OR HB2213

Oregon Health Authority must establish a minimum medical loss ratio of 85% for coordinated care organizations (CCOs), requiring CCOs to spend at least 85% of their global budget on health care services, quality improvement, and fraud prevention activities

Medical loss ratio requirements must be prescribed by OHA rule and be consistent with federal law

Dental care organizations that provide services to CCO members are exempt from the 85% minimum medical loss ratio requirement

Applies to CCO contracts with the Oregon Health Authority that are entered into, amended, or renewed on or after the effective date of the act