All Roll Calls
Yes: 85 • No: 50
OregonHB 41272026 Regular SessionHouseWALLET
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)
Became Law
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Backup grants if providers are barred
The law creates a grant program that turns on only if a state or federal action stops these providers from staying enrolled in Oregon Medicaid. Eligible providers are nonprofit reproductive health clinics that got more than $800,000 in Medicaid reimbursements in 2023 and are not eligible for federal Medicaid funds. Grants should match what the provider would get under the state fee‑for‑service system when possible. Grants cannot use federal Medicaid money. If the trigger happens, the program starts on that action’s effective date and OHA must notify Legislative Counsel right away.
Limits on CCO clawbacks for past claims
For claims a coordinated care organization (CCO) paid between July 4, 2025 and this Act’s 2026 effective date, a CCO can recover overpayments only for routine business reasons. A CCO cannot take back payment just because the provider is not eligible for federal Medicaid funds. This protection ends January 2, 2028.
State pays certain reproductive providers directly
The Oregon Health Authority (OHA) now pays certain nonprofit reproductive health providers directly, using a state fee‑for‑service system. These are providers enrolled in Oregon Medicaid that are not eligible for federal Medicaid funds. Beginning July 4, 2025, OHA pays claims only when the claim is not eligible for a federal Medicaid match and the provider has not yet been paid. OHA is the sole payer for these claims, including for coordinated care organization (CCO) members, and it cannot use federal Medicaid funds. OHA must update billing systems and keep enrollment standards aligned with Medicaid rules. It must also review payment rates at least every two years to make sure access to care is protected.
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: 28 • No: 16
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.
3/3/2026HouseReturned to Full Committee.
3/2/2026HouseWork Session held.
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
Enrolled
3/6/2026
A-Engrossed
2/17/2026
House Amendments to Introduced
2/17/2026
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
Introduced
1/28/2026
Related Bills
SB 5702 — Relating to state financial administration; and declaring an emergency.
SB 5703 — Relating to state financial administration; and declaring an emergency.
SB 1601 — Relating to state financial administration; and declaring an emergency.
SB 5701 — Relating to state financial administration; and declaring an emergency.
SB 1507 — Relating to revenue; and prescribing an effective date.
SB 1585 — Relating to matching grants for cities; and prescribing an effective date.