71st OREGON LEGISLATIVE ASSEMBLY--2001 Regular Session
 
NOTE:  Matter within  { +  braces and plus signs + } in an
amended section is new. Matter within  { -  braces and minus
signs - } is existing law to be omitted. New sections are within
 { +  braces and plus signs + } .
 
LC 2472
 
                           A-Engrossed
 
                         House Bill 2763
                   Ordered by the House May 10
             Including House Amendments dated May 10
 
Sponsored by Representative HILL (at the request of Oregon State
  Pharmacists Association, Statewide Pharmacy Coalition, National
  Association of Chain Drug Stores)
 
 
                             SUMMARY
 
The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure.
 
  Requires health benefit plans that cover prescription drugs
 { +  on outpatient basis + } to issue   { - uniform - }
prescription drug identification cards { +  or other technology
that contains all information required for proper claims
adjudication. Allows use of card or technology issued for other
purposes if it contains all information required for proper
claims adjudication + }.   { - Provides exceptions. - }
 
                        A BILL FOR AN ACT
Relating to uniform prescription drug identification cards.
Be It Enacted by the People of the State of Oregon:
  SECTION 1.  { + Sections 2 to 4 of this 2001 Act are added to
and made a part of ORS chapter 743. + }
  SECTION 2.  { + As used in section 3 of this 2001 Act:
  (1) 'Carrier' has the meaning given that term in ORS 743.730.
  (2) 'Enrollee' has the meaning given that term in ORS 743.730.
  (3) 'Health benefit plan' has the meaning given that term in
ORS 743.730. + }
  SECTION 3.  { + (1) A carrier that provides coverage for
prescription drugs provided on an outpatient basis and issues a
card or other technology for claims processing, or an
administrator of a health benefit plan including, but not limited
to, a third party administrator for a self-insured plan, a
pharmacy benefits manager and an administrator of a state
administered plan, shall issue to an enrollee a prescription drug
identification card or other technology that contains all
information required for proper claims adjudication.
  (2) Upon renewal of a health benefit plan, a carrier or
administrator shall issue a prescription drug identification card
or other technology containing all current information required
for proper claims adjudication.
  (3) A carrier or administrator of a health benefit plan is not
required to issue a prescription drug identification card or
other technology separate from another identification card or
technology issued to an enrollee under the health benefit plan if
 
the identification card or technology contains all of the
information required for proper claims adjudication. + }
  SECTION 4.  { + The Director of the Department of Consumer and
Business Services may adopt rules to implement section 3 of this
2001 Act and may consider any relevant standards developed by a
standards development organization accredited by the American
National Standards Institute that represents organizations
interested in electronic standardization with the pharmacy
services sector of the health care industry and the requirements
of the Health Insurance Portability and Accountability Act of
1996, Public Law 104-191. + }
  SECTION 5.  { + Sections 2 and 3 of this 2001 Act become
operative on July 1, 2003. + }
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