Relating to equitable access to health care services.
What changed between versions
Removed definitions for 'conversion factor', 'primary care provider', 'primary care services', and 'resource-based relative value' that were tied to specific Medicare payment methodologies.
Renamed 'Optometrist' to 'Optometry provider' and updated the definition of optometry services to include 'medical eye and vision examination services'.
Removed specific dollar amounts and conversion factors ($85 multiplied by relative value units) that were set to begin January 1, 2026.
Added requirement that Oregon Health Authority and coordinated care organizations must reimburse providers at a rate no less than the average rate paid by insurers offering health benefit plans in the state.
Added provision allowing coordinated care organizations to use alternative payment methodologies as long as payments are no less than the average insurer rate.
Added requirement that the Oregon Health Authority cannot request additional General Fund appropriations to implement these reimbursement provisions.
Added requirement for the Oregon Health Authority to monitor and review reimbursement amounts over a four-year period and report on wait times, access, and provider choice.