Oregon payers not following reproductive health coverage law, audit finds

An audit has found that payers operating in Oregon are not following a state law that requires coverage of reproductive health services, according to the Oregon Capital Chronicle.

The audit findings, released June 21, found evidence of payers violating the Reproductive Health Equity Act of 2017, which requires commercial carriers to fully cover abortions, anemia screenings, contraception, pregnancy screenings, sterilizations and screenings for sexually transmitted diseases to all residents, regardless of citizenship status.

The audit specifically found that payers were partially charging for services required to be free, mishandled claims and applied incorrect cost-sharing policies to members.

The audit analyzed claims from Jan. 1, 2019, to Dec. 31, 2020, but did not say how many people were affected.

"Not every violation was found at every insurer," a spokesperson for the Oregon Consumer and Business Services Department told the Chronicle.

Details about each payer's violations will be publicly available after each company has had the opportunity to review them.

The report did not name payers, but the spokesperson told the publication they are: Aetna, Cigna, Health Net Health Plan of Oregon, Kaiser Foundation Health Plan of the Northwest, Moda Health Plan, PacificSource Health Plans, Providence Health Plan, Regence BlueCross BlueShield of Oregon, Samaritan Health Plans, UnitedHealthcare, UnitedHealthcare of Oregon and BridgeSpan Health. 

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