2025 Oregon Revised Statutes
Volume : 18 - Financial Institutions, Insurance
Chapter 741 - Health Insurance Exchange
Section 741.340 - Health benefit plans offered through exchange.
The Oregon Health Authority, in developing and offering the health benefit package required by ORS 413.011 (1)(j), may not establish policies or procedures that discourage insurers from offering more comprehensive health benefit plans that provide greater consumer choice at a higher cost. The health benefit package approved by the Oregon Health Policy Board shall:
(1) Promote the provision of services through an integrated health home model that reduces unnecessary hospitalizations and emergency department visits.
(2) Require little or no cost sharing for evidence-based preventive care and services, such as care and services that have been shown to prevent acute exacerbations of disease symptoms in individuals with chronic illnesses.
(3) Create incentives for individuals to actively participate in their own health care and to maintain or improve their health status.
(4) Require a greater contribution by an enrollee to the cost of elective or discretionary health services.
(5) Include a defined set of health care services that are affordable, financially sustainable and based upon the prioritized list of health services developed and updated by the Health Evidence Review Commission under ORS 414.690. [Formerly 413.064]
