RULES PROPOSED: OAR 836-053-0300, 836-053-0310, 836-053-0320, 836-053-0325, 836-053-0330, 836-053-0335, 836-053-0340, 836-053-0345, 836-053-0350, 836-053-0355
RULE SUMMARY: This rulemaking is needed to implement SB 822 (2025), which directs the department to adopt rules establishing quantitative standards for evaluating health plan provider network adequacy. This rule implements SB 822 by adopting quantitative network adequacy standards consistent with 45 C.F.R. 156.230 (as in effect on January 1, 2025), while allowing for Oregon-specific adjustments. The rule establishes standards for geographic access, appointment wait times, telemedicine, and behavioral health provider networks to ensure more consistent and measurable access to care across plans.
FILED: 10/26/2023
HEARING DATE/TIME: 05/26/2026, 11:00 AM - 12:00 PM
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LAST DAY AND TIME TO OFFER COMMENT TO AGENCY:
11/22/2023 5:00 PM
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