Oregon legislation · 2026 Legislative Measures
Oregon HB4115: Relating to health care providers; and prescribing an effective date.
Status: Chaptered, April 6, 2026
Digest: The Act makes changes to how often DHS and OHA may require caregivers to get a new background check. The Act requires a CCO to pay certain providers back to the date that the provider enrolled in the state Medicaid program. The Act makes other changes related to the process for vetting certain health care providers. (Flesch Readability Score: 62.4). Provides that a criminal records check on certain caregivers shall last for three years, subject to exceptions. Requires certain valid criminal records checks to be portable to other care settings. Requires the authority to publish information about when a credentialed behavioral health provider must undergo a new background check. Requires a coordinated care organization to reimburse a contracted behavioral health provider retroactively to the date the provider submitted a successful application for enrollment in the state medical assistance program. Prohibits a coordinated care organization from requiring a credentialed behavioral health provider to submit a new credentialing application when the provider changes employer. Takes effect on the 91st day following adjournment sine die.
What the bill says
From the enrolled text, March 4, 2026:
83rd OREGON LEGISLATIVE ASSEMBLY--2026 Regular Session House Bill 4115 Sponsored by Representatives NATHANSON, SCHARF, PHAM H; Representatives ANDERSEN, GAMBA, HARBICK, JAVADI, RIEKE SMITH, WALTERS, WISE, Senator GELSER BLOUIN (Presession filed.) CHAPTER ................................................. Relating to health care providers; creating new provisions; amending ORS 181A.195, 181A.200, 443.004 and 443.008; and prescribing an effective date. SECTION 1. ORS 443.004 is amended to read: 443.004. (1) As used in this section: (a) "Adult foster home" has the meaning given that term in ORS 443.705. (b) "Home care worker" has the meaning given that term in ORS 410.600. (c) "Home health agency" has the meaning given that term in ORS 443.014. (d) "In-home care agency" has the meaning given that term in ORS 443.305. (e) "Mental health or substance abuse treatment provider" (B) An employee of a residential treatment facility or a residential treatment home that is licensed under ORS 443.415 to provide treatment for individuals with alcohol or drug dependence; (C) An individual who provides treatment or services for persons with substance use disorders; or (D) An individual who provides mental health treatment or services. (f) "Peer support specialist" has the meaning given that term in ORS 414.025. (g) "Personal support worker" has the meaning given that term in ORS 410.600. (h) "Residential facility" has the meaning given that term in ORS 443.400, except …