Oregon — Draft 2023 filing deadlines for issuers selling health benefit and pediatric dental plans: Based on the Center for Medicaid and Medicare Services’ (CMS) deadline for final plan data submission for 2023 plans, the Division of Financial Regulation (DFR) has prepared the following draft timeline for submission of 2023 form, rate, and binder filings. The filing deadlines apply to health benefit plans and exchange certified pediatric dental plans offered on-exchange and off-exchange. Dental products that will not be exchange certified are not required to follow this timeline.
DFR is providing these preliminary deadlines for planning purposes, but issuers are advised that we are still awaiting final federal due dates for 2023 plans. We will respond and adjust to changes in federal due dates as necessary.
Visit our Health Filing Requirements page for more information:
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● Rates & Forms New Developments
Oregon — Health Care Providers and Facilities: The Oregon Division of Financial Regulation has issued a bulletin regarding federal No Surprises Act (NSA) health care provider, health care facility, and air ambulance provider requirements.
The purpose of this bulletin is to provide information on requirements in the federal No Surprises Act that apply to health care providers and facilities and providers of air ambulance services starting Jan. 1, 2022. The division is providing this information to educate stakeholders about new protections applicable to consumers in Oregon.
Click here to review this bulletin: https://dfr.oregon.gov/laws-rules/Documents/Bulletins/bulletin2022-01.pdf
Washington — Kreidler requests legislation to enhance surprise billing protections: Insurance Commissioner Mike Kreidler is requesting legislation to align Washington state’s recent Balance Billing Protection Act with the new federal No Surprises Act that took effect on Jan. 1, 2022. House Bill 1688 has bipartisan support and was heard before the House Health Care and Wellness Committee earlier today.
“We heard so many heartbreaking stories from consumers about their battles with surprise medical bills,” said Commissioner Kreidler. “I’m incredibly proud of the bipartisan law we created and that the federal government followed in our footsteps. Now, we need to make sure the two laws work together and provide clear protections and direction for everyone involved.”
“I’m very grateful to Rep. Eileen Cody, D-Seattle and Rep. Joe Schmick, R-Colfax for their leadership on this issue.”
The federal No Surprises Act extends surprise billing protections to all consumers, including people with self-funded health plans and federal employees. It also expands the types of services that cannot be subject to surprise billing.
Congress gave those states with strong surprise billing protections, including Washington, added flexibility in how they aligned the new federal law with state protections.
House Bill 1688 protects consumers from balance billing for a broader set of health services, including behavioral health emergencies that occur outside of a hospital emergency room, including crisis triage and the services of mobile crisis response teams. It also prohibits health insurers or medical providers from asking someone to waive these protections.