(a) Be the policy-making and oversight body for the Oregon Health Authority established in ORS 413.032 and all of the authority’s departmental divisions.
(b) Develop and submit a plan to the Legislative Assembly to provide and fund access to affordable, quality health care for all Oregonians.
(c) Develop a program to provide health insurance premium assistance to all low and moderate income individuals who are legal residents of Oregon.
(d) Publish health outcome and quality measure data collected by the Oregon Health Authority at aggregate levels that do not disclose information otherwise protected by law. The information published must report, for each coordinated care organization and each health benefit plan sold through the health insurance exchange or offered by the Oregon Educators Benefit Board or the Public Employees’ Benefit Board:
(A) Quality measures;
(B) Costs;
(C) Health outcomes; and
(D) Other information that is necessary for members of the public to evaluate the value of health services delivered by each coordinated care organization and by each health benefit plan.
(e) Establish evidence-based clinical standards and practice guidelines that may be used by providers.
(f) Approve and monitor community-centered health initiatives described in ORS 413.032 (1)(h) that are consistent with public health goals, strategies, programs and performance standards adopted by the Oregon Health Policy Board to improve the health of all Oregonians, and to regularly report to the Legislative Assembly on the accomplishments and needed changes to the initiatives.
(g) Establish cost containment mechanisms to reduce health care costs.
(h) Ensure that Oregon’s health care workforce is sufficient in numbers and training to meet the demand that will be created by the expansion in health coverage, health care system transformations, an increasingly diverse population and an aging workforce.
(i) Work with the Oregon congressional delegation to advance the adoption of changes in federal law or policy to promote Oregon’s comprehensive health reform plan.
(j) Establish a health benefit package in accordance with ORS 741.340 to be used as the baseline for all health benefit plans offered through the health insurance exchange.
(k) Investigate and report annually to the Legislative Assembly on the feasibility and advisability of future changes to the health insurance market in Oregon, including but not limited to the following:
(A) A requirement for every resident to have health insurance coverage.
(B) A payroll tax as a means to encourage employers to continue providing health insurance to their employees.
(L) Meet cost-containment goals by structuring reimbursement rates to reward comprehensive management of diseases, quality outcomes and the efficient use of resources by promoting cost-effective procedures, services and programs including, without limitation, preventive health, dental and primary care services, web-based office visits, telephone consultations and telemedicine consultations.
(m) Oversee the expenditure of moneys from the Health Care Provider Incentive Fund to support grants to primary care providers and rural health practitioners, to increase the number of primary care educators and to support efforts to create and develop career ladder opportunities.
(n) Work with the Public Health Benefit Purchasers Committee, administrators of the medical assistance program and the Department of Corrections to identify uniform contracting standards for health benefit plans that achieve maximum quality and cost outcomes and align the contracting standards for all state programs to the greatest extent practicable.
(o) Work with the Health Information Technology Oversight Council to foster health information technology systems and practices that promote the Oregon Integrated and Coordinated Health Care Delivery System established by ORS 414.570 and align health information technology systems and practices across this state.
(2) The Oregon Health Policy Board is authorized to:
(a) Subject to the approval of the Governor, organize and reorganize the authority as the board considers necessary to properly conduct the work of the authority.
(b) Submit directly to the Legislative Counsel, no later than October 1 of each even-numbered year, requests for measures necessary to provide statutory authorization to carry out any of the board’s duties or to implement any of the board’s recommendations. The measures may be filed prior to the beginning of the legislative session in accordance with the rules of the House of Representatives and the Senate.
(3) If the board or the authority is unable to perform, in whole or in part, any of the duties described in ORS 413.006 to 413.042 and 741.340 without federal approval, the authority is authorized to request, in accordance with ORS 413.072, waivers or other approval necessary to perform those duties. The authority shall implement any portions of those duties not requiring legislative authority or federal approval, to the extent practicable.
(4) The enumeration of duties, functions and powers in this section is not intended to be exclusive nor to limit the duties, functions and powers imposed on the board by ORS 413.006 to 413.042 and 741.340 and by other statutes.
(5) The board shall consult with the Department of Consumer and Business Services in completing the tasks set forth in subsection (1)(j) and (k)(A) of this section. [2009 c.595 §9; 2011 c.9 §55; 2011 c.720 §125; 2012 c.38 §15; 2013 c.1 §55; 2013 c.681 §44; 2015 c.3 §42; 2015 c.243 §2; 2015 c.389 §6; 2021 c.97 §39]
Structure 2021 Oregon Revised Statutes
Volume : 11 - Juvenile Code, Human Services
Chapter 413 - Oregon Health Authority
Section 413.006 - Establishment of Oregon Health Policy Board.
