Bill > SB140

This bill aims to improve behavioral health services in Oregon by addressing psychiatric hospital reimbursement rates and patient care coordination. The bill requires the Oregon Health Authority (OHA) to establish new fee-for-service reimbursement rates for inpatient psychiatric services provided to medical assistance recipients, with different rates for patients committed to the authority versus those who are not. For committed patients, hospitals will be reimbursed at rates no less than the Oregon State Hospital's per diem rates, and for non-committed patients, the OHA will create actuarially determined rates that include additional payments for patients who cannot be discharged due to capacity limitations in other care facilities. The bill also mandates that the OHA develop a comprehensive care coordination plan for civilly committed patients, including creating transparent placement criteria, establishing a universal interview process for patient transfers, and assigning case managers to help patients transition from hospital to community-based settings. Coordinated care organizations will be required to reimburse hospitals at the established rates, and the OHA must conduct biennial actuarial reviews to ensure the rates sufficiently cover care costs. The provisions will apply to new or renewed contracts between coordinated care organizations and the OHA starting in 2025.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB140