Oregon legislation · 2026 Legislative Measures
Oregon HB4127: Relating to Medicaid payments to reproductive health care providers; and declaring an emergency.
Status: Chaptered, April 6, 2026
Digest: The Act allows OHA to pay health care providers that may not receive federal Medicaid funds. The Act requires OHA to pay providers using only state funds. (Flesch Readability Score: 62.7). Requires the Oregon Health Authority to adopt a payment mechanism to pay certain nonprofit reproductive health care providers that are not eligible to receive federal Medicaid funds for services provided to medical assistance recipients. Applies to claims for payment for services provided on or after July 4, 2025, if the claim is not eligible for federal financial participation and has not yet been paid. Declares an emergency, effective on passage.
What the bill says
From the enrolled text, March 6, 2026:
83rd OREGON LEGISLATIVE ASSEMBLY--2026 Regular Session House Bill 4127 Sponsored by Representatives BOWMAN, ANDERSEN, Senator PATTERSON, Representatives CHAICHI, CHOTZEN, DOBSON, NOSSE, RIEKE SMITH, Senators CAMPOS, FREDERICK, PROZANSKI; Representatives FRAGALA, GAMBA, GOMBERG, GRAYBER, HUDSON, JAVADI, KROPF, MARSH, MCDONALD, MCLAIN, MUNOZ, NATHANSON, NELSON, PHAM H, RUIZ, SOSA, WALTERS, WISE, Senators GELSER BLOUIN, GOLDEN, JAMA, NERON MISSLIN, PHAM K (Presession filed.) CHAPTER ................................................. Relating to Medicaid payments to reproductive health care providers; and declaring an emergency. SECTION 1. Section 2 of this 2026 Act is added to and made a part of ORS chapter 414. SECTION 2. (1) As used in this section, "prohibited entity" means a nonprofit reproductive health care provider that and (b) Not eligible to receive federal Medicaid funds. (2) The Oregon Health Authority shall adopt a payment mechanism to pay prohibited entities on a fee-for-service basis for services provided to medical assistance recipients. (3) The authority shall have sole responsibility to pay a prohibited entity under this section, including for services provided to a member of a coordinated care organization. (4) The authority may not pay a prohibited entity under this section using federal Medicaid funds. (5) In adopting the payment mechanism described in subsection (2) of this section, the authority and (b) Ensure that provider enrollment and credentialing requirements for prohibited entities align with existing standards in the …