Oregon 2026 Regular Session Status: Enacted Bipartisan · 7 D · 3 R cosponsors

HB 4156 — Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency.

Last action — Chapter 70, (2026 Laws): Effective date March 31, 2026.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 02, 2026. Enacted.

Signed by Governor Tina Kotek (Democratic) on March 31, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 10 sponsors

    4 primary, 6 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (7 D · 3 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage.

Bill Text

What changed in the latest version

117 added · 115 removed

Plain-language change summary

The bill HB 4156 has been updated to clarify the definitions and procedures related to emergency medical services reimbursement. Key changes include modifying the criteria for Medicaid supplemental reimbursements to ensure emergency medical service providers can receive necessary funding. This matters because it aims to improve the financial support for these providers, helping them deliver critical care more effectively and efficiently. Additionally, the declaration of an emergency suggests this change is urgent, highlighting the need for immediate improvement in emergency medical services funding.

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83rd OREGON LEGISLATIVE ASSEMBLY--2026 Regular Session A-Engrossed House Bill 4156 Ordered by the House February 16 Including House Amendments dated February 16 Sponsored by Representatives SMITH G, GRAYBER, BREESE-IVERSON, Senator FREDERICK;
83rd OREGON LEGISLATIVE ASSEMBLY--2026 Regular Session Enrolled House Bill 4156 Sponsored by Representatives SMITH G, GRAYBER, BREESE-IVERSON, Senator FREDERICK;
Representatives MUNOZ, PHAM H, RIEKE SMITH, Senator BROADMAN (Presession filed.) SUMMARY The following summary is not prepared by the sponsors of the measure and is not a part of the body thereof subject to consideration by the Legislative Assembly.
Representatives CATE, MUNOZ, PHAM H, RIEKE SMITH, Senators BROADMAN, SOLLMAN (Presession filed.) CHAPTER .................................................
It is an editor’s brief statement of the essential features of the measure.
AN ACT Relating to medical assistance reimbursement of emergency medical services;
The statement includes a measure digest written in compliance with applicable readability standards.
Digest:
The Act makes changes to the program for paying for GEMT services.
(Flesch Read- ability Score:
81.8).
Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers.
Declares an emergency, effective on passage.
A BILL FOR AN ACT Relating to medical assistance reimbursement of emergency medical services;
(3)(a) Except as provided in paragraph (b) of this subsection, the Medicaid supplemental re- NOTE:
(3)(a) Except as provided in paragraph (b) of this subsection, the Medicaid supplemental re- imbursement paid to an emergency medical services provider shall be equal to the amount of federal financial participation received by the authority for the provider’s cost for the emergency medical services.
Matter in boldfaced type in an amended section is new;
matter [italic and bracketed] is existing law to be omitted.
New sections are in boldfaced type.
LC 198 A-Eng.
HB 4156 imbursement paid to an emergency medical services provider shall be equal to the amount of federal financial participation received by the authority for the provider’s cost for the emergency medical services.
(4) An emergency medical services provider shall make readily available to the authority doc- umentation, data and certifications, as prescribed by the authority, necessary to establish that the emergency medical services expenditures qualify for federal financial participation and to calculate the amount of Medicaid supplemental reimbursement that is due.
Enrolled House Bill 4156 (HB 4156-A) Page 1 (4) An emergency medical services provider shall make readily available to the authority doc- umentation, data and certifications, as prescribed by the authority, necessary to establish that the emergency medical services expenditures qualify for federal financial participation and to calculate the amount of Medicaid supplemental reimbursement that is due.
As a condition of [partic- ipation in the intergovernmental transfer program] receiving the increased reimbursement de- scribed in subsection (1) of this section, an emergency medical services provider must [agree to pay [2] A-Eng.
As a condition of [partic- ipation in the intergovernmental transfer program] receiving the increased reimbursement de- scribed in subsection (1) of this section, an emergency medical services provider must [agree to pay a fee] enter into and comply with an agreement with the authority to reimburse the authority for the costs of administering the program.
HB 4156 a fee] enter into and comply with an agreement with the authority to reimburse the authority for the costs of administering the program.
(5) If the authority determines that any expenditure made by an emergency medical services provider does not qualify for federal financial participation, the authority shall return the funds as- sociated with the expenditure to the provider or [refuse to accept the transfer of funds associated with the expenditure] exclude the expenditure before submitting a request for federal financial participation.
(5) If the authority determines that any expenditure made by an emergency medical services provider does not qualify for federal financial participation, the authority shall return the funds associated with the expenditure to the provider or [refuse to accept the transfer of funds associated with the expenditure] exclude the expenditure before submitting a request for federal financial participation.
(6) Participation by any coordinated care organization or emergency medical services provider in the program must be voluntary.
Enrolled House Bill 4156 (HB 4156-A) Page 2 (6) Participation by any coordinated care organization or emergency medical services provider in the program must be voluntary.
[3]
Passed by House February 20, 2026 Received by Governor:
........................M.,........................................................., 2026 ...................................................Approved:......................
Timothy G.
Sekerak, Chief Clerk of House ........................M.,........................................................., 2026 ..................................................................................
Julie Fahey, Speaker of House ..................................................................................
Tina Kotek, Governor Passed by Senate March 3, 2026 Filed in Office of Secretary of State:
........................M.,........................................................., 2026 ..................................................................................
Rob Wagner, President of Senate ..................................................................................
Tobias Read, Secretary of State Enrolled House Bill 4156 (HB 4156-A) Page 3
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Amendments

1 amendment

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Chapter 70, (2026 Laws): Effective date March 31, 2026.

