Oregon Department of Human Services launches Medically Involved Home-Care Program

Oregon's Senate Bill 909, introduced on April 18, 2025, aims to enhance support for medically involved children by expanding access to home and community-based services. This legislation addresses the critical need for families to care for children with complex medical needs at home, thereby reducing the risk of institutional placements.

The bill establishes the Medically Involved Home-Care Program within the Department of Human Services, which will provide essential services such as home nursing care, durable medical equipment, and respite care. These services are designed to stabilize medically involved children and support their families, ensuring that care can be provided in a familiar environment rather than in institutional settings.

Key provisions of SB 909 include criteria for determining eligibility for assistance, which will consider the medical needs of the child, the needs of other family members with disabilities, and the available family and community support. Priority enrollment will be given to children transitioning from institutional care, those at risk of out-of-home placements, and those who do not qualify for medical assistance but require significant family support payments.

The bill has sparked discussions among lawmakers and advocacy groups, with supporters highlighting its potential to improve the quality of life for families facing the challenges of caring for medically complex children. However, some concerns have been raised regarding the adequacy of funding and resources to meet the anticipated demand for services.

If passed, SB 909 could significantly impact Oregon's healthcare landscape by promoting family-centered care and potentially reducing state expenditures on institutional placements. The Oregon Health Authority is tasked with seeking federal approval for the program by January 1, 2026, marking a critical step in the implementation process.

As the bill progresses through the legislative process, its outcomes will be closely monitored by stakeholders invested in the welfare of children with medical needs and their families, underscoring the importance of accessible healthcare solutions in the community.