All Roll Calls
Yes: 71 • No: 42
OregonHB 41272026 Regular SessionHouse
Relating to Medicaid payments to reproductive health care providers; and declaring an emergency.
Sponsored By: April Dobson (Democratic), Ben Bowman (Democratic), Deb Patterson (Democratic), Farrah Chaichi (Democratic), Floyd Prozanski (Democratic), Lew Frederick (Democratic), Rob Nosse (Democratic), Sue Rieke Smith (Democratic), Tom Andersen (Democratic), Willy Chotzen (Democratic), Wlnsvey Campos (Democratic)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Backup grants support reproductive care providers
The law creates backup grants for nonprofit reproductive health providers serving Oregon Medicaid recipients. Grants become available only when state or federal government action prevents qualifying providers from staying enrolled in Oregon Medicaid. Providers must have received more than $800,000 in Medicaid reimbursements in 2023 and be unable to receive federal Medicaid funds. Grants cover care costs and must match fee-for-service funding as closely as practical, without using federal Medicaid money. The program starts when the blocking action takes effect, and the Oregon Health Authority must immediately notify Legislative Counsel.
Oregon protects payments for reproductive care
The Oregon Health Authority must pay qualifying nonprofit reproductive health providers for each service, using no federal Medicaid money. Providers must be enrolled in Oregon Medicaid but unable to receive federal Medicaid funds. The authority is the sole payer under this framework, including for care provided to coordinated care organization members. Payments cover unpaid claims for services on or after July 4, 2025, that cannot receive federal Medicaid funding. The authority must update billing systems, follow existing enrollment and credential standards, and review rates at least every two years. Rate reviews must check whether payments support access to reproductive health care. Coordinated care organizations cannot reclaim payments made between July 4, 2025, and the law’s effective date solely because providers cannot receive federal Medicaid funds. They can still recover overpayments for routine business reasons; this protection ends January 2, 2028. The law takes effect on passage.
Sponsors & Cosponsors
Sponsors
April Dobson
Democratic • House
Ben Bowman
Democratic • House
Deb Patterson
Democratic • Senate
Farrah Chaichi
Democratic • House
Floyd Prozanski
Democratic • Senate
Lew Frederick
Democratic • Senate
Rob Nosse
Democratic • House
Sue Rieke Smith
Democratic • House
Tom Andersen
Democratic • House
Willy Chotzen
Democratic • House
Wlnsvey Campos
Democratic • Senate
Cosponsors
Courtney Neron Misslin
Democratic • Senate
Cyrus Javadi
Democratic • House
Dacia Grayber
Democratic • House
David Gomberg
Democratic • House
Hai Pham
Democratic • House
Jason Kropf
Democratic • House
Jeff Golden
Democratic • Senate
Jules Walters
Democratic • House
Kayse Jama
Democratic • Senate
Khanh Pham
Democratic • Senate
Lamar Wise
Democratic • House
Lesly Muñoz
Democratic • House
Lisa Fragala
Democratic • House
Mark Gamba
Democratic • House
Nancy Nathanson
Democratic • House
Nathan Sosa
Democratic • House
Pam Marsh
Democratic • House
Ricki Ruiz
Democratic • House
Sara Gelser Blouin
Democratic • Senate
Sarah McDonald
Democratic • House
Susan McLain
Democratic • House
Travis Nelson
Democratic • House
Zach Hudson
Democratic • House
Roll Call Votes
Senate vote • 3/6/2026
Third reading. Carried by Patterson. Passed.
Yes: 18 • No: 11
House vote • 3/4/2026
Third reading. Carried by Bowman. Passed.
Yes: 34 • No: 20
legislature vote • 3/2/2026
Ways and Means: Heard and Reported Out
Yes: 14 • No: 8
House vote • 2/12/2026
Health Care: Heard and Reported Out with Amendments
Yes: 5 • No: 3
Actions Timeline
Chapter 63, (2026 Laws): Effective date March 31, 2026.
4/6/2026HouseGovernor signed.
3/31/2026HousePresident signed.
3/10/2026SenateSpeaker signed.
3/10/2026HouseThird reading. Carried by Patterson. Passed.
3/6/2026SenateSecond reading.
3/5/2026SenateRecommendation: Do pass the A-Eng. bill.
3/5/2026SenateReferred to Ways and Means.
3/4/2026SenateFirst reading. Referred to President's desk.
3/4/2026SenateVote explanation(s) filed by Diehl.
3/4/2026HouseThird reading. Carried by Bowman. Passed.
3/4/2026HouseSecond reading.
3/3/2026HouseRecommendation: Do pass.
3/3/2026HouseWork Session held.
3/2/2026HouseReturned to Full Committee.
3/2/2026HouseWork Session held.
3/2/2026HouseAssigned to Subcommittee On Capital Construction.
2/27/2026HouseReferred to Ways and Means by order of Speaker.
2/17/2026HouseRecommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.
2/17/2026HouseWork Session held.
2/12/2026HousePublic Hearing held.
2/3/2026HouseReferred to Health Care.
2/2/2026HouseFirst reading. Referred to Speaker's desk.
2/2/2026House
Bill Text
HHC Amendment -3 (Adopted)
2/12/2026
HHC Amendment -4 (Proposed)
2/12/2026
HHC Amendment -3 (Proposed)
2/10/2026
HHC Amendment -4 (Proposed)
2/10/2026
HHC Amendment -1 (Proposed)
2/3/2026
A-Engrossed
Enrolled
House Amendments to Introduced
Introduced
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