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Stakeholders debate SB 609 requiring higher minimum Medicaid reimbursement for primary care and other services
Summary
Senate Committee on Health Care heard testimony on Senate Bill 609 on Feb. 25, 2025, a proposal to set minimum Medicaid reimbursement rates for primary care, optometry, dental and behavioral health services to narrow the payment gap with commercial insurers.
Senate Committee on Health Care heard testimony on Senate Bill 609 on Feb. 25, 2025. The bill would require certain minimum reimbursement rates for services covered by the Oregon Health Plan (Medicaid) — notably increasing a conversion factor for primary care and optometry and setting floors for behavioral health and dental services tied to commercial reimbursement benchmarks — and would direct the Oregon Health Authority to seek federal approvals if needed.
Sponsor Senator Campos opened with a policy rationale: "The need for this bill is urgent. Access to primary care in Oregon is rapidly declining," she said, noting provider retirements, low reimbursement and administrative burdens that reduce the number of…
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