74th OREGON LEGISLATIVE ASSEMBLY--2007 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 1631
Senate Bill 329
Printed pursuant to Senate Interim Rule 213.28 by order of the
President of the Senate in conformance with presession filing
rules, indicating neither advocacy nor opposition on the part
of the President (at the request of Senate Interim Commission
on Health Care Access and Affordability)
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.
Establishes Oregon Health Fund program. Establishes Oregon
Health Fund Board to administer program. Requires board to adopt
enrollment procedures and defined set of essential health
services. Requires board to contract with health plans licensed
to transact business in state to provide coverage. Requires board
to issue Oregon Health Card to program participant. Requires
accountable health plan to enroll person with Oregon Health Card.
Requires certain persons to participate in program. Requires
uninsured individual with income greater than 250 percent of
federal poverty guidelines to pay premium. Denies state income
tax exemption credit for individual who fails to pay premium.
Requires board to adopt rules establishing quality and access
standards applicable to defined set of essential health services
covered by plans. Authorizes board to adopt rules necessary to
implement program. Requires board to report to Legislative
Assembly concerning operation of program.
Requires board to establish procedures to assist cardholders
who choose to execute advance directives and to establish
registry of advance directives.
Establishes Oregon Health Fund. Continuously appropriates
moneys in fund to board to obtain coverage of defined set of
essential health services for eligible persons from accountable
health plans and to pay administrative costs.
Creates interim task force to develop potential strategies for
streamlining state agencies and programs that deliver medical
benefits. Authorizes task force to presession file legislation.
Requires task force to report to Legislative Assembly.
Declares emergency, effective on passage.
A BILL FOR AN ACT
Relating to the Oregon Health Fund program; creating new
provisions; amending ORS 192.519; appropriating money; and
declaring an emergency.
Whereas the current health care system is unsustainable due to
outdated health care policies that are based on a set of
assumptions that are no longer valid and that reflect the
realities of the last century, rather than the realities of
today; and
Whereas the economic and demographic environment in which these
outdated policies were created has changed dramatically over the
past 50 years; and
Whereas any reform effort that fails to address the
contradictions and inequities embodied in outdated health care
policies and fails to bring the policies into alignment with the
realities of the 21st century will fail to achieve meaningful
reform, perpetuating the status quo and the contradictions,
inequities and consequences inherent in the current health care
system; and
Whereas improving and protecting the health of all Oregonians
must be a primary issue and an important goal of the state; and
Whereas all Oregonians should have equal access to essential
health services that are affordable, that are based on
publicly-debated criteria, that reflect a consensus of social
values and that consider the good of individuals across the
lifespan; and
Whereas society is responsible for ensuring equitable financing
of essential health care for Oregonians who cannot afford that
care; and
Whereas health care policies should emphasize public health,
encourage the use of quality services and evidence-based
treatment that is appropriate and safe and discourage
overtreatment; and
Whereas health care providers and informed patients must be the
primary decision makers and must be accountable for the
individual's health; and
Whereas health care is one important factor affecting health,
and health care funding should be explicit and economically
sustainable; and
Whereas an economically sustainable health care system requires
that providers receive fair and adequate compensation; and
Whereas health care must be balanced with other programs that
also affect health and there must be clear accountability for the
allocation of resources and for the human consequences of funding
decisions; and
Whereas incremental changes will not solve Oregon's health care
crisis and comprehensive reform is required; now, therefore,
Be It Enacted by the People of the State of Oregon:
SECTION 1. { + As used in sections 1 to 14 of this 2007 Act,
except as otherwise specifically provided or unless the context
requires otherwise:
(1) 'Accountable health plan' means an entity that contracts
with the Oregon Health Fund Board to provide a health benefit
plan, as defined in ORS 743.730, through the Oregon Health Fund
program.
(2) 'Defined set of essential health services' means the
services approved for treatment of conditions on the prioritized
list created by the Health Services Commission pursuant to ORS
414.720 that are funded by the Legislative Assembly under ORS
414.707 (1)(a).
(3) 'Employer' has the meaning given that term in ORS 657.025.
(4) 'Oregon Health Card' means the card issued by the Oregon
Health Fund Board that verifies the eligibility of the holder to
participate in the Oregon Health Fund program.
(5) 'Oregon Health Fund' means the fund established in section
7 of this 2007 Act.
