HB 4127
Plain-language analysis
Generated analysis, not an official summary or legal advice. Confirm with linked Oregon documents.
Directs the Oregon Health Authority to use state-only funds to pay specific nonprofit reproductive health providers on a fee-for-service basis for services rendered to Medicaid recipients starting July 4, 2025, establishes a contingency grant program if these providers are barred from state enrollment, and restricts how coordinated care organizations can recover past overpayments. The measure takes effect immediately upon passage as an emergency.
Basis: Bill text · Source: Enrolled
Official staff analysis explicitly states the measure responds to Section 71113 of federal H.R. 1, which prohibited federal Medicaid funds for certain reproductive health providers for one year beginning July 4, 2025. The bill ensures payment continuity for Oregon Health Plan members by replacing lost federal matching funds with state General Fund dollars.
Basis: Official analysis · Sources: Staff Measure Summary A; Fiscal Impact Statement A
Inferred from cited text; not a stated purpose.
The statutory requirement for biennial rate analyses and system updates suggests an operational intent to prevent sudden provider attrition or patient displacement in the reproductive health care network, though this is inferred from the administrative mandates rather than explicit legislative findings.
Basis: Inferred · Source: Enrolled
Will receive direct fee-for-service payments from OHA using state funds instead of federal Medicaid match, maintaining operational continuity.
Basis: Bill text · Source: Enrolled
Will continue receiving services from these providers without interruption, as payment mechanisms are statutorily maintained.
Basis: Bill text · Source: Enrolled
May recover overpayments for claims paid to these providers between July 4, 2025, and the bill's effective date, but only for routine business reasons, not solely due to federal ineligibility.
Basis: Bill text · Source: Enrolled
Bears sole responsibility for implementing billing updates, credentialing alignment, biennial rate analyses, and potential contingency grant administration.
Basis: Bill text · Source: Enrolled
OHA must update claims systems and align provider enrollment standards. Providers must comply with state credentialing to receive payments. CCOs face restricted overpayment recovery rights for a specific window.
Basis: Bill text · Source: Enrolled
Estimated $8.9 million General Fund cost for the remainder of the 2025-27 biennium to replace federal funds, per legislative fiscal analysis. The measure directs OHA to use available state sources rather than appropriating new funds directly.
Basis: Official analysis · Source: Fiscal Impact Statement A
Maintains continuity of care for reproductive health services. Biennial rate analyses aim to ensure adequate reimbursement to sustain provider participation.
Basis: Bill text · Source: Enrolled
Provider and patient access
A provider facing temporary federal ineligibility continues operating without cash flow interruption, preserving a critical regional access point for low-income patients during a federal policy shift.
Basis: Inferred · Source: Enrolled
Administrative and financial risk
If state funding is exhausted or delayed, OHA's sole-payment obligation could create administrative bottlenecks, delaying claims processing and potentially forcing providers to suspend services for Medicaid recipients despite the statutory mandate.
Basis: Inferred · Source: Enrolled
The distinction lies between the explicit statutory allowance for routine business recoveries and the discretionary application that could be weaponized to circumvent the law's intent.
Sources · Enrolled
The measure guarantees uninterrupted reproductive health care access for Medicaid recipients by substituting state funds for lost federal match, but concentrates financial and administrative risk on OHA and limits CCOs' ability to correct past billing errors.
Prevents sudden service disruption for vulnerable populations; maintains provider network stability during federal policy transitions.
Basis: Official analysis · Source: Fiscal Impact Statement A
Concentrates administrative burden and fiscal exposure on OHA; restricts CCO financial recovery mechanisms, potentially masking underlying billing inefficiencies.
