HB 4136

Abstract

Requires coordinated care organizations to annually report to Oregon Health Authority specified financial information. Requires authority to collaborate with coordinated care organizations to develop plan for full implementation of alternative payment methodologies and to develop metrics for investments in social determinants of health. Requires authority to develop plan to reimburse costs of at least 85 percent of services using alternative payment methodologies. Requires authority to establish structure for collaboration between coordinated care organizations and community mental health programs in each geographical region to improve coordination of behavioral health services. Repeals sunset on Central Oregon Health Council. Requires expenditure of portion of coordinated care organization's annual net income or reserves on services designed to address health disparities and social determinants of health. Modifies composition of coordinated care organization governing body.