Chapter 411 — Public
Assistance
2011 EDITION
PUBLIC ASSISTANCE
HUMAN SERVICES; JUVENILE CODE;
CORRECTIONS
GENERAL PROVISIONS
411.010 Definitions
411.060 Rules
411.070 Statewide
standards for public assistance; rules
411.072 Public
process required if waiver of federal requirement involves policy change
411.075 Family
Services Review Commission; appointment; duties
411.077 County
public welfare boards; appointment; term; expenses; termination
411.078 Duties
of county public welfare boards
APPLICATION; DETERMINATION;
RECONSIDERATION
411.081 Application
required; declaration of eligibility; report on change in circumstance;
recovery of assistance from SSI award
411.083 Income
and resources that may be disregarded in determining eligibility; rules;
presentation of fiscal analysis to Emergency Board
411.085 Reconsideration
of grants of assistance
411.087 Statement
required to obtain public assistance
411.089 Receipts
for documents supplied by applicants and recipients
411.091 Time
for issuance of recipient checks; effect of delay
411.093 Treatment
of applicants and recipients; grievance procedure
NOTICE AND HEARING
411.095 Notice;
hearings; rules
411.097 Content
of certain notices of termination
411.099 Assessment
for service eligibility
411.101 Notification
procedures and standards for communications; rules
411.103 Notice
by regular or electronic mail; final order by default
PAYMENTS AND DELIVERY OF SERVICES
411.116 Rules,
contracts and intergovernmental agreements for providing social services to
individuals
411.117 Requirements
when applicants or recipients victims of domestic violence; confidentiality
411.119 Prohibition
against denial of assistance based on drug conviction; exception
411.121 Local
district pilot projects; rules
411.122 Department
to make dependent care payments directly to providers
411.128 Acceptance
of gifts and grants for scholarships
411.135 Cooperation
with federal government in research and training personnel
411.137 Contributions
by state and counties for medical assistance demonstration projects under ORS
411.135
FINANCING OF PUBLIC ASSISTANCE
411.141 Authorized
expenditures for public assistance
411.142 Quarterly
allocation of funds for each category of public assistance
411.144 Deposit
of funds received for public assistance purposes; appropriation
411.146 Payment
of claims; rules
411.148 Public
Welfare Account
411.149 Advancements
from Public Welfare Account to meet claims payable from federal funds
411.151 Revolving
fund
MISCELLANEOUS PROVISIONS RELATING TO
PUBLIC ASSISTANCE
411.154 Report
to Legislative Assembly
411.159 Housekeeper,
homemaker or home care worker in residence of public assistance recipient not
state employee; exception
411.171 Certain
job referrals prohibited; eligibility not conditioned on employment at
workplace involved in labor dispute
CONFIDENTIALITY OF RECORDS
411.300 Use
and custody of records; rules
411.320 Disclosure
and use of records limited to purposes connected to administration of public
assistance programs; contents as privileged communication; exceptions
411.335 Prohibited
use of lists or names
MEDICAL ASSISTANCE
411.400 Application
for medical assistance
411.402 Documentation
required for person applying for medical assistance; rules
411.404 Determination
of eligibility for medical assistance; rules
411.406 Notice
of change in circumstances
411.408 Hearing
on eligibility for medical assistance; rules
411.431 Payment
of monthly premium payments by recipients of medical assistance; rules
411.432 Exemption
from payment of monthly premium payments for certain recipients of medical
assistance; rules
411.435 Enrollment
of medical assistance program clients; agreements with local governments
411.439 Suspension
of medical assistance of persons with serious mental illness under certain
circumstances
411.443 Suspension
of medical assistance for pregnant women who are incarcerated
411.445 Conditions
for coverage for pregnant women who are incarcerated
411.463 Availability
of information on all licensed healing arts
411.580 Scholarships
and grants for recipients
INVESTIGATIONS AND RECOVERY OF
ASSISTANCE
411.593 Public
assistance investigations; power to subpoena, administer oaths, take
depositions and fix witness fees
411.594 Petition
for enforcement of subpoena issued under ORS 411.593
411.596 Court
order to show cause issued upon filing of petition for enforcement of subpoena
411.597 Court
may compel appearance of witness before petitioner
411.610 Indorsement
by others of public assistance checks or warrants payable to deceased
recipient; disposition of proceeds
411.620 Recovery
of public assistance obtained or disposed of unlawfully
411.630 Unlawfully
obtaining public assistance
411.632 Relief
where assets transferred, removed or secreted
411.635 Recovery
of improperly disbursed public assistance
411.640 Overpayments
of public assistance
411.660 Modification,
cancellation or suspension of public assistance
411.670 Definitions
for ORS 411.640, 411.670, 411.675 and 411.690
411.675 Submitting
wrongful claim for payment
411.690 Liability
of person wrongfully receiving payment; amount of recovery; rules
411.692 Definition
for ORS 93.268 and 411.694
411.694 Request
for notice of transfer or encumbrance of real property held by recipient; rules
411.703 Issuance
of warrants for overpayment of public or nutrition assistance
OREGON SUPPLEMENTAL INCOME PROGRAM
411.704 Definitions
for ORS 411.141, 411.706 and 411.708
411.706 Oregon
Supplemental Income Program
411.708 Recovery
of supplemental income program assistance from certain estates; exceptions;
certain transfers of property voidable
GENERAL ASSISTANCE
411.710 Basis
for granting general assistance; rules
411.720 Residence
required of applicants for general assistance
411.730 Application
for general assistance; determination of eligibility and amount of grant
411.740 General
assistance administration
411.750 Cooperation
with federal government in providing general assistance
411.760 Assistance
grants are inalienable
411.790 Assistance
to certain persons receiving employment income
411.795 Claim
against estate of deceased recipient of general assistance
SPOUSAL CARE
411.802 Compensation
for in-home care by spouse
411.803 When
spouse may be compensated for in-home care
SUPPLEMENTAL NUTRITION ASSISTANCE
PROGRAM
411.806 Definitions
for ORS 411.806 to 411.845
411.811 Distribution
by tribal councils; duties of department with respect to food distribution
programs; rules
411.816 Eligibility
for and amount of assistance; rules
411.818 Disregard
of cost-of-living adjustment; rules
411.825 Administration
of Supplemental Nutrition Assistance Program
411.827 Appropriation
of sums received from federal government
411.830 Payment
of losses from program
411.837 Compliance
with state and federal laws required
411.840 Unlawfully
obtaining or disposing of supplemental nutrition assistance
411.845 Prosecution;
costs; accounting
COMMUNITY WORK AND TRAINING PROGRAMS
411.855 Definitions
for ORS 411.855 to 411.870
411.860 Community
work and training programs authorized for general assistance applicants or
recipients
411.865 Denial
of general assistance to applicants or recipients for failing to participate in
community work program; causes; rules
411.870 Approval
of programs; rules
411.875 Status
of applicants, recipients, beneficiaries and trainees under community work and
training program; workers’ compensation coverage
JOBS PLUS PROGRAM
411.877 Definitions
for program
411.878 Intent;
state program creation; rules
411.880 Exemptions
and waivers from federal law to be obtained
411.882 Maximizing
use of federal grants and apportionments
411.886 JOBS
Plus Advisory Board; duties; membership
411.888 Vacancies
on board; chairperson; meetings
411.889 Contracting
with private institutions
411.890 JOBS
Plus Implementation Council; duties; membership
411.892 Employer
eligibility; job requirements; program participant eligibility; termination of
participation; job assignment; exemptions; wages; reimbursement of employers
411.894 Oregon
JOBS Individual Education Account; employer contribution; participant access;
administered by Oregon Student Access Commission
411.896 Annual
report on program
DISPLACED HOMEMAKERS
411.900 Definitions
for ORS 411.900 to 411.910
411.905 Programs
for displaced homemakers; scope of activities
411.910 Contracts
with public and private agencies to carry out programs
PUBLIC ASSISTANCE ACCESSIBILITY
411.965 Policy
on program accessibility
411.967 Forms
and notices to be in plain language
411.969 Informational
materials for applicants
411.970 When
bilingual services required
PENALTIES
411.990 Penalties
Note:
414.025 contains definitions for ORS chapter 411.
GENERAL PROVISIONS
411.010 Definitions.
As used in this chapter and in other statutes providing for assistance and
services to needy persons, unless the context or a specially applicable
statutory definition requires otherwise:
(1)
“General assistance” means assistance or service of any character provided to
needy persons not otherwise provided for to the extent of such need and the
availability of funds, including medical, surgical and hospital or other
remedial care.
(2)
“Public assistance” means the following types of assistance:
(a)
Temporary assistance for needy families granted under ORS 412.001 to 412.069
and 418.647;
(b)
General assistance granted under ORS 411.710 to 411.730;
(c)
Medical assistance;
(d)
Assistance provided by the Oregon Supplemental Income Program;
(e)
General assistance other than general assistance granted under ORS 411.710 to 411.730;
and
(f)
Any other functions, except the administration of medical assistance by the
Oregon Health Authority, that may be delegated to the Director of Human
Services by or in accordance with federal and state laws. [Amended by 1961
c.620 §1; 1963 c.599 §1; 1965 c.556 §15; 1969 c.597 §228; 1971 c.779 §7; 1973
c.464 §1; 1997 c.581 §4; 2005 c.381 §4; 2011 c.720 §90]
411.040 [1969
c.597 §227; 1983 c.740 §140; 1999 c.59 §106; repealed by 2001 c.900 §261]
411.050
[Amended by 1969 c.314 §34; repealed by 1969 c.597 §281]
411.060 Rules.
Subject to ORS 417.300 and 417.305, the Department of Human Services shall
adopt and enforce rules necessary to ensure full compliance with federal and
state laws relating to public assistance programs and functions administered by
the department. [Amended by 1969 c.597 §229; 1971 c.319 §8; subsection (2)
enacted as 1971 c.779 §72; 1977 c.267 §17; 1989 c.834 §15; 2003 c.14 §178; 2005
c.381 §5; 2011 c.720 §91]
411.062 [1979
c.834 §2; 2001 c.900 §218; renumbered 411.970 in 2009]
411.064 [1979
c.834 §3; repealed by 2001 c.900 §261]
411.070 Statewide standards for public
assistance; rules. (1) The Oregon Health Authority
and the Department of Human Services shall adopt by rule statewide uniform
standards for all public assistance programs and shall effect uniform
observance of the rules throughout the state.
(2)
In establishing uniform statewide standards for public assistance, the
department and the authority, within the limits of available funds, shall:
(a)
Take into consideration all basic requirements for a standard of living
compatible with decency and health, including food, shelter, clothing, fuel,
public utilities, telecommunications service, medical care and other essential
items and, upon the basis of investigations of the facts, shall provide
budgetary guides for determining minimum costs of meeting such requirements.
(b)
Develop standards for making payments and providing support services in the job
opportunity and basic skills program described in ORS 412.006. [Amended by 1955
c.613 §1; 1969 c.597 §229a; 1971 c.779 §8; 1987 c.447 §129; 1991 c.122 §9; 1993
c.18 §99; 1999 c.1093 §15; 2001 c.900 §219; 2003 c.567 §3; 2007 c.861 §13; 2011
c.720 §92]
411.072 Public process required if waiver
of federal requirement involves policy change.
(1) As used in this section “policy change” includes any change in the
operation of public assistance programs that affects recipients adversely in
any substantial manner, including but not limited to the denial, reduction,
modification or delay of benefits. “Policy change” does not include any
procedural change that affects internal management but does not adversely and
substantially affect the interest of public assistance recipients.
(2)
The Department of Human Services may submit applications for waiver of federal
statutory or regulatory requirements to the federal government or any agency
thereof. Prior to the submission of any application for waiver that involves a
policy change, and prior to implementation, the department shall do the
following:
(a)
Conduct a public process regarding the waiver application or application for
waiver renewals;
(b)
Prepare a complete summary of the testimony and written comments received
during the public process;
(c)
Submit the application for waiver or application for waiver renewals involving
a policy change to the legislative review agency, as described in ORS 291.375,
and present the summary of testimony and comments described in this section;
and
(d)
Give notice of the date of its appearance before the Emergency Board or the
Joint Committee on Ways and Means in accordance with ORS 183.335, and before
the Family Services Review Commission. [Formerly 411.595; 2011 c.720 §93]
Note:
411.072 was added to and made a part of ORS chapter 411 by legislative action
but was not added to any smaller series therein. See Preface to Oregon Revised
Statutes for further explanation.