(6) 'Oregon Health Fund Board' means the board established in
section 2 of this 2007 Act. + }
SECTION 2. { + (1) There is established the Oregon Health Fund
Board to administer the Oregon Health Fund program. The board
shall consist of up to 15 members appointed by the Governor,
subject to confirmation by the Senate pursuant to section 4,
Article III of the Oregon Constitution. The members of the board
shall include, at a minimum:
(a) One representative of a commercial health insurer;
(b) One representative of a fully capitated health plan;
(c) Four representatives of the business community, including
two representing large businesses and two representing small
businesses;
(d) One representative of an Oregon hospital;
(e) Two representatives of labor organizations;
(f) One physician;
(g) One nurse; and
(h) One health care consumer advocate.
(2) Each board member shall serve for a term of four years.
However, a board member shall serve until a successor has been
appointed and qualified. A member is eligible for reappointment.
(3) If there is a vacancy for any cause, the Governor shall
make an appointment to become effective immediately for the
balance of the unexpired term.
(4) Members of the board are in the exempt service under ORS
chapter 240, and the Governor shall fix their salaries in
accordance with ORS 240.245.
(5) The board shall select one of its members as chairperson
and another as vice chairperson, for such terms and with duties
and powers necessary for the performance of the functions of such
offices as the board determines.
(6) A majority of the members of the board constitutes a quorum
for the transaction of business.
(7) Official action by the board requires the approval of a
majority of the members of the board. + }
SECTION 3. { + Notwithstanding the term of office specified by
section 2 of this 2007 Act, of the members first appointed to the
Oregon Health Fund Board:
(1) Five shall serve for a term ending January 1, 2010.
(2) Five shall serve for a term ending January 1, 2011.
(3) The remaining appointees shall serve for a term ending
January 1, 2012. + }
SECTION 4. { + (1) There is established the Oregon Health Fund
program.
(2) The goals of the program are to:
(a) Provide coverage of the defined set of essential health
services for all residents of this state;
(b) Reduce unsustainable health care cost increases in this
state;
(c) Shift to a system of public and private health care
partnerships that integrate public involvement and oversight,
consumer choice and competition within the private market;
(d) Use proven models of health care benefits, service delivery
and payments that control costs and overutilization, with
emphasis on preventive care and chronic disease management within
a primary care environment;
(e) Provide services for humane and dignified end-of-life care;
(f) Restructure the health care system so that payments for
services are fair and proportionate among various populations and
health care programs; and
(g) Fund a high quality and transparent health care delivery
system that allows users and purchasers to know what they are
receiving for their money. + }
SECTION 5. { + (1) The Oregon Health Fund Board shall appoint
an executive director to serve at the pleasure of the board.
(2) The designation of the executive director must be by
written order filed with the Secretary of State.
(3) Subject to any applicable provisions of ORS chapter 240,
the executive director is authorized to hire, supervise and
terminate the employees of the board, prescribe their duties and
fix their compensation. + }
SECTION 6. { + Except as otherwise provided by law, and except
for ORS 279A.250 to 279A.290, the provisions of ORS chapters
279A, 279B and 279C do not apply to the Oregon Health Fund
Board. + }
SECTION 7. { + (1) The Oregon Health Fund is established
separate and distinct from the General Fund. Interest earned from
the investment of moneys in the Oregon Health Fund shall be
credited to the fund. The Oregon Health Fund shall consist of:
(a) Private employer and employee health care contributions.
(b) Individual health care premium contributions.
(c) Public employer and employee health care contributions.
(d) Federal funds from Title XVIII, XIX or XXI of the Social
Security Act that are made available to the fund, excluding
reimbursements for graduate medical education costs pursuant to
42 U.S.C. 1395ww(h) and disproportionate share adjustments made
pursuant to 42 U.S.C. 1396a(a)(13)(A)(iv).
(e) Contributions from the United States Government and its
agencies, or from any other source, public or private, provided
for purposes that are consistent with the goals of the Oregon
Health Fund program.
(f) Moneys appropriated to the Oregon Health Fund Board by the
Legislative Assembly for the purpose of administering the
program.
(g) Interest earnings from the investment of moneys in the
fund.
(2) All moneys in the Oregon Health Fund are continuously
appropriated to the Oregon Health Fund Board to carry out the
provisions of sections 1 to 14 of this 2007 Act. + }
SECTION 8. { + (1) The Oregon Health Fund Board shall contract
with health benefit plans to provide coverage of the defined set
of essential health services for individuals holding Oregon
Health Cards. Consistent with the goals of the Oregon Health Fund
program set forth in section 4 of this 2007 Act, the board shall,
in accordance with ORS chapter 183, adopt rules:
(a) Setting standards for accountable health plans to ensure
the capacity of each plan to provide cardholders access to
primary care services within the cardholders' local communities.
