reglab/statecodes huggingface dataset:
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.105 - Deposit of reimbursements received for medical assistance expenditures.

All sums of money recovered by or paid to the Oregon Health Authority as reimbursement for funds expended for medical assistance shall be paid into the Oregon Health Authority Fund established by ORS 413.101 and may be used for the provision and administration of medical assistance. However, the United States Government is entitled to a share of any amount received as its interest may appear, which shall be promptly paid to the United States Government. [2011 c.720 §46]
Note:
413.105 to 413.151 were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
Note:
Section 41, chapter 602, Oregon Laws 2023, provides:
Sec. 41.
(1) Subject to subsection (2) of this section, the Department of Justice shall deposit proceeds from the Juul Settlement, plus any interest earned on such proceeds, into the Oregon Health Authority Fund established under ORS 413.101, to be expended for purposes consistent with the terms of the settlement.
(2) Before making the deposit under subsection (1) of this section, the Department of Justice shall deduct from the proceeds the amount of costs and expenses of the department associated with the settlement.
(3) As used in this section, "Juul Settlement" means the settlement between the State of Oregon and Juul Labs, Inc. announced on September 6, 2022, and any modifications thereto. [2023 c.602 §41]
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.109 - Acceptance and expenditures of funds received from private sources.

(1) The Oregon Health Authority may accept funds, money or other valuable things from relatives, corporations or interested persons or organizations for the care and support of needy persons and may expend the same for the care and support of the individual or individuals for whom the moneys were paid.
(2) The authority may accept from individuals, corporations and organizations contributions or gifts in cash or otherwise that shall be disbursed in the same manner as moneys appropriated for medical assistance purposes, unless the donor of a gift stipulates a different manner in which a gift must be expended. Moneys received under this section shall be deposited with the State Treasurer in an account separate and distinct from the General Fund. Interest earned by the account shall be credited to the account. Moneys in the account are continuously appropriated to the department for the purposes specified in this section. [2011 c.720 §45; 2013 c.688 §66]
Note:
See note under 413.105.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.115 - Opioid Reversal Medication and Harm Reduction Clearinghouse Bulk Purchasing Fund.

(1) The Opioid Reversal Medication and Harm Reduction Clearinghouse Bulk Purchasing Fund is established in the State Treasury, separate and distinct from the General Fund. Interest earned by the Opioid Reversal Medication and Harm Reduction Clearinghouse Bulk Purchasing Fund shall be credited to the fund.
(2) The Opioid Reversal Medication and Harm Reduction Clearinghouse Bulk Purchasing Fund consists of:
(a) Moneys received by the Oregon Health Authority from opioid litigation settlements;
(b) Grants awarded for the purpose of addressing substance use and overdose epidemics;
(c) Other gifts, grants, bequests, endowments or donations made to the fund; and
(d) Moneys appropriated to the fund by the Legislative Assembly.
(3) The moneys in the Opioid Reversal Medication and Harm Reduction Clearinghouse Bulk Purchasing Fund are continuously appropriated to the Oregon Health Authority for expenses related to opioid harm reduction. [2023 c.602 §48]
Note:
413.115 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.121 - Oregon Health Authority Special Checking Account.

(1) There is established an Oregon Health Authority Special Checking Account in the State Treasury. Upon the written request of the Director of the Oregon Health Authority, the Oregon Department of Administrative Services shall draw payments in favor of the authority to be charged against appropriations and other moneys available to the authority in the same manner as other claims against the state, as provided in ORS chapter 293. All such payments shall be deposited in the special checking account and may be disbursed by check or other means acceptable to the State Treasurer.
(2) The special checking account may be used for the purpose of paying the administrative expenses of programs and services as assigned to the authority by law, including the payment of expenses to be reimbursed by the federal government.
(3) In addition to funds authorized under ORS 293.180, the authority may establish petty cash funds out of the special checking account or any account established in the State Treasury for the authority. The authority may pay expenses using small cash disbursements from a petty cash fund. Periodically, the authority shall request reimbursement for disbursements made from a petty cash fund. Upon receipt of a reimbursement payment from an appropriate account, the authority shall use the payment to reimburse the petty cash fund. [2011 c.720 §37]
Note:
See note under 413.105.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.125 - Revolving fund.

