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Debate over dash-27 amendment to HB 4040 exposes split between industry and patient advocates on prior authorization

Oregon House Committee on Healthcare · February 10, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Witnesses and advocates differed over HB 4040 dash-27: industry witnesses said technical implementation problems require preserving current access via the amendment; the National Alliance on Mental Illness urged rejection, saying dash-27 would undo carefully negotiated safeguards from 2021.

At a Feb. 10 hearing on House Bill 4040, proponents and opponents sparred over a late-filed dash-27 amendment that would change prior-authorization rules for certain mental health medications in Medicaid.

Anne Murray of Bristol Myers Squibb told the committee the amendment would effectively restore longstanding open-access practice after the Oregon Health Authority told…

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