(b) Establishing participation criteria in accordance with
section 9 of this 2007 Act and establishing procedures for
enrolling participants in the program.
(c) For the issuance of an Oregon Health Card, which shall be
effective for 12 months from the date of issuance, to each person
who meets the participation criteria established pursuant to
paragraph (b) of this subsection.
(d) Establishing capitation rates for the packages of the
defined set of essential health services provided to cardholders.
(e) Ensuring that all cardholders are enrolled with accountable
health plans.
(f) Establishing premium rates on a sliding scale that are no
higher than the capitation rates established under paragraph (d)
of this subsection, for individuals with incomes greater than 250
percent of the federal poverty guidelines, who are not
beneficiaries under health benefit plans providing coverage of
the defined set of essential health services and who are not
eligible to be enrolled in a publicly funded medical assistance
program providing primary care and hospital services.
(g) Prescribing the method for determining individual income
under paragraph (f) of this subsection.
(h) Establishing procedures for assisting a cardholder who
chooses to execute an advance directive in accordance with ORS
127.531.
(i) Establishing and maintaining a registry of advance
directives executed by cardholders.
(j) Establishing standards of quality for the defined set of
essential health services provided by accountable health plans.
(k) Ensuring that a cardholder has access to a health care
delivery system best suited to the cardholder's needs.
(L) Setting standards of quality for the services or products
that are offered by accountable health plans in addition to the
defined set of essential health services.
(m) Ensuring transparency of the costs of and charges by
accountable health plans and providers.
(n) Ensuring that the costs of health care in this state are
shared proportionately and equitably by the state, employers,
health care providers and individuals.
(2) The board shall collaborate with the Department of Consumer
and Business Services to ensure that rules adopted to implement
sections 1 to 14 of this 2007 Act do not duplicate regulatory
requirements adopted by the department.
(3) Nothing in this section or section 10 of this 2007 Act
requires an accountable health plan or any employee or agent of
an accountable health plan to act in a manner inconsistent with
federal law or contrary to individual religious or philosophical
beliefs.
(4) The board shall regularly review the program and implement
initiatives to maintain the program as a high quality,
sustainable system. + }
SECTION 9. { + (1) A resident of Oregon who is not a
beneficiary under a health benefit plan providing coverage of the
defined set of essential health services and who is not eligible
to be enrolled in a publicly funded medical assistance program
providing primary care and hospital services shall participate in
the Oregon Health Fund program. Any other resident of Oregon may
participate in the program. An employee of an employer located in
this state may participate in the program regardless of the
employee's state of residence.
(2) Holders of Oregon Health Cards who are categorically needy
as defined in ORS 414.025 are subject to the provisions of ORS
chapter 414. + }
SECTION 10. { + (1) An accountable health plan may not deny
enrollment to a person holding an Oregon Health Card.
(2) An accountable health plan must provide coverage of the
entire defined set of essential health services, except as
provided in subsection (3) of this section.
(3) An accountable health plan may exclude coverage of services
for the treatment of preexisting conditions of a cardholder, for
a period of up to one year from enrollment, except for:
(a) An individual who is categorically needy as defined in ORS
414.025; or
(b) An individual whose preexisting condition was covered by a
health benefit plan within 30 days of enrollment in an
accountable health plan.
(4) A cardholder who is subject to a preexisting condition
exclusion under subsection (3) of this section, the cardholder's
employer or any other person on behalf of the cardholder may
purchase additional coverage for the excluded condition from an
accountable health plan. Accountable health plans must offer
additional coverage for preexisting conditions.
(5) Employers may offer health insurance coverage provided by
insurers that are not accountable health plans.
(6) Employers or individuals may contract with accountable
health plans for coverage of health care services beyond the
defined set of essential health services.
(7) Accountable health plans may require reasonable
cost-sharing, as defined by the Oregon Health Fund Board by rule,
for the coverage or services provided under subsections (4) and
(6) of this section. + }
SECTION 11. { + (1) An individual described in section 8
(1)(f) of this 2007 Act who fails to pay a required premium is
not entitled to claim a personal exemption credit under ORS
316.085.
