72nd OREGON LEGISLATIVE ASSEMBLY--2003 Regular Session
 
HA to HB 2160
 
LC 532/HB 2160-1
 
                       HOUSE AMENDMENTS TO
                         HOUSE BILL 2160
 
            By COMMITTEE ON HEALTH AND HUMAN SERVICES
 
                           February 14
 
  On page 1 of the printed bill, line 2, after the semicolon
delete the rest of line and insert 'creating new provisions;
amending ORS 735.722 and 735.724; and declaring an emergency.'.
  On page 2, after line 1, insert:
  '  { +  SECTION 2. Section 3 of this 2003 Act is added to and
made a part of ORS 735.720 to 735.740. + }
  '  { +  SECTION 3. + }  { + (1) The Family Health Insurance
Assistance Program shall provide coverage of age-appropriate
immunizations or other health care services when an eligible
individual is enrolled in a health benefit plan that does not
provide coverage of age-appropriate immunizations or other health
care services required by the waiver program described in ORS
414.829 and the eligible individual is receiving a subsidy
described in ORS 414.839.
  ' (2) The Insurance Pool Governing Board shall adopt rules
implementing subsection (1) of this section. + }
  '  { +  SECTION 4. + } ORS 735.722 is amended to read:
  ' 735.722. (1) There is established the Family Health Insurance
Assistance Program in the Insurance Pool Governing Board. The
purpose of the program is to remove economic barriers to health
insurance coverage for residents of the State of Oregon with
family income less than 200 percent of the federal poverty level,
and investment and savings less than the limit established by the
board, while encouraging individual responsibility, promoting
health benefit plan coverage of children, building on the private
sector health benefit plan system and encouraging employer and
employee participation in employer sponsored health benefit plan
coverage.
  ' (2) The Insurance Pool Governing Board shall be responsible
for the implementation and operation of the Family Health
Insurance Assistance Program. The Administrator of the Office for
Oregon Health Policy and Research, in consultation with the
Oregon Health Council, shall make recommendations to the board
regarding program policy, including but not limited to
eligibility requirements, assistance levels, benefit criteria and
insurance carrier participation. The board shall adopt all policy
recommendations made by the Administrator of the Office for
Oregon Health Policy and Research pursuant to this subsection.
  ' (3) The board   { - shall enter into a - }   { + may + }
contract with   { - a - }  { +  one or more + } third-party
 { - administrator - }   { + administrators + } to administer
 { + one or more components of + } the Family Health Insurance
Assistance Program. Duties of   { - the - }   { + a + }
third-party administrator may include but are not limited to:
  ' (a) Eligibility determination;
  ' (b) Data collection;
  ' (c) Assistance payments;
  ' (d) Financial tracking and reporting; and
  ' (e) Such other services as the board may deem necessary for
the administration of the program.
  ' (4) In entering into a contract with a third-party
administrator pursuant to subsection (3) of this section, the
board shall engage in competitive bidding. The board shall
evaluate bids according to criteria established by the board,
including but not limited to:
  ' (a) The applicant's proven ability to administer a program of
the size of the Family Health Insurance Assistance Program;
  ' (b) The efficiency of the applicant's payment procedures;
  ' (c) The estimate provided of the total charges necessary to
administer the program; and
  ' (d) The applicant's ability to operate the program in a
cost-effective manner.
  '  { +  SECTION 5. This 2003 Act being necessary for the
immediate preservation of the public peace, health and safety, an
emergency is declared to exist, and this 2003 Act takes effect on
its passage. + } ' .
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