Oregon HB 4040 — Relating to health care; and declaring an emergency.
Oregon, 2026R1. HB 4040: Relating to health care; and declaring an emergency.
Latest action
April 13, 2026 — Chapter 109, (2026 Laws): Effective date April 7, 2026.
Summary
Modifies the requirements for screening a hospital patient for presumptive eligibility for financial assistance. [Prohibits the Oregon Health Authority from requiring certain home health agencies to comply with Medicare conditions of participation.] [Modifies the requirements for how the Department of Human Services must publish Residential Care Quality Measurement Program data.] 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. [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.] 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 [Legislative Policy and Research Committee] committees with jurisdiction over health care an insurance coverage mandate impact statement policy. Directs the [committee] committees to perform due diligence in considering the proposal and authorizes the [committee] committees to modify the proposal if the [committee] committees so [determines] determine, and then to adopt the policy. Repeals requirement that enrollees in individual or group policies or certificates of health insurance [or members of coordinated care organizations] be assigned by their insurer [or organization] 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.} Modifies requirements for the Prescription Drug Affordability Board's annual affordability determination for insulin products. 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.
Sponsors
Sponsor details were not supplied.
Bill text
A-Engrossed Read version ↗
Enrolled Read version ↗
House Amendments to Introduced Read version ↗
Introduced Read version ↗
HHC Amendment -36 Read version ↗
Recorded votes
Heard and Reported Out with Amendments
February 12, 2026 · House · pass
yes: 8 · no: 0 · absent: 0
Official vote source ↗Individual member positions (8)
| Member | Vote |
|---|---|
| Hai Pham | yes |
| Rob Nosse | yes |
| Travis Nelson | yes |
| Lesly Muñoz | yes |
| Emily McIntire | yes |
| Cyrus Javadi | yes |
| Darin Harbick | yes |
| Ed Diehl | yes |
Heard and Reported Out
February 27, 2026 · Oregon Legislative Assembly · pass
yes: 24 · no: 0 · absent: 0
Official vote source ↗Individual member positions (24)
| Member | Vote |
|---|---|
| Bruce Starr | yes |
| Janeen Sollman | yes |
| David Brock Smith | yes |
| Courtney Neron Misslin | yes |
| Mike McLane | yes |
| James Manning Jr. | yes |
| Kate Lieber | yes |
| Fred Girod | yes |
| Lew Frederick | yes |
| Wlnsvey Campos | yes |
| Dick Anderson | yes |
| Andrea Valderrama | yes |
| Gregory Smith | yes |
| Tawna Sanchez | yes |
| Ricki Ruiz | yes |
| E. Werner Reschke | yes |
| Mark Owens | yes |
| Rob Nosse | yes |
| Emerson Levy | yes |
| David Gomberg | yes |
| Paul Evans | yes |
| Lucetta Elmer | yes |
| Vikki Breese-Iverson | yes |
| Ben Bowman | yes |
Third reading. Carried by Patterson. Passed.
March 6, 2026 · Senate · pass
yes: 27 · no: 1 · absent: 2
Official vote source ↗Individual member positions (30)
| Member | Vote |
|---|---|
| Lisa Reynolds | yes |
| Khanh Pham | yes |
| Cedric Hayden | absent |
| Jeff Golden | yes |
| Anthony Broadman | yes |
| Kayse Jama | yes |
| Kate Lieber | yes |
| Kim Thatcher | yes |
| Floyd Prozanski | yes |
| Chris Gorsek | yes |
| Lew Frederick | yes |
| Courtney Neron Misslin | yes |
| Todd Nash | yes |
| Mike McLane | yes |
| Deb Patterson | yes |
| Sara Gelser Blouin | yes |
| David Brock Smith | yes |
| Christine Drazan | absent |
| Noah Robinson | no |
| Kathleen Taylor | yes |
| Mark Meek | yes |
| Suzanne Weber | yes |
| Diane Linthicum | yes |
| Bruce Starr | yes |
| Janeen Sollman | yes |
| James Manning Jr. | yes |
| Fred Girod | yes |
| Wlnsvey Campos | yes |
| Dick Anderson | yes |
| Rob Wagner | yes |
Third reading. Carried by Nosse. Passed.
March 3, 2026 · House · pass
yes: 55 · no: 0 · absent: 5
Official vote source ↗Individual member positions (60)
| Member | Vote |
|---|---|
| Lucetta Elmer | absent |
| Hai Pham | yes |
| Daniel Nguyen | yes |
| Shelly Boshart Davis | yes |
| Rick Lewis | yes |
| Ken Helm | yes |
| Rob Nosse | yes |
| Vikki Breese-Iverson | yes |
| David Gomberg | yes |
| Sue Rieke Smith | yes |
| Paul Evans | yes |
| Tom Andersen | yes |
| Jami Cate | yes |
| Andrea Valderrama | absent |
| Lamar Wise | yes |
| Lisa Fragala | yes |
| Anna Scharf | yes |
| Bobby Levy | yes |
| Pam Marsh | yes |
| John Lively | yes |
| Virgle Osborne | yes |
| Jules Walters | yes |
| Emily McIntire | yes |
| April Dobson | yes |
| Darcey Edwards | yes |
| Ricki Ruiz | yes |
| Boomer Wright | yes |
| Susan McLain | yes |
| Sarah McDonald | yes |
| Matt Bunch | yes |
| Lesly Muñoz | yes |
| Travis Nelson | yes |
| Zach Hudson | yes |
| Nancy Nathanson | yes |
| Kim Wallan | yes |
| Shannon Isadore | yes |
| Darin Harbick | yes |
| Willy Chotzen | yes |
| Jason Kropf | yes |
| Mark Owens | yes |
| Julie Fahey | yes |
| Gregory Smith | yes |
| Mari Watanabe | yes |
| Alek Skarlatos | absent |
| E. Werner Reschke | absent |
| Cyrus Javadi | yes |
| Annessa Hartman | absent |
| Court Boice | yes |
| Mark Gamba | yes |
| Jeffrey Helfrich | yes |
| Emerson Levy | yes |
| Dwayne Yunker | yes |
| Nathan Sosa | yes |
| Dacia Grayber | yes |
| Tawna Sanchez | yes |
| Ben Bowman | yes |
| Ed Diehl | yes |
| Kevin Mannix | yes |
| Farrah Chaichi | yes |
| Thuy Tran | yes |
Legislative history
- Chapter 109, (2026 Laws): Effective date April 7, 2026.
- Governor signed.
- President signed.
- Speaker signed.
- Third reading. Carried by Patterson. Passed.
- Second reading.
- Recommendation: Do pass the A-Eng. bill.
- Referred to Ways and Means.
- First reading. Referred to President's desk.
- Third reading. Carried by Nosse. Passed.
- Second reading.
- Recommendation: Do pass.
- Work Session held.
- Work Session held.
- Returned to Full Committee.
- Assigned to Subcommittee On Human Services.
- Referred to Ways and Means by order of Speaker.
- Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.
- Work Session held.
- Public Hearing held.
- Public Hearing held.
- Referred to Health Care.
- First reading. Referred to Speaker's desk.
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