(2) The Oregon Health Fund Board and the Department of Revenue
shall collaborate to adopt rules and procedures to enforce the
provisions of this section. + }
SECTION 12. { + If the Oregon Health Fund Board or the
executive director or any employee of the board denies enrollment
to a person, or if an accountable health plan refuses to enroll a
person with an Oregon Health Card or to provide a defined set of
essential health services, or if any person is adversely affected
or aggrieved by the board or a plan, the person is entitled to
notice and opportunity for hearing in accordance with the
contested case provisions of ORS chapter 183. + }
SECTION 13. { + (1) The Oregon Health Fund Board shall
structure and administer the Oregon Health Fund program in a
manner that optimizes the receipt of federal matching funds. The
board may collaborate with the Department of Human Services to
seek necessary federal approval for initiatives involving
Medicare, Medicaid or State Children's Health Insurance Program
funds under Title XVIII, XIX or XXI of the Social Security Act.
(2) The board shall adopt minimum standards for accountable
health plans to ensure that the plans demonstrate the ability to
control overutilization of health care services while maintaining
high quality services and patient satisfaction. + }
SECTION 14. { + The Oregon Health Fund Board shall submit a
written report to the Legislative Assembly by January 1 of each
odd-numbered year concerning the operation of the Oregon Health
Fund program. The report must include, but is not limited to:
(1) The number of persons, by age group and marital status, who
have an Oregon Health Card and are enrolled in an accountable
health plan;
(2) The cost savings to the state, to employers and to health
care providers by operation of the program;
(3) A measure of patient satisfaction with the defined set of
essential health services received from each accountable health
plan;
(4) An assessment of patient access to the defined set of
essential health services in each local community served by an
accountable health plan;
(5) The adequacy of capitation rates set by the board; and
(6) Recommendations for legislative changes necessary to meet
the goals of the program set forth in section 4 of this 2007
Act. + }
SECTION 15. { + (1) There is created a task force to review
the impact of the Oregon Health Fund program on other state
agencies and programs that affect the provision of health care in
this state. The task force shall consist of up to 16 members
appointed as follows:
(a) The President of the Senate shall appoint three members
from among members of the Senate.
(b) The Speaker of the House of Representatives shall appoint
three members from among members of the House of Representatives.
(c) The Governor shall appoint up to 10 members who represent:
(A) The Department of Human Services;
(B) The Department of Consumer and Business Services;
(C) The Office of Private Health Partnerships;
(D) The Office for Oregon Health Policy and Research;
(E) The Oregon Health Policy Commission;
(F) The Health Resources Commission;
(G) The Public Employees' Benefit Board;
(H) The State Accident Insurance Fund Corporation; and
(I) Other state agencies with expertise that will assist the
task force in completing its charge.
(2) Task force members appointed by the Governor are nonvoting
members of the task force and may act only in an advisory
capacity.
(3) The review by the task force shall include, but not be
limited to:
(a) Identifying redundancies in state agency functions
regarding the delivery of medical benefits.
(b) Evaluating the efficiencies of state programs that regulate
the delivery of or that deliver medical benefits.
(c) Identifying areas of overlap and potential strategies for
streamlining state agency functions with respect to health
policy, health care resources and the regulation and delivery of
medical benefits.
(4) A majority of the voting members of the task force
constitutes a quorum for the transaction of business.
(5) Official action by the task force requires the approval of
a majority of the voting members of the task force.
(6) The task force shall elect one of its members to serve as
chairperson.
(7) If there is a vacancy for any cause, the appointing
authority shall make an appointment to become immediately
effective.
(8) The task force shall meet at times and places specified by
the call of the chairperson or of a majority of the members of
the task force.
(9) The task force may adopt rules necessary for the operation
of the task force. The provisions of ORS 171.605 to 171.635 apply
to the task force as though it were an interim committee created
by joint resolution.
(10) The task force may presession file legislation in the
manner provided in ORS 171.130 for interim committees. All
legislation recommended by official action of the task force must
indicate that it is introduced at the request of the task force.
(11) The task force shall submit a report, and may include
recommendations for legislation, to the Seventy-fourth
Legislative Assembly in the manner provided by ORS 192.245 no
later than October 1, 2008.
(12) The Legislative Administrator may employ persons necessary
for the performance of the functions of the task force. The
Legislative Administrator shall fix the duties and amounts of
compensation of these employees. The task force shall use the
services of permanent legislative staff to the greatest extent
practicable.
