State insurance exchanges - Oregon

Summary of differences between federal and state regulations

The U.S. Department of Health and Human Services (HHS) must make a determination on or before January 1, 2013, that a state will in fact have an exchange in operation by 2014 and that the exchange meets the requirements of the Affordable Care Act (ACA) and HHS guidance. In a letter dated November 15, 2012, Secretary Sebelius indicated that a state may submit both a letter of intent and an application to operate its own exchange by December 14, 2012. If a state elects not to operate an exchange, or if the HHS determines that the state will not be able to have an exchange operational by 2014 that meets the law’s requirements, the ACA gives the HHS the authority to establish and operate such exchange within the state.

On June 17, 2011, Oregon Gov. John Kitzhaber signed Senate Bill 99 which established a public corporation to operate the Oregon Health Insurance Exchange. He signed House Bill 4164 on March 8, 2012, providing for legislative approval of the Oregon Health Exchange Business Plan.

Oregon has received three federal grants for planning and implementation of their health insurance exchange:

1. A $1,000,000 State Planning Grant was received in September 2010.
2. Oregon received a $48,096,307 Early Innovator Grant for developing an information technology system.
3. In June 2011, Oregon received an $8,969,000 Level One Establishment Grant. The state received an additional $6,682,701 in March 2012.

State

Contacts

Oregon Health Authority

Oregon Insurance Division

Oregon Health Insurance Exchange

Regulations

Oregon Administrative Rules

Oregon Health Insurance Exchange

Oregon Laws

Senate Bill 99

House Bill 4164

Federal

Contacts Center for Consumer Information and Insurance Oversight (CCIIO)

U.S. Department of Health and Human Services (HHS)

Regulations

45 CFR Parts 155, 156, and 157