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Read. Follow. Verify.Oregon requires health authority to transparently set coordinated care organization rates and issue cost impact statements for new rules
Last action · April 6, 2026: Chapter 32, (2026 Laws): Effective date March 31, 2026.
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What This Bill Does
Oregon House Bill 4039 requires the Oregon Health Authority to establish a transparent, data-driven process for setting s for s starting in plan year 2027. The measure also mandates that the authority prepare a medical assistance cost impact statement before adopting non-procedural rules and gives 90 days' notice for discretionary rate changes. An emergency is declared, making the act effective upon passage.
Health plans, s, and medical providers face new reporting and rate-calculation requirements that alter how state medical assistance funds are distributed and projected. The legislation impacts financial planning timelines by requiring 90 days' notice for fee schedule adjustments and mandating fiscal impact estimates before new administrative rules take effect.
- The Oregon Health Authority administers the state's medical assistance programs and coordinates health policy and health care delivery across Oregon. context
- Coordinated care organizations are local networks of health care providers that serve Oregon Health Plan (Medicaid) members under contracts with the state. context
Who It Affects
Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.
Oregon Health Authority
The authority must implement new data reconciliation procedures, provide 90 days' notice for fee-for-service changes, report preliminary rates, and prepare medical assistance cost impact statements before adopting rules.
Coordinated care organizations
These organizations participate in data reconciliation, receive outlier trend lists, and have their global budgets determined under new statutory considerations.
Department of Human Services
The department maintains responsibility for determining payments for Medicaid-funded long-term care services and contracting with providers.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What changes are required in how health plan rates are set?
When do the new capitation rate development rules take effect?
What must the Oregon Health Authority do before adopting a new administrative rule?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Current status: Signed into law.
Procedural history
19 actions- Apr 6, 2026HouseChapter 32, (2026 Laws): Effective date March 31, 2026.
- Mar 31, 2026HouseGovernor signed.
- Mar 5, 2026SenatePresident signed.
- Mar 4, 2026HouseSpeaker signed.
- Mar 2, 2026SenateThird reading. Carried by Patterson. Passed.
- Feb 27, 2026SenateSecond reading.
Show 13 earlier actions
- Feb 27, 2026SenateRecommendation: Do pass the A-Eng. bill.
- Feb 25, 2026SenateWork Session held.
- Feb 23, 2026SenatePublic Hearing held.
- Feb 19, 2026SenateReferred to Health Care.
- Feb 19, 2026SenateFirst reading. Referred to President's desk.
- Feb 17, 2026HouseThird reading. Carried by Nosse. Passed.
- Feb 16, 2026HouseSecond reading.
- Feb 12, 2026HouseSubsequent referral to Ways and Means rescinded by order of the Speaker.
- Feb 12, 2026HouseRecommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.
- Feb 10, 2026HouseWork Session held.
- Feb 3, 2026HousePublic Hearing held.
- Feb 2, 2026HouseReferred to Health Care with subsequent referral to Ways and Means.
- Feb 2, 2026HouseFirst reading. Referred to Speaker's desk.
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Mandatory Fiscal Impact Statements for Health Rules
The legislation introduces a strict requirement for the Oregon Health Authority to prepare economic impact estimates before adopting any non-procedural rules affecting the medical assistance program.
Connected Entities
Sources
olis.oregonlegislature.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
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