Or. Admin. Code § 409-065-0055 - Annual Public Hearings
(1)
The cost growth target program must hold an annual public hearing regarding the
growth in total health care expenditures in relation to the health care cost
growth in the previous calendar year. The director of the Authority may request
any payer or provider organization that is found to be a significant
contributor to health care cost growth in the state or exceeds the cost growth
target with statistical confidence, as defined by the Authority, and without
reasonable cause, as defined in OAR 409-065-0035, during the performance year,
to participate in an annual public hearing. If the payer or provider
organization does not commit to participating in the annual public hearing, the
director of the Authority may require participation. The Authority must notify
the payer or provider organization of the requirement to participate. Each such
payer or provider organization that is required to participate in such hearing
must provide testimony on issues identified by the director of the Authority
and provide additional information on actions taken to reduce such payer's or
provider organization's contribution to state-wide and market-level health care
costs.
(2) The director of the
Authority may request that any other entity, including but not limited to a
drug manufacturer or pharmacy benefit manager, that is found to be a
significant contributor to health care cost growth in this state during the
performance year participate in such hearing. If the entity does not commit to
participating in the annual public hearing, the director of the Authority may
require participation. Any other entity that is required to participate in such
hearing must provide testimony on issues identified by the director of the
Authority and provide additional information on actions taken to reduce such
other entity's contribution to state-wide health care costs.
Notes
Statutory/Other Authority: ORS 413.037 & 442.386
Statutes/Other Implemented: ORS 442.386
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