HB 3092
Requires the Oregon Educators' Benefit Board to count payments made by or on behalf of an enrollee for the cost of certain prescription drugs when calculating the enrollee's contribution to an out-of-pocket maximum, deductible, copayment, coinsurance or other required cost-sharing for the drugs.
Jurisdiction
Oregon
Session
2025 Regular Session
Committee
Behavioral Health and Health Care
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Sign in to take actionPublic sentiment
Support
67%
Oppose
33%
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill requires the Oregon Educators' Benefit Board (OEBB) to include payments made by third parties, such as coupons or discounts, when calculating an enrollee’s out-of-pocket costs for prescription drugs. Specifically, it amends existing law to ensure that these payments are counted toward the enrollee’s maximum out-of-pocket expenses, deductible, copayment, coinsurance, or other required cost-sharing. The changes will take effect 91 days after the end of the legislative session.
Key provisions
- The Oregon Educators' Benefit Board (OEBB) must count payments for prescription drugs made by or on behalf of an enrollee.
- These payments include coupons and discounts offered by third parties.
- The changes apply to benefit plans issued on or after October 1, 2025.
- The bill amends Oregon Revised Statutes (ORS) 243.877.
- The bill references specific Oregon laws related to health benefit plan coverage.
- The effective date of the bill is 91 days after the adjournment sine die of the 2025 legislative session.
Who is affected
- Oregon Educators Benefit Board (OEBB) enrollees
- Individuals enrolled in health benefit plans offered by the OEBB
- Prescription drug users
Notable changes
- The bill expands the calculation of out-of-pocket costs to include payments from third-party sources.
- It clarifies that OEBB must account for coupons and discounts when determining an enrollee’s cost-sharing responsibilities.
Sponsors
Official sponsors from legislative records.
Primary sponsors
Emerson Levy
Arguments in favor
Reasons to support this legislation.
Supporters of the bill argue that it would alleviate financial burdens on Oregonians struggling to access necessary medication, particularly those with chronic conditions such as bleeding disorders. By allowing insurance copay assistance to be applied towards annual deductibles, patients can better afford their medications and reduce reliance on emergency room care. This legislation aims to address the issue of unaffordable specialty drugs by counting patient assistance funds towards deductibles and out-of-pocket maximums, ultimately improving health outcomes and reducing healthcare costs.
Source: Testimony Summaries
Arguments opposed
Reasons to oppose this legislation.
Opponents of HB 3092 express concerns that the proposed legislation could disproportionately affect educators, who may be forced to pay for prescription medication at an accelerated rate due to changes in how out-of-pocket maximums are calculated. According to testimony from the Oregon Education Association, this change could result in educators reaching their cost-sharing limits sooner, potentially leading to increased financial burdens. Additionally, some that this provision would unfairly target vulnerable populations, such as low-income educators who may already struggle to afford basic necessities.
Source: Testimony Summaries