Extends Oregon Reinsurance Program and authorizes Department of Consumer and Business Services to request extension of waiver for state innovation. Authorizes department to change attachment point or coinsurance rate for program under specified conditions. Extends to 2026 and increases to two percent assessment on earnings from health plan premiums and payments by Oregon Health Authority to managed care organizations and includes health care stop loss coverage as subject to assessment. Temporarily increases net reimbursement guaranteed to Oregon Health and Science University for costs of services paid for with Medicaid funds. Extends assessment on hospitals to 2025.