75th OREGON LEGISLATIVE ASSEMBLY--2010 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 198
 
                           A-Engrossed
 
                         House Bill 3659
                 Ordered by the House February 9
           Including House Amendments dated February 9
 
Sponsored by COMMITTEE ON CONSUMER PROTECTION AND GOVERNMENT
  ACCOUNTABILITY
 
 
                             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.
 
    { - Prohibits insurer from voiding, canceling or refusing to
renew individual health insurance policy for misstatement or
omission of information in application except in certain
circumstances involving fraudulent misstatement or omission of
information. Prohibits insurer from denying claim for loss within
two years of issuance of policy based on preexisting condition
unless condition was known by insured prior to application and
claim for loss is substantially related to preexisting
condition. - }
    { - Prohibits insurer from offering financial incentives or
compensation to employee or contractor based upon claims denied
by employee or contractor. - }
   { +  Establishes Temporary High Risk Pool Program to ensure
health insurance coverage for individuals who are uninsured and
not receiving publicly funded medical assistance. Becomes
operative upon receipt of federal funding.
  Establishes Temporary High Risk Pool Program Fund.
Continuously appropriates moneys in fund to Oregon Medical
Insurance Pool Board for purpose of carrying out program.
  Sunsets January 2, 2016.
  Declares emergency, effective on passage. + }
 
                        A BILL FOR AN ACT
Relating to health insurance; appropriating money; and declaring
  an emergency.
Be It Enacted by the People of the State of Oregon:
  SECTION 1.  { + (1) The Temporary High Risk Pool Program Fund
is established in the State Treasury, separate and distinct from
the General Fund, consisting of:
  (a) Moneys appropriated to the Temporary High Risk Pool Program
Fund by the Legislative Assembly;
  (b) Premiums paid to the Oregon Medical Insurance Pool Board by
enrollees in the Temporary High Risk Pool Program established in
section 2 of this 2010 Act; and
  (c) Federal moneys provided to administer the Temporary High
Risk Pool Program and pay health insurance premiums for enrollees
in the program.
  (2) All moneys in the Temporary High Risk Pool Program Fund are
continuously appropriated to the Oregon Medical Insurance Pool
Board for the purpose of carrying out section 2 of this 2010
Act. + }
  SECTION 2.  { + (1) The Temporary High Risk Pool Program is
established to ensure health insurance coverage for individuals
who are uninsured and are not enrolled in the Oregon Medical
Insurance Pool or other publicly funded medical assistance.
  (2) The program shall be administered by the Oregon Medical
Insurance Pool Board created by ORS 735.610. The board shall
adopt rules for the program that are designed to obtain the
maximum level of federal funding. The rules shall establish:
  (a) Eligibility criteria for enrollment in the program;
  (b) Health care benefits available through the program;
  (c) The cost of premiums for participation in the program; and
  (d) Other enrollment or benefit coverage conditions for the
program.
  (3) The board may limit enrollment in the program based on the
anticipated federal funding and enrollee premium payments. + }
  SECTION 3.  { + The Oregon Health Authority may seek approval
from the United States Secretary of Health and Human Services
that is necessary to obtain federal funding of the Temporary High
Risk Pool Program established in section 2 of this 2010 Act. The
authority shall notify the Legislative Counsel upon receipt of
the approval or denial of approval. + }
  SECTION 4.  { + Section 2 of this 2010 Act becomes operative
upon the Oregon Health Authority's receipt of approval from the
United States Secretary of Health and Human Services as described
in section 3 of this 2010 Act. + }
  SECTION 5.  { + Sections 1 to 3 of this 2010 Act are repealed
on January 2, 2016. + }
  SECTION 6.  { + This 2010 Act being necessary for the immediate
preservation of the public peace, health and safety, an emergency
is declared to exist, and this 2010 Act takes effect on its
passage. + }
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