Bill > HB3590

This bill addresses pediatric healthcare billing and insurance reimbursement practices in Oregon. It prohibits out-of-network healthcare providers from charging patients more than the reimbursement paid by their health insurance plan for pediatric care (defined as healthcare for children from birth to 18 years old) when no in-network provider is available within a 60-mile driving radius. The bill requires insurers, including the Public Employees' Benefit Board (PEBB) and the Oregon Educators Benefit Board (OEBB), to reimburse out-of-network providers for pediatric care at rates negotiated in good faith, but no less than the average in-network reimbursement rates for comparable services. Providers can still bill patients for standard coinsurance, copayments, and deductibles. The legislation will apply to health insurance policies and benefit plans offered, renewed, or extended on or after January 1, 2026, and will take effect 91 days after the 2025 regular legislative session adjourns, aiming to protect families from unexpected high medical costs when specialized pediatric care is not readily available within their insurance network.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB3590