  2. Governor signed.

  3. President signed.

  4. Speaker signed.

  5. Third reading. Carried by Patterson. Passed.

  6. Carried over to 03-03 by unanimous consent.

  7. Second reading.

  8. Recommendation: Do pass the A-Eng. bill.

  9. Public Hearing and Work Session held.

  10. Referred to Health Care.

  11. First reading. Referred to President's desk.

  12. Third reading. Carried by Smith G. Passed.

  13. Rules suspended. Carried over to February 20, 2026 Calendar.

  14. Rules suspended. Carried over to February 19, 2026 Calendar.

  15. Second reading.

  16. Subsequent referral to Ways and Means rescinded by order of the Speaker.

  17. Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.

  18. Work Session held.

  19. Public Hearing held.

  20. Referred to Health Care with subsequent referral to Ways and Means.

  21. First reading. Referred to Speaker's desk.

Sponsors

Sponsorship breakdown

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4 sponsors · 6 co-sponsors · 80 not signed on

Sponsors (4)

Co-sponsors (6)

Not signed on (80)

80 members have not signed on to this bill.

Show all 80 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third reading. Carried by Patterson. Passed.

Passed 29 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 18000
Republican 11001
Total 29001
% of votes cast 97%0%0%3%
How each member voted (30)
Member Party Vote
Anthony Broadman Democrat Yea
Chris Gorsek Democrat Yea
Courtney Neron Misslin Democrat Yea
Deb Patterson Democrat Yea
Floyd Prozanski Democrat Yea
James Manning Jr. Democrat Yea
Janeen Sollman Democrat Yea
Jeff Golden Democrat Yea
Kate Lieber Democrat Yea
Kathleen Taylor Democrat Yea
Kayse Jama Democrat Yea
Khanh Pham Democrat Yea
Lew Frederick Democrat Yea
Lisa Reynolds Democrat Yea
Mark Meek Democrat Yea
Rob Wagner Democrat Yea
Sara Gelser Blouin Democrat Yea
Wlnsvey Campos Democrat Yea
Bruce Starr Republican Yea
Cedric Hayden Republican Yea
Christine Drazan Republican Yea
David Brock Smith Republican Yea
Diane Linthicum Republican Not Voting
Dick Anderson Republican Yea
Fred Girod Republican Yea
Kim Thatcher Republican Yea
Mike McLane Republican Yea
Noah Robinson Republican Yea
Suzanne Weber Republican Yea
Todd Nash Republican Yea

Official roll call →

Third reading. Carried by Smith G. Passed.

Passed 42 Yea · 0 Nay · 18 Other
Party YeaNayPresentNot Voting
Democrat 29006
Republican 110012
Unaffiliated 2000
Total 420018
% of votes cast 70%0%0%30%
How each member voted (60)
Member Party Vote
Lamar Wise — Yea
Matt Bunch — Yea
Andrea Valderrama Democrat Not Voting
Annessa Hartman Democrat Not Voting
April Dobson Democrat Yea
Ben Bowman Democrat Yea
Dacia Grayber Democrat Yea
Daniel Nguyen Democrat Yea
David Gomberg Democrat Yea
Emerson Levy Democrat Yea
Farrah Chaichi Democrat Yea
Hai Pham Democrat Yea
Jason Kropf Democrat Yea
John Lively Democrat Not Voting
Jules Walters Democrat Yea
Julie Fahey Democrat Yea
Ken Helm Democrat Yea
Lesly Muñoz Democrat Yea
Lisa Fragala Democrat Yea
Mari Watanabe Democrat Not Voting
Mark Gamba Democrat Yea
Nancy Nathanson Democrat Yea
Nathan Sosa Democrat Yea
Pam Marsh Democrat Yea
Paul Evans Democrat Yea
Ricki Ruiz Democrat Yea
Rob Nosse Democrat Yea
Sarah McDonald Democrat Yea
Shannon Isadore Democrat Yea
Sue Rieke Smith Democrat Yea
Susan McLain Democrat Yea
Tawna Sanchez Democrat Yea
Thuy Tran Democrat Not Voting
Tom Andersen Democrat Yea
Travis Nelson Democrat Not Voting
Willy Chotzen Democrat Yea
Zach Hudson Democrat Yea
Alek Skarlatos Republican Not Voting
Anna Scharf Republican Yea
Bobby Levy Republican Not Voting
Boomer Wright Republican Not Voting
Court Boice Republican Not Voting
Cyrus Javadi Republican Yea
Darcey Edwards Republican Yea
Darin Harbick Republican Yea
Dwayne Yunker Republican Not Voting
E. Werner Reschke Republican Yea
Ed Diehl Republican Not Voting
Emily McIntire Republican Yea
Gregory Smith Republican Yea
Jami Cate Republican Yea
Jeffrey Helfrich Republican Not Voting
Kevin Mannix Republican Yea
Kim Wallan Republican Not Voting
Lucetta Elmer Republican Yea
Mark Owens Republican Yea
Rick Lewis Republican Not Voting
Shelly Boshart Davis Republican Not Voting
Vikki Breese-Iverson Republican Not Voting
Virgle Osborne Republican Not Voting

Official roll call →

Subjects

public-safety healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 4156 do?
Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage.
Who sponsors HB 4156?
HB 4156 is sponsored by Janeen Sollman (Democrat), Jami Cate (Republican), Lesly Muñoz (Democrat), Hai Pham (Democrat), Anthony Broadman (Democrat), Lew Frederick (Democrat), Dacia Grayber (Democrat), Gregory Smith (Republican), Sue Rieke Smith (Democrat), and Vikki Breese-Iverson (Republican).
What is the current status of HB 4156?
This bill has been enacted into law. Introduced February 02, 2026. Enacted.
Where can I track HB 4156?
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