ORS 735.520
Oregon Essential Workforce Health Care Program

  • supplemental payments to eligible employers
  • requirements for participation
  • rules

(1)

As used in this section:

(a)

“Eligible employer” means an operator of a facility that:

(A)

Is a participating provider in the state medical assistance program;

(B)

Elects to participate in the Oregon Essential Workforce Health Care Program; and

(C)

Meets other requirements prescribed by the Oregon Health Authority by rule.

(b)

“Facility” includes:

(A)

A long term care facility licensed under ORS 441.020 (Application);

(B)

A residential facility as defined in ORS 443.400 (Definitions for ORS 443.400 to 443.455); and

(C)

An in-home care agency licensed under ORS 443.315 (License required).

(2)

The Oregon Essential Workforce Health Care Program is established in the Oregon Health Authority. The authority, in coordination with the Department of Human Services, shall provide supplemental payments, as approved by the Centers for Medicare and Medicaid Services, to eligible employers to be used by the eligible employers to provide health care benefits to the employees of their facilities.

(3)

To participate in the program, an eligible employer shall:

(a)

Enter into a memorandum of understanding with the authority that specifies how the supplemental payments will be used;

(b)

Agree to participate in evidence-based workforce and quality of care improvements; and

(c)

Annually report quality and other metrics.

(4)

The authority, in coordination with the department, may adopt rules to carry out the provisions of this section. [2021 c.595 §1]
Note: 735.520 (Oregon Essential Workforce Health Care Program) becomes operative upon receipt of approval from the Centers for Medicare and Medicaid Services. See section 4, chapter 595, Oregon Laws 2021.
Note: 735.520 (Oregon Essential Workforce Health Care Program) was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 735 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
Note: Section 3, chapter 595, Oregon Laws 2021, provides:
Sec. 3. (1) The Oregon Health Authority shall seek approval from the Centers for Medicare and Medicaid Services to make the supplemental payments to eligible employers under section 1 of this 2021 Act [735.520 (Oregon Essential Workforce Health Care Program)].

(2)

The authority shall notify the Legislative Counsel upon receipt of the approval or denial of approval by the Centers for Medicare and Medicaid Services under subsection (1) of this section. [2021 c.595 §3]

Source: Section 735.520 — Oregon Essential Workforce Health Care Program; supplemental payments to eligible employers; requirements for participation; rules, https://www.­oregonlegislature.­gov/bills_laws/ors/ors735.­html.

735.005
Definitions for ORS 735.005 to 735.145 735.015
Purpose 735.025
Construction 735.035
Application 735.045
Oregon FAIR Plan Association 735.055
Association board of directors 735.065
Required association functions 735.075
Discretionary association functions 735.085
Plan of operation 735.095
Contents of plan of operation 735.105
Regulation of association as insurer 735.115
Exemption of association from fees and taxes 735.145
Immunity from legal action in carrying out duties 735.150
Definitions for ORS 735.150 to 735.190 735.152
Application of laws 735.154
Rules 735.156
Confidentiality of documents and materials 735.158
Certificate of authority 735.160
Business name 735.162
Capital and surplus requirements 735.164
Incorporation of pure captive insurer and association captive insurer 735.166
Investment requirements for association captive insurer 735.168
Allowable risks for captive insurer 735.170
Rating organization 735.172
Reporting 735.174
Examination 735.176
Compliance with sound actuarial principles 735.178
Suspension or revocation of certificate of authority 735.180
Branch captive insurer as pure captive insurer 735.182
Examination of branch captive insurer and alien captive insurer 735.184
Requirements for foreign captive insurer to provide insurance in this state 735.186
Management of assets of captive reinsurer 735.188
Application of captive reinsurer for certificate of authority 735.190
Incorporation of captive reinsurer 735.200
Legislative findings 735.205
Definitions for ORS 735.200 to 735.260 735.210
Formation of market assistance plans 735.215
Findings prior to formation of joint underwriting association 735.220
Formation of joint underwriting association 735.225
Membership in joint underwriting association 735.230
Rates 735.235
Board of directors 735.240
Annual statement 735.245
Conditions for policyholder surcharge 735.250
Exemption from liability 735.255
State not liable to pay debts of association 735.260
Rules 735.265
Liquor liability insurance risk and rate classifications 735.300
Purpose of ORS 735.300 to 735.365 735.305
Definitions for ORS 735.300 to 735.365 735.310
Qualifications for risk retention group 735.315
Foreign risk retention groups 735.320
Relationship to insurance guaranty fund and joint underwriting association 735.325
Exemption of purchasing groups from certain laws 735.330
Purchasing groups 735.335
Purchase of insurance by purchasing group 735.340
Insurance Code enforcement authority subject to federal law 735.345
Violation of 735.300 to 735.365 735.350
Agent or broker 735.355
Court orders enforceable in Oregon 735.360
Rules 735.365
Short title 735.400
Purposes of ORS 735.400 to 735.495 735.405
Definitions for ORS 735.400 to 735.495 735.406
Cost of living adjustment to net worth, revenues and expenses of exempt commercial purchasers 735.410
Conditions for procuring insurance through nonadmitted insurer 735.415
Qualifications for placement of coverage with nonadmitted insurer 735.417
Insured required to report and pay taxes on independently procured insurance covering Oregon home state risks 735.418
Director authorized to enter into interstate compact for premium tax allocation 735.420
Declaration of ineligibility of surplus lines insurer 735.425
Filing by licensee after placement of surplus lines insurance 735.430
Surplus Line Association of Oregon 735.435
Evidence of insurance 735.440
Validity of contracts 735.445
Effect of payment of premium to surplus lines licensee 735.450
Requirements for license as surplus lines insurance licensee 735.455
Authority of licensee 735.460
Records of licensee 735.465
Monthly reports 735.470
Premium tax 735.475
Suit to recover unpaid tax 735.480
Suspension or revocation of license 735.485
Actions against surplus lines insurer 735.490
Jurisdiction in action against insurer 735.492
Application of certain Insurance Code provisions to surplus lines insurers 735.495
Short title 735.500
Requirements for certification as retainer medical practice 735.510
Notice to department of specified changes to practice 735.515
Charges for services not covered by contract 735.520
Oregon Essential Workforce Health Care Program 735.530
Definitions for ORS 735.530 to 735.552 735.532
Registration of pharmacy benefit managers 735.533
Denial, suspension or revocation of registration as pharmacy benefit manager 735.534
Claim reimbursement 735.536
Requirements for pharmacy benefit manager’s reimbursement for cost of drugs 735.540
Definitions for ORS 735.540 to 735.552 735.542
Pharmacy claims audits 735.544
Pharmacy claims audits 735.546
Pharmacy claims audits 735.548
Pharmacy claims audits 735.550
Pharmacy claims audits 735.552
Pharmacy claims audits
Green check means up to date. Up to date

Current through early 2024

§ 735.520’s source at oregon​.gov