reglab/statecodes huggingface dataset:
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.394 - Acceptance by facilities as payment in full.

(1) A hospital or ambulatory surgical center shall bill and accept as payment in full an amount determined in accordance with ORS 243.256 and 243.879, if applicable, or the payment methodology prescribed by the Oregon Health Authority under ORS 442.392.
(2) This section does not apply to type A or type B hospitals, as described in ORS 442.470, or rural critical access hospitals, as defined in ORS 442.470. [2011 c.418 §4; 2017 c.718 §11; 2017 c.746 §33]
Note:
See note under 442.392.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.400 - "Health care facility" defined.

As used in ORS 442.400 to 442.463, unless the context requires otherwise, "health care facility" or "facility" means such facility as defined by ORS 442.015, exclusive of a long term care facility, and includes all publicly and privately owned and operated health care facilities, but does not include facilities described in ORS 441.065. [Formerly 441.415; 1979 c.697 §8; 1981 c.693 §15]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.405 - Legislative findings and policy.

The Legislative Assembly finds that rising costs and charges of health care facilities are a matter of vital concern to the people of this state. The Legislative Assembly finds and declares that it is the policy of this state:
(1) To require health care facilities to file for public disclosure reports that will enable both private and public purchasers of services from such facilities to make informed decisions in purchasing such services; and
(2) To encourage development of programs of research and innovation in the methods of delivery of institutional health care services of high quality with costs and charges reasonably related to the nature and quality of the services rendered. [Formerly 441.420; 1999 c.581 §3]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.420 - Application for financial assistance; financial analysis and investigation authority; rules.

(1) The Oregon Health Authority may apply for, receive and accept grants, gifts, payments and other funds and advances, appropriations, properties and services from the United States, the State of Oregon or any governmental body, agency or agencies or from any other public or private corporation or person, and enter into agreements with respect thereto, including the undertaking of studies, plans, demonstrations or projects.
(2) The authority shall conduct or cause to have conducted such analyses and studies relating to costs of health care facilities as considered desirable, including but not limited to methods of reducing such costs, utilization review of services of health care facilities, peer review, quality control, financial status of any facility subject to ORS 442.400 to 442.463 and sources of public and private financing of financial requirements of such facilities.
(3) The authority may also:
(a) Hold public hearings, conduct investigations and require the filing of information relating to any matter affecting the costs of and charges for services in all health care facilities;
(b) Subpoena witnesses, papers, records and documents the authority considers material or relevant in connection with functions of the authority subject to the provisions of ORS chapter 183;
(c) Exercise, subject to the limitations and restrictions imposed by ORS 442.400 to 442.463, all other powers which are reasonably necessary or essential to carry out the express objectives and purposes of ORS 442.400 to 442.463; and
(d) Adopt rules in accordance with ORS chapter 183 for carrying out the functions of the authority. [Formerly 441.435; 1981 c.693 §17; 1983 c.482 §15; 1985 c.747 §39; 1995 c.727 §26; 1997 c.683 §22; 1999 c.581 §4; 2015 c.318 §31]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.425 - Financial reporting systems.