Basis: Official analysis · Source: Fiscal Impact Statement A
The enrolled text differs from the House Amendments version primarily in the statutory definition of 'prohibited entity.' The House Amendments version explicitly included a threshold requiring providers to have received more than $800,000 in Medicaid reimbursements in 2023. The enrolled text removes this monetary threshold from Section 2(1), defining eligibility solely by enrollment status and federal ineligibility, while retaining the $800,000 threshold only for the contingency grant program in Section 6. The enrolled text also clarifies OHA's sole payment responsibility and streamlines the emergency declaration language. While the measure incorporates federal Medicaid eligibility concepts for definition purposes, it operates exclusively as an Oregon statutory amendment to ORS chapter 414 and dictates state-level payment mechanics.
Removed $800,000 reimbursement threshold from Section 2(1) definition; retained only for Section 6 grant program.
Broadens the pool of providers eligible for direct fee-for-service payments under the primary payment mechanism.
Sources · Enrolled; House Amendments to Introduced
Clarified OHA's sole payment responsibility and restricted CCO overpayment recovery rights.
Centralizes administrative control with OHA and limits retroactive financial adjustments by managed care entities.
Sources · Enrolled; House Amendments to Introduced
Tradeoff: The enrolled version prioritizes immediate payment continuity and administrative centralization over the narrower provider eligibility threshold proposed in committee amendments.
high confidence. Analysis is grounded in enrolled bill text and official legislative revenue/fiscal statements. Inferences are explicitly labeled and bounded by statutory language.
Possible effects if adopted; not current bill text.
Decision brief generation failed. The existing briefs were preserved and this version can be retried.
If adopted, the amendment would narrow the definition of "prohibited entity" to require that a nonprofit reproductive health care provider both received more than $800,000 in Medicaid reimbursements in 2023 and is ineligible for federal Medicaid funds. It would also clarify that the contingency grant program only activates if a state or federal law, rule, regulation, or government action explicitly prohibits such an entity from enrolling in the state medical assistance program, while adding a mandatory notification duty to the Legislative Counsel. The material consequence is that it restricts eligibility for state-funded fee-for-service payments and contingency grants to larger providers, potentially excluding smaller clinics, and ensures the grant mechanism only triggers under explicit legal bans rather than administrative guidance alone.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Introduced
Official sources do not state why this measure was proposed.
Sponsor testimony, staff summaries, committee materials, or statutory findings may explain it.
Inferred from cited text; not a stated purpose.
The amendment likely aims to prevent the contingency grant program from triggering based on ambiguous administrative guidance or policy shifts by requiring a formal "law, rule, regulation or other government action" that explicitly prohibits enrollment. This narrows the operative trigger compared to the introduced bill's simpler "state or federal law" language, suggesting an intent to clarify administrative thresholds while maintaining strict conditions for state-funded contingency payments.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Staff Measure Summary A
Would face a higher threshold (> $800,000 in 2023 Medicaid reimbursements) to qualify as a "prohibited entity," potentially excluding smaller clinics or those with lower reimbursement volumes from state-funded fee-for-service payments and contingency grants.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Fiscal Impact Statement A
Must apply the revised definition, update billing and claims systems accordingly, monitor state and federal regulatory actions for explicit enrollment prohibitions, and implement a mandatory notification protocol to Legislative Counsel upon occurrence.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Introduced
Would continue receiving services through state-funded mechanisms only if their providers meet the narrowed definition; otherwise, they might face provider network changes or enrollment disruptions if contingency grants do not activate.
Basis: Inferred · Source: Fiscal Impact Statement A
Retain limited overpayment recovery rights for claims paid between July 4, 2025, and the measure's effective date, but cannot recover payments solely based on federal Medicaid ineligibility.
Basis: Inferred · Source: Introduced
Eligibility & Scope: Providers must verify their 2023 Medicaid reimbursement history against the $800,000 threshold to determine eligibility for state funding mechanisms.
Basis: Inferred · Source: Amendment -3 — proposed amendment
Administrative Obligations: OHA must monitor state and federal regulatory actions for explicit enrollment prohibitions and notify Legislative Counsel immediately upon occurrence.
