SB 28 Oregon Senate · 2025 Regular Session

Relating to health care; declaring an emergency.

Summary

] [ 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. ] [ Sunsets on January 2, 2027. ] 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. Declares an emergency, effective on passage.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 13, 2025 Last action Jun 28, 2025

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What changed between versions

Introduced → A-Engrossed · 6 edits

MODERATE

SB 28 was amended to expand its scope from a simple study of health care to a substantive law requiring health insurers to reimburse independent primary care providers at the same rates as hospital-based providers. The bill now establishes a benchmark reimbursement rate, defines key terms, and exempts certain public employee benefit boards.

Scope change

The bill changed from a study requirement to an active reimbursement mandate with specific definitions and exemptions.

SCOPE

Changed the bill's purpose from requiring OHA to study health care to mandating that health insurers pay independent primary care providers the same reimbursement rates as hospital-based providers.

DEFINITION

Added new definitions for 'hospital-based or hospital-affiliated provider', 'independent practice', 'primary care provider', and 'primary care services' to clarify the law's application.

REQUIREMENT

Added requirements for the Department of Consumer and Business Services to adopt rules establishing a 'Primary Care Fairness Rate' based on hospital reimbursement data.

ELIGIBILITY

Added exemptions for health insurance policies issued by the Public Employees' Benefit Board and the Oregon Educators Benefit Board.

TIMELINE

Removed the sunset date of January 2, 2027, and added an emergency declaration effective on passage.

TECHNICAL

Updated the bill title to reflect the new provisions, added 'Whereas' clauses providing justification for the legislation, and changed the readability score from 92.9 to 64.1.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jun 28, 2025

Upper · Passed

In committee upon adjournment.

upper

Apr 15, 2025

Committee

Referred to Ways and Means by order of the President.

upper

Apr 15, 2025

Upper · Passed

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

upper

Jan 17, 2025

Committee

Referred to Health Care.

upper

Jan 13, 2025

Introduced

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

upper

2 primary · 0 co-sponsors