72nd OREGON LEGISLATIVE ASSEMBLY--2003 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 1928
 
                         House Bill 2544
 
Sponsored by Representative JOHNSON (at the request of Cedric
  Hayden)
 
 
                             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 as
introduced.
 
  Directs Health Services Commission to develop benefit packages
for dental services for adults for Medicaid portion of Oregon
Health Plan.
  Declares emergency, effective on passage.
 
                        A BILL FOR AN ACT
Relating to benefit packages developed by Health Services
  Commission; amending ORS 414.834; and declaring an emergency.
Be It Enacted by the People of the State of Oregon:
  SECTION 1. ORS 414.834 is amended to read:
  414.834.   { -  Basic benefit package. - }  (1) The Health
Services Commission, in consultation with the legislative
committees with oversight of health care issues, shall develop a
basic benefit package of health care services for the Medicaid
portion of the Oregon Health Plan, the cost of which shall be
actuarially equivalent to the minimum level of care mandated by
the current federal Medicaid law.
  (2)(a) In addition to the basic benefit package of health care
services developed under subsection (1) of this section, the
commission shall develop and rank in priority order additional
benefit packages of health care services that may be provided to
the extent the Legislative Assembly has provided funds for
additional benefit packages.
   { +  (b) The additional benefit packages described in
paragraph (a) of this subsection shall include three benefit
packages of dental services for adults as follows:
  (A) A benefit package of emergency services;
  (B) A benefit package of reconstructive services; and
  (C) A benefit package of cosmetic services. + }
    { - (b) - }   { + (c) + } When developing the benefit
packages of health care services to be provided, the commission
shall consider that those benefit packages of health care
services may be provided through managed care organizations with
contracts to provide services to enrollees of the Oregon Health
Plan as well as commercial carriers.
  (3) The commission shall obtain from an independent actuary the
costs of providing the benefit packages of health care services
identified in subsections (1) and (2) of this section.
  (4) The commission shall recommend whether Oregonians receiving
subsidies for OHP Standard be required to pay premiums and
copayments based on the individual's ability to pay and how to
structure the copayments and premiums in a manner that encourages
the use of preventive services.
  (5) The commission shall submit its report on benefit packages
for health care services by July 1 of the year preceding each
regular session of the Legislative Assembly to the Governor, the
Speaker of the House of Representatives and the President of the
Senate.
  SECTION 2.  { + 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
passage. + }
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