Oregon Administrative Rules
Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS
Division 70 - HEALTH CARE MARKET OVERSIGHT PROGRAM
Section 409-070-0075 - Contested Case Hearings

(1) The Authority shall hold a contested case hearing upon a written request for a hearing within the time specified in paragraph (3) of this rule by a person aggrieved by any act, threatened act or failure of the Authority to act under ORS 415.501 or OAR 409-070-0000 to OAR 409-070-0085.

(2) Contested case hearings shall be conducted pursuant to ORS 183.411 through ORS 183.497 and the Attorney General's Uniform and Model Rules of Procedure for the Office of Administrative Hearings, OAR 137-003-0501 through OAR 137-003-0700, and the provisions of this rule.

(3) A party to a material change transaction that wishes to contest a final order issued by the Authority that fully resolves the notice of material change transaction must request a hearing within 15 calendar days from the date of service of the final order and a notice of right to a hearing.

(4) An applicant for emergency exemption under OAR 409-070-0022 that wishes to contest a determination issued by the Authority must request a hearing within 15 calendar days from the date of service of the determination and a notice of right to a hearing.

(5) The Authority's determination:

(6) The issues to be considered in a contested case conducted pursuant to this rule shall be limited in scope to the facts and conclusions contained in the final order or determination.

(7) In a contested case conducted pursuant to this rule, the party requesting the contested case hearing shall have the burden of proof.

(8) In a contested case conducted pursuant to this rule, an administrative law judge assigned by the Office of Administrative Hearings shall serve a proposed order on all parties and the Authority, unless prior to the hearing the Authority notifies the administrative law judge that a final order may be served, within 30 calendar days of the close of the evidentiary record in the contested case.

(9) The Authority shall issue a final order within 30 days of receipt of the proposed order, which may adopt some or all of the proposed order, as the Authority shall determine in its sole discretion. The final order is effective immediately upon being signed or as otherwise provided in the order.

(10) The time limits established in paragraphs (8) and (9) of this rule may be waived or shortened by agreement among the parties and the Authority.

(11) All contested case hearing decisions are subject to judicial review under ORS 183.482 in the Court of Appeals.

(12) In cases where the decision is to be made by the Department, contested case hearings for a domestic insurer shall be conducted by the Department in accordance with ORS 732.526.