OR HB4040 | 2026 | Regular Session

Status

Completed Legislative Action
Sponsorship: Unknown
Status: Passed on April 13 2026 - 100% progression
Action: 2026-04-13 - Chapter 109, (2026 Laws): Effective date April 7, 2026.
Text: Latest bill text (Enrolled) [PDF]

Summary

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.

Tracking Information

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Title

Relating to health care; and declaring an emergency.

Sponsors

No sponsor information available at this time.

Roll Calls

2026-03-05 - Senate - Senate Third Reading (Y: 27 N: 1 NV: 0 Abs: 2) [PASS]
2026-03-03 - House - House Third Reading (Y: 55 N: 0 NV: 0 Abs: 5) [PASS]
2026-02-27 - House - House Committee Do Pass the A-Eng bill (Y: 24 N: 0 NV: 0 Abs: 0) [PASS]
2026-02-12 - House - House Committee Do pass with amendments and be referred to Ways and Means. (Printed A-Eng.) (Y: 8 N: 0 NV: 0 Abs: 0) [PASS]

History

DateChamberAction
2026-04-13HouseChapter 109, (2026 Laws): Effective date April 7, 2026.
2026-04-07HouseGovernor signed.
2026-03-10SenatePresident signed.
2026-03-10HouseSpeaker signed.
2026-03-05SenateThird reading. Carried by Patterson. Passed. Ayes, 27; Nays, 1--Robinson; Excused, 2--Drazan, Hayden.
2026-03-04SenateSecond reading.
2026-03-04SenateRecommendation: Do pass the A-Eng. bill.
2026-03-03SenateReferred to Ways and Means.
2026-03-03SenateFirst reading. Referred to President's desk.
2026-03-03HouseThird reading. Carried by Nosse. Passed. Ayes, 55; Excused, 2--Hartman, Valderrama; Excused for Business of the House, 3--Elmer, Reschke, Skarlatos.
2026-03-02HouseSecond reading.
2026-02-27HouseRecommendation: Do pass.
2026-02-27HouseWork Session held.
2026-02-25HouseReturned to Full Committee.
2026-02-25HouseWork Session held.
2026-02-18HouseAssigned to Subcommittee On Human Services.
2026-02-16HouseReferred to Ways and Means by order of Speaker.
2026-02-16HouseRecommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.
2026-02-12HouseWork Session held.
2026-02-10HousePublic Hearing held.
2026-02-05HousePublic Hearing held.
2026-02-02HouseReferred to Health Care.
2026-02-02HouseFirst reading. Referred to Speaker's desk.

Oregon State Sources

TypeSource
Summaryhttps://olis.oregonlegislature.gov/liz/2026R1/Measures/Overview/HB4040
Texthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4040/Introduced
Texthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4040/House%20Amendments%20to%20Introduced
Texthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4040/A-Engrossed
Texthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4040/Enrolled
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29941
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29942
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29943
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29944
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29945
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29949
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29950
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29951
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29952
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29953
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29960
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29968
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29970
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/29973
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30004
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30025
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30105
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30107
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30174
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30403
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30395
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30396
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30397
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30399
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30400
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30401
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30405
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30406
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30407
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30408
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30409
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30410
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30412
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30413
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30432
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30433
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30434
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30435
Amendmenthttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30566
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/93980
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/312506
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/312593
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313229
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313388
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313924
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313925
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313926
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313927
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313929
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313931
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313932
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313933
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313934
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313935
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313937
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313938
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313939
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313940
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313942
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313944
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313945
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313946
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313947
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313948
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313949
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313950
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313951
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313952
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313953
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/313954
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314019
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314020
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314022
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314023
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314024
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314025
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314028
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314029
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/314035
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94706
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94708
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94746
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94835
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/94978
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/95072
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315196
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315197
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315266
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/95328
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315460
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/CommitteeMeetingDocument/315711
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/95482
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/95493
Supplementhttps://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureAnalysisDocument/95495
Roll Callhttps://olis.oregonlegislature.gov/liz/2026R1/CommitteeReports/MajorityReport/40084
Roll Callhttps://olis.oregonlegislature.gov/liz/2026R1/CommitteeReports/MajorityReport/40363
Roll Callhttps://olis.oregonlegislature.gov/liz/2026R1/Measures/MeasureVotes?id=669458
Roll Callhttps://olis.oregonlegislature.gov/liz/2026R1/Measures/MeasureVotes?id=670122

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