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HB 4028

Oregon - Session 2026R1

House in_committee 2026-02-19
Bill Details

Title: Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers.

Summary

<b>Digest: The Act limits how insurers, OHA and CCOs may conduct audits. The Act adds new information that some carriers must report to DCBS. (Flesch Readability Score: 62.7).</b> [<i>Digest: The Act limits how insurers, OHA and CCOs may conduct audits. The Act adds new information that some carriers must report to DCBS. The Act takes effect 91 days after session ends. (Flesch Readability Score: 66.4).</i>] Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers. Becomes operative on January 1, 2027. Adds information that certain carriers must annually report to the Department of Consumer and Business Services regarding compliance with behavioral health parity requirements. [<i>Takes effect on the 91st day following adjournment sine die.</i>].

Sponsor
Darin Harbick
Official Source Back to Bills
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Actions Timeline
Date Event Detail
2026-02-02 Introduced Bill introduced
2026-02-19 Status in_committee
2026-02-19 Latest Action Referred to Health Care.
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