Bill Commons

OR HB 4040

enacted

Relating to health care; and declaring an emergency.

Oregon · 2026 Regular Session · lower

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Quick answers

Did OR HB 4040 pass?

Yes. OR HB 4040 has been enacted into law. Latest recorded action (2026-04-13): Chapter 109, (2026 Laws): Effective date April 7, 2026.

What is OR HB 4040 about?

Modifies the requirements for screening a hospital patient for presumptive eligibility for financial assistance. [<i>Prohibits the Oregon Health Authority from requiring certain home health agencies to comply with Medicare conditions of participation.</i>] [<i>Modifies the requirements for how the Department of Human Services must publish Residential Care Quality Measurement Program data.</i>] 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. [<i>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.</i>] 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 [<i>Legislative Policy and Research Committee</i>] <b>committees with jurisdiction over health care</b> an insurance coverage mandate impact statement policy. Directs the [<i>committee</i>] <b>committees</b> to perform due diligence in considering the proposal and authorizes the [<i>committee</i>] <b>committees</b> to modify the proposal if the [<i>committee</i>] <b>committees</b> so [<i>determines</i>]<b> determine</b>, and then to adopt the policy. Repeals requirement that enrollees in individual or group policies or certificates of health insurance [<i>or members of coordinated care organizations</i>] be assigned by <b>their</b> insurer [<i>or organization</i>] 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.}<b> Modifies requirements for the Prescription Drug Affordability Board's annual affordability determination for insulin products.</b> 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.

Description

Modifies the requirements for screening a hospital patient for presumptive eligibility for financial assistance. [<i>Prohibits the Oregon Health Authority from requiring certain home health agencies to comply with Medicare conditions of participation.</i>] [<i>Modifies the requirements for how the Department of Human Services must publish Residential Care Quality Measurement Program data.</i>] 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. [<i>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.</i>] 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 [<i>Legislative Policy and Research Committee</i>] <b>committees with jurisdiction over health care</b> an insurance coverage mandate impact statement policy. Directs the [<i>committee</i>] <b>committees</b> to perform due diligence in considering the proposal and authorizes the [<i>committee</i>] <b>committees</b> to modify the proposal if the [<i>committee</i>] <b>committees</b> so [<i>determines</i>]<b> determine</b>, and then to adopt the policy. Repeals requirement that enrollees in individual or group policies or certificates of health insurance [<i>or members of coordinated care organizations</i>] be assigned by <b>their</b> insurer [<i>or organization</i>] 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.}<b> Modifies requirements for the Prescription Drug Affordability Board's annual affordability determination for insulin products.</b> 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.

Introduced
2026-02-02
Latest action
2026-04-13 — Chapter 109, (2026 Laws): Effective date April 7, 2026.
Bill type
bill
Last updated
—

Sponsors

Not provided by source.

Committees

Not provided by source.

Action timeline

Newest first

  1. 2026-04-13

    Chapter 109, (2026 Laws): Effective date April 7, 2026.

  2. 2026-04-07

    Governor signed.

    executive-signature

  3. 2026-03-10

    President signed.

    passage

  4. 2026-03-10

    Speaker signed.

    passage

  5. 2026-03-06

    Third reading. Carried by Patterson. Passed.

    passage,reading-3

  6. 2026-03-04

    Second reading.

    reading-2

  7. 2026-03-04

    Recommendation: Do pass the A-Eng. bill.

    committee-passage-favorable

  8. 2026-03-03

    Referred to Ways and Means.

    referral-committee

  9. 2026-03-03

    First reading. Referred to President's desk.

    introduction,reading-1,referral-committee

  10. 2026-03-03

    Third reading. Carried by Nosse. Passed.

    passage,reading-3

  11. 2026-03-02

    Second reading.

    reading-2

  12. 2026-02-28

    Recommendation: Do pass.

    committee-passage-favorable

  13. 2026-02-27

    Work Session held.

  14. 2026-02-25

    Work Session held.

  15. 2026-02-25

    Returned to Full Committee.

  16. 2026-02-19

    Assigned to Subcommittee On Human Services.

    referral-committee

  17. 2026-02-16

    Referred to Ways and Means by order of Speaker.

    referral-committee

  18. 2026-02-16

    Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means.

    committee-passage-favorable

  19. 2026-02-12

    Work Session held.

  20. 2026-02-10

    Public Hearing held.

  21. 2026-02-05

    Public Hearing held.

