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HB4039Introduced in the House

Relating to medical assistance; and declaring an emergency.

Passed

What does this bill do?

Plain-English breakdown

Writing a plain-English summary of this bill… this can take a few seconds the first time.

Official description

The Act requires OHA to change the way it sets rates for CCOs. The Act adds steps that OHA must take before making new rules. (Flesch Readability Score: 92.6). [Digest: The Act requires OHA to change the way it sets rates for CCOs. The Act adds steps that OHA must take before making new rules. The Act prevents OHA from taking certain costly measures until January 2, 2028. (Flesch Readability Score: 69.3).] Requires the Oregon Health Authority to develop a transparent and data-driven process for developing capitation rates for coordinated care organizations. [Requires the Oregon Health Policy Board to establish a process for public review of and comment on the authority's rate development process. Requires the authority to commission an independent review of the current rate development process and report back to the Legislative Assembly.] Requires the authority to prepare a medical assistance cost impact statement before adopting rules other than procedural rules. [Prohibits the authority from adopting a new rule, program or contractual requirement that will cost $1 million or more during a biennium. Sunsets on January 2, 2028.] [Imposes a three-year moratorium on the requirement for a coordinated care organization to spend a portion of the organization's annual net income or reserves on addressing health disparities and the social determinants of health.] Declares an emergency, effective on passage.

Where it stands

Chapter 32, (2026 Laws): Effective date March 31, 2026.

April 6, 2026

How did lawmakers vote?

House votes

2 recorded votes · each counted separately

Senate votes

2 recorded votes · each counted separately

SenateStage: Senate Third Reading · March 2, 2026

28

Yes

0

No

2

Absent or Not Voting

30 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

What do people think?

Citizen Voice

How would you vote on this bill?

An unofficial public opinion poll. It does not affect the bill or the official vote.

One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.

See how each senator voted

SenatorDistrictVote
David Smith1Yes
Noah Robinson2Yes
Jeffrey Golden3Yes
Floyd Prozanski4Yes
Richard Anderson5Yes
Cedric Hayden6Yes
James Manning7Yes
Sara Gelser Blouin8Yes
Fred Girod9Absent
Deb Patterson10Yes

Bill history

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

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

  3. Public Hearing held.

  4. Work Session held.

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

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

  7. Second reading.

  8. Third reading. Carried by Nosse. Passed. Ayes, 52; Excused, 4--Hartman, Lewis, Sosa, Valderrama; Excused for Business of the House, 4--Diehl, Elmer, Nguyen D, Speaker Fahey.

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

  10. Referred to Health Care.

  11. Public Hearing held.

  12. Work Session held.

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

  14. Second reading.

  15. Third reading. Carried by Patterson. Passed. Ayes, 28; Excused, 2--Drazan, Girod.

  16. Speaker signed.

  17. President signed.

  18. Governor signed.

  19. Chapter 32, (2026 Laws): Effective date March 31, 2026.

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