{"data":{"id":"us-or/ors-743b.406","jurisdiction":"us-or","citation":"ORS 743B.406","heading":"Vision care providers.","body":"(1) As used in this section:\n      (a) “Contractual discount” means a percentage reduction, required under a contract with an insurer, in a vision care provider’s usual and customary rate for vision care services and materials.\n      (b) “Discount card” means a card or other purchasing mechanism or device that is not insurance or a discount medical plan, as defined in ORS 735.631, that purports to offer discounts or access to discounts in health-related purchases from health care providers.\n      (c) “Materials” includes, but is not limited to:\n      (A) Lenses;\n      (B) Devices containing lenses;\n      (C) Contact lenses;\n      (D) Prisms;\n      (E) Lens treatments and contact lens coatings;\n      (F) Orthopedic or prosthetic devices to correct, relieve or treat defects or abnormal conditions of the human eye or adnexa; and\n      (G) Vision training.\n      (d) “Vision care insurance” means a health benefit plan or a policy or certificate of insurance that covers vision care services and materials.\n      (e) “Vision care provider” includes:\n      (A) A person licensed to practice optometry under ORS chapter 683; and\n      (B) A physician licensed under ORS 677.100 to 677.228 to practice medicine who has completed a residency program in ophthalmology.\n      (f) “Vision care services” means services provided by a vision care provider within the scope of the provider’s license to practice optometry or ophthalmology.\n      (2) A contract between a vision care provider and an entity that offers vision care insurance or a vision care discount card may not:\n      (a) Limit or specify the fee that a vision care provider may charge for vision care services or materials that are not reimbursed, in whole or in part, by the vision care insurance or discount card.\n      (b) Require a vision care provider to participate in one vision care insurance plan or discount card program as a condition for participating in another insurance plan.\n      (c) Change the terms, the contractual discount or the reimbursement rates, under vision care insurance or a vision care discount card, without a signed acknowledgment that the vision care provider agrees to the changes.\n      (d) Directly or indirectly restrict or limit a vision care provider’s choice of suppliers of materials.\n      (3) This section does not prohibit the use of a discount card by a patient of a vision care provider if:\n      (a) The enrollment of the vision care provider is:\n      (A) Completely voluntary; and\n      (B) Not conditioned upon the vision care provider’s participation in any other discount card program with different provider terms and conditions or in another insurance plan; and\n      (b) The discount card program does not reimburse the vision care provider for the cost of the vision care services that were discounted.","path":["18 - Financial Institutions, Insurance","56. Insurance","Chapter 743B — Health Benefit Plans: Individual and Group"],"source_url":"https://www.oregonlegislature.gov/bills_laws/ors/ors743B.html","current_through":"2025 Edition","vintage":"","retrieved_at":"2026-09-03T23:50:17Z","sha256":"7f97de568556982fa5703fe5b9397a8d20881d98cb5192ed641a0089e85399ea","source_id":"us-or","stale":false,"prev":"us-or/ors-743b.405","next":"us-or/ors-743b.407"},"notice":"GroundRules: Original legal text. Not legal advice."}