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Oregon HB 4040 — Relating to health care; and declaring an emergency.

Oregon, 2026R1. HB 4040: Relating to health care; and declaring an emergency.

HB 40402026R1 sessionHouse

Plural source record ↗

Official legislative source ↗

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)
MemberVote
Hai Phamyes
Rob Nosseyes
Travis Nelsonyes
Lesly Muñozyes
Emily McIntireyes
Cyrus Javadiyes
Darin Harbickyes
Ed Diehlyes

Heard and Reported Out

February 27, 2026 · Oregon Legislative Assembly · pass

yes: 24 · no: 0 · absent: 0

Official vote source ↗
Individual member positions (24)
MemberVote
Bruce Starryes
Janeen Sollmanyes
David Brock Smithyes
Courtney Neron Misslinyes
Mike McLaneyes
James Manning Jr.yes
Kate Lieberyes
Fred Girodyes
Lew Frederickyes
Wlnsvey Camposyes
Dick Andersonyes
Andrea Valderramayes
Gregory Smithyes
Tawna Sanchezyes
Ricki Ruizyes
E. Werner Reschkeyes
Mark Owensyes
Rob Nosseyes
Emerson Levyyes
David Gombergyes
Paul Evansyes
Lucetta Elmeryes
Vikki Breese-Iversonyes
Ben Bowmanyes

Third reading. Carried by Patterson. Passed.

March 6, 2026 · Senate · pass

yes: 27 · no: 1 · absent: 2

Official vote source ↗
Individual member positions (30)
MemberVote
Lisa Reynoldsyes
Khanh Phamyes
Cedric Haydenabsent
Jeff Goldenyes
Anthony Broadmanyes
Kayse Jamayes
Kate Lieberyes
Kim Thatcheryes
Floyd Prozanskiyes
Chris Gorsekyes
Lew Frederickyes
Courtney Neron Misslinyes
Todd Nashyes
Mike McLaneyes
Deb Pattersonyes
Sara Gelser Blouinyes
David Brock Smithyes
Christine Drazanabsent
Noah Robinsonno
Kathleen Tayloryes
Mark Meekyes
Suzanne Weberyes
Diane Linthicumyes
Bruce Starryes
Janeen Sollmanyes
James Manning Jr.yes
Fred Girodyes
Wlnsvey Camposyes
Dick Andersonyes
Rob Wagneryes

Third reading. Carried by Nosse. Passed.

March 3, 2026 · House · pass

yes: 55 · no: 0 · absent: 5

Official vote source ↗
Individual member positions (60)
MemberVote
Lucetta Elmerabsent
Hai Phamyes
Daniel Nguyenyes
Shelly Boshart Davisyes
Rick Lewisyes
Ken Helmyes
Rob Nosseyes
Vikki Breese-Iversonyes
David Gombergyes
Sue Rieke Smithyes
Paul Evansyes
Tom Andersenyes
Jami Cateyes
Andrea Valderramaabsent
Lamar Wiseyes
Lisa Fragalayes
Anna Scharfyes
Bobby Levyyes
Pam Marshyes
John Livelyyes
Virgle Osborneyes
Jules Waltersyes
Emily McIntireyes
April Dobsonyes
Darcey Edwardsyes
Ricki Ruizyes
Boomer Wrightyes
Susan McLainyes
Sarah McDonaldyes
Matt Bunchyes
Lesly Muñozyes
Travis Nelsonyes
Zach Hudsonyes
Nancy Nathansonyes
Kim Wallanyes
Shannon Isadoreyes
Darin Harbickyes
Willy Chotzenyes
Jason Kropfyes
Mark Owensyes
Julie Faheyyes
Gregory Smithyes
Mari Watanabeyes
Alek Skarlatosabsent
E. Werner Reschkeabsent
Cyrus Javadiyes
Annessa Hartmanabsent
Court Boiceyes
Mark Gambayes
Jeffrey Helfrichyes
Emerson Levyyes
Dwayne Yunkeryes
Nathan Sosayes
Dacia Grayberyes
Tawna Sanchezyes
Ben Bowmanyes
Ed Diehlyes
Kevin Mannixyes
Farrah Chaichiyes
Thuy Tranyes

Legislative history

  1. Chapter 109, (2026 Laws): Effective date April 7, 2026.
  2. Governor signed.
  3. President signed.
  4. Speaker signed.
  5. Third reading. Carried by Patterson. Passed.
  6. Second reading.
  7. Recommendation: Do pass the A-Eng. bill.
  8. Referred to Ways and Means.
  9. First reading. Referred to President's desk.
  10. Third reading. Carried by Nosse. Passed.
  11. Second reading.
  12. Recommendation: Do pass.
  13. Work Session held.
  14. Work Session held.
  15. Returned to Full Committee.
  16. Assigned to Subcommittee On Human Services.
  17. Referred to Ways and Means by order of Speaker.
  18. Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.
  19. Work Session held.
  20. Public Hearing held.
  21. Public Hearing held.
  22. Referred to Health Care.
  23. First reading. Referred to Speaker's desk.

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