ORS 741.004
Health Insurance Exchange Advisory Committee
(1)
The Health Insurance Exchange Advisory Committee is created to advise the Oregon Health Policy Board in the development and implementation of the policies and operational procedures governing the administration of a health insurance exchange in this state including, but not limited to, all of the following:(a)
The amount of the assessment imposed on insurers under ORS 741.105 (Charges and fees to be paid by insurers and state programs).(b)
The implementation of a Small Business Health Options Program in accordance with 42 U.S.C. 18031.(c)
The processes and procedures to enable each insurance producer to be authorized to act for all of the insurers offering qualified health plans through the health insurance exchange.(d)
The affordability of qualified health plans offered by employers under section 5000A(e)(1) of the Internal Revenue Code.(e)
Outreach strategies for reaching minority and low-income communities.(f)
Solicitation of customer feedback.(g)
The affordability of health plans offered through the exchange.(2)
The committee consists of 15 members. Fourteen members shall be appointed by the Governor and are subject to confirmation by the Senate in the manner prescribed in ORS 171.562 (Procedures for confirmation) and 171.565 (Vote required for confirmation). The appointed members serve at the pleasure of the Governor. The Director of the Oregon Health Authority or the director’s designee shall serve as an ex officio member of the committee.(3)
The 14 members appointed by the Governor must represent the interests of:(a)
Insurers;(b)
Insurance producers;(c)
Navigators, in-person assisters, application counselors and other individuals with experience in facilitating enrollment in qualified health plans;(d)
Health care providers;(e)
The business community, including small businesses and self-employed individuals;(f)
Consumer advocacy groups, including advocates for enrolling hard-to-reach populations;(g)
Enrollees in qualified health plans; and(h)
State agencies that administer the medical assistance program under ORS chapter 414.(4)
The Oregon Health Policy Board or the Director of the Oregon Health Authority may solicit recommendations from the committee and the committee may initiate recommendations on its own.(5)
The committee may provide annual reports to the Legislative Assembly, in the manner provided in ORS 192.245 (Form of report to legislature), of the findings and recommendations the committee considers appropriate, including but not limited to a report on the:(a)
Adequacy of assessments for reserve programs and administrative costs;(b)
Implementation of the Small Business Health Options Program;(c)
Number of qualified health plans offered through the exchange;(d)
Number and demographics of individuals enrolled in qualified health plans;(e)
Advance premium tax credits provided to enrollees in qualified health plans; and(f)
Feedback from the community about satisfaction with the operation of the exchange and qualified health plans offered through the exchange.(6)
The members of the committee shall be appointed for a term fixed by the Governor, not to exceed two years, and shall serve without compensation, but shall be entitled to travel expenses in accordance with ORS 292.495 (Compensation and expenses of members of state boards and commissions). The committee may hire, subject to the approval of the director, such experts as the committee may require to discharge its duties. All expenses of the committee shall be paid out of the Health Insurance Exchange Fund established in ORS 741.102 (Health Insurance Exchange Fund).(7)
The employees of the Oregon Health Authority responsible for administering the health insurance exchange are directed to assist the committee in the performance of its duties under subsection (1) of this section and, to the extent permitted by laws relating to confidentiality, to furnish such information and advice as the members of the committee consider necessary to perform their duties under subsection (1) of this section. [2015 c.3 §13; 2021 c.569 §20]
Source:
Section 741.004 — Health Insurance Exchange Advisory Committee, https://www.oregonlegislature.gov/bills_laws/ors/ors741.html.
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