Basis: Inferred · Source: Amendment -3 — proposed amendment
Financial Impact: The amendment does not alter the estimated $8.9 million General Fund cost for the 2025-27 biennium, as confirmed by LRO/LFO analysis, but may reduce long-term contingency grant liabilities if fewer providers qualify or if triggers are narrowly construed.
Basis: Inferred · Source: Fiscal Impact Statement A
Access & Continuity: Services for medical assistance recipients would remain funded via state fee-for-service payments only for qualifying entities; non-qualifying providers would lose state reimbursement unless a triggering law is enacted.
Basis: Inferred · Source: Fiscal Impact Statement A
Small, rural nonprofit reproductive health clinic
A clinic that received $750,000 in 2023 Medicaid reimbursements avoids being classified as a "prohibited entity," allowing it to continue operating under existing state medical assistance enrollment without disruption or loss of federal matching funds.
Basis: Inferred · Source: Amendment -3 — proposed amendment
Major provider network or OHA administrative system
A provider receives exactly $800,001 in 2023 Medicaid reimbursements and loses federal eligibility, triggering the contingency grant program prematurely due to a minor regulatory clarification interpreted as an "other government action," forcing OHA to divert state funds from other health services to cover grants until the January 2, 2028 sunset.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Introduced
The distinction rests on whether a triggering action meets the statutory threshold of formal prohibition versus informal guidance, and whether provider reimbursement data is accurately audited against the defined metric.
Sources · Amendment -3 — proposed amendment; Introduced
The measure balances ensuring uninterrupted state-funded reproductive health coverage for medical assistance recipients against restricting eligibility to larger providers and limiting contingency funding triggers to explicit legal bans.
Targeted fiscal control by narrowing provider eligibility and preventing premature grant activation based on ambiguous administrative actions.
Basis: Inferred · Source: Amendment -3 — proposed amendment
Clearer administrative boundaries for OHA and CCOs regarding payment mechanisms, overpayment recovery, and trigger conditions.
Basis: Inferred · Source: Introduced
Potential exclusion of smaller clinics from state reimbursement, possibly disrupting care continuity for patients relying on non-qualifying providers.
Basis: Inferred · Source: Amendment -3 — proposed amendment
Increased administrative monitoring burdens for OHA to track reimbursement thresholds and interpret "other government action" triggers.
Basis: Inferred · Source: Amendment -3 — proposed amendment
high confidence. The amendment text is explicit regarding the revised definition, operative triggers, and notification duties. Fiscal impacts are confirmed by official LRO/LFO analysis. Inferences are bounded to statutory language and official staff summaries.
If adopted, the proposed amendment would redefine which medical providers qualify for state-only Medicaid reimbursement under HB 4127 by adding a national accreditation requirement, expanding eligibility to privately owned clinics, and shifting the statutory service focus to maternal, women’s well-being, and perinatal care. This change would alter which facilities receive direct state payments, trigger contingency grant mechanisms if enrollment restrictions occur, and require the Oregon Health Authority to adjust credentialing and billing systems accordingly.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Official sources do not state why this measure was proposed.
Sponsor testimony, staff summaries, committee materials, or statutory findings may explain it.
Inferred from cited text; not a stated purpose.
The amendment likely seeks to standardize provider quality through national accreditation requirements while capturing privately owned clinics that may have been excluded under the original nonprofit-only restriction, ensuring broader network continuity for state medical assistance recipients.
Basis: Inferred · Source: Amendment -4 — proposed amendment
Must verify or obtain national accreditation to qualify for state reimbursement under the new definition.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Newly included in the statutory definition, potentially expanding the pool of eligible providers if they meet accreditation and enrollment criteria.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Responsible for updating billing systems, verifying national accreditation status, adjusting credentialing standards, and conducting biennial rate analyses to ensure adequate payment rates.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Would continue receiving maternal and perinatal services from accredited providers, though network composition could shift based on which entities satisfy the new requirements.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Providers must maintain valid national ambulatory health care accreditation and remain enrolled in the state medical assistance program to receive fee-for-service payments. OHA faces administrative obligations to update claims processing, verify accreditation status, and conduct biennial rate analyses. The measure establishes a contingency grant program that activates only if state or federal law restricts these entities from enrolling, requiring OHA to manage grant distributions equivalent to fee-for-service amounts without using federal funds.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Previously uninsured or underinsured populations
Gains reliable, continuous access to accredited private clinics offering maternal care because the state successfully funds them through a clarified, accreditation-based payment mechanism that stabilizes clinic operations.