(1) The Oregon Health Authority by rule may specify one or more uniform systems of financial reporting necessary to meet the requirements of ORS 442.400 to 442.463. Such systems shall include such cost allocation methods as may be prescribed and such records and reports of revenues, expenses, other income and other outlays, assets and liabilities, and units of service as may be prescribed. Each facility under the authority’s jurisdiction shall adopt such systems for its fiscal period starting on or after the effective date of such system and shall make the required reports on such forms as may be required by the authority. The authority may extend the period by which compliance is required upon timely application and for good cause. Filings of such records and reports shall be made at such times as may be reasonably required by the authority.
(2) Existing systems of reporting used by health care facilities shall be given due consideration by the authority in carrying out the duty of specifying the systems of reporting required by ORS 442.400 to 442.463. The authority insofar as reasonably possible shall adopt reporting systems and requirements that will not unreasonably increase the administrative costs of the facility.
(3) The authority may allow and provide for modifications in the reporting systems in order to correctly reflect differences in the scope or type of services and financial structure between the various categories, sizes or types of health care facilities and in a manner consistent with the purposes of ORS 442.400 to 442.463.
(4) The authority may establish specific annual reporting provisions for facilities that receive a preponderance of their revenue from associated comprehensive group-practice prepayment health care service plans. Notwithstanding any other provisions of ORS 442.400 to 442.463, such facilities shall be authorized to utilize established accounting systems and to report costs and revenues in a manner consistent with the operating principles of such plans and with generally accepted accounting principles. When such facilities are operated as units of a coordinated group of health facilities under common ownership, the facilities shall be authorized to report as a group rather than as individual institutions, and as a group shall submit a consolidated balance sheet, income and expense statement and statement of source and application of funds for such group of health facilities. [Formerly 441.440; 1981 c.693 §18; 1995 c.727 §27; 1997 c.683 §23; 1999 c.581 §5; 2009 c.792 §40; 2015 c.318 §32]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.430 - Investigations; confidentiality of data.

(1) Whenever a further investigation is considered necessary or desirable by the Oregon Health Authority to verify the accuracy of the information in the reports made by health care facilities, the authority may make any necessary further examination of the facility’s records and accounts. Such further examinations include, but are not limited to, requiring a full or partial audit of all such records and accounts.
(2) In carrying out the duties prescribed by ORS 442.400 to 442.463, the authority may utilize its own staff or may contract with any appropriate, independent, qualified third party. No such contractor shall release or publish or otherwise use any information made available to it under its contractual responsibility unless such permission is specifically granted by the authority. [Formerly 441.445; 1995 c.727 §28; 1997 c.683 §24; 2009 c.792 §41; 2015 c.318 §33]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.445

[Formerly 441.480; 1981 c.693 §19; 1983 c.482 §18; 1983 c.696 §21; 1991 c.734 §24; 1993 c.18 §110; 1995 c.727 §30; 1997 c.683 §26; 1999 c.581 §6; 2007 c.384 §4; 2007 c.838 §§7,8; 2013 c.61 §§2b,2c; 2017 c.101 §47b; renumbered 442.994 in 2021]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.450 - Exemption from cost review regulations.

The following are not subject to ORS 442.400 to 442.463:
(1) Physicians in private practice, solo or in a group or partnership, who are not employed by, or hold ownership or part ownership in, a health care facility; or
(2) Health care facilities described in ORS 441.065. [1977 c.751 §55]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.460 - Information about utilization and cost of health care services.

In order to obtain regional or statewide data about the utilization and cost of health care services, the Oregon Health Authority may accept information relating to the utilization and cost of health care services identified by the authority from physicians, insurers or other third-party payers or employers or other purchasers of health care. [1985 c.747 §15; 1995 c.727 §31; 1997 c.683 §27; 1999 c.581 §7; 2015 c.318 §34]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.463 - Annual utilization report; contents; approval; rules.

(1) Each licensed health facility shall file with the Oregon Health Authority an annual report containing such information related to the facility’s utilization as may be required by the authority, in such form as the authority prescribes by rule.
(2) The annual report shall contain such information as may be required by rule of the authority and must be approved by the authority. [1985 c.747 §§18,19; 1995 c.727 §32; 1997 c.683 §28; 1999 c.581 §8; 2015 c.318 §35]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.470 - Definitions for ORS 442.470 to 442.507.

