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Essential Health Benefits (EHB) Rulemaking Advisory Committee

The Department of Consumer and Business Services (DCBS) is convening an advisory committee to consider possible changes to Oregon’s Essential Health Benefits (EHB).

The committee will make recommendations related to:

  • Review and consideration of Oregon’s EHB benchmark plan options for 2022
  • Supplemental benefits necessary to meet federal requirements
  • Changes to Oregon’s current EHB Benchmark plan. Possible areas for consideration include:
    • Ensuring adequate coverage of insulin in the EHB prescription drug formulary;
    • Ensuring Oregon’s EHB adequately addresses the opioid crisis, including access to Medication Assisted Therapy (MAT); and
    • Other issues related to EHB identified by the committee or the Division.

Any proposed revisions to Oregon’s EHB will be subject to approval by the federal Centers for Medicare and Medicaid Services (CMS). CMS has established firm deadlines and procedural requirements that states must f+llow when changing their EHB.

Meeting schedule and location:

Labor and Industries Building
350 Winter St NE
Salem, OR 97301
Conference Room 260
Directions:
 Google Maps

Call in participation:

Call: 877-336-1831
Access code: 9971342#

Meetings and documents:

Public Meetings

The EHB Rulemaking Advisory Committee’s meetings are open to the public. The meeting can be live streamed at: www.oregon.gov/DCBS/Pages/video-hearings.aspx.
The meeting is held in Conference Room 260. Limited time is available at the meeting to present comments in person. All individuals who wish to submit public comments are strongly encouraged to do so in writing via email to: DFR.Rules@oregon.gov.

Public comments

Committee members

Andrea Szabo
UnitedHealthcare
Bridgett Quest
Samaritan Health Services
Cortney Rouse
American Massage Therapy Association
Dave Nesseler-Cass
Moda Health/Delta Dental
Jeff Clark, ND
Oregon Association of Naturopathic Physicians
Karin Hoffman-Burns
Oregon Association of Health Underwriters
Kate Murphy
Regence BCBS
Lisa Pool, LAc
Blue Sky Acupuncture, LLC
Mark Summers
Pacific Benefits Consultants
Megan Lane
Providence Health
Numi Lee Griffith
OSPIRG
Sadie Ellwood
Kaiser Permanente
Tony Kopki
PacificSource
Vern Saboe, DC
Oregon Chiropractic Association
​​

Committee contact

Michael Schopf
Senior Policy Advisor,
Oregon Division of Financial Regulation
Phone: (503) 877-7275
Email: michael.d.schopf@oregon.gov​​​​​​


Karen Winkel
Rules Coordinator,
Oregon Division of Financial Regulation
Phone: (503) 947-7694
Email: Karen.J.Winkel@oregon.gov

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