Oregon State Policy

 

OPCA is a strong voice in Salem for Oregon's community health centers.

We've influenced policy that rewards clinics for adopting the patient-centered medical home model, ensures prenatal care coverage for all women in Oregon and monitors Coordinated Care Organizations.  To ensure a sound future for your health center and its patients, subscribe to our Legislative Update and join us when we meet with your legislators.

 
OPCA State Policy Director
 
Laura Etherton
503-228-8852, x238

OPCA's Six-Part State Policy Platform for 2015

Here's the detailed version of our platform.

 

  • Require Affordable Care Act Grandfathered Insurance Plans to Pay in Full for all Prevention Screenings

Grandfathered plans are those that were in existence on March 23, 2013 and haven’t been changed in ways that substantially cut benefits or increase costs for consumers. This bill requires the Oregon Insurance Division to develop rules to require all insurance companies to pay in full for all prevention screenings.

  • Timely Access to Specialty Dental Care

This bill will require every health plan in Oregon to provide timely access to specialty dental services.

  • Streamline Oral Health Referrals

This bill authorizes dentists to refer directly to specialists for soft tissue abnormalities and would prohibit managed care organizations and dental care organizations from requiring a referral first to a primary care physician. 

  • Payments for Multiple Services on the Same Day for Health Centers

Presently, community health centers do not receive compensation for behavioral health services delivered on the same day as medical services. This bill authorizes payment for same-day behavioral health visits.

  • Coordinated Care Organization (CCO) Patient Assignment to Dental Care Organizations (DCOs), Primary Care Physicians and Mental Health Organizations (MHOs)

Patients have a difficult time continuing care with their providers when they enter a CCO, DCO or MHO. This bill is the permanent fix to the current temporary fix: the “current provider” field on the Fast-Track Enrollment form.

  • Retirement Plan for Providers

This bill directs the Oregon Health Authority to study the issue of whether pension plans would be a useful recruitment and retention tool, and if they are, identify options to establish pension plans for a select number of primary care providers in locations where it is particularly difficult to recruit and retain providers. 

2015 State Legislative Session

The next Oregon legislative session will begin in February 2015. The 2015 session will be a "full session," limited to 160 days.

Legislative committees will hold interim meetings before the 2015 session kicks off.  Check the Oregon Legislature's website for updated information on the schedule. 

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Source documents and websites of interest:

CCO Administrative Rules

Waiver from the Centers for Medicare & Medicaid Services

(giving Oregon federal permission to create CCOs)

Oregon Health Authority's CCO Fact Sheet

Oregon Health Authority's CCO Resource Page

 

 

Former CMS director Dr. Don Berwick speaks about the need to achieve health equity in order to realize the health care triple aim. He cites Oregon as a national leader in health care reform.

 

 

 

Want to turn your state legislators into state health center champions?

Invite them to tour your clinic.  Give them the chance to discover your incredible value by speaking one-on-one with patients, staff and board members. 

It's the #1 way to get your legislators fighting for health centers in Salem.

Contact Victoria Demchak at OPCA for help arranging your tour, copies of tour do's and don'ts, and informative handouts for state senators and representatives.