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OregonHB 40392026 Regular SessionHouse

Relating to medical assistance; and declaring an emergency.

Sponsored By: Sponsor information unavailable

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Clearer rules for Oregon Medicaid payments

For plan years beginning on or after January 1, 2027, Oregon must use a clearer, data-based Medicaid rate-setting process. These rates are fixed monthly payments per member to coordinated care organizations that arrange Medicaid care. The Oregon Health Authority must compare its data with organization data and identify adjustments. It must separately report costs of existing and new contract requirements, identify major contract cost changes, and share unusual statewide trends. Interested parties must get 90 days’ notice before discretionary fee-for-service payment changes, with monthly organization rates adjusted as needed. The authority must report preliminary rates and community input to the Oregon Health Policy Board in a timely way. These rules do not directly change household benefits or costs.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 91 • No: 0

Senate vote • 3/2/2026

Third reading. Carried by Patterson. Passed.

Yes: 28 • No: 0

Senate vote • 2/25/2026

Health Care: Heard and Reported Out

Yes: 5 • No: 0

House vote • 2/17/2026

Third reading. Carried by Nosse. Passed.

Yes: 52 • No: 0

House vote • 2/10/2026

Health Care: Heard and Reported Out with Amendments

Yes: 6 • No: 0

Actions Timeline

  1. Chapter 32, (2026 Laws): Effective date March 31, 2026.

    4/6/2026House

  2. Governor signed.

    3/31/2026House

  3. President signed.

    3/5/2026Senate

  4. Speaker signed.

    3/4/2026House

  5. Third reading. Carried by Patterson. Passed.

    3/2/2026Senate

  6. Second reading.

    2/27/2026Senate

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

    2/27/2026Senate

  8. Work Session held.

    2/25/2026Senate

  9. Public Hearing held.

    2/23/2026Senate

  10. Referred to Health Care.

    2/19/2026Senate

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

    2/19/2026Senate

  12. Third reading. Carried by Nosse. Passed.

    2/17/2026House

  13. Second reading.

    2/16/2026House

  14. Subsequent referral to Ways and Means rescinded by order of the Speaker.

    2/12/2026House

  15. Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.

    2/12/2026House

  16. Work Session held.

    2/10/2026House

  17. Public Hearing held.

    2/3/2026House

  18. Referred to Health Care with subsequent referral to Ways and Means.

    2/2/2026House

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

    2/2/2026House

Bill Text

  • HHC Amendment -1 (Adopted)

    2/10/2026

    PDF

  • HHC Amendment -1 (Proposed)

    2/3/2026

    PDF

  • A-Engrossed

    PDF

  • Enrolled

    PDF

  • House Amendments to Introduced

    PDF

  • Introduced

    PDF

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