On Mar. 5, ORE LEG passed bill to stop plan restrictions on enrollees.
ORE LEG passed HB4012, reimbursement of clinician-administered prescription drugs.
Creates new provisions, amends ORS health insurance lawsORE INS 750.055 (health care service contractors) and ORE INS 750.333 (notice of coverage of health plans).
Bill Provisions
Restricts health benefit plans, multiple employer welfare arrangements and contractors from requiring individuals to obtain their medications from certain pharmacies, chains.
Including demanding individuals only use pharmacies participating in the benefit plan.
Cannot limit or deny coverage of prescriptions based on enrollee's choice of pharmacy.
Require physician in network bill or to be reimbursed for prescriptions as a pharmacy benefit instead of as a medical benefit unless consented by enrollee or as stipulated.
Applies to health benefit plans, health care service contract, multiple employer welfare arrangements issued, renewed or extended on or after effective date of enacted bill.
Legislative History
On Feb. 5, 2024, bill introduced in House; on Feb. 22, 2024, bill passed in the House.
On Feb. 22, 2024, bill introduced in Senate; on Mar. 5, 2024, bill passed in the Senate.
Effectiveness
Act of the legislature takes effect on Jan. 1 of the year after its passage.
Mar. 2024 ORE LEG Governor Approval
On Mar. 28, 2024, ORE LEG bill assigned Chapter 24, after Mar. 27 governor signature.
Document dated Mar. 28, 2024, was added on Apr. 19, 2024 due to editorial backfill.
Effective Jan. 1, 2025.
Regulators
ORE LEG
Entity Types
CNSM; Ins
Reference
Ch. 24, 3/28/2024; Bill HB 4012, 3/5/2024; Citation: ORE INS 750;
