Primary Care Provider Assignment (SB 1529) RAC

The Division of Financial Regulation of the Department of Consumer and Business Services (DCBS) is preparing to begin rulemaking as a result of SB 1529 enacted during the 2022 Legislative Session. This bill requires DCBS to adopt rules prescribing a methodology for insurers offering individual or group health benefit plans to assign and attribute a primary care provider (PCP) to their enrollees if an enrollee does not choose a PCP within 90 days of joining the plan. Rulemaking will establish a PCP assignment and attribution methodology that ensures accuracy and agreement between insurers and providers.

Committee Contacts

Lisa Emerson
Senior Health Policy Analyst
Lisa.Emerson@dcbs.oregon.gov
Phone: 971-719-6164

Karen Winkel
Rules Coordinator
Karen.J.Winkel@dcbs.oregon.gov
Phone: 503-947-7694

Antoinette Awauakye
Cambia Health Solutions

Aaron Bals
Providence Health & Services

Bill Bouska
Samaritan Health Services

Courtni Dresser
Oregon Medical Association

Deborah Rumsey
Childrens Health Alliance

Jennifer Baker
Cigna Healthcare

Marty Carty
Oregon Primary Care Association

Marybeth Guarino
OSPIRG

Melanie Anderson
UnitedHealthcare

Rick Blackwell
PacificSource Health Plans

Scott White
Moda Health

Dr. Tony Germann
Oregon Academy of Family Physicians