Section 743B.221 - [Operative 12/31/2027] Assignment of beneficiaries to primary care providers; rules(1) As used in this section, "primary care provider" means an individual, clinic or team of health care providers licensed or certified in this state to provide outpatient, nonspecialty medical services or the coordination of health care for the purpose of: (a) Promoting or maintaining mental and physical health and wellness; and(b) Diagnosis, treatment or management of acute or chronic conditions caused by disease, injury or illness.(2) An insurer offering an individual or group policy or certificate of health insurance that reimburses the cost of hospital, medical or surgical expenses, other than coverage limited to expenses from accidents or specific diseases and limited benefit coverage, must assign a beneficiary under the policy or certificate to a primary care provider if the beneficiary or a parent of a minor beneficiary has not selected a primary care provider by the 90th day of the plan year. If the insurer assigns the beneficiary to a primary care provider, the insurer shall provide notice of the assignment to the beneficiary or parent and to the primary care provider.(3) A beneficiary may select a different primary care provider at any time.(4) The Department of Consumer and Business Services shall adopt rules prescribing a methodology for assignment and attribution of beneficiaries, to ensure accuracy and agreement between insurers and providers. The rules must prioritize consumer choice and ensure collaboration between insurers and providers. Amended by 2024 Ch. 73,§ 8, eff. 6/6/2024.Amended by 2024 Ch. 73,§ 9, eff. 6/6/2024.Added by 2022 Ch. 37, § 8 743B.221 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743B or any series therein. See Preface to Oregon Revised Statutes for further explanation.