§ 414.735 — Reduction in scope of health services in event of insufficient resources; approval of Legislative Assembly or Emergency Board; notice to providers

Oregon § 414.735

• Jurisdiction: Oregon
• Vol.: 11
• Title 34: Human Services; Juvenile Code; Corrections
• Ch. 414: Medical Assistance

Text

(1) If insufficient resources are available during a contract period:
(a) The population of eligible persons determined by law may not be reduced.
(b) The reimbursement rate for providers and plans established under the contractual agreement may not be reduced.
(2) In the circumstances described in subsection (1) of this section, reimbursement shall be adjusted by reducing the health services for the eligible population by eliminating services in the order of priority recommended by the Health Evidence Review Commission, starting with the least important and progressing toward the most important.
(3) The Oregon Health Authority shall obtain the approval of the Legislative Assembly, or the Emergency Board if the Legislative Assembly is not in session, before instituting the reductions. In addition, providers contracting to provide health services under ORS 414.591, 414.631 and 414.688 to 414.745 must be notified at least two weeks prior to any legislative consideration of such reductions. Any reductions made under this section shall take effect no sooner than 60 days following final legislative action approving the reductions.
(4) This section does not apply to reductions made by the Legislative Assembly in a legislatively adopted or approved budget.

Legislative History

1989 c.836 §8; 1991 c.753 §9; 2003 c.14 §195; 2009 c.595 §328; 2009 c.827 §18; 2011 c.720 §149