As used in ORS 442.470 to 442.507:
(1) "Acute inpatient care facility" means a licensed hospital with an organized medical staff, with permanent facilities that include inpatient beds, and with comprehensive medical services, including physician services and continuous nursing services under the supervision of registered nurses, to provide diagnosis and medical or surgical treatment primarily for but not limited to acutely ill patients and accident victims.
(2) "Council" means the Rural Health Coordinating Council.
(3) "Office" means the Office of Rural Health.
(4) "Primary care physician" means a doctor licensed under ORS chapter 677 whose specialty is family practice, general practice, internal medicine, pediatrics or obstetrics and gynecology.
(5) "Rural critical access hospital" means a facility that meets the criteria set forth in 42 U.S.C. 1395i-4 (c)(2)(B) and that has been designated a critical access hospital by the Office of Rural Health.
(6)(a) "Rural hospital" means a hospital characterized as one of the following:
(A) A type A hospital, which is a small and remote hospital that has 50 or fewer beds and is more than 30 miles from another acute inpatient care facility;
(B) A type B hospital, which is a small and rural hospital that has 50 or fewer beds and is 30 miles or less from another acute inpatient care facility;
(C) A type C hospital, which is considered to be a rural hospital and has more than 50 beds, but is not a referral center; or
(D) A rural critical access hospital.
(b) "Rural hospital" does not include a hospital of any class that was designated by the federal government as a rural referral hospital before January 1, 1989. [1979 c.513 §1; 1987 c.660 §12; 1987 c.918 §5; 1989 c.893 §8a; 1991 c.947 §1; 2001 c.875 §2; 2017 c.718 §6]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.480 - Rural Health Care Revolving Account.

(1) There is established the Rural Health Care Revolving Account in the General Fund.
(2) All moneys appropriated for the purposes of ORS 442.470 to 442.507 and all moneys paid to the Office of Rural Health by reason of loans, fees, gifts or grants for the purposes of ORS 442.470 to 442.507 shall be credited to the Rural Health Care Revolving Account.
(3) All moneys contained in the Rural Health Care Revolving Account are continuously appropriated to the Oregon Department of Administrative Services for the Office of Rural Health and shall be used for the purposes of ORS 442.470 to 442.507. [1979 c.513 §3; 1987 c.660 §14; 1989 c.708 §1; 2005 c.755 §37]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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. [1979 c.513 §4; 1983 c.482 §19; 1987 c.660 §15; 2015 c.736 §89; 2019 c.483 §23; 2021 c.97 §57]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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. [1979 c.513 §6; 1981 c.693 §21; 1983 c.482 §20; 2007 c.71 §129]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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. [1979 c.513 §8; 1981 c.693 §22; 1983 c.482 §21; 2021 c.97 §58]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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. [1993 c.765 §55; 2007 c.70 §243; 2009 c.595 §754]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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:
442.503 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 442 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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. [1987 c.918 §3; 2005 c.22 §301; 2015 c.70 §15]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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. [1999 c.1056 §5]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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. [1987 c.918 §1]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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 hospital’s 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 hospital’s 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 hospital’s 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:
442.520 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 442 by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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:
442.561 to 442.570 were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 442 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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 442.561.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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 442.561.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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 442.561.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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 442.561.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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 442.561.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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 442.570. The office shall establish a program to enroll interested communities in this program and deposit moneys from the matching funds in the Primary Care Services Fund. In addition, the office shall explore other funding sources including federal grant programs. [1989 c.893 §21; 1991 c.877 §22; 1991 c.947 §4; 2010 c.42 §5; 2013 c.177 §7]
Note:
See note under 442.561.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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 Children’s 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]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 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]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.612 - Definitions.

