741.002 Duties, powers and functions of Department of Consumer and Business Services;
rules. (1) The duties of the Department of Consumer and Business Services include:
(a) Administering a health insurance exchange in accordance with federal law to make
qualified health plans available to individuals and groups throughout this state.
(b) Providing information in writing, through an Internet-based clearinghouse and through a
toll-free telephone line, that will assist individuals and small businesses in making informed
health insurance decisions and that may include:
(A) The rating assigned to each health plan and the rating criteria that were used;
(B) Quality and enrollee satisfaction survey results; and
(C) The comparative costs, benefits, provider networks of health plans and other useful
(c) Establishing and maintaining an electronic calculator that allows individuals and
employers to determine the cost of coverage after deducting any applicable tax credits or cost-
(d) Operating a call center for answers to questions from individuals seeking enrollment in a
qualified health plan or in the state medical assistance program.
(e) Providing information about the eligibility requirements and the application processes for
the state medical assistance program.
(2) The department shall:
(a) Screen, certify and recertify health plans as qualified health plans according to the
requirements, standards and criteria adopted by the department under ORS 741.310 and ensure
that qualified health plans provide choices of coverage.
(b) Decertify or suspend, in accordance with ORS chapter 183, the certification of a health
plan that fails to meet federal and state standards in order to exclude the health plan from
participation in the exchange.
(c) Promote fair competition of carriers participating in the exchange by certifying multiple
health plans as qualified under ORS 741.310.
(d) Assign ratings to health plans in accordance with criteria established by the United States
Secretary of Health and Human Services and by the department.
(e) Establish open and special enrollment periods for all enrollees, and monthly enrollment
periods for Native Americans in accordance with federal law.
(f) Assist individuals and groups to enroll in qualified health plans, including defined
contribution plans as defined in section 414 of the Internal Revenue Code and, if appropriate,
collect and remit premiums for such individuals or groups.
(g) Facilitate community-based assistance with enrollment in qualified health plans by
awarding grants to entities that are certified as navigators as described in 42 U.S.C. 18031(i).
(h) Provide employers with the names of employees who end coverage under a qualified
health plan during a plan year.
(i) Certify the eligibility of an individual for an exemption from the individual responsibility
requirement of section 5000A of the Internal Revenue Code.
(j) Provide information to the federal government necessary for individuals who are enrolled
in qualified health plans through the exchange to receive tax credits and reduced cost-sharing.
(k) Provide to the federal government any information necessary to comply with federal
(A) Information regarding individuals determined to be exempt from the individual
responsibility requirement of section 5000A of the Internal Revenue Code;
Cross-walk Rule Oregon Statutory and Federal Authority