ORS 731.097: “Essential health benefits.”
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
“Essential health benefits” are the items and services prescribed by the Department of Consumer and Business Services by rule in accordance with federal law, including: (1) Ambulatory patient services. (2) Emergency services. (3) Hospitalization. (4) Maternity and newborn care. (5) Mental health and substance use disorder services, including behavioral health treatment. (6) Prescription drugs. (7) Rehabilitative and habilitative services and devices. (8) Laboratory services. (9) Preventive and wellness services and chronic disease management. (10) Pediatric services, including oral and vision care. [2013 c.681 §2]
Official history and status
History: Note: 731.097 and 731.098 were added to and made a part of 731.004 to 731.150 by legislative action but were not added to any smaller series therein. See Preface to Oregon Revised Statutes for further explanation.
Administrative rules citing this section
- OAR 836-053-0008: Essential Health Benefits for Plan Years 2014, 2015 and 2016 — implements
- OAR 836-053-0008: Essential Health Benefits for Plan Years 2014, 2015 and 2016 — authority
- OAR 836-053-0012: Essential Health Benefits for Plan Years Beginning on and after January 1, 2017 — implements
- OAR 836-053-0012: Essential Health Benefits for Plan Years Beginning on and after January 1, 2017 — authority
- OAR 836-053-0017: Additions to Essential Health Benefits for Plan Years Beginning on and after January 1, 2022 — implements
- OAR 836-053-0017: Additions to Essential Health Benefits for Plan Years Beginning on and after January 1, 2022 — authority
- OAR 836-053-1020: Drug Formularies — implements
- OAR 836-053-1020: Drug Formularies — authority
This rule cites
No citations extracted.
Cited by
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors731.html