75th OREGON LEGISLATIVE ASSEMBLY--2009 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 3414
 
                           A-Engrossed
 
                         Senate Bill 914
                  Ordered by the Senate May 12
            Including Senate Amendments dated May 12
 
Sponsored by Senator MONNES ANDERSON
 
 
                             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.
 
  Requires prepaid managed care health services organization to
  { - reimburse community health center or safety net clinic for
costs of services provided by center or clinic to enrollee of
organization - }   { + contract with credentialed community
health center or safety net clinic for provision of covered
services by center or clinic to certain enrollees of organization
if center or clinic agrees to contractual terms, conditions and
reimbursement rates similar to those negotiated by organization
with subcontractors providing same or similar services + }.
 
                        A BILL FOR AN ACT
Relating to payment for health care services provided to
  enrollees of prepaid managed care health services organization.
Be It Enacted by the People of the State of Oregon:
  SECTION 1.  { + (1) As used in this section:
  (a) 'Community health center or safety net clinic' means a
nonprofit medical clinic or school-based health center that
provides primary physical health, vision, dental or mental health
services to low-income patients without charge or using a sliding
scale based on the income of the patient.
  (b) 'Medical assistance' has the meaning given that term in ORS
414.025.
  (c) 'Prepaid managed care health services organization' has the
meaning given that term in ORS 414.736.
  (2) A prepaid managed care health services organization shall
contract with a community health center or safety net clinic for
the provision of covered services by the center or clinic to an
enrollee of the organization who is a recipient of medical
assistance if the center or clinic providers are credentialed by
the organization and agree to contractual terms, conditions and
reimbursement rates similar to those negotiated by the
organization with subcontractors providing the same or similar
services.
  (3) The Department of Human Services shall adopt standards by
rule for the contracts entered into between centers or clinics
and organizations under this section. + }
  SECTION 2.  { + Section 1 of this 2009 Act applies to contracts
entered into or renewed between the Department of Human Services
and a prepaid managed care health services organization on or
after the effective date of this 2009 Act. + }
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