program, develop recommendations for changes and report recommendations to interim committees of Legislative Assembly related to health by September 15, 2024.
Permits Oregon Health Authority to reimburse coordinated care organizations
for health-related social needs services using methods other than global budgets.
Declares emergency, effective on passage.
Statutes affected: Introduced: 442.373, 741.002, 741.004, 741.500, 741.222, 414.025
A-Engrossed: 442.373, 741.002, 741.004, 741.500, 741.222, 414.025, 414.638, 413.017, 414.686, 417.721, 414.570
B-Engrossed: 442.373, 741.002, 741.004, 741.500, 741.222, 414.025, 414.638, 413.017, 414.686, 414.570
Enrolled: 442.373, 741.002, 741.004, 741.500, 741.222, 414.025, 414.638, 413.017, 414.686, 414.570