Oregon State Legislation

2025 Legislation

2025 Legislative Items in support of advancing HCAO's mission
Click here for the complete list and HCAO’s position. Updates will be ongoing.

School Based Health Center funding - HB 2729

HCAO endorsed. Requested by Oregon School-Based Health Alliance.
Main issue: Need increased funding.

Corporate Practice of Medicine - HB3225 ,SB 951
HCAO endorsed. Lead organizer Rep Bowman.
Main issue: Control of physician medical practices by nonphysicians is causing problems with access and care.

Fair Shot Agenda United We Heal Package - HB 2203, HB 2204
HCAO endorsed. Lead Organizer AFSCME.
Main issue: HB 2203: Safety for Behavioral Health Workers; HB 2024: Investment in Behavioral Health Workforce. oreg

Fair Shot Agenda Immigrant Justice Package - HB 2543, HB 3193, HB 2976, SB 611
HCAO endorsed. Lead Organizer Oregon Law Center, and others.
Main issue: HB 2543-Universal Representation;
HB 3191-Farmworker Disaster Relief Fund; Home Fund;
HB 2976-Indigenous Language Justice;
SB 611-Food for All Oregonians

Fair Shot Agenda Stable Homes Package - SB 772, SB 599
HCAO endorsed. Lead Organizer Oregon Law Center, SEIU, CAT.
Main issue: SB 722-Rent Stabilization; SB 599-Prohibits Housing Discrimination based on Immigration Status

Fair Shot Agenda Workforce Standards Boards - HB 2548
HCAO endorsed. Lead Organizer Fair Shot Agenda PCUN, SEIU.
Main issue: Farmworker Standards Board; Longterm Care Workers Standard Board.

Food for All Oregonians Campaign - SB 610
HCAO endorsed. Lead Organizer Oregon Food Bank and Fair Shot.
Main issue: Would provide SNAP benefits for the undocumented who qualify for Medicaid.

Health Care Market Oversight - no bill at this time.
Lead Organizer: HCAO
Status: There will be an additional round of Rule Making next year. Will be a need for HCAO to provide input/public comment on OHSU-Legacy merger.
Main issue: Will need to be fully funded. State Statute requires that HCMO charge fees that cover its expenses; HCMO process is novel compared to other states.

Governance Board Funding - LC Placeholder
Lead Organizer: HCAO
Status: New Committee Chairs and members have been identified. Committee Chairs tasked with putting forth budgetary needs.
Main issue: UHPGB needs to figure out a budgetary request by May, but earlier is better. Sen. Manning has a placeholder bill. Hoping to get update at an upcoming UHPGB meeting.

2024 Legislation

It was a “short session” in 2024, which means legislators only had 6 weeks to accomplish everything they needed to do.
Here’s a summary of some important legislation in support of increasing access to health care:

2024 Legislation summary of important legislation in support of increasing access to health care:

The Corporation Practice of Medicine Bill (CPOM) - HB 4130 of 2024

Status: Did not pass. Passed the House and Senate committees, but never came to the Senate floor. There is plan to bring it back and strengthened for the 2025 long session.

What it did: Prevents loopholes in existing laws to stop medical practices from being controlled by large corporations. It required licensed physicians to have majority control of medical practices. For more details, click here to read Rep Bowman’s Bill Brief.

Why it matters: More and more medical practices are being controlled by corporations with a focus on profits over patient care. This means increased costs to patients, reduced access to care, and reduced quality of care.

Pharmacy Benefit Managers (PBMs) - HB 4149 of 2024

Status: PASSED! However, with an amendment that diluted the bill. The amended version of the bill doesn’t go far enough in holding Pharmacy Benefit Managers (PBMs) accountable to protect pharmacies and patients from predatory PBMs. The bill is still a move in the right direction. A workgroup was created to help move Oregon towards a solution to the problem of PBMs. so expect to a strong PBM bill in 2025.

What it does: Requires Pharmacy Benefit Managers (PBMs) to be licensed by the Department of Consumer and Business Services, and introduces new rules and regulations that will make it more difficult for PBMs to exploit and take advantage of pharmacies and patients.

Why it matters: PBMs currently serve as a “go-between” between pharmacies and drug manufacturers. PBM's have evolved into a system that makes drugs more expensive to patients and makes it harder for small, independent pharmacies to survive, all for large profits for the PBMs. The goal is to have new licensing requirements and regulations make pharmaceuticals more affordable and accessible to Oregonians.

School Based Health Centers (SBHCs) - HB 4070 of 2024

Status: Did not pass. The bill was sitting in the Ways and Means Committee at adjournment. We hope to see it back next year.

