Oregon Statutes 743B.288 – Balance billing prohibited for labor and delivery services rendered by out-of-network provider to which insured was diverted during public health emergency
(1) As used in this section:
Terms Used In Oregon Statutes 743B.288
- Contract: A legal written agreement that becomes binding when signed.
(a) ‘In-network provider’ means an individual or facility that contracts with a health benefit plan or health care service contractor to provide health care services to an individual insured under the health benefit plan or health care service contract.
(b) ‘Out-of-network provider’ means an individual or facility that does not contract with a health benefit plan or health care service contractor to provide health care services to an individual insured under the health benefit plan or health care service contract.
(2) An out-of-network provider that is licensed or certified in this state may not bill an individual insured under a health benefit plan or a health care service contract for the costs of labor or delivery services provided by the out-of-network provider if the services are provided by the out-of-network provider due solely to the diversion of the individual from an in-network provider during a state or federally declared public health emergency.
(3) Subsection (2) of this section does not prohibit any provider from billing an individual insured under a health benefit plan or health care service contract for coinsurance, copayments or deductibles applicable to labor and delivery services provided by in-network providers under the terms of the health benefit plan or health care service contract. [2022 c.72 § 4]
743B.288 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS Chapter 743B or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.