411.075 Family Services Review Commission;
appointment; duties. (1) There is established the
Family Services Review Commission consisting of 16 members. The members shall
be appointed by the Governor for a term of four years. In making the
appointments, the Governor shall consider representatives of county public
welfare boards, as well as representatives from all of the congressional
districts. Four members shall be recipients or former recipients of cash or
self-sufficiency-related services from the Department of Human Services. Four
members shall be representatives of business and professional interests. Four
members shall be public welfare policy specialists. Four members shall be
advocates of public welfare from the state agencies or public or private
organizations interested in public welfare. The commission shall receive
compensation and expenses as provided in ORS 292.495.
(2)
The commission shall advise and consult with the Director of Human Services in
carrying out the functions of the department relating to programs and services
to persons who, as a result of the person’s or the person’s family’s economic,
social or health condition, require medical assistance, financial assistance,
institutional care, rehabilitation, vocational rehabilitation or other social
or health services. The commission shall, through its chairperson, have access
to information regarding persons receiving assistance and other relevant
information about self-sufficiency programs of the department. [Formerly
411.125]
Note:
411.075 was added to and made a part of ORS chapter 411 by legislative action
but was not added to any smaller series therein. See Preface to Oregon Revised
Statutes for further explanation.
411.077 County public welfare boards;
appointment; term; expenses; termination. (1) A
county public welfare board of not fewer than five nor more than seven members
may be created within each county. The members shall be appointed by the
governing body of the county, on the basis of recognized interest in and
knowledge of the field of public assistance. Members of the governing body may
be appointed to the board.
(2)
Members shall be appointed for a term of four years. Before the expiration of
the term of a member of the county public welfare board, the governing body
shall appoint the successor of the member to assume the duties of the member on
July 1 next following. In case of a vacancy for any cause, the governing body
shall make an appointment to be immediately effective for the unexpired term.
Any member of the county public welfare board may be removed by the governing
body at any time for cause. The governing body shall name the chairperson of
the county public welfare board.
(3)
Members appointed shall receive no compensation for their services but shall be
allowed the actual and necessary expenses incurred by them in attending any
meeting of the Department of Human Services when such attendance is authorized
by the Director of Human Services. The expenses authorized pursuant to this
subsection shall be paid by the department out of the Public Welfare Account.
(4)
The governing body of the county may abolish the county public welfare board
upon 60 days’ notice. On the effective date stated in the notice, the county
public welfare board shall be abolished and the tenure of office of members
shall cease.
(5)
Until the notice required in subsection (4) of this section is given, any county
public welfare board in existence on November 4, 1993, shall continue and shall
perform its duties under ORS 411.078. [Formerly 411.145]
Note:
411.077 and 411.078 were added to and made a part of ORS chapter 411 by
legislative action but were not added to any smaller series therein. See
Preface to Oregon Revised Statutes for further explanation.
411.078 Duties of county public welfare
boards. The county public welfare board shall:
(1)
Receive information and complaints from local citizens and may at its
discretion transmit such complaints to the Department of Human Services on
matters relating to public assistance programs. The department shall, if
requested, investigate and report on its findings pursuant to any complaint
presented to it by a county public welfare board.
(2)
Evaluate the effectiveness of public welfare programs in relation to local
needs, determine the need and develop locally sponsored programs to augment
public welfare programs, interpret public welfare programs and inform the public.
(3)
Confer with local welfare offices on selection of special local programs,
budget, eligibility for assistance, and other matters which will assist local
offices in effectively serving local needs.
(4)
Recommend changes, if any are needed, in the program or delivery of services to
improve the department’s response to local problems. [Formerly 411.155]
Note:
See note under 411.077.
411.080
[Amended by 1969 c.597 §230; repealed by 1971 c.319 §11]
APPLICATION; DETERMINATION;
RECONSIDERATION
411.081 Application required; declaration
of eligibility; report on change in circumstance; recovery of assistance from
SSI award. (1) A person seeking public assistance
shall file an application for public assistance with the Department of Human
Services or the Oregon Health Authority. At the time of application, the
applicant shall declare to the department or the authority any circumstance
that directly affects the applicant’s eligibility to receive assistance or the
amount of assistance available to the applicant. Upon the receipt of property
or income or upon any other change in circumstances that directly affects the
eligibility of the recipient to receive assistance or the amount of assistance
available to the recipient, the applicant, recipient or other person in the
assistance household shall immediately notify the department or the authority
of the receipt or possession of such property or income, or other change in
circumstances. The department or the authority shall recover from the recipient
the amount of assistance improperly disbursed by reason of failure to comply
with the provision of this section.
(2)
The department may recover any cash assistance granted for general assistance
under ORS 411.710 to 411.730, and the recipient’s portion of the aid described
in ORS 412.014 (3), that has been paid to any recipient 18 years of age or
older when the recipient is presently receiving or subsequently receives
Supplemental Security Income. The amount of recovery shall be limited to the
total amount of Supplemental Security Income that was received for the same
time period that the general assistance or the aid received under ORS 412.014
was being paid.
(3)
Nothing in subsection (1) or (2) of this section shall be construed as to
prevent the department or the authority from entering into a compromise
agreement for recovery of assistance improperly disbursed, if the department or
the authority determines that the administration and collection costs involved
would exceed the amount that can reasonably be expected to be recovered. [Formerly
411.105; 2011 c.46 §2; 2011 c.720 §95]
411.083 Income and resources that may be
disregarded in determining eligibility; rules; presentation of fiscal analysis
to Emergency Board. (1) The Department of Human
Services, in consultation with the Oregon Health Authority, may prescribe by
rule that income and resources may be disregarded in the determination of
eligibility and the amount of need with respect to a recipient of or applicant
for public assistance under ORS 411.706 and ORS chapter 414, if required by
federal law or rules adopted pursuant thereto or if authorized by the
Legislative Assembly, including the following:
(a)
Any elderly rental assistance payments provided by ORS 310.635 or refunds in
lieu of such relief shall be disregarded in determining eligibility and need.
(b)
Any increase in the amount of assistance that is authorized by section 4,
Public Law 93-233 (87 Stat. 953) and which is also being paid on March 5, 1974,
shall be disregarded in determining eligibility and need.
(2)
The department, in consultation with the authority, shall prescribe by rule
that in the determination of eligibility and the amount of need with respect to
a recipient of or applicant for public assistance under ORS 411.706 and ORS chapter
414:
(a)
Any increase in the amount of assistance provided under Title XVI of the Social
Security Act to meet changes in the cost of living that is an increase over
that amount being paid on January 1, 1977, pursuant to an Act of Congress and
which will first be paid after January 1, 1977, shall be disregarded.
(b)
Up to $10,000 equity value of any licensed and unlicensed vehicles owned by the
applicant or recipient is exempt from consideration as a resource.
(3)
The department shall implement subsection (2)(b) of this section statewide to
the extent possible that is consistent with federal regulation to maintain
state eligibility for federal participation in public assistance programs. In
the event the department determines that this policy has a net fiscal cost to
the state, the department shall present the fiscal analysis to the Emergency
Board for additional funding or direction to modify or suspend the policy. [Formerly
411.700; 2011 c.720 §96]
Note:
411.083 was added to and made a part of ORS chapter 411 by legislative action
but was not added to any smaller series therein. See Preface to Oregon Revised
Statutes for further explanation.
411.085 Reconsideration of grants of
assistance. (1) The Department of Human Services
may reconsider a grant of general assistance or a grant of public assistance
only for the following purposes:
(a)
To correct an inadvertent clerical or mathematical error made when determining
a grant of general assistance or a grant of public assistance;
(b)
To correct misinformation provided to an applicant or recipient by the
department;
(c)
To consider facts not previously known to the department;
(d)
To correct errors caused by a misapplication of the law by the department;
(e)
To consider substantive changes in the applicable law; or
(f)
To consider a change in circumstances that directly affects the eligibility of
a recipient of general assistance or public assistance.
(2)
A recipient of general assistance or public assistance may request
reconsideration of a grant of general assistance or a grant of public
assistance for the purposes described in subsection (1) of this section.
(3)
If the department reduces, suspends or terminates a grant of general assistance
or a grant of public assistance after reconsideration under subsection (1) of
this section, the department shall provide an opportunity for a hearing under
ORS chapter 183.
(4)
Notwithstanding subsection (1) of this section, the department may conduct
periodic redeterminations of eligibility of recipients of grants of general
assistance or grants of public assistance and participate in audits and other
review activities as required by state or federal law. [Formerly 411.111]
411.087 Statement required to obtain
public assistance. (1) Every person 18 years of age
or over who applies for or receives any type of general assistance or public
assistance, as defined in ORS 411.010, whether the general assistance or public
assistance is applied for or received for the benefit of the person or of
another individual, shall execute to the Department of Human Services at the
time of making the application, and at such times as may be required by the
department or by the Oregon Health Authority by rule, written statements
relating to each individual for whose benefit the general assistance or public
assistance is applied for or received, and to any person who has a duty to
support the individual, or to whom the individual owes a duty of support. The
statements must include, but need not be limited to, as much of the following
information, relating to each individual or other person, as may be specified
or required by the department or the authority:
(a)
The name of the individual, address, date and place of birth, residence, family
relationships, and the composition of the household in which the individual
lives;
(b)
The financial circumstances of the individual and means of and ability for
support of the individual and other individuals, including but not limited to
information concerning:
(A)
The employment of the individual and the nature and amount of the income of the
individual, from whatever source derived;
(B)
The tangible and intangible assets of the individual, property and resources of
any nature including, but not limited to, money, real and personal property,
rights and expectancies as an heir, devisee, legatee, trustee or cestui que
trust, and any rights, benefits, claims or choses in action, whether arising in
tort or based upon statute, contract or judgment; and
(C)
Other information as may be required by the department or the authority
pursuant to state or federal laws applicable to general assistance or public
assistance.
(2)
All applications for general assistance or public assistance and all statements
referred to in subsection (1) of this section shall be upon forms prescribed
and furnished by the department or the authority. Each statement shall be
subscribed by each individual who executes or joins in the execution of the
statement.
(3)
The spouse of any individual who applies for or receives general assistance or
public assistance may be required by the department or the authority to join in
the execution of, or separately to execute, any statement referred to in
subsection (1) of this section, under oath or affirmation, except during any
period in which it appears to the department or the authority that:
(a)
The individual and the spouse of the individual are estranged and are living
apart;
(b)
The spouse is absent from this state or the whereabouts of the spouse is
unknown; or
(c)
The spouse is physically or mentally incapable of executing the statement or of
providing any information referred to in subsection (1) of this section. [Formerly
411.650; 2011 c.720 §97]
Note:
411.087 was added to and made a part of ORS chapter 411 by legislative action
but was not added to any smaller series therein. See Preface to Oregon Revised
Statutes for further explanation.
411.089 Receipts for documents supplied by
applicants and recipients. The Department of Human Services
shall provide written receipts to applicants and recipients for all documents
delivered to a local office by the applicant or recipient upon the request of
the applicant or recipient. [Formerly 411.972]
Note:
411.089, 411.091 and 411.093 were added to and made a part of ORS chapter 411 by
legislative action but were not added to any smaller series therein. See
Preface to Oregon Revised Statutes for further explanation.
411.090
[Amended by 1969 c.597 §231; repealed by 2001 c.900 §261]
411.091 Time for issuance of recipient
checks; effect of delay. (1) For all recipients who are
on the monthly reporting system, the Department of Human Services shall have 10
calendar days from the date the department receives a complete monthly report
to issue the recipient’s assistance check for that month.
(2)
If the department fails to issue a check in a timely manner pursuant to this
section, the recipient may request same day issuance of the check from the
local office. The department shall pay the recipient a sum equal to one-tenth
of the household’s monthly assistance grant if the department fails to issue
the check the same day. The payment shall be treated as a resource and not
counted as income by the department.
(3)
As used in this section, “same day” means that the request is received by the local
office before 12 noon. [Formerly 411.975]
Note: See
note under 411.089.
411.093 Treatment of applicants and recipients;
grievance procedure. (1) All applicants for and
recipients of public assistance shall be treated in a courteous, fair and dignified
manner by Department of Human Services personnel.
(2)
Any applicant or recipient who alleges discourteous, unfair or undignified
treatment by department personnel or alleges that incorrect or inadequate
information regarding public assistance programs has been provided by
department personnel may file a grievance with the department. The department
shall publicize the grievance system in each local office.
