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83rd OREGON LEGISLATIVE ASSEMBLY--2025 Regular Session
House Bill 2560
Introduced and printed pursuant to House Rule 12.00. Presession filed (at the request of Governor Tina Kotek for
Department of Human Services)
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. It is an editor’s brief statement of the essential features of the
measure as introduced.The statement includes a measure digest written in compliance with applicable readability
standards.
Digest: The Act tells ODHS to find a new way of paying AFH providers. (Flesch Readability
Score:89.5).
Directs the Department of Human Services to restructure its rate methodology for payments to
adult foster home providers by January 1, 2026.
Declares an emergency, effective on passage.
A BILL FOR AN ACT
Relating to payments to adult foster home providers; and declaring an emergency.
Be It Enacted by the People of the State of Oregon:
SECTION 1. (1) As used in this section:
(a) “Add-on payment” means an amount paid by the Department of Human Services to
an adult foster home provider, in addition to a base rate, for an individual residing in the
adult foster home who:
(A) Requires full assistance in mobility, eating or toileting;
(B) Demonstrates behavior that poses a risk to the individual or to others, and the adult
foster home provider must consistently intervene to supervise or redirect the resident;
(C) Requires daily observation and monitoring of medical treatment, with oversight by a
licensed health care professional at least quarterly, and the provider has staff members who
are trained to provide, and are providing, the daily observation and monitoring of medical
treatment;or
(D) Meets other criteria adopted by the department by rule.
(b) “Adult foster home” means an adult foster home, as defined in ORS 443.705, that is
licensed according to rules adopted by the department under ORS 443.734 (1)(a) or (b).
(c) “Base rate” means the room and board standard rate paid by the department to an
adult foster home provider for an individual residing in the adult foster home.
(d) “Exceptional payment” means a service payment that is made by the department to
an adult foster home provider for a resident who requires additional hours of services that
are not paid for by the base rate or add-on payments.
(e) “Service payment” means an amount paid by the department for a resident of an
adult foster home that is based on the resident’s level of impairment and need for services.
(2) No later than January 1, 2026, the department shall restructure the rate methodology
for payments to adult foster home providers by increasing base rates and adopting an
acuity-based payment method that reduces the need for exceptional payments.
SECTION 2. No later than February 1, 2026, the Department of Human Services shall
NOTE: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 357 HB2560
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report to the interim committees of the Legislative Assembly related to health, in the man-
ner provided in ORS 192.245, on the adoption of a new rate structure for adult foster home
providers in accordance with section 1 of this 2025 Act.
SECTION 3. Sections 1 and 2 of this 2025 Act are repealed on January 2, 2027.
SECTION 4.This 2025 Act being necessary for the immediate preservation of the public
peace, health and safety, an emergency is declared to exist, and this 2025 Act takes effect
on its passage.
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