Oregon legislation · 2026 Legislative Measures
Oregon HB4156: Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency.
Status: Chaptered, April 6, 2026
Digest: The Act makes changes to the program for paying for GEMT services. (Flesch Readability Score: 81.8). Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage.
What the bill says
From the enrolled text, March 3, 2026:
83rd OREGON LEGISLATIVE ASSEMBLY--2026 Regular Session House Bill 4156 Sponsored by Representatives SMITH G, GRAYBER, BREESE-IVERSON, Senator FREDERICK; Representatives CATE, MUNOZ, PHAM H, RIEKE SMITH, Senators BROADMAN, SOLLMAN (Presession filed.) CHAPTER ................................................. Relating to medical assistance reimbursement of emergency medical services; amending ORS 413.234 and 413.235; and declaring an emergency. SECTION 1. ORS 413.234 is amended to read: 413.234. (1) As used in ORS 413.234 and 413.235: (a) "Emergency medical services" means the services provided by emergency medical services providers to an individual experiencing a medical emergency in order or (B) Prepare and transport the individual by ground to a medical facility. (b) "Emergency medical services provider" or "provider" means an entity that employs individuals who are licensed by the Oregon Health Authority under ORS chapter 682 to provide emergency medical services and that is owned or operated by a local government, a state agency or a federally recognized Indian tribe. (c) "Federal financial participation" means the portion of medical assistance expenditures for emergency medical services that are paid or reimbursed by the Centers for Medicare and Medicaid Services in accordance with the state plan for medical assistance. (d) "Local government" has the meaning given that term in ORS 174.116. (2) To the extent allowed by federal law and upon request, an emergency medical services provider that has entered into …
Sponsors
- Gregory Smith (R, 57) · primary sponsor
- Dacia Grayber (D, 28) · primary sponsor
- Vikki Breese-Iverson (R, 59) · primary sponsor
- Lew Frederick (D, 22) · primary sponsor
- Anthony Broadman (D, 27)
- Sue Rieke Smith (D, 26)
- Hai Pham (D, 36)
- Lesly Muñoz (D, 22)
- Jami Cate (R, 11)
- Janeen Sollman (D, 15)
Latest actions
- : Chapter 70, (2026 Laws): Effective date March 31, 2026.
- : Governor signed.
- : President signed.
- : Speaker signed.
- : Third reading. Carried by Patterson. Passed.
- : Carried over to 03-03 by unanimous consent.
- : Second reading.
- : Recommendation: Do pass the A-Eng. bill.
- : Public Hearing and Work Session held.
- : Referred to Health Care.
Votes
- Third reading. Carried by Patterson. Passed. (March 3, 2026): 29 yea, 0 nay, passed
- SHC Committee Vote (February 25, 2026): 5 yea, 0 nay, passed
- Third reading. Carried by Smith G. Passed. (February 20, 2026): 42 yea, 0 nay, passed
- HHC Committee Vote (February 12, 2026): 8 yea, 0 nay, passed
Common questions
- What is HB4156?
- HB4156 is a bill in the Oregon Legislature (2026 Legislative Measures): Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency.
- What does HB4156 do?
- Digest: The Act makes changes to the program for paying for GEMT services. (Flesch Readability Score: 81.8). Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage.
- What is the status of HB4156?
- Chaptered as of April 6, 2026. Latest action: Chapter 70, (2026 Laws): Effective date March 31, 2026. (April 6, 2026).
- Who sponsored HB4156?
- Gregory Smith (R, 57), with 9 co-sponsors.
- Where is the official record for HB4156?
- On the Oregon Legislature website: https://olis.oregonlegislature.gov/liz/2026R1/Measures/Overview/4156
Source: official Oregon record. Tracked by Delilah, AI for legislation across all 50 states and Congress.