(1) On written request of the Oregon Health Authority, the Oregon Department of Administrative Services shall draw warrants on amounts appropriated to the authority for operating expenses for use by the authority as a revolving fund. The revolving fund may not exceed the aggregate sum of $100,000 including unreimbursed advances. The revolving fund shall be deposited with the State Treasurer to be held in a special account against which the authority may draw checks.
(2) The revolving fund may be used by the authority:
(a) To pay for or advance travel expenses for employees of the authority and for any consultants or advisers for whom payment of travel expenses is authorized by law;
(b) For purchases required from time to time; or
(c) For receipt or disbursement of federal funds available under federal law.
(3) All claims for reimbursement of amounts paid from the revolving fund must be approved by the authority and by the department. When such claims are approved, the department shall draw a warrant covering them against the appropriate fund or account in favor of the authority. The authority shall use the moneys to reimburse the revolving fund. [2011 c.720 §40]
Note:
See note under 413.105.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.129 - Aggregation of warrants and payments.

The Oregon Department of Administrative Services shall draw warrants in favor of the Oregon Health Authority for the aggregate amounts of the authority’s expenses. The authority shall deposit the warrants in the State Treasury in a checking account in reimbursement of those expenses. The authority may draw its checks on the State Treasury in favor of the persons, firms, corporations, associations or counties entitled to payment under rules of the authority so as to include in single combined payments for specified periods all moneys allotted to particular payees from various sources for the period. [2011 c.720 §39]
Note:
See note under 413.105.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.135 - Combining and eliminating accounts.

Notwithstanding any other law, the Oregon Health Authority may, with the approval of the Oregon Department of Administrative Services and the State Treasurer, combine or eliminate any accounts that are established in statute and appropriated to the authority if economy and efficiency in operations can be obtained and the combination or elimination of accounts does not substantially alter the intent of the authorizing statutes. When accounts are combined, the Oregon Health Authority retains the authority granted by the statutes establishing the accounts. [2011 c.720 §38]
Note:
See note under 413.105.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.151 - Setoff of liquidated and delinquent debts.

Liquidated and delinquent debts owed to the Oregon Health Authority may be set off against amounts owed by the authority to the debtors. [2011 c.720 §43]
Note:
See note under 413.105.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.161 - Collection of data on race, ethnicity, language, disability status, sexual orientation and gender identity; rules.

(1) The Oregon Health Authority, in collaboration with the Department of Human Services, shall adopt by rule uniform standards, based on local, statewide and national best practices, for the collection of data on race, ethnicity, preferred spoken and written languages, disability status, sexual orientation and gender identity. The authority and the department shall use the standards, to the greatest extent practicable, in surveys conducted and in all programs in which the authority or the department collects, records or reports the data described in this subsection. The authority and the department shall review and update the standards at least once every two years to ensure that the standards are efficient, uniform and consistent with best practices.
(2) The authority shall appoint an advisory committee in accordance with ORS 183.333 composed of individuals likely to be affected by the standards and advocates for individuals likely to be affected by the standards.
(3) Any data collected by the authority or the department in accordance with uniform standards adopted under subsection (1) of this section is subject to ORS 413.164 (4). [2013 c.264 §1; 2021 c.549 §5; 2023 c.69 §2]
Note:
413.161 to 413.195 were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.162 - Reports to Legislative Assembly on collection of data under ORS 413.161.

No later than June 1, 2014, and every two years thereafter, the Oregon Health Authority and the Department of Human Services shall report to the appropriate committees of the Legislative Assembly in the manner provided in ORS 192.245 on the implementation of ORS 413.161. The report must include, but is not limited to:
(1) A description of the uniform standards for data collection and the implementation of the standards across all data systems; and
(2) The challenges to implementing systemwide standards and the plan for addressing the challenges. [2013 c.264 §2]
Note:
See note under 413.161.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.163 - System for collecting data on race, ethnicity, language, disability, sexual orientation and gender identity.

