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Oregon officials lay out HR1 implementation timeline and warn of large administrative and coverage impacts
Summary
OHA told lawmakers HR1 would impose Medicaid work requirements and other eligibility changes affecting about 700,000 people in the expansion group, with implementation steps (including redeterminations and copayments) and potential administrative strain; the agency emphasized exemptions and federal guidance needs.
Oregon Health Authority staff told the House Interim Committee on Healthcare that federal legislation known as HR1 will require substantial changes to state Medicaid operations and could lead to large numbers of disenrollments if not implemented carefully. "There are about 700,000 folks in Oregon in the Medicaid expansion eligibility group," agency staff told the committee when outlining who would be affected.
OHA explained the core requirement: beginning Dec. 31, 2026 (the agency’s assumed implementation date), adults in the expansion group will generally need to document either 80 hours of work per month or qualifying community engagements (job search, community service, training) or qualify under detailed exemptions. Staff listed exempt groups:…
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