(13) Members of the task force who are not members of the
Legislative Assembly are not entitled to compensation or
reimbursement for expenses.
(14) All agencies of state government, as defined in ORS
174.111, are directed to assist the task force in the performance
of its duties and, to the extent permitted by laws relating to
confidentiality, to furnish such information and advice as the
members of the task force consider necessary to perform their
duties.
(15) The task force shall have its first meeting on or before
the later of 30 days after adjournment sine die of the regular
session of the Seventy-fourth Legislative Assembly or September
1, 2007. + }
SECTION 16. ORS 192.519 is amended to read:
192.519. As used in ORS 192.518 to 192.526:
(1) 'Authorization' means a document written in plain language
that contains at least the following:
(a) A description of the information to be used or disclosed
that identifies the information in a specific and meaningful way;
(b) The name or other specific identification of the person or
persons authorized to make the requested use or disclosure;
(c) The name or other specific identification of the person or
persons to whom the covered entity may make the requested use or
disclosure;
(d) A description of each purpose of the requested use or
disclosure, including but not limited to a statement that the use
or disclosure is at the request of the individual;
(e) An expiration date or an expiration event that relates to
the individual or the purpose of the use or disclosure;
(f) The signature of the individual or personal representative
of the individual and the date;
(g) A description of the authority of the personal
representative, if applicable; and
(h) Statements adequate to place the individual on notice of
the following:
(A) The individual's right to revoke the authorization in
writing;
(B) The exceptions to the right to revoke the authorization;
(C) The ability or inability to condition treatment, payment,
enrollment or eligibility for benefits on whether the individual
signs the authorization; and
(D) The potential for information disclosed pursuant to the
authorization to be subject to redisclosure by the recipient and
no longer protected.
(2) 'Covered entity' means:
(a) A state health plan;
(b) A health insurer;
(c) A health care provider that transmits any health
information in electronic form to carry out financial or
administrative activities in connection with a transaction
covered by ORS 192.518 to 192.526; or
(d) A health care clearinghouse.
(3) 'Health care' means care, services or supplies related to
the health of an individual.
(4) 'Health care operations' includes but is not limited to:
(a) Quality assessment, accreditation, auditing and improvement
activities;
(b) Case management and care coordination;
(c) Reviewing the competence, qualifications or performance of
health care providers or health insurers;
(d) Underwriting activities;
(e) Arranging for legal services;
(f) Business planning;
(g) Customer services;
(h) Resolving internal grievances;
(i) Creating de-identified information; and
(j) Fundraising.
(5) 'Health care provider' includes but is not limited to:
(a) A psychologist, occupational therapist, clinical social
worker, professional counselor or marriage and family therapist
licensed under ORS chapter 675 or an employee of the
psychologist, occupational therapist, clinical social worker,
professional counselor or marriage and family therapist;
(b) A physician, podiatric physician and surgeon, physician
assistant or acupuncturist licensed under ORS chapter 677 or an
employee of the physician, podiatric physician and surgeon,
physician assistant or acupuncturist;
(c) A nurse or nursing home administrator licensed under ORS
chapter 678 or an employee of the nurse or nursing home
administrator;
(d) A dentist licensed under ORS chapter 679 or an employee of
the dentist;
(e) A dental hygienist or denturist licensed under ORS chapter
680 or an employee of the dental hygienist or denturist;
(f) A speech-language pathologist or audiologist licensed under
ORS chapter 681 or an employee of the speech-language pathologist
or audiologist;
(g) An emergency medical technician certified under ORS chapter
682;
(h) An optometrist licensed under ORS chapter 683 or an
employee of the optometrist;
(i) A chiropractic physician licensed under ORS chapter 684 or
an employee of the chiropractic physician;
(j) A naturopathic physician licensed under ORS chapter 685 or
an employee of the naturopathic physician;
(k) A massage therapist licensed under ORS 687.011 to 687.250
or an employee of the massage therapist;
(L) A direct entry midwife licensed under ORS 687.405 to
687.495 or an employee of the direct entry midwife;
(m) A physical therapist licensed under ORS 688.010 to 688.201
or an employee of the physical therapist;
(n) A radiologic technologist licensed under ORS 688.405 to
688.605 or an employee of the radiologic technologist;
(o) A respiratory care practitioner licensed under ORS 688.800
to 688.840 or an employee of the respiratory care practitioner;
(p) A pharmacist licensed under ORS chapter 689 or an employee
of the pharmacist;
(q) A dietitian licensed under ORS 691.405 to 691.585 or an
employee of the dietitian;
(r) A funeral service practitioner licensed under ORS chapter
692 or an employee of the funeral service practitioner;
(s) A health care facility as defined in ORS 442.015;
(t) A home health agency as defined in ORS 443.005;
(u) A hospice program as defined in ORS 443.850;
(v) A clinical laboratory as defined in ORS 438.010;
(w) A pharmacy as defined in ORS 689.005;
(x) A diabetes self-management program as defined in ORS
743.694; and
(y) Any other person or entity that furnishes, bills for or is
paid for health care in the normal course of business.
