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Bill

SB 846

Relating to health care of children served by coordinated care organizations.

2025 Regular Session

SB 846 establishes new health care service requirements for Oregon's coordinated care organizations serving Medicaid-enrolled children, effective January 1, 2026.

Effective date, January 1, 2026.
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Bill Summary · SB 846

Legislative bill overview

SB 846 modifies Oregon's requirements for coordinated care organizations (CCOs)—entities that manage health care delivery for Oregon Health Plan members—regarding pediatric health care services. The bill establishes new standards or requirements for how CCOs must serve children in the state's Medicaid program. The measure became law in May 2025 and takes effect January 1, 2026.

Why is this important

CCOs serve hundreds of thousands of Oregon children through the Oregon Health Plan, making their operational requirements directly affect access to pediatric care for low-income families. Changes to CCO standards can influence service availability, quality metrics, provider networks, and health outcomes for vulnerable children. This delayed effective date (January 1, 2026) gives CCOs several months to adjust administrative and clinical processes.

Potential points of contention

  • Implementation burden: CCOs may face increased compliance costs or operational complexity if new requirements demand structural changes, potentially affecting service delivery timelines
  • Scope ambiguity: Without bill text details, the specific pediatric care standards are unclear—whether they involve mental health, preventive care, specialty referrals, or other services affects stakeholder concerns differently
  • Provider network adequacy: Changes could require CCOs to expand pediatric provider networks or modify reimbursement structures, potentially creating friction with existing health care providers

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

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