HB 3725
Modifies requirements for certain claims processes for health care providers and insurers.
Jurisdiction
Oregon
Session
2025 Regular Session
Committee
Behavioral Health and Health Care
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Sign in to take action- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill makes changes to the claims process for health care providers and insurers, particularly focusing on behavioral health care services. It modifies requirements for utilization review, reporting, and information provided by insurers to behavioral health providers. The bill also adds a representative of behavioral health care providers to the Health Insurance Exchange Advisory Committee and establishes a Mental Health Parity Ombudsman within the Department of Consumer and Business Services. An emergency declaration allows the bill to take effect immediately upon passage.
Key provisions
- Modifies requirements for claims refunds, including specifying a 30-month deadline for requests and requiring identification of other insurers involved.
- Requires behavioral health insurers to report yearly data to the Department of Consumer and Business Services.
- Establishes a new Mental Health Parity Ombudsman within the Department of Consumer and Business Services.
- Adds a representative from the behavioral health care provider community to the Health Insurance Exchange Advisory Committee.
- Updates Oregon Revised Statute 743A.168 to include specific requirements for behavioral health coverage parity.
- Mandates that insurers provide a behavioral health assessment as part of the treatment process.
- Requires insurers to use the same reimbursement rates for behavioral health as for medical and surgical services.
- Establishes an emergency declaration, allowing the bill to take effect immediately.
Who is affected
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