The Oregon Health Authority shall establish a data system for data on race, ethnicity, preferred spoken and written languages, disability status, sexual orientation and gender identity collected under ORS 413.164. The data system established under this section must include:
(1) A data registry to receive and store the data described in this section from coordinated care organizations, health care providers and health insurers, patients, clients and members of coordinated care organizations, health care providers and health insurers, the authority and the Department of Human Services. The registry must allow for coordinated care organizations, health care providers and health insurers to:
(a) Electronically submit data collected under ORS 413.164; and
(b) Query the data registry to determine whether the registry contains current data for a patient, member or client.
(2) Functionality that allows a patient, member or client to directly submit to the data system their data described in this section. [2021 c.549 §2]
Note:
See note under 413.161.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.166 - Grants for data collection; rules.

(1) The Oregon Health Authority shall develop and administer a grant program to provide funding for the purpose of supporting safe data collection by community health organizations and community-based groups with demonstrated experience serving tribal communities, communities of color, LGBTQ+ people, people with disabilities, people who speak primary languages other than English and other underserved populations. An entity described in this subsection that receives a grant under this section shall provide culturally responsive, trauma-informed trainings on the collection of the data described in ORS 413.164 (2).
(2) The authority shall adopt rules to carry out this section. [2021 c.549 §4]
Note:
See note under 413.161.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.167 - Reports to Legislative Assembly.

No later than June 1, 2022, and every two years thereafter, the Oregon Health Authority shall report to the appropriate committees of the Legislative Assembly in the manner provided in ORS 192.245 on the implementation of ORS 413.163 and 413.164. The report must include, but is not limited to:
(1) A description of uniform standards for data collection and implementation of the standards; and
(2) The challenges to implementing the standards and plan for addressing the challenges. [2021 c.549 §3]
Note:
See note under 413.161.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.171 - Sharing of data with Department of Human Services; rules.

(1) The Oregon Health Authority shall adopt and enforce rules governing the custody, use and preservation of the records, papers, files and communications of the authority in accordance with applicable privacy laws. The use of the records, papers, files and communications is limited to the purposes for which they are furnished and by the provisions of law under which they may be furnished.
(2) The records, papers, files and communications of the authority may be maintained in a single or combined data system accessible to the authority and to the Department of Human Services for the administration of programs and the coordination of functions shared by the authority and the department. [2011 c.720 §48]
Note:
See note under 413.161.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.175 - Prohibition on disclosure of information; exceptions.

(1) For the protection of applicants for and recipients of public assistance and medical assistance, as defined in ORS 414.025, except as otherwise provided in this section, the Oregon Health Authority may not disclose or use the contents of any public assistance or medical assistance records, files, papers or communications for purposes other than those directly connected with the administration of the public assistance and medical assistance programs or necessary to assist public assistance or medical assistance applicants and recipients in accessing and receiving other governmental or private nonprofit services, and these records, files, papers and communications are considered confidential subject to the rules of the authority. In any judicial or administrative proceeding, except proceedings directly connected with the administration of public assistance, medical assistance or child support enforcement, their contents are considered privileged communications.
(2) Nothing in this section prohibits the disclosure or use of contents of records, files, papers or communications for purposes directly connected with the establishment and enforcement of support obligations pursuant to Title IV-D of the Social Security Act.
(3) Nothing in this section prohibits the disclosure of the address, Social Security number and photograph of any applicant or recipient to a law enforcement officer at the request of the officer. To receive information pursuant to this section, the officer must furnish the agency the name of the applicant or recipient and advise that the applicant or recipient:
(a) Is fleeing to avoid prosecution, custody or confinement after conviction for a felony;
(b) Is violating a condition of probation or parole; or
(c) Has information that is necessary for the officer to conduct the official duties of the officer and the location or apprehension of the applicant or recipient is within such official duties.
(4) Nothing in this section prohibits disclosure of information between the authority and the Department of Human Services for the purpose of administering public assistance and medical assistance programs that the authority and the department are responsible for administering. [2011 c.720 §49; 2013 c.688 §67]
Note:
See note under 413.161.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.181 - Disclosure of insurer information by Department of Consumer and Business Services for purpose of administering Oregon Integrated and Coordinated Care Delivery System.

