2021 Oregon Revised Statutes
Chapter 741 - Health Insurance Exchange
Section 741.004 - Health Insurance Exchange Advisory Committee.


(a) The amount of the assessment imposed on insurers under ORS 741.105.
(b) The implementation of a Small Business Health Options Program in accordance with 42 U.S.C. 18031.
(c) The processes and procedures to enable each insurance producer to be authorized to act for all of the insurers offering qualified health plans through the health insurance exchange.
(d) The affordability of qualified health plans offered by employers under section 5000A(e)(1) of the Internal Revenue Code.
(e) Outreach strategies for reaching minority and low-income communities.
(f) Solicitation of customer feedback.
(g) The affordability of health plans offered through the exchange.
(2) The committee consists of 15 members. Fourteen members shall be appointed by the Governor and are subject to confirmation by the Senate in the manner prescribed in ORS 171.562 and 171.565. The appointed members serve at the pleasure of the Governor. The Director of the Oregon Health Authority or the director’s designee shall serve as an ex officio member of the committee.
(3) The 14 members appointed by the Governor must represent the interests of:
(a) Insurers;
(b) Insurance producers;
(c) Navigators, in-person assisters, application counselors and other individuals with experience in facilitating enrollment in qualified health plans;
(d) Health care providers;
(e) The business community, including small businesses and self-employed individuals;
(f) Consumer advocacy groups, including advocates for enrolling hard-to-reach populations;
(g) Enrollees in qualified health plans; and
(h) State agencies that administer the medical assistance program under ORS chapter 414.
(4) The Oregon Health Policy Board or the Director of the Oregon Health Authority may solicit recommendations from the committee and the committee may initiate recommendations on its own.
(5) The committee may provide annual reports to the Legislative Assembly, in the manner provided in ORS 192.245, of the findings and recommendations the committee considers appropriate, including but not limited to a report on the:
(a) Adequacy of assessments for reserve programs and administrative costs;
(b) Implementation of the Small Business Health Options Program;
(c) Number of qualified health plans offered through the exchange;
(d) Number and demographics of individuals enrolled in qualified health plans;
(e) Advance premium tax credits provided to enrollees in qualified health plans; and
(f) Feedback from the community about satisfaction with the operation of the exchange and qualified health plans offered through the exchange.
(6) The members of the committee shall be appointed for a term fixed by the Governor, not to exceed two years, and shall serve without compensation, but shall be entitled to travel expenses in accordance with ORS 292.495. The committee may hire, subject to the approval of the director, such experts as the committee may require to discharge its duties. All expenses of the committee shall be paid out of the Health Insurance Exchange Fund established in ORS 741.102.
(7) The employees of the Oregon Health Authority responsible for administering the health insurance exchange are directed to assist the committee in the performance of its duties under subsection (1) of this section and, to the extent permitted by laws relating to confidentiality, to furnish such information and advice as the members of the committee consider necessary to perform their duties under subsection (1) of this section. [2015 c.3 §13; 2021 c.569 §20]

Structure 2021 Oregon Revised Statutes

2021 Oregon Revised Statutes

Volume : 18 - Financial Institutions, Insurance

Chapter 741 - Health Insurance Exchange

Section 741.001 - Health insurance exchange; legislative intent.

Section 741.002 - Duties, powers and functions of Oregon Health Authority; rules.

Section 741.003 - Duties and powers of director.

Section 741.004 - Health Insurance Exchange Advisory Committee.

Section 741.008 - Criminal records check; fingerprints required; persons subject to requirement.

Section 741.105 - Charges and fees to be paid by insurers and state programs; rules.

Section 741.107 - Notice to Legislative Assembly required for procurement request exceeding $1 million for technology product or service.

Section 741.220 - Financial and performance audits of health insurance exchange accounts; report of audit.

Section 741.222 - Annual reports to Legislative Assembly.

Section 741.300 - Definitions.

Section 741.310 - Requirements for purchase of insurance through exchange and for participation of insurers in exchange.

Section 741.340 - Health benefit plans offered through exchange.

Section 741.342 - Small Business Health Options Program.

Section 741.400 - Service of eligibility notices; when notice becomes final order; opportunity to contest actual receipt of notice.

Section 741.500 - Required documentation; rules.

Section 741.510 - Confidential information; public officer privilege; permitted uses of confidential information.

Section 741.520 - Agreements with other agencies regarding sharing and use of confidential information; contents.

Section 741.540 - Complaints and investigations confidential; permitted disclosures.

Section 741.801 - Insurer to notify health care provider that enrollee is in grace period; effect of failure to provide notice.

Section 741.900 - Civil penalties.