What it did: Would have strengthened Oregon’s school-based health services to provide and strengthen access to health care by providing the resources they need. Visit the Oregon School-Based Health Alliance website to learn more.

Why it matters: Oregon currently has at least one school-based health center (SBHCs) in 28 of our 36 counties. These centers provide essential physical, mental, and preventative health services on school campuses. This legislation would have provided additional resources to SBHCs.

Family Financial Security Act SB 1595 of 2024

Status: PASSED!

What it does: The Family Financial Protection Act improves Oregon's consumer protection and debt collection laws and holds corporations accountable. It fights unfair debt proceedings, and prevents debt collectors from wiping out someone’s entire bank account by protecting the first $2,500.

Why it matters: Medical debt is a problem across the state. Over 60% of Oregonians who filed for bankruptcy reported medical debt as part of their bankruptcy documentation. Protects the first $2,500 to prevent a person’s entire bank account from being wiped out. This law helps Oregonians be able to meet their basic needs such as food and housing while paying off debt.

Eugene Hospital Closure HB 4136

Status: PASSED!

What it does: Part of bill addressing nurse licensure. Mitigates the harm done by PeaceHealth’s closure of Eugene’s only hospital in order to save lives.

Why it matters: Eugene has no hospital. Residents of Oregon’s 3rd largest city now have to go to Springfield. It’s more difficult for patients to access life-saving health care, even when minutes translate to life or death. Ambulance services are overburdened, so emergency medical services can take that much longer to get to patients.

Funding for Universal Health Plan Governance Board

Status: Proponents decided to wait until the 2025 long session. Because of the late start, the UHP Governance board has enough funds to continue to do the work until the next session. Waiting until the long session there will be enough time to make sure it gets the funding it needs.

What it did: Extends the funding for the Universal Health Plan Governance Board to do its work.

Why it mattered: The passage of HB1089 in 2023 was key legislation that created the UHP Governance Board, but it fell short on full funding. It was known at the time that the legislature would need to provide additional funding in the 2024 session. Providing this funding is crucial so that the board will have what it needs to research, plan, and design a detailed, publicly funded universal health care system.

2023 Legislation

The Universal Health Plan Governance Board

➡️ Passed❗The Oregon Legislature has passed SB 1089 (formerly SB 704): Establishing a Universal Health Plan (UHP) Governance Board.

What It Does: Establishes the Universal Health Plan (UHP) Governance Board to design a detailed, publicly funded, single payer universal health care system for recommendation to the Oregon Legislature for implementation to start as soon as 2028. This is based on the previous work and report of the submitted in September of 2022.

Why It Matters: Takes the next step to help Oregon meet it constitutional obligation of healthcare as a fundamental right.

The Universal Health Plan Governance Board will design a detailed, publicly funded, single payer universal health care system for recommendation to the Oregon Legislature for implementation to start as soon as 2027.

2022 Legislation

➡️ Right to Health Care Amendment: In November 2022, Oregonians passed the Right to Health Care Amendment! The Right to Health Care Ballot Measure 111 is an amendment to the Oregon State Constitution. Healthcare is now a fundamental right in Oregon’s constitution:

"It is the obligation of the state to ensure that every resident of Oregon has access to cost-effective, clinically appropriate and affordable health care as a fundamental right.”

Click here for details about the Right to Health Care Amendment

➡️ Joint Task Force on Universal Health Care: Oregon’s Joint Task Force on Universal Health Care (JTFUHC) completed its work and submitted its report in September 2022! The report included a concept plan that shows that a single payer system is possible, will provide better care to more people, and will save money. The report included recommendations for next steps and a time line. The next step to achieving quality, affordable, universal, single payer health care in Oregon will be to create the UHP Governance Board.

Click here for details about Oregon’s Joint Task Force on Universal Health Care

Past Legislation & Resources

➡️ 2022: Click here for a list of 2022 bills and HCAO’s position on the legislation.

➡️ 2021: Senate Bill 428 extended the deadline by one year for Joint Task Force on Universal Health Care (JTFUHC) to submit recommendations to Legislative Assembly.

➡️ 2019: Senate Bill 770 Joint Task Force on Universal Health Care (JTFUHC) passes with bipartisan support.

➡️ 2019: Senate Bill 889 establishes the Sustainable Health Care Cost Growth Target Program within the Oregon Health Authority (OHA). The cost of health care in Oregon is projected to grow faster than both the state economy and Oregonians’ wages. The health care cost growth target is a target for the annual per capita rate of growth of total health care spending in the state. Cost increases of health insurance companies and health care provider organizations will be compared to the growth target each year.

➡️ 2018: Universal Access to Health Care Work Group Summary

➡️ 2017: Rand Study Summary

Federal Legislation

Click here to learn about federal legislation