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83rd OREGON LEGISLATIVE ASSEMBLY--2025 Regular Session
A-Engrossed
Senate Bill 691
Ordered by the Senate April 10
Including Senate Amendments dated April 10
Sponsored by Senator REYNOLDS, Representatives GRAYBER, NERON, Senator PATTERSON, Representative
WALLAN; Senators ANDERSON, GELSER BLOUIN, Representative NELSON (Presession filed.)
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. The statement includes a measure digest written in compliance with applicable readability standards.
Digest: The Act tells OHA to give some moneys to an OHSU entity that helps get better
maternal and neonatal health care. The Act also says OHA and a CCO have to pay for some
peer delivered services and for some hospital services. (Flesch Readability Score: 62.6).
[Digest: The Act tells OHA to give some moneys to an OHSU entity that helps get better maternal
and neonatal health care.The Act also says OHA and a CCO have to pay for peer support specialist
services and some hospital services.(Flesch Readability Score: 60.1).]
Directs the Oregon Health Authority to distribute moneys to an entity within the Oregon Health
and Science University that advocates for improved maternal and neonatal outcomes. Requires the
authority and a coordinated care organization to [provide reimbursement for services provided by a
peer support specialist] reimburse the costs of covered peer delivered services, regardless of the
clinical setting in which services are provided, and for inpatient hospital services provided to spec-
ified individuals.
Takes effect on the 91st day following adjournment sine die.
A BILL FOR AN ACT
Relating to health care; and prescribing an effective date.
Be It Enacted by the People of the State of Oregon:
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 de-
scribed in this subsection not later than November 1, 2025.
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 2632 A-Eng. SB 691
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(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 be-
ginning 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
chapter414.
SECTION 4.The Oregon Health Authority and a coordinated care organization shall re-
imburse 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 re-
imburse 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.
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