(1) The Department of Consumer and Business Services and the Oregon Health Authority may enter into agreements governing the disclosure of information reported to the department by insurers with certificates of authority to transact insurance in this state and the disclosure of information reported to the Oregon Health Authority by coordinated care organizations.
(2) The authority may use information disclosed under subsection (1) of this section for the purpose of carrying out ORS 413.022, 413.032, 414.572, 414.591, 414.605, 414.609, 415.012 to 415.430 and 415.501. [2012 c.8 §6; 2015 c.389 §8; 2019 c.478 §56; 2021 c.615 §10]
Note:
See note under 413.161.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.195 - Disclosure of information about cremated or reduced remains.

(1) As used in this section:
(a) "Family member" means any individual related by blood, marriage or adoption to a person whose cremated or reduced remains are in the possession of the Oregon Health Authority.
(b) "Reduced remains" means the remains of a human body after completion of an authorized process for reducing human remains. Authorized processes for reducing human remains include alkaline hydrolysis, natural organic reduction and any other alternative process authorized by the State Mortuary and Cemetery Board.
(2) Notwithstanding any other provision of law, the authority shall disclose to the general public the name and the dates of birth and death of a person whose cremated or reduced remains are in the possession of the authority for the purpose of:
(a) Giving a family member of the person an opportunity to claim the cremated or reduced remains; or
(b) Creating a memorial for those persons whose cremated or reduced remains are not claimed.
(3) If an individual contacts the authority to determine whether the authority is in possession of the cremated or reduced remains of a family member of the individual and the authority determines that the authority is in possession of the cremated or reduced remains, the authority shall disclose to the individual that the authority is in possession of the cremated or reduced remains and offer the individual the opportunity to claim the remains. [Formerly 413.850; 2021 c.296 §29]
Note:
See note under 413.161.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.196 - Confidentiality and inadmissibility of information obtained in connection with epidemiologic morbidity and mortality studies; exceptions; nonliability of informants.

(1)(a) All information procured by or furnished to the Oregon Health Authority, any federal public health agency or any nonprofit health agency that is exempt from taxation under the laws of this state or procured by any agency, organization or person acting jointly with or at the request of the authority, in connection with special epidemiologic morbidity and mortality studies, is confidential, nondiscoverable and inadmissible in any proceeding and is exempt from disclosure under ORS 192.311 to 192.478. A person communicating information in connection with special epidemiologic morbidity and mortality studies pursuant to this subsection may not be examined about the communication or the information.
(b) Nothing in this subsection affects the confidentiality or admissibility into evidence of data not otherwise confidential or privileged that is obtained from sources other than the authority.
(c) As used in this subsection, "information" includes, but is not limited to, written reports, notes, records, statements and studies.
(2) The furnishing of morbidity and mortality information to the authority or health agency, to its authorized representatives or to any other agency, organization or person cooperating in a special epidemiologic study, does not subject any hospital, sanitarium, rest home, nursing home or other organization or person furnishing such information to an action for damages.
(3) Subsection (1) of this section does not prevent the authority or a health agency from publishing:
(a) Statistical compilations and reports relating to special epidemiologic morbidity and mortality studies, if such compilations and reports do not identify individual cases and sources of information.
(b) General morbidity and mortality studies customarily and continuously conducted by the authority or health agency that do not involve patient identification.
(4) Nothing in this section prevents disposition of records described in subsection (1) of this section pursuant to ORS 192.105. [Formerly 432.060]
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.201 - Targeted outreach for Cover All People program; grants to address health care access barriers.

