Oregon 2023 Regular Session

Oregon Senate Bill SB1046

Introduced
2/27/23  
Refer
3/1/23  
Refer
3/31/23  
Refer
3/31/23  

Caption

Relating to provider networks.

Impact

The implementation of SB 1046 is set to amend existing statutes related to network adequacy, compelling carriers to develop robust provider networks capable of meeting varied enrollee needs. This could particularly benefit low-income and underserved communities by mandating service access in designated areas. The Department of Consumer and Business Services is charged with crafting rules and standards to evaluate the networks' adequacy, which might add a layer of oversight and compliance for health plans operating in the state.

Summary

Senate Bill 1046, aiming to enhance healthcare access in Oregon, expands network adequacy requirements for health benefit plans offered to large employers. It mandates that health benefit plans assure sufficient geographical distribution and numbers of providers, thereby ensuring that all covered services, including mental health and substance use disorder treatments, are timely accessible to enrollees. Additionally, the bill allows the use of telemedicine providers to meet these network adequacy standards, reinforcing the role of remote healthcare in the state's medical system.

Sentiment

The sentiment around SB 1046 generally leans positive among healthcare advocates who perceive it as a significant step toward addressing provider shortages and improving patient access to necessary healthcare services. Supporters highlight the importance of telemedicine integrations in the bill, especially in the face of ongoing public health challenges. However, there are concerns from some provider groups about the possible strains on resources and the feasibility of rapidly expanding health networks as mandated by the bill.

Contention

Notable points of contention include the potential logistical challenges for insurers and healthcare providers in complying with the expanded network adequacy requirements. Critics argue that the anticipated changes may overburden existing systems, necessitating further investments that could be cumbersome for smaller providers. Additionally, there are discussions on whether telemedicine adequately fulfills the 'in-person' aspect of care when crucial physical examinations are needed, thus shadowing some of the bill's positive highlights.

Companion Bills

No companion bills found.

Previously Filed As

OR SB822

Relating to provider networks.

OR HB2942

Relating to reimbursement of pharmacy services; and prescribing an effective date.

OR SB00433

An Act Concerning Standards And Requirements For Health Carriers' Provider Networks And Contracts Between Health Carriers And Participating Providers.

OR SB1137

Relating to autologous breast reconstruction.

OR SB193

Provides relative to the adequacy of networks utilized by health insurance issuers for the provision of health care services. (8/1/16)

OR HB3725

Relating to health care; declaring an emergency.

OR HF1677

Insurance; network adequacy provided, and report required.

OR HB3270

Relating to preferred provider and exclusive provider network regulations; providing administrative sanctions and penalties.

OR HB5395

NETWORK ADEQUACY-STANDARDS

OR SF1491

Health insurance network adequacy establishment

Similar Bills

OR SB822

Relating to provider networks.

NJ A5757

Extends certain pay parity regarding telemedicine and telehealth for one year.

NJ S4127

Extends certain pay parity regarding telemedicine and telehealth for one year.

NJ A2193

Revises emergency care services referral standards for providers of telemedicine and telehealth.

NJ S3855

Revises reimbursement payments for providers using telemedicine and telehealth.

NJ A1016

Revises emergency care services referral standards for providers of telemedicine and telehealth.

NJ S914

Revises requirements for health insurers to cover telemedicine and telehealth; requires telemedicine and telehealth systems to include accessible communication features for individuals with disabilities.

NJ S846

Revises requirements for health insurers to cover telemedicine and telehealth; requires telemedicine and telehealth systems to include accessible communication features for individuals with disabilities.