ORS 415.011: Oregon Health Authority regulation of financial solvency of CCOs to align with regulation of domestic insurers; rules.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) The Oregon Health Authority may adopt rules to carry out the provisions of ORS 415.012 to 415.430. (2) The authority shall adopt rules for regulating the financial solvency of coordinated care organizations that align with the following provisions of the Insurance Code regulating domestic insurers, to the extent the provisions regarding insurers are applicable to coordinated care organizations and are in accordance with ORS chapters 413 and 414: (a) ORS 731.385; (b) ORS 731.504; (c) ORS 731.508; (d) ORS 731.509; (e) ORS 731.574 (1) to (5); (f) ORS 731.730; (g) ORS 731.988; (h) ORS 732.235; (i) ORS 732.517 to 732.546, other than ORS 732.527, 732.531 and 732.541; (j) ORS 732.548; (k) ORS 732.549; (L) ORS 732.551; (m) ORS 732.552; (n) ORS 732.553; (o) ORS 732.554; (p) ORS 732.556; (q) ORS 732.558; (r) ORS 732.564; (s) ORS 732.566; (t) ORS 732.567; (u) ORS 732.568; (v) ORS 732.569; (w) ORS 732.574; (x) ORS 732.576; (y) ORS 732.578; (z) ORS 732.592; (aa) ORS 733.010 to 733.050; (bb) ORS 733.140 to 733.170; (cc) ORS 733.510 to 733.680; (dd) ORS 733.695 to 733.780; and (ee) ORS 734.014. (3) Rules adopted by the authority in accordance with ORS 731.385 that establish minimum standards for risk-based capital may not require a coordinated care organization to take preventive or corrective measures to increase the coordinated care organization’s capital, surplus or reserves to achieve more than 200 percent of the minimum risk-based capital. [2019 c.478 §53]
Administrative rules citing this section
This rule cites
- ORS 415.012 — resolved
- 415.430 — resolved
- ORS 731.385 — resolved
- ORS 731.504 — resolved
- ORS 731.508 — resolved
- ORS 731.509 — resolved
- ORS 731.574 — resolved
- ORS 731.730 — resolved
- ORS 731.988 — resolved
- ORS 732.235 — resolved
- ORS 732.517 — resolved
- 732.546 — resolved
- ORS 732.527 — resolved
- 732.531 — resolved
- 732.541 — resolved
- ORS 732.548 — resolved
- ORS 732.549 — resolved
- ORS 732.551 — resolved
- ORS 732.552 — resolved
- ORS 732.553 — resolved
- ORS 732.554 — resolved
- ORS 732.556 — resolved
- ORS 732.558 — resolved
- ORS 732.564 — resolved
- ORS 732.566 — resolved
- ORS 732.567 — resolved
- ORS 732.568 — resolved
- ORS 732.569 — resolved
- ORS 732.574 — resolved
- ORS 732.576 — resolved
- ORS 732.578 — resolved
- ORS 732.592 — resolved
- ORS 733.010 — resolved
- 733.050 — resolved
- ORS 733.140 — resolved
- 733.170 — resolved
- ORS 733.510 — resolved
- 733.680 — resolved
- ORS 733.695 — resolved
- 733.780 — resolved
- ORS 734.014 — resolved
Cited by
- ORS 415.013: Powers and authority to enforce ORS 415.012 to 415.430 and 415.501.
- ORS 415.015: Prohibited conflicts of interest of officer or employee of Oregon Health Authority with responsibility for enforcement.
- ORS 415.019: Right to contested case hearing.
- ORS 415.055: Confidentiality of complaints; exceptions; publication of annual statistical report of complaints against all CCOs.
- ORS 415.056: Confidentiality of reports regarding certain financial information.
- ORS 415.063: Permissible use of compliance self-evaluative audit document by Oregon Health Authority; consideration of document in determining of civil penalty.
- ORS 415.066: Exceptions to privilege of compliance self-evaluative audit document.
- ORS 415.103: False or misleading filings prohibited.
- ORS 415.107: Examinations and audits.
- ORS 415.109: Conduct of examination; access to records; civil penalty.
- ORS 415.119: Immunity from suit arising out of investigation, examination or provision or dissemination of information; attorney fees to prevailing party authorized.
- ORS 415.204: Grounds for order of supervision; right to hearing to contest order.
- ORS 415.280: Petition for order for rehabilitation or liquidation of CCO.
- ORS 415.330: Grounds for order to liquidate.
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors415.html