Legislation: batch D — NY OH OK OR PA RI SC SD TX UT

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/or/2026r1/hb-4156.md

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+---
+type: "Bill"
+title: "Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency."
+description: "Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage."
+jurisdiction: "us/states/or"
+legislature: "Oregon Legislative Assembly"
+session: "2026R1"
+identifier: "HB 4156"
+citation: "Oregon HB 4156 (2026R1)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Dacia Grayber", "Gregory Smith", "Lew Frederick", "Vikki Breese-Iverson"]
+version_count: 5
+action_count: 21
+vote_count: 4
+first_action: "2026-02-02T16:50:03+00:00"
+last_action: "2026-04-06T17:33:05+00:00"
+source: "openstates"
+source_identifier: "ocd-bill/df8407de-9f17-4b39-aeef-900e7505c34c"
+source_url: "https://olis.oregonlegislature.gov/liz/2026R1/Measures/Overview/HB4156"
+source_hash: "61a880256fbd670b7eaff66e3b8a7f33ae4b11b4a509767835246f0819261e50"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-or"]
+---
+
+# Oregon HB 4156 (2026R1) — Relating to medical assistance reimbursement of emergency medical services; and declaring an emergency.
+
+Modifies the requirements for Medicaid supplemental reimbursements paid to emergency medical services providers. Declares an emergency, effective on passage.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **House Amendments to Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4156/House%20Amendments%20to%20Introduced)
+2. **Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4156/Introduced)
+3. **A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4156/A-Engrossed)
+4. **HHC Amendment -2** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30389)
+5. **Enrolled** (enrolled) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4156/Enrolled)
+
+## Votes
+
+- Third reading. Carried by Smith G. Passed. — **42–0** (pass) · lower
+- Heard and Reported Out with Amendments — **8–0** (pass) · lower
+- Third reading. Carried by Patterson. Passed. — **29–0** (pass) · upper
+- Heard and Reported Out — **5–0** (pass) · upper
+
+## Sponsors
+
+- Dacia Grayber — primary (person)
+- Gregory Smith — primary (person)
+- Lew Frederick — primary (person)
+- Vikki Breese-Iverson — primary (person)
+- Anthony Broadman — cosponsor (person)
+- Hai Pham — cosponsor (person)
+- Jami Cate — cosponsor (person)
+- Janeen Sollman — cosponsor (person)
+- Lesly Muñoz — cosponsor (person)
+- Sue Rieke Smith — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2026-02-02T16:50:03+00:00** First reading. Referred to Speaker's desk. `introduction, reading-1, referral-committee`
+- **2026-02-02T17:51:51+00:00** Referred to Health Care with subsequent referral to Ways and Means. `referral-committee`
+- **2026-02-05T23:01:00+00:00** Public Hearing held.
+- **2026-02-12T23:02:00+00:00** Work Session held.
+- **2026-02-16T23:32:20+00:00** Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded. `committee-passage-favorable`
+- **2026-02-16T23:32:21+00:00** Subsequent referral to Ways and Means rescinded by order of the Speaker.
+- **2026-02-17T22:09:36+00:00** Second reading. `reading-2`
+- **2026-02-19T01:40:31+00:00** Rules suspended. Carried over to February 19, 2026 Calendar.
+- **2026-02-19T20:48:23+00:00** Rules suspended. Carried over to February 20, 2026 Calendar.
+- **2026-02-20T18:32:45+00:00** Third reading. Carried by Smith G. Passed. `passage, reading-3`
+- **2026-02-20T21:49:18+00:00** First reading. Referred to President's desk. `introduction, reading-1, referral-committee`
+- **2026-02-20T22:59:40+00:00** Referred to Health Care. `referral-committee`
+- **2026-02-25T23:02:00+00:00** Public Hearing and Work Session held.
+- **2026-02-27T17:42:13+00:00** Recommendation: Do pass the A-Eng. bill. `committee-passage-favorable`
+- **2026-02-27T20:49:42+00:00** Second reading. `reading-2`
+- **2026-03-02T22:05:10+00:00** Carried over to 03-03 by unanimous consent.
+- **2026-03-03T20:22:00+00:00** Third reading. Carried by Patterson. Passed. `passage, reading-3`
+- **2026-03-04T18:52:04+00:00** Speaker signed. `passage`
+- **2026-03-05T16:38:22+00:00** President signed. `passage`
+- **2026-03-31T21:07:00+00:00** Governor signed. `executive-signature`
+- **2026-04-06T17:33:05+00:00** Chapter 70, (2026 Laws): Effective date March 31, 2026.
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/df8407de-9f17-4b39-aeef-900e7505c34c`. Confidence: reported (aggregated from official Oregon legislature records).
+