ORS 414.359
Mental Health Clinical Advisory Group


(1)

The Mental Health Clinical Advisory Group is established in the Oregon Health Authority. The Mental Health Clinical Advisory Group shall develop evidence-based algorithms for mental health treatments, including treatments with mental health drugs based on:

(a)

The efficacy of the drug;

(b)

The cost of the drug;

(c)

Potential side effects of the drug;

(d)

A patient’s profile; and

(e)

A patient’s history with the drug.

(2)

The Mental Health Clinical Advisory Group consists of 18 members appointed by the authority as follows:

(a)

Two psychiatrists each with an active community practice;

(b)

One child and adolescent psychiatrist;

(c)

Two licensed clinical psychologists;

(d)

One psychiatric nurse practitioner with prescribing privileges;

(e)

Two primary care providers;

(f)

Two pharmacists, one of whom must have experience dispensing to long term care facilities and patients with special needs;

(g)

Two individuals, each representing a statewide mental health advocacy organization for children and adults with mental illness, who have experience as a consumer of mental health services or as a family member of a consumer of mental health services;

(h)

Two individuals each representing a coordinated care organization;

(i)

One consumer of mental health services;

(j)

One member of a federally recognized Oregon Indian tribe;

(k)

One member who represents the Department of Corrections who has a clinical background; and

(L)

One member who is a clinical psychiatrist and who represents the Oregon Psychiatric Access Line.

(3)

The Mental Health Clinical Advisory Group shall, in developing treatment algorithms, consider all of the following:

(a)

Peer-reviewed medical literature;

(b)

Observational studies;

(c)

Studies of health economics;

(d)

Input from patients and physicians; and

(e)

Any other information that the group deems appropriate.

(4)

The Mental Health Clinical Advisory Group shall make recommendations to the authority and the Pharmacy and Therapeutics Committee, including but not limited to:

(a)

Implementation of evidence-based algorithms.

(b)

Any changes needed to any preferred drug list used by the authority.

(c)

Practice guidelines for the treatment of mental health disorders with mental health drugs.

(d)

Coordinating the work of the group with an entity that offers a psychiatric advice hotline.

(5)

Recommendations of the Mental Health Clinical Advisory Group shall be posted to the website of the authority no later than 30 days after the group approves the recommendations.

(6)

No later than December 31 of each year, the Mental Health Clinical Advisory Group shall report to the interim committees of the Legislative Assembly related to health on recommendations made to the authority under subsection (4) of this section and the report may include recommendations for legislation.

(7)

A member of the Mental Health Clinical Advisory Group is not entitled to compensation but may be reimbursed for necessary travel expenses incurred in the performance of the member’s official duties.

(8)

The Mental Health Clinical Advisory Group shall select one of its members as chairperson and another as vice chairperson, for terms and with duties and powers necessary for the performance of the functions of the group.

(9)

A majority of the members of the Mental Health Clinical Advisory Group constitutes a quorum for the transaction of business.

(10)

The Mental Health Clinical Advisory Group shall meet at least once every two months at a time and place determined by the chairperson. The group also may meet at other times and places specified by the call of the chairperson or of a majority of the members of the group. The group may meet in executive session when discussing factors listed in subsection (1) of this section.

(11)

All agencies of state government, as defined in ORS 174.111 (“State government” defined), are directed to assist the Mental Health Clinical Advisory Group in the performance of duties of the group and, to the extent permitted by laws relating to confidentiality, to furnish information and advice the members of the group consider necessary to perform their duties. [2019 c.544 §1]
Note: 414.359 (Mental Health Clinical Advisory Group) was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 414 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 414.359 — Mental Health Clinical Advisory Group, https://www.­oregonlegislature.­gov/bills_laws/ors/ors414.­html.

