Relating to children with complex needs; declaring an emergency.
Summary
[ Directs the Oregon Health Authority to provide flexible and innovative home and community-based services and supports through the medical assistance program to children and youth that have a serious emotional disturbance. ] Directs the Oregon Health Authority and the Department of Human Services to disregard parental income when determining a child's eligibility for medical assistance if the child has a physical disability or chronic illness that requires a hospital or nursing home level of care [ or the child meets the level of care criteria for admission to a facility providing psychiatric services to individuals under 21 years of age. Directs the authority or the department to notify the parents of a child found eligible for medical assistance based on a disregard of parental income that the disregard constitutes parental consent for an education provider to be notified that the child receives medical assistance and to bill for the cost of school-based health services ]. Directs the authority to prescribe the level of care criteria for admission to a facility providing psychiatric services to individuals under 21 years of age. Provides that individuals who meet those criteria are eligible for medical assistance. Directs the authority to seek any necessary federal approval. Becomes operative on the date that notice of federal approval is received. Declares an emergency, effective on passage.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 21, 2025
Last action Jun 28, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
A-Engrossed
·
5 edits
MODERATE
This bill was amended to clarify how Oregon determines eligibility for Medicaid services for children with serious emotional disturbances. The changes simplify the language, remove some specific service examples, and adjust how parental income is treated for eligibility purposes.
Scope change
The bill now focuses more narrowly on income disregard rules and level of care criteria for psychiatric facilities, removing some previously listed service examples.
ELIGIBILITY
The definition of 'serious emotional disturbance' was removed entirely from the bill text.
The age threshold for disregarding parental income was changed from under 18 to under 21 for psychiatric facility admission criteria.
REQUIREMENT
New requirement added directing the Oregon Health Authority to prescribe level of care criteria for psychiatric facilities serving individuals under 21.
Specific examples of services (case management, job coaching, etc.) were removed from the summary section.
TIMELINE
The effective date changed from immediate passage to when federal approval is received.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
9
Key actions
2
Committee
4
Jun 28, 2025
Upper · Passed
In committee upon adjournment.
upper
Apr 18, 2025
Committee
Referred to Ways and Means by order of the President.
upper
Apr 18, 2025
Upper · Passed
Recommendation: Do pass with amendments and be referred to Ways and Means. (Printed A-Eng.)
upper
Jan 21, 2025
Committee
Referred to Human Services.
upper
Jan 21, 2025
Introduced
Introduction and first reading. Referred to President's desk.
upper
2 primary · 0 co-sponsors
Sponsors
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