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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Date: July 23, 2019<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">TO: Interested Parties<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">FROM: April Kelly, OEBB Rules Coordinator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">RE: Notice of Proposed Rulemaking for OAR Chapter 111 – Division 80, Operations<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">___________________________________________________________________________<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">OEBB is proposing to permanently adopt Oregon Administrative Rules on Hospital Payments. Senate Bill 1067 (2017) established a cap on OEBB and PEBB health benefit plan claims
payments for inpatient and outpatient hospital services, with payment for in-network hospital services limited to 200% of the amount Medicare would pay for the services and payments to out-of-network hospitals limited to 185% of the amount Medicare would pay
for the services. These proposed rules clarify aspects of the payment cap implementation.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">You are being invited to review these proposed rules and to comment on them.
<b>If you wish to present oral testimony, a public hearing will be held in the Boardroom at the Health Licensing Office at 1430 Tandem Ave NE, Salem, Oregon, on August 21, 2019 at 2:00 p.m. You may also file written comments before close of business on August
31, 2019 </b>to the OEBB Rules Coordinator at the following address:<o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-left:.75in;text-indent:.5in"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">OHA, OEBB<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:1.25in"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">April Kelly, Administrative Rules Coordinator<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:1.25in"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">500 Summer Street NE, E-88<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:1.25in"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Salem, Oregon 97301<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Written comments may be e-mailed to:
<a href="mailto:April.R.Kelly@state.or.us">April.R.Kelly@state.or.us</a> or you may FAX comments to (503) 378-5832.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Final rules will be filed after consideration of all comments and after Board approval. Any comments received after August 30, 2019 will not be reviewed or considered by OEBB
unless OEBB decides to extend the public comment period to everyone.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">For more details, please see the attached Notice of Proposed Rulemaking which includes the full text of these proposed rules. In addition, the proposed rules are posted to the
<a href="https://www.oregon.gov/OHA/OEBB/Pages/Admin-Rules.aspx">OEBB website.</a>
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">If you have any questions or would prefer a hardcopy be sent, please contact me at
<a href="mailto:April.R.Kelly@state.or.us">April.R.Kelly@state.or.us</a><u><span style="color:#0563C1">
</span></u>or (503) 378-6588.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Thank you,<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">April Kelly<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Program Benefits and Services Coordinator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Oregon Educators Benefit Board / Public Employees’ Benefit Board<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Oregon Health Authority – Health Policy and Analytics<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Phone: 503-378-6588<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Email: <a href="April.R.Kelly@state.or.us">
April.R.Kelly@state.or.us</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
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