414.018
Legislative intent
414.025
Definitions for ORS chapters 411, 413 and 414
414.033
Expenditures for medical assistance authorized
414.034
Acceptance of federal billing, reimbursement and reporting forms
414.041
Simplified application process
414.044
Notice to Department of Veterans’ Affairs of information regarding applications for health care coverage by uniformed service members and veterans
414.065
Determination of health care and services covered
414.066
Billing patient for services covered by medical assistance prohibited
414.067
Coordinated care organization assumption of costs
414.071
Timely payment for dental services
414.072
Prior authorization data and reports
414.075
Payment of deductibles imposed under federal law
414.095
Exemptions applicable to payments
414.109
Oregon Health Plan Fund
414.115
Medical assistance by insurance or service contracts
414.117
Premium assistance for health insurance coverage
414.125
Rates on insurance or service contracts
414.135
Contracts relating to direct providers of care and services
414.145
Implementation of ORS 414.115, 414.125 or 414.135
414.150
Purpose of ORS 414.150 to 414.153
414.152
Duty of state agencies to work with local health departments
414.153
Services provided by local health departments
414.211
Medicaid Advisory Committee
414.221
Duties of committee
414.225
Oregon Health Authority to consult with committee
414.227
Application of public meetings law to advisory committees
414.231
Eligibility for Cover All People program
414.312
Oregon Prescription Drug Program
414.314
Application and participation in Oregon Prescription Drug Program
414.318
Prescription Drug Purchasing Fund
414.320
Rules
414.325
Prescription drugs
414.326
Supplemental rebates from pharmaceutical manufacturers
414.327
Electronically transmitted prescriptions
414.328
Synchronization of prescription drug refills
414.329
Prescription drug benefits for certain persons who are eligible for Medicare Part D prescription drug coverage
414.330
Legislative findings on prescription drugs
414.332
Policy for Practitioner-Managed Prescription Drug Plan
414.334
Practitioner-Managed Prescription Drug Plan for medical assistance program
414.337
Limitation on rules regarding Practitioner-Managed Prescription Drug Plan
414.351
Definitions for ORS 414.351 to 414.414
414.353
Committee established
414.354
Meetings
414.356
Executive session
414.359
Mental Health Clinical Advisory Group
414.361
Committee to advise and make recommendations on drug utilization review standards and interventions
414.364
Intervention approaches
414.369
Prospective drug use review program
414.371
Retrospective drug use review program
414.372
Pharmacy lock-in program
414.381
Annual reports
414.382
Requirements for annual report
414.414
Use and disclosure of confidential information
414.426
Payment of cost of medical care for institutionalized persons
414.428
Coverage for American Indian and Alaska Native beneficiaries
414.430
Access to dental care for pregnant women
414.432
Reproductive health services for noncitizens
414.500
Findings regarding medical assistance for persons with hemophilia
414.510
Definitions
414.520
Hemophilia services
414.530
When payments not made for hemophilia services
414.532
Definitions for ORS 414.534 to 414.538
414.534
Treatment for breast or cervical cancer
414.536
Presumptive eligibility for medical assistance for treatment of breast or cervical cancer
414.538
Prohibition on coverage limitations
414.540
Rules
414.550
Definitions for ORS 414.550 to 414.565
414.555
Findings regarding medical assistance for persons with cystic fibrosis
414.560
Cystic fibrosis services
414.565
When payments not made for cystic fibrosis services
414.570
System established
414.572
Coordinated care organizations
414.575
Community advisory councils
414.577
Community health assessment and adoption of community health improvement plan
414.578
Community health improvement plan
414.581
Tribal Advisory Council established
414.584
Meetings of coordinated care organization governing body to be open to public
414.590
Coordinated care organization contracts
414.591
Coordinated care organization contracts
414.592
Requirements for contracts between authority and providers
414.593
Reporting and public disclosure of expenditures by coordinated care organizations
414.595
External quality reviews of coordinated care organizations
414.598
Alternative payment methodologies
414.605
Consumer and provider protections
414.607
Use and disclosure of member information
414.609
Network adequacy
414.611
Transfer of 500 or more members of coordinated care organization
414.613
Discrimination based on scope of practice prohibited
414.619
Coordination between Oregon Health Authority and Department of Human Services
414.628
Innovator agents
414.631
Mandatory enrollment in coordinated care organization
414.632
Services to individuals who are dually eligible for Medicare and Medicaid
414.638
Metrics and scoring subcommittee
414.654
Persons served by prepaid managed care health services organizations
414.655
Utilization of patient centered primary care homes and behavioral health homes by coordinated care organizations
414.665
Traditional health workers utilized by coordinated care organizations
414.667
Definition for ORS 414.667 to 414.669
414.668
Access to doula services
414.669
Payment for doula services
414.672
Tribal-based practices for mental health and substance abuse prevention, counseling and treatment
414.686
Health assessments for foster children
414.688
Commission established
414.689
Members
414.690
Prioritized list of health services
414.694
Commission review of covered reproductive health services
414.695
Medical technology assessment
414.698
Comparative effectiveness of medical technologies
414.701
Commission may not rely solely on comparative effectiveness research
414.704
Advisory committee
414.706
Persons eligible for medical assistance
414.709
Adjustment of population of eligible persons in event of insufficient resources prohibited
414.710
Services not subject to prioritized list
414.712
Health services for certain eligible persons
414.717
Palliative care program
414.719
Housing navigation services and social determinants of health
414.723
Telemedicine services
414.726
Requirement to use certified or qualified health care interpreters
414.728
Reimbursement of rural hospitals on fee-for-service basis
414.735
Reduction in scope of health services in event of insufficient resources
414.742
Payment for mental health drugs
414.743
Payment to noncontracting hospital by coordinated care organization
414.745
Liability of health care providers and plans
414.755
Payment for hospital services
414.756
Payments to Oregon Health and Science University
414.760
Payment for patient centered primary care home and behavioral health home services
414.762
Payment for child abuse assessment
414.764
Payment for services provided by pharmacy or pharmacist
414.766
Behavioral health treatment
414.767
Survey of medical assistance recipients regarding experience with behavioral health care and services
414.770
Participants in clinical trials
414.772
Limits on use of step therapy
414.780
Coordinated care organization reporting of data to assess compliance with mental health parity requirements
414.781
Fee-for-service reimbursement of co-occurring mental health and substance use disorder treatment services
414.782
Reimbursement to ensure access to addiction treatment statewide
414.805
Liability of individual for medical services received while in custody of law enforcement officer
414.807
Oregon Health Authority to pay for medical services related to law enforcement activity
414.815
Law Enforcement Medical Liability Account
414.853
Definitions
414.855
Hospital assessment
414.857
Reduction in rate required by federal law
414.863
Refund of hospital assessment
414.865
Audits
414.867
Deposit of assessments collected to Hospital Quality Assurance Fund
414.869
Establishment of Hospital Quality Assurance Fund
414.871
Applicability of hospital assessment
414.880
Managed care organization assessment
414.882
Refund of managed care organization assessment
414.884
Applicability of managed care organization assessment
414.900
Hospital assessment
414.902
Managed care organization assessment
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