Basis: Inferred · Source: Amendment -4 — proposed amendment
High-need community populations relying on non-accredited clinics
Experiences sudden service disruptions and longer travel distances for essential perinatal care because strict accreditation requirements inadvertently exclude long-standing community clinics that lack national accreditation.
Basis: Inferred · Source: Amendment -4 — proposed amendment
The text legally permits state payments to any accredited nonprofit or private entity ineligible for federal Medicaid funds that provides maternal, women’s well-being, and perinatal services. Weak enforcement of the accreditation standard, misclassification of service types, or duty creep could allow entities providing non-covered services to claim reimbursement, though the statute explicitly ties eligibility to specific service provision and state program enrollment rather than broad clinical discretion.
Sources · Amendment -4 — proposed amendment
The amendment balances expanded provider access against stricter quality controls, potentially improving care standards while risking reduced network breadth for underserved areas. Upsides include clearer quality benchmarks and inclusion of private providers; downsides involve administrative burden, potential exclusion of non-accredited community clinics, and uncertainty around service scope definitions.
Clearer quality benchmarks through mandatory national accreditation.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Inclusion of privately owned clinics expands the potential provider network.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Administrative burden to verify accreditation and adjust credentialing standards.
Basis: Bill text · Source: Amendment -4 — proposed amendment
Potential exclusion of non-accredited community clinics serving high-need populations.
Basis: Inferred · Source: Amendment -4 — proposed amendment
high confidence. Analysis is grounded exclusively in the supplied amendment text and official supporting documents. No enacted status or legislative intent is assumed.
The amendment narrows the definition of a prohibited entity to nonprofit reproductive health care providers that both received over $800,000 in 2023 Medicaid reimbursements and are ineligible for federal Medicaid funds, while expanding the trigger for a contingency grant program to include any state or federal rule, regulation, or government action. If adopted, it would restrict state-funded payments and grants to specific large providers and activate those grants upon any administrative or legislative restriction on state medical assistance enrollment.
Basis: Stakeholder claim · Sources: Amendment -3 — proposed amendment; Staff Measure Summary A
Official sources do not state why this measure was proposed.
Sponsor testimony, staff summaries, committee materials, or statutory findings may explain it.
Inferred from cited text; not a stated purpose.
The amendment likely aims to precisely align the state definition with a federal revenue threshold while closing a potential loophole where providers could be blocked from enrollment via administrative rule rather than legislation.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Staff Measure Summary A
Only those exceeding the $800,000 2023 Medicaid reimbursement threshold and ineligible for federal funds would qualify for state-funded payments or grants; smaller providers would be excluded.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Staff Measure Summary A
Must implement a state-funded fee-for-service payment mechanism, conduct biennial rate analyses, monitor for triggering regulatory actions, and notify Legislative Counsel immediately upon such triggers.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Fiscal Impact Statement A
Would maintain access to reproductive health services through state-funded payments or grants if their providers qualify, preventing service disruption from federal funding changes.
Basis: Inferred · Source: Fiscal Impact Statement A
Retain limited authority to recover overpayments for claims paid between July 4, 2025, and the measure effective date, but cannot deny payment solely based on a provider ineligibility for federal Medicaid funds.
Basis: Inferred · Source: Introduced
Providers must verify their 2023 Medicaid reimbursement totals to determine eligibility, while OHA must monitor state and federal regulatory changes that could restrict enrollment.
