justicedao/ipfs_state_laws huggingface dataset:
ORS Chapter 442 — Health Planning

ORS 442.485. Responsibilities of Office of Rural Health. The responsibilities of the Office of Rural Health shall include but not be limited to: (1) Coordinating statewide efforts for providing health care in rural areas. (2) Accepting and processing applications from communities interested in developing health care delivery systems. (3) Applying for grants and accepting gifts and grants from other governmental or private sources for the research and development of rural health care programs and facilities. (4) Serving as a clearinghouse for information on health care delivery systems in rural areas. (5) Helping local health care delivery systems develop ongoing funding sources. (6) Developing enabling legislation to facilitate further development of rural health care delivery systems. (7) Providing information to the Department of Revenue about all certifications for tax credits allowed under ORS 315.613, 315.616, 315.619 and 315.622, if required by ORS 315.058. (8) The Office of Rural Health may order the suspension or revocation of a certificate or a portion of a certificate issued under ORS 315.613 or 315.622, as provided in ORS 315.061.
ORS Chapter 442 — Health Planning

ORS 442.490. Rural Health Coordinating Council; membership; terms; officers; compensation and expenses. (1) In carrying out its responsibilities, the Office of Rural Health shall be advised by the Rural Health Coordinating Council. All members of the Rural Health Coordinating Council shall have knowledge, interest, expertise or experience in rural areas and health care delivery. The membership of the Rural Health Coordinating Council shall consist of: (a) One primary care physician who is appointed by the office from a list of physicians recommended by the Oregon Medical Association and one primary care physician appointed by the office from a list of physicians recommended by the Osteopathic Physicians and Surgeons of Oregon; (b) One nurse practitioner who is appointed by the office from a list of nurse practitioners recommended by the Oregon Nurses Association; (c) One pharmacist who is appointed by the State Board of Pharmacy; (d) Five consumers who are appointed by the Governor as follows: (A) One consumer representative from each of three rural health service areas as defined by the office; and (B) Two consumer representatives at large from communities of less than 3,500 people; (e) One representative appointed by the office from a list of individuals recommended by the Conference of Local Health Officials; (f) One volunteer emergency medical services provider from a community of less than 3,500 people appointed by office from a list of providers recommended by the Oregon EMS Association; (g) One representative appointed by the office from a list of individuals recommended by the Oregon Association for Home Care; (h) One representative from the Oregon Health and Science University, appointed by the president of the Oregon Health and Science University; (i) One representative from the Oregon Association of Hospitals and Health Systems, appointed by the office from a list of individuals recommended by the Oregon Association of Hospitals and Health Systems; (j) One dentist appointed by the office from a list of dentists recommended by the Oregon Dental Association; (k) One optometrist appointed by the office from a list of optometrists recommended by the Oregon Optometric Physicians Association; (L) One physician assistant who is appointed by the office from a list of physician assistants recommended by the Oregon Society of Physician Assistants; and (m) One naturopathic physician appointed by the office from a list of physicians recommended by the Oregon Association of Naturopathic Physicians. (2) The Rural Health Coordinating Council shall elect a chairperson and vice chairperson. (3) A member of the council is entitled to compensation and expenses as provided in ORS 292.495. (4) The chairperson may appoint nonvoting, advisory members of the Rural Health Coordinating Council. However, advisory members without voting rights are not entitled to compensation or reimbursement as provided in ORS 292.495. (5) Members shall serve for two-year terms. (6) The Rural Health Coordinating Council shall report its findings to the Office of Rural Health.
ORS Chapter 442 — Health Planning

ORS 442.495. Responsibilities of council. The responsibilities of the Rural Health Coordinating Council shall be to: (1) Advise the Office of Rural Health on matters related to the health care services and needs of rural communities; (2) Develop general recommendations to meet the identified needs of rural communities; and (3) View applications and recommend to the office which communities should receive assistance, how much money should be granted or loaned and the ability of the community to repay a loan.
ORS Chapter 442 — Health Planning

ORS 442.500. Technical and financial assistance to rural communities. (1) The Office of Rural Health shall provide technical assistance to rural communities interested in developing health care delivery systems. (2) Communities shall make application for this technical assistance on forms developed by the office for this purpose. (3) The office may make grants or loans to rural communities for the purpose of establishing or maintaining medical care services. (4) The office shall make the final decision concerning which communities receive the moneys and whether a loan is made or a grant is given. (5) The office shall provide technical assistance and coordination of rural health activities through staff services, which include monitoring, evaluation, community needs analysis, information gathering and disseminating, guidance, linkages and research.
ORS Chapter 442 — Health Planning

