OR HB4039 | 2026 | Regular Session

Status

Completed Legislative Action
Sponsorship: Unknown
Status: Passed on April 6 2026 - 100% progression
Action: 2026-04-06 - Chapter 32, (2026 Laws): Effective date March 31, 2026.
Text: Latest bill text (Enrolled) [PDF]

Summary

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.

Tracking Information

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Title

Relating to medical assistance; and declaring an emergency.

Sponsors

No sponsor information available at this time.

Roll Calls

2026-03-02 - Senate - Senate Third Reading (Y: 28 N: 0 NV: 0 Abs: 2) [PASS]
2026-02-25 - Senate - Senate Committee Do pass the A-Eng bill (Y: 5 N: 0 NV: 0 Abs: 0) [PASS]
2026-02-17 - House - House Third Reading (Y: 52 N: 0 NV: 0 Abs: 8) [PASS]
2026-02-10 - House - House Committee Do pass with amendments and rescind subsequent referral to Ways and Means. (Printed A-Eng.) (Y: 6 N: 0 NV: 0 Abs: 2) [PASS]

History

DateChamberAction
2026-04-06HouseChapter 32, (2026 Laws): Effective date March 31, 2026.
2026-03-31HouseGovernor signed.
2026-03-05SenatePresident signed.
2026-03-04HouseSpeaker signed.
2026-03-02SenateThird reading. Carried by Patterson. Passed. Ayes, 28; Excused, 2--Drazan, Girod.
2026-02-27SenateSecond reading.
2026-02-27SenateRecommendation: Do pass the A-Eng. bill.
2026-02-25SenateWork Session held.
2026-02-23SenatePublic Hearing held.
2026-02-19SenateReferred to Health Care.
2026-02-19SenateFirst reading. Referred to President's desk.
2026-02-17HouseThird 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.
2026-02-16HouseSecond reading.
2026-02-12HouseSubsequent referral to Ways and Means rescinded by order of the Speaker.
2026-02-12HouseRecommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.
2026-02-10HouseWork Session held.
2026-02-03HousePublic Hearing held.
2026-02-02HouseReferred to Health Care with subsequent referral to Ways and Means.
2026-02-02HouseFirst reading. Referred to Speaker's desk.

Oregon State Sources

TypeSource
Summaryhttps://olis.oregonlegislature.gov/liz/2026R1/Measures/Overview/HB4039
Texthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4039/Introduced
Texthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4039/House%20Amendments%20to%20Introduced
Texthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4039/A-Engrossed
Texthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4039/Enrolled
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29861
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30207
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/93979
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/312079
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/312188
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313069
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313182
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313335
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94412
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94417
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94505
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94606
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314883
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314884
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314916
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315112
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315203
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315205
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315218
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315297
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/95195
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/316121
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/316118
Roll Callhttps://olis.oregonlegislature.gov/liz/2026R1/CommitteeReports/MajorityReport/40011
Roll Callhttps://olis.oregonlegislature.gov/liz/2026R1/Measures/MeasureVotes?id=667240
Roll Callhttps://olis.oregonlegislature.gov/liz/2026R1/CommitteeReports/MajorityReport/40320
Roll Callhttps://olis.oregonlegislature.gov/liz/2026R1/Measures/MeasureVotes?id=669199

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