Current Rulemakings
Proposed Permanent Rulemakings
Health Policy & Analytics has filed notice with the Secretary of State to amend rules related to Critical Access Pharmacies, as they specifically relate to the ArrayRx Program. Please consult the notice for more information:
431-121 April 2024 Notice of Proposed Rulemaking
Health Policy & Analytics has filed notice with the Secretary of State to amend rules to set 2025 Health Insurance Marketplace Qualified Health Plan and Stand Alone Dental Plan Annual Assessment Rates. Please consult the notice for more information:
Adopted Rules
HPA Rules by CHAPTER NUMBER
Chapter 409 - Health Policy and Analytics
Chapter 431 - Oregon Prescription Drug Program (OPDP)
Chapter 945 - Oregon Health Insurance Marketplace
HPA Rules by SUBJECT CATEGORIES
HPA rules basically fall into three categories: 1) Commissions; 2) Data Reporting, and 3) Programs. The links below provide additional information not found on the Secretary of State's website, including:
- Rule (current and upcoming)
- Attachments, tables, forms (if applicable)
- Applicable statutes (ORS) that govern the rule
- Program website
Commissions
Rule: OAR 409-060
Applicable statutes
Commission website
OAR 409-060 includes the following rules:
- 409-060-0100 Scope
- 409-060-0110 Definitions
- 409-060-0120 HERC Process for Evidence-based Reports
- 409-060-0130 Medical Technology Assessments
- 409-060-0140 Evidence-based Guidelines
- 409-060-0150 Coverage Guidelines
Data Reporting Rules
Rule: OAR 409-021
Applicable Statutes
OAR 409-021 includes the following rules:
- 409-021-0005 Introduction
- 409-021-0010 Definitions
- 409-021-0115 Calculations of Fees
- 409-021-0120 Inspection of Health Data
- 409-021-0130 Requests to Obtain Copies of Public Use Health Data Files
- 409-021-0140 Requests & Requirements to Obtain Restricted Health Data Sets
- 409-021-0150 Denial of Requests to Inspect or Obtain Copies of Health Data
Rule: OAR 409-023
Applicable Statutes
Program website
OAR 409-023 consists of the following rules:
- 409-023-0100 Definitions
- 409-023-0105 Community Benefit Reporting
- 409-023-0110 Community Benefit Minimum Spending Floor
- 409-023-0115 Annual reports of financial assistance policies and nonprofit status
Rule: OAR 409-026
Applicable Statute
Program Website
OAR 409-026 includes the following rules:
- 409-026-0100 Definitions
- 409-026-0110 Data Elements
- 409-026-0120 Reporting Schedule and Format
- 409-026-0130 Fees
- 409-026-0140 Data Access
Rule: OAR 409-015
Applicable Statutes
Program website
OAR 409-015 includes the following rules:
- 409-015-0005 Definitions
- 409-015-0010 Report Forms
- 409-015-0012 Filing Date
- 409-015-0015 Reports Required
- 409-015-0030 Modification of Reporting Requirements
- 409-015-0035 Civil Penalties
Rule: OAR 409-022
Applicable Statutes: ORS 442.370
OAR 409-022 includes the following rules:
- 409-022-0010 Definitions
- 409-022-0015 Health Care Facility Annual Reports
- 409-022-0020 Hospital Reporting Requirements
- 409-022-0025 Ambulatory Surgical Centers Requirements
- 409-022-0035 Ambulatory Surgical Center Fees
- 409-022-0060 Access to Health Data
- 409-022-0070 Health Care Facility Utilization and Discharge Data Use and Disclosure
Programs
Rule: OAR 409-045
Application Forms: Credentialing / Recredentialing
Applicable Statutes
Program Website
OAR 409-045 includes the following rules:
- 409-045-0025 Definitions
- 409-045-0030 Oregon Common Credentialing Program
- 409-045-0035 Oregon Practitioner Credentialing Application
- 409-045-0040 Credentialing Information Verifications
- 409-045-0045 Health Care Regulatory Board Participation
- 409-045-0050 Credentialing Organization Participation
- 409-045-0055 Health Care Practitioner Participation
