New Oregon Rules Tie QHP-Level Access Standards to Gender-Affirming Care and Breast Reconstruction Protections

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OR| Oregon’s Division of Financial Regulation has issued a temporary rule order (ID 14-2025) effective January 1–June 29, 2026, to implement Senate Bill 822 by adopting quantitative network adequacy standards, primarily federal QHP benchmarks, for all commercial health benefit plans, defining “unreasonable delay” through specific travel time/distance and appointment wait-time metrics, and updating definitions and applicability so these standards support enforcement of protections in House Bill 2002 (gender-affirming treatment) and Senate Bill 1137 (autologous breast reconstruction).

Click here to see OR Temporary Administration Order ID 14-2025

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  • Department of Insurance

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