Regulatory Alerts2025-01-01 | Bulletin 2025-4Oregon Division of Financial Regulation Bulletin 2025-4 on Health Benefit Plan Coverage of Gender-Affirming Treatment
The Oregon Division of Financial Regulation proposes Bulletin 2025-4 to clarify health benefit plan coverage requirements for gender-affirming treatment under ORS 743A.325 and OAR 836-053-0441. The agency incorporated stakeholder feedback by permitting carriers to utilize review processes for out-of-network services and extending the mandatory provider training completion deadline to September 1, 2025. The bulletin explicitly prohibits discriminatory exclusions and mandates coverage for medically necessary care for all ages, including minors, in accordance with accepted standards of care.
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