republic-os/legislation/us/states/or/2021-regular-session/hb-3353.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	Relating to health care expenditures; and prescribing an effective date.	Requires Oregon Health Authority to seek federal approval of amendment to state Medicaid demonstration project to permit coordinated care organizations to use portion of global budgets to improve health equity, improve overall health of community or enhance payments to providers who advance health equity or provide services improving overall health of community and to allow such expenditures to be counted as medical expenses <i>for purposes of required medical loss ratio</i>]<b> in coordinated care organization's base medical budget and in calculation of global budget and flexible spending for given year</b>.	us/states/or	Oregon Legislative Assembly	2021 Regular Session	HB 3353	Oregon HB 3353 (2021 Regular Session)	bill		enacted	Anna Williams Dan Rayfield Dick Anderson Rep Leif	8	23	4	2021-03-02T18:50:16+00:00	2021-09-25T15:00:00+00:00	openstates	ocd-bill/3983a8cb-73c0-4f03-8341-53fc40cad0a9	https://olis.oregonlegislature.gov/liz/2021R1/Measures/Overview/HB3353	e2739faa99f1726122c4b85c6de6858afb4afed06b352e82e1804ed3b932c60c	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-or

Oregon HB 3353 (2021 Regular Session) — Relating to health care expenditures; and prescribing an effective date.

Requires Oregon Health Authority to seek federal approval of amendment to state Medicaid demonstration project to permit coordinated care organizations to use portion of global budgets to improve health equity, improve overall health of community or enhance payments to providers who advance health equity or provide services improving overall health of community and to allow such expenditures to be counted as medical expenses for purposes of required medical loss ratio] in coordinated care organization's base medical budget and in calculation of global budget and flexible spending for given year.

Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. House Amendments to Introduced (filed) — source
2. Introduced (filed) — source
3. A-Engrossed (committee substitute) — source
4. B-Engrossed (committee substitute) — source
5. HHC Amendment -1 (committee substitute) — source
6. House Amendments to A-Engrossed (committee substitute) — source
7. JWM Amendment -A5 (committee substitute) — source
8. Enrolled (enrolled) — source

Votes

• Heard and Reported Out with Amendments — 40–6 (pass) · legislature
• Rules suspended. Third reading. Carried by Nosse. Passed. — 57–0 (pass) · lower
• Third reading. Carried by Lieber. Passed. — 19–10 (pass) · upper
• Heard and Reported Out with Amendments — 9–0 (pass) · lower

Sponsors

• Anna Williams — primary (person)
• Dan Rayfield — primary (person)
• Dick Anderson — primary (person)
• Rep Leif — primary (person)
• Andrea Salinas — cosponsor (person)
• Bill Kennemer — cosponsor (person)
• Bobby Levy — cosponsor (person)
• Deb Patterson — cosponsor (person)
• Duane Stark — cosponsor (person)
• Greg Smith — cosponsor (person)
• Julie Fahey — cosponsor (person)
• Karin Power — cosponsor (person)
• Kate Lieber — cosponsor (person)
• Lew Frederick — cosponsor (person)
• Lily Morgan — cosponsor (person)
• Lisa Reynolds — cosponsor (person)
• Mark Meek — cosponsor (person)
• Marty Wilde — cosponsor (person)
• Maxine Dexter — cosponsor (person)
• Pam Marsh — cosponsor (person)
• Raquel Moore-Green — cosponsor (person)
• Ron Noble — cosponsor (person)
• Sheri Schouten — cosponsor (person)
• Tawna Sanchez — cosponsor (person)
• Teresa Alonso Leon — cosponsor (person)
• Wlnsvey Campos — cosponsor (person)

Timeline

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

• 2021-03-02T18:50:16+00:00 First reading. Referred to Speaker's desk. introduction, reading-1, referral-committee
• 2021-03-10T03:33:25+00:00 Referred to Health Care. referral-committee
• 2021-04-06T22:16:00+00:00 Public Hearing held.
• 2021-04-19T18:37:15+00:00 Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means. committee-passage-favorable
• 2021-04-19T18:37:16+00:00 Referred to Ways and Means by order of Speaker. referral-committee
• 2021-04-13T22:17:00+00:00 Work Session held.
• 2021-06-04T04:41:00+00:00 Assigned to Subcommittee On Human Services. referral-committee
• 2021-06-10T15:03:00+00:00 Returned to Full Committee.
• 2021-06-10T15:02:00+00:00 Work Session held.
• 2021-06-11T15:02:00+00:00 Work Session held.
• 2021-06-15T13:41:53+00:00 Recommendation: Do pass with amendments and be printed B-Engrossed. committee-passage-favorable
• 2021-06-17T17:38:07+00:00 Second reading. reading-2
• 2021-06-17T21:49:04+00:00 Rules suspended. Third reading. Carried by Nosse. Passed. passage, reading-3
• 2021-06-21T17:59:25+00:00 First reading. Referred to President's desk. introduction, reading-1, referral-committee
• 2021-06-21T18:36:47+00:00 Referred to Ways and Means. referral-committee
• 2021-06-22T13:46:49+00:00 Recommendation: Do pass the B-Eng. bill. committee-passage-favorable
• 2021-06-22T16:32:33+00:00 Second reading. reading-2
• 2021-06-23T17:28:42+00:00 Third reading. Carried by Lieber. Passed. passage, reading-3
• 2021-06-24T20:13:33+00:00 Speaker signed. passage
• 2021-06-26T15:59:48+00:00 President signed. passage
• 2021-06-23T17:29:42+00:00 Vote explanation(s) filed by Heard.
• 2021-07-14T19:16:00+00:00 Governor signed. executive-signature
• 2021-09-25T15:00:00+00:00 Chapter 467, (2021 Laws): Effective date September 25, 2021.

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/3983a8cb-73c0-4f03-8341-53fc40cad0a9. Confidence: reported (aggregated from official Oregon legislature records).