Oregon Law
Law as of Jan 1, 2024
Chapter contents
415.001Reinsurance program for coordinated care organizations (CCOs) 415.010[Amended by 1957 c.388 §1; repealed by 1985 c.511 §1] 415.011Oregon Health Authority regulation of financial solvency of CCOs to align with regulation of domestic insurers; rules 415.012Definitions for ORS 415.012 to 415.430 415.013Powers and authority to enforce ORS 415.012 to 415.430 and 415.501 415.015Prohibited conflicts of interest of officer or employee of Oregon Health Authority with responsibility for enforcement 415.019Right to contested case hearing 415.020[Repealed by 1957 c.388 §17] 415.030[Amended by 1983 c.179 §1; repealed by 1985 c.511 §1] 415.040[Amended by 1983 c.179 §2; repealed by 1985 c.511 §1] 415.050[Repealed by 1983 c.179 §3] 415.055Confidentiality of complaints; exceptions; publication of annual statistical report of complaints against all CCOs 415.056Confidentiality of reports regarding certain financial information 415.057Authorized use of confidential reports regarding financial information 415.060[Amended by 1957 c.388 §2; 1969 c.597 §59; repealed by 1985 c.511 §1] 415.061Definitions for 415.061 to 415.067 415.062Compliance self-evaluative audit document privileged; auditor not subject to examination in administrative or judicial proceeding 415.063Permissible use of compliance self-evaluative audit document by Oregon Health Authority; consideration of document in determining of civil penalty 415.064Waiver of privilege; permitted disclosures 415.065Petition for in camera hearing on privilege of compliance self-evaluative audit document; hearing on petition; compelled disclosure 415.066Exceptions to privilege of compliance self-evaluative audit document 415.067Other applicable privileges not waived by release of compliance self-evaluative audit document 415.070[Repealed by 1957 c.388 §3 (415.090 enacted in lieu of 415.070)] 415.080[Repealed by 1957 c.388 §17] 415.090[1957 c.388 §4 (enacted in lieu of 415.070); repealed by 1985 c.511 §1] 415.101Requests for information 415.103False or misleading filings prohibited 415.105Investigations authorized 415.107Examinations and audits 415.109Conduct of examination; access to records; civil penalty 415.110[Amended by 1957 c.388 §16; repealed by 1985 c.511 §1] 415.111Report of examination; opportunity to respond 415.115Annual audits; rules 415.119Immunity from suit arising out of investigation, examination or provision or dissemination of information; attorney fees to prevailing party authorized 415.120[Repealed by 1985 c.511 §1] 415.203Opportunity to cure impairment of required capitalization 415.204Grounds for order of supervision; right to hearing to contest order 415.205Period of supervision; cause of action for violation of order of supervision 415.251Jurisdiction of delinquency proceedings 415.252Exclusive remedy 415.253Oregon Receivership Code inapplicable 415.261Petition for delinquency proceeding 415.263Cooperation with Oregon Health Authority in delinquency investigation or proceeding 415.265Injunction prohibiting waste or disposition of property upon petition for delinquency proceeding 415.280Petition for order for rehabilitation or liquidation of CCO 415.281Court order for rehabilitation or liquidation proceeding against CCO 415.284Appointment of special deputy directors to assist in supervision of CCO or delinquency proceedings 415.300Rehabilitation proceeding 415.330Grounds for order to liquidate 415.333Powers of Oregon Health Authority in liquidation proceeding 415.335Order to liquidate 415.340Oregon Health Authority to be appointed receiver in delinquency proceeding; powers and duties 415.341Immunity from civil liability for receivers 415.350Right to assets of CCO fixed as of date of order to liquidate 415.400Filing proof of claim against CCO declared by court to be insolvent 415.401Requirements for proof of claim 415.402Preference of claims 415.403Priority of preferred claims 415.404Contingent claims 415.405Priority of special deposit claims 415.406Priority of secured claims 415.420Attachment or garnishment prohibited during delinquency proceeding 415.422Voidable transfers or liens 415.424Offsets of mutual debts or credits 415.430Liability of member of CCO to pay provider for cost of care 415.500Definitions 415.501Procedures for review of material change transactions; rules 415.505Conflicts of interest prohibited 415.510Quadrennial study of impact of health care consolidation 415.512Fees; rules 415.900Civil penalties 415.990[Repealed by 1957 c.388 §17]

Chapter 415 — Regulation of Health Care Entities

ORS 415.055 Confidentiality of complaints; exceptions; publication of annual statistical report of complaints against all CCOs

(1)

A complaint made to the Oregon Health Authority against a coordinated care organization for a violation of ORS 415.012 to 415.430 or rules adopted pursuant to ORS 415.011, and the record of the complaint, is confidential and may not be disclosed except as provided in ORS 413.175 or 414.607. The complaint, and the record of the complaint, may not be used in any action, suit or proceeding except to the extent the authority considers necessary in prosecuting apparent violations of ORS 415.012 to 415.430, rules adopted pursuant to ORS 415.011 or other law.

(2)

Data gathered pursuant to an investigation by the authority of a complaint is confidential, may not be disclosed except as provided in ORS 413.175 and 414.607 and may

not be used in any action, suit or proceeding except to the extent the authority considers necessary in investigating or prosecuting apparent violations of ORS 415.012 to 415.430, rules adopted pursuant to ORS 415.011 or other law.

(3)

Notwithstanding subsections (1) and

(2)

of this section, the authority shall establish by rule a method for publishing an annual statistical report containing the coordinated care organization’s name and the number, percentage, type and disposition of complaints the authority receives against each coordinated care organization that contracts with the authority.

Official sources · 2Tap to view provenance and version history

Online copy of the published ORS edition

Provenance

Version history

Prior statutory text is not available in the ingested published editions. Consult an earlier official ORS edition or the cited Oregon Laws chapter.