All Roll Calls
Yes: 78 • No: 25
OregonHB 20102025 Regular SessionHouseWALLET
Relating to funding to improve access to health care; and prescribing an effective date.
Sponsored By: Julie Fahey (Democratic)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
8 provisions identified: 1 benefits, 3 costs, 4 mixed.
Public employee health spending faces limits
Oregon’s Public Employees’ Benefit Board must use payment methods aimed at limiting yearly health spending growth in self-insured plans. The limit is 3.4% per member, and the specified plan assessment counts toward it. This changes the board’s spending calculation, not a set premium or benefit amount for workers.
Health entities lose a tax exclusion
The law removes an Oregon corporate activity tax exclusion tied to specified health care assessments. Covered hospitals, managed care organizations, and entities paying the listed health plan assessments lose that basis for exclusion. Tax liability still depends on the tax’s other requirements and any separate exclusion. Long-term care facilities paying the specified separate assessment remain excluded.
Health assessments face state fee oversight
The law removes a fee-rule exemption for specified health plan assessments paid to Oregon’s insurance department. Those assessments are no longer automatically outside state rules governing new or increased agency fees. This change does not itself raise an assessment or set a new payment amount.
Hospital revenue counts more toward transaction review
Hospitals must count payments reimbursing hospital assessments when calculating net patient revenue for health market oversight. The law removes the previous exclusion for those payments. Including them can affect whether a health care transaction reaches the revenue thresholds for review.
Health fund balances move into general budget
On December 31, 2038, remaining Health System Fund and Hospital Quality Assurance Fund money moves to Oregon’s General Fund. The law also removes the specific rule directing certain health plan assessment receipts to the Health System Fund. The supplied text does not name a replacement destination for those receipts or state the amounts involved.
Health plan assessments continue through 2032
The law extends insurer premium assessments through December 31, 2032, instead of December 31, 2026. Assessments also continue on funding for public employees’ self-insured health plans and on managed care payments from Oregon Health Authority. The public employee assessment covers the benefit board and its contracted plan administrators. Assessments remain collectible for quarters ending by December 31, 2032, despite the governing provisions’ January 2, 2038 repeal. These provisions do not set assessment amounts.
Hospital assessments continue with reimbursement timelines
Covered hospitals pay assessments on net inpatient and outpatient revenue, and Oregon Health Authority can set different rates for each. Assessments end December 31, 2032, or earlier if they stop qualifying for federal Medicaid or CHIP funding. The law preserves collection for eligible quarters ending by December 31, 2032. Oregon Health and Science University reimbursements follow the 2019 rules for payments from July 1, 2019, through June 30, 2032. A separate set of reimbursement rules applies beginning July 1, 2032.
Insurer reinsurance credit gains and removal
The law requires Oregon’s insurance director to grant Oregon-based insurers financial credit for reinsurance transferred to the Oregon Reinsurance Program. It also contains an amendment removing that express requirement. The supplied provisions do not identify the removal date or establish a household payment.
Sponsors & Cosponsors
Sponsor
Julie Fahey
Democratic • House
Cosponsors
Mark Gamba
Democratic • House
Thuy Tran
Democratic • House
Roll Call Votes
Senate vote • 3/17/2025
Third reading. Carried by Meek. Passed.
Yes: 22 • No: 5
Senate vote • 3/12/2025
Finance and Revenue: Heard and Reported Out
Yes: 5 • No: 0
House vote • 2/27/2025
Third reading. Carried by Pham H. Passed.
Yes: 40 • No: 15
House vote • 2/20/2025
Revenue: Heard and Reported Out
Yes: 4 • No: 3
House vote • 2/11/2025
Behavioral Health and Health Care: Heard and Reported Out with Amendments
Yes: 7 • No: 2
Actions Timeline
Chapter 4, (2025 Laws): effective on the 91st day following adjournment sine die.
4/21/2025HouseGovernor signed.
3/26/2025HousePresident signed.
3/20/2025SenateSpeaker signed.
3/20/2025HouseThird reading. Carried by Meek. Passed.
3/17/2025SenateSecond reading.
3/13/2025SenateRecommendation: Do pass the A-Eng. bill.
3/13/2025SenateWork Session held.
3/12/2025SenatePublic Hearing held.
3/10/2025SenateReferred to Finance and Revenue.
3/4/2025SenateFirst reading. Referred to President's desk.
3/4/2025SenateVote explanation(s) filed by Levy B, Nelson.
2/27/2025HouseThird reading. Carried by Pham H. Passed.
2/27/2025HouseSecond reading.
2/25/2025HouseRecommendation: Do pass.
2/24/2025HouseWork Session held.
2/20/2025HousePublic Hearing held.
2/18/2025HouseReferred to Revenue by prior reference.
2/14/2025HouseRecommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Revenue by prior reference.
2/14/2025HousePublic Hearing and Work Session held.
2/11/2025HousePublic Hearing held.
2/6/2025HouseReferred to Behavioral Health and Health Care with subsequent referral to Revenue.
1/17/2025HouseFirst reading. Referred to Speaker's desk.
1/13/2025House
Bill Text
SFR Amendment -A3 (Proposed)
3/12/2025
SFR Amendment -A4 (Proposed)
3/12/2025
SFR Amendment -A5 (Proposed)
3/12/2025
SFR Amendment -A6 (Proposed)
3/12/2025
HBHHC Amendment -2 (Adopted)
2/11/2025
A-Engrossed
Enrolled
House Amendments to Introduced
Introduced
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