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OregonSB 6992025 Regular SessionSenateWALLET

Relating to medical devices.

Sponsored By: Ed Diehl (Republican), Hai Pham (Democratic), Lisa Reynolds (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Broader coverage for braces and artificial limbs

The law applies to Oregon individual and group health policies issued, renewed, or extended on or after January 1, 2026. Plans must cover medically needed artificial limbs and rigid or partly rigid supports for limbs or the torso. Devices must restore or maintain daily living or essential work activities, not serve only comfort or convenience. Coverage includes all medically needed services and supplies, including design, building, materials, fitting, alignment, and instructions for use. Medically needed repairs are covered when the person's health or the device's condition changes. Medically needed replacement of a device or part is covered for physical changes, damage that cannot be fixed, or repair costs above 60% of replacement cost. Plans must also cover the medically needed, most suitable device model for physical activity and whole-body health. Plans cannot deny activity-related device benefits for people with limb loss, impairment, or absence when they cover medical or surgical care for others to do the same activity. Managed care networks must offer medically needed care and devices through at least two distinct Oregon-based prosthetic and orthotic providers. The state must update its covered-device list annually, with coverage no narrower than Medicare's device schedule where consistent with this law. Other policy terms still apply. Public Employees' Benefit Board and Oregon Educators Benefit Board plans are exempt from the new requirements unless their boards elect coverage and notify the state department.

Extra checks for newer device replacements

This rule applies to Oregon individual and group health policies issued, renewed, or extended on or after January 1, 2026. Insurers may ask the prescribing provider to confirm that replacing an orthotic or prosthetic device or part is medically needed. This added check applies when the item being replaced is less than three years old. Insurers are allowed, but not required, to request confirmation. Public Employees' Benefit Board and Oregon Educators Benefit Board plans are exempt unless their boards elect coverage and notify the state department.

Sponsors & Cosponsors

Sponsors

  • Ed Diehl

    Republican • House

  • Hai Pham

    Democratic • House

  • Lisa Reynolds

    Democratic • Senate

Cosponsors

  • Anna Scharf

    Republican • House

  • Anthony Broadman

    Democratic • Senate

  • Bobby Levy

    Republican • House

  • Boomer Wright

    Republican • House

  • Dacia Grayber

    Democratic • House

  • Darcey Edwards

    Republican • House

  • David Brock Smith

    Republican • Senate

  • David Gomberg

    Democratic • House

  • Deb Patterson

    Democratic • Senate

  • Emerson Levy

    Democratic • House

  • Janeen Sollman

    Democratic • Senate

  • John Lively

    Democratic • House

  • Jules Walters

    Democratic • House

  • Ken Helm

    Democratic • House

  • Khanh Pham

    Democratic • Senate

  • Lesly Muñoz

    Democratic • House

  • Lisa Fragala

    Democratic • House

  • Lucetta Elmer

    Republican • House

  • Mark Gamba

    Democratic • House

  • Ricki Ruiz

    Democratic • House

  • Sara Gelser Blouin

    Democratic • Senate

  • Suzanne Weber

    Republican • Senate

  • Thuy Tran

    Democratic • House

  • Tom Andersen

    Democratic • House

  • Travis Nelson

    Democratic • House

  • Zach Hudson

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 92 • No: 0

House vote • 5/21/2025

Third reading. Carried by Pham H. Passed.

Yes: 49 • No: 0

House vote • 5/15/2025

Behavioral Health and Health Care: Heard and Reported Out

Yes: 9 • No: 0

Senate vote • 4/17/2025

Third reading. Carried by Reynolds. Passed.

Yes: 29 • No: 0

Senate vote • 4/8/2025

Health Care: Heard and Reported Out with Amendments

Yes: 5 • No: 0

Actions Timeline

  1. Effective date, January 1, 2026.

    6/11/2025Senate

  2. Chapter 259, 2025 Laws.

    6/11/2025Senate

  3. Governor signed.

    6/3/2025Senate

  4. Speaker signed.

    5/22/2025House

  5. President signed.

    5/22/2025Senate

  6. Third reading. Carried by Pham H. Passed.

    5/21/2025House

  7. Second reading.

    5/20/2025House

  8. Recommendation: Do pass.

    5/19/2025House

  9. Work Session held.

    5/15/2025House

  10. Public Hearing held.

    5/8/2025House

  11. Referred to Behavioral Health and Health Care.

    4/23/2025House

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

    4/17/2025House

  13. Third reading. Carried by Reynolds. Passed.

    4/17/2025Senate

  14. Second reading.

    4/16/2025Senate

  15. Recommendation: Do pass with amendments. (Printed A-Eng.)

    4/15/2025Senate

  16. Work Session held.

    4/8/2025Senate

  17. Public Hearing held.

    1/30/2025Senate

  18. Referred to Health Care.

    1/17/2025Senate

  19. Introduction and first reading. Referred to President's desk.

    1/13/2025Senate

Bill Text

  • HBHHC Amendment -A6 (Proposed)

    5/15/2025

    PDF

  • SHC Amendment -5 (Adopted)

    4/8/2025

    PDF

  • SHC Amendment -3 (Proposed)

    3/25/2025

    PDF

  • SHC Amendment -4 (Proposed)

    3/25/2025

    PDF

  • A-Engrossed

    PDF

  • Enrolled

    PDF

  • Introduced

    PDF

  • Senate Amendments to Introduced

    PDF

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