OR HB2011

Prohibits health insurers and pharmacy benefit managers (PBMs) from denying or restricting coverage of physician-administered prescription drugs obtained by in-network providers from out-of-network pharmacies

Defines restricted practices to include refusing authorization, imposing different coverage conditions, paying lower reimbursement rates, or charging higher copays/out-of-pocket costs compared to drugs from in-network pharmacies

Requires covered drugs to be medically necessary and meet federal supply chain security and distribution requirements; excludes vaccines from the definition of physician-administered drugs

Prohibits medical necessity criteria from being based on the location of the health care provider administering the drug

Designates violations as unlawful trade practices under ORS 646.608, while allowing insurers to establish centers of excellence based on nationally recognized quality measures