(3)
The grievance shall be discussed first with the supervisor of the employee
against whom the grievance is filed. If the grievance is not resolved, the
applicant or recipient may discuss the grievance with the local office manager.
(4)
The department shall compile a monthly report summarizing each grievance filed
against department personnel and the action taken. The report shall identify
each grievance by local office and indicate the number of grievances filed
against individual employees. The report shall protect the anonymity of
department personnel. The report shall be presented to the Family Services
Review Commission and to all county public welfare boards. [Formerly 411.977]
Note: See
note under 411.089.
NOTICE AND HEARING
411.095 Notice; hearings; rules.
(1) Except as provided in subsection (2) of this section, when the Department
of Human Services changes a benefit standard that results in the reduction,
suspension or closure of a grant of general assistance or a grant of public
assistance, the department shall mail a notice of intended action to each
recipient affected by the change at least 30 days before the effective date of
the action.
(2)
If the department has fewer than 60 days before the effective date to implement
a proposed change described in subsection (1) of this section, the department
shall mail a notice of intended action to each recipient affected by the change
as soon as practicable but at least 10 working days before the effective date
of the action.
(3)
When the department conducts a hearing pursuant to ORS 416.310 to 416.340 and
416.510 to 416.830 and 416.990 or when the department proposes to deny, reduce,
suspend or terminate a grant of general assistance, a grant of public
assistance or a support service payment used to support participation in the
job opportunity and basic skills program, the department shall provide an
opportunity for a hearing under ORS chapter 183.
(4)
When emergency assistance or the continuation of assistance pending a hearing
on the reduction, suspension or termination of public assistance or a support
service payment used to support participation in the job opportunity and basic
skills program is denied, and the applicant for or recipient of public
assistance or a support service payment requests a hearing on the denial, an
expedited hearing on the denial shall be held within five working days after
the request. A written decision shall be issued within three working days after
the hearing is held.
(5)
For purposes of this section, a reduction or termination of services resulting
from an assessment for service eligibility as defined in ORS 411.099 is a grant
of public assistance.
(6)
Adoption of rules, conduct of hearings and issuance of orders and judicial
review of rules and orders shall be in accordance with ORS chapter 183. [1971
c.734 §41; 1987 c.3 §9; 2001 c.900 §247; 2003 c.243 §1; 2003 c.567 §1; 2005
c.414 §1]
411.097 Content of certain notices of
termination. When the Department of Human Services
terminates a grant of public assistance due to the ineligibility of a recipient
or the termination of a public assistance program, the department shall include
in the notice of termination a statement indicating that if circumstances
affecting the eligibility of the recipient change, the recipient may contact
the department and reapply for public assistance. [2005 c.692 §2]
Note: 411.097
was added to and made a part of ORS chapter 411 by legislative action but was
not added to any smaller series therein. See Preface to Oregon Revised Statutes
for further explanation.
411.099 Assessment for service eligibility.
(1) As used in this section:
(a)
“Activities of daily living” has the meaning given that term in ORS 410.600.
(b)
“Assessment for service eligibility” means a process of evaluating the
functional impairment levels of an individual and an individual’s requirements
for assistance in performing activities of daily living.
(2)(a)
No fewer than 14 days prior to conducting a reassessment for service
eligibility, the Department of Human Services shall mail a notice of the
assessment process to the individual to be assessed. The notice shall include a
description and explanation of the assessment process, an explanation of the
process for appealing the results of the assessment and a description of the
rights described in paragraph (b) of this subsection.
(b)
The individual being assessed has the right to set the date, time and place of
the assessment at a location that is convenient for the individual and to
invite other persons to participate in the assessment.
(3)
If the assessment for service eligibility results in a reduction or termination
of services, the individual is entitled to an expedited hearing under ORS
411.095 (4). [2005 c.414 §2]
Note:
411.099 and 411.101 were enacted into law by the Legislative Assembly but were
not added to or made a part of ORS chapter 411 or any series therein by
legislative action. See Preface to Oregon Revised Statutes for further
explanation.
411.100
[Repealed by 1971 c.779 §78]
411.101 Notification procedures and
standards for communications; rules. No later than
July 1, 2006, the Department of Human Services shall adopt rules establishing
notification procedures regarding reassessments for service eligibility and
standards for communications between an individual being assessed, and
caregivers and family of the individual being assessed, and the case managers
who are responsible for implementing the notification procedures. [2005 c.414 §4]
Note: See
note under 411.099.
411.103 Notice by regular or electronic
mail; final order by default. (1) The
Department of Human Services may serve a notice described in ORS 183.415 by
regular mail or, if requested by the recipient of the notice, by electronic
mail. The legal presumption described in ORS 40.135 (1)(q) does not apply to a
notice that is served by regular mail under this section.
(2)
Except as provided in subsection (3) of this section, a contested case notice
served in accordance with subsection (1) of this section that complies with ORS
183.415 but for service by regular or electronic mail becomes a final order
against a party and is not subject to ORS 183.470 (2), upon the earlier of the
following:
(a)
If the party fails to request a hearing, the day after the date prescribed in
the notice as the deadline for requesting a hearing.
(b)
The date the department or the Office of Administrative Hearings mails an order
dismissing a hearing request because:
(A)
The party withdraws the request for hearing; or
(B)
Neither the party nor the party’s representative appears on the date and at the
time set for hearing.
(3)
The department shall prescribe by rule a period of not less than 60 days after
a notice becomes a final order under subsection (2) of this section within
which a party may request a hearing under this subsection. If a party requests
a hearing within the period prescribed under this subsection, the department
shall do one of the following:
(a)
If the department finds that the party did not receive the written notice and
did not have actual knowledge of the notice, refer the request for hearing to
the Office of Administrative Hearings for a contested case proceeding on the
merits of the department’s intended action described in the notice.
(b)
Refer the request for hearing to the Office of Administrative Hearings for a
contested case proceeding to determine whether the party received the written
notice or had actual knowledge of the notice. The department must show that the
party had actual knowledge of the notice or that the department mailed the
notice to the party’s correct address or sent an electronic notice to the party’s
correct electronic mail address.
(4)
If a party informs the department that the party did not receive a notice
served by regular or electronic mail in accordance with subsection (1) of this
section, the department shall advise the party of the right to request a
hearing under subsection (3) of this section. [2009 c.126 §1; 2011 c.720 §98]
Note:
411.103 was enacted into law by the Legislative Assembly but was not added to
or made a part of ORS chapter 411 or any series therein by legislative action.
See Preface to Oregon Revised Statutes for further explanation.
411.105 [1969
c.68 §3; 1975 c.178 §1; 1977 c.194 §1; 2005 c.381 §6; 2007 c.861 §9; renumbered
411.081 in 2009]
411.110
[Repealed by 1969 c.68 §1 (411.111 enacted in lieu of 411.110)]
411.111 [1969
c.68 §2 (enacted in lieu of 411.110); 2005 c.381 §29; renumbered 411.085 in
2009]
411.113 [1971
c.779 §73; 2001 c.900 §86; repealed by 2005 c.381 §30]
411.114 [1973
c.651 §2; repealed by 2005 c.381 §30]
411.115 [1957
c.572 §1; 1961 c.620 §2; 1965 c.556 §16; 1971 c.779 §9; repealed by 1975 c.180 §1
(411.116 enacted in lieu of 411.115)]
PAYMENTS AND DELIVERY OF SERVICES
411.116 Rules, contracts and
intergovernmental agreements for providing social services to individuals.
In addition to its other powers, the Department of Human Services may adopt
rules and enter into contracts and intergovernmental agreements, subject to
availability of funds therefor and consistent with federal and state law and
regulations, for the purpose of providing social services, including
protection, job preparation and support services, reduction of unintended
pregnancy and provision of information and referrals for community, medical and
social resources, to those individuals in need of, or who request such
services. [1975 c.180 §2 (enacted in lieu of 411.115); 1997 c.581 §5]
411.117 Requirements when applicants or
recipients victims of domestic violence; confidentiality.
(1) The Department of Human Services shall:
(a)
Identify applicants for and recipients of assistance under the temporary
assistance for needy families program who are currently victims of domestic
violence, have been victims of domestic violence or are at risk of
victimization by domestic violence.
(b)
Ensure that appropriate individuals on the local level who provide assistance
to domestic violence victims participate in individualized case management with
the department.
(c)
Refer individuals identified under this subsection to appropriate counseling
and support services.
(d)
Waive or modify any temporary assistance for needy families program
requirements that may make it more difficult for individuals identified under
this subsection to escape domestic violence or place those individuals at risk
of further or future domestic violence, including but not limited to:
(A)
Time limits on receipt of benefits;
(B)
Work requirements;
(C)
Paternity establishment and child support cooperation requirements;
(D)
Residency requirements;
(E)
Family cap provisions; and
(F)
Penalties for failure to comply with a program requirement.
(e)
Maintain emergency assistance eligibility and payment limits for victims of
domestic violence or persons at risk of victimization by domestic violence
identified under this section at no less than the levels in effect on January
1, 1997.
(f)
Allow eligibility for temporary assistance for needy families for persons
identified under this section as victims of domestic violence or persons
identified as at risk of victimization by domestic violence who would otherwise
be eligible except for the fact that they are noncitizens.
(2)
All information received by the department in identifying the individuals
described in subsection (1) of this section shall remain confidential.
(3)
For purposes of this section, “domestic violence” means the occurrence of one
or more of the following acts between family members, intimate partners or
household members:
(a)
Attempting to cause or intentionally, knowingly or recklessly causing physical
injury or emotional, mental or verbal abuse;
(b)
Intentionally, knowingly or recklessly placing another in fear of imminent
serious physical injury;
(c)
Committing sexual abuse in any degree as defined in ORS 163.415, 163.425 and
163.427; or
(d)
Using coercive or controlling behavior. [1997 c.330 §2; 2011 c.9 §53]
411.118 [1997
c.330 §3; renumbered 411.154 in 2009]
411.119 Prohibition against denial of
assistance based on drug conviction; exception.
(1) Except as provided in subsection (2) of this section, a person who is
otherwise eligible to receive public assistance, including supplemental
nutrition assistance, may not be denied assistance because the person has been
convicted of a drug-related felony.
(2)
The Department of Human Services may suspend a person’s supplemental nutrition
assistance if:
(a)
The person has been convicted of the manufacture or delivery of a controlled
substance under ORS 475.752 (1)(a) to (c); and
(b)
The person is on probation, parole or post-prison supervision and the agency
supervising the person makes a recommendation to the department, pursuant to
subsection (3) of this section, that the department suspend the person’s
supplemental nutrition assistance.
(3)
When making a recommendation to the department regarding the continuation or
suspension of a person’s supplemental nutrition assistance, a supervising
authority shall consider, at a minimum, whether there is reason to believe:
(a)
That the person traded the person’s supplemental nutrition assistance for
controlled substances; and
(b)
That, as a result of the trading, a member of the person’s household who is a
dependent of the person did not receive the supplemental nutrition assistance
for which the member is eligible.
(4)
The department shall reinstate the supplemental nutrition assistance of a
person whose benefits were suspended under subsection (2) of this section if
the department receives a recommendation from the supervising authority to
reinstate the benefits pursuant to subsection (5) of this section.
(5)
When making a recommendation to the department regarding the reinstatement of
supplemental nutrition assistance, the supervising authority shall consider, at
a minimum, the following:
(a)
Whether members of the person’s household are also receiving supplemental
nutrition assistance; and
(b)
Whether the person is enrolled in and successfully participating in a
rehabilitation program. [1997 c.581 §46; 2005 c.706 §22; 2009 c.599 §18]
411.120
[Amended by 1957 c.648 §1; 1961 c.600 §4; 1961 c.620 §3; 1965 c.556 §17; 1967
c.588 §3; 1969 c.123 §1; 1969 c.203 §1; 1971 c.779 §10; 1991 c.66 §1; 1995
c.343 §41; 1997 c.581 §6; 2005 c.381 §7; renumbered 411.141 in 2009]
411.121 Local district pilot projects;
rules. (1) Notwithstanding ORS 411.070, the
Department of Human Services is authorized to establish and implement local
district pilot projects that promote the improvement of work skills, education
and employability by offering client incentives that reward significant
progress leading toward self-sufficiency. Client incentives offered under this
section shall not exceed the equivalent of one month’s temporary assistance for
needy families grant in any 12-month period. No applicant or recipient
participating in a pilot program shall be disadvantaged by such participation.