As used in ORS 442.612 to 442.630:
(1) "Adjust" means to reduce a patient’s cost by a specified percentage.
(2) "Community benefit" has the meaning given that term in ORS 442.601.
(3) "Gross charges" means a hospital’s full, established price for medical care that the hospital consistently and uniformly charges patients before applying any contractual allowance, discounts or deductions.
(4)(a) "Hospital" has the meaning given that term in ORS 442.015, excluding any campus of the Oregon State Hospital, a hospital operated by the United States Department of Veterans Affairs Veterans Health Administration or any other hospital operated by the federal government.
(b) "Hospital" includes only hospitals located in this state.
(5) "Hospital-affiliated clinic" or "affiliated clinic" means a facility located in this state that provides outpatient health services and that is operated under the common control or ownership of a hospital.
(6) "Household" means:
(a)(A) A single individual; or
(B) Spouses, domestic partners, or a parent and child under 18 years of age, living together; and
(b) Other individuals for whom a single individual, spouse, domestic partner or parent is financially responsible.
(7) "Medically necessary" means:
(a) Necessary to prevent, diagnose or treat an illness, injury, condition or disease, or the symptoms of an illness, injury, condition or disease; and
(b) Meeting accepted standards of medicine.
(8) "Nonprofit" means:
(a) Organized not for profit, pursuant to ORS chapter 65 or any predecessor of ORS chapter 65; or
(b) Organized and operated as described under section 501(c) of the Internal Revenue Code as defined in ORS 305.842.
(9) "Patient’s cost" means the portion of charges billed to a patient for care received at a hospital or a hospital-affiliated clinic that are not reimbursed by insurance or a publicly funded health care program, taking into account the requirements of section 501(r)(5) of the Internal Revenue Code that:
(a) Prohibit a nonprofit hospital from billing gross charges; and
(b) Limit amounts charged for emergency or other medically necessary care, to a patient who qualifies under the nonprofit hospital’s financial assistance policy, to no more than amounts generally billed to a patient who has insurance that reimburses all or a portion of the cost of the care.
(10) "Social determinants of health" means the social, economic and environmental conditions in which people are born, grow, work, live and age, shaped by the distribution of money, power and resources at local, national and global levels, institutional bias, discrimination, racism and other factors. [2019 c.497 §1; 2021 c.96 §3]
Note:
See second note under 442.610.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.614 - Requirements for financial assistance policies.

(1) A nonprofit hospital’s written financial assistance policy described in ORS 442.610 must:
(a) Provide for adjusting a patient’s costs as follows:
(A) For a patient whose household income is not more than 200 percent of the federal poverty guidelines, by 100 percent;
(B) For a patient whose household income is more than 200 percent of the federal poverty guidelines and not more than 300 percent of the federal poverty guidelines, by a minimum of 75 percent;
(C) For a patient whose household income is more than 300 percent of the federal poverty guidelines and not more than 350 percent of the federal poverty guidelines, by a minimum of 50 percent; and
(D) For a patient whose household income is more than 350 percent of the federal poverty guidelines and not more than 400 percent of the federal poverty guidelines, by a minimum of 25 percent;
(b) Apply to all of the hospital’s nonprofit affiliated clinics;
(c) Be translated into each language spoken by the lesser of 1,000 people or five percent of the population that resides in the nonprofit hospital’s service area;
(d) Ensure that interpreter services are available to translate the policy into languages other than those described in paragraph (c) of this subsection; and
(e) Apply to all medically necessary services or supplies.
(2)(a) A nonprofit hospital’s written financial assistance policy described in ORS 442.610 may not require a patient to apply for medical assistance, as defined in ORS 414.025, before the patient will be screened for or provided financial assistance.
(b) This subsection does not prohibit a hospital from providing information to patients about their eligibility for medical assistance or assisting patients in applying for medical assistance. [2019 c.497 §2; 2019 c.497 §3; 2021 c.96 §1]
Note:
See second note under 442.610.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.630 - Community health needs assessment and three-year strategy; public participation.

A nonprofit hospital shall post to the hospital’s website the following information regarding its community health needs assessment conducted in accordance with section 501(r)(3) of the Internal Revenue Code:
(1) A description of the health care needs identified in the hospital’s community health needs assessment;
(2) The three-year strategy developed to address the health care needs of the community;
(3) Annual progress on the implementation of the strategy; and
(4) Opportunities for public participation in the assessment and development of the strategy. [2019 c.497 §5]
Note:
See second note under 442.610.
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.700 - Definitions for ORS 442.700 to 442.760.