  22. 2026-02-02

    Referred to Health Care.

    referral-committee

  23. 2026-02-02

    First reading. Referred to Speaker's desk.

    introduction,reading-1,referral-committee

Versions

Documents

Votes

  • Heard and Reported Out with Amendments

    2026-02-12 · pass · 8-0

    Member-level votes (8)
    • Ed Diehl: yes
    • Darin Harbick: yes
    • Cyrus Javadi: yes
    • Emily McIntire: yes
    • Lesly Muñoz: yes
    • Travis Nelson: yes
    • Rob Nosse: yes
    • Hai Pham: yes
  • Heard and Reported Out

    2026-02-27 · pass · 48-0

    Member-level votes (24)
    • Ben Bowman: yes
    • Vikki Breese-Iverson: yes
    • Lucetta Elmer: yes
    • Paul Evans: yes
    • David Gomberg: yes
    • Emerson Levy: yes
    • Rob Nosse: yes
    • Mark Owens: yes
    • E. Werner Reschke: yes
    • Ricki Ruiz: yes
    • Tawna Sanchez: yes
    • Gregory Smith: yes
    • Andrea Valderrama: yes
    • Dick Anderson: yes
    • Wlnsvey Campos: yes
    • Lew Frederick: yes
    • Fred Girod: yes
    • Kate Lieber: yes
    • James Manning Jr.: yes
    • Mike McLane: yes
    • Courtney Neron Misslin: yes
    • David Brock Smith: yes
    • Janeen Sollman: yes
    • Bruce Starr: yes
  • Third reading. Carried by Nosse. Passed.

    2026-03-03 · pass · 55-0

    Member-level votes (60)
    • Shannon Isadore: yes
    • Kim Wallan: yes
    • Nancy Nathanson: yes
    • Zach Hudson: yes
    • Travis Nelson: yes
    • Lesly Muñoz: yes
    • Matt Bunch: yes
    • Thuy Tran: yes
    • Farrah Chaichi: yes
    • Kevin Mannix: yes
    • Ed Diehl: yes
    • Ben Bowman: yes
    • Tawna Sanchez: yes
    • Dacia Grayber: yes
    • Nathan Sosa: yes
    • Dwayne Yunker: yes
    • Emerson Levy: yes
    • Jeffrey Helfrich: yes
    • Mark Gamba: yes
    • Court Boice: yes
    • Annessa Hartman: absent
    • Cyrus Javadi: yes
    • E. Werner Reschke: absent
    • Alek Skarlatos: absent
    • Mari Watanabe: yes
    • Gregory Smith: yes
    • Julie Fahey: yes
    • Mark Owens: yes
    • Jason Kropf: yes
    • Willy Chotzen: yes
    • Darin Harbick: yes
    • Sarah McDonald: yes
    • Susan McLain: yes
    • Boomer Wright: yes
    • Ricki Ruiz: yes
    • Darcey Edwards: yes
    • April Dobson: yes
    • Emily McIntire: yes
    • Jules Walters: yes
    • Virgle Osborne: yes
    • John Lively: yes
    • Pam Marsh: yes
    • Bobby Levy: yes
    • Anna Scharf: yes
    • Lisa Fragala: yes
    • Lamar Wise: yes
    • Andrea Valderrama: absent
    • Jami Cate: yes
    • Tom Andersen: yes
    • Paul Evans: yes
    • Sue Rieke Smith: yes
    • David Gomberg: yes
    • Vikki Breese-Iverson: yes
    • Rob Nosse: yes
    • Ken Helm: yes
    • Rick Lewis: yes
    • Shelly Boshart Davis: yes
    • Daniel Nguyen: yes
    • Hai Pham: yes
    • Lucetta Elmer: absent
  • Third reading. Carried by Patterson. Passed.

    2026-03-06 · pass · 27-1

    Member-level votes (30)
    • Rob Wagner: yes
    • Dick Anderson: yes
    • Wlnsvey Campos: yes
    • Fred Girod: yes
    • James Manning Jr.: yes
    • Janeen Sollman: yes
    • Bruce Starr: yes
    • Diane Linthicum: yes
    • Suzanne Weber: yes
    • Mark Meek: yes
    • Kathleen Taylor: yes
    • Noah Robinson: no
    • Christine Drazan: absent
    • David Brock Smith: yes
    • Sara Gelser Blouin: yes
    • Deb Patterson: yes
    • Mike McLane: yes
    • Todd Nash: yes
    • Courtney Neron Misslin: yes
    • Lew Frederick: yes
    • Chris Gorsek: yes
    • Floyd Prozanski: yes
    • Kim Thatcher: yes
    • Kate Lieber: yes
    • Kayse Jama: yes
    • Anthony Broadman: yes
    • Jeff Golden: yes
    • Cedric Hayden: absent
    • Khanh Pham: yes
    • Lisa Reynolds: yes

Related bills

No related bills recorded for this bill.

Official source

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T05:31:04.409453Z

Inspect retained evidence for changes recorded after evidence tracking began:

Session-wide evidence can include changes to other bills:

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