Bill > SB1214

This bill addresses Medicaid reimbursement rates for specific rural hospitals by requiring the Oregon Health Authority (OHA) and coordinated care organizations (CCOs) to increase payment rates to at least 150 percent of the rates in effect as of January 1, 2025. The bill applies to hospitals meeting several specific criteria, including: being a Medicare rural referral center and sole community hospital, having fewer than 200 acute care beds, being designated as a Level III trauma hospital, maintaining a cardiac catheterization laboratory, and either operating as a nonprofit organization or being state/locally owned. A Level III trauma hospital is defined as a facility that can resuscitate, stabilize, and assess severely injured patients, either treating them or transferring to a higher-level trauma center. The bill is structured as an emergency measure, taking effect on July 1, 2025, and applies to new, amended, or renewed contracts between CCOs and OHA. Additionally, the bill stipulates that if OHA increases reimbursement rates for other hospitals, the rates for these rural hospitals must also be increased by an equivalent percentage, ensuring ongoing proportional compensation.

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB1214