l9n/ Oregon

2026 Regular Session

House Bill 4039

Requires the Oregon Health Authority to develop a transparent and data-driven process for developing capitation rates for coordinated care organizations.

Became law as Chapter 32, Oregon Laws 2026, signed March 31, 2026, 57 days after it was filed. In force from March 31, 2026.

What it does

The synopsis the Legislative Assembly published with the bill.

<b>Digest: The Act requires OHA to change the way it sets rates for CCOs. The Act adds steps that OHA must take before making new rules. (Flesch Readability Score: 92.6).</b> [<i>Digest: The Act requires OHA to change the way it sets rates for CCOs. The Act adds steps that OHA must take before making new rules. The Act prevents OHA from taking certain costly measures until January 2, 2028. (Flesch Readability Score: 69.3).</i>] Requires the Oregon Health Authority to develop a transparent and data-driven process for developing capitation rates for coordinated care organizations. [<i>Requires the Oregon Health Policy Board to establish a process for public review of and comment on the authority's rate development process. Requires the authority to commission an independent review of the current rate development process and report back to the Legislative Assembly.</i>] Requires the authority to prepare a medical assistance cost impact statement before adopting rules other than procedural rules. [<i>Prohibits the authority from adopting a new rule, program or contractual requirement that will cost $1 million or more during a biennium. Sunsets on January 2, 2028.</i>] [<i>Imposes a three-year moratorium on the requirement for a coordinated care organization to spend a portion of the organization's annual net income or reserves on addressing health disparities and the social determinants of health.</i>] Declares an emergency, effective on passage.

Its course

February 2 to April 6, 2026, on one scale. In the top row each mark is a day something happened; taller marks are busier days.

Each committee stop sits inside its chamber.

Every action19 actions on 15 days

In the House of RepresentativesFeb 2 to Feb 1715 days

Waiting for a committeeFeb 2 to Feb 20 days

Health CareFeb 2 to Feb 1210 days

In the SenateFeb 17 to Mar 213 days

Waiting for a committeeFeb 17 to Feb 192 days

Health CareFeb 19 to Feb 278 days

With the GovernorMar 2 to Mar 3129 days

Votes

Yeas to nays, as the Legislative Assembly recorded them. Committee votes are set in.

  • House of Representatives, third reading52–0

    Passed · Feb 17 · 8 present

  • Senate, third reading28–0

    Passed · Mar 2 · 2 present

Amendments

Each amendment offered, and what became of it.

  • House of Representatives committee amendmentAdopted

    Adopted Feb 12

Text

Each version as the Legislative Assembly printed it.

l9n doesn't hold this bill's text yet.

What happened

In l9n's words, one line for each step. Every action as the Legislative Assembly published it is below.

In the House of Representatives Feb 2 – Feb 17

  1. Feb 2Introduced
  2. Sent to Health Care
  3. Feb 3Heard in Health Care
  4. Feb 10Heard in Health Care
  5. Feb 12Health Care recommended it as amended
  6. Feb 16Read a second time
  7. Feb 17Passed the House of Representatives, 52 to 0

In the Senate Feb 19 – Mar 2

  1. Feb 19Arrived in the Senate
  2. Sent to Health Care
  3. Feb 23Heard in Health Care
  4. Feb 25Heard in Health Care
  5. Feb 27Health Care recommended it
  6. Read a second time
  7. Mar 2Passed the Senate, 28 to 0

To the Governor Mar 4 – Apr 6

  1. Mar 4Signed in the House of Representatives
  2. Mar 5Signed in the Senate
  3. Mar 31Signed by the Governor
  4. Apr 6Became chapter 32 of Oregon Laws 2026, in force from March 31, 2026
All 19 actions, as published
  1. Feb 2First reading. Referred to Speaker's desk.House of Representatives
  2. Feb 2Referred to Health Care with subsequent referral to Ways and Means.House of Representatives
  3. Feb 3Public Hearing held.House of Representatives
  4. Feb 10Work Session held.House of Representatives
  5. Feb 12Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.House of Representatives
  6. Feb 12Subsequent referral to Ways and Means rescinded by order of the Speaker.House of Representatives
  7. Feb 16Second reading.House of Representatives
  8. Feb 17Third reading. Carried by Nosse. Passed.House of Representatives
  9. Feb 19First reading. Referred to President's desk.Senate
  10. Feb 19Referred to Health Care.Senate
  11. Feb 23Public Hearing held.Senate
  12. Feb 25Work Session held.Senate
  13. Feb 27Recommendation: Do pass the A-Eng. bill.Senate
  14. Feb 27Second reading.Senate
  15. Mar 2Third reading. Carried by Patterson. Passed.Senate
  16. Mar 4Speaker signed.House of Representatives
  17. Mar 5President signed.Senate
  18. Mar 31Governor signed.House of Representatives
  19. Apr 6Chapter 32, (2026 Laws): Effective date March 31, 2026.House of Representatives