The Oregon Rheumatology Alliance continues to battle for patient access to treatments and to maintain the physician's independence in regard to medical management of diseases. 

• ORA sponsored Senate Bill 864 in the 2009 legislative session.   This bill was introduced by ORA to Senator Vicki Walker, and would have prohibited forced off-label prescribing by the insurer.  Our members testified and met with each of the Senate Health Care Committee but the bill was tabled after extensive lobbying by the insurance industry. 
• In March 2009, the ORA Board of Directors sent a letter to the Director of the Center for Drug and Health Plan Choice (CMS) regarding the 2010 Call Letter.  Suggestions were made to alter wording in the section "Use of off-label indications".  The call letter was released on March 30th.  Please click here to see a copy of the final call letter.
• A press release from ORA was issued to the Oregon Health News on the 4th of June applauding the AMA's recommended Health Insurance Code of Conduct to be considered at their annual meeting scheduled for the week of June 11th. The Alliance for Patient Access also issued a statement supporting this national health insurance code of conduct.  Please click here to see a copy of the press release.
• Several editorials have been written and published regarding access issues.  To see copies of the editorials, visit the "advocacy articles" section of this website.
• ORA has maintained a working relationship with the OMA, the Psoriasis Foundation and the Arthritis Foundation.  We will be moving forward together regarding a legislative effort on behalf of medical access issues.  You can find a link to each of these organizations web sites by visiting the "ORA Affiliates" page of this website.
• ORA Board of Directors continues to educate health care insurers and purchasers.  Due to the complex nature of rheumatic disease, treatment needs to be individualized and rheumatologists should be making treatment decisions for their patients.