HB4040Introduced in the House
Relating to health care; and declaring an emergency.
What does this bill do?
Plain-English breakdown
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Official description
The Act changes the rules for how certain health care is given in this state. The Act alters how certain health care providers are licensed or regulated. The Act changes some insurance rules. The Act changes some pharmacy and drug rules. The Act takes effect when signed. (Flesch Readability Score: 79.7). Modifies the requirements for screening a hospital patient for presumptive eligibility for financial assistance. [Prohibits the Oregon Health Authority from requiring certain home health agencies to comply with Medicare conditions of participation.] [Modifies the requirements for how the Department of Human Services must publish Residential Care Quality Measurement Program data.] Removes the requirement that an applicant for a residential care facility administrator license hold a bachelor's degree in a health or social service related field. Allows a person residing in a correctional facility to receive prerelease medical assistance benefits under certain circumstances. [Prohibits the authority or a coordinated care organization from requiring prior authorization for medical assistance coverage for repairing complex rehabilitation technology if the repair costs $1,500 or less.] Modifies the requirements for meetings held by the Health Evidence Review Commission. Modifies the composition of the Medicaid Advisory Committee. Modifies the eligibility requirements for parent providers who are paid to provide attendant care services to their children. See A-Eng Bill for omitted text. Allows a full-time dentistry student enrolled in an out-of-state dental education program to practice dentistry without a license if the student is supervised by a faculty member of a dental education program accredited by the Commission on Dental Accreditation of the American Dental Association. Requires casualty or health insurance policies to provide coverage for medically necessary anesthesia services, regardless of duration, for any covered procedures. Requires dental insurers to follow certain rules for payment and denial of claims. Requires the Legislative Policy and Research Director to develop and propose to the [Legislative Policy and Research Committee] committees with jurisdiction over health care an insurance coverage mandate impact statement policy. Directs the [committee] committees to perform due diligence in considering the proposal and authorizes the [committee] committees to modify the proposal if the [committee] committees so [determines] determine, and then to adopt the policy. Repeals requirement that enrollees in individual or group policies or certificates of health insurance [or members of coordinated care organizations] be assigned by their insurer [or organization] to primary care providers under certain circumstances. Specifies exemptions from the requirement that pharmacy services administrative organizations must register with the Department of Consumer and Business Services as third party administrators. See A-Eng Bill for omitted text. Modifies requirements for the Prescription Drug Affordability Board's annual affordability determination for insulin products. Allows licensees of the Occupational Therapy Licensing Board and the Oregon Board of Physical Therapy to provide psilocybin services as licensed psilocybin service facilitators while providing occupational therapy or physical therapy services. See A-Eng Bill for omitted text. Lowers the age at which a naturopathic physician may request a retired license status from 70 years of age to [60] 65 years of age. Includes nurse practitioners and physician associates in the definition of "attending physician" for purposes of the treatment of workers’ compensable injuries. Declares an emergency, effective on passage.
Where it stands
Chapter 109, (2026 Laws): Effective date April 7, 2026.
April 13, 2026
How did lawmakers vote?
House votes
3 recorded votes · each counted separately
Senate votes
1 recorded vote · each counted separately
SenateStage: Senate Third Reading · March 5, 2026
27
Yes
1
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.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| David Smith | 1 | Yes |
| Noah Robinson | 2 | No |
| Jeffrey Golden | 3 | Yes |
| Floyd Prozanski | 4 | Yes |
| Richard Anderson | 5 | Yes |
| Cedric Hayden | 6 | Absent |
| James Manning | 7 | Yes |
| Sara Gelser Blouin | 8 | Yes |
| Fred Girod | 9 | Yes |
| Deb Patterson | 10 | Yes |
Bill history
First reading. Referred to Speaker's desk.
Referred to Health Care.
Public Hearing held.
Public Hearing held.
Work Session held.
Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.
Referred to Ways and Means by order of Speaker.
Assigned to Subcommittee On Human Services.
Work Session held.
Returned to Full Committee.
Work Session held.
Recommendation: Do pass.
Second reading.
Third reading. Carried by Nosse. Passed. Ayes, 55; Excused, 2--Hartman, Valderrama; Excused for Business of the House, 3--Elmer, Reschke, Skarlatos.
