Bill > HB3494

This bill requires the Oregon Health Authority (OHA) to establish minimum reimbursement rates for behavioral health services provided to medical assistance recipients, replacing previous language that only allowed (but did not mandate) such rate-setting. The bill changes several key terms, shifting from "addiction treatment" to "behavioral health services" and broadening the scope of the requirements. Specifically, the bill now mandates that the OHA, in consultation with stakeholders and the Alcohol and Drug Policy Commission, must set minimum rates to ensure medical assistance recipients can access behavioral health services without delay across all of Oregon's geographic regions. Additionally, the bill introduces a new provision requiring coordinated care organizations (CCOs) to reimburse both in-network and out-of-network behavioral health treatment providers at the rates established by the OHA. The term "medical assistance" refers to government-funded healthcare programs, and the bill's provisions are designed to improve access to mental health and substance use disorder (SUD) treatment by ensuring providers receive adequate compensation. The bill will take effect on the 91st day following the adjournment of the 2025 regular session of the Oregon Legislature.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB3494