Loading chat...

OR SB61

Bill

Status

Failed

6/27/2025

Primary Sponsor

Cedric Hayden

Click for details

Origin

Senate

2025 Legislative Measures

AI Summary

  • Prohibits Oregon Health Authority from recovering Medicaid reimbursements when providers submit documentation verifying patient visits occurred or services were provided, including treatment plans, clinical assessments, progress notes, patient attestations, referrals, or prescriptions

  • Limits recovery for behavioral health billing code errors to only the difference between the amount paid and the correct reimbursement amount

  • Prohibits extrapolating error rates from sample audits to a provider's full claims unless a second sample of at least 15% of claims confirms a consistent error rate

  • Applies retroactively to audits of claims for services provided on or after January 1, 2019, if not yet fully adjudicated through administrative or judicial processes

  • Declares an emergency, making the act effective immediately upon passage

Legislative Description

Relating to medical assistance provider audits; declaring an emergency.

Last Action

In committee upon adjournment.

6/27/2025

Committee Referrals

Health Care1/17/2025

Full Bill Text

No bill text available