(2)
The department shall monitor the results of any approved pilot projects to
determine the types of client incentives that result in positive client
performance. Within the limit of existing funds, the department may implement
statewide those client incentives that prove to be cost-effective. The
department shall solicit input from clients and client advocates prior to such
statewide implementation.
(3)
The department shall adopt all rules necessary to implement and administer the
provisions of this section. [1997 c.581 §47]
411.122 Department to make dependent care
payments directly to providers. The
Department of Human Services shall provide dependent care payments directly to
dependent care providers for eligible families. [1989 c.1047 §1; 1995 c.278 §47]
Note:
411.122 was enacted into law by the Legislative Assembly but was not added to
or made a part of ORS chapter 411 or any series therein by legislative action.
See Preface to Oregon Revised Statutes for further explanation.
411.125 [1969
c.597 §228b; 1971 c.779 §71; 1981 c.545 §8; 1991 c.10 §1; 1999 c.422 §1; 2001
c.900 §87; renumbered 411.075 in 2009]
411.128 Acceptance of gifts and grants for
scholarships. (1) In addition to other funds made
available for education and training of public assistance recipients, the
Department of Human Services may accept gifts and grants from private sources
for the purpose of providing the scholarships or grants authorized under ORS
411.580.
(2)
The moneys received under subsection (1) of this section shall be deposited in
a special account, separate and distinct from the General Fund, to be named the
Department of Human Services Scholarship Account, which account is established.
All moneys in the account and all earnings thereon are continuously
appropriated to the Department of Human Services to be used together with any
federal funds that may be available to provide scholarships or grants under ORS
411.580.
(3)
The amount in the Department of Human Services Scholarship Account that is
available after scholarships and grants under ORS 411.580 have been awarded for
any period shall be reported to the Oregon Investment Council by the Department
of Human Services and shall be considered investment funds within the meaning
of ORS 293.701 to 293.820 and shall be invested in accordance with the standards
of ORS 293.726. All earnings on such investments shall be credited to the
Department of Human Services Scholarship Account. [Formerly 411.575]
411.130
[Renumbered 411.142 in 2009]
411.135 Cooperation with federal
government in research and training personnel.
In addition to its other powers, the Department of Human Services may:
(1)
Enter into agreements with, join with or accept grants from, the federal
government for cooperative research and demonstration projects for public
welfare purposes, including, but not limited to, any project which:
(a)
Relates to the prevention and reduction of dependency.
(b)
Aids in effecting coordination of planning between private and public welfare
agencies of the state.
(c)
Improves the administration and effectiveness of programs carried on or
assisted by the department.
(2)
With the cooperation and the financial assistance of the federal government,
train personnel employed or preparing for employment in the department. The
training may be carried out in any manner, including but not limited to:
(a)
Directly by the department.
(b)
Indirectly through grants to public or other nonprofit institutions of learning
or through grants of fellowships.
(c)
Any other manner for which federal aid in support of the training is available.
(3)
Subject to the allotment system provided for in ORS 291.234 to 291.260, expend
the sums required to be expended for the programs and projects described in
subsections (1) and (2) of this section. [1957 c.569 §1; 1961 c.600 §5; 1969 c.597
§232; 1971 c.779 §11; 1975 c.509 §1; 1991 c.66 §2]
411.137 Contributions by state and
counties for medical assistance demonstration projects under ORS 411.135.
Exclusive of all sums of money contributed by the federal government for
medical assistance and administration under ORS 414.033 (2) the State of Oregon
shall contribute 40 percentum and the several counties of the state in which
demonstration projects are operating shall each contribute 60 percentum of all
sums, including administrative costs, required to be expended for such purposes
in and for such respective counties. [1975 c.509 §8; 1991 c.66 §3]
411.140
[Amended by 1961 c.517 §1; repealed by 1971 c.779 §78]
FINANCING OF PUBLIC ASSISTANCE
411.141 Authorized expenditures for public
assistance. The Department of Human Services may,
subject to the allotment system provided for in ORS 291.234 to 291.260, expend
such sums as are required to be expended in this state to provide public
assistance excluding medical assistance. Expenditures for public assistance
include, but are not limited to, expenditures for the following purposes:
(1)
General assistance to needy persons and their dependents.
(2)
Temporary assistance for needy families granted under ORS 412.001 to 412.069
and 418.647, including services to relatives with whom dependent children
applying for or receiving temporary assistance for needy families are living in
order to help such relatives attain the maximum self-support or self-care
consistent with the maintenance of continuing parental care and protection or
in order to maintain and strengthen family life for such children.
(3)
Assistance provided by the Oregon Supplemental Income Program.
(4)
General assistance granted under ORS 411.710 to 411.730.
(5)
Carrying out the provisions of law for child welfare purposes.
(6)
Scholarships or grants for qualified recipients to provide them education and
professional, technical or other helpful training, payable to a publicly
supported career school or educational institution on behalf of the recipient.
(7)
Other purposes for which the department is authorized to expend funds,
including the administration expenses of the department.
(8)
Carrying out the provisions of ORS 411.116. [Formerly 411.120]
411.142 Quarterly allocation of funds for
each category of public assistance. The
Department of Human Services, taking into consideration the total amount of
funds available for public assistance in Oregon during the biennial period
beginning July 1 of each odd-numbered year, the estimated number of
beneficiaries in each category thereof, current and estimated costs of
essential needs to maintain a standard of living during such period compatible
with decency and health and such other matters as it may deem pertinent, shall
estimate and allocate the funds available for each category of public
assistance on a monthly basis subject to the quarterly revisions. Changes in
such allocations, if any, shall be uniform and, as nearly as practicable and
considering the above factors, proportionately equal in each such category. The
monthly amounts so found estimated and allocated shall be deemed to be the
funds available for each category for public assistance in Oregon. [Formerly
411.130]
411.144 Deposit of funds received for
public assistance purposes; appropriation. (1)
The Department of Human Services shall deposit in the State Treasury to the
credit of the General Fund all the amounts received by it from the United
States Government or its agencies or from any other source for public
assistance purposes. All such funds, together with any remaining balances of
funds received for the purposes of public assistance of any type, hereby are
appropriated for expenditure by the department for the type of public
assistance for which such funds were granted to or received by the state or
appropriated by the state, as the case may be.
(2)
All moneys received from refunds, cancellations or recoveries resulting from
public assistance payments made from state funds, as differentiated from
federal or county funds, shall be paid into the State Treasury and credited to
the Public Welfare Account and hereby are appropriated for expenditure by the
department for public assistance purposes. [Formerly 411.220]
411.145 [1971
c.779 §69; 1993 c.88 §§1,2; 2001 c.900 §88; renumbered 411.077 in 2009]
411.146 Payment of claims; rules.
Warrants shall be drawn by the Oregon Department of Administrative Services in
favor of the Department of Human Services for the aggregate amounts of public
assistance or refunds to counties duly certified by the department to be due to
any person or county in such amount as may be set forth in such certification.
The department shall cause to be deposited all such warrants in payment of
public assistance or refunds to counties in the State Treasury in a suspense
checking account for distribution to those entitled thereto and may draw its
checks on the State Treasury in favor of the persons, firms, corporations,
associations or counties entitled thereto under such rules as it shall
promulgate so as to include in single combined payments for specified periods
all moneys allotted to particular payees from various sources for said period. [Formerly
411.230]
411.148 Public Welfare Account.
(1) There hereby is established in the General Fund of the State Treasury an
account to be known as the Public Welfare Account. All moneys in the Public
Welfare Account hereby are appropriated for and shall be used by the Department
of Human Services for the respective purposes authorized by law. The moneys in the
Public Welfare Account and all appropriations from the account shall be subject
to allotment made by the Oregon Department of Administrative Services.
(2)
The Department of Human Services shall keep a record of all moneys credited to
and deposited in the Public Welfare Account. The record shall indicate by
separate cumulative accounts the source from which the moneys are derived and
the individual activity or program against which each withdrawal is charged.
(3)
The unobligated balance in the Public Welfare Account on June 30 of each
odd-numbered year shall be determined by the Department of Human Services as of
September 30 following the close of each biennium and certified to the Oregon
Department of Administrative Services. The amount certified pursuant to this
subsection shall revert to the General Fund and become available for general
governmental purposes. [Formerly 411.240]
411.149 Advancements from Public Welfare
Account to meet claims payable from federal funds.
Pending receipt by the State Treasurer of federal funds for the payment of
public assistance, the moneys in the Public Welfare Account appropriated for
expenditure by the Department of Human Services for public assistance purposes
shall be expended to the extent necessary to meet claims for public assistance
which otherwise would be paid from such federal funds. Upon notice that such
federal funds have been received by the State Treasurer, the department shall
prepare a claim against such funds for the amount advanced from the Public Welfare
Account for the purposes of this section and a warrant may be drawn by the
Oregon Department of Administrative Services in favor of the State Treasurer in
payment of such claim, for credit to and reimbursement of the Public Welfare
Account. [Formerly 411.242]
411.150
[Repealed by 1971 c.779 §78]
411.151 Revolving fund.
The revolving fund in the amount of $50,000 established by warrant drawn on the
State Treasurer by the Oregon Department of Administrative Services payable out
of the Public Welfare Account in favor of the Department of Human Services is
continued. The revolving fund shall be used by the Department of Human Services
for the purpose of providing funds to pay current salaries and expenses,
emergency public assistance advances and other expenses when it is necessary to
make immediate cash payments. The revolving fund shall be deposited with the
State Treasurer. For the purpose of providing working cash balances for
emergency public assistance advances and other expenses when it is necessary to
make immediate cash payments, the Department of Human Services may withdraw
from the State Treasury portions of the fund to be used by designated
custodians for the purposes authorized by this section. The designated
custodians may hold the funds or may deposit the funds in any bank authorized
as a depository of state funds, or may hold part and deposit the remainder. The
revolving fund shall be reimbursed by warrants drawn by the Oregon Department
of Administrative Services upon the verified claims of the Department of Human
Services and warrants payable out of the Public Welfare Account. [Formerly
411.245]
MISCELLANEOUS PROVISIONS RELATING TO
PUBLIC ASSISTANCE
411.154 Report to Legislative Assembly.
The Department of Human Services shall report to each odd-numbered year regular
session of the Legislative Assembly on the status and efficacy of:
(1)
The domestic violence identification process under ORS 411.117;
(2)
Emergency assistance utilization for victims of domestic violence; and
(3)
Domestic violence training for department staff, information sharing and
evaluation. [Formerly 411.118; 2011 c.545 §46]
411.155 [1971
c.779 §70; renumbered 411.078 in 2009]
411.159 Housekeeper, homemaker or home
care worker in residence of public assistance recipient not state employee;
exception. A person who is hired as a housekeeper
or homemaker, or home care worker as defined in ORS 410.600, and is not
otherwise employed by the Department of Human Services, an area agency or other
public agency, shall not for any purposes be deemed to be an employee of the
State of Oregon or an area agency whether or not the department or agency
selects the person for employment or exercises any direction or control over
the person’s employment. However, nothing in this section precludes the state
or an area agency from being considered the employer of the person for purposes
of ORS chapter 657. [Formerly 411.590]
411.160
[Amended by 1967 c.454 §46; 1967 c.561 §3; 1967 s.s. c.12 §1; repealed by 1969
c.45 §10]
411.170 [Amended
by 1963 c.143 §1; repealed by 1969 c.45 §11]
411.171 Certain job referrals prohibited;
eligibility not conditioned on employment at workplace involved in labor
dispute. (1) The Department of Human Services
may not refer any individual on a job referral that would aid in the filling of
a job opening that exists because of a labor dispute.
(2)
Notwithstanding any other provision of law, neither the department nor any
other state agency may require as a condition of eligibility to receive
benefits or services provided by the department or agency that an individual
apply for or accept employment at any workplace where there is a labor dispute
in progress.
(3)
As used in this section, “labor dispute” has the meaning given that term in ORS
662.010. [Formerly 409.710]
Note:
411.171 was enacted into law by the Legislative Assembly but was not added to
or made a part of ORS chapter 411 or any series therein by legislative action.
See Preface to Oregon Revised Statutes for further explanation.
