HB 4147 — Relating to medical assistance; prescribing an effective date.

83rd OREGON LEGISLATIVE ASSEMBLY--2026 Regular Session HOUSEA-Engrossed AMENDMENTSHouse TOBill HOUSE BILL 4147 ByOrdered COMMITTEEby ONthe RULESHouse February 26 OnIncluding pageHouse 1Amendments ofdated theFebruary printed26 bill,Sponsored lineby 2,Representatives deleteWALTERS, “creatingBOWMAN, newSenator provisions;PATTERSON, Representative NELSON, Senator GELSER BLOUIN;

amendingRepresentatives ORSANDERSEN, 657.665;”.EVANS, FRAGALA, GAMBA, GRAYBER, NATHANSON, RIEKE SMITH, TRAN, WISE, Senators CAMPOS, FREDERICK, GOLDEN, MEEK, PHAM K, PROZANSKI, REYNOLDS, TAYLOR (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.

DeleteIt linesis 5an througheditor’s 25brief andstatement deleteof pagesthe 2essential throughfeatures 8of andthe insert:measure.

“SECTIONThe 1.statement includes a measure digest written in compliance with applicable readability standards.

Digest:

The Act tells the Oregon Health Authority to create a report about large employers that have employees who get health care from the state.

Takes effect 91 days after the session ends.

(Flesch Readability Score:

66.3).

Requires the Oregon Health Authority to collaborate with the Department of Human Services and the Employment Department to submit an annual report that [identifies] provides information about employers that employ [50] 500 or more employees in this state and [that] have employees [or dependents of the employees] who are medical assistance recipients.

Takes effect on the 91st day following adjournment sine die.

A BILL FOR AN ACT Relating to medical assistance;

and prescribing an effective date.

Be It Enacted by the People of the State of Oregon:

SECTION 1.

“(1)(a)(1)(a) ‘Employee’“Employee” means any person, including noncitizens and minors, employed for remuneration or under any contract of hire, written or oral, express or implied, by an em- ployer.

“(b)(b) ‘Employee’“Employee” does not mean any person who volunteers or donates services performed for no remuneration or without expectation or contemplation of remuneration as the ade- quate consideration for the services performed for a religious or charitable institution or a governmental entity.

“(2)(a)(2)(a) ‘Employer’“Employer” means a person who employs 500 or more employees in this state.

“(b)(b) ‘Employer’“Employer” does not mean a tribal government.

“(3)(3) ‘Medical“Medical assistance’assistance” has the meaning given that term in ORS 414.025.

“(4)(4) ‘Medical“Medical assistance recipient’recipient” means a recipient of medical assistance from any pro- gram operated by the Oregon Health Authority, including the Cover All People program es- tablished in ORS 414.231.

“(5)(5) ‘Protected“Protected health information’information” has the meaning given that term in ORS 192.556.

“(6)(6) ‘Tribal“Tribal government’government” means:

“(a)(a) A tribal government as defined in ORS 181A.940;

or “(b)(b) A federally recognized Indian tribe.

“SECTIONSECTION 2.

(1) Not later than June 30 of each year, the Oregon Health Authority, in collaboration with the Department of Human Services and the Employment Department, shallNOTE: submit a report to the interim committees of the Legislative Assembly related to health care, in the manner provided by ORS 192.245, and to the Legislative Fiscal Officer, that in- cludes the following information for the preceding state fiscal year:

“(a)Matter Aggregatedin statewideboldfaced informationtype regarding:in an amended section is new;

“(A)matter The[italic totaland numberbracketed] ofis medicalexisting assistancelaw recipientsto whobe areomitted. employees;

“(B)New Thesections total number of medical assistance recipients who are employees,in distributedboldfaced by:type.

“(i)LC Employer65 size;A-Eng.

“(ii)HB Employer4147 industry;shall submit a report to the interim committees of the Legislative Assembly related to health care, in the manner provided by ORS 192.245, and to the Legislative Fiscal Officer, that in- cludes the following information for the preceding state fiscal year:

and(a) “(iii)Aggregated Employerstatewide region;information regarding:

and(A) “(C) The costtotal number of providing medical assistance torecipients employees.who are employees;

“(b)(B) ForThe statetotal fiscal years beginning on or after July 1, 2028, analysis of statewide trends related to the number of medical assistance recipients who are employees, asdistributed comparedby: to LC 65/HB 4147-8 earlier years.

“(c)(i) ForEmployer eachsize; of the 20 employers with the highest total number of employees who are medical assistance recipients:

“(A)(ii) AEmployer descriptionindustry; of the industry in which the employer does business in this state, us- ing the North American Industry Classification System code associated with the employer;

“(B)and The(iii) totalEmployer numberregion; of medical assistance recipients who are employees of the em- ployer;

and “(C)(C) The cost of providing medical assistance to theemployees. employees of the employer.

“(2)(b) AFor reportstate requiredfiscal underyears thisbeginning section:on or after July 1, 2028, analysis of statewide trends related to the number of medical assistance recipients who are employees, as compared to earlier years.