(1) "Advance premium tax credit" means the premium assistance amount determined in accordance with 26 U.S.C. 36B.
(2) "COFA citizen" means an individual who is a citizen of:
(a) The Republic of the Marshall Islands;
(b) The Federated States of Micronesia; or
(c) The Republic of Palau.
(3) "Health insurance exchange" or "exchange" has the meaning given that term in ORS 741.300.
(4) "Income" means the modified adjusted gross income that is attributed to an individual in determining the individual’s eligibility for advance premium tax credits.
(5) "In-network provider" means a health care provider or group of providers that directly contract with an insurer to provide health benefits covered by a health benefit plan offered by the insurer.
(6) "Open enrollment period" means the period during which a person may enroll in a qualified health plan.
(7) "Out-of-pocket costs" means copayments, coinsurance, deductibles and other cost-sharing requirements imposed under a qualified health plan for services, pharmaceuticals, devices and other health benefits that are covered by the plan and that are rendered by in-network providers.
(8) "Premium cost" means an individual’s premium for a qualified health plan less the amount of the individual’s advance premium tax credit.
(9) "Qualified health plan" means a health benefit plan, as defined in ORS 743B.005, offered through the health insurance exchange.
(10) "Resident" means a person who is domiciled in this state.
(11) "Special enrollment period" means a period during which a person who has not done so during the open enrollment period may enroll in a qualified health plan through the exchange if the person meets specified requirements. [Formerly 735.604]
Note: See note under 413.610.
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.