Oregon Code § 741.500·Enacted ·Last updated March 01, 2026
Statute Text
Required documentation; rules.
(1)(a) The Oregon Health Authority shall adopt by rule the information that
must be documented in order for a person to qualify for:
(A) Qualified
health plan coverage through the health insurance exchange;
(B) Premium tax
credits; and
(C) Cost-sharing
reductions.
(b) The
documentation specified by the authority under this subsection shall include
but is not limited to documentation of:
(A) The identity
of the person;
(B) The status of
the person as a United States citizen, or lawfully admitted noncitizen, and a
resident of this state;
(C) Information
concerning the income and resources of the person as necessary to establish the
persons financial eligibility for coverage, for premium tax credits and for
cost-sharing reductions, which may include income tax return information and a
Social Security number; and
(D) Employer
identification information and employer-sponsored health insurance coverage
information applicable to the person.
(2) The authority
shall implement systems that provide electronic access to, and use, disclosure
and validation of data needed to administer the exchange, to comply with
federal data access and data exchange requirements and to streamline and
simplify exchange processes.
(3) Information
and data that the authority obtains under this section may be exchanged with
other state or federal health insurance exchanges, with state or federal
agencies and, subject to ORS 741.510, for the purpose of carrying out exchange
responsibilities, including but not limited to:
(a) Establishing
and verifying eligibility for:
(A) A state
medical assistance program;
(B) The purchase
of qualified health plans through the exchange; and
(C) Any other
programs that are offered through the exchange;
(b) Establishing
and verifying the amount of a persons federal tax credit, cost-sharing
reduction or premium assistance;
(c) Complying
with other federal requirements; or
(d) Improving the
operations of the exchange and for program analysis. [2011 c.415 §14; 2015 c.3 §30;
2021 c.569 §31; 2023 c.584 §4]