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OregonHB 22922025 Regular SessionHouseWALLET

Relating to treatment of human immunodeficiency virus.

Sponsored By: Dacia Grayber (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 1 costs, 0 mixed.

Fewer HIV drug barriers for Medicaid

The Oregon Health Authority and coordinated care organizations cannot require prior approval or trying another drug first for specified HIV drugs. This protects medical assistance recipients prescribed FDA-approved HIV prevention or treatment drugs that their provider finds medically necessary. Reviews for patient safety or to ensure medically accepted use remain allowed.

HIV drug coverage with fewer barriers

Health plans covering sexually transmitted infection counseling, prevention, or screening must cover FDA-approved HIV prevention and treatment drugs. Plans must also cover visits, tests, vaccines, and monitoring needed to start or continue HIV prevention drugs. Covered prevention drugs and related services have no copays, coinsurance, or deductibles. Insurers cannot require prior approval for HIV prevention drugs or drugs prescribed to treat HIV or AIDS. These rules apply to plans offered, renewed, or extended on or after the law's effective date.

Some post-exposure HIV charges become allowed

The law removes the earlier ban on patient charges for HIV drugs or therapies prescribed after possible exposure. Plans may charge deductibles, copays, or coinsurance unless a separate coverage rule bars those charges. The law's separate no-cost rule still applies to covered HIV prevention drugs and related services in qualifying plans.

Higher spending limits for employee benefits

For the two-year budget period beginning July 1, 2025, the law raises two employee benefit spending limits. The Public Employees' Benefit Board can spend $767,644 more from the Public Employees' Revolving Fund. The Oregon Educators Benefit Board can spend $682,867 more from the Oregon Educators Revolving Fund. Both increases cover benefit-plan premiums and self-insurance. They do not guarantee lower employee premiums, new coverage, or direct payments.

Sponsors & Cosponsors

Sponsor

  • Dacia Grayber

    Democratic • House

Cosponsors

  • April Dobson

    Democratic • House

  • Ben Bowman

    Democratic • House

  • Hai Pham

    Democratic • House

  • Hoa Nguyen

    Affiliation unavailable

  • Khanh Pham

    Democratic • Senate

  • Mari Watanabe

    Democratic • House

  • Mark Gamba

    Democratic • House

  • Pam Marsh

    Democratic • House

  • Sarah McDonald

    Democratic • House

  • Shannon Isadore

    Democratic • House

  • Travis Nelson

    Democratic • House

  • Willy Chotzen

    Democratic • House

  • Zach Hudson

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 113 • No: 0

Senate vote • 6/23/2025

Third reading. Carried by Campos. Passed.

Yes: 30 • No: 0

House vote • 6/19/2025

Third reading. Carried by Grayber. Passed.

Yes: 53 • No: 0

legislature vote • 6/13/2025

Ways and Means: Heard and Reported Out with Amendments

Yes: 21 • No: 0

House vote • 4/1/2025

Behavioral Health and Health Care: Heard and Reported Out with Amendments

Yes: 9 • No: 0

Actions Timeline

  1. Chapter 480, (2025 Laws): Effective date January 1, 2026.

    8/7/2025House

  2. Governor signed.

    7/17/2025House

  3. President signed.

    6/24/2025Senate

  4. Speaker signed.

    6/24/2025House

  5. Third reading. Carried by Campos. Passed.

    6/23/2025Senate

  6. Second reading.

    6/20/2025Senate

  7. Recommendation: Do pass the B-Eng. bill.

    6/20/2025Senate

  8. Referred to Ways and Means.

    6/19/2025Senate

  9. First reading. Referred to President's desk.

    6/19/2025Senate

  10. Third reading. Carried by Grayber. Passed.

    6/19/2025House

  11. Rules suspended. Carried over to June 19, 2025 Calendar.

    6/18/2025House

  12. Second reading.

    6/17/2025House

  13. Recommendation: Do pass with amendments and be printed B-Engrossed.

    6/16/2025House

  14. Work Session held.

    6/13/2025House

  15. Returned to Full Committee.

    6/10/2025House

  16. Work Session held.

    6/10/2025House

  17. Assigned to Subcommittee On Human Services.

    5/29/2025House

  18. Referred to Ways and Means by order of Speaker.

    4/7/2025House

  19. Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.

    4/7/2025House

  20. Work Session held.

    4/1/2025House

  21. Public Hearing held.

    2/11/2025House

  22. Referred to Behavioral Health and Health Care.

    1/17/2025House

  23. First reading. Referred to Speaker's desk.

    1/13/2025House

Bill Text

  • JWM Amendment -A4 (Adopted)

    6/13/2025

    PDF

  • JWMHS Amendment -4 (Proposed)

    6/10/2025

    PDF

  • HBHHC Amendment -3 (Adopted)

    4/1/2025

    PDF

  • HBHHC Amendment -1 (Proposed)

    2/11/2025

    PDF

  • A-Engrossed

    PDF

  • B-Engrossed

    PDF

  • Enrolled

    PDF

  • House Amendments to A-Engrossed

    PDF

  • House Amendments to Introduced

    PDF

  • Introduced

    PDF

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