(2) This section governs any statute that applies to individual or group health insurance policies and does any of the following:
(a) Requires the insurer to include coverage for specific physical or mental conditions or specific hospital, medical, surgical or dental health services.
(b) Requires the insurer to include coverage for specified persons.
(c) Requires the insurer to provide payment or reimbursement to specified providers of services if the services are within the lawful scope of practice of the provider and the insurance policy provides payment or reimbursement for those services.
(d) Requires the insurer to provide any specific coverage on a nondiscriminatory basis.
(e) Forbids the insurer to exclude from payment or reimbursement any covered services.
(f) Forbids the insurer to exclude coverage of a person because of that person’s medical history.
(3) A repeal of a statute under subsection (1) of this section does not apply to any insurance policy in effect on the effective date of the repeal. However, the repeal of the statute applies to a renewal or extension of an existing insurance policy on or after the effective date of the repealer as well as to a new policy issued on or after the effective date of the repealer.
(4) This section does not apply to ORS 743A.020, 743A.080, 743A.100, 743A.104 and 743A.108. [Formerly 743.700]
Structure 2021 Oregon Revised Statutes
Volume : 18 - Financial Institutions, Insurance
Chapter 743A - Health Insurance: Reimbursement of Claims
Section 743A.001 - Automatic repeal of certain statutes on individual and group health insurance.
Section 743A.012 - Emergency services.
Section 743A.014 - Payments for ambulance care and transportation.
Section 743A.018 - Services provided by osteopathic physician.
Section 743A.020 - Services provided by acupuncturist.
Section 743A.024 - Services provided by clinical social worker.
Section 743A.028 - Services provided by denturist.
Section 743A.034 - Services provided by expanded practice dental hygienist.
Section 743A.036 - Services provided by licensed nurse practitioner or licensed physician assistant.
Section 743A.044 - Services provided by physician assistant.
Section 743A.048 - Services provided by psychologist.
Section 743A.051 - Services provided by pharmacist.
Section 743A.052 - Services provided by professional counselor or marriage and family therapist.
Section 743A.058 - Telemedicine services.
Section 743A.062 - Prescription drugs.
Section 743A.063 - Ninety-day supply of prescription drug refills.
Section 743A.064 - Prescription drugs dispensed at rural health clinics.
Section 743A.065 - Early refills of prescription eye drops for treatment of glaucoma.
Section 743A.066 - Contraceptives.
Section 743A.067 - Reproductive health services.
Section 743A.068 - Orally administered anticancer medication.
Section 743A.070 - Nonprescription enteral formula for home use.
Section 743A.078 - Newborn nurse home visiting services.
Section 743A.080 - Pregnancy and childbirth expenses.
Section 743A.082 - Diabetes management for pregnant women.
Section 743A.084 - Unmarried women and their children.
Section 743A.090 - Natural and adopted children.
Section 743A.100 - Mammograms.
Section 743A.104 - Pelvic examinations and Pap smear examinations.
Section 743A.105 - HPV vaccine.
Section 743A.108 - Physical examination of breast.
Section 743A.110 - Mastectomy-related services; expedited external review required.
Section 743A.111 - Consumer education about post-mastectomy services.
Section 743A.124 - Colorectal cancer screenings and laboratory tests.
Section 743A.130 - Proton beam therapy.
Section 743A.140 - Bilateral cochlear implants.
Section 743A.141 - Hearing aids and hearing assistive technology systems.
Section 743A.148 - Maxillofacial prosthetic services.
Section 743A.150 - Treatment of craniofacial anomaly.
Section 743A.160 - Alcoholism treatment.
Section 743A.168 - Behavioral health treatment; qualified providers; rules.
Section 743A.170 - Tobacco use cessation programs.
Section 743A.175 - Traumatic brain injury.
Section 743A.180 - Tourette Syndrome.
Section 743A.185 - Telemedical health services for treatment of diabetes.
Section 743A.188 - Inborn errors of metabolism.
Section 743A.190 - Children with pervasive developmental disorder.
Section 743A.192 - Clinical trials.
Section 743A.250 - Emergency eye care services.
Section 743A.252 - Child abuse assessments.
Section 743A.262 - Preventive health services; cost sharing.
Section 743A.264 - Disease outbreaks, epidemics and conditions of public health importance.