Statute Text
Other
provisions applicable to health care service contractors; rules.
(1) The following provisions apply
to health care service contractors to the extent not inconsistent with the
express provisions of ORS 750.005 to 750.095:
(a) ORS 705.137,
705.138 and 705.139.
(b) ORS 731.004
to 731.150, 731.162, 731.216 to 731.362, 731.382, 731.385, 731.386, 731.390,
731.398 to 731.430, 731.428, 731.450, 731.454, 731.485, as provided in
subsection (2) of this section, ORS 731.488, 731.504, 731.508, 731.509,
731.510, 731.511, 731.512, 731.574 to 731.620, 731.640 to 731.652, 731.730,
731.731, 731.735, 731.737, 731.750, 731.752, 731.804, 731.808 and 731.844 to
731.992.
(c) ORS 732.215,
732.220, 732.230, 732.245, 732.250, 732.320, 732.325 and 732.517 to 732.596,
not including ORS 732.582, and ORS 732.650 to 732.689.
(d) ORS 733.010
to 733.050, 733.080, 733.140 to 733.170, 733.210, 733.510 to 733.680 and
733.695 to 733.780.
(e) ORS 734.014
to 734.440.
(f) ORS 742.001
to 742.009, 742.013, 742.016, 742.061, 742.065, 742.150 to 742.162 and 742.518
to 742.542.
(g) ORS 743.004,
743.005, 743.007, 743.008, 743.010, 743.018, 743.020, 743.022, 743.023,
743.025, 743.028, 743.029, 743.038, 743.040, 743.044, 743.050, 743.100 to
743.109, 743.402, 743.405, 743.406, 743.417, 743.472, 743.492, 743.495,
743.498, 743.522, 743.523, 743.524, 743.526, 743.535, 743.550, 743.650 to
743.656, 743.680 to 743.689, 743.788 and 743.790.
(h) ORS 743A.010,
743A.012, 743A.014, 743A.020, 743A.034, 743A.036, 743A.040, 743A.044, 743A.048,
743A.051, 743A.052, 743A.058, 743A.060, 743A.062, 743A.063, 743A.064, 743A.065,
743A.066, 743A.068, 743A.070, 743A.080, 743A.081, 743A.082, 743A.084, 743A.088,
743A.090, 743A.100, 743A.104, 743A.105, 743A.108, 743A.110, 743A.124, 743A.140,
743A.141, 743A.148, 743A.150, 743A.160, 743A.168, 743A.169, 743A.170, 743A.171,
743A.175, 743A.185, 743A.188, 743A.190, 743A.192, 743A.250, 743A.252, 743A.260,
743A.310 and 743A.315 and section 2, chapter 771, Oregon Laws 2013.
(i) ORS 743B.001,
743B.003 to 743B.127, 743B.128, 743B.130, 743B.195, 743B.197, 743B.200,
743B.202, 743B.204, 743B.220, 743B.221, 743B.222, 743B.225, 743B.227, 743B.250,
743B.252, 743B.253, 743B.254, 743B.255, 743B.256, 743B.257, 743B.258, 743B.275
to 743B.285, 743B.287, 743B.300, 743B.310, 743B.320, 743B.323, 743B.330,
743B.340, 743B.341, 743B.342, 743B.343 to 743B.347, 743B.400, 743B.403,
743B.407, 743B.420, 743B.423, 743B.430, 743B.450, 743B.451, 743B.452, 743B.453,
743B.470, 743B.475, 743B.505, 743B.550, 743B.555, 743B.601, 743B.602, 743B.603,
743B.607, 743B.610 and 743B.800.
(j) The following
provisions of ORS chapter 744:
(A) ORS 744.052
to 744.089, 744.091 and 744.093, relating to the regulation of insurance
producers;
(B) ORS 744.602
to 744.665, relating to the regulation of insurance consultants; and
(C) ORS 744.700
to 744.740, relating to the regulation of third party administrators.
(k) ORS 746.005
to 746.140, 746.160, 746.220 to 746.370, 746.600, 746.605, 746.607, 746.608,
746.610, 746.615, 746.625, 746.635, 746.650, 746.655, 746.660, 746.668,
746.670, 746.675, 746.680 and 746.690.
(2) The following
provisions of the Insurance Code apply to health care service contractors
except in the case of group practice health maintenance organizations that are
federally qualified pursuant to Title XIII of the Public Health Service Act:
(a) ORS 731.485,
if the group practice health maintenance organization wholly owns and operates
an in-house drug outlet.
(b) ORS 743A.024,
unless the patient is referred by a physician, physician associate or nurse
practitioner associated with a group practice health maintenance organization.
(3) For the
purposes of this section, health care service contractors are insurers.
(4) Any
for-profit health care service contractor organized under the laws of any other
state that is not governed by the insurance laws of the other state is subject
to all requirements of ORS chapter 732.
(5)(a) A health
care service contractor is a domestic insurance company for the purpose of
determining whether the health care service contractor is a debtor, as defined
in 11 U.S.C. 109.
(b) A health care
service contractors classification as a domestic insurance company under
paragraph (a) of this subsection does not subject the health care service
contractor to ORS 734.510 to 734.710.
(6) The Director
of the Department of Consumer and Business Services may, after notice and
hearing, adopt reasonable rules not inconsistent with this section and ORS
750.003, 750.005, 750.025 and 750.045 that are necessary for the proper
administration of these provisions. [1967 c.359 §659; 1969 c.336 §18; 1971
c.231 §41; 1973 c.143 §5; 1973 c.515 §6; 1973 c.613 §4a; 1975 c.135 §3; 1975
c.338 §4a; 1975 c.689 §4; 1975 c.784 §13c; 1977 c.402 §6; 1979 c.268 §7; 1979
c.708 §11; 1979 c.785 §22a; 1979 c.797 §3a; 1981 c.254 §3; 1981 c.319 §3; 1981
c.422 §6; 1981 c.649 §22; 1981 c.752 §14; 1983 c.601 §9; 1985 c.74