ORS 442.502. Determination of size of rural hospital. (1) For purposes of determining the size of a rural hospital, beds certified by the Oregon Health Authority on the license of the hospital as special inpatient care beds shall not be included. (2) As used in this section, special inpatient care beds means beds that: (a) Are used for the treatment of patients with mental illness or for the treatment of alcoholism or drug abuse, or are located in a rehabilitation center, a college infirmary, a chiropractic facility, a freestanding hospice facility, an infirmary for the homeless or an inpatient care facility described in ORS 441.065; (b) Are physically separate from acute inpatient care beds, at least by being located on separate floors or wings of the same building; (c) Are never used for acute patient care; (d) Are staffed by dedicated direct care personnel for whom separate employment records are maintained; (e) Have separate medical directors; and (f) Maintain separate admission, discharge and patient records.
ORS Chapter 442 — Health Planning

ORS 442.503. Eligibility for economic development grants. In addition to any other authorized uses of funds for economic development available from the Administrative Services Economic Development Fund, economic development grants may be made for the purpose of constructing, equipping, refurbishing, modernizing and making other capital improvements for type A and B rural hospitals, as defined under ORS 442.470. [1989 c.893 10] Note:
ORS Chapter 442 — Health Planning

ORS 442.505. Technical assistance to rural hospitals. The Office of Rural Health shall institute a program to provide technical assistance to rural hospitals. The Office of Rural Health shall be primarily responsible for providing: (1) A recruitment and retention program for physicians and other primary care providers in rural areas. (2) An informational link between rural hospitals and state and federal policies regarding regulations and payment sources. (3) A system for effectively networking rural hospitals and providers so that they may compete or negotiate with urban based health maintenance organizations. (4) Assistance to rural hospitals in identifying strengths, weaknesses, opportunities and threats. (5) In conjunction with a trade association representing hospitals and health systems in Oregon, a report that identifies models that will replace or restructure inefficient health services in rural areas.
ORS Chapter 442 — Health Planning

ORS 442.507. Assistance to rural emergency medical service systems. (1) With the moneys transferred to the Office of Rural Health by ORS 442.870, the office shall establish a dedicated grant program for the purpose of providing assistance to rural communities to enhance emergency medical service systems. (2) Communities, as well as nonprofit or governmental agencies serving those communities, may apply to the office for grants on forms developed by the office. (3) The office shall make the final decision concerning which entities receive grants, but the office may seek advice from the Rural Health Coordinating Council, the State Emergency Medical Service Committee and other appropriate individuals experienced with emergency medical services. (4) The office may make grants to entities for the purchase of equipment, the establishment of new rural emergency medical service systems or the improvement of existing rural emergency medical service systems. (5) With the exception of printing and mailing expenses associated with the grant program, the Office of Rural Health shall pay for administrative costs of the program with funds other than those transferred under ORS 442.870.
ORS Chapter 442 — Health Planning

ORS 442.515. Rural hospitals; findings. The Legislative Assembly finds that Oregon rural hospitals are an integral part of the communities and geographic area where they are located. Their impact on the economic well-being and health status of the citizens is vast. The problems faced by rural hospitals include a general decline in rural economies, the age of the rural populations, older physical plants, lack of physicians and other health care providers and a poor financial outlook. The Legislative Assembly recognizes that the loss of essential hospital services is imminent in many communities.
ORS Chapter 442 — Health Planning

ORS 442.520. Risk assessment formula; relative risk of rural hospitals. (1) Subject to the formula set out in subsection (2) of this section, the Office of Rural Health, in consultation with a trade association representing hospitals and health systems in Oregon, shall establish a risk assessment formula to identify the relative risk of a rural hospital, as defined in ORS 442.470. (2) To assess the degree of risk faced by each rural hospital, the risk assessment formula developed by the Office of Rural Health, in consultation with a trade association representing hospitals and health systems in Oregon, shall include the following categories: (a) Organizational risk: The financial situation of each facility, as measured by a nationally accepted formula that identifies the hospitals current and future financial viability; (b) Population risk: The impact that a hospital closure would have on the health care needs of the citizens of each hospitals respective service area, as measured by an index that includes medically underserved, distance and target population components; and (c) Economic risk: The direct and indirect economic contribution made to the communities of each hospitals respective service area, as measured by an index that measures the overall economic benefit added to the service area community by the hospital. [1991 c.947 20; 2015 c.70 16] Note:
ORS Chapter 442 — Health Planning

ORS 442.560. [1989 c.893 18; 1991 c.877 21; 1991 c.947 3; 1993 c.765 53; 1993 c.813 13; 2005 c.357 2; 2007 c.485 3; 2010 c.42 3; repealed by 2013 c.177 4] PRIMARY CARE SERVICES PROGRAM
ORS Chapter 442 — Health Planning

