Senate Bill 286 - Diabetes and Health Insurance in Oregon

Senate Bill 286
Relating to health insurance coverage; creating new provisions;
amending ORS 750.055 and 750.333; and repealing ORS 743.704.

Be It Enacted by the People of the State of Oregon:

SECTION 1. { + Section 2 of this 2001 Act is added to and made
a part of ORS chapter 743. + }
SECTION 2. { + (1) Subject to other terms, conditions and
benefits in the plan, group health benefit plans as described in
ORS 743.730 shall provide payment, coverage or reimbursement for
supplies, equipment and diabetes self-management programs
associated with the treatment of insulin-dependent diabetes,
insulin-using diabetes, gestational diabetes and noninsulin-using
diabetes prescribed by a health care professional legally
authorized to prescribe such items.
(2) As used in this section, 'diabetes self-management program'
means one program of assessment and training after diagnosis and
no more than three hours per year of assessment and training upon
a material change of condition, medication or treatment that is
provided by:
(a) An education program credentialed or accredited by a state
or national entity accrediting such programs; or
(b) A program provided by a physician licensed under ORS
chapter 677, a registered nurse, a nurse practitioner, a
certified diabetes educator or a licensed dietitian with
demonstrated expertise in diabetes. + }
SECTION 3. { + ORS 743.704 is repealed. + }
SECTION 4. ORS 750.055 is amended to read:
750.055. (1) The following provisions of the Insurance Code
shall apply to health care service contractors to the extent so
applicable and not inconsistent with the express provisions of
ORS 750.005 to 750.095:
(a) 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, 731.450,
731.454, 731.488, 731.504, 731.508, 731.509, 731.510, 731.511,
731.512, 731.574 to 731.620, 731.592, 731.594, 731.640 to
731.652, 731.730, 731.731, 731.735, 731.737, 731.740, 731.750,
731.804 and 731.844 to 731.992.
(b) ORS 732.215, 732.220, 732.230, 732.245, 732.250, 732.320,
732.325 and 732.517 to 732.592, not including ORS 732.549 and
732.574 to 732.592.