House Bill 4040

Digest: The Act changes the rules for how certain health care is given in this state. The Act alters how certain health care providers are licensed or regulated. The Act changes some insurance rules. The Act changes some pharmacy and drug rules. The Act takes effect when signed. (Flesch Readability Score: 79.7). Modifies the requirements for screening a hospital patient for presumptive eligibility for financial assistance. [<i>Prohibits the Oregon Health Authority from requiring certain home health agencies to comply with Medicare conditions of participation.</i>] [<i>Modifies the requirements for how the Department of Human Services must publish Residential Care Quality Measurement Program data.</i>] Removes the requirement that an applicant for a residential care facility administrator license hold a bachelor's degree in a health or social service related field. Allows a person residing in a correctional facility to receive prerelease medical assistance benefits under certain circumstances. [<i>Prohibits the authority or a coordinated care organization from requiring prior authorization for medical assistance coverage for repairing complex rehabilitation technology if the repair costs $1,500 or less.</i>] Modifies the requirements for meetings held by the Health Evidence Review Commission. Modifies the composition of the Medicaid Advisory Committee. Modifies the eligibility requirements for parent providers who are paid to provide attendant care services to their children. {See A-Eng Bill for omitted text.} Allows a full-time dentistry student enrolled in an out-of-state dental education program to practice dentistry without a license if the student is supervised by a faculty member of a dental education program accredited by the Commission on Dental Accreditation of the American Dental Association. Requires casualty or health insurance policies to provide coverage for medically necessary anesthesia services, regardless of duration, for any covered procedures. Requires dental insurers to follow certain rules for payment and denial of claims. Requires the Legislative Policy and Research Director to develop and propose to the [<i>Legislative Policy and Research Committee</i>] <b>committees with jurisdiction over health care</b> an insurance coverage mandate impact statement policy. Directs the [<i>committee</i>] <b>committees</b> to perform due diligence in considering the proposal and authorizes the [<i>committee</i>] <b>committees</b> to modify the proposal if the [<i>committee</i>] <b>committees</b> so [<i>determines</i>]<b> determine</b>, and then to adopt the policy. Repeals requirement that enrollees in individual or group policies or certificates of health insurance [<i>or members of coordinated care organizations</i>] be assigned by <b>their</b> insurer [<i>or organization</i>] to primary care providers under certain circumstances. Specifies exemptions from the requirement that pharmacy services administrative organizations must register with the Department of Consumer and Business Services as third party administrators. {See A-Eng Bill for omitted text.}<b> Modifies requirements for the Prescription Drug Affordability Board's annual affordability determination for insulin products.</b> Allows licensees of the Occupational Therapy Licensing Board and the Oregon Board of Physical Therapy to provide psilocybin services as licensed psilocybin service facilitators while providing occupational therapy or physical therapy services. {See A-Eng Bill for omitted text.} Lowers the age at which a naturopathic physician may request a retired license status from 70 years of age to [60] 65 years of age. Includes nurse practitioners and physician associates in the definition of "attending physician" for purposes of the treatment of workers’ compensable injuries. Declares an emergency, effective on passage.

• House of Representatives, third reading55–0

  Passed · Mar 3 · 5 present

• Senate, third reading27–1

  Passed · Mar 5 · 2 present

• House of Representatives committee amendmentAdopted

  Adopted Feb 16

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

In the House of Representatives Feb 2 – Mar 3

1. Feb 2Introduced
2. Sent to Health Care
3. Feb 5Heard in Health Care
4. Feb 10Heard in Health Care
5. Feb 12Heard in Health Care
6. Feb 16Health Care recommended it as amended, and that it go to Ways and Means
7. Sent to Ways and Means
8. Feb 18Sent to Human Services Subcommittee
9. Feb 25Heard in Human Services Subcommittee
10. Returned to Ways and Means
11. Feb 27Heard in Ways and Means
12. Ways and Means recommended it
13. Mar 2Read a second time
14. Mar 3Passed the House of Representatives, 55 to 0

In the Senate Mar 3 – Mar 5

1. Mar 3Arrived in the Senate
2. Sent to Ways and Means
3. Mar 4Ways and Means recommended it
4. Read a second time
5. Mar 5Passed the Senate, 27 to 1

To the Governor Mar 10 – Apr 13

1. Mar 10Signed in the House of Representatives
2. Signed in the Senate
3. Apr 7Signed by the Governor
4. Apr 13Became chapter 109 of Oregon Laws 2026, in force from April 7, 2026