72nd OREGON LEGISLATIVE ASSEMBLY--2003 Regular Session
 
HA to SB 81
 
LC 1213/SB 81-1
 
                       HOUSE AMENDMENTS TO
                         SENATE BILL 81
 
                    By COMMITTEE ON JUDICIARY
 
                             March 4
 
  On page 131 of the printed bill, after line 40, insert:
  '  { +  SECTION 193a. + } ORS 414.712, as amended by section
53, chapter 1084, Oregon Laws 1999, is amended to read:
  ' 414.712.   { - Within six months after obtaining the
necessary federal waivers or January 1, 1995, whichever is
later, - }  The Department of Human Services shall provide
medical assistance under ORS 414.705 to 414.750 to eligible
persons who are aged and described in ORS chapter 413 or who are
blind or disabled and described in ORS chapter 412 and to
children described in ORS 414.025 (2)(f), (i), (j), (k) and (m),
418.001 to 418.034, 418.189 to 418.970 and 657A.020 to 657A.460
and those mental health and chemical dependency services
recommended according to standards of medical assistance set
pursuant to chapter 836, Oregon Laws 1989, and according to the
schedule of implementation established by the Legislative
Assembly. In providing medical assistance services described in
ORS 414.018 to 414.024, 414.042, 414.107, 414.710, 414.720 and
735.712, the Department of Human Services shall also provide the
following:
  ' (1) Ombudsman services for eligible persons who are aged and
described in ORS chapter 413 or who are blind or disabled and
described in ORS chapter 412. An ombudsman shall serve as a
patient's advocate whenever the patient or a physician or other
medical personnel serving the patient is reasonably concerned
about access to, quality of or limitations on the care being
provided by a health care provider. Patients shall be informed of
the availability of an ombudsman.
  ' (2) Case management services in each health care provider
organization for those eligible persons who are aged and
described in ORS chapter 413 or who are blind or disabled and
described in ORS chapter 412. Case managers shall be trained in
and shall exhibit skills in communication with and sensitivity to
the unique health care needs of people who are elderly and those
with disabilities. Case managers shall be reasonably available to
assist patients served by the organization with the coordination
of the patient's health care services at the reasonable request
of the patient or a physician or other medical personnel serving
the patient. Patients shall be informed of the availability of
case managers.
  ' (3) A mechanism, established by rule, for soliciting consumer
opinions and concerns regarding accessibility to and quality of
the services of each health care provider.
  ' (4) A choice of available medical plans and, within those
plans, choice of a primary care provider.
  ' (5) Due process procedures for any individual whose request
for medical assistance coverage for any treatment or service is
denied or is not acted upon with reasonable promptness. These
procedures shall include an expedited process for cases in which
a patient's medical needs require swift resolution of a dispute.
  '  { +  NOTE: + } Eliminates obsolete provision in lead-in.'.
  On page 230, line 21, before 'the' insert ', based upon the
study completed pursuant to section 15 (2)(f), chapter 919,
Oregon Laws 1991,'.
  On page 231, line 4, delete 'eliminates' and insert '
clarifies'.
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