HB 4039 Oregon House · 2026 Regular Session

Relating to medical assistance; and declaring an emergency.

Summary
] 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.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Feb 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Feb 2, 2026 Signed Mar 31, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

A-Engrossed Enrolled · 3 edits · Mar 5, 2026
MINOR
The bill was finalized into its official 'Enrolled' version, adding a formal introduction note and a new section regarding long-term care payments. The core policy content regarding rate-setting transparency and cost impact statements remained substantively unchanged from the previous version.
Scope change
The bill's scope expanded slightly by adding a new provision (Section 5) that clarifies the Department of Human Services' role in determining payments for Medicaid-funded long-term care services.
REQUIREMENT

Added a new requirement for the Department of Human Services to determine payments for Medicaid-funded long-term care services and contract with providers.

TECHNICAL

Added a formal introduction statement noting the bill was introduced at the request of a House Interim Committee for a specific health plan.

Changed the document header from 'A-Engrossed' to 'Enrolled' to reflect its final status before the Governor.

Floor votes · Senate Mar 2, 2026 · House Feb 17, 2026

How they voted

280
Passed · 2 other
Total votes 30
Mar 2, 2026
D Democratic18
18 Yea
100% Yea
R Republican12
10 Yea 2
83% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
19
Key actions
7
Committee
5
Mar 31, 2026
Signed into law
Governor signed.
lower
Mar 5, 2026
Upper · Passed
President signed.
upper
Mar 4, 2026
Lower · Passed
Speaker signed.
lower
Mar 2, 2026
Upper · Passed
Third reading. Carried by Patterson. Passed.
upper
Feb 27, 2026
Upper · Passed
Recommendation: Do pass the A-Eng. bill.
upper
Feb 19, 2026
Committee
Referred to Health Care.
upper
Feb 19, 2026
Introduced
First reading. Referred to President's desk.
upper
Feb 17, 2026
Lower · Passed
Third reading. Carried by Nosse. Passed.
lower
Feb 12, 2026
Committee
Subsequent referral to Ways and Means rescinded by order of the Speaker.
lower
Feb 12, 2026
Lower · Passed
Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.
lower
Feb 2, 2026
Committee
Referred to Health Care with subsequent referral to Ways and Means.
lower
Feb 2, 2026
Introduced
First reading. Referred to Speaker's desk.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.