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83rd OREGON LEGISLATIVE ASSEMBLY--2025 Regular Session
SENATE AMENDMENTS TO
SENATE BILL 691
By COMMITTEE ON EARLY CHILDHOOD AND BEHAVIORAL HEALTH
April 10
On page 1 of the printed bill, line 2, after “care” insert “; and prescribing an effective date”.
Delete lines 4 through 27 and delete page 2 and insert:
“SECTION 1. (1) The Oregon Health Authority shall distribute moneys to the Oregon
Health and Science University for the purpose of supporting an entity within the Oregon
Health and Science University that advocates for improved maternal and neonatal outcomes
through collaboration, implementation of evidence-based practices and policy change in this
state. The entity shall provide coordination and technical assistance to existing and new sites
that provide perinatal care and substance use disorder treatment for individuals who have
substance use disorder and are pregnant or parents of infants.
“(2) The authority may provide grants to existing sites, as described in subsection (1) of
this section, for the purpose of providing continued support for the existing sites.
“(3)(a) The authority may provide grants to new sites, as described in subsection (1) of
this section. In providing grants under this subsection, the authority shall collaborate and
enter into a memorandum of understanding with the entity described in subsection (1) of this
section to support a new site that receives a grant under this subsection. The memorandum
of understanding must specify that the authority is responsible for the administration and
provision of grants under this subsection and the entity is responsible for providing technical
assistance and operational coordination support to the new sites.
“(b) The authority and the entity shall enter into the memorandum of understanding
described in this subsection not later than November 1, 2025.
“(4) Not later than December 1, 2026, the authority shall submit a report in the manner
provided in ORS 192.245 to the interim committees of the Legislative Assembly related to
perinatal health. The report must include recommendations for legislation to support and
expand programs that provide the services described in subsection (1) of this section. In
preparing the report, the authority may collaborate with and utilize data from the entity
described in subsection (1) of this section.
“SECTION 2. There is appropriated to the Oregon Health Authority, for the biennium
beginning July 1, 2025, out of the General Fund, the amount of $6,500,000 for the purpose of
carrying out the provisions of section 1 of this 2025 Act. Of the moneys appropriated under
this section:
“(1) $500,000 may be used for the purposes described in section 1 (1) of this 2025 Act;
“(2) $5,000,000 may be used for the purposes described in section 1 (2) of this 2025 Act;
and
“(3) $1,000,000 may be used for the purposes described in section 1 (3) of this 2025 Act.
“SECTION 3. Sections 4 and 5 of this 2025 Act are added to and made a part of ORS
LC 2632/SB 691-1 1
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chapter414.
“SECTION 4. The Oregon Health Authority and a coordinated care organization shall
reimburse the costs of covered peer delivered services provided to recipients of medical as-
sistance, regardless of the clinical setting in which the services were provided.
“SECTION 5. The Oregon Health Authority and a coordinated care organization shall
reimburse hospitals for the costs of:
“(1) Inpatient hospital services that are provided, for as long as medically necessary and
medically appropriate, to a recipient of medical assistance at any gestational age during
pregnancy for the purposes of stabilization and medication induction for opioid use disorder;
and
“(2) Inpatient hospital services that are provided, for as long as medically necessary and
medically appropriate, to a recipient of medical assistance after delivery of an infant for the
purposes of medication management for substance use disorder, care coordination, social
work support, breastfeeding support and initiation of family-infant bonding.
“SECTION 6.Sections 4 and 5 of this 2025 Act apply to contracts between a coordinated
care organization and the Oregon Health Authority entered into, amended or renewed on or
after January 1, 2026.
“SECTION 7. The Oregon Health Authority may seek any necessary approval from the
Centers for Medicare and Medicaid Services to carry out sections 1, 4 and 5 of this 2025 Act.
“SECTION 8.This 2025 Act takes effect on the 91st day after the date on which the 2025
regular session of the Eighty-third Legislative Assembly adjourns sine die. ”.
SA to SB 691 Page 2