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OregonHB 41562026 Regular SessionHouseWALLET

Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency.

Sponsored By: Dacia Grayber (Democratic), Gregory Smith (Republican), Lew Frederick (Democratic), Vikki Breese-Iverson (Republican)

Became Law

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 0 costs, 2 mixed.

Extra Medicaid reimbursement for EMS providers

EMS providers with an OHA provider agreement or a CCO contract can request extra Medicaid reimbursement for emergency care. OHA or the CCO adds this to the normal payment when federal rules allow it. The extra payment is limited to the federal match OHA receives and cannot exceed the provider’s actual net costs under OHA standards. Providers must share records, data, and certifications that OHA requires. OHA may change how it calculates or pays to keep costs eligible for federal match. Providers must agree to repay OHA’s program costs to get these payments. Providers without the required agreement or contract cannot receive the extra payment. The state uses General Fund money only to certify federal match. If CMS later pulls approval, OHA reports that at the next health care committee meeting.

More Medicaid pay for EMS via care organizations

The Oregon Health Authority creates a funding path with coordinated care organizations (CCOs) to boost EMS payments. OHA passes federal matching money to CCOs, and CCOs must raise what they pay EMS by an amount OHA sets. The higher payments must be at least equal in actuarial value to the standard supplemental payment. Joining is voluntary. Providers who take the increase must repay OHA’s program costs; any OHA fee is capped at 20% of the EMS cost, and up to 120% of that fee counts as an operating cost. If OHA finds spending is not eligible for a federal match, OHA returns the money or leaves it out. OHA consults EMS providers, and the state uses General Fund money only to certify federal match.

Sponsors & Cosponsors

Sponsors

  • Dacia Grayber

    Democratic • House

  • Gregory Smith

    Republican • House

  • Lew Frederick

    Democratic • Senate

  • Vikki Breese-Iverson

    Republican • House

Cosponsors

  • Anthony Broadman

    Democratic • Senate

  • Hai Pham

    Democratic • House

  • Jami Cate

    Republican • House

  • Janeen Sollman

    Democratic • Senate

  • Lesly Muñoz

    Democratic • House

  • Sue Rieke Smith

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 84 • No: 0

Senate vote • 3/3/2026

Third reading. Carried by Patterson. Passed.

Yes: 29 • No: 0

Senate vote • 2/25/2026

Health Care: Heard and Reported Out

Yes: 5 • No: 0

House vote • 2/20/2026

Third reading. Carried by Smith G. Passed.

Yes: 42 • No: 0

House vote • 2/12/2026

Health Care: Heard and Reported Out with Amendments

Yes: 8 • No: 0

Actions Timeline

  1. Chapter 70, (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.

    3/3/2026Senate

  6. Carried over to 03-03 by unanimous consent.

    3/2/2026Senate

  7. Second reading.

    2/27/2026Senate

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

    2/27/2026Senate

  9. Public Hearing and Work Session held.

    2/25/2026Senate

  10. Referred to Health Care.

    2/20/2026Senate

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

    2/20/2026Senate

  12. Third reading. Carried by Smith G. Passed.

    2/20/2026House

  13. Rules suspended. Carried over to February 20, 2026 Calendar.

    2/19/2026House

  14. Rules suspended. Carried over to February 19, 2026 Calendar.

    2/18/2026House

  15. Second reading.

    2/17/2026House

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

    2/16/2026House

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

    2/16/2026House

  18. Work Session held.

    2/12/2026House

  19. Public Hearing held.

    2/5/2026House

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

    2/2/2026House

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

    2/2/2026House

Bill Text

  • Enrolled

    3/3/2026

    PDF

  • A-Engrossed

    2/16/2026

    PDF

  • House Amendments to Introduced

    2/16/2026

    PDF

  • HHC Amendment -1 (Proposed)

    2/12/2026

    PDF

  • HHC Amendment -2 (Adopted)

    2/12/2026

    PDF

  • Introduced

    1/29/2026

    PDF

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