For discussion
Legislation library
25 complete working drafts across three tracks.
These are discussion drafts, not approved by any legislator or Legislative Counsel. A designation does not by itself establish funding.
Current versions: McIntire revision 4 · Bay Area revision 7 · Roseburg revision 5.
Two eligibility approaches
A · Federal classifications
A nonmetropolitan Oregon hospital must hold both Medicare Sole Community Hospital and Rural Referral Center status.
B · Add a service-based route
Keeps the federal route and adds an alternative based on travel time, regional patient origins and documented transfers.
Rep. McIntire
10 complete texts · Revision 4
M1-A · Permanent designation
Approach A · Federal classificationsCreates a permanent rural hospital designation with eligibility, certification, review and continuity rules.
M1-B · Permanent designation
Approach B · Adds a service-based eligibility routeCreates a permanent rural hospital designation with eligibility, certification, review and continuity rules.
M2-A · Designation and implementation study
Approach A · Federal classificationsAdds a time-limited implementation study to the permanent rural hospital designation.
M2-B · Designation and implementation study
Approach B · Adds a service-based eligibility routeAdds a time-limited implementation study to the permanent rural hospital designation.
M3-A · Public-financing authority
Approach A · Federal classificationsAdds a limited public-financing pilot subject to a lawful funding source and payment path.
M3-B · Public-financing authority
Approach B · Adds a service-based eligibility routeAdds a limited public-financing pilot subject to a lawful funding source and payment path.
M4-A · Targeted access protection
Approach A · Federal classificationsAdds targeted protection for specified hospital services, subject to separately authorized funds.
M4-B · Targeted access protection
Approach B · Adds a service-based eligibility routeAdds targeted protection for specified hospital services, subject to separately authorized funds.
M5-A · Allowable-cost payment target
Approach A · Federal classificationsAdds a 100% allowable-cost payment target and a first-biennium state-share formula, subject to funding, federal limits and approvals.
M5-B · Allowable-cost payment target
Approach B · Adds a service-based eligibility routeAdds a 100% allowable-cost payment target and a first-biennium state-share formula, subject to funding, federal limits and approvals.
Bay Area
HOK Law working drafts, produced for our own purposes for now. They are not proposals from any hospital and will not move forward without the consent of the hospitals involved.
9 complete texts · Revision 7
General Fund · Approach A
Approach A · Federal classificationsLinks the rural hospital designation and hospital financing provisions to General Fund-backed protection of school resources.
General Fund · Approach B
Approach B · Adds a service-based eligibility routeLinks the rural hospital designation and hospital financing provisions to General Fund-backed protection of school resources.
Rainy Day Fund · Approach A
Approach A · Federal classificationsUses a conditional Rainy Day Fund source for the linked hospital and school-protection provisions.
Rainy Day Fund · Approach B
Approach B · Adds a service-based eligibility routeUses a conditional Rainy Day Fund source for the linked hospital and school-protection provisions.
Conditional Unclaimed Property and Estates Fund receipts · Approach A
Approach A · Federal classificationsUses eligible Unclaimed Property and Estates Fund receipts for grants, with separately funded replacement of school effects.
Conditional Unclaimed Property and Estates Fund receipts · Approach B
Approach B · Adds a service-based eligibility routeUses eligible Unclaimed Property and Estates Fund receipts for grants, with separately funded replacement of school effects.
Linked policy companion · Approach A
Approach A · Federal classificationsProvides the rural hospital designation as the policy half of a mutually dependent policy and fiscal pair.
Linked policy companion · Approach B
Approach B · Adds a service-based eligibility routeProvides the rural hospital designation as the policy half of a mutually dependent policy and fiscal pair.
Linked General Fund fiscal companion
Shared fiscal companion for either policy approachProvides the General Fund fiscal companion for either policy variant, with linked school-protection requirements.
Roseburg (Mercy)
HOK Law working drafts, produced for our own purposes for now. They are not proposals from any hospital and will not move forward without the consent of the hospitals involved.
6 complete texts · Revision 5
R1-A · Clinical training and rural practice capacity
Approach A · Federal classificationsAdds authority to purchase additional clinical training, specialty access or rural practice capacity.
R1-B · Clinical training and rural practice capacity
Approach B · Adds a service-based eligibility routeAdds authority to purchase additional clinical training, specialty access or rural practice capacity.
R2-A · Psychiatric capacity
Approach A · Federal classificationsAdds authority to purchase defined psychiatric capacity or verified receiving availability.
R2-B · Psychiatric capacity
Approach B · Adds a service-based eligibility routeAdds authority to purchase defined psychiatric capacity or verified receiving availability.
R3-A · Workforce implementation plan
Approach A · Federal classificationsAdds an Oregon Health Authority workforce implementation plan using existing program rules.
R3-B · Workforce implementation plan
Approach B · Adds a service-based eligibility routeAdds an Oregon Health Authority workforce implementation plan using existing program rules.
Each reader contains the complete current draft. Downloads preserve the original text files.