Bill > HB3086

This bill modifies Oregon Revised Statutes (ORS) 243.144 to require the Public Employees' Benefit Board (PEBB) to count third-party payments, such as manufacturer coupons, toward an enrollee's out-of-pocket costs for prescription drugs when calculating cost-sharing requirements like deductibles, copayments, and coinsurance. Specifically, the bill adds a new provision to the list of requirements that PEBB benefit plans must follow, ensuring that payments made by or on behalf of an enrollee will be considered when determining their total drug expenses. The bill will apply to benefit plans issued, renewed, or extended on or after October 1, 2025, and will automatically take effect 91 days after the adjournment of the 2025 regular legislative session. This change aims to provide more transparency and potentially reduce the financial burden on employees by giving credit for all payments made towards their prescription drug costs.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB3086