As used in ORS 442.700 to 442.760:
(1) "Board of governors" means the governors of a cooperative program as described in ORS 442.720.
(2) "Cooperative program" means a program among two or more health care providers for the purpose of providing heart and kidney transplant services including, but not limited to, the sharing, allocation and referral of physicians, patients, personnel, instructional programs, support services, facilities, medical, diagnostic, laboratory or therapeutic services, equipment, devices or supplies, and other services traditionally offered by health care providers.
(3) "Health care provider" means a hospital, physician or entity, a significant part of whose activities consist of providing hospital or physician services in this state. For purposes of the immunities provided by ORS 442.700 to 442.760 and 646.740, "health care provider" includes any officer, director, trustee, employee, or agent of, or any entity under common ownership and control with, a health care provider.
(4) "Hospital" means a hospital, a long term care facility or an ambulatory surgical center, as those terms are defined in ORS 442.015, that is licensed under ORS 441.015 to 441.119 and 441.993. "Hospital" includes community health programs established under ORS 430.610 to 430.695.
(5) "Order" means a decision issued by the Director of the Oregon Health Authority under ORS 442.710 either approving or denying an application for a cooperative program and includes modifications of an original order under ORS 442.730 (3)(b) and ORS 442.740 (1) and (4).
(6) "Party to a cooperative program agreement" or "party" means an entity that enters into the principal agreement to establish a cooperative program and applies for approval under ORS 442.700 to 442.760 and 646.740 and any other entity that, with the approval of the director, becomes a member of a cooperative program.
(7) "Physician" means a physician licensed under ORS chapter 677. [1993 c.769 §3; 2001 c.104 §182; 2007 c.70 §244; 2009 c.595 §755; 2009 c.792 §42; 2011 c.720 §198; 2013 c.129 §32; 2018 c.50 §16]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.705 - Legislative findings; goals.

(1) The Legislative Assembly finds that direct competition among health care providers in the field of heart and kidney transplant services may not result in the most cost efficient and least expensive transplant services for the citizens of this state and that it is in the public interest to allow cooperative programs among health care providers providing heart and kidney transplant services.
(2) The Legislative Assembly declares that, to the extent provided in ORS 442.700 to 442.760, it is the policy and intent of this state to displace competition among health care providers providing heart and kidney transplant services by allowing health care providers to enter into cooperative programs governing the provision of heart and kidney transplant services in order to achieve in each instance the following goals:
(a) Reduction of, or protection against, rising costs of heart and kidney transplant services;
(b) Reduction of, or protection against, rising prices for heart and kidney transplant services;
(c) Improvement or maintenance of the quality of heart and kidney transplant services provided in this state;
(d) Reduction of, or protection against, duplication of resources including, without limitation, expensive medical specialists, medical equipment and sites of service;
(e) Improvement or maintenance of efficiency in the delivery of heart and kidney transplant services;
(f) Improvement or maintenance of public access to heart and kidney transplant services;
(g) Increase in donations of organs for transplantation; and
(h) Improvement in the continuity of patient care.
(3) The Legislative Assembly further declares that the goals identified in subsection (2) of this section represent the policies of this state.
(4) The Legislative Assembly further declares that once a cooperative program is approved under ORS 442.700 to 442.760, there is an interest in insuring stability in the provision of health care services by a cooperative program, to the extent stability is consistent with achieving the goals identified in subsection (2) of this section.
(5) The Director of the Oregon Health Authority shall actively supervise the cooperative program in accordance with authority under ORS 442.700 to 442.760 and 646.740. [1993 c.769 §1; 2009 c.595 §756]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.715 - Authorized practices under approved cooperative program.

