HB 4147 Oregon House · 2026 Regular Session

Relating to medical assistance; prescribing an effective date.

Summary

Requires the Oregon Health Authority to collaborate with the Department of Human Services and the Employment Department to submit an annual report that [ identifies ] provides information about employers that employ [ 50 ] 500 or more employees in this state and [ that ] have employees [ or dependents of the employees ] who are medical assistance recipients. Takes effect on the 91st day following adjournment sine die.

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2026

Committee Review

Mar 2026

House Passage

Mar 2026

Senate Passage

Governor

Introduced Feb 2, 2026 Last action Mar 7, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → A-Engrossed · 6 edits · Mar 2, 2026

MODERATE

This bill was amended to significantly expand the employer threshold from 50 to 500 employees, remove 'dependents' from most reporting requirements, exclude tribal governments from the employer definition, and add new sections for tribal government definitions and rule-making authority. The changes narrow the bill's scope to focus on larger employers while adding procedural requirements for interagency cooperation and data privacy.

Scope change

The bill's scope was narrowed from requiring reports on employers with 50+ employees to only those with 500+ employees, and the focus shifted from tracking individual employee/dependent data to aggregated statewide statistics.

ELIGIBILITY

Increased the employer threshold from 50 to 500 employees, significantly reducing the number of employers subject to reporting requirements.

REQUIREMENT

Removed specific requirements to track dependents and individual employee names, focusing instead on aggregated statewide data and industry-level information.

Added new sections requiring interagency agreements to include provisions for resource sharing and data privacy/security.

Added authority for agencies to adopt rules necessary to implement the bill's provisions.

DEFINITION

Added a new definition for 'Tribal government' and excluded tribal governments from the employer definition.

TIMELINE

Changed the report deadline from January 15 to June 30 and added a specific start date for trend analysis (July 1, 2028).

Floor votes · House Mar 2, 2026

How they voted

35–20

Passed · 4 other

Total votes 59

Mar 2, 2026

D Democratic37

35 Yea 1 Nay 1

94% Yea

R Republican22

19 Nay 3

86% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 7, 2026

Upper · Passed

In committee upon adjournment.

upper

Mar 4, 2026

Committee

Referred to Rules.

upper

Mar 3, 2026

Introduced

First reading. Referred to President's desk.

upper

Mar 2, 2026

Lower · Passed

Third reading. Carried by Walters. Passed.

lower

Feb 26, 2026

Lower · Passed

Recommendation: Do pass with amendments and be printed A-Engrossed.

lower

Feb 2, 2026

Committee

Referred to Rules.

lower

Feb 2, 2026

Introduced

First reading. Referred to Speaker's desk.

lower

6 primary · 16 co-sponsors