Healthcare

Requires certain health benefit plans to provide coverage for preventive health services in accordance with federal rules in effect on June 30, 2025, and immunizations recommended by the Public Health Officer in the future. Authorizes the Public Health Officer, or designated physician, to issue a standing order for a prescription to control, prevent, mitigate or treat any infectious or noninfectious disease or other significant public health concern. Declares an emergency, effective on passage.

Requires the Oregon Health Authority to adopt a payment mechanism to pay certain nonprofit reproductive health care providers that are not eligible to receive federal Medicaid funds for services provided to medical assistance recipients. Applies to claims for payment for services provided on or after July 4, 2025, if the claim is not eligible for federal financial participation and has not yet been paid. Declares an emergency, effective on passage.

HB 4069 requires behavioral health employers (like residential treatment facilities, detox centers, mobile crisis teams, and shelters that contract with Oregon Health Authority) to create and implement a written safety plan for their workers. The plan must specifically address lone workers, facility safety reporting procedures for structural hazards, and details about required safety training. Employers must provide the plan to new hires and make it easily accessible to all staff. The law takes effect July 1, 2027, with implementation timelines based on existing contracts with the Oregon Health Authority.

Establishes coverage levels for doula services in the state medical assistance program and for health benefit plans that provide coverage for pregnancy and childbirth expenses. Requires the Oregon Health Authority, coordinated care organizations and health benefit plans that provide coverage for pregnancy and childbirth to provide coverage for services of lactation counselors. Specifies that minimum coverage level modifications for doula services and required coverage for lactation counselor services become operative on January 1, 2028. Directs the Traditional Health Workers Commission to establish a voluntary registration system for lactation counselors. Becomes operative on January 1, 2028. Creates the Oregon Perinatal Collaborative in the Oregon Health and Science University. Declares an emergency, effective on passage.

Declares this state's policy to protect engagement in certain activities relating to reproductive health care and gender-affirming treatment. Prohibits cooperation with law enforcement agencies of the federal government or other states in actions involving legally-protected reproductive or gender-affirming health care activities. Modifies provisions regarding interstate actions involving legally-protected reproductive or gender-affirming health care activities. Makes specified records and information confidential. Provides protection from disciplinary action for direct entry midwives who provide reproductive health care and gender-affirming treatment under specified circumstances. Declares an emergency, effective on passage.

] Requires the Oregon Health Authority to, no later than June 30, 2027, adopt a uniform process for credentialing [ organizational ] behavioral health providers and [ establish a centralized portal for processing applications ] select an existing electronic credentialing system . Prohibits a coordinated care organization from requiring a behavioral health provider to comply with any additional credentialing procedures. Requires a coordinated care organization to begin using the selected electronic credentialing system no later than July 1, 2027. Requires the authority to minimize unnecessary administrative burden for individual and organizational behavioral health providers who serve medical assistance recipients and to report biennially to the Governor and the Legislative Assembly. Allows certain licensed behavioral health care providers to provide supervision for other behavioral health care providers who hold different license types. [ Provides that the Mental Health Regulatory Agency will provide administrative and regulatory oversight and centralized service for the State Board of Licensed Social Workers. ] Takes effect on the 91st day following adjournment sine die.

HCR 202 is a concurrent resolution declaring Oregon's 2033 policy goal for its healthcare system to be more affordable and accessible for all residents. It does not create new laws or allocate funds but sets six specific targets, including ensuring timely primary care access, improving population health outcomes, stabilizing hospital finances, and reducing healthcare costs below national averages. The resolution directly affects Oregonians (especially those delaying care due to cost), healthcare providers, hospitals, insurers, and employers facing rising premiums. It acknowledges systemic issues like Medicaid funding losses and high hospital deficits but focuses on long-term vision rather than immediate policy changes.