411.180 [Amended
by 1963 c.143 §2; repealed by 1969 c.45 §11]
411.190
[Amended by 1955 c.443 §1; 1961 c.657 §1; 1967 c.240 §1; repealed by 1969 c.45 §11]
411.200
[Repealed by 1969 c.45 §10]
411.210
[Amended by 1967 c.240 §2; repealed by 1969 c.45 §10]
411.220 [Subsections
(2) and (3) enacted as 1953 c.458 §§2,4; 1961 c.600 §6; 1961 c.620 §4; 1969
c.45 §1; 1969 c.203 §2; renumbered 411.144 in 2009]
411.222 [1955
c.380 §§1,3; repealed by 1957 c.531 §3]
411.230
[Amended by 1967 c.454 §47; 1971 c.80 §5; renumbered 411.146 in 2009]
411.240
[Amended by 1961 c.600 §7; 1963 c.537 §4; 1965 c.440 §3; 1967 c.454 §107; 2003
c.14 §179; renumbered 411.148 in 2009]
411.242 [1953
c.410 §1; 1961 c.600 §8; 1967 c.454 §48; 1971 c.80 §6; renumbered 411.149 in
2009]
411.245 [1953
c.460 §1; 1967 c.71 §1; 1967 c.454 §49; 1971 c.80 §7; 1971 c.779 §12; 2003 c.14
§180; renumbered 411.151 in 2009]
411.250
[Repealed by 1983 c.537 §7]
411.260
[Amended by 1957 c.570 §1; 1969 c.597 §236; 1971 c.779 §13; repealed by 2001
c.900 §261]
411.270
[Amended by 1957 c.570 §2; 1969 c.597 §237; 1971 c.779 §14; repealed by 2001
c.900 §261]
411.280
[Amended by 1969 c.597 §238; 1971 c.779 §15; repealed by 2001 c.900 §261]
411.290
[Repealed by 1969 c.597 §281]
CONFIDENTIALITY OF RECORDS
411.300 Use and custody of records; rules.
(1) The Department of Human Services shall adopt and enforce rules governing
the custody, use and preservation of the records, papers, files and
communications of the department in accordance with applicable privacy laws.
The use of the records, papers, files and communications is limited to the
purposes for which they are furnished and by the provisions of the law under
which they may be furnished.
(2)
The records, papers, files and communications of the department may be
maintained in a single or combined data system accessible to the department and
to the Oregon Health Authority for the administration of programs and the
coordination of functions shared by the department and the authority. [Amended
by 1953 c.500 §12; 1971 c.779 §16; 2005 c.381 §8; 2011 c.720 §99]
411.310
[Repealed by 1967 c.98 §1]
411.320 Disclosure and use of records
limited to purposes connected to administration of public assistance programs;
contents as privileged communication; exceptions.
(1) For the protection of applicants for and recipients of public assistance,
except as otherwise provided in this section, the Department of Human Services
may not disclose or use the contents of any public assistance records, files,
papers or communications for purposes other than those directly connected with
the administration of the public assistance programs or necessary to assist
public assistance applicants and recipients in accessing and receiving other
governmental or private nonprofit services, and these records, files, papers
and communications are considered confidential subject to the rules of the
department. In any judicial or administrative proceeding, except proceedings
directly connected with the administration of public assistance or child
support enforcement laws, their contents are considered privileged
communications.
(2)
Nothing in this section prohibits the disclosure or use of contents of records,
files, papers or communications for purposes directly connected with the
establishment and enforcement of support obligations pursuant to the Title IV-D
program.
(3)
Nothing in this section prohibits the disclosure of the address, Social
Security number and photograph of any applicant or recipient to a law
enforcement officer at the request of the officer. To receive information
pursuant to this section, the officer must furnish the agency the name of the
applicant or recipient and advise that the applicant or recipient:
(a)
Is fleeing to avoid prosecution, custody or confinement after conviction for a
felony;
(b)
Is violating a condition of probation or parole; or
(c)
Has information that is necessary for the officer to conduct the official
duties of the officer and the location or apprehension of the applicant or
recipient is within such official duties.
(4)
Nothing in this section prohibits disclosure of information between the
department and the Oregon Health Authority for the purpose of administering
public assistance programs. [1953 c.500 §5; 1971 c.779 §17; 1995 c.609 §8; 1997
c.581 §7; 2001 c.900 §88a; 2011 c.720 §100]
411.325 [1953
c.500 §6; 1961 c.620 §5; 1963 c.70 §1; 1967 c.502 §16; 1971 c.779 §18; repealed
by 1997 c.581 §48]
411.330 [1953
c.500 §§7,8; 1971 c.779 §19; repealed by 1997 c.581 §48]
411.335 Prohibited use of lists or names.
No person or agency shall solicit, disclose, receive, make use of, or
authorize, knowingly permit, participate in or acquiesce in the use of, any
lists or names for commercial or political purposes of any nature, or for any
purpose not directly connected with the administration of the public assistance
laws. [1953 c.500 §9; 1997 c.581 §8]
411.350 [1967
c.578 §1; 1971 c.779 §20; repealed by 2001 c.900 §261]
411.375 [1955
c.364 §1; 1969 c.597 §240; renumbered 411.593 in 2009]
411.380 [1955
c.364 §2; renumbered 411.594 in 2009]
411.385 [1955
c.364 §3; renumbered 411.596 in 2009]
411.390 [1955
c.364 §4; renumbered 411.597 in 2009]
411.395 [1961
c.171 §2; repealed by 1969 c.597 §281]
MEDICAL ASSISTANCE
411.400 Application for medical
assistance. (1) Application for any category of aid
shall also constitute application for medical assistance.
(2)
Except as otherwise provided in this section, a person shall request medical
assistance by filing an application as provided in ORS 411.081.
(3)
The Department of Human Services shall determine eligibility for and fix the
date on which medical assistance may begin, and shall obtain such other
information required by the rules of the department and the Oregon Health
Authority under ORS 411.402.
(4)
If an applicant is unable to make application for medical assistance, an
application may be made by someone acting responsibly for the applicant.
(5)
The department may modify the application requirements in ORS 411.081 for a
person whose basis of eligibility for medical assistance changes from one
category of aid to another category of aid under ORS 414.025 (2). [Formerly
414.047; 2010 c.73 §3; 2011 c.720 §101]
411.402 Documentation required for person
applying for medical assistance; rules. (1) The
Department of Human Services and the Oregon Health Authority shall adopt by
rule the documentation required from each person applying for medical
assistance, including documentation of:
(a)
The identity of the person;
(b)
The category of aid that makes the person eligible for medical assistance or
the way in which the person qualifies as categorically needy;
(c)
The status of the person as a resident of this state; and
(d)
Information concerning the income and resources of the person, which may include
income tax return information and Social Security number, as necessary to
establish financial eligibility for medical assistance, premium tax credits and
cost-sharing reductions.
(2)
Information obtained by the department or the authority under this section may
be exchanged with other state or federal agencies for the purpose of:
(a)
Verifying eligibility for medical assistance, participation in the Oregon
Health Insurance Exchange or other health benefit programs;
(b)
Establishing the amount of any tax credit due to the person, cost-sharing
reduction or premium assistance;
(c)
Improving the provision of services; and
(d)
Administering health benefit programs. [Formerly 414.049; 2010 c.73 §4; 2011
c.720 §102]
411.404 Determination of eligibility for medical
assistance; rules. (1) The Department of Human
Services shall determine eligibility for medical assistance according to
criteria prescribed by rule in consultation with the Oregon Health Authority
that take into account:
(a)
The requirements and needs of the applicant and of the spouse and dependents of
the applicant;
(b)
The income, resources and maintenance available to the applicant; and
(c)
The responsibility of the spouse of the applicant and, with respect to an
applicant who is blind or is permanently and totally disabled or is under 21
years of age, the responsibility of the parents.
(2)
Rules adopted by the department under subsection (1) of this section:
(a)
Shall disregard resources for those who are eligible for medical assistance
only by reason of ORS 414.025 (3)(s), except for the resources described in ORS
414.025 (3)(s).
(b)
May disregard income and resources within the limits required or permitted by
federal law, regulations or orders.
(c)
May not require any needy person over 65 years of age, as a condition of
entering or remaining in a hospital, nursing home or other congregate care
facility, to sell any real property normally used as the person’s home.
(3)
Notwithstanding subsections (1) and (2) of this section, the authority may
adopt rules necessary to implement the Health Care for All Oregon Children
program established by ORS 414.231 or applicable provisions of federal law. [Formerly
414.042; 2011 c.602 §34; 2011 c.720 §103]
411.405 [1965
c.556 §14; repealed by 2001 c.900 §261]
411.406 Notice of change in circumstances.
Upon the receipt of property or income or upon any other change in
circumstances which directly affects the eligibility of the recipient to
receive medical assistance or the amount of medical assistance available to the
recipient, the recipient shall immediately notify the Department of Human
Services or the Oregon Health Authority, if required, of the receipt or
possession of such property or income, or other change in circumstances.
Failure to give the notice shall entitle the department or the authority to
recover from the recipient the amount of assistance improperly disbursed by
reason thereof. [Formerly 414.057; 2011 c.720 §104]
411.408 Hearing on eligibility for medical
assistance; rules. If the Oregon Health Authority
or the Department of Human Services denies a claim for medical assistance or
fails to act with reasonable promptness on a claim for medical assistance, the
person making the claim may request a contested case hearing. The hearing shall
be held at a time and place and shall be conducted in accordance with rules
adopted by the authority or the department, as appropriate. [Formerly 414.055;
2011 c.720 §105]
411.410
[Amended by 1961 c.605 §3; renumbered 416.020]
411.415 [1971
c.617 §3; 1989 c.224 §80; 1991 c.93 §9; repealed by 2001 c.900 §261]
411.420
[Amended by 1957 c.154 §1; 1961 c.605 §4; renumbered 416.030]
411.425 [1953
c.361 §3; 1955 c.501 §1; 1959 c.273 §1; 1961 c.605 §8; renumbered 416.060]
411.428
[Formerly 411.440; renumbered 416.080]
411.430
[Repealed by 1953 c.361 §19]
411.431 Payment of monthly premium
payments by recipients of medical assistance; rules.
(1) The Department of Human Services shall adopt rules in consultation with the
Oregon Health Authority:
(a)
Requiring recipients of medical assistance who are not otherwise exempt to pay
monthly premium payments while receiving medical assistance; and
(b)
Granting recipients of medical assistance under ORS 414.706 (5) who are
required to pay monthly premium payments a grace period of up to six months for
payment of overdue premiums.
(2)
A recipient may continue enrollment in medical assistance during the grace
period described in subsection (1)(b) of this section.
(3)
A recipient or former recipient of medical assistance under ORS 414.706 (5) who
did not pay one or more monthly premium payments while receiving medical
assistance is not eligible for medical assistance under ORS 414.706 (5) until
the recipient or former recipient has paid the amount of overdue premiums in
full. [Formerly 411.598; 2011 c.720 §106]
411.432 Exemption from payment of monthly
premium payments for certain recipients of medical assistance; rules.
(1) As used in this section, “federal poverty guidelines” means the most recent
poverty guidelines as published annually in the Federal Register by the United
States Department of Health and Human Services.
(2)
Notwithstanding ORS 411.431, the Department of Human Services shall adopt rules
in collaboration with the Oregon Health Authority exempting recipients of
medical assistance under ORS 414.706 (5) whose family income is no more than 10
percent of the federal poverty guidelines from the requirement to pay monthly
premium payments. [Formerly 411.600; 2011 c.720 §107]
411.434
[Formerly 411.450; 1955 c.501 §2; renumbered 416.090]
411.435 Enrollment of medical assistance
program clients; agreements with local governments.
The Oregon Health Authority and the Department of Human Services shall endeavor
to develop agreements with local governments to facilitate the enrollment of
medical assistance program clients. Subject to the availability of funds
therefor, the agreement shall be structured to allow flexibility by the state
and local governments and may allow any of the following options for enrolling
clients in medical assistance programs:
(1)
Initial processing shall be done at the county health department by employees
of the county, with eligibility determination completed at the local office of
the Department of Human Services;
(2)
Initial processing and eligibility determination shall be done at the county
health department by employees of the local health department; or
(3)
Application forms shall be made available at the county health department with
initial processing and eligibility determination shall be done at the local
office of the Department of Human Services. [Formerly 414.151; 2011 c.720 §108]
411.438
[Formerly 411.460; renumbered 416.100]
411.439 Suspension of medical assistance
of persons with serious mental illness under certain circumstances.
