---
type: "Bill"
title: "Relating to health; and declaring an emergency."
description: "Declares this state's policy to protect engagement in certain activities relating to reproductive health care and gender-affirming treatment. Prohibits cooperation with law enforcement agencies of the federal government or other states in actions involving legally-protected reproductive or gender-affirming health care activities. Modifies provisions regarding interstate actions involving legally-protected reproductive or gender-affirming health care activities. Makes specified records and information confidential. Provides protection from disciplinary action for direct entry midwives who provide reproductive health care and gender-affirming treatment under specified circumstances. Declares an emergency, effective on passage."
jurisdiction: "us/states/or"
legislature: "Oregon Legislative Assembly"
session: "2026R1"
identifier: "HB 4088"
citation: "Oregon HB 4088 (2026R1)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Andrea Valderrama", "April Dobson", "Courtney Neron Misslin", "Deb Patterson", "Farrah Chaichi", "Floyd Prozanski", "James Manning Jr.", "Khanh Pham", "Lisa Fragala", "Lisa Reynolds", "Sara Gelser Blouin", "Sue Rieke Smith", "Willy Chotzen"]
version_count: 7
action_count: 21
vote_count: 5
first_action: "2026-02-02T16:50:03+00:00"
last_action: "2026-04-06T17:33:05+00:00"
source: "openstates"
source_identifier: "ocd-bill/8704e2c5-fafb-4361-ac9e-d4d6d967b479"
source_url: "https://olis.oregonlegislature.gov/liz/2026R1/Measures/Overview/HB4088"
source_hash: "5e56355cbec32b9d085c7c4b7843959497a2be3f0a0c4a145be30d925ec453af"
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 4088 (2026R1) — Relating to health; and declaring an emergency.

Declares this state's policy to protect engagement in certain activities relating to reproductive health care and gender-affirming treatment. Prohibits cooperation with law enforcement agencies of the federal government or other states in actions involving legally-protected reproductive or gender-affirming health care activities. Modifies provisions regarding interstate actions involving legally-protected reproductive or gender-affirming health care activities. Makes specified records and information confidential. Provides protection from disciplinary action for direct entry midwives who provide reproductive health care and gender-affirming treatment under specified circumstances. 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/HB4088/House%20Amendments%20to%20Introduced)
2. **Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4088/Introduced)
3. **A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4088/A-Engrossed)
4. **HJUD Amendment -4** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/ProposedAmendment/30112)
5. **Minority Report to B-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4088/Minority%20Report%20to%20B-Engrossed)
6. **Senate Minority Amendments to A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4088/Senate%20Minority%20Amendments%20to%20A-Engrossed)
7. **Enrolled** (enrolled) — [source](https://olis.oregonlegislature.gov/liz/2026R1/Downloads/MeasureDocument/HB4088/Enrolled)

## Votes

- Motion to substitute Minority Report for Committee Report failed. — **12–18** (fail) · upper
- Third reading. Carried by Fragala. Passed. — **34–22** (pass) · lower
- Third reading. Carried by Gelser Blouin. Passed. — **18–12** (pass) · upper
- Heard and Reported Out with Amendments — **5–3** (pass) · lower
- Heard and Reported Out — **4–2** (pass) · upper

## Sponsors

- Andrea Valderrama — primary (person)
- April Dobson — primary (person)
- Courtney Neron Misslin — primary (person)
- Deb Patterson — primary (person)
- Farrah Chaichi — primary (person)
- Floyd Prozanski — primary (person)
- James Manning Jr. — primary (person)
- Khanh Pham — primary (person)
- Lisa Fragala — primary (person)
- Lisa Reynolds — primary (person)
- Sara Gelser Blouin — primary (person)
- Sue Rieke Smith — primary (person)
- Willy Chotzen — primary (person)
- Cyrus Javadi — cosponsor (person)
- Dacia Grayber — cosponsor (person)
- David Gomberg — cosponsor (person)
- Hai Pham — cosponsor (person)
- Jason Kropf — cosponsor (person)
- Jules Walters — cosponsor (person)
- Julie Fahey — cosponsor (person)
- Kayse Jama — cosponsor (person)
- Lamar Wise — cosponsor (person)
- Lesly Muñoz — cosponsor (person)
- Lew Frederick — cosponsor (person)
- Rob Nosse — cosponsor (person)
- Sarah McDonald — cosponsor (person)
- Susan McLain — cosponsor (person)
- Thuy Tran — cosponsor (person)
- Tom Andersen — cosponsor (person)
- Travis Nelson — cosponsor (person)
- Wlnsvey Campos — cosponsor (person)
- Zach Hudson — 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 Judiciary. `referral-committee`
- **2026-02-02T23:01:00+00:00** Public Hearing held.
- **2026-02-09T23:02:00+00:00** Work Session held.
- **2026-02-12T00:39:09+00:00** Recommendation: Do pass with amendments and be printed A-Engrossed. `committee-passage-favorable`
- **2026-02-12T19:31:48+00:00** Second reading. `reading-2`
- **2026-02-16T21:36:51+00:00** Third reading. Carried by Fragala. Passed. `passage, reading-3`
- **2026-02-17T18:47:44+00:00** First reading. Referred to President's desk. `introduction, reading-1, referral-committee`
- **2026-02-17T20:48:07+00:00** Referred to Judiciary. `referral-committee`
- **2026-02-18T21:16:00+00:00** Public Hearing Cancelled.
- **2026-02-23T22:31:00+00:00** Public Hearing held.
- **2026-02-25T21:47:00+00:00** Work Session held.
- **2026-03-03T17:23:56+00:00** Recommendation: Do pass the A-Eng bill. `committee-passage-favorable`
- **2026-03-03T17:23:57+00:00** Minority Recommendation: Do pass with amendments to the A-Eng. bill. (Printed B-Eng Minority) `committee-passage-favorable`
- **2026-03-04T20:18:04+00:00** Second reading. `reading-2`
- **2026-03-05T19:50:49+00:00** Motion to substitute Minority Report for Committee Report failed.
- **2026-03-05T20:19:51+00:00** Third reading. Carried by Gelser Blouin. Passed. `passage, reading-3`
- **2026-03-06T19:23:54+00:00** Speaker signed. `passage`
- **2026-03-07T01:36:00+00:00** President signed. `passage`
- **2026-03-31T21:07:00+00:00** Governor signed. `executive-signature`
- **2026-04-06T17:33:05+00:00** Chapter 52, (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/8704e2c5-fafb-4361-ac9e-d4d6d967b479`. Confidence: reported (aggregated from official Oregon legislature records).