2025’s Big Wins for Oregon CHCS
Quick Stats
- The Oregon Legislature Reviewed 3,385 Bills
- The Oregon Legislature Passed 669 Bills
- OPCA Tracked 306 Bills
- OPCA Wrote 3 Bills, 2 Passed
- OPCA Supported 4 Bills, 1 Passed
- OPCA Opposed 2 Bills, 2 Failed
Two bills championed by OPCA and Oregon’s health centers, HB 2385 and HB 3049, passed. This marks a major step forward in protecting the integrity and financial viability of the 340B program.
HB 2385 prohibits restrictions on the use of contract pharmacies in the 340B program.
This bill enshrines into Oregon law critical protection for FQHCs, ensuring they can continue using contract pharmacy arrangements to serve their patients.
HB 3049 prevents PBMs and manufacturers from requiring FQHCs to use unique claims identifiers.
Claims identifiers are an administrative burden often used to deny 340B claims or redirect savings. This bill reinforces health centers’ ability to operate the 340B program effectively and without unnecessary barriers.
These bills represented more than policy victories: they were an opportunity to amplify our voices, teach lawmakers about our mission, and highlight the unique challenges FQHCs face within the broader healthcare system. Our success underscores the strength of coordinated ongoing advocacy.
2025 Legislative Session Summary
The session began with high hopes for historic investment in existing programs and the possibility of new initiatives, such as Senate Bill 27, which would have provided $9.5 million for FQHC workforce retention, recruitment, and training. Lawmakers entered the 2025 Session on the heels of more than a year of positive State Revenue Forecasts. The first forecast of the session, delivered Wednesday February 25, was no exception. The forecast included about $300 million more in tax revenue for the 2025-27 budget cycle than predicted, further boosting state budget writers’ optimism.
Unfortunately, that optimism came to an end as President Trump’s trade wars stoked fear and uncertainty in the economy. On May 14, lawmakers received news that they would have $500 million less to spend in the 2025-27 budget cycle than they had anticipated just three months earlier. Budget writers rely on the May forecast to determine the fate of many spending priorities. Even as the reality began to set in with hundreds of spending bills left to languish on the Ways and Means hearing docket, lawmakers approved an 11% increase in the state K-12 budget during the waning days of session.
As the 2025 session came to a close, lawmakers were unable to fund most of the new initiatives they considered or pass a comprehensive transportation package. This left opportunities like Senate Bill 27 unfunded, and the Oregon Department of Transportation without the resources necessary to maintain current service levels or to make needed infrastructure upgrades and new investments.
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