(1) As used in this section:
(a)
“Person with a serious mental illness” means a person who is diagnosed by a
psychiatrist, a licensed clinical psychologist or a certified nonmedical
examiner as having dementia, schizophrenia, bipolar disorder, major depression
or other affective disorder or psychotic mental disorder other than a disorder
caused primarily by substance abuse.
(b)
“Public institution” means:
(A)
A state hospital as defined in ORS 162.135;
(B)
A local correctional facility as defined in ORS 169.005;
(C)
A Department of Corrections institution as defined in ORS 421.005; or
(D)
A youth correction facility as defined in ORS 162.135.
(2)
Except as provided in subsections (6) and (7) of this section, the Department
of Human Services or the Oregon Health Authority shall suspend, instead of
terminate, the medical assistance of a person with a serious mental illness
when:
(a)
The person receives medical assistance because of a serious mental illness; and
(b)
The person becomes an inmate residing in a public institution.
(3)
The department or the authority shall continue to determine the eligibility of
the person as categorically needy.
(4)
Upon notification that a person described in subsection (2) of this section is
no longer an inmate residing in a public institution, the department or the
authority shall reinstate the person’s medical assistance if the person is
otherwise eligible for medical assistance.
(5)
This section does not extend eligibility to an otherwise ineligible person or
extend medical assistance to a person if matching federal funds are not
available to pay for medical assistance.
(6)
Subsection (2) of this section does not apply to a person with a serious mental
illness residing in a state hospital as defined in ORS 162.135 who is under 22
years of age or who is 65 years of age or older.
(7)
A person with a serious mental illness may apply for medical assistance between
90 and 120 days prior to the expected date of the person’s release from a public
institution. If the person is found to be eligible, the effective date of the
person’s medical assistance shall be the date of the person’s release from the
institution. [Formerly 414.424; 2011 c.207 §2; 2011 c.720 §109]
411.440
[Renumbered 411.428 and then 416.080]
411.441 [1959
c.522 §§2,4; renumbered 416.110]
411.442 [1953
c.361 §§4,5; 1961 c.605 §9; renumbered 416.120]
411.443 Suspension of medical assistance
for pregnant women who are incarcerated. (1) When a
woman who is enrolled in medical assistance as a pregnant woman becomes an
inmate residing in a public institution, the Department of Human Services shall
suspend medical assistance.
(2)
The department shall continue to determine the eligibility of the pregnant
woman as categorically needy.
(3)
Upon notification that a pregnant woman described under subsection (1) of this
section is no longer an inmate residing in a public institution, the department
shall reinstate medical assistance if the woman is otherwise eligible for
medical assistance. [Formerly 414.420; 2011 c.720 §110]
411.444 [1953
c.361 §6; 1961 c.605 §10; renumbered 416.130]
411.445 Conditions for coverage for
pregnant women who are incarcerated. ORS 411.443
does not extend eligibility to an otherwise ineligible individual or extend
medical assistance to an individual if matching federal funds are not available
to pay for medical assistance. [Formerly 414.422]
411.446 [1953
c.361 §7; 1961 c.605 §11; renumbered 416.140]
411.448 [1953
c.361 §8; 1961 c.605 §17; renumbered 416.170]
411.450
[Renumbered 411.434 and then 416.090]
411.452 [1953
c.361 §9; renumbered 416.180]
411.454 [1953
c.361 §10; renumbered 416.190]
411.456 [1953
c.361 §11; renumbered 416.200]
411.458 [1953
c.361 §12; renumbered 416.210]
411.459
[Formerly 414.051; 2011 c.720 §111; renumbered 414.071 in 2011]
411.460
[Renumbered 411.438 and then 416.100]
411.462 [1953
c.361 §13; 1961 c.605 §20; renumbered 416.230]
411.463 Availability of information on all
licensed healing arts. When giving information
concerning medical assistance, the Oregon Health Authority and the Department
of Human Services shall make available to applicants or recipients materials
which include at least a listing of all the healing arts licensed in this
state. [Formerly 414.073; 2011 c.720 §112]
411.464 [1953
c.361 §15; renumbered 416.240]
411.466 [1953
c.361 §16; renumbered 416.250]
411.470
[Amended by 1953 c.361 §19; renumbered 416.260]
411.474 [1957
c.571 §1; renumbered 416.270]
411.480
[Renumbered 416.310]
411.490
[Amended by 1961 c.104 §1; renumbered 416.320]
411.500
[Renumbered 416.330]
411.510
[Amended by 1961 c.600 §9; renumbered 416.810]
411.520
[Renumbered 416.820]
411.530
[Renumbered 416.830]
411.552 [1959
c.454 §1; 1961 c.620 §8; renumbered 416.510]
411.554 [1959
c.454 §2; renumbered 416.520]
411.556 [1959
c.454 §3; renumbered 416.530]
411.558 [1959
c.454 §4; renumbered 416.540]
411.560 [1959
c.454 §§5,7; renumbered 416.550]
411.562 [1959
c.454 §6; renumbered 416.560]
411.564 [1959
c.454 §8; renumbered 416.570]
411.566 [1959
c.454 §9; renumbered 416.580]
411.568 [1959
c.454 §11; renumbered 416.590]
411.570 [1959
c.454 §12; renumbered 416.600]
411.572 [1959
c.454 §10; renumbered 416.610]
411.575 [1967
c.588 §2; 1969 c.707 §1; 1971 c.774 §16; 1989 c.966 §46; 1997 c.130 §7; 2003
c.14 §181; renumbered 411.128 in 2009]
411.580 Scholarships and grants for
recipients. (1) In addition to any other
scholarships or grants provided by law and subject to the availability of funds
in the Department of Human Services Scholarship Account, the Department of
Human Services may award tuition and fee-exempting scholarships or grants and
additional funds for purchase of required books and supplies from other funds,
whether from public or private sources, made available for training of
recipients toward self-support to those qualified to receive welfare
assistance, for enrollment at any publicly supported educational, vocational or
training institution in this state.
(2)
Selection of scholarship or grant recipients shall be made by county public
welfare board created by ORS 411.077, with the advice and assistance of all
publicly supported educational, vocational or training institutions.
(3)
Scholarships or grants shall be awarded on the basis of the recipient’s
apparent ability and willingness to profit from the education or the
vocational, technical, or other courses available, to the end that scholarships
or grants awarded will benefit both the student and the people of this state.
(4)
In order to facilitate the most effective use of funds granted under this
section, the Department of Human Services may apply funds available under this
section to supportive services, including but not limited to transportation and
child care, for scholarship or grant recipients whenever the availability of
such services has been eliminated by the exhaustion of funds in the department’s
job related training program. [1967 c.588 §1; 1969 c.123 §2; 1971 c.227 §1;
1971 c.387 §1; 1971 c.774 §17; 1971 c.779 §21a; 1997 c.130 §8; 2003 c.14 §182]
411.590 [1975
c.401 §5; 1981 c.784 §23; 1987 c.780 §1; 1999 c.548 §1; 2001 c.900 §89; 2001
c.901 §8; renumbered 411.159 in 2009]
INVESTIGATIONS AND RECOVERY OF
ASSISTANCE
411.593 Public assistance investigations;
power to subpoena, administer oaths, take depositions and fix witness fees.
(1) In connection with any public assistance investigation or hearing, the
Director of Human Services, the Director of the Oregon Health Authority or any
examiner, referee or other officer duly appointed to conduct the investigation
or hearing may by subpoena compel the attendance and testimony of witnesses and
the production of books, accounts, documents and other papers, and may
administer oaths, take depositions and fix the fees and mileage of witnesses.
(2)
The Department of Human Services and the Oregon Health Authority shall provide
for defraying the expenses of such investigations or hearings, which may be
held in any part of the state. [Formerly 411.375; 2011 c.720 §113]
411.594 Petition for enforcement of
subpoena issued under ORS 411.593. (1) In case
of the refusal of a witness to attend or testify or produce any papers required
by such subpoena, the person designated by the subpoena as the person before
whom the testimony is to be given or the papers produced, may petition the
circuit court in and for the county in which the investigation or hearing is
pending for an order directing the witness to attend and testify or produce the
papers before the petitioner.
(2)
The petition shall allege that due notice was given of the time and place for
the attendance of the witness or the production of the papers, that the witness
was subpoenaed in the manner prescribed and that the witness failed and refused
to attend, to produce the papers required by the subpoena or to answer
questions propounded to the witness in the course of the investigation or
hearing. [Formerly 411.380]
411.595 [1983
c.299 §2; 1987 c.3 §14; 2001 c.900 §90; renumbered 411.072 in 2009]
411.596 Court order to show cause issued
upon filing of petition for enforcement of subpoena.
Upon the filing of such a petition, the court shall enter an order, a copy of
which shall be served upon the witness, directing the witness to appear before
the court at a time and place to be fixed by the court in such order, the time
to be not more than 10 days from the date of the order, and then and there show
cause why the witness has not attended and testified or produced the papers as
required by the subpoena. [Formerly 411.385]
411.597 Court may compel appearance of witness
before petitioner. (1) If at the hearing provided
for in ORS 411.596 it is apparent to the court that the subpoena was regularly
issued, the court shall thereupon enter an order that the witness appear before
the petitioner at a time and place to be fixed in such order, and testify and
produce the required papers.
(2)
Failure by the witness to comply with an order made pursuant to subsection (1)
of this section shall be dealt with as for contempt of court. [Formerly
411.390]
411.598 [2005
c.692 §6; renumbered 411.431 in 2009]
411.600 [2005
c.692 §4; 2009 c.263 §3; renumbered 411.432 in 2009]
411.610 Indorsement by others of public
assistance checks or warrants payable to deceased recipient; disposition of
proceeds. Any check or warrant issued by the
Department of Human Services or the Oregon Health Authority to a recipient of
public assistance who subsequently dies may be indorsed in the name of the
deceased by the surviving spouse or a next of kin in the order described in ORS
293.490 (3); and payment may be made and the proceeds used without any of the
restrictions enumerated in ORS 293.495 (1). [Amended by 1957 c.120 §1; 1981
c.594 §9; 2011 c.720 §114]
411.620 Recovery of public assistance
obtained or disposed of unlawfully. (1) The
Department of Human Services or the Oregon Health Authority may prosecute a
civil suit or action against any person who has obtained, for personal benefit
or for the benefit of any other person, any amount or type of general
assistance or public assistance or has aided any other person to obtain such
general assistance or public assistance, in violation of any provision of ORS
411.630, or in violation of ORS 411.640. In such suit or action the department
or the authority may recover the amount or value of such general assistance or
public assistance so obtained in violation of ORS 411.630, or in violation of
ORS 411.640, with interest thereon, together with costs and disbursements
incurred therein.
(2)
Excepting as to bona fide purchasers for value, the department, the authority,
the conservator for the recipient or the personal representative of the estate
of a deceased recipient may prosecute a civil suit or action to set aside the
transfer, gift or other disposition of any money or property made in violation
of any provisions of ORS 411.630, 411.708 and 416.350 and the department or the
authority may recover out of such money or property, or otherwise, the amount
or value of any general assistance or public assistance obtained as a result of
such violation, with interest thereon, together with costs and disbursements
incurred therein. [Amended by 1963 c.499 §1; 1971 c.334 §2; 1973 c.661 §1; 1983
c.638 §1; 2001 c.900 §220; 2005 c.381 §24; 2009 c.595 §262; 2011 c.720 §115]
411.630 Unlawfully obtaining public
assistance. (1) A person may not knowingly obtain
or attempt to obtain, for the benefit of the person or of another person, any
public assistance to which the person or other person is not entitled under
state law by means of:
(a)
Any false representation or fraudulent device, or
(b)
Failure to immediately notify the Department of Human Services or the Oregon
Health Authority, if required, of the receipt or possession of property or
income, or of any other change of circumstances, which directly affects the
eligibility for, or the amount of, the assistance.
(2)
A person may not transfer, conceal or dispose of any money or property with the
intent:
(a)
To enable the person to meet or appear to meet any requirement of eligibility
prescribed by state law or by rule of the department or the authority for any
type of general assistance or public assistance; or
(b)
Except as to a conveyance by the person to create a tenancy by the entirety, to
hinder or prevent the department or the authority from recovering any part of
any claim it may have against the person or the estate of the person.
(3)
A person may not knowingly aid or abet any person to violate any provision of
this section.
