Oregon § 741.500 Required documentation; rules

Oregon Statutes

§ 741.500 — Required documentation; rules

Oregon § 741.500

Vol.18

Title 56Insurance

Ch. 741Health Insurance Exchange

This text of Oregon § 741.500 (Required documentation; rules) is published on Counsel Stack Legal Research, covering Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Or. Rev. Stat. § 741.500 (2026).

Text

(1)(a) The Oregon Health Authority shall adopt by rule the information that must be documented in order for a person to qualify for:

(A)Qualified health plan coverage through the health insurance exchange;

(B)Premium tax credits; and

(C)Cost-sharing reductions.

(b)The documentation specified by the authority under this subsection shall include but is not limited to documentation of:

(A)The identity of the person;

(B)The status of the person as a United States citizen, or lawfully admitted noncitizen, and a resident of this state;

(C)Information concerning the income and resources of the person as necessary to establish the person’s financial eligibility for coverage, for premium tax credits and for cost-sharing reductions, which may include income tax return information and a Social

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(1)(a) The Oregon Health Authority shall adopt by rule the information that must be documented in order for a person to qualify for:
(A) Qualified health plan coverage through the health insurance exchange;
(B) Premium tax credits; and
(C) Cost-sharing reductions.
(b) The documentation specified by the authority under this subsection shall include but is not limited to documentation of:
(A) The identity of the person;
(B) The status of the person as a United States citizen, or lawfully admitted noncitizen, and a resident of this state;
(C) Information concerning the income and resources of the person as necessary to establish the person’s financial eligibility for coverage, for premium tax credits and for cost-sharing reductions, which may include income tax return information and a Social Security number; and
(D) Employer identification information and employer-sponsored health insurance coverage information applicable to the person.
(2) The authority shall implement systems that provide electronic access to, and use, disclosure and validation of data needed to administer the exchange, to comply with federal data access and data exchange requirements and to streamline and simplify exchange processes.
(3) Information and data that the authority obtains under this section may be exchanged with other state or federal health insurance exchanges, with state or federal agencies and, subject to ORS 741.510, for the purpose of carrying out exchange responsibilities, including but not limited to:
(a) Establishing and verifying eligibility for:
(A) A state medical assistance program;
(B) The purchase of qualified health plans through the exchange; and
(C) Any other programs that are offered through the exchange;
(b) Establishing and verifying the amount of a person’s federal tax credit, cost-sharing reduction or premium assistance;
(c) Complying with other federal requirements; or
(d) Improving the operations of the exchange and for program analysis.