OREGON

Overview

Oregon is a leader in promoting healthcare price transparency with a state-run APCD, Oregon All Payer All Claims Database (APAC), and comprehensive mandatory reporting statues for hospitals and other facilities (see 2017 use case document). Oregon is also experimenting with health delivery and payment reform, directing various state agencies to conduct studies on the feasibility of alternative health care delivery financing and coordinated care models that reward quality over volume of patients.

In 2019, the Oregon Legislature is focusing on fighting the rising cost of prescription drugs. With more than 25 bills introduced which touch on pharmaceuticals, Oregon is considering a wide range of solutions, including importing drugs wholesale from Canada (HB 2689), reviewing prices and establishing price caps (HB 2696), reimbursing patients for overly expensive drugs (HB 2424), and publishing drug plans (HB 2692). There is also a Democratic bill in the Senate which would establish a single payer system (SB 770), and a bill which prohibits surprise balance billing (HB 2701).

In the 2018 legislative term, Oregon enacted the “Prescription Drug Price Transparency Act” (HB4005), which is fairly similar to what has become law in a few other states. When the price of a medicine rises more than 10 percent, a drug maker must report the reasons to the Oregon Department of Consumer and Business Services, including information about cost of production, marketing and research. Manufacturers face civil penalties of up to $10,000 per day for failing to comply. In addition to mandating new disclosures by drugmakers and insurers, the new law creates a task force that will develop a strategy for greater transparency across the entire supply chain of pharmaceutical products.

State Action




2020 Legislative Session: 2/3/2020 - 3/8/2020 (2020 term). *Current session bill updates are ongoing. Check back weekly for updates.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
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Additional Resources

STATE BUDGET

Oregon operates on a biennial budget cycle. The biennium budget begins on July 1 of an odd-numbered year and ends on June 30 of the next odd-numbered year. The Governor submits a proposed budget in December and is expected to sign the budget at the end of June.

ANTITRUST ENFORCEMENT

  • Oregon was one of 16 states to file an amicus brief supporting the FTC’s winning position in the Ninth Circuit appeal of St. Luke’s Health Care Sys. v. FTC, No. 14-35173 (March 7, 2014), decided February 10, 2015. The States’ brief stated that the acceleration of health care costs due to the growth of large health care provider systems had become a matter of grave concern for the states.

KEY RESOURCES