(4)
A person may not receive, possess or conceal any money or property of an
applicant for or recipient of any type of general assistance or public
assistance with the intent to enable the applicant or recipient to meet or
appear to meet any requirement of eligibility referred to in subsection (2)(a)
of this section or, except as to a conveyance by the applicant or recipient to
create a tenancy by the entirety, with the intent to hinder or prevent the
department or the authority from recovering any part of any claim it may have
against the applicant or recipient or the estate of the applicant or recipient.
[Amended by 1963 c.499 §2; 1969 c.66 §1; 1971 c.779 §22; 2011 c.720 §116]
411.632 Relief where assets transferred,
removed or secreted. If it reasonably appears that a
recipient of public assistance has assets in excess of those allowed to a
recipient of such assistance under applicable federal and state statutes, rules
and regulations, and it reasonably appears that such assets may be transferred,
removed, secreted or otherwise disposed, then the Department of Human Services
or the Oregon Health Authority may seek appropriate relief under ORCP 83 and 84
or any other provision of law, but only to the extent of the liability. The
state shall not be required to post a bond in seeking the relief. [1987 c.438 §6;
2001 c.900 §91; 2011 c.720 §117]
411.635 Recovery of improperly disbursed
public assistance. (1) Public assistance improperly
disbursed as a result of recipient conduct that is not in violation of ORS
411.630 may be recouped pursuant to ORS 293.250 by the Oregon Health Authority
or the Department of Human Services.
(2)
The department may also recoup public assistance improperly disbursed from
earnings that the state disregards pursuant to ORS 411.083 and 412.009 as
follows:
(a)
The department shall notify the recipient that the recipient may elect to limit
the recoupment monthly to an amount equal to one-half the amount of disregarded
earnings by granting the department a confession of judgment for the amount of
the overpayment.
(b)
If the recipient does not elect to grant the confession of judgment within 30
days the department may recoup the overpayment from the entire amount of
disregarded earnings. The recipient may at any time thereafter elect to limit
the monthly recoupment to one-half the disregarded earnings by entering into a
confession of judgment.
(3)
The department shall not execute on a confession of judgment until the
recipient is no longer receiving public assistance and has either refused to
agree to or has defaulted on a reasonable plan to satisfy the judgment.
(4)
This section does not prohibit the department from adopting rules to exempt
from recoupment any portion of disregarded earnings. [1979 c.719 §2; 2011 c.720
§118]
411.640 Overpayments of public assistance.
A person has received an overpayment of public assistance, for purposes of ORS
411.703, if the person has:
(1)
Received, either for the benefit of the person or for the benefit of any other
person, any amount or type of general assistance or public assistance to which
the person or the other person is not entitled under state law;
(2)
Spent lawfully received public assistance that was designated by the Department
of Human Services or the Oregon Health Authority for a specific purpose on an
expense not approved by the department or the authority and not considered a
basic requirement under ORS 411.070 (2)(a);
(3)
Misappropriated public assistance by cashing and retaining the proceeds of a
check on which the person is not the payee and the check has not been lawfully
indorsed or assigned to the person; or
(4)
Failed to reimburse the department or the authority, when required by law, for
public assistance furnished for a need for which the person is compensated by
another source. [1963 c.499 §4; 2007 c.118 §1; 2011 c.720 §119]
411.650 [1963
c.499 §5; 1965 c.300 §1; 1971 c.799 §23; 2003 c.576 §442; 2009 c.28 §1;
renumbered 411.087 in 2009]
411.660 Modification, cancellation or
suspension of public assistance. (1) If any
person is convicted of a violation of any provision of ORS 411.630, any grant
of general assistance or public assistance made wholly or partially to meet the
needs of such person shall be modified, canceled or suspended for such time and
under such terms and conditions as may be prescribed by or pursuant to rules or
regulations of the Department of Human Services or the Oregon Health Authority.
(2)
Subsection (1) of this section does not prohibit a grant of general assistance
or public assistance to meet the needs of a child under the age of 18 years. [1963
c.499 §6; 2001 c.900 §92; 2011 c.720 §119a]
411.670 Definitions for ORS 411.640, 411.670,
411.675 and 411.690. As used in this section and ORS
411.640, 411.675 and 411.690:
(1)
“Claims for payment” includes bills, invoices, electronic transmissions and any
other document requesting money in compensation for or reimbursement of needs
which have been furnished to any public assistance recipient.
(2)
“Need” means any type of care, service, commodity, shelter or living
requirement.
(3)
“Person” includes individuals, corporations, associations, firms, partnerships,
governmental subdivisions and agencies and public and private organizations of
any character. [1983 c.609 §2; 2011 c.720 §120]
411.675 Submitting wrongful claim for
payment. A person may not obtain or attempt to
obtain, for personal benefit or the benefit of another person, a payment for
furnishing any need to or for the benefit of a public assistance recipient by
knowingly:
(1)
Submitting or causing to be submitted to the Department of Human Services or
the Oregon Health Authority a false claim for payment;
(2)
Submitting or causing to be submitted to the department or the authority a
claim for payment that already has been submitted for payment unless the claim
is clearly labeled as a duplicate;
(3)
Submitting or causing to be submitted to the department or the authority a
claim for payment that is a claim that already has been paid by any source
unless clearly labeled as already paid; or
(4)
Accepting a payment from the department or the authority for the costs of items
or services that have not been provided to or for the benefit of a public
assistance recipient. [1983 c.609 §3; 2011 c.720 §121]
411.690 Liability of person wrongfully
receiving payment; amount of recovery; rules. (1) A
person who accepts from the Department of Human Services or the Oregon Health
Authority a payment for furnishing any need to or for the benefit of a public
assistance recipient is liable to refund or credit the amount of the payment to
the department or the authority if the person has obtained or subsequently
obtains from the recipient or from any source any additional payment for
furnishing the same need. However, the liability of the person is limited to
the lesser of the following amounts:
(a)
The amount of the payment accepted from the department or the authority; or
(b)
The amount by which the aggregate sum of all payments accepted or received by
the person exceeds the maximum amount payable for the need under rules adopted
by the department or the authority.
(2)
Notwithstanding subsection (1) of this section, a person who, after having been
afforded an opportunity for a contested case hearing pursuant to ORS chapter
183, is found to have violated ORS 411.675 is liable to the department or the authority
for treble the amount of the payment received as a result of the violation.
(3)
The department and the authority may prosecute civil actions to recover moneys
claimed due under this section and for costs and disbursements incurred in such
actions. [1963 c.609 §11; 1977 c.669 §1; 1983 c.609 §4; 2011 c.720 §122]
411.692 Definition for ORS 93.268 and
411.694. As used in ORS 93.268 and 411.694, “encumbrance”
means a voluntary instrument granting a security interest in the affected real
property to secure a monetary obligation. [2003 c.638 §1; 2005 c.22 §279]
Note:
411.692 and 411.694 were enacted into law by the Legislative Assembly but were
not added to or made a part of ORS chapter 411 or any series therein by
legislative action. See Preface to Oregon Revised Statutes for further
explanation.
411.694 Request for notice of transfer or
encumbrance of real property held by recipient; rules.
(1) When an individual receives public assistance as defined in ORS 411.010 and
the individual is the holder of record title to real property or the purchaser
under a land sale contract, the Department of Human Services or the Oregon
Health Authority may present to the county clerk for recordation in the deed
and mortgage records of a county a request for notice of transfer or
encumbrance of the real property.
(2)
A title insurance company or agent shall provide the state agency that filed
the request with a notice of transfer or encumbrance as required by ORS 93.268.
(3)
If the department or the authority has filed a request for notice of transfer
or encumbrance for recording in the deed and mortgage records, the department
or the authority shall file with the county clerk a termination of request for
notice of transfer or encumbrance when it is no longer necessary or appropriate
to monitor transfers or encumbrances related to the real property.
(4)
The department shall adopt by rule a form of the request for notice of transfer
or encumbrance, the notice of transfer or encumbrance and the termination of
request for notice of transfer or encumbrance that, at a minimum:
(a)
Contains the name of the public assistance recipient, a case identifier or
other appropriate information that links the individual who is the holder of
record title to real property or the purchaser under a land sale contract to
the individual’s public assistance records;
(b)
Contains the legal description of the real property;
(c)
Contains a mailing address for the department or the authority to receive the
notice of transfer or encumbrance; and
(d)
Complies with the requirements for recordation in ORS 205.232 and 205.234 for
those forms intended to be recorded.
(5)
The authority shall use the forms adopted by the department under subsection
(4) of this section and may designate the department to receive, on behalf of
the authority, a notice of transfer or encumbrance provided in accordance with
subsection (2) of this section.
(6)
The department or the authority shall pay the recordation fee required by the
county clerk under ORS 205.320.
(7)
The request for notice of transfer or encumbrance described in this section
does not affect title to real property and is not a lien on, encumbrance of or
other interest in the real property. [2003 c.638 §2; 2011 c.720 §123]
Note: See
note under 411.692.
411.700 [1974
c.17 §2; 1975 c.498 §1; 1977 c.841 §11; 1977 c.863 §1a; 1993 c.355 §1; 1997
c.170 §29; 1997 c.581 §9; 2005 c.381 §9; renumbered 411.083 in 2009]
411.703 Issuance of warrants for
overpayment of public or nutrition assistance.
(1) If an overpayment of public assistance, including supplemental nutrition
assistance issued under ORS 411.806 to 411.845, is not repaid within 30 days of
the payment due date, after an individual has been afforded an opportunity for
a contested case hearing under ORS chapter 183 relating to the overpayment, the
Department of Human Services or the Oregon Health Authority may:
(a)
Issue a warrant that meets the requirements of ORS 205.125 for the overpayment;
and
(b)
Present a warrant issued under this section for recordation in the County Clerk
Lien Record of the county clerk of any county in the state.
(2)
The warrant must include the principal amount of the overpayment, interest
accumulated pursuant to ORS 82.010 or other applicable law, costs associated
with recording, indexing and serving the warrant and costs associated with an
instrument evidencing satisfaction or release of the warrant.
(3)
The department or the authority shall mail a copy of the warrant to the debtor
at the last known address of the debtor.
(4)
Upon receipt of the warrant for recordation, the county clerk shall record the
warrant in the manner provided in ORS 205.125.
(5)
Upon issuance of the warrant, the department or the authority may issue a
notice of garnishment in accordance with ORS 18.854.
(6)
Upon recording, the warrant:
(a)
Has the effect described in ORS 205.125 and 205.126; and
(b)
May be enforced as provided in ORS 18.854 and 205.126. [2003 c.663 §2; 2007
c.118 §2; 2009 c.599 §19; 2011 c.720 §124]
OREGON SUPPLEMENTAL INCOME PROGRAM
411.704 Definitions for ORS 411.141,
411.706 and 411.708. As used in this section and ORS
411.141, 411.706 and 411.708:
(1)
“Assistance” means:
(a)
Cash payments or noncash benefits provided under ORS 411.706 to or on behalf of
a needy person who is a resident of this state and who is blind, has a
disability or is 65 years of age or older; or
(b)
Special need allowances for one-time or ongoing needs.
(2)
“Blind” means having:
(a)
Visual acuity with corrective lenses that does not exceed 20/200 in the better
eye, or vision in the better eye that is restricted to a field that subtends an
angle of not greater than 20 degrees; or
(b)
An equivalent visual impairment, as determined by the Department of Human
Services after examination by:
(A)
An ophthalmologist licensed to practice medicine and surgery in Oregon or in
another state or territory of the United States having qualifications
substantially similar to those of the State of Oregon; or
(B)
An optometrist licensed and practicing in Oregon or in another state or
territory of the United States having qualifications substantially similar to
those of the State of Oregon.
(3)
“Disability” means a physical or mental impairment that:
(a)
Is likely to continue without substantial improvement for no less than 12
months or to result in death; and
(b)
Prevents performance of substantially all the ordinary duties of occupations in
which a person not having the physical or mental impairment is capable of
engaging, having due regard to the training, experience and circumstances of
the individual with the physical or mental impairment.
(4)(a)
“Income” means net income in cash or in kind available to the applicant or
recipient, the receipt of which is regular and predictable enough to afford
security in the sense that the applicant or recipient may rely upon it to
contribute toward meeting the needs of the applicant or recipient.
(b)
“Income” does not include:
(A)
Earnings or other income that may be exempted in compliance with federal laws
and regulations; or
(B)
Premiums on life insurance policies, whether paid by the applicant, recipient
or other person.
(5)
“Recipient” means a person who is receiving assistance provided by the Oregon
Supplemental Income Program.
