State Policy · OR
Oregon Medicaid Enrollees Face New Requirements Under HR1 Starting January 2027
Oregon Health Plan enrollees will be subject to new eligibility requirements beginning January 2027 under the One Big Beautiful Bill Act (HR1). The federal legislation mandates a slate of new requirements for Medicaid beneficiaries that Oregon must implement. The changes take effect in approximately six months. Oregon Medicaid agencies and managed care plans will need to modify systems, processes, and beneficiary communications to comply with the federal mandate.
Why it mattersOregon's Medicaid agency and contracted health plans must prepare operational changes to enrollment, eligibility verification, and member outreach within six months to meet federal compliance deadlines.