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Bill

HB 2205

Relating to coordinated care organization contracts.

2025 Regular Session

HB 2205 modifies Coordinated Care Organization contract requirements in Oregon, affecting Medicaid coverage standards for approximately one million residents starting January 1, 2026.

Chapter 320, (2025 Laws): Effective date January 1, 2026.
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Bill Summary · HB 2205

Legislative bill overview

HB 2205 modifies Oregon's regulations governing contracts between the state and Coordinated Care Organizations (CCOs), which are regional health plans that manage care for Oregon Health Plan (Medicaid) members. The bill establishes new requirements or standards for how these organizations structure and operate their contractual agreements with the state healthcare system.

Why is this important

CCOs serve as the primary delivery mechanism for Medicaid coverage to approximately one million Oregon residents, making contract terms directly affect healthcare access, quality, and costs for vulnerable populations. Changes to CCO contract requirements can influence provider networks, payment rates, quality metrics, and ultimately the financial viability of both the organizations and healthcare providers they work with.

Potential points of contention

  • Provider compensation impacts: New contract requirements could affect how CCOs reimburse hospitals, clinics, and individual providers, potentially creating tension between maintaining network adequacy and controlling costs
  • Administrative burden: Modified contractual standards may increase compliance costs for CCOs, which could be passed along through higher premiums or reduced services
  • Member access concerns: Stricter or different contract terms could influence which providers participate in networks or how quickly CCOs can adapt to changing healthcare needs in their regions

Compiled from official sources — confirm details with the bill’s official record.

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