Bill > HB2216

This bill directs the Oregon Health Authority (OHA) to conduct comprehensive assessments of payment and billing practices for community health workers serving medical assistance recipients. The bill requires two primary assessments: first, a review of fee-for-service billing practices that includes examining current billing codes, reimbursement rates, and economic models to ensure adequate and sustainable funding for community health workers. The second assessment focuses on non-fee-for-service payment models, exploring alternative funding mechanisms in nonclinical settings, such as value-based payments and health-related social needs services. Additionally, the bill mandates that OHA provide technical assistance to coordinated care organizations and community health worker organizations to help establish effective billing structures and payment models. The OHA may contract with third parties to conduct these assessments and is required to submit a report to legislative committees by November 1, 2026, detailing proposed improvements. The bill includes an emergency clause, making it effective July 1, 2025, and includes a sunset provision that repeals the sections of the act on January 2, 2027. The bill also appropriates an unspecified amount from the General Fund to support the implementation of these assessments and support activities.

Budget and Finance, Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB2216