ORS 442.561. Certifying individuals licensed under ORS chapter 679 for tax credit. The Office of Rural Health shall establish criteria for certifying individuals who are licensed under ORS chapter 679 as eligible for the tax credit authorized by ORS 315.616. Upon application therefor and upon a finding that the applicant is or will be providing dental services to one or more rural communities and otherwise meets the eligibility criteria established by the office, the office shall certify individuals eligible for the tax credit authorized by ORS 315.616. [1995 c.746 40; 1999 c.291 33; 1999 c.459 2] Note:
ORS Chapter 442 — Health Planning

ORS 442.562. Certifying podiatrists for tax credit. The Office of Rural Health shall establish criteria for certifying individuals who are licensed to practice podiatry under ORS chapter 677 as eligible for the tax credit authorized by ORS 315.616. Upon application therefor and upon a finding that the applicant is or will be providing podiatric services to one or more rural communities and otherwise meets the eligibility criteria established by the office, the office shall certify individuals eligible for the tax credit authorized by ORS 315.616. [1995 c.746 41; 1999 c.291 34; 1999 c.459 3; 2013 c.129 31] Note: See note under
ORS Chapter 442 — Health Planning

ORS 442.563. Certifying certain individuals providing rural health care for tax credit. (1) The Office of Rural Health shall establish criteria for certifying individuals eligible for the tax credit authorized by ORS 315.613. Upon application therefor, the office shall certify individuals eligible for the tax credit authorized by ORS 315.613. (2) The classification of rural hospitals described in ORS 315.613 (3)(a) to (d) for purposes of determining eligibility under this section shall be the classification of the hospital in effect on January 1, 1991. [1989 c.893 7; 1991 c.877 19; 1995 c.746 35; 1999 c.291 35; 1999 c.459 4; 2013 c.177 5; 2017 c.718 12; 2019 c.495 2] Note: See note under
ORS Chapter 442 — Health Planning

ORS 442.564. Certifying optometrists for tax credit. The Office of Rural Health shall establish criteria for certifying individuals who are licensed as optometrists under ORS 683.010 to 683.340 as eligible for the tax credit authorized by ORS 315.616. Upon application therefor and upon a finding that the applicant is or will be providing optometry services to one or more rural communities and otherwise meets the eligibility criteria established by the office, the office shall certify individuals eligible for the tax credit authorized by ORS 315.616. [1997 c.787 2; 1999 c.291 36; 1999 c.459 5] Note: See note under
ORS Chapter 442 — Health Planning

ORS 442.566. Certifying emergency medical services providers for tax credit. The Office of Rural Health shall establish criteria for certifying individuals who are licensed as emergency medical services providers under ORS chapter 682 as eligible for the tax credit authorized by ORS 315.622. Upon application for the credit and upon a finding that the applicant will be providing emergency medical services in one or more rural areas and otherwise meets the eligibility criteria established by the office, the office shall certify the individual as eligible for the tax credit authorized by ORS 315.622. [2005 c.832 65; 2011 c.703 41] Note: See note under
ORS Chapter 442 — Health Planning

ORS 442.568. Oregon Health and Science University to recruit persons interested in rural practice. (1) The Oregon Health and Science University shall develop and implement a program to focus recruitment efforts on students who reside in or who are interested in practicing in rural or medically underserved areas of this state. (2) The university shall reserve a number of admissions to each class at the medical school for qualified students who demonstrate an interest in practicing medicine in rural or medically underserved areas of this state. Once the students are admitted, the university shall support them with resources such as clinical rotations in rural or medically underserved areas, programs that allow a student to complete a clerkship in family medicine and rural and community health in a single rural Oregon community and technical assistance with accessing education loan and assistance programs. Not more than 15 percent of the students in each class shall be admitted under this section, consistent with the intent of the Legislative Assembly to encourage the availability of medical services in rural and medically underserved areas of this state. (3) In the event that the university is unable to recruit the number of qualified students required under subsection (2) of this section, after having made a reasonable effort to do so, the university is authorized to fill the remaining positions with other eligible candidates. [Formerly 442.565; 2010 c.42 4; 2013 c.177 6] Note: See note under
ORS Chapter 442 — Health Planning

ORS 442.570. Primary Care Services Fund; matching funds. (1) There is established in the State Treasury a fund, separate and distinct from the General Fund, to be known as the Primary Care Services Fund. Moneys in the Primary Care Services Fund are continuously appropriated to the Oregon Department of Administrative Services for allocation to the Office of Rural Health for investments as provided by ORS 293.701 to 293.857, for expenses and payments by the office in carrying out the purposes of ORS 315.613, 315.616, 315.619, 353.450, 442.470, 442.503 and 442.561 to 442.570. Interest earned by the fund shall be credited to the fund. (2) The office shall seek matching funds from the federal government and from communities that benefit from placement of participants under ORS 442.561 to
ORS Chapter 442 — Health Planning

