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OregonHB 31342025 Regular SessionHouse

Relating to prior authorization.

Sponsored By: Deb Patterson (Democratic), Rob Nosse (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Approval protections reach more health plans

The law extends its surgery approval protection to trusts providing health benefits for multiple employers. Beginning January 1, 2027, both the surgery protection and electronic approval rules apply to these trusts and health care service contractors. For contractors, these rules apply only where they do not conflict with specific Oregon laws governing them. Employer trusts are treated as insurers, their contributions as premiums, and their health benefits as health insurance.

Electronic approval tools for Oregon health plans

Beginning January 1, 2027, Oregon health insurers using medical coverage reviews must provide a standard electronic prior authorization interface. This applies whether insurers conduct reviews themselves or use another company. Providers must be able to check approval requirements and required documents through their electronic health records or practice systems. They must also be able to securely exchange requests and decisions, with insurers responding through the same interface. The interface must meet federal standards in 45 C.F.R. 156.223(b), as in effect on February 28, 2024.

Patients avoid extra approvals during surgery

Insurers cannot require separate approval for a qualifying added or related procedure found during an already approved surgery. The provider must find it medically necessary under generally accepted medical standards. The provider must also decide that delaying or interrupting care for approval is not medically advisable. The procedure must be covered by the patient's plan and cannot be experimental or investigational.

Sponsors & Cosponsors

Sponsors

  • Deb Patterson

    Democratic • Senate

  • Rob Nosse

    Democratic • House

Cosponsors

  • Hai Pham

    Democratic • House

  • Jules Walters

    Democratic • House

  • Lisa Reynolds

    Democratic • Senate

  • Willy Chotzen

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 98 • No: 0

Senate vote • 6/12/2025

Third reading. Carried by Patterson. Passed.

Yes: 28 • No: 0

Senate vote • 5/20/2025

Health Care: Heard and Reported Out

Yes: 5 • No: 0

House vote • 5/7/2025

Third reading. Carried by Nosse. Passed.

Yes: 49 • No: 0

House vote • 4/30/2025

Rules: Heard and Reported Out with Amendments

Yes: 7 • No: 0

House vote • 4/8/2025

Behavioral Health and Health Care: Heard and Reported Out

Yes: 9 • No: 0

Actions Timeline

  1. Chapter 388, (2025 Laws): Effective date January 1, 2026.

    7/25/2025House

  2. Governor signed.

    6/24/2025House

  3. President signed.

    6/16/2025Senate

  4. Speaker signed.

    6/13/2025House

  5. Third reading. Carried by Patterson. Passed.

    6/12/2025Senate

  6. Carried over to 06-12 by unanimous consent.

    6/11/2025Senate

  7. Carried over to 06-11 by unanimous consent.

    6/10/2025Senate

  8. Carried over to 06-10 by unanimous consent.

    6/9/2025Senate

  9. Carried over to 06-09 by unanimous consent.

    6/5/2025Senate

  10. Carried over to 06-05 by unanimous consent.

    6/4/2025Senate

  11. Carried over to 06-04 by unanimous consent.

    6/3/2025Senate

  12. Carried over to 06-03 by unanimous consent.

    6/2/2025Senate

  13. Carried over to 06-02 by unanimous consent.

    5/29/2025Senate

  14. Carried over to 05-29 by unanimous consent.

    5/28/2025Senate

  15. Second reading.

    5/27/2025Senate

  16. Recommendation: Do pass the A-Eng. bill.

    5/27/2025Senate

  17. Work Session held.

    5/20/2025Senate

  18. Public Hearing held.

    5/13/2025Senate

  19. Referred to Health Care.

    5/8/2025Senate

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

    5/8/2025Senate

  21. Third reading. Carried by Nosse. Passed.

    5/7/2025House

  22. Second reading.

    5/6/2025House

  23. Recommendation: Do pass with amendments and be printed A-Engrossed.

    5/5/2025House

  24. Work Session held.

    4/30/2025House

  25. Public Hearing held.

    4/23/2025House

Bill Text

  • HRULES Amendment -5 (Adopted)

    4/30/2025

    PDF

  • HRULES Amendment -3 (Proposed)

    4/23/2025

    PDF

  • HRULES Amendment -4 (Proposed)

    4/23/2025

    PDF

  • HBHHC Amendment -3 (Proposed)

    4/8/2025

    PDF

  • HBHHC Amendment -1 (Proposed)

    3/27/2025

    PDF

  • A-Engrossed

    PDF

  • Enrolled

    PDF

  • House Amendments to Introduced

    PDF

  • Introduced

    PDF

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