HB 4127 Authorizes state taxes to pay for reproductive care – abortions

03/06/2026
HB 4127 VOTE: NO – PASSED
Gov Kotek signed 3-31-26

Status (overview) of bill:https://olis.oregonlegislature.gov/liz/2026R1/Measures/Overview/HB4127

AMENDMENT -3 Modifies the definition of “prohibited entity” to a nonprofit reproductive health care provider that received more than $800,000 in Medicaid reimbursements in 2023 and is not eligible to receive federal Medicaid funds. Expands “law” to include “rule, regulation, or other government action” and “enacted” to include “adopted
or taken.”

Bill Features:

  1. Adds a new section to ORS chapter 414, defining a “prohibited entity” as a nonprofit reproductive health care provider enrolled in the state medical assistance program but ineligible for federal Medicaid funds.
  2. Requires the Oregon Health Authority (OHA) to establish a fee-for-service payment mechanism for these entities using only state funds.
  3. Mandates that OHA conduct biennial rate analyses to ensure adequate reimbursement for reproductive health services.

Oregon has put out the welcome mat for free abortions. This will increase how many tax dollars will go to pay for in-state and out-of-state abortions.

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