Senate Health Care committee sends three health-policy bills to the floor

Senate Committee on Health Care · February 25, 2026

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Summary

The committee moved three measures — HB 4107 A (urgent-care rules), HB 4039 A (CCO rate-setting transparency) and HB 4053 A (EMS program fund) — to the Senate floor with do-pass recommendations; most drew limited debate, though members raised provider protections and transparency concerns.

On Feb. 25 the Senate Health Care Committee advanced three work-session items to the Senate floor with "do pass" recommendations.

House Bill 4107 A: Staff summarized a measure requiring urgent-care centers to publish information about affiliation, operations and services both online and at their main public entrance; it requires centers to have a licensed health-care provider capable of delivering offered services during posted hours and to provide patient records to emergency departments when patients are referred. The committee voted to advance the bill and named Senator Hayden as carrier.

House Bill 4039 A: Miss Hart summarized a bill directing the Oregon Health Authority to establish a transparent, data-driven process for developing coordinated care organization (CCO) capitation rates, specifying required elements for rate development and directing preparation of a medical-assistance cost report prior to nonprocedural rulemaking. Committee members agreed on the concept but some, including Vice Chair Hayden, urged closer protections for providers — for example, medical-loss-ratio–style limits on administrative allocations — before the measure moves forward.

House Bill 4053 A: The committee reviewed a proposal to create an EMS program fund in the state treasury to support workforce development, training and innovation. Staff noted statutory committee-name changes and data-system timing adjustments; the measure would take effect Jan. 1 and was reported to have minimal fiscal impact. Senator Reynolds was asked to be carrier for this bill.

What happens next: each bill advances to the Senate floor for further consideration; sponsors and staff indicated some technical follow-up may be appropriate for provider protections and implementation details.