Chapter 388, (2025 Laws): Effective date January 1, 2026.
Session
2025R1
Introduced
Jan 13, 2025
Primary Sponsor
Rob Nosse· primary
Summary
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</b> </i>] [<i>Creates a process that exempts certain health care providers from prior authorization requirements under certain circumstances.</i>] Requires additional reporting<b> about prior authorization</b> to the Department of Consumer and Business Services<b> from insurers offering a health benefit plan</b> and tells the department to make [<i>certain</i>]<b> this</b> data publicly available. [<i>Applies these requirements to commercial health insurance, the Public Employees' Benefit Board, the Oregon Educators Benefit Board and coordinated care organizations.</i>] [<i>Takes effect on the 91st day following adjournment sine die.</i>] <b>Creates restrictions for prior authorization requirements during certain surgical procedures for insurers offering a health benefit plan. Requires certain insurers offering a health benefit plan to implement a prior authorization programming interface by January 1, 2027.</b>