First reading. Referred to President's desk.
Referred to Ways and Means.
Recommendation: Do pass the A-Eng. bill.
Second reading.
Third reading. Carried by Patterson. Passed. Ayes, 27; Nays, 1--Robinson; Excused, 2--Drazan, Hayden.
Speaker signed.
President signed.
Governor signed.
Chapter 109, (2026 Laws): Effective date April 7, 2026.
Verify the information
- Official page on the Oregon Legislature website
- House Committee On Health Care Amendment #-1 (amendment)
- House Committee On Health Care Amendment #-3 (amendment)
- House Committee On Health Care Amendment #-6 (amendment)
- House Committee On Health Care Amendment #-7 (amendment)
- House Committee On Health Care Amendment #-8 (amendment)
- House Committee On Health Care Amendment #-11 (amendment)
- House Committee On Health Care Amendment #-13 (amendment)
- House Committee On Health Care Amendment #-14 (amendment)
- House Committee On Health Care Amendment #-15 (amendment)
- House Committee On Health Care Amendment #-16 (amendment)
- House Committee On Health Care Amendment #-10 (amendment)
- House Committee On Health Care Amendment #-17 (amendment)
- House Committee On Health Care Amendment #-21 (amendment)
- House Committee On Health Care Amendment #-19 (amendment)
- House Committee On Health Care Amendment #-18 (amendment)
- House Committee On Health Care Amendment #-9 (amendment)
- House Committee On Health Care Amendment #22 (amendment)
- House Committee On Health Care Amendment #12 (amendment)
- House Committee On Health Care Amendment #27 (amendment)
- House Committee On Health Care Amendment #-27 (amendment)
- House Committee On Health Care Amendment #-17 (amendment)
- House Committee On Health Care Amendment #-6 (amendment)
- House Committee On Health Care Amendment #-15 (amendment)
- House Committee On Health Care Amendment #-12 (amendment)
- House Committee On Health Care Amendment #-25 (amendment)
- House Committee On Health Care Amendment #-3 (amendment)
- House Committee On Health Care Amendment #-33 (amendment)
- House Committee On Health Care Amendment #-11 (amendment)
- House Committee On Health Care Amendment #-7 (amendment)
- House Committee On Health Care Amendment #-24 (amendment)
- House Committee On Health Care Amendment #-14 (amendment)
- House Committee On Health Care Amendment #-16 (amendment)
- House Committee On Health Care Amendment #-32 (amendment)
- House Committee On Health Care Amendment #-19 (amendment)
- House Committee On Health Care Amendment #-13 (amendment)
- House Committee On Health Care Amendment #-30 (amendment)
- House Committee On Health Care Amendment #-34 (amendment)
- House Committee On Health Care Amendment #-35 (amendment)
- House Committee On Health Care Amendment #-36 (amendment)
- Open Government Impact (supplement)
- Preliminary SMS (supplement)
- Witness Registration (supplement)
- Preliminary SMS (supplement)
- Witness Registration (supplement)
- Fiscal Impact Statement (supplement)
- Revenue Impact Statement (supplement)
- Fiscal Impact Statement (supplement)
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- Fiscal Impact Statement (supplement)
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- Revenue Impact Statement (supplement)
- Fiscal Impact Statement (supplement)
- Revenue Impact Statement (supplement)
- Revenue Impact Statement (supplement)
- Fiscal Impact Statement (supplement)
- Preliminary SMS (supplement)
- Revenue Impact (supplement)
- Fiscal Impact (supplement)
- Staff Summary (supplement)
- Open Government Impact (supplement)
- Fiscal Impact (supplement)
- Fiscal Impact (supplement)
- Preliminary SMS (supplement)
- Fiscal Impact Statement (supplement)
- Meeting Material (supplement)
- Staff Summary (supplement)
- Preliminary SMS (supplement)
- Meeting Material (supplement)
- Staff Summary (supplement)
- Staff Summary (supplement)
- Staff Summary (supplement)
- Introduced (text)
- Introduced (text)
- Engrossed (text)
- Enrolled (text)
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