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OregonHB 40392026 Regular SessionHouseWALLET

Relating to medical assistance; and declaring an emergency.

Sponsored By: Sponsor information unavailable

Became Law

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Bill Overview

Analyzed Economic Effects

6 provisions identified: 5 benefits, 0 costs, 1 mixed.

New Medicaid payment streams with federal match

Under the Governor’s direction, OHA can work with the federal agency (CMS) to set up new payment streams besides global budgets. Counties, CCOs, or other nonstate entities can fund these and get federal matching funds under Medicaid or CHIP. These payments support better care for people on medical assistance.

No broad quality-of-life limits on care

OHA cannot use a "quality of life in general" measure to limit your care. The agency also cannot rely on sources that use that measure. This protects people on Medicaid, especially people with disabilities, from broad judgments that could reduce access to services.

Local CCO boards set budgets and risk

When the state sets a global budget for a coordinated care organization (CCO), the CCO’s board decides how to divide payments, risk, and any savings. The Oregon Health Authority (OHA) must consider the CCO’s community health needs and its costs. OHA must also take into account innovative, nontraditional services. This local control can change how care is paid for and which services are prioritized.

Clear timelines for Medicaid provider payments

OHA must set rules for when Medicaid providers get paid. Clear payment timelines help providers stay in the program. That supports steady access to care for members.

Clearer process to set CCO rates

OHA must use a transparent, data‑driven process to set capitation rates for CCOs. It must reconcile its data with CCO data, show the cost of new contract terms, list outlier trends, and give 90 days’ notice before changing fee‑for‑service schedules. OHA must adjust capitation rates when needed and report preliminary rates and community input to the Health Policy Board. This applies to plan years starting on or after January 1, 2027.

OHA must show Medicaid rule costs

Before adopting any nonprocedural rule, OHA must prepare a medical assistance cost impact statement. The statement estimates how the rule affects the state Medicaid program, and OHA must adopt a standard form for it. This makes rule changes more transparent.

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

  • Enrolled

    3/2/2026

    PDF

  • A-Engrossed

    2/12/2026

    PDF

  • House Amendments to Introduced

    2/12/2026

    PDF

  • HHC Amendment -1 (Adopted)

    2/10/2026

    PDF

  • HHC Amendment -1 (Proposed)

    2/3/2026

    PDF

  • Introduced

    1/28/2026

    PDF

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