OAR 409-036-0050: Rural Medical Practitioners Insurance Subsidy Program-Health Care Provider Eligibility Criteria

(1) The Health Care Provider Incentive Fund may subsidize eligible practitioners for the cost of medical professional liability insurance coverage in force or renewed on or after July 1, 2026. (2) Eligibility Criteria. An eligible practitioner must: (a) Provide health services in rural Oregon; (b) Hold an active, unrestricted license or certification, issued by either the Oregon Medical Board or the Oregon State Board of Nursing; (c) Pay for and be covered by an in-force medical professional liability insurance policy issued by a participating Carrier with minimum coverage limits of $1 million per occurrence and $1 million annual aggregate, maximum coverage limits of $1 million per occurrence and $3 million annual aggregate, and which specifically names the individual health care provider and calculates the provider’s premium; and (d) Practice at least 60 percent of the time in a Qualified Practice Site that meets the requirements of OAR 409-036-0015. (3) An eligible practitioner whose medical professional liability insurance coverage is provided through a health care facility, as defined in ORS 442.400, is eligible for a premium subsidy if that practitioner: (a) Is covered by a medical professional liability insurance policy that names the practitioner and separately calculates the premium for the practitioner; and (b) Fully reimburses the health care facility for the premium calculated for the practitioner. (4) Application Requirements. Applications for Rural Medical Providers Insurance Subsidy must be completed and submitted pursuant to the instructions posted on Office Website. (a) The Office will notify eligible providers if submissions are incomplete. Complete applications must be submitted before the application deadline posted on the Office Website to be considered; and (b) The Office will notify applicants of the status of their completed applications within 90 calendar days of a complete application submission. (5) An eligible provider must submit a letter to the Office, with a copy submitted to the Authority, attesting that the place of employment meets the requirements of a Qualified Practice Site under OAR 409-036-0015.