HB2238 Session 2025r1 In House Committee

Extends the term of a contract entered into between the Oregon Health Authority and a coordinated care organization to 10 years and allows the authority to reevaluate a contract after the initial five years.

Summary

Digest: The Act makes changes to Oregon's CCO model. (Flesch Readability Score: 71.8). Extends the term of a contract entered into between the Oregon Health Authority and a coordinated care organization to 10 years and allows the authority to reevaluate a contract after the initial five years. Imposes new restrictions on the authority's ability to amend coordinated care organization contracts. Requires that certain conditions be met before a new or existing coordinated care organization may serve an area that is already served by one or more coordinated care organizations. Directs the authority to study barriers to a coordinated care organization's ability to operate within a global budget. Directs the authority to establish a minimum medical loss ratio for coordinated care organizations. Applies health outcome and quality measure requirements to fee-for-service medical assistance providers. Declares an emergency, effective on passage.