Basis: Inferred · Source: Amendment -3 — proposed amendment
OHA is required to update billing systems, align credentialing standards, conduct biennial rate analyses, and immediately notify Legislative Counsel if triggering government actions occur.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Introduced
The measure relies on an estimated $8.9 million General Fund allocation to cover remaining costs through June 30, 2026, with no projected new revenue impact.
Basis: Inferred · Sources: Fiscal Impact Statement A; IS_Impact HB 4127 3
Continuity of care is preserved for eligible patients by replacing lost federal Medicaid funds with state dollars, though access may be disrupted for providers falling below the revenue threshold.
Basis: Inferred · Source: Fiscal Impact Statement A
Qualifying providers and Oregon Health Plan members
A qualifying provider receives full state reimbursement and contingency grants, ensuring uninterrupted service delivery to thousands of patients during a federal funding gap and preventing clinic closures.
Basis: Inferred · Sources: Amendment -3 — proposed amendment; Fiscal Impact Statement A
Providers near the revenue threshold and their patients
A provider receiving exactly $799,999 in 2023 Medicaid reimbursements is excluded from all state payments despite being functionally identical to qualifying providers, forcing sudden service reductions or patient rerouting without legislative grace periods.
Basis: Inferred · Source: Amendment -3 — proposed amendment
The text legally permits targeted state funding and conditional grant activation, but weak enforcement or data lag could cause unlawful denial of benefits or improper overpayment recovery.
Sources · Amendment -3 — proposed amendment; Introduced
The measure trades precise provider targeting and regulatory trigger coverage for the risk of excluding functionally similar smaller providers and creating administrative complexity in monitoring non-statutory restrictions. Upsides include maintaining care continuity for eligible patients and aligning state definitions with federal thresholds; downsides include potential access gaps for lower-revenue clinics and increased OHA monitoring burdens.
Maintains care continuity for eligible patients and aligns state definitions with federal thresholds.
Basis: Inferred · Source: Staff Measure Summary A
Potential access gaps for lower-revenue clinics and increased OHA monitoring burdens.
Basis: Inferred · Source: Amendment -3 — proposed amendment
high confidence. Analysis relies exclusively on the supplied proposed amendment text, official staff summaries, and fiscal impact statements. No external speculation is used.
The measure directs the Oregon Health Authority to use only state General Fund money to pay specific nonprofit reproductive health providers for services rendered to Oregon Health Plan members on or after July 4, 2025. It establishes a fee-for-service payment mechanism and a conditional grant program that activates only if state or federal law restricts these providers from enrolling in the state program. This remains an Oregon-law change that incorporates federal Medicaid eligibility contexts by reference but operates entirely under state statutory authority. The material consequence is an $8.9 million one-time General Fund appropriation to replace lost federal Medicaid matching funds, with all statutory obligations and funding mechanisms expiring on January 2, 2028.
Basis: Bill text · Sources: Introduced; Fiscal Impact Statement A
Official staff analysis confirms the measure responds to Section 71113 of federal H.R. 1, signed July 4, 2025, which prohibited federal Medicaid funds from reimbursing certain nonprofit reproductive health organizations for one year. The Joint Emergency Board previously allocated $7.5 million in General Fund to cover part of this gap, and the legislation addresses the remaining costs while establishing a statutory framework for continued state-only payments.
Basis: Official analysis · Sources: Staff Measure Summary A; Fiscal Impact Statement A; Staff Measure Summary A
Inferred from cited text; not a stated purpose.
The amendment's specific >$800,000 2023 Medicaid reimbursement threshold and expanded trigger language (adding 'rule or regulation' to 'law') suggests a legislative intent to precisely target the two identified Planned Parenthood affiliates while ensuring the contingency grant mechanism activates against any administrative restriction, not just statutory bans. This is inferred from the amendment's narrowing of the provider definition and broadening of the operative condition.
Basis: Inferred · Source: Amendment -1 — proposed amendment
Must adopt a state-only fee-for-service payment mechanism, update billing systems, conduct biennial rate analyses, and manage a conditional grant program.