Section 413.007 - Composition of board.
Section 413.008 - Chairperson; quorum; meetings.
Section 413.011 - Duties of board.
Section 413.016 - Authority of board to establish advisory and technical committees.
Section 413.032 - Establishment of Oregon Health Authority.
Section 413.033 - Oregon Health Authority director.
Section 413.036 - Use of abuse and neglect reports for screening subject individuals; rules.
Section 413.037 - Administering oaths; depositions; subpoenas.
Section 413.038 - Service of notice by regular mail.
Section 413.041 - Persons authorized to represent parties in contested cases.
Section 413.046 - Right to courteous, fair and dignified treatment; grievances.
Section 413.071 - Authorization to request federal waivers.
Section 413.072 - Public process required if waiver of federal requirement involves policy change.
Section 413.083 - Dental director; duties; rules.
Section 413.084 - State School Nursing Consultant; duties.
Section 413.101 - Oregon Health Authority Fund.
Section 413.105 - Deposit of reimbursements received for medical assistance expenditures.
Section 413.109 - Acceptance and expenditures of funds received from private sources.
Section 413.121 - Oregon Health Authority Special Checking Account.
Section 413.125 - Revolving fund.
Section 413.129 - Aggregation of warrants and payments.
Section 413.135 - Combining and eliminating accounts.
Section 413.151 - Setoff of liquidated and delinquent debts.
Section 413.162 - Reports to Legislative Assembly on collection of data under ORS 413.161.
Section 413.164 - Collection and reporting of data by health care providers and insurers; rules.
Section 413.166 - Grants for data collection; rules.
Section 413.167 - Reports to Legislative Assembly.
Section 413.171 - Sharing of data with Department of Human Services; rules.
Section 413.175 - Prohibition on disclosure of information; exceptions.
Section 413.195 - Disclosure of information about cremated or reduced remains.
Section 413.223 - School-based health centers; certification; best practices; rules.
Section 413.231 - Recruitment of primary care providers.
Section 413.234 - Supplemental payments to emergency services providers.
Section 413.235 - Emergency services intergovernmental transfer program.
Section 413.246 - Information provided to retired physicians and health care providers.
Section 413.248 - Physician Visa Waiver Program; rules; fees.
Section 413.250 - Statewide Health Improvement Program.
Section 413.256 - Regional health equity coalitions.
Section 413.257 - Experimental, prototype health care of tomorrow.
Section 413.259 - Patient centered primary care home program and behavioral health home program.
Section 413.260 - Patient centered primary care and behavioral health home delivery models.
Section 413.270 - Advisory council; membership; duties.
Section 413.271 - Palliative care information and resources.
Section 413.300 - Definitions for ORS 413.300 to 413.308, 413.310 and ORS chapter 414.
Section 413.301 - Health Information Technology Oversight Council.
Section 413.303 - Council chairperson; quorum; meetings.
Section 413.308 - Duties of council.
Section 413.310 - Oregon Health Information Technology program; fees; rules.
Section 413.430 - Functions of Director of Oregon Health Authority regarding health professionals.
Section 413.435 - Administrative requirements for students in clinical training.
Section 413.450 - Continuing education in cultural competency.
Section 413.500 - Women, Infants and Children Program; rules; civil penalties.
Section 413.520 - Gambling addiction programs in Oregon Health Authority; advisory committee.
Section 413.522 - Problem Gambling Treatment Fund.
Section 413.550 - Definitions for ORS 413.550 to 413.559.
Section 413.552 - Legislative findings and policy on health care interpreters.
Section 413.554 - Oregon Council on Health Care Interpreters.
Section 413.556 - Testing, qualification and certification standards for health care interpreters.
Section 413.560 - Moneys received credited to account in Oregon Health Authority Fund.
Section 413.561 - Agencies or boards with enforcement authority.
Section 413.570 - Pain Management Commission; duties; staffing.
Section 413.572 - Additional duties of commission.
Section 413.574 - Membership of commission.
Section 413.580 - Pain Management Fund.
Section 413.582 - Acceptance of contributions.
Section 413.600 - Traditional Health Workers Commission.
Section 413.610 - Purpose of Compact of Free Association Premium Assistance Program.
Section 413.611 - Definitions.