Current Rulemakings
Proposed Permanent Rulemakings
HPA has filed notice to amend PCPCH administrative rules.
HPA has filed notice to adopt administrative rules governing HERC's Value-based Benefits Subcommittee (VbBS).
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