Basis: Bill text · Source: Introduced
Receive direct state fee-for-service payments for services rendered to medical assistance recipients starting July 4, 2025, or qualify for contingency grants if enrollment is restricted.
Basis: Official analysis · Sources: Staff Measure Summary A; Fiscal Impact Statement A
Continue receiving reproductive health services without interruption; CCOs retain limited ability to recover overpayments made between July 4, 2025, and the measure's effective date for routine business reasons only.
Basis: Bill text · Source: Introduced
Fund the $8.9 million General Fund shortfall replacing lost federal Medicaid match through June 30, 2026, with no further state fiscal obligation after January 2, 2028.
Basis: Official analysis · Source: Fiscal Impact Statement A
OHA must maintain separate state-funded billing streams and conduct biennial rate analyses to ensure payment adequacy for access.
Basis: Bill text · Source: Introduced
Providers face no new eligibility barriers but must comply with standard state medical assistance enrollment and credentialing standards.
Basis: Bill text · Source: Introduced
CCOs lose the ability to claw back overpayments specifically tied to federal ineligibility, limiting recovery to routine business reasons only.
Basis: Bill text · Source: Introduced
The measure's emergency declaration allows immediate implementation, bypassing standard effective date delays.
Basis: Bill text · Source: Introduced
Oregon Health Plan members in underserved regions
A provider successfully expands capacity using the state fee-for-service payments, significantly increasing access to reproductive health services without disrupting CCO networks.
Basis: Bill text · Source: Introduced
Oregon Health Authority and state budget
If federal funding restrictions are extended beyond one year, OHA's existing $8.9 million allocation is exhausted by June 2026, leaving no statutory authority or dedicated funding to sustain payments unless the legislature appropriates additional General Fund resources before the January 2, 2028 sunset.
Basis: Official analysis · Source: Fiscal Impact Statement A
Distinguishes legal permission from potential unlawful outcome caused by weak enforcement, misclassification, or duty creep.
Sources · Introduced
The measure ensures uninterrupted reproductive health coverage for state medical assistance recipients by replacing lost federal Medicaid match with $8.9 million in General Fund costs, trading short-term state expenditure and administrative complexity for guaranteed service continuity and a fixed sunset date.
Service continuity
Basis: Bill text · Source: Introduced
Clear funding cap
Basis: Official analysis · Source: Fiscal Impact Statement A
Statutory access protections
Basis: Bill text · Source: Introduced
Direct General Fund appropriation
Basis: Official analysis · Source: Fiscal Impact Statement A
Biennial rate analysis burden
Basis: Bill text · Source: Introduced
Conditional grant trigger uncertainty
Basis: Bill text · Source: Introduced
high confidence. Based on official legislative revenue office statements, staff measure summaries, and enacted bill text structure.
44 records currently loaded
Records available in the current snapshot.
Earliest loaded signal
Introduced bill text posted
Posted Jan 28, 2026, 3:25 PM PST
Follow the official text for HB 4127 and every amendment branch. Connections come from each amendment's stated base. Horizontal position shows when each document was first posted, when available.
Click a card to isolate its connected lines; use View summary to jump to its details. Horizontal position shows first posting time in Pacific Time. Drag or use the arrow keys to pan. Pinch with two fingers on mobile, or zoom with the controls, +/− keys, or Control/Command + scroll; press 0 to reset. Dashed branches remained proposals.
Selected document summary
Targeted changes
What the document says to change
On page 2 of the printed bill, line 21, after “law” insert “, rule or regu- 2 lation”.
Official records (1)
No deeper official pre-number history was found.
