Relating to access to health care; prescribing an effective date; and providing for revenue raising that requires approval by a three-fifths majority.

Imposes 1.5 percent assessment on commercial health insurance premiums and premium equivalents for managed care organizations and Public Employees' Benefit Board health benefit plans. Requires assessments to be credited to Health System Fund to pay for Oregon Reinsurance Program, state medical assistance and costs associated with administering assessments. Establishes Oregon Reinsurance Program in Department of Consumer and Business Services to stabilize rates and premiums for individual health benefit plans and provide greater financial certainty to health insurance consumers. Requires department to apply for federal waiver to carry out program. Modifies hospital assessment by making type A hospitals and type B hospitals subject to assessment and excluding public hospitals other than health district hospitals. Authorizes Oregon Health Authority to impose lower rate of assessment on type A hospitals and type B hospitals. Expands permitted uses of funds in Hospital Quality Assurance Fund. Requires authority to apply for federal approval to modify hospital assessment. Requires Oregon Health Authority to ensure specified level of reimbursement for costs of Oregon Health and Science University in providing services paid for with Medicaid funds. Transfers moneys from specified funds and accounts in State Treasury to Health System Fund. Takes effect on 91st day following adjournment sine die.