Oregon Health Plan
Definition of "Oregon health plan"
Plan that provides a legal resident of the state of Oregon access to basic health care through three major components:
- Medicaid Reform (rationing) extends Medicaid eligibility to those individuals below the federal poverty level, and requires, if possible, that Medicaid benefits be provided through MANAGED CARE plans.
- Employer Mandate employers must provide health insurance for all permanent (working at least 17.5 hours per week) employees on a play or pay basis, where the employer plays by providing the employees with a health insurance plan or pays by paying a payroll tax that is passed through to the state's Insurance Pool Fund.
- Market Reform benefits available must be substantially similar to those provided by Medicaid.
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