l9n/ Oregon

2019 Regular Session

Senate Bill 139

Creates new requirements applicable to prior authorization, step therapy and other utilization review policies and procedures on insurers offering health benefit plans and health insurance, medical services contracts, multiple employer welfare arrangements, health care service contracts and pharmacy benefit managers.

Did not become law. It stopped in the Senate's Ways and Means Committee on June 30, 2019. The 2019 session has ended.

What it does

The synopsis the Legislative Assembly published with the bill.

<i>Imposes restrictions and reporting requirements for utilization management of health services by commercial insurers, coordinated care organizations and state medical assistance program.</i>] <b>Creates new requirements applicable to prior authorization, step therapy and other utilization review policies and procedures on insurers offering health benefit plans and health insurance, medical services contracts, multiple employer welfare arrangements, health care service contracts and pharmacy benefit managers. Extends from 30 to 90 days period during which insurer's approval of prior authorization is binding on insurer. <b>Authorizes provider to act on behalf of enrollee, upon request of enrollee, with respect to internal appeals and external reviews of adverse benefit determination concerning utilization review. <b>Requires insurers offering health benefit plans to report specified information to Department of Consumer and Business Services regarding requests for prior authorization.</b>

Its course

January 14 to June 30, 2019, on one scale. In the top row each mark is a day something happened; taller marks are busier days.

Each committee stop sits inside its chamber.

Every action8 actions on 7 days

In the SenateJan 14 to Jun 30 · stopped167 days

Waiting for a committeeJan 14 to Jan 151 day

Health CareJan 15 to Apr 1590 days

Ways and MeansApr 15 to Jun 30 · stopped76 days

Amendments

Each amendment offered, and what became of it.

  • Senate committee amendmentAdopted

    Adopted Apr 15

Text

Each version as the Legislative Assembly printed it.

l9n doesn't hold this bill's text yet.

What happened

In l9n's words, one line for each step. Every action as the Legislative Assembly published it is below.

In the Senate Jan 14 – Jun 30

  1. Jan 14Introduced
  2. Jan 15Sent to Health Care
  3. Feb 6Heard in Health Care
  4. Apr 3Heard in Health Care
  5. Apr 8Heard in Health Care
  6. Apr 15Health Care recommended it as amended, and that it go to Ways and Means
  7. Sent to Ways and Means
  8. Jun 30Died when the session ended
All 8 actions, as published
  1. Jan 14Introduction and first reading. Referred to President's desk.Senate
  2. Jan 15Referred to Health Care.Senate
  3. Feb 6Public Hearing held.Senate
  4. Apr 3Work Session held.Senate
  5. Apr 8Work Session held.Senate
  6. Apr 15Recommendation: Do pass with amendments and be referred to Ways and Means. (Printed A-Eng.)Senate
  7. Apr 15Referred to Ways and Means by order of the President.Senate
  8. Jun 30In committee upon adjournment.Senate