Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Representative Nosse, Representative Harbick,, Pham H,
Last action: 2025-06-27
Official status: In House Committee
Effective date: Not listed

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

2025-06-27 House
In committee upon adjournment.
2025-04-16 House
Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.
2025-04-16 House
Referred to Ways and Means by order of Speaker.
2025-04-08 House
Work Session held.
2025-03-13 House
Public Hearing held.
2025-01-17 House
Referred to Behavioral Health and Health Care.
2025-01-13 House
First reading. Referred to Speaker's desk.

Official Summary Text

Digest: The Act limits how insurers, OHA and CCOs may conduct audits. (Flesch Readability Score: 64.9).
Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers.
Directs the Oregon Health Authority to collaborate with health care providers that provide care to medical assistance enrollees, coordinated care organizations, community groups that advocate for diversity and health equity and health care industry representatives to develop recommendations for processes by which payers audit health care providers' claims for reimbursement.
Takes effect on the 91st day following adjournment sine die.
Relating to: Relating to audits of claims for reimbursement of the costs of behavioral health treatment; prescribing an effective date.
Current location: In House Committee