ORS 413.011
Duties of board


(1)

The duties of the Oregon Health Policy Board are to:

(a)

Be the policy-making and oversight body for the Oregon Health Authority established in ORS 413.032 (Establishment of Oregon Health Authority) and all of the authority’s departmental divisions.

(b)

Develop and submit a plan to the Legislative Assembly to provide and fund access to affordable, quality health care for all Oregonians.

(c)

Develop a program to provide health insurance premium assistance to all low and moderate income individuals who are legal residents of Oregon.

(d)

Publish health outcome and quality measure data collected by the Oregon Health Authority at aggregate levels that do not disclose information otherwise protected by law. The information published must report, for each coordinated care organization and each health benefit plan sold through the health insurance exchange or offered by the Oregon Educators Benefit Board or the Public Employees’ Benefit Board:

(A)

Quality measures;

(B)

Costs;

(C)

Health outcomes; and

(D)

Other information that is necessary for members of the public to evaluate the value of health services delivered by each coordinated care organization and by each health benefit plan.

(e)

Establish evidence-based clinical standards and practice guidelines that may be used by providers.

(f)

Approve and monitor community-centered health initiatives described in ORS 413.032 (Establishment of Oregon Health Authority) (1)(h) that are consistent with public health goals, strategies, programs and performance standards adopted by the Oregon Health Policy Board to improve the health of all Oregonians, and to regularly report to the Legislative Assembly on the accomplishments and needed changes to the initiatives.

(g)

Establish cost containment mechanisms to reduce health care costs.

(h)

Ensure that Oregon’s health care workforce is sufficient in numbers and training to meet the demand that will be created by the expansion in health coverage, health care system transformations, an increasingly diverse population and an aging workforce.

(i)

Work with the Oregon congressional delegation to advance the adoption of changes in federal law or policy to promote Oregon’s comprehensive health reform plan.

(j)

Establish a health benefit package in accordance with ORS 741.340 (Health benefit plans offered through exchange) to be used as the baseline for all health benefit plans offered through the health insurance exchange.

(k)

Investigate and report annually to the Legislative Assembly on the feasibility and advisability of future changes to the health insurance market in Oregon, including but not limited to the following:

(A)

A requirement for every resident to have health insurance coverage.

(B)

A payroll tax as a means to encourage employers to continue providing health insurance to their employees.

(L)

Meet cost-containment goals by structuring reimbursement rates to reward comprehensive management of diseases, quality outcomes and the efficient use of resources by promoting cost-effective procedures, services and programs including, without limitation, preventive health, dental and primary care services, web-based office visits, telephone consultations and telemedicine consultations.

(m)

Oversee the expenditure of moneys from the Health Care Provider Incentive Fund to support grants to primary care providers and rural health practitioners, to increase the number of primary care educators and to support efforts to create and develop career ladder opportunities.

(n)

Work with the Public Health Benefit Purchasers Committee, administrators of the medical assistance program and the Department of Corrections to identify uniform contracting standards for health benefit plans that achieve maximum quality and cost outcomes and align the contracting standards for all state programs to the greatest extent practicable.

(o)

Work with the Health Information Technology Oversight Council to foster health information technology systems and practices that promote the Oregon Integrated and Coordinated Health Care Delivery System established by ORS 414.570 (System established) and align health information technology systems and practices across this state.

(2)

The Oregon Health Policy Board is authorized to:

(a)

Subject to the approval of the Governor, organize and reorganize the authority as the board considers necessary to properly conduct the work of the authority.

(b)

Submit directly to the Legislative Counsel, no later than October 1 of each even-numbered year, requests for measures necessary to provide statutory authorization to carry out any of the board’s duties or to implement any of the board’s recommendations. The measures may be filed prior to the beginning of the legislative session in accordance with the rules of the House of Representatives and the Senate.

(3)

If the board or the authority is unable to perform, in whole or in part, any of the duties described in ORS 413.006 (Establishment of Oregon Health Policy Board) to 413.042 (Rules) and 741.340 (Health benefit plans offered through exchange) without federal approval, the authority is authorized to request, in accordance with ORS 413.072 (Public process required if waiver of federal requirement involves policy change), waivers or other approval necessary to perform those duties. The authority shall implement any portions of those duties not requiring legislative authority or federal approval, to the extent practicable.

(4)

The enumeration of duties, functions and powers in this section is not intended to be exclusive nor to limit the duties, functions and powers imposed on the board by ORS 413.006 (Establishment of Oregon Health Policy Board) to 413.042 (Rules) and 741.340 (Health benefit plans offered through exchange) and by other statutes.

(5)

The board shall consult with the Department of Consumer and Business Services in completing the tasks set forth in subsection (1)(j) and (k)(A) of this section. [2009 c.595 §9; 2011 c.9 §55; 2011 c.720 §125; 2012 c.38 §15; 2013 c.1 §55; 2013 c.681 §44; 2015 c.3 §42; 2015 c.243 §2; 2015 c.389 §6; 2021 c.97 §39]

Source: Section 413.011 — Duties of board, https://www.­oregonlegislature.­gov/bills_laws/ors/ors413.­html.

