ORS 192.395: Health services costs.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
A record of an agency of the executive department as defined in ORS 174.112 that contains the following information is a public record subject to inspection under ORS 192.314 and is not exempt from disclosure under ORS 192.345 or 192.355 except to the extent that the record discloses information about an individual’s health or is proprietary to a person: (1) The amounts determined by an independent actuary retained by the agency to cover the costs of providing each of the following health services under ORS 414.591, 414.631 and 414.688 to 414.745 for the six months preceding the report: (a) Inpatient hospital services; (b) Outpatient hospital services; (c) Laboratory and X-ray services; (d) Physician and other licensed practitioner services; (e) Prescription drugs; (f) Dental services; (g) Vision services; (h) Mental health services; (i) Chemical dependency services; (j) Durable medical equipment and supplies; and (k) Other health services provided under a coordinated care organization contract under ORS 414.591 or a contract with a prepaid managed care health services organization, as defined in ORS 414.025; (2) The amounts the agency and each contractor have paid under each coordinated care organization contract under ORS 414.591 or prepaid managed care health services organization contract for administrative costs and the provision of each of the health services described in subsection (1) of this section for the six months preceding the report; (3) Any adjustments made to the amounts reported under this section to account for geographic or other differences in providing the health services; and (4) The numbers of individuals served under each coordinated care organization contract or prepaid managed care health services organization contract, listed by category of individual. [Formerly 192.493]
Official history and status
History: Note: 192.395 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 192 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
Administrative rules citing this section
- OAR 170-002-0002: Procedure to Request Public Records — authority
- OAR 255-015-0002: Board Records — authority
- OAR 255-015-0003: Oral Record of Hearing — implements
- OAR 255-015-0010: Criteria for Denial of Disclosure of Records — implements
- OAR 255-015-0010: Criteria for Denial of Disclosure of Records — authority
- OAR 414-002-0000: Definitions — implements
- OAR 414-002-0000: Definitions — authority
- OAR 414-002-0001: Fees for Inspection or Copies of Public Records and Department Publications; Other Services — implements
- OAR 459-060-0010: Requests and Fees for Public Records — implements
- OAR 459-060-0020: Confidentiality of Member Records — implements
- OAR 459-060-0030: Disclosure of Records Without Consent — implements
- OAR 459-060-0050: Request for Benefit Estimate — implements
- OAR 585-001-0007: Definitions — implements
- OAR 585-001-0008: Request to Inspect or Obtain Copies of Public Records — implements
- OAR 585-001-0008: Request to Inspect or Obtain Copies of Public Records — authority
- OAR 806-010-0106: Public Record Requests — authority
- OAR 860-001-0060: Public Records Requests — implements
This rule cites
- ORS 174.112 — resolved
- ORS 192.314 — resolved
- ORS 192.345 — resolved
- 192.355 — resolved
- ORS 414.591 — resolved
- 414.631 — resolved
- 414.688 — resolved
- 414.745 — resolved
- ORS 414.025 — resolved
Cited by
No inbound citations found.
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors192.html