summary
Introduced
01/13/2025
01/13/2025
In Committee
01/17/2025
01/17/2025
Crossed Over
Passed
Dead
06/27/2025
06/27/2025
Introduced Session
2025 Legislative Measures
Bill Summary
The statement includes a measure digest written in compliance with applicable readability standards. Digest: Tells OHA, CCOs and health care providers to establish certain rates for services. Makes certain provider actions an unlawful practice of law. Requires health insurers, OEBB and PEBB to spend a certain amount on primary care. Tells DCBS to set penalties. Tells OHA to make a program to expand primary care for certain services and creates a program to give money to certain primary care providers. (Flesch Readability Score: 60.1). Requires the Oregon Health Authority to establish a fee-for-service rate for all medical assist- ance recipients at a certain rate for certain services. Requires health care providers to establish reimbursement rates for all services at a certain rate. Designates a violation of reimbursement rates and balance billing requirements as an unlawful practice of law. Requires health benefit plans, health care service contractors, the Public Employees’ Benefits Board and the Oregon Educators Benefits Board to spend a certain amount on primary care payments. Requires the Department of Consumer and Business Services to establish penalties for insurers not meeting the primary care payment targets. Directs the Oregon Health Authority to establish a primary care expansion program to eligible health care clinics for specified purposes. Creates within the authority a primary care provider in- centive program to provide financial incentives to eligible primary care providers. Defines “primary care provider.”
AI Summary
This bill aims to improve healthcare costs and access in Oregon through several key provisions. The Oregon Health Authority will establish fee-for-service reimbursement rates for medical assistance recipients at Medicare rates, with primary care services receiving a 130% rate. Health insurers, including the Public Employees' Benefit Board (PEBB) and Oregon Educators Benefits Board (OEBB), will be required to spend 12% of their total medical expenditures on primary care payments. The bill also creates new restrictions on provider billing, prohibiting claims that exceed 150% of Medicare reimbursement rates and making such violations an unlawful practice. Additionally, the bill establishes a Primary Care Expansion Fund and two new programs: a grant program to help health care clinics expand primary care capacity and increase residency programs, and a financial incentive program to support primary care providers who serve state medical assistance or Medicare patients, with a focus on areas with healthcare provider shortages. The incentives may include educational loan repayment subsidies and are designed to encourage providers to continue practicing in underserved areas. The bill seeks to address healthcare affordability, improve primary care access, and support healthcare providers in serving vulnerable populations.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
In committee upon adjournment. (on 06/27/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
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State Bill Page | https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB2148 |
Open Government Impact Statement for HB2148 INTRO | https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureAnalysisDocument/83137 |
BillText | https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/HB2148/Introduced |
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