413.006
Establishment of Oregon Health Policy Board
413.007
Composition of board
413.008
Chairperson
413.011
Duties of board
413.014
Rules
413.016
Authority of board to establish advisory and technical committees
413.017
Public Health Benefit Purchasers Committee, Health Care Workforce Committee, Health Plan Quality Metrics Committee and Behavioral Health Committee
413.032
Establishment of Oregon Health Authority
413.033
Oregon Health Authority director
413.034
Oregon Health Authority officers and employees
413.036
Use of abuse and neglect reports for screening subject individuals
413.037
Administering oaths
413.038
Service of notice by regular mail
413.041
Persons authorized to represent parties in contested cases
413.042
Rules
413.046
Right to courteous, fair and dignified treatment
413.071
Authorization to request federal waivers
413.072
Public process required if waiver of federal requirement involves policy change
413.083
Dental director
413.084
State School Nursing Consultant
413.085
Cross-delegation by directors of Department of Human Services, Department of Consumer and Business Services and Oregon Health Authority
413.101
Oregon Health Authority Fund
413.105
Deposit of reimbursements received for medical assistance expenditures
413.109
Acceptance and expenditures of funds received from private sources
413.121
Oregon Health Authority Special Checking Account
413.125
Revolving fund
413.129
Aggregation of warrants and payments
413.135
Combining and eliminating accounts
413.151
Setoff of liquidated and delinquent debts
413.161
Collection of data on race, ethnicity, language, disability status, sexual orientation and gender identity
413.162
Reports to Legislative Assembly on collection of data under ORS 413.161
413.163
System for collecting data on race, ethnicity, language, disability, sexual orientation and gender identity
413.164
Collection and reporting of data by health care providers and insurers
413.166
Grants for data collection
413.167
Reports to Legislative Assembly
413.171
Sharing of data with Department of Human Services
413.175
Prohibition on disclosure of information
413.181
Disclosure of insurer information by Department of Consumer and Business Services for purpose of administering Oregon Integrated and Coordinated Care Delivery System
413.195
Disclosure of information about cremated or reduced remains
413.196
Confidentiality and inadmissibility of information obtained in connection with epidemiologic morbidity and mortality studies
413.201
Targeted outreach for Cover All People program
413.223
School-based health centers
413.225
Grants to safety net providers
413.227
Oregon Health Authority reimbursement of coordinated care organization’s costs to provide services related to improving student access to school-based oral health services
413.231
Recruitment of primary care providers
413.234
Supplemental payments to emergency services providers
413.235
Emergency services intergovernmental transfer program
413.236
Coordinated care organization reimbursement of emergency medical services providers
413.246
Information provided to retired physicians and health care providers
413.248
Physician Visa Waiver Program
413.250
Statewide Health Improvement Program
413.255
Cooperative research and demonstration projects for health and health care purposes
413.256
Regional health equity coalitions
413.257
Experimental, prototype health care of tomorrow
413.259
Patient centered primary care home program and behavioral health home program
413.260
Patient centered primary care and behavioral health home delivery models
413.270
Advisory council
413.271
Palliative care information and resources
413.273
Palliative care for patients and residents of hospitals, long term care facilities and residential care facilities
413.300
Definitions for ORS 413.300 to 413.308, 413.310 and ORS chapter 414
413.301
Health Information Technology Oversight Council
413.303
Council chairperson
413.308
Duties of council
413.310
Oregon Health Information Technology program
413.430
Functions of Director of Oregon Health Authority regarding health professionals
413.435
Administrative requirements for students in clinical training
413.450
Continuing education in cultural competency
413.500
Women, Infants and Children Program
413.520
Gambling addiction programs in Oregon Health Authority
413.522
Problem Gambling Treatment Fund
413.550
Definitions for ORS 413.550 to 413.559
413.552
Legislative findings and policy on health care interpreters
413.554
Oregon Council on Health Care Interpreters
413.556
Testing, qualification and certification standards for health care interpreters
413.558
Procedures for testing, qualifications and certification of health care interpreters
413.559
Requirement for provider to work with health care interpreter from registry
413.560
Moneys received credited to account in Oregon Health Authority Fund
413.561
Agencies or boards with enforcement authority
413.562
State of Oregon as employer of health care interpreters for purposes of collective bargaining only
413.563
Requirement for interpretation service company to use health care interpreters from registry
413.570
Pain Management Commission
413.572
Additional duties of commission
413.574
Membership of commission
413.576
Selection of chairperson and vice chairperson
413.580
Pain Management Fund
413.582
Acceptance of contributions
413.590
Pain management education required of certain licensed health care professionals
413.599
Rules
413.600
Traditional Health Workers Commission
413.610
Purpose of Compact of Free Association Premium Assistance Program
413.611
Definitions
413.612
Eligibility for program
413.613
COFA Premium Assistance Program Fund
413.800
Emergency planning
Green check means up to date. Up to date