Around the PIA Western Alliance States – Week of December 16, 2024
Published December 16, 2024 at 8:30 AM · News Releases and Bulletins
Oregon — The Oregon Division of Financial Regulation recently announced the following permanent rulemaking Prosthetic and Orthotic Devices: ID 36-2024: List of Prosthetic and Orthotic Devices under Oregon SB 797 (2023)
AMEND (Not Repeal): 836-052-1000
Rule Summary: Establishes and updates list of prosthetic and orthotic devices; prohibits internal or separate limits or
caps on prosthetic and orthotic devices, other than the lifetime policy maximum, when permitted by law; defines when
coverage for prosthetic and orthotic device is provided through a managed care organization.
Filed: November 8, 2024
Effective: January 1, 2025
Oregon — The Oregon Division of Financial Regulation recently announced the following permanent rulemaking Insulin cost-sharing: ID 38-2024: Repeal the adjustment of insulin cost-sharing rule
Repealed: 836-053-0025
Rule Summary: Repealing the regulation of the insulin co-pay amount for health benefit plans for the state of Oregon
as a result of Senate Bill 1508 (2024).
Filed: November 26, 2024
Effective: January 1, 2025
Oregon — The Oregon Division of Financial Regulation recently announced the following permanent rulemaking Prosthetic and Orthotic list: ID 36-2024: List of Prosthetic and Orthotic Devices under Oregon SB 797 (2023)
Repealed: 836-052-1000
Rule Summary: Establishes and updates list of prosthetic and orthotic devices; prohibits internal or separate limits or
caps on prosthetic and orthotic devices, other than the lifetime policy maximum, when permitted by law; defines when
coverage for prosthetic and orthotic device is provided through a managed care organization.
Filed: November 8, 2024
Effective: January 1, 2025
Oregon — The Oregon Division of Financial Regulation recently announced the following permanent rulemaking out of network reimbursement: ID 37-2024: Repealing rules for calculating out-of-network provider reimbursement rates and prevent enrollee balance billing
Repealed: 836-053-1600, 836-053-1605, 836-053-1610, 836-053-1615
Rule Summary: Repealed because the statutory authority for their enactment expired January 2, 2022.
Filed: November 8, 2024
Effective: December 1, 2024