(1) To the extent permitted by an order issued under ORS 442.710, health care providers providing heart and kidney transplant services through a cooperative program approved under ORS 442.700 to 442.760 may engage in the following practices in order to achieve the goals described in ORS 442.705 (2):
(a) Set prices for heart and kidney transplants and all services directly related to heart and kidney transplants;
(b) Refuse to deal with competitors in the heart and kidney transplant market;
(c) Allocate product, service, geographic and patient markets directly relating to heart and kidney transplants;
(d) Acquire and maintain a monopoly in heart and kidney transplant services; and
(e) Engage in other activities that might give rise to liability under ORS 646.705 to 646.836 or federal antitrust laws.
(2) To the extent permitted by an order issued under ORS 442.710 and in addition to the provisions of subsection (1) of this section, physicians participating in a cooperative program may agree among themselves on referrals of nontransplant cardiac surgeries to the extent necessary to achieve redistribution of the cardiac surgery cases among participating surgeons.
(3) The Legislative Assembly intends that all persons arranging or participating in a cooperative program approved and conducted in accordance with an order issued under ORS 442.710 and all persons participating in good faith negotiations conducted pursuant to ORS 442.750 shall:
(a) Not be subject to the provisions of ORS 646.705 to 646.836 so long as the activities of the cooperative program are regulated, lawful and approved in accordance with ORS 442.700 to 442.760 and 646.740; and
(b) Receive the full benefit of state action immunity under federal antitrust laws. [1993 c.769 §2]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.720 - Board of governors for cooperative program.

(1) If the Director of the Oregon Health Authority issues an order approving an application for a cooperative program under ORS 442.710, the director shall establish a board of governors to govern the cooperative program. The board of governors shall not constitute, for any purpose, a governmental agency.
(2) The board of governors shall consist of the president or other chief executive officer of each health care provider that is a party to the cooperative program agreement and the director or a designee of the director. The designee shall serve at the pleasure of the director. The designee shall not have any economic or other interest in any of the health care providers associated with the cooperative program.
(3) In governing the cooperative program, the board of governors shall develop policy and approve budgets for the implementation of the cooperative program.
(4) The director or designee of the director may reject any operating or capital budget of the cooperative program upon a finding by the director that the budget is not consistent with the goals listed in ORS 442.705 (2) that the cooperative program is expected to achieve. [1993 c.769 §5; 2009 c.595 §758]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.725 - Annual report of board of governors.

Not later than 60 days following each anniversary date of the approval of a cooperative program by the Director of the Oregon Health Authority, the board of governors of the cooperative program shall deliver an annual report to the director. The report shall specifically describe:
(1) How heart and kidney transplant services and related services of the cooperative program are being provided in accordance with the order;
(2) Which of the goals identified in the order are being achieved and to what extent; and
(3) Any substantial changes in the cooperative program. [1993 c.769 §6; 2009 c.595 §759]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.730 - Review and evaluation of report; modification or revocation of order of approval.

(1) The Director of the Oregon Health Authority shall review and evaluate the annual report delivered under ORS 442.725. The director shall:
(a) Determine the extent to which the cooperative program is achieving the goals identified in the order;
(b) Review the activities being conducted to achieve the goals; and
(c) Determine whether each of the activities is still necessary and appropriate to achieve the goals.
(2) If the director determines that additional information is needed for the review described in subsection (1) of this section, the director may order the board of governors to provide the information within a specified time.
(3) Within 60 days after receiving the annual report or any additional information ordered under subsection (2) of this section, the director shall:
(a) Approve the report if the director determines that the cooperative program is operating in accordance with the order and that the goals identified in the order are being adequately achieved by the cooperative program;
(b) Modify the order as appropriate to adjust to changes in the cooperative program approved by the director and approve the report as provided in paragraph (a) of this subsection;
(c) Order the board of governors to make remedial changes in anticompetitive activities not in compliance with the order and request the board of governors to report on progress not later than a deadline specified by the director;
(d) Revoke approval of the cooperative program; or
(e) Take any of the actions set forth in ORS 442.740. [1993 c.769 §7; 2009 c.595 §760]
2023 Oregon Revised Statutes › Volume : 12 - Public Health › Chapter 442 - Health Planning › Section 442.735 - Complaint procedure.

(1) Any person may file a complaint with the Director of the Oregon Health Authority requesting that a specific decision or action of a cooperative program supervised by the director be reversed or modified, or that approval for all or part of the activities permitted by the order be suspended or terminated. The complaint shall allege the reasons for the requested action and shall include any evidence relating to the complaint.
(2) The director on the director’s own initiative may at any time request information from the board of governors concerning the activities of the cooperative program to determine whether the cooperative program is in compliance with the order. [1993 c.769 §8; 2009 c.595 §761]