Oregon Consumer Justice advocates for regulation of healthcare sharing ministries

The House Committee on Behavioral Health and Health Care convened on May 29, 2025, to discuss critical issues surrounding healthcare access and regulation in Oregon. The meeting featured testimony from Angela Donnelly, representing Oregon Consumer Justice, who advocated for House Bill 2268 (HB 2268), aimed at increasing oversight of healthcare sharing ministries (HCSMs).

Donnelly emphasized that access to healthcare is a fundamental human right and expressed concern over HCSMs operating without adequate regulation. She highlighted that these entities do not adhere to the same standards as traditional health insurance, which can leave consumers vulnerable to misleading practices and financial hardship. In 2024, nearly 75% of Oregonians reported difficulties affording healthcare, often delaying necessary treatments due to costs. Donnelly argued that HB 2268 would enhance transparency and accountability by requiring HCSMs to register and disclose essential information, thereby protecting consumers from deceptive practices.

Committee members engaged in a discussion about the recruitment practices for HCSMs, noting that brokers often receive higher commissions for enrolling individuals in these ministries compared to Affordable Care Act (ACA) compliant plans. This financial incentive can lead to misleading marketing and confusion among consumers seeking healthcare coverage.

Representative Harbeck raised questions about the tracking of complaints against HCSMs, revealing that the lack of regulatory oversight makes it challenging to address consumer grievances effectively. The committee acknowledged the need for a clearer understanding of the implications of HCSMs and the potential risks they pose to consumers.

As the meeting progressed, members expressed interest in hearing from representatives of HCSMs to gain a balanced perspective on the issue. The discussions underscored the ongoing challenges in ensuring equitable healthcare access and the importance of regulatory measures to protect consumers in Oregon.

The committee concluded the session with a commitment to further explore the implications of HB 2268 and the broader landscape of healthcare options available to Oregonians, signaling a continued focus on improving healthcare equity and accountability in the state.