2017 ORS 743A.048¹
Services provided by psychologist

Whenever any provision of any individual or group health insurance policy or contract provides for payment or reimbursement for any service which is within the lawful scope of a psychologist licensed under ORS 675.010 (Definitions for ORS 675.010 to 675.150) to 675.150 (Enforcement procedures):

(1) The insured under such policy or contract shall be free to select, and shall have direct access to, a psychologist licensed under ORS 675.010 (Definitions for ORS 675.010 to 675.150) to 675.150 (Enforcement procedures), without supervision or referral by a physician or another health practitioner, and wherever such psychologist is authorized to practice.

(2) The insured under such policy or contract shall be entitled to have payment or reimbursement made to the insured or on the insured’s behalf for the services performed. Such payment or reimbursement shall be in accordance with the benefits provided in the policy and shall be the same whether performed by a physician or a psychologist licensed under ORS 675.010 (Definitions for ORS 675.010 to 675.150) to 675.150 (Enforcement procedures). [Formerly 743.709]

(formerly 743.709)

Notes of Decisions

Health insurer’s utiliza­tion review require­ments for mental health service requiring pre-authoriza­tion of treat­ment and use of affiliated psychologists did not violate this sec­tion because these practices are specifically authorized in [former] ORS 743.556. Oregon Psychological Assn. v. Physicians Assn., 108 Or App 541, 816 P2d 686 (1991)

1 Legislative Counsel Committee, CHAPTER 743A—Health Insurance: Reimbursement of Claims, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ors743A.­html (2017) (last ac­cessed Mar. 30, 2018).
 
2 Legislative Counsel Committee, Annotations to the Oregon Revised Stat­utes, Cumulative Supplement - 2017, Chapter 743A, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ano743A.­html (2017) (last ac­cessed Mar. 30, 2018).
 
3 OregonLaws.org assembles these lists by analyzing references between Sections. Each listed item refers back to the current Section in its own text. The result reveals relationships in the code that may not have otherwise been apparent.