(1) The Oregon Health Authority is responsible for statewide outreach, education and engagement for the Cover All People program established in ORS 414.231 and administered by the authority with the goal of enrolling in the program all eligible individuals residing in this state. The authority, in collaboration with the work group described in subsection (3) of this section, shall evaluate and implement the outreach, education and engagement strategies designed to most effectively encourage enrollment in the program.
(2) To maximize the enrollment and retention of eligible individuals in the Cover All People program, the authority shall develop and administer a grant program to provide funding to organizations and community based groups to deliver culturally specific and targeted outreach, application assistance and navigation to:
(a) Members of racial, ethnic and language minority communities;
(b) Children and families living in geographic isolation; and
(c) Children and families with additional barriers to accessing health care, such as cognitive, mental health or sensory disorders, physical disabilities or chemical dependency or homelessness.
(3) The authority shall convene a work group, consisting of individuals with experience in conducting outreach to the individuals described in subsection (2)(a) to (c) of this section, to advise and assist the authority in carrying out its duties under this section and in developing an implementation plan to ensure that community feedback is included from a health equity perspective. [2009 c.867 §34; 2009 c.828 §57; 2013 c.681 §46; 2017 c.652 §1; 2021 c.554 §2]
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.213 - Community Acute Psychiatric Facility Capacity Program Fund.

(1) The Community Acute Psychiatric Facility Capacity Program Fund is established in the State Treasury, separate and distinct from the General Fund. Interest earned by the Community Acute Psychiatric Facility Capacity Program Fund must be credited to the fund. The Community Acute Psychiatric Facility Capacity Program Fund consists of moneys deposited in the fund under section 13, chapter 599, Oregon Laws 2023, moneys appropriated, allocated, deposited, or transferred to the fund by the Legislative Assembly or otherwise and interest earned on moneys in the fund.
(2) Moneys in the fund are continuously appropriated to the Oregon Health Authority for the purpose of providing grants to increase community acute psychiatric facility capacity. [2023 c.599 §14]
Note:
413.213 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.227 - Oregon Health Authority reimbursement of coordinated care organization’s costs to provide services related to improving student access to school-based oral health services.

(1) As used in this section:
(a) "Coordinated care organization" has the meaning given that term in ORS 414.025.
(b) "Global budget" has the meaning given that term in ORS 414.025.
(2) The Oregon Health Authority may not reduce a global budget or deny reimbursement for the costs claimed by a coordinated care organization to provide care coordination or other social services relating to improving access for students to school-based oral health services. [2021 c.245 §3]
Note:
413.227 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.231 - Recruitment of primary care providers.

The Oregon Health Authority, through the Health Care Workforce Committee created pursuant to ORS 413.017, shall work with interested parties, which may include Travel Oregon, the State Workforce and Talent Development Board, medical schools, physician organizations, hospitals, county and city officials, local chambers of commerce, organizations that promote Oregon or local communities in Oregon, and organizations that recruit health care professionals, to develop a strategic plan for recruiting primary care providers to Oregon. The strategic plan must address:
(1) Best recruitment practices and existing recruitment programs;
(2) Development of materials and information promoting Oregon as a desirable place for primary care providers to live and work;
(3) Development of a pilot program to promote coordinated visiting and recruitment opportunities for primary care providers;
(4) Potential funding opportunities; and
(5) The best entities to implement the strategic plan. [2011 c.361 §1; 2017 c.185 §9; 2017 c.297 §23]
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.235 - Emergency services intergovernmental transfer program.