(6)
“Resources” means an asset that may be applied toward meeting the needs of the
applicant or recipient, including real and personal property holdings
contributing to the maintenance of the applicant or recipient or representing
investments or savings that may be drawn upon for maintenance purposes. [2005
c.381 §2; 2007 c.70 §187; 2009 c.849 §1]
411.705 [1975
c.672 §20; repealed by 1977 c.841 §13]
411.706 Oregon Supplemental Income
Program. (1) The Oregon Supplemental Income
Program shall provide assistance according to the rules of the Department of
Human Services and on the basis of need, taking into account the income and
resources available to the applicant or recipient.
(2)
Recipients of assistance under the Oregon Supplemental Income Program qualify
for medical assistance as defined in ORS 414.025. [2005 c.381 §3; 2007 c.70 §188;
2009 c.849 §2]
411.708 Recovery of supplemental income
program assistance from certain estates; exceptions; certain transfers of
property voidable. (1) The amount of any assistance
paid under ORS 411.706 is a claim against the property or interest in the
property belonging to and a part of the estate of any deceased recipient. If
the deceased recipient has no estate, the estate of the surviving spouse of the
deceased recipient, if any, shall be charged for assistance granted under ORS
411.706 to the deceased recipient or the surviving spouse. There shall be no
adjustment or recovery of assistance correctly paid on behalf of any deceased
recipient under ORS 411.706 except after the death of the surviving spouse of
the deceased recipient, if any, and only at a time when the deceased recipient
has no surviving child who is under 21 years of age or who is blind or has a
disability. Transfers of real or personal property by recipients of assistance
without adequate consideration are voidable and may be set aside under ORS
411.620 (2).
(2)
Except when there is a surviving spouse, or a surviving child who is under 21
years of age or who is blind or has a disability, the amount of any assistance
paid under ORS 411.706 is a claim against the estate in any conservatorship
proceedings and may be paid pursuant to ORS 125.495.
(3)
Nothing in this section authorizes the recovery of the amount of any assistance
from the estate or surviving spouse of a recipient to the extent that the need
for assistance resulted from a crime committed against the recipient. [Formerly
412.600; 2007 c.70 §189; 2007 c.486 §10; 2009 c.595 §263; 2009 c.867 §41; 2011
c.602 §35; 2011 c.720 §124a]
GENERAL ASSISTANCE
411.710 Basis for granting general
assistance; rules. (1) General assistance shall be
granted in accordance with the rules and regulations of the Department of Human
Services and on the basis of need, taking into account the income, resources
and maintenance available to the individual from whatever source derived and
the necessary expenditures of the individual and the conditions existing in
each case.
(2)
With respect to health services and needs to be provided in any general
assistance programs during any period, and within the limits of funds available
therefor, the department shall determine and fix, subject to such revisions as
it may make from time to time:
(a)
The types and extent of health services and needs to be provided to applicants
and recipients.
(b)
Statewide uniform standards to be observed in the provision of health services
and needs.
(c)
The maximum number of days of health services and needs toward the cost of
which general assistance funds will be expended in the care of any applicant or
recipient.
(d)
Schedules of maximum fees, charges and daily rates to which general assistance
funds will be applied toward meeting the costs of providing health services and
needs to an applicant or recipient.
(3)
The types and extent of health services and needs and the amounts to be paid in
meeting the costs thereof, as determined and fixed by the department, shall be
the total general assistance available to applicants and recipients for health
services and needs and the total amounts from general assistance funds available
to vendors in meeting such costs.
(4)
Payments of general assistance for medical care and services shall constitute
payment in full for all such care and services for which the payments were
made. [Amended by 1965 c.556 §18]
411.720 Residence required of applicants
for general assistance. No person shall be eligible for
general assistance unless the person is a resident of the State of Oregon. [Amended
by 1969 c.468 §1]
411.730 Application for general
assistance; determination of eligibility and amount of grant.
The Department of Human Services shall receive all applications for general
assistance, and shall determine in accordance with its rules and regulations
the eligibility for and the amount of the assistance which any person shall
receive. [Amended by 1955 c.613 §2; 1969 c.68 §4; 1971 c.779 §24]
411.740 General assistance administration.
The Department of Human Services shall administer and supervise the
administration of general assistance and it shall prescribe the form of and
supply all blank applications, reports, affidavits and such other forms as the
department deems advisable. [Amended by 1969 c.597 §244; 1971 c.779 §25]
411.750 Cooperation with federal
government in providing general assistance. The
Department of Human Services shall cooperate with the United States Government,
departments and agencies of the State of Oregon and the counties of the state
in providing general assistance, either direct relief, community work and
training, medical and hospital care or other services for needy persons and
shall receive, disburse or distribute all sums of money, commodities and other
properties from the United States Government, departments or agencies of the
State of Oregon and counties of the state for assistance purposes for needy
persons. [Amended by 1967 c.130 §1]
411.760 Assistance grants are inalienable.
All moneys granted under the provisions of ORS 411.060, 411.070, 411.706 and
411.710 to 411.730 are inalienable by any assignment or transfer and are exempt
from garnishment, levy or execution under the laws of this state. [Amended by
2005 c.381 §10]
411.765 [1969
c.207 §2; repealed by 2001 c.900 §261]
411.770
[Repealed by 1953 c.500 §12]
411.775 [1969
c.207 §3; repealed by 2001 c.900 §261]
411.785 [1969
c.207 §4; repealed by 2001 c.900 §261]
411.790 Assistance to certain persons receiving
employment income. (1) In granting general
assistance, the Department of Human Services shall apply a graduated scale that
disregards a portion of a person’s income, if that income is earned in
employment that is part of an approved treatment or rehabilitation program and
if the person has been unemployed and receiving general assistance due to
chronic mental illness.
(2)
The department shall continue to provide health services and needs, as
described in ORS 411.710 (2), to a person described in subsection (1) of this
section for a period of time not to exceed two years after the person ceases to
receive general assistance if:
(a)
Group health insurance is not available to the person through employment or
otherwise; and either
(b)
Termination of eligibility for health services and needs would seriously
inhibit the person’s ability to continue employment; or
(c)
The person’s earnings are not sufficient to allow the person a reasonable equivalent
of the general assistance and health service benefits which would be available
to the person in the absence of the earnings.
(3)
If the person described in subsection (1) of this section is covered by a group
health insurance plan, the department shall continue to provide health services
and needs for the limited purpose of paying the costs of treatment for
preexisting conditions until such costs are paid in whole or in part by the
group health insurance policy.
(4)
For purposes of this section, “approved treatment and rehabilitation program”
and “chronic mental illness” shall be defined by the department by rule.
(5)
For the purposes of general assistance, any work performed by a person while
that person is hospitalized in a state or community psychiatric hospital shall
not be considered employment.
(6)
Nothing in this section is intended to limit the authority of the department to
disregard the income of, and extend the period of eligibility for health
services and needs to, persons other than those described in subsection (1) of
this section. [1981 c.341 §2; 2001 c.900 §93]
411.795 Claim against estate of deceased
recipient of general assistance. (1) The
amount of any general assistance paid under ORS chapter 411 is a claim against
the property or any interest therein belonging to and a part of the estate of
any deceased recipient or if there be no estate or the estate does not have
sufficient assets to satisfy the claim, the estate of the surviving spouse
shall be charged for such aid paid to either or both; provided, however, that
there shall be no adjustment or recovery of any general assistance correctly
paid to or on behalf of any individual under ORS chapter 411 except after the
death of such individual and the surviving spouse of the individual, if any,
and only at a time when the individual has no surviving child who is under 21
years of age or is blind or permanently and totally disabled.
(2)
Except where there is a surviving spouse, or a surviving child who is under 21
years of age or is blind or permanently and totally disabled, the amount of any
general assistance paid under ORS chapter 411 is a claim against the estate in
any conservatorship proceedings and may be paid pursuant to ORS 125.495.
(3)
Nothing in this section authorizes the recovery of the amount of any aid from
the estate or the surviving spouse of a recipient to the extent that the need
for aid resulted from a crime committed against the recipient.
(4)
As used in this section, “general assistance” includes the state’s monthly
contribution to the federal government to defray the costs of outpatient
prescription drug coverage provided to a person who is eligible for Medicare
Part D prescription drug coverage and who receives benefits under the state
medical assistance program or Title XIX of the Social Security Act. [1971 c.422
§1; 1975 c.386 §1; 1985 c.522 §1; 1995 c.664 §91; 2005 c.754 §2]
Note:
411.795 was enacted into law by the Legislative Assembly but was not added to
or made a part of ORS chapter 411 by legislative action. See Preface to Oregon
Revised Statutes for further explanation.
411.800 [1980
c.18 §1; 1983 c.2 §2; 1985 c.255 §1; 1985 c.819 §1; 1987 c.71 §1; 1989 c.1001 §1;
1991 c.39 §1; 1993 c.11 §1; 1995 c.148 §1; repealed by 1997 c.581 §48]
SPOUSAL CARE
411.802 Compensation for in-home care by
spouse. If an approved provider providing
in-home care to a recipient of public assistance for compensation marries the
recipient, the Department of Human Services shall consider the care provided as
compensable even though provided by a spouse. The standard of compensation
under this section shall be the same as the standard applied for in-home care
provided by an approved provider not residing in the home of the recipient. [1987
c.629 §2; 2001 c.900 §94]
411.803 When spouse may be compensated for
in-home care. When a married recipient of public
assistance provided under ORS 411.706 requires in-home care, the Department of
Human Services shall provide that such care be compensated even though provided
by the spouse, in the manner and to the extent specified by rule of the
department based on the extent of need and the availability of funds therefor. [1985
c.638 §2; 2001 c.900 §95; 2005 c.381 §11]
411.805 [1961
c.526 §1; repealed by 1963 c.599 §2
(411.806 enacted in lieu of 411.805)]
SUPPLEMENTAL NUTRITION ASSISTANCE
PROGRAM
411.806 Definitions for ORS 411.806 to
411.845. As used in ORS 411.806 to 411.845,
unless the context or a specially applicable statutory definition requires
otherwise:
(1)
“Administrative costs” means, but is not limited to, costs in connection with:
(a)
Distributing supplemental nutrition assistance to recipients under the
Supplemental Nutrition Assistance Program;
(b)
The compensation of personnel while employed in carrying out ORS 411.806 to
411.845; and
(c)
Reimbursement of the federal government for any loss described in ORS 411.830.
(2)
“Household” means two or more related or nonrelated individuals who do not
reside in an institution.
(3)
“Issuing agency” means the Department of Human Services.
(4)
“Recipient” means an individual or household determined and certified, pursuant
to ORS 411.816 or 411.825, to be eligible to receive supplemental nutrition
assistance under the Supplemental Nutrition Assistance Program.
(5)
“Supplemental Nutrition Assistance Program” means a program under which the
federal government makes aid available to the state or its agencies for
distribution through electronic benefits transfer or by check to individuals
and households certified to be in economic need of and eligible to receive such
aid for the purchase of food from retail food outlets. [1963 c.599 §3 (enacted
in lieu of 411.805); 1971 c.779 §26; 1997 c.581 §10; 2009 c.599 §1]
411.810 [1961
c.526 §2; repealed by 1963 c.599 §4 (411.811 enacted in lieu of 411.810)]
411.811 Distribution by tribal councils;
duties of department with respect to food distribution programs; rules.
(1) A tribal council of an Indian tribe may make direct distribution of food
commodities to recipients.
(2)
With respect to food distribution programs, the Department of Human Services
shall:
(a)
Execute agreements necessary to maintain the eligibility of this state to
receive food commodities, and to carry into effect ORS 411.806 to 411.845
relating to such programs, including agreements with other agencies of this
state, with the federal government and its agencies, and with tribal councils
of Indian tribes;
(b)
Order, ship and store food commodities pending their delivery to tribal
councils of Indian tribes or otherwise for direct distribution to recipients;
(c)
Determine and require that the storage, distribution and handling of food
commodities are made in accordance with state and federal laws, rules,
regulations and requirements;
(d)
Determine the quantities of food commodities which recipients shall be entitled
to receive with respect to any period and geographical area; and
(e)
Except as otherwise provided by ORS 411.816, adopt and enforce rules necessary
to maintain the eligibility of this state to receive food commodities and to
carry into effect ORS 411.806 to 411.845 relating to such programs. [1963 c.599
§5 (enacted in lieu of 411.810); 1971 c.779 §27; 1989 c.942 §1]