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SB28 • 2025

Requires certain health insurers to reimburse the cost of primary care providers in an independent practice at the same rate as primary care providers within a hospital-based or hospital-affiliated system for the same services.

Requires certain health insurers to reimburse the cost of primary care providers in an independent practice at the same rate as primary care providers within a hospital-based or hospital-affiliated system for the same services.

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Senator Patterson,, Reynolds
Last action
2025-06-27
Official status
In Senate Committee
Effective date
Not listed

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

  1. 2025-06-27 Senate

    In committee upon adjournment.

  2. 2025-04-15 Senate

    Recommendation: Do pass with amendments and be referred to Ways and Means. (Printed A-Eng.)

  3. 2025-04-15 Senate

    Referred to Ways and Means by order of the President.

  4. 2025-04-08 Senate

    Work Session held.

  5. 2025-04-03 Senate

    Public Hearing held.

  6. 2025-01-17 Senate

    Referred to Health Care.

  7. 2025-01-13 Senate

    Introduction and first reading. Referred to President's desk.

Official Summary Text

<b>Digest: Tells some health insurers to pay certain primary care providers the same as other primary care providers for the same services. Tells DCBS to make rules and adopt a base payment rate. Exempts health insurance offered by OEBB and PEBB. Declares an emergency. (Flesch Readability Score: 64.1).</b>
[<i>Digest: The Act tells OHA to study health care. (Flesch Readability Score: 92.9).</i>]
[<i>Requires the Oregon Health Authority to study health care. Directs the authority to submit findings to the interim committees of the Legislative Assembly related to health not later than September 15, 2026.</i>]
[<i>Sunsets on January 2, 2027.</i>]
<b>Requires certain health insurers to reimburse the cost of primary care providers in an independent practice at the same rate as primary care providers within a hospital-based or hospital-affiliated system for the same services. Requires the Department of Consumer and Business Services to adopt rules and implement a benchmark Primary Care Fairness Rate. Exempts health insurance policies or certificates issued by the Public Employees' Benefit Board or the Oregon Educators Benefit Board.
<b>Declares an emergency, effective on passage.</b>
Relating to: Relating to health care; declaring an emergency.
Current location: In Senate Committee