---
type: "Bill"
title: "Relating to insurance; and declaring an emergency."
description: "Requires insurer and health care service contractor to cover labor and delivery services provided at out-of-network health care facility<b>, and medical transport of individual presenting with signs of labor from in-network facility to out-of-network facility,</b> if services provided at out-of-network facility due solely to diversion of patient from in-network health care facility for reasons related to state or federal declaration of public health emergency. Prescribes rate of reimbursement and prohibits deductible, out-of-pocket maximum, copayment or coinsurance requirement in excess of such requirements applicable to in-network providers. Exempts Public Employees' Benefit Board and Oregon Educators Benefit Board."
jurisdiction: "us/states/or"
legislature: "Oregon Legislative Assembly"
session: "2022R1"
identifier: "HB 4134"
citation: "Oregon HB 4134 (2022R1)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Andrea Salinas", "Dacia Grayber", "Duane Stark", "Elizabeth Steiner", "James Manning Jr.", "Karin Power", "Lily Morgan", "Lisa Reynolds", "Rob Nosse", "Ron Noble", "Sara Gelser Blouin", "Tim Knopp"]
version_count: 8
action_count: 19
vote_count: 5
first_action: "2022-02-01T15:39:06+00:00"
last_action: "2022-04-01T19:44:15+00:00"
source: "openstates"
source_identifier: "ocd-bill/a54abd3c-2851-4ab3-b050-ac701082fb06"
source_url: "https://olis.oregonlegislature.gov/liz/2022R1/Measures/Overview/HB4134"
source_hash: "504d468d5bc332c8239065016de1f7aa44fb40dc8a5681615886858dd564484f"
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 4134 (2022R1) — Relating to insurance; and declaring an emergency.

Requires insurer and health care service contractor to cover labor and delivery services provided at out-of-network health care facility<b>, and medical transport of individual presenting with signs of labor from in-network facility to out-of-network facility,</b> if services provided at out-of-network facility due solely to diversion of patient from in-network health care facility for reasons related to state or federal declaration of public health emergency. Prescribes rate of reimbursement and prohibits deductible, out-of-pocket maximum, copayment or coinsurance requirement in excess of such requirements applicable to in-network providers. Exempts Public Employees' Benefit Board and Oregon Educators Benefit Board.

## 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/2022R1/Downloads/MeasureDocument/HB4134/House%20Amendments%20to%20Introduced)
2. **Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2022R1/Downloads/MeasureDocument/HB4134/Introduced)
3. **A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2022R1/Downloads/MeasureDocument/HB4134/A-Engrossed)
4. **B-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2022R1/Downloads/MeasureDocument/HB4134/B-Engrossed)
5. **HHC Amendment -9** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2022R1/Downloads/ProposedAmendment/22141)
6. **SRULES Amendment -A10** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2022R1/Downloads/ProposedAmendment/22331)
7. **Senate Amendments to A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2022R1/Downloads/MeasureDocument/HB4134/Senate%20Amendments%20to%20A-Engrossed)
8. **Enrolled** (enrolled) — [source](https://olis.oregonlegislature.gov/liz/2022R1/Downloads/MeasureDocument/HB4134/Enrolled)

## Votes

- Heard and Reported Out with Amendments — **5–0** (pass) · upper
- Third reading. Carried by Stark. Passed. — **58–1** (pass) · lower
- Third reading. Carried by Steiner Hayward. Passed. — **26–0** (pass) · upper
- House concurred in Senate amendments and repassed bill. — **58–1** (pass) · lower
- Heard and Reported Out with Amendments — **10–0** (pass) · lower

