743B.003 Purposes

The purposes of ORS 743.004 (Submission of information by carriers offering health benefit plans) , 743.022 (Premium rates for individual health benefit plans) , 743.535 (Health benefit coverage for guaranteed association) , 743B.003 (Purposes) to 743B.127 (Rules for ORS 743.022, 743B.125 and 743B.126) and 743B.800 (Risk adjustment procedures) are:

(1) To promote the availability of health insurance coverage to groups regardless of their enrollees’ health status or claims experience;

(2) To prevent abusive rating practices;

(3) To require disclosure of rating practices to purchasers of small employer and individual health benefit plans;

(4) To prohibit the use of preexisting condition exclusions;

(5) To encourage the availability of individual health benefit plans for individuals who are not enrolled in group health benefit plans;

(6) To improve renewability and continuity of coverage for employers and covered individuals;

(7) To improve the efficiency and fairness of the health insurance marketplace; and

(8) To ensure that health insurance coverage in Oregon satisfies the requirements of the Health Insurance Portability and Accountability Act of 1996 (P.L. 104-191) and the Patient Protection and Affordable Care Act (P.L. 111-148) as amended by the Health Care and Education Reconciliation Act (P.L. 111-152), and that enforcement authority for those requirements is retained by the Director of the Department of Consumer and Business Services. [Formerly 743.731; 2021 c.281 §1]

Source: Section 743B.003 — Purposes , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743B.­html (accessed May 26, 2025).