2021 Oregon Revised Statutes
Chapter 415 - Regulation of Health Care Entities
Section 415.280 - Petition for order for rehabilitation or liquidation of CCO.


(a) Directing the authority to rehabilitate a coordinated care organization on one or more of the following grounds:
(A) The coordinated care organization is impaired.
(B) The coordinated care organization has failed to submit its books, papers, accounts or affairs for the reasonable inspection and examination by the authority.
(C) Without first obtaining the written consent of the authority, the coordinated care organization has by contract of reinsurance, or otherwise, transferred or attempted to transfer substantially its entire property or business, or has entered into any transaction the effect of which is to merge, consolidate or reinsure substantially its entire property or business in or with the property or business of any other person, without first having complied with rules adopted pursuant to ORS 415.011 (2)(i).
(D) The coordinated care organization is in such condition that its further transaction of business would be hazardous to its members, creditors, the state or the public.
(E) The coordinated care organization has violated its articles of incorporation, its bylaws, any law of the state or any order of the authority.
(F) Any person who has executive authority in the coordinated care organization, whether an officer, manager, general agent, member of the governing board or trustee, employee or other person, has refused to be examined under oath by the authority concerning its affairs, whether in this state or elsewhere, and after reasonable notice of the fact, the coordinated care organization has not promptly and effectively terminated the employment and status of the person and all influence of the person on management.
(G) The coordinated care organization or its property has been or is the subject of an application for the appointment of a receiver, trustee, custodian, conservator or sequestrator or similar fiduciary of the coordinated care organization or of its property other than as authorized under ORS 415.012 to 415.430 and rules adopted pursuant to ORS 415.011, and the appointment has been made or is imminent, and the appointment might deprive the courts of this state of jurisdiction or might prejudice orderly delinquency proceedings.
(H) The coordinated care organization has consented to the order by a vote of a majority of its governing board.
(I) The coordinated care organization has failed to pay any obligation to any state or any subdivision of the state.
(J) The coordinated care organization has failed to pay a binding final judgment rendered against it by the later of:
(i) Sixty days after the judgment became final;
(ii) Sixty days after the time for taking an appeal expired; or
(iii) Sixty days after the dismissal of an appeal before final determination.
(K) There is reasonable cause to believe that there has been embezzlement from the coordinated care organization, wrongful sequestration or diversion of the coordinated care organization’s assets, forgery or fraud affecting the coordinated care organization or other illegal conduct in, by or with respect to the coordinated care organization that if established would endanger assets in an amount threatening the solvency of the coordinated care organization.
(L) The coordinated care organization has failed to remove a person who has executive authority in the coordinated care organization, whether an officer, manager, general agent, member of the governing board, trustee, employee or other person, if the person has been found by the authority to be dishonest or untrustworthy in a way affecting the coordinated care organization’s business.
(M) Control of the coordinated care organization, whether by stock ownership or otherwise, and whether direct or indirect, is in a person or persons who have been found by the authority to be untrustworthy.
(N) The coordinated care organization has failed to file reports or financial data required by statute or by rule within the time allowed by law or within any additional time allowed by the authority.
(b) Authorizing the authority to seize all or part of the property, books, accounts and other records of a coordinated care organization as well as the premises where health services are provided or administrative functions for a coordinated care organization are housed.
(c) Enjoining the coordinated care organization from disposing of its property and transacting business except as allowed by written consent of the authority.
(2) The authority must include all of the following in the petition under subsection (1) of this section:
(a) An allegation that one or more grounds exist that would justify a court order for a rehabilitation or liquidation proceeding against the coordinated care organization.
(b) An allegation that the interests of members of the coordinated care organization, creditors of the coordinated care organization or the public will be endangered by delay.
(c) The contents of the order that the authority requests the court to issue. [2019 c.478 §27]

Structure 2021 Oregon Revised Statutes

2021 Oregon Revised Statutes

Volume : 11 - Juvenile Code, Human Services

Chapter 415 - Regulation of Health Care Entities

Section 415.001 - Reinsurance program for coordinated care organizations (CCOs).

Section 415.011 - Oregon Health Authority regulation of financial solvency of CCOs to align with regulation of domestic insurers; rules.

Section 415.012 - Definitions for ORS 415.012 to 415.430.

Section 415.013 - Powers and authority to enforce ORS 415.012 to 415.430 and 415.501.

Section 415.015 - Prohibited conflicts of interest of officer or employee of Oregon Health Authority with responsibility for enforcement.

Section 415.019 - Right to contested case hearing.

Section 415.055 - Confidentiality of complaints; exceptions; publication of annual statistical report of complaints against all CCOs.

Section 415.056 - Confidentiality of reports regarding certain financial information.

Section 415.057 - Authorized use of confidential reports regarding financial information.

Section 415.061 - Definitions for 415.061 to 415.067.

Section 415.062 - Compliance self-evaluative audit document privileged; auditor not subject to examination in administrative or judicial proceeding.

Section 415.063 - Permissible use of compliance self-evaluative audit document by Oregon Health Authority; consideration of document in determining of civil penalty.

Section 415.064 - Waiver of privilege; permitted disclosures.

Section 415.065 - Petition for in camera hearing on privilege of compliance self-evaluative audit document; hearing on petition; compelled disclosure.

Section 415.066 - Exceptions to privilege of compliance self-evaluative audit document.

Section 415.105 - Investigations authorized.

Section 415.109 - Conduct of examination; access to records; civil penalty.

Section 415.111 - Report of examination; opportunity to respond.

Section 415.115 - Annual audits; rules.

Section 415.119 - Immunity from suit arising out of investigation, examination or provision or dissemination of information; attorney fees to prevailing party authorized.

Section 415.203 - Opportunity to cure impairment of required capitalization.

Section 415.204 - Grounds for order of supervision; right to hearing to contest order.

Section 415.205 - Period of supervision; cause of action for violation of order of supervision.

Section 415.251 - Jurisdiction of delinquency proceedings.

Section 415.252 - Exclusive remedy.

Section 415.261 - Petition for delinquency proceeding.

Section 415.263 - Cooperation with Oregon Health Authority in delinquency investigation or proceeding.

Section 415.265 - Injunction prohibiting waste or disposition of property upon petition for delinquency proceeding.

Section 415.280 - Petition for order for rehabilitation or liquidation of CCO.

Section 415.281 - Court order for rehabilitation or liquidation proceeding against CCO.

Section 415.300 - Rehabilitation proceeding.

Section 415.330 - Grounds for order to liquidate.

Section 415.333 - Powers of Oregon Health Authority in liquidation proceeding.

Section 415.335 - Order to liquidate.

Section 415.340 - Oregon Health Authority to be appointed receiver in delinquency proceeding; powers and duties.

Section 415.341 - Immunity from civil liability for receivers.

Section 415.400 - Filing proof of claim against CCO declared by court to be insolvent.

Section 415.401 - Requirements for proof of claim.

Section 415.402 - Preference of claims.

Section 415.404 - Contingent claims.

Section 415.405 - Priority of special deposit claims.

Section 415.422 - Voidable transfers or liens.

Section 415.430 - Liability of member of CCO to pay provider for cost of care.

Section 415.500 - Definitions.

Section 415.501 - Procedures for review of material change transactions; rules.

Section 415.505 - Conflicts of interest prohibited.

Section 415.510 - Quadrennial study of impact of health care consolidation.

Section 415.512 - Fees; rules.

Section 415.900 - Civil penalties.