(1) The Oregon Health Authority shall develop and implement an intergovernmental transfer program to provide for the transfer of funds from an emergency medical services provider to the authority to pay the costs of providing emergency medical services to members of a coordinated care organization. The authority shall pay any federal financial participation received by the authority as a result of the transfer of funds to the coordinated care organization. The coordinated care organization shall increase, by the same amount, the amount of reimbursement paid to the emergency medical services provider for the costs of the emergency medical services.
(2) The increased reimbursement paid under subsection (1) of this section shall be at least actuarially equivalent to the Medicaid supplemental reimbursement for the emergency medical services paid under ORS 413.234.
(3) General Fund moneys may not be used to implement this section. As a condition of participation in the intergovernmental transfer program described in subsection (1) of this section, an emergency medical services provider must agree to pay a fee to reimburse the authority for the costs of administering the program. The fee may not exceed 20 percent of the cost of the emergency medical services provided. The authority shall allow up to 120 percent of the fee to be counted as an operating cost for providers.
(4) An emergency medical services provider shall make readily available to the authority documentation, data and certifications, as prescribed by the authority, necessary to establish that the emergency medical services expenditures qualify for federal financial participation and to calculate the amount due to a coordinated care organization for the expenditures.
(5) If the authority determines that any expenditure made by an emergency medical services provider does not qualify for federal financial participation, the authority shall return the funds associated with the expenditure to the provider or refuse to accept the transfer of funds associated with the expenditure.
(6) Participation by any coordinated care organization or emergency medical services provider in the program must be voluntary.
(7) The authority shall consult with emergency medical services providers in the development, implementation and operation of the intergovernmental transfer program. [2016 c.34 §3]
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.236 - Coordinated care organization reimbursement of emergency medical services providers.

(1) ORS 682.400 is in addition to and not in lieu of the provisions of ORS 413.234 and 413.235.
(2) The reimbursement established under ORS 682.400 also applies to the reimbursement of emergency medical services providers, as defined in ORS 682.400, by coordinated care organizations, as defined in ORS 414.025, as permitted by the Centers for Medicare and Medicaid Services. [2021 c.623 §3]
Note:
413.236 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.241 - Enhanced federal match for Indian health care providers.

(1) As used in this section:
(a) "Eligible claim" means a claim for reimbursement of the cost of a health care item or service that is:
(A) Covered by the state medical assistance program; and
(B) Within the scope of a written care coordination agreement between an Indian health care provider and a nontribal health care provider.
(b) "Enhanced federal match" means 100 percent federal matching funds under 42 U.S.C. 1396d(b).
(c) "Indian health care provider" means an:
(A) Urban Indian organization as defined in 25 U.S.C. 1603(29); or
(B) Indian Health Service facility as referenced in 42 U.S.C. 1396d(b).
(2) If enhanced federal match is available to this state under 42 U.S.C. 1396d(b), the Oregon Health Authority shall:
(a) Maintain a process to identify eligible claims for items or services that:
(A) Are furnished by nontribal health care providers that are enrolled in the state medical assistance program; and
(B) Qualify for enhanced federal match under rules or guidance issued by the Centers for Medicare and Medicaid Services; and
(b) Establish a mechanism to return a portion of the enhanced federal match to the Indian health care provider that has a written care coordination agreement with the nontribal health care provider to furnish the item or service. [2023 c.244 §1]
Note:
413.241 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.246 - Information provided to retired physicians and health care providers.

The Oregon Health Authority, in consultation with the appropriate professional and trade associations and licensing boards, shall inform retired physicians and health care providers regarding ORS 30.302 and 30.792. [Formerly 409.740]
Note:
See note under 413.231.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.250 - Statewide Health Improvement Program.

(1) There is created in the Oregon Health Authority the Statewide Health Improvement Program to support evidence-based community efforts to prevent chronic disease and reduce the utilization of expensive and invasive acute treatments. The program is composed of activities described in subsection (2) of this section.
(2)(a) The authority may, subject to funding, award one or more grants to support community-based primary and secondary prevention activities focused on chronic diseases, and in line with the goals of the Statewide Health Improvement Program.
(b) To receive a grant under this subsection, an applicant must submit a proposal that:
(A) Includes outside funding of at least 10 percent of the total funding required;
(B) Is developed with community input, including the input of communities most affected by health disparities;
(C) Involves a range of community partners, including a range of multicultural community providers;
(D) Is evidence-based;
(E) Reduces health disparities among populations; and
(F) Contains performance criteria and measurable outcomes to demonstrate, including for communities most affected by health disparities as well as for individuals who are participating in the community-based primary and secondary activity proposal, improvements in population health status and health education and a reduction of chronic disease risk factors. [2009 c.595 §1166]
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.255 - Cooperative research and demonstration projects for health and health care purposes.

