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OR HB3517
Bill
Status
6/27/2025
Primary Sponsor
Thuy Tran
Click for details
AI Summary
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Health insurance policies and health care service contracts that cover bariatric surgery and nutrition counseling must also cover diagnosis and treatment of obesity as a chronic disease, including intensive behavioral/lifestyle treatment, metabolic and bariatric surgery, and FDA-approved obesity medications
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Coverage requirements apply to Oregon Health Plan (Medicaid) recipients through coordinated care organizations, Public Employees' Benefit Board (PEBB) plans, and Oregon Educators Benefit Board (OEBB) plans
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Obesity medications must be covered consistent with FDA-approved indications, and coverage restrictions cannot be more restrictive than those applied to other health benefits under the policy
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Intensive behavioral and lifestyle treatment may be provided in-office, in community settings, or via telemedicine, and may include CDC-certified or recognized interventions
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Effective dates: January 1, 2026 for PEBB and OEBB plans; January 1, 2027 for private insurance policies and Oregon Health Plan medical assistance
Legislative Description
Relating to obesity treatments.
Last Action
In committee upon adjournment.
6/27/2025