HB 4156 Oregon House · 2026 Regular Session

Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency.

Summary
Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. 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 · 4 edits · Mar 5, 2026
MODERATE
The bill was finalized for signing (Enrolled) and expanded the list of sponsors to include additional Representatives and Senators. The core policy text remains largely the same, but Section 2 was modified to allow the state authority to charge a fee (up to 20% of costs) for administering the reimbursement program, a provision not present in the previous version.
Scope change
The bill's scope of applicability remains unchanged; it still applies to emergency medical services providers in Oregon.
ELIGIBILITY

The list of bill sponsors was expanded to include Representatives Cate and Senators Sollman.

FISCAL

Section 2 was updated to permit the Oregon Health Authority to charge a fee of up to 20% of emergency medical service costs to cover the administrative expenses of the reimbursement program.

REQUIREMENT

Section 2 was revised to clarify that providers must enter into an agreement to reimburse the authority for administrative costs, replacing the previous language about a specific fee agreement.

TECHNICAL

The document header was updated from 'A-Engrossed' to 'Enrolled', indicating the bill has passed both legislative chambers and is ready for the Governor's signature.

Floor votes · Senate Mar 3, 2026 · House Feb 20, 2026

How they voted

290
Passed · 1 other
Total votes 30
Mar 3, 2026
D Democratic18
18 Yea
100% Yea
R Republican12
11 Yea 1
91% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
21
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 3, 2026
Upper · Passed
Third reading. Carried by Patterson. Passed.
upper
Feb 27, 2026
Upper · Passed
Recommendation: Do pass the A-Eng. bill.
upper
Feb 20, 2026
Committee
Referred to Health Care.
upper
Feb 20, 2026
Introduced
First reading. Referred to President's desk.
upper
Feb 20, 2026
Lower · Passed
Third reading. Carried by Smith G. Passed.
lower
Feb 16, 2026
Committee
Subsequent referral to Ways and Means rescinded by order of the Speaker.
lower
Feb 16, 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
3 primary · 6 co-sponsors

Sponsors