OR SB139 | 2019 | Regular Session

Status

Completed Legislative Action
Spectrum: Unknown
Status: Failed on June 30 2019 - 100% progression
Action: 2019-06-30 - In committee upon adjournment.
Text: Latest bill text (Engrossed) [PDF]

Summary

Creates new requirements applicable to prior authorization, step therapy and other utilization review policies and procedures on insurers offering health benefit plans and health insurance, medical services contracts, multiple employer welfare arrangements, health care service contracts and pharmacy benefit managers. Imposes restrictions and reporting requirements for utilization management of health services by commercial insurers, coordinated care organizations and state medical assistance program.] Extends from 30 to 90 days period during which insurer's approval of prior authorization is binding on insurer. Authorizes provider to act on behalf of enrollee, upon request of enrollee, with respect to internal appeals and external reviews of adverse benefit determination concerning utilization review. Requires insurers offering health benefit plans to report specified information to Department of Consumer and Business Services regarding requests for prior authorization.

Tracking Information

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Title

Relating to managing the utilization of health services.

Sponsors

No sponsor information available at this time.

Roll Calls


History

DateChamberAction
2019-06-30SenateIn committee upon adjournment.
2019-04-15SenateReferred to Ways and Means by order of the President.
2019-04-15SenateRecommendation: Do pass with amendments and be referred to Ways and Means. (Printed A-Eng.)
2019-04-08SenateWork Session held.
2019-04-03SenateWork Session held.
2019-02-06SenatePublic Hearing held.
2019-01-15SenateReferred to Health Care.
2019-01-14SenateIntroduction and first reading. Referred to President's desk.

Oregon State Sources


Bill Comments

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