HB 3923
Requires the Oregon Health Authority to approve the transfer of 500 or more members of a coordinated care organization or dental care organization if the transfer meets specified conditions, unless the transfer diminishes patient care.
Jurisdiction
Oregon
Session
2025 Regular Session
Committee
Behavioral Health and Health Care
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Sign in to take actionPublic sentiment
Support
100%
Oppose
0%
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill requires the Oregon Health Authority to approve the transfer of at least 500 members from one coordinated care organization or dental care organization to another, provided the transfer doesn’t negatively impact patient care. The transfer must meet specific conditions, including provider contracts and member choice. The bill also outlines a process for evaluating receiving organizations and provides notice to affected members before a transfer occurs, with protections for providers if the transfer is due to just cause.
Key provisions
- The Oregon Health Authority must approve transfers of 500 or more members from one CCO or DCO to another.
- Transfers must not diminish patient care.
- Transferring providers must contract with the receiving organization.
- Members must be offered the choice to remain with their current provider.
- The receiving organization must meet criteria established by the authority.
- Affected members must receive at least 90 days’ notice of the transfer.
- Transfers due to a provider’s contract termination for ‘just cause’ are prohibited.
- Providers facing denied transfers have the right to an expedited contested case hearing.
Who is affected
- Coordinated Care Organizations (CCOs)
- Dental Care Organizations (DCOs)
- Patients receiving care through CCOs and DCOs
- Healthcare Providers contracted with CCOs and DCOs
- The Oregon Health Authority
Notable changes
Arguments in favor
Reasons to support this legislation.
Supporters of House Bill 3923 believe that the legislation is crucial for maintaining continuity of care and patient choice, particularly for vulnerable populations. They argue that the bill's provisions would allow dental providers to contact their existing patients to advise them of changes in their care, thereby protecting the rights of OHA providers and patients from interference with communication by GAG orders. Additionally, supporters see the bill as a necessary reform to address the failures of Oregon's managed care dental system, which they claim has led to low rates, lack of participation from dentists, and devastating impacts on independent practices. By supporting HB3923, proponents aim to ensure that patients are not stripped away from their chosen providers without cause, preserving continuity of care and promoting a more patient-centered approach.
Source: Testimony Summaries
Arguments opposed
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