74th OREGON LEGISLATIVE ASSEMBLY--2008 Special 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 62
A-Engrossed
House Bill 3614
Ordered by the House February 12
Including House Amendments dated February 12
Sponsored by COMMITTEE ON ELECTIONS, ETHICS AND RULES (at the
request of House Interim Committee on Health Care)
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.
Creates grant program to increase access to and effectiveness
of health care.
Directs Department of Human Services to { - take steps to
maximize enrollment of children in - } { + consider
streamlining and simplifying application process for + } state
medical assistance program. Requires minimum 12-month period of
enrollment and automatic reenrollment for persons under 19 years
of age who are eligible for { + specified program of + } medical
assistance and who are legal residents of Oregon.
Appropriates moneys from General Fund to Department of Human
Services for grant program.
Sunsets grant program on January 2, 2012.
Declares emergency, effective on passage.
A BILL FOR AN ACT
Relating to health care; creating new provisions; amending ORS
414.047; appropriating money; and declaring an emergency.
Be It Enacted by the People of the State of Oregon:
SECTION 1. { + The Department of Human Services shall consider
policies, procedures and forms that streamline and simplify the
state medical assistance program application process. In
developing policies, procedures and forms, the department shall
consult with persons not employed by the department who have
experience in serving vulnerable and hard-to-reach
populations. + }
SECTION 2. ORS 414.047 is amended to read:
414.047. (1) Application for any category of aid shall also
constitute application for medical assistance.
(2) Except as { - otherwise - } provided in this section,
each person requesting medical assistance shall { - make
application therefor - } { + apply + }to the Department of
Human Services. The department shall determine eligibility for
and fix the date on which { - such - } { + the + } assistance
{ - may begin - } { + begins + }, and shall obtain
{ - such - } other information required by the rules of the
department.
(3) If an applicant is unable to make application for medical
assistance, an application may be made by someone acting
responsibly for the applicant.
{ + (4)(a) The department shall adopt rules establishing a
minimum 12-month period of enrollment for persons described in 42
U.S.C. 1396a(l)(1)(C) or (D) who are determined eligible for
medical assistance.
(b) The department shall reenroll a person immediately
following the initial 12-month period of enrollment for
successive 12-month periods of enrollment as long as the person
meets the description in 42 U.S.C. 1396a(l)(1)(C) or (D) and is
eligible for medical assistance on the date of reenrollment.
(c) The department may not require a new application as a
condition of reenrollment under paragraph (b) of this subsection
and must determine the person's eligibility for medical
assistance using information and sources available to the
department or documentation readily available to the person. + }
SECTION 3. { + (1) There is established a grant program to
improve access to and the effectiveness of health care delivery
for families.
(2) The goals of the program are to:
(a) Improve preventive health services;
(b) Increase access to appropriate, affordable and efficiently
delivered primary care for families;
(c) Provide new access to health care for children;
(d) Explore alternative models for reimbursement of health care
services; and
(e) Collect information to allow for an evaluation of each
grant-funded project.
(3) The Department of Human Services shall award grants for
four projects. At least one of the grants shall be awarded for a
project that predominantly serves a rural area as defined by the
Office of Rural Health. At least one of the other grants shall be
awarded for a project that includes service in a rural area.
(4) The department shall adopt rules in accordance with ORS
183.333 to:
(a) Establish criteria for awarding grants based on the goals
of the program.
(b) Determine the amount of each grant.
(c) Administer the program.
(5) The department shall award grants under this section for
projects that:
(a) Create incentives for collaborative, community-based
organizations to bring diverse stakeholders together to
coordinate, communicate and improve access to health care for
local residents of the community; and
(b) Improve health care delivery in the community by providing:
(A) Patient-centered care in which there is a sustained
relationship between a patient and a culturally competent
provider team and that utilizes patient-driven goals and
evidence-based practices;
(B) Team-based care that takes advantage of nursing services,
including care coordination, school-based health services, home
visits, telephone triage and clinical case management, and that
maximizes services during each patient visit;
(C) Coordinated care that links patients to comprehensive
services in the community, including specialty care, mental
health care, dental care, vision care and social services;
(D) Provider accessibility through the use of telephone and
electronic mail, and the removal of transportation, language,
cultural and other barriers to timely care; and
(E) Collaboration with the community that ensures that
health-related interests and services are coordinated,
psychosocial services are incorporated, resources are leveraged
and maximized and assessments are conducted on health status,
disparities and effectiveness of services.
(6) To be awarded grants, applicants must demonstrate the
ability to leverage nonstate resources given the strengths and
limitations of their geographic locations.
(7) Each project must include an evaluation component that
accurately monitors and measures:
(a) The impact of the project on the cost and quality of and
access to health care; and
(b) How the structure and operation of the organization
reflects the interests of and is accountable to the diverse needs
of the local community. + }
SECTION 4. { + In addition to and not in lieu of any other
appropriation, there is appropriated to the Department of Human
Services, for the biennium beginning July 1, 2007, out of the
General Fund, the amount of $1 million for the purpose of
carrying out the provisions of section 3 of this 2008 Act. + }
SECTION 5. { + (1) The Department of Human Services shall take
any actions before the operative dates specified in sections 6
and 7 of this 2008 Act, including taking steps to obtain any
required federal approval, that will enable the department to
implement, on and after the operative date specified in section 6
or 7 of this 2008 Act, the requirements of section 1 of this 2008
Act and the amendments to ORS 414.047 by section 2 of this 2008
Act.
(2) The department shall notify Legislative Counsel of the
application for and upon the receipt or denial of any required
federal approval. + }
SECTION 6. { + Except as provided in section 5 of this 2008
Act, section 1 of this 2008 Act becomes operative on July 1,
2008. + }
SECTION 7. { + Except as provided in section 5 of this 2008
Act, the amendments to ORS 414.047 by section 2 of this 2008 Act
become operative on the later of January 1, 2009, or the date
that the Department of Human Services can implement the
amendments with federal financial participation under
Medicaid. + }
SECTION 8. { + Section 3 of this 2008 Act is repealed January
2, 2012. + }
SECTION 9. { + This 2008 Act being necessary for the immediate
preservation of the public peace, health and safety, an emergency
is declared to exist, and this 2008 Act takes effect on its
passage. + }
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