Healthcare (Medicaid)

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.

Adds new requirements for obtaining an initial license to operate and maintain a hospice program. [ Requires a hospice program to apply for a new initial license after a change in ownership. ] Prohibits individuals who have been excluded from participation in Medicare or Medicaid or have been found liable for fraud or abuse from holding an ownership interest in a hospice program. Requires the Oregon Health Authority to complete rulemaking within 24 months. Subject to exceptions, prohibits the authority from issuing new hospice licenses until rulemaking is complete. Declares an emergency, effective on passage.

Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage.

Establishes the Home and Community-Based Services Workforce Standards Board. Prescribes the duties of the board. Directs the board to establish minimum working standards for the home and community-based services workforce. Requires the board to take certain actions before adopting proposed minimum standards. Directs certain state agencies to conduct a fiscal impact analysis to determine whether a proposed minimum standard will increase the fiscal obligations of the state, including an increase in Medicaid reimbursement rates. Requires the board to report to the Legislative Assembly and to the Governor the increase in funding needed to implement the standard. Provides that a rule establishing a minimum standard may not take effect before the Legislative Assembly has appropriated funding and the board has received approval from the Centers for Medicare and Medicaid Services, if applicable. Permits the Bureau of Labor and Industries to conduct investigations, issue subpoenas, administer oaths, obtain evidence and take testimony to make determinations regarding implementation and compliance with the minimum standards established by the board. Provides remedies for allegations of violations of the minimum standards established by the board. Clarifies that relief may be sought for alleged violations no sooner than 90 days after a rule establishing a minimum standard takes effect. Requires the board to conduct a quadrennial comprehensive review, including a labor market analysis to inform the board's decisions to adopt new minimum standards or revise existing standards. Requires the board to submit a biennial report to the Governor and the Legislative Assembly summarizing the results of the comprehensive review and any actions taken by the board in the prior biennium. Requires the online registry administered by the Department of Human Services to include workers from the home and community-based services workforce. Requires that any public hearing conducted by the board be accessible through electronic or virtual means, if possible. .

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.