## Sponsors

- Andrea Salinas — primary (person)
- Dacia Grayber — primary (person)
- Duane Stark — primary (person)
- Elizabeth Steiner — primary (person)
- James Manning Jr. — primary (person)
- Karin Power — primary (person)
- Lily Morgan — primary (person)
- Lisa Reynolds — primary (person)
- Rob Nosse — primary (person)
- Ron Noble — primary (person)
- Sara Gelser Blouin — primary (person)
- Tim Knopp — primary (person)
- Akasha Lawrence Spence — cosponsor (person)
- Anna Scharf — cosponsor (person)
- Anna Williams — cosponsor (person)
- Bill Hansell — cosponsor (person)
- Bill Kennemer — cosponsor (person)
- Bobby Levy — cosponsor (person)
- Christine Goodwin — cosponsor (person)
- Chuck Thomsen — cosponsor (person)
- Daniel Bonham — cosponsor (person)
- David Brock Smith — cosponsor (person)
- David Gomberg — cosponsor (person)
- Deb Patterson — cosponsor (person)
- Dennis Linthicum — cosponsor (person)
- E. Werner Reschke — cosponsor (person)
- Floyd Prozanski — cosponsor (person)
- Greg Smith — cosponsor (person)
- James Hieb — cosponsor (person)
- Janeen Sollman — cosponsor (person)
- Janelle Bynum — cosponsor (person)
- Jason Kropf — cosponsor (person)
- Jeff Golden — cosponsor (person)
- Jeff Reardon — cosponsor (person)
- Jessica George — cosponsor (person)
- John Lively — cosponsor (person)
- Ken Helm — cosponsor (person)
- Khanh Pham — cosponsor (person)
- Kim Wallan — cosponsor (person)
- Lee Beyer — cosponsor (person)
- Lew Frederick — cosponsor (person)
- Lynn Findley — cosponsor (person)
- Mark Meek — cosponsor (person)
- Mark Owens — cosponsor (person)
- Marty Wilde — cosponsor (person)
- Maxine Dexter — cosponsor (person)
- Pam Marsh — cosponsor (person)
- Rachel Prusak — cosponsor (person)
- Raquel Moore-Green — cosponsor (person)
- Shelly Boshart Davis — cosponsor (person)
- Sheri Schouten — cosponsor (person)
- Suzanne Weber — cosponsor (person)
- Teresa Alonso Leon — cosponsor (person)
- Travis Nelson — cosponsor (person)
- Wlnsvey Campos — cosponsor (person)
- Zach Hudson — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-02-01T15:39:06+00:00** First reading. Referred to Speaker's desk. `introduction, reading-1, referral-committee`
- **2022-02-01T17:53:58+00:00** Referred to Health Care. `referral-committee`
- **2022-02-02T23:16:00+00:00** Public Hearing held.
- **2022-02-14T23:17:00+00:00** Work Session held.
- **2022-02-16T16:58:41+00:00** Recommendation: Do pass with amendments and be printed A-Engrossed. `committee-passage-favorable`
- **2022-02-17T19:20:08+00:00** Second reading. `reading-2`
- **2022-02-21T20:15:06+00:00** Rules suspended. Carried over to February 22, 2022 Calendar.
- **2022-02-22T19:54:56+00:00** Third reading. Carried by Stark. Passed. `passage, reading-3`
- **2022-02-22T20:15:42+00:00** First reading. Referred to President's desk. `introduction, reading-1, referral-committee`
- **2022-02-23T17:10:33+00:00** Referred to Rules. `referral-committee`
- **2022-02-24T16:02:00+00:00** Public Hearing and Work Session held.
- **2022-02-24T22:18:40+00:00** Recommendation: Do pass with amendments to the A-Eng. bill. (Printed B-Eng.) `committee-passage-favorable`
- **2022-02-25T19:10:09+00:00** Second reading. `reading-2`
- **2022-03-01T00:07:06+00:00** Third reading. Carried by Steiner Hayward. Passed. `passage, reading-3`
- **2022-03-02T18:04:40+00:00** House concurred in Senate amendments and repassed bill.
- **2022-03-03T21:08:42+00:00** Speaker signed. `passage`
- **2022-03-04T00:19:17+00:00** President signed. `passage`
- **2022-03-23T22:09:35+00:00** Governor signed. `executive-signature`
- **2022-04-01T19:44:15+00:00** Chapter 72, (2022 Laws): Effective date March 23, 2022.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a54abd3c-2851-4ab3-b050-ac701082fb06`. Confidence: reported (aggregated from official Oregon legislature records).