In addition to its other powers, the Oregon Health Authority may:
(1) Enter into agreements with, join with or accept grants from the federal government for cooperative research and demonstration projects for health and health care purposes, including, but not limited to, any project that:
(a) Improves the lifelong health of Oregonians.
(b) Aids in effecting coordination of planning between private and public health and health care agencies of the state.
(c) Improves the administration and effectiveness of programs carried on or assisted by the authority.
(2) With the cooperation and the financial assistance of the federal government, train personnel employed or preparing for employment by the authority. The training may be carried out in any manner, including but not limited to:
(a) Directly by the authority.
(b) Indirectly through grants to public or other nonprofit institutions of learning or through grants of fellowships.
(c) Any other manner for which federal aid in support of the training is available.
(3) Subject to the allotment system provided for in ORS 291.234 to 291.260, expend the sums required to be expended for the programs and projects described in subsections (1) and (2) of this section. [2011 c.720 §47]
Note:
413.255 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.257 - Experimental, prototype health care of tomorrow.

(1) The Legislative Assembly declares that it is in the best interest of the people of Oregon for the competing health care systems in this state to come together and find a way to envision the future of health care delivery in this state. The Legislative Assembly therefore declares its intent to exempt from state antitrust laws, and to provide immunity from federal antitrust laws through the state action doctrine, the collaborative activities described in subsection (2) of this section, that might otherwise be constrained by such laws.
(2) The Director of the Oregon Health Authority shall provide a forum for individuals representing all of the vertically integrated, nonprofit health care systems in this state to participate in meaningful and open discussions and engage in a good faith collaboration to create the experimental, prototype health care of tomorrow.
(3) The collaboration must be guided by the following principles:
(a) Health care must be readily accessible throughout every community in this state;
(b) High quality health care must be provided at a cost much lower than the cost of health care today;
(c) The experimental, prototype health care of tomorrow must incorporate innovations that are gathered from the best minds around the world and can be rapidly implemented throughout the delivery system;
(d) The experimental, prototype health care of tomorrow must continuously implement sufficient improvements in health care to completely offset any increases in cost over extended periods of time; and
(e) The nonprofit health care systems participating in the experimental, prototype health care of tomorrow may not be competitors, but must work together in an integrated fashion to maximize their shared social missions.
(4) The director or the director’s designee shall engage in state supervision of the collaboration to ensure that the discussions and activities of the participants in the collaboration are limited to the activities described in this section. [2019 c.194 §1]
Note:
413.257 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.260 - Patient centered primary care and behavioral health home delivery models.

(1) The Oregon Health Authority, in collaboration with health insurers and purchasers of health plans including the Public Employees’ Benefit Board, the Oregon Educators Benefit Board and other members of the patient centered primary care home learning collaborative and the patient centered primary care home program advisory committee, shall:
(a) Develop, test and evaluate strategies that reward enrollees in publicly funded health plans for:
(A) Receiving care through patient centered primary care homes and behavioral health homes that meet the core attributes established in ORS 413.259;
(B) Seeking preventative and wellness services;
(C) Practicing healthy behaviors; and
(D) Effectively managing chronic diseases.
(b) Develop, test and evaluate community-based strategies that utilize community health workers to enhance the culturally competent and linguistically appropriate health services provided by patient centered primary care homes and behavioral health homes in underserved communities.
(2) The authority shall focus on patients with chronic health conditions in developing strategies under this section.
(3) The authority, in collaboration with the Public Employees’ Benefit Board and the Oregon Educators Benefit Board, shall establish uniform standards for contracts with health benefit plans providing coverage to public employees to promote the provision of patient centered primary care homes, especially for enrollees with chronic medical conditions, and behavioral health homes that are consistent with the uniform quality measures established under ORS 413.259 (1)(c).
(4) The standards established under subsection (3) of this section may direct health benefit plans to provide incentives to primary care providers who serve vulnerable populations to partner with health-focused community-based organizations to provide culturally specific health promotion and disease management services. [2009 c.595 §1165; 2015 c.318 §21; 2015 c.798 §6; 2019 c.536 §4]
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.270 - Advisory council; membership; duties.

