1. Senate Bill 329 The Healthy Oregon Act 2007 Jeanene Smith Administrator Office for Oregon Health Policy and Research SCI Coverage Institute September 26, 2007

2. 576,000 Oregonians are Uninsured Source: Oregon Population Survey, 2006. Office for Oregon Health Policy and Research, Department of Administrative Services Source of Healthcare Coverage, Oregon 2006 (15.6% Oregonians)

3. SB 329: 16 Guiding Principles of the Oregon Health Fund Program 1.Expanding Access 2.Equity 3.Equitable, broad based and affordable financing 4.Population benefit 5.Shared responsibility 6.Education 7.Effectiveness 8.Efficiency 9.Explicit decision-making 10.Transparency 11.Economic sustainability 12.Aligned financial incentives 13.Wellness 14.Community-based 15.Coordination 16.Importance of safety net

5. Oregon Health Fund Board Established by SB 329 to develop comprehensive reform plan for Oregon Health Fund program 7 members – Appointed by Governor (August 2007) –Confirmed by Senate (September 2007) –Experts in areas of consumer advocacy, management, finance, labor and health care –Represent geographic and ethnic diversity of state First meeting scheduled for October 2007

6. Oregon Health Fund Board Subcommittees Informed by the work of existing policy commissions and committees Five committees specified in SB 329: –Federal Laws –Finance & Cost Containment –Delivery System –Eligibility & Enrollment –Benefits

7. SB 329 Timeline Upon Passage (completed): –Governor appoints Oregon Health Fund Board Executive Director –Governor appoints and Senate confirms Health Fund Board members –Agencies begin compiling data, conducting research, and preparing for subcommittees October, 2007: –Board begins work on developing health insurance exchange –Committees begin meeting February 1, 2008: –Initial reports from agencies are due to subcommittees –Board reports to the Legislature on implementation of health insurance exchange

8. February 28, 2008 –Board reports to Legislature on progress of committees July 31, 2008: –Federal subcommittee reports to the Congressional delegation and requests hearings across Oregon and in D.C. Prior to October, 2008: –Board holds public hearings on draft of Oregon Health Fund program comprehensive plan October 1, 2008: –Comprehensive plan due to Governor, Speaker, & President –Plan submitted to Legislative Counsel for drafting 2009 Legislative Session: –Consideration of comprehensive plan as submitted by Board SB 329 Timeline