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Oregon health officials outline HR1 effects: up to $490M federal cuts and work‑requirement rollout
Summary
Oregon Health Authority officials told a legislative subcommittee that HR1 could reduce federal Medicaid funding by an estimated $665 million this biennium (net $490 million after adjustments), upend eligibility with work requirements starting Dec. 31, 2026, and risk coverage losses for hundreds of thousands of people while the state refines implementation plans.
Oregon Health Authority officials on Sept. 29 told the Interim Joint Subcommittee on Human Services that federal changes in HR1 will require substantial policy, IT and implementation work and could sharply reduce federal funding to state health programs.
"We estimated, around approximate up to 200,000 people may lose coverage as a result of the work requirements once and, redetermination policies once fully implemented," said Emma Sando, Medicaid director for OHA. Rochelle Layton, OHA chief financial officer, said OHA is using Department of Administrative Services federal estimates and currently projects total federal cuts in this biennium of about $665,000,000 and a net reduction of $490,000,000 after adjustments.
Why it matters: OHA said the policy changes will affect the Medicaid expansion population (adults age 19–64 newly eligible under expansion), who are currently estimated at roughly 700,000 people in Oregon, and could reduce enrollment…
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