(1) The Palliative Care and Quality of Life Interdisciplinary Advisory Council is established in the Oregon Health Authority consisting of nine members appointed by the Director of the Oregon Health Authority.
(2) The council shall consult with and advise the director on:
(a) Matters related to the establishment, maintenance, operation and evaluation of palliative care initiatives in this state; and
(b) The implementation of ORS 413.273.
(3) The members of the council must include:
(a) Individuals with collective expertise in interdisciplinary palliative care provided in a variety of settings and to children, youths, adults and the elderly;
(b) Individuals with expertise in nursing, social work and pharmacy;
(c) Members of the clergy or individuals who have professional spiritual expertise; and
(d) At least two board-certified physicians or nurses with expertise in palliative care.
(4) The term of office of each member is three years but a member serves at the pleasure of the director. Before the expiration of the term of a member, the director shall appoint a successor whose term begins on January 1, next following. A member is eligible for reappointment. If there is a vacancy for any cause, the director shall make an appointment to become immediately effective for the unexpired term.
(5) The council shall select one of its members as chairperson and another as vice chairperson, for such terms and with duties and powers necessary for the performance of the functions of such offices as the council determines.
(6) A majority of the members of the council constitutes a quorum for the transaction of business.
(7) The council shall meet at least twice every year at a place, day and hour determined by the council. The council may also meet at other times and places specified by the call of the chairperson or of a majority of the members of the council.
(8) A member of the council is not entitled to compensation but in the discretion of the director may be reimbursed from funds available to the authority for actual and necessary travel and other expenses incurred by the member in the performance of the member’s official duties in the manner and amount provided in ORS 292.495.
(9) The authority shall provide staff support to the council. [2015 c.789 §1]
Note:
413.270 to 413.273 were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.271 - Palliative care information and resources.

(1) The Oregon Health Authority shall publish on its website information and resources, including links to external resources, about palliative care. This may include, but is not limited to:
(a) Continuing educational opportunities for health care providers;
(b) Information about palliative care delivery in the home and in primary, secondary and tertiary care facilities;
(c) Best practices for and cultural competency in the delivery of palliative care;
(d) Consumer education materials; and
(e) Referral information for culturally competent palliative care.
(2) The authority shall consult with the Palliative Care and Quality of Life Interdisciplinary Advisory Council in carrying out this section. [2015 c.789 §4]
Note:
See note under 413.270.
2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 413 - Oregon Health Authority › Section 413.273 - Palliative care for patients and residents of hospitals, long term care facilities and residential care facilities.

(1) As used in this section and ORS 413.270 and 413.271:
(a) "Appropriate" means consistent with applicable legal, health and professional standards, a patient’s clinical and other circumstances, and the patient’s known wishes and beliefs.
(b) "Health facility" includes:
(A) Hospitals and long term care facilities licensed under ORS 441.025; and
(B) Residential facilities licensed under ORS 443.415.
(c) "Medical care" means professional services for a patient that are provided, requested or supervised by a physician, nurse practitioner or physician assistant.
(d)(A) "Palliative care" means patient-centered and family-centered medical care that optimizes a patient’s quality of life by anticipating, preventing and treating the suffering caused by serious illness and involves addressing the patient’s physical, social and spiritual needs and facilitating the patient’s autonomy, access to information and choice.
(B) "Palliative care" includes, but is not limited to:
(i) Discussing a patient’s goals for treatment;
(ii) Discussing the treatment options that are appropriate for the patient; and
(iii) Comprehensive pain and symptom management.
(e) "Serious illness" means any illness, physical injury or condition that substantially impairs a patient’s quality of life for more than a short period of time.
(2) A health facility shall:
(a) Establish a system for identifying patients or residents who could benefit from palliative care;
(b) Provide information to patients, residents and their families about palliative care; and
(c) Coordinate with a patient’s or resident’s primary care provider, if practicable, to facilitate the access of patients and residents with serious illnesses to appropriate palliative care. [2015 c.789 §5]
Note:
See note under 413.270.