俄勒冈州长签署医疗行政令 应对联邦政策变化下的医保覆盖与成本
据Salem Statesman Journal报道，俄勒冈州州长蒂娜·科特克近日签署一项关于医疗可及性与成本的新行政令，要求多个州级机构就再保险、初级保健、处方药采购与医保覆盖等事项开展审查并提出改进办法，行政令即刻生效。
行政令要求：消费者与商业服务部下属的金融监管司引入第三方审查该州旨在降低消费者成本的再保险计划，并于2027年3月前就预算、立法或行政层面的改进路径提交报告；金融监管司与俄勒冈州卫生局须执行该州关于保险公司至少12%支出用于初级保健要求的纠正措施，并审查及时向医疗提供者付款的办法；卫生局须与州长办公室合作，减轻初级保健诊所的行政负担。
行政令还要求卫生局、退伍军人事务部、惩教部等机构审查更具成本效益的处方药采购方式，并于2027年3月前向州长与立法机构报告；卫生局将与一家非营利组织合作，起草降低医疗补助（Medicaid）药房福利成本的法案提案。卫生局与公众服务部还须按季度报告因联邦政策变化而失去或被拒绝医保覆盖的人数。
该报报道称，联邦层面约1万亿美元的医疗支出削减叠加补贴到期，到2034年可能使全美无保险人数增加约1400万。
（来源：Salem Statesman Journal 报道）
Oregon Governor Signs Healthcare Executive Order on Access and Costs
Oregon Governor Tina Kotek has signed a new executive order on healthcare access and costs, directing multiple state agencies to review the state's reinsurance program, primary care spending, prescription drug purchasing and coverage changes, the Salem Statesman Journal reported. The order took effect immediately.
Under the order, the Department of Consumer and Business Services' Division of Financial Regulation must bring in a third party to review the state's reinsurance program, which is intended to lower costs for consumers, and report by March 2027 on potential improvements through budget, legislative or executive action. The division and the Oregon Health Authority must enforce corrections for the state's requirement that at least 12 percent of health insurers' spending go to primary care, and review ways to ensure providers receive timely reimbursements. The Health Authority must also work with the governor's office to reduce administrative burdens on primary care clinics.
State agencies including the Health Authority, the Oregon Youth Authority, the Department of Veterans Affairs and the Department of Corrections must review more cost-effective ways to purchase prescription drugs and report their findings to the governor and the Legislature by March 2027. The Health Authority will work with a nonprofit to create a bill proposal to lower costs and administrative burdens for Medicaid pharmacy benefits, and the Health Authority and the Department of Human Services must submit quarterly reports on the number of people who lost or were denied coverage as a result of federal changes, with the Health Authority to determine within 30 days what data the reports will include.
The newspaper reported that $1 trillion in federal healthcare spending cuts, combined with expiring subsidies, could leave an additional 14 million people nationwide uninsured by 2034.
(Source: Salem Statesman Journal)
来源：Salem Statesman Journal
发布：GSM·美国（发布链接）
图片来源：GSM 行政令统一模板（俄勒冈州州长行政令）
GSM Global · 本篇英文版 English edition of this story
