Relating to audits of claims for reimbursement of the costs of behavioral health treatment; prescribing an effective date.
Summary
Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers. Directs the Oregon Health Authority to collaborate with health care providers that provide care to medical assistance enrollees, coordinated care organizations, community groups that advocate for diversity and health equity and health care industry representatives to develop recommendations for processes by which payers audit health care providers' claims for reimbursement. Takes effect on the 91st day following adjournment sine die.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2025
Last action Jun 28, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
A-Engrossed
·
3 edits
MINOR
The bill was amended to clarify the definition of behavioral health treatment by adding exclusions for hospital-based services, and to add a new requirement for insurers to provide plain-language documentation examples to providers. These changes aim to reduce confusion during audits and limit what types of services can be audited under this bill.
Scope change
The bill's scope was narrowed by explicitly excluding hospital-based behavioral health treatment from the definition of auditable claims, while adding new requirements for how insurers must communicate audit requirements to providers.
DEFINITION
Added subsections to define behavioral health treatment exclusions, removing hospital-based services, hospital-affiliated clinics, and group medical practices from the definition of auditable behavioral health treatment.
REQUIREMENT
Added a requirement that insurers must provide examples of documentation requirements in their plain-language audit requirement documents to help providers understand what is needed.
TECHNICAL
Changed the bill title from 'HB 2029' to 'A-Eng. HB 2029' to reflect its final amended status.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
7
Key actions
2
Committee
4
Jun 28, 2025
Lower · Passed
In committee upon adjournment.
lower
Apr 16, 2025
Committee
Referred to Ways and Means by order of Speaker.
lower
Apr 16, 2025
Lower · Passed
Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.
lower
Jan 17, 2025
Committee
Referred to Behavioral Health and Health Care.
lower
Jan 13, 2025
Introduced
First reading. Referred to Speaker's desk.
lower
1 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Rob Nosse
DDemocratic
Co
Darin Harbick
RRepublican
Co
Hai Pham
DDemocratic
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