l9n/ Oregon

2024 Regular Session

House Bill 4002

Prohibits insurers from requiring prior authorization or other utilization review for coverage of substance use disorder medications.

Became law as Chapter 70, Oregon Laws 2024, signed April 1, 2024, 56 days after it was filed. In force from April 1, 2024.

What it does

The synopsis the Legislative Assembly published with the bill.

<b>Digest: The Act makes changes to laws to make it easier to get treatment for substance use problems. The Act changes drug laws. The Act takes effect when the Governor signs it. (Flesch Readability Score: 87.1).</b> <b>Prohibits insurers from requiring prior authorization or other utilization review for coverage of substance use disorder medications. Specifies exceptions. <b>Requires coordinated care organizations to provide to members medications for treatment of opioid use disorder and any co-occurring substance use disorder or mental health condition. <b>Prohibits coordinated care organizations and public payers of health insurance from requiring prior authorization for medication-assisted treatment. <b>Allows pharmacists to prescribe and dispense early refills of medication for opioid use disorder under specified conditions. Allows pharmacists to have on-site prescription drug lockers without obtaining a license or registration from the State Board of Pharmacy. <b>Requires coordinated care organizations to have adequate networks of addiction treatment providers. <b>Directs the Alcohol and Drug Policy Commission to conduct a study related to access to opioid use disorder treatment and interventions. Requires commission to report recommendations to Legislative Assembly to address barriers to accessing opioid use disorder treatment and interventions. <b>Establishes a certified community behavioral health clinic program in the Oregon Health Authority and specifies the requirements for the program. <b>Establishes the Joint Task Force on Regional Behavioral Health Accountability to make recommendations to the Legislative Assembly to improve the governance of behavioral health systems and strengthen evidence-based and equitable funding decisions and accountability of behavioral health systems. Sunsets January 2, 2026. <b>Establishes the Task Force on Improving the Safety of Behavioral Health Workers to make recommendations to the Legislative Assembly to address the safety concerns that are prevalent in the behavioral health industry. Sunsets January 2, 2026. <b>Establishes the United We Heal Medicaid Payment Program in the authority to provide supplemental medical assistance payments to behavioral health providers to enable the providers to access enhanced apprenticeship and training programs and opportunities by participating in a labor-management training trust. <b>Modifies the definition of "delivery" for purposes of the Uniform Controlled Substance Act. Increases presumptive sentences when unlawful delivery of a controlled substance occurs in specified locations. <b>Increases penalties for unlawful possession of a controlled substance on September 1, 2024. Designates crime as a drug enforcement misdemeanor and specifies sentence. Creates a new form of conditional discharge for drug enforcement misdemeanors and establishes processes for sealing records related to the crime. <b>Establishes the Oregon Behavioral Health Deflection Program consisting of grants awarded to fund deflection programs. <b>Directs the Oregon Criminal Justice Commission to track data including arrests and prosecutions for possession and delivery crimes and data concerning deflection program outcomes. <b>Increases the number of hours a person can be held in a facility when admitted to the facility due to intoxication or being under the influence of controlled substances. Authorizes members of a mobile crisis intervention team to take a person to a sobering facility or appropriate facility. Modifies immunity from civil and criminal liability for certain persons involved in the provision of treatment. <b>Establishes the Oregon Jail-Based Medications for Opioid Use Disorder Grant Program. <b>Declares an emergency, effective on passage.</b>

Its course

February 5 to April 10, 2024, 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 action19 actions on 11 days

In the House of RepresentativesFeb 5 to Feb 2924 days

Waiting for a committeeFeb 5 to Feb 50 days

In the SenateFeb 29 to Mar 11 day

Waiting for a committeeFeb 29 to Mar 11 day

Addiction and Community Safety Response CommitteeMar 1 to Mar 10 days

With the GovernorMar 1 to Apr 131 days

Votes

Yeas to nays, as the Legislative Assembly recorded them. Committee votes are set in.

  • House of Representatives, third reading51–7

    Passed · Feb 29 · 2 present

  • Senate, third reading21–8

    Passed · Mar 1 · 1 present

Amendments

Each amendment offered, and what became of it.

  • House of Representatives committee amendmentAdopted

    Adopted Feb 28

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 House of Representatives Feb 5 – Feb 29

  1. Introduced
  2. Sent to Addiction and Community Safety Response
  3. Heard in Addiction and Community Safety Response
  4. Heard in Addiction and Community Safety Response
  5. Heard in Addiction and Community Safety Response
  6. Heard in Addiction and Community Safety Response
  7. Addiction and Community Safety Response recommended it as amended
  8. Read a second time
  9. Passed the House of Representatives, 51 to 7

In the Senate Mar 1

  1. Arrived in the Senate and sent to Addiction and Community Safety Response Committee
  2. Addiction and Community Safety Response Committee recommended it
  3. Read a second time
  4. Passed the Senate, 21 to 8

To the Governor Mar 5 – Apr 10

  1. Signed in the House of Representatives
  2. Signed in the Senate
  3. Signed by the Governor
  4. Became chapter 70 of Oregon Laws 2024, in force from April 1, 2024
All 19 actions, as published