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This page contains notices of proposed rulemaking by the Insurance Division. For each rulemaking, you will find the hearing date (if any) and the deadline for comment, as well as the notice of hearing and the text of the proposal.
Pending rulemaking includes: |
| Proposed Permanent rules Removes Adult Gender Identity Disorder Treatment Exclusion from Required Coverage of Mental or Nervous Conditions |
| This rulemaking amends rules adopted by the Department of Consumer and Business Services (DCBS) in 2006 related to mandatory coverage of mental and nervous conditions. Currently the rules allow carriers to exclude treatment of gender identity disorder in adults over the age of 18. With the passage of Senate Bill 2 in 2007, the stated public policy of the state prohibits discrimination on the basis of gender identity. This exclusion violates that prohibition and must be removed from the Department's rules. The rules also amend references in the rules to pertinent statutes renumbered in 2007. |
| Filed: |
April 15, 2013 |
Last Day for
Public Comment: |
June 7, 2013; 5:00 PM |
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| Proposed Permanent rules relating to Requirements for bronze and silver health plans for individuals and small business groups in Oregon |
This proposed rule establishes the form, level of coverage and benefit design requirements for the standard bronze and silver health benefit plans. The requirements ensure that the bronze plan is actuarially equivalent to 60 percent of the full actuarial value of benefits included in Oregon's essential health benefits package adopted by the United States Secretary of Health and Human Services pursuant to 42 U.S.C. 18022(a).
The requirements ensure that the silver plan is actuarially equivalent to 70 percent of the full actuarial value of benefits included in Oregon's essential health benefits package adopted by the United States Secretary of Health and Human Services pursuant to 42 U.S.C. 18022(a) .
After January 1, 2014, as a condition to transacting insurance in Oregon a health insurer must offer a bronze and silver plan inside and outside the Oregon Health Insurance Exchange. |
| Filed: |
October 12, 2012 |
Last Day for
Public Comment: |
Extended to January 31, 2013 |
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| Proposed Adopting of Rules Clarifying Law to Prohibit Separate Cost Sharing for Mandates When Not Otherwise Permitted By Law - (Rule not adopted at this time) |
| This rule clarifies the requirements for insurers to provide coverage of mandated benefits without separate cost sharing, treatment limitations, limits on total payments or any other restrictions such as deductibles, copayments, coinsurance and visit limits for mandated services under ORS chapter 743A unless otherwise allowed by law. |
| Filed: |
October 14, 2010 |
Last Day for
Public Comment: |
December 17, 2010 |
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