(6) 'Health information' means any oral or written information
in any form or medium that:
(a) Is created or received by a covered entity, a public health
authority, an employer, a life insurer, a school, a university or
a health care provider that is not a covered entity; and
(b) Relates to:
(A) The past, present or future physical or mental health or
condition of an individual;
(B) The provision of health care to an individual; or
(C) The past, present or future payment for the provision of
health care to an individual.
(7) 'Health insurer' means:
(a) An insurer as defined in ORS 731.106 who offers:
(A) A health benefit plan as defined in ORS 743.730;
(B) A short term health insurance policy, the duration of which
does not exceed six months including renewals;
(C) A student health insurance policy;
(D) A Medicare supplemental policy; or
(E) A dental only policy.
(b) The Oregon Medical Insurance Pool operated by the Oregon
Medical Insurance Pool Board under ORS 735.600 to 735.650.
(8) 'Individually identifiable health information' means any
oral or written health information in any form or medium that is:
(a) Created or received by a covered entity, an employer or a
health care provider that is not a covered entity; and
(b) Identifiable to an individual, including demographic
information that identifies the individual, or for which there is
a reasonable basis to believe the information can be used to
identify an individual, and that relates to:
(A) The past, present or future physical or mental health or
condition of an individual;
(B) The provision of health care to an individual; or
(C) The past, present or future payment for the provision of
health care to an individual.
(9) 'Payment' includes but is not limited to:
(a) Efforts to obtain premiums or reimbursement;
(b) Determining eligibility or coverage;
(c) Billing activities;
(d) Claims management;
(e) Reviewing health care to determine medical necessity;
(f) Utilization review; and
(g) Disclosures to consumer reporting agencies.
(10) 'Personal representative' includes but is not limited to:
(a) A person appointed as a guardian under ORS 125.305,
419B.370, 419C.481 or 419C.555 with authority to make medical and
health care decisions;
(b) A person appointed as a health care representative under
ORS 127.505 to 127.660 or a representative under ORS 127.700 to
127.737 to make health care decisions or mental health treatment
decisions;
(c) A person appointed as a personal representative under ORS
chapter 113; and
(d) A person described in ORS 192.526.
(11)(a) 'Protected health information' means individually
identifiable health information that is maintained or transmitted
in any form of electronic or other medium by a covered entity.
(b) 'Protected health information' does not mean individually
identifiable health information in:
(A) Education records covered by the federal Family Educational
Rights and Privacy Act (20 U.S.C. 1232g);
(B) Records described at 20 U.S.C. 1232g(a)(4)(B)(iv); or
(C) Employment records held by a covered entity in its role as
employer.
(12) 'State health plan' means:
(a) The state Medicaid program;
(b) The Oregon State Children's Health Insurance Program;
{ - or - }
(c) The Family Health Insurance Assistance Program established
in ORS 735.720 to 735.740 { - . - } { + ; or
(d) The Oregon Health Fund program established in section 4 of
this 2007 Act. + }
(13) 'Treatment' includes but is not limited to:
(a) The provision, coordination or management of health care;
and
(b) Consultations and referrals between health care providers.
SECTION 17. { + There is appropriated to the Oregon Health
Fund Board, for the biennium beginning July 1, 2007, out of the
General Fund, the amount of $___ for the purpose of administering
the Oregon Health Fund program in accordance with sections 1 to
14 of this 2007 Act. + }
SECTION 18. { + Sections 1 to 14 and 17 of this 2007 Act and
the amendments to ORS 192.519 by section 16 of this 2007 Act
become operative on January 1, 2008. + }
SECTION 19. { + This 2007 Act being necessary for the
immediate preservation of the public peace, health and safety, an
emergency is declared to exist, and this 2007 Act takes effect on
its passage. + }
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