ORS 442.583. [1993 c.754 5 (enacted in lieu of 442.582); repealed by 2011 c.720 228]
ORS Chapter 442 — Health Planning

ORS 442.600. [1991 c.760 1; 1993 c.514 1; renumbered 442.860 in 2019] COMMUNITY BENEFITS (Community Benefit Reporting)
ORS Chapter 442 — Health Planning

ORS 442.601. Definitions. As used in this section and ORS 442.602: (1) Charity care means free or discounted health services provided to persons who cannot afford to pay and from whom a hospital has no expectation of payment. Charity care does not include bad debt, contractual allowances or discounts for quick payment. (2) Community benefit means a program or activity that provides treatment or promotes health and healing, addresses health disparities or addresses the social determinants of health in response to an identified community need. Community benefit includes: (a) Charity care; (b) Losses related to Medicaid, State Childrens Health Insurance Program or other publicly funded health care program shortfalls other than Medicare; (c) Community health improvement services; (d) Research; (e) Financial and in-kind contributions to the community; and (f) Community building activities affecting health in the community. (3) Social determinants of health has the meaning given that term in ORS 442.612. [Formerly 442.200]
ORS Chapter 442 — Health Planning

ORS 442.602. Community benefit reporting; rules. (1) The Oregon Health Authority shall by rule adopt a cost-based community benefit reporting system for hospitals operating in Oregon that is consistent with established national standards for hospital reporting of community benefits. (2) Within 90 days of filing a Medicare cost report, a hospital must submit a community benefit report to the authority of the community benefits provided by the hospital, on a form prescribed by the authority. (3) The authority shall produce an annual report of the information provided under subsections (1) and (2) of this section. The report shall be submitted to the Governor, the President of the Senate and the Speaker of the House of Representatives. The report shall be presented to the Legislative Assembly during each odd-numbered year regular session and shall be made available to the public. (4) The authority may adopt all rules necessary to carry out the provisions of this section. [Formerly 442.205] (Financial Assistance Policies)
ORS Chapter 442 — Health Planning

ORS 442.610. Notice of financial assistance policies; applications. (1) As used in this section: (a) Financial assistance policy means a policy that meets the requirements of section 501(r) of the Internal Revenue Code and implementing regulations. (b) Hospital has the meaning given that term in ORS 442.015. (c) Nonprofit has the meaning given that term in ORS 442.612. (2) A hospital shall have a written financial assistance policy that complies with the plain language standards for consumer contracts under ORS 180.545 (1). (3) A hospital shall: (a) Provide a paper copy of the financial assistance policy and an application form to apply for financial assistance to a patient upon request; (b) Include on each billing statement, on the hospitals website home page and on any website where the patient pays a bill or accesses information about the patients account, a prominently displayed notice of: (A) The availability of financial assistance; (B) The contact information for the office or department of the hospital that can provide information about obtaining financial assistance; and (C) The Internet address for the financial assistance policy and the Internet address where an application for financial assistance may be accessed, completed and submitted online, including on a mobile device; (c) Accept an application for financial assistance that is submitted: (A) In an online application; or (B) Sent by mail to or submitted in person at the hospitals address as shown on the application; and (d) Maintain public displays in locations in the hospital that are accessible to the public that notify and inform patients about the financial assistance policy. Locations that are accessible to the public include but are not limited to the emergency department, if any, and the areas where patient admissions are processed. (4)(a) A nonprofit hospitals application for financial assistance, when completed by a resident of this state: (A) May require the resident to provide only: (i) The patients household income, for purposes of ORS 442.614; and (ii) Information about any third party that may be liable for the cost of the services, as permitted by ORS 646A.677. (B) Must clearly mark as optional any other information, including information about the patients assets. (b) A nonprofit hospital may not use information other than information listed in paragraph (a) of this subsection to deny financial assistance to a resident of this state. (c) This subsection does not prohibit: (A) A hospital from requiring a patient to respond to requests from the patients insurer as needed for the insurer to adjudicate the hospitals claim for reimbursement, as permitted by ORS 646A.677; or (B) A nonprofit hospital from requiring a patient to provide information that the Centers for Medicare and Medicaid Services requires the hospital to collect for the purpose of cost reporting. [2018 c.50 9; 2018 c.50 10; 2023 c.263 2] Note: The amendments to