HB2213 Session 2025r1 In House Committee

Directs the Oregon Health Authority to establish a minimum medical loss ratio for coordinated care organizations at 85 percent.

Summary

Digest: The Act tells OHA to establish a medical loss ratio for CCOs. (Flesch Readability Score: 67.7). Directs the Oregon Health Authority to establish a minimum medical loss ratio for coordinated care organizations at 85 percent. Prohibits the authority from applying the minimum medical loss ratio to revenue or expenditures of prepaid managed care health services organizations that provide dental care to members of a coordinated care organization.