- 409-045-0060 Use of Health Care Practitioner Information
- 409-045-0065 Common Credentialing Advisory Group
- 409-045-0070 Imposition of Fees
- 409-045-0075 Complaints
- 409-045-0115 Telemedicine Providers General Applicability Credentialing Requirements
- 409-045-0120 Telemedicine Providers Standard List of Credentialing Documents
- 409-045-0125 Telemedicine Providers Distant-Site Hospital Agreements
- 409-045-0130 Telemedicine Providers Hold Harmless Clause
- 409-045-0135 Telemedicine Providers Information Sharing or Use of Data
OAR 409-036 includes the following rules:
- 409-036-0000 Purpose and Scope
- 409-036-0010 Definitions
- 409-036-0020 Types of Incentives Offered under the Program
- 409-036-0030 Eligibility Criteria specific to Loan Repayment Subsidies
- 409-036-0040 Eligibility Criteria specific to Scholarships for Students in Health Professional Training Programs at Other Institutions of Higher Learning
- 409-036-0050 Eligibility Criteria and Program Requirements specific to Medical Malpractice Insurance Program Subsidies
- 409-036-0060 Participation and Application Requirements
- 409-036-0070 Application and Review Process
- 409-036-0080 Maximum Award Amounts
- 409-036-0090 Transfer of Provider Service Obligation to Another Site
- 409-036-0100 Suspension of Waiver of Provider Service Obligation
- 409-036-0110 Monitoring and Follow-up Requirements
- 409-036-0120 Failure to Comply; Penalties & Appeals
- 409-036-0130 Contributions to the Health Care Provider Incentive Fund
- 409-036-0140 Program Integrity
- 409-036-0150 Data Sharing
Program Website
Statute
Rule: OAR 409-030 (rev. 11-15-19)
Attachment: Table 1
Statute
Program Website
OAR 409-030 includes the following rules:
- 409-030-0100 Purpose
- 409-030-0110 Definitions
- 409-030-0120 General Applicability
- 409-030-0130 Health Professional Disciplines
- 409-030-0140 Clinical Settings
- 409-030-0150 Exceptions
- 409-030-0160 Regular Review of Clinical Standards
- 409-030-0170 Administrative Requirements for Clinical Placement
- 409-030-0180 Immunization Standards
- 409-030-0190 Screening Standards
- 409-030-0200 Tuberculosis Screening
- 409-030-0210 Drug Testing for Substance Abuse and Misuse
- 409-030-0220 State and Nationwide Criminal Background Checks
- 409-030-0230 Training Standards
- 409-030-0240 Insurance and Liability Coverage
- 409-030-0250 Information Sharing or Use of Data
Rule: ORS 431-121
Applicable Statutes
Program website
OAR 431-121 contains the following rules:
- 431-121-2000 Definitions
- 431-121-2005 General Administration
- 431-121-2010 Pharmacy Providers
- 431-121-2020 Program Price
- 431-121-2030 Preferred Drug List
- 431-121-2050 Enrollment
- 431-121-2065 Contracted Services
Rule: OAR 409-055
Attachment: Tables 1-4
Applicable Statutes
Program Website
OAR 409-055 contains the following rules:
- 409-055-0000 Purpose & Scope
- 409-055-0010 Definitions
- 409-055-0020 Program Administration
- 409-055-0030 Practice Application & Recognition Process
- 409-055-0040 Recognition Criteria
- 409-055-0045 5 STAR Designation
- 409-055-0050 Data Reporting Requirements for Recognized PCPCHs
- 409-055-0060 Verification
- 409-055-0070 Compliance
- 409-055-0080 Insurance Carrier, Managed Care Plan & Public Stakeholder Communication
- 409-055-0090 Reimbursement Objectives
Rule: 409-035
Applicable Statutes
Program Website
OAR 409-035 contains the following rules:
- 409-035-0000 Purpose
- 409-035-0010 Definitions
- 409-035-0020 Health Care Facility Participation Requirements
- 409-035-0030 Physician Participation Requirements
- 409-035-0040 Application Review Process
- 409-035-0050 Monitoring and Follow-up Requirements
- 409-035-0060 Transfer of J-1 Waiver Physician Obligation