OregonOregon requires health authority to explain Medicaid plan payment rates
For plan years starting in 2027, the authority must report preliminary rates to the Oregon Health Policy Board and explain community input used to develop them.
What it does
The Oregon Health Authority must use data and explain key costs when setting monthly payments for coordinated care organizations that provide medical assistance. It must also share unusual statewide trends and give advance notice of some fee changes.
Argument forSeparate cost estimates and shared rate data could help health organizations and state officials understand how contract changes affect payments.
Argument againstReconciling data and explaining contract costs could add staff work for the authority and health organizations setting payment rates.
More detail
The Oregon Health Authority must use a transparent, data-based process to set monthly payment rates for coordinated care organizations. The process applies to rates the authority sets for coordinated care organizations that provide medical assistance. The authority must give interested parties 90 days’ notice before discretionary changes to fee-for-service rates. When needed, the authority must adjust coordinated care organization rates to account for those fee changes. The process applies to plan years beginning on or after January 1, 2027.
Where do you stand?
Choose your position
Tell your reps
Take a position to see your representatives and ways to contact them.
Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Apr 6Chapter 32, (2026 Laws): Effective date March 31, 2026.Latest
- Mar 31Governor Tina Kotek signed.Became Law
- Mar 5President signed.Major
- Mar 4Speaker signed.Major
- Mar 2Third reading. Carried by Patterson. Passed.Passed Senate
- Vote recorded Third reading. Carried by Patterson. Passed. Result: pass.Upper
- Feb 27Second reading.Minor
- Feb 27Recommendation: Do pass the A-Eng. bill.Minor
- Feb 25Work Session held.
- Vote recorded Heard and Reported Out. Result: pass.Upper
- Feb 23Public Hearing held.
- Feb 19Referred to Health Care.Minor
- Feb 19First reading. Referred to President's desk.Minor
- Feb 17Third reading. Carried by Nosse. Passed.Passed House
- Vote recorded Third reading. Carried by Nosse. Passed. Result: pass.Lower
- Feb 16Second reading.Minor
- Feb 12Subsequent referral to Ways and Means rescinded by order of the Speaker.
- Feb 12Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.Minor
- Feb 10Work Session held.
- Vote recorded Heard and Reported Out with Amendments. Result: pass.Lower
- Feb 3Public Hearing held.
- Feb 2Referred to Health Care with subsequent referral to Ways and Means.Minor
- Feb 2First reading. Referred to Speaker's desk.Introduced
Healthcare