Governor's budget invests in Medicaid and maternal health services for Oregon residents

The Oregon Joint Committee on Ways and Means Subcommittee on Human Services convened on February 3, 2025, to discuss critical updates and investments in the state's healthcare system, particularly in response to the ongoing impacts of the COVID-19 pandemic.

A significant focus of the meeting was on the state's Medicaid program, which has seen fluctuations in caseloads since the pandemic began. Prior to COVID-19, the caseload remained stable, but it surged during the pandemic due to a pause in terminations. As the state unwinds from these emergency measures, officials noted a gradual decrease in caseloads, although uncertainty remains regarding future forecasts.

The governor's budget proposal includes several key investments aimed at enhancing healthcare services across Oregon. These investments target various areas, including:

1. **Behavioral Health Compliance**: Ensuring that behavioral rehabilitation services meet federal requirements and improve specialty care.

2. **Disproportionate Share Hospital Program**: Supporting hospitals that serve low-income populations to maintain their operations.

3. **Graduate Medical Education**: Increasing residency opportunities in teaching hospitals to bolster the healthcare workforce.

4. **Maternity Care**: Addressing rising costs in maternity services, particularly in underserved regions of the state.

5. **OPAR System Improvements**: Enhancing the program's infrastructure and audit responses.

6. **Long-Term Care Worker Trust**: Expanding the workforce by nearly 2,000 workers to improve access to long-term care services.

The committee emphasized three main focus areas for the upcoming biennium: coverage expansion, leveraging federal funds through the 11 15 waiver program, and addressing the needs of the healthier Oregon population. These initiatives are designed to strengthen the state's healthcare system and ensure that vulnerable populations receive the necessary support and services.

As Oregon moves forward, these investments and strategic focus areas are expected to play a crucial role in shaping the future of healthcare access and quality for its residents.