This bill establishes a grant program to provide payments to reproductive health providers ineligible for federal Medicaid funds.

This bill amends Oregon’s existing shield law, adding new restrictions on extradition of individuals sought by other states for providing legally protected reproductive health and gender affirming care, prohibits employees or agents of public bodies from cooperating with federal or out-of-state investigations of legally protected reproductive or gender affirming health care, prohibits officers associated with the state’s medicaid program from providing individually identifiable information, creates exceptions for licensing penalties when related to providing legally protected reproductive or gender affirming care, and creates additional protections relating to gender affirming care.

This state plan amendment carves out selected high-cost drugs and long acting reversible contraceptive (LARC) devices from the DRG reimbursement for hospitals and use actual acquisition cost.

This bill updates state law on network adequacy, including by directing the Department of Consumer and Business Services (DCBS) to adopt standards to evaluate networks for all covered services, including services for reproductive health care.

The Oregon Health Authority issued an Permanent Administrative Order which amended the Reproductive Health Program requirements and coverage. The order clarifies the scope of the Reproductive Health Equity Act (RHEA), which covers services, drugs, devices, and procedures related to reproductive health, and provides additional details relating to coverage of contraceptive devices, clinically indicated follow-ups for the contraceptive method, abortion services including medication abortion, and non-emergency transportation to appointments for care.