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HB 2206 Oregon House · 2025 Regular Session

Relating to adult residential mental health services; declaring an emergency.

Summary
Requires the Oregon Health Authority to convene a work group to study adult residential mental health services provided by facilities to medical assistance recipients enrolled in coordinated care organizations and the feasibility of [ and develop a plan for ] transferring [ responsibility ] the financial risk and administration of those services from the authority to coordinated care organizations [ to administer adult residential mental health service benefits and assume the financial risk of administering those benefits ]. Directs, contingent on the results of the study, the work group to develop a plan for such transfers. Specifies the duties and membership of the work group. Requires the authority to report final recommendations of the work group to the Legislative Assembly no later than December 15, 2028. Sunsets January 2, 2029. Declares an emergency, effective on passage.
Issues: ✓ HealthcareSupports HealthcareBill mandates study and plan to transfer mental health service administration/financial risk to coordinated care organizations, aiming to improve service delivery for medical assistance recipients.92% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2025 Last action Jun 28, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced → A-Engrossed · 5 edits
MODERATE
The bill was amended to broaden the scope of the study from a general feasibility assessment to a more targeted evaluation of transferring financial risk and administration of residential mental health services to Coordinated Care Organizations. The work group's membership was expanded to include acute care hospitals, supportive housing providers, and the Oregon State Hospital, while the study timeline was adjusted to report preliminary findings by December 2027 and final recommendations by December 2028.
Scope change
The bill now explicitly focuses on transferring financial risk and administration of adult residential mental health services provided by facilities to Coordinated Care Organizations, rather than just studying the feasibility of such a transfer. It also adds consideration of lessons learned from previous transfers of similar services.
REQUIREMENT

The work group's study mandate was changed from studying feasibility of transferring responsibility to specifically studying the feasibility of transferring financial risk and administration of services, with a requirement to consider lessons learned from previous transfers of substance use disorder and child/adolescent residential services.

The work group membership was expanded to include representatives from acute care hospitals, supportive housing providers, and the Oregon State Hospital.

The work group's output requirements were modified to include specific recommendations about changes to Medicaid state plan, waivers, demonstration projects, and the roles of independent qualified agents.

TIMELINE

The preliminary findings report deadline was moved from December 15, 2027 to December 15, 2027 (unchanged), but the final recommendations deadline remains December 15, 2028. The consultant hiring deadline remains August 15, 2025 and first meeting remains October 1, 2025.

DEFINITION

New definitions were added for 'Adult foster home', 'Facility' (including multiple types of residential care settings), 'Independent qualified agent', and 'Secure residential treatment home'.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
7
Key actions
2
Committee
4
Jun 28, 2025
Lower · Passed
In committee upon adjournment.
lower
Apr 15, 2025
Committee
Referred to Ways and Means by prior reference.
lower
Apr 15, 2025
Lower · Passed
Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means by prior reference.
lower
Jan 17, 2025
Committee
Referred to Behavioral Health and Health Care with subsequent referral to Ways and Means.
lower
Jan 13, 2025
Introduced
First reading. Referred to Speaker's desk.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.