Senate Health Care Committee hears SB 1551
The Senate Committee on Health Care heard a bill Feb. 4 that would require the Oregon Health Authority (OHA) to issue financial reports twice a year to health-related committees in the legislature.
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The OHA report must include information about financial reporting requirements imposed on coordinated care organizations. The bill would also prohibit coordinated care organizations from withholding information as a “trade secret” if that information has to be reported to OHA.
Under the bill, OHA can’t transfer members of one CCO to another without that member being re-determined for medical assistance.
During the committee hearing, opponents of the bill defended current statutes regulating CCOs, saying current law allows OHA to step in if one network or another has issues adequately providing for care. It also would give CCO members fewer options when deciding to stay with one provider or transfer to one in another organization, critics said.
Others had concerns about the financial requirements of the bill, as well as the provisions stipulating transparency requirements for CCOs. Section five of the bill could bring trade secrets to lights in CCOs, critics said, which some felt could be a slippery slope.
“When CCOs were developed, there was a protection built in federal and state law that says ‘We want CCOs to be as transparent as possible,’” said Jeremiah Rigsby, Chief of Staff at CareOregon. “However, there are some things in a competitive marketplace around CCOs and providers and what goes into building our rates.”
Rigsby added that kind of information could give a competitor a competitive advantage.
“We have no idea what impact that would have on what we’re providing in this state and what that mean for us,” said Rigsby.