71st OREGON LEGISLATIVE ASSEMBLY--2001 Regular Session
Enrolled
House Bill 2972
Sponsored by Representative KRUMMEL
CHAPTER ................
AN ACT
Relating to crime; amending ORS 165.690.
Be It Enacted by the People of the State of Oregon:
SECTION 1. ORS 165.690 is amended to read:
165.690. As used in ORS 165.690, 165.692 and 165.694:
(1) 'Claim for health care payment' means any request or demand
for a health care payment, whether made in the form of a bill,
claim form, cost report, invoice, electronic transmission or any
other document. 'Claim for health care payment' does not include
any statement by a person on an application for coverage under a
contract or certificate of health care coverage issued by an
insurer, health care service contractor, health maintenance
organization or other legal entity that is self-insured and
provides health care benefits to its employees.
(2) 'Health care payment' means money paid in compensation for
the delivery of specified health care services, whether under a
contract, certificate or policy of insurance, by a health care
payor.
(3) 'Health care payor' means:
(a) Any insurance company authorized to provide health
insurance in this state;
(b) A health maintenance organization;
(c) A health care service contractor;
(d) Any legal entity that is self-insured and provides benefits
for health care services to its employees;
(e) Any legal entity responsible for handling claims for health
care services under a state or federal medical assistance
program;
(f) The State of Oregon or any local government within this
state that makes payments for health care services;
(g) Any insurer authorized under ORS chapter 731 to transact
workers' compensation { + or casualty + } insurance in this
state; or
(h) Any employer authorized under ORS chapter 656 to
self-insure its workers' compensation risk.
(4) 'Health care services' means any medical or remedial care
or service, including supplies delivered in connection with the
care or service, that is recognized under state law.
(5) 'Person' means an individual, corporation, partnership or
association that provides health care services or any other form
of legal or business entity that provides health care services.
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Enrolled House Bill 2972 (HB 2972-INTRO) Page 1
Passed by House April 20, 2001
...........................................................
Chief Clerk of House
...........................................................
Speaker of House
Passed by Senate June 1, 2001
...........................................................
President of Senate
Enrolled House Bill 2972 (HB 2972-INTRO) Page 2
Received by Governor:
......M.,............., 2001
Approved:
......M.,............., 2001
...........................................................
Governor
Filed in Office of Secretary of State:
......M.,............., 2001
...........................................................
Secretary of State
Enrolled House Bill 2972 (HB 2972-INTRO) Page 3