Chief sponsors: House Majority Leader Ben Bowman, Representative Tom Andersen, Senator Deb Patterson, Representative Farrah Chaichi, Representative Willy Chotzen, Representative April Dobson, Representative Rob Nosse, Representative Sue Rieke Smith, Senator Wlnsvey Campos, Senator Lew Frederick, Senator Floyd Prozanski
Regular sponsors: Representative Lisa Fragala, Representative Mark Gamba, Representative David Gomberg, Representative Dacia Grayber, Representative Zach Hudson, Representative Cyrus Javadi, Representative Pam Marsh, Representative Lesly Muñoz, Representative Nancy Nathanson, Representative Travis Nelson, Representative Hai Pham, Representative Lamar Wise, Senator Sara Gelser Blouin, Senator Jeff Golden, Senator Kayse Jama, Senator Courtney Neron Misslin, Senator Khanh Pham, Representative Jules Walters, Representative Susan McLain, Representative Jason Kropf, Representative Sarah McDonald, Representative Nathan Sosa, Representative Ricki Ruiz
House carrier
House Majority Leader Ben Bowman
Third Reading Of House Bills · Version A
Senate carrier
Senator Deb Patterson
Third Reading Of House Measures · Version A
A carrier presents the measure or report but is not necessarily its sponsor or author.
Records already listed in Activity are not repeated here.
Official origin records are incomplete; missing facts are not inferred.
44 events
Full timeline
44 entries shown.
Chapter 63, (2026 Laws): Effective date March 31, 2026.
Governor signed.
President signed.
Speaker signed.
Third reading. Carried by Patterson. Passed.
Ayes, 18; Nays, 11--Anderson, Drazan, Girod, Linthicum, McLane, Nash, Robinson, Smith DB, Starr, Thatcher, Weber; Excused, 1--Hayden.
Second reading.
Recommendation: Do pass the A-Eng. bill.
Staff Measure Summary · Version A
Referred to Ways and Means.
First reading. Referred to President's desk.
Vote explanation(s) filed by Diehl.
Third reading. Carried by Bowman. Passed.
Ayes, 34; Nays, 20--Boice, Boshart Davis, Breese-Iverson, Bunch, Cate, Diehl, Edwards, Elmer, Harbick, Helfrich, Lewis, Mannix, McIntire, Osborne, Owens, Reschke, Skarlatos, Smith G, Wright, Yunker; Excused, 4--Hartman, Levy B, Scharf, Valderrama; Excused for Business of the House, 2--Lively, Wallan.
Second reading.
Recommendation: Do pass.
Staff Measure Summary · Version A
Work Session held.
Work Session
Heard and Reported Out · Agenda item 6 · Room HR 40 · Relating to Medicaid payments to reproductive health care providers (Representative Bowman, carrier)
Returned to Full Committee.
Work Session held.
Work Session
Heard and Reported Out · Agenda item 5 · Room HR F · Relating to Medicaid payments to reproductive health care providers
Assigned to Subcommittee On Capital Construction.
Fiscal Impact Statement · Version A
House Amendments to Introduced bill text posted
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.
Work Session
Heard and Reported Out with Amendments · Agenda item 12 · Room HR 60 · CARRIED OVER FROM THE 02/10/2026 MEETING: 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.
IS_Impact HB 4127 3
Revenue Impact Statement
Amendment -4 proposed
Amendment -3 adopted
Work Session
Not Heard · Agenda item 2 · Room HR 60 · 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.
IS_Impact HB 4127 3
Revenue Impact Statement
Amendment -4 proposed
Amendment -3 proposed
Public Hearing held.
Public Hearing
Heard · Agenda item 4 · Room HR 60 · 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.
Amendment -1 proposed
Referred to Health Care.
First reading. Referred to Speaker's desk.
Appropriation addressing the fiscal impact included as part of the funding for HR1 implementation EFFECT OF AMENDMENT: No amendment. BACKGROUND: On July 4, 2025,
Appropriation addressing the fiscal impact included as part of the funding for HR1 implementation EFFECT OF AMENDMENT: No amendment. BACKGROUND: On July 4, 2025,
responding reduction of $8 million Federal Fund expenditure limitation. Federal House Resolution 1 (H.R.1) prohibited federal funds from Only impacts on original or engrossed ve
“Enrolled bill text posted”
Confirm with the official record.
Supplemental, source-linked analysis from project researchers and community contributors. It is separate from Oregon's official record.