Changes are coming to the Oregon Health Plan
Plan ahead for upcoming Oregon Health Plan changes
Changes to Oregon Health Plan (OHP/Medicaid) coverage are coming because of new federal rules included in House Resolution 1 (HR1). HR1 is the 2025 federal budget bill, also known as the One Big Beautiful Bill Act. These rules will affect how members qualify for and keep their health coverage.
Beginning in 2027, many OHP members will need to meet new requirements to keep their health coverage, including work or activity requirements and more frequent renewals. You may need to provide proof to show you meet the rules or qualify for an exemption. If OHP needs additional information from you, they will send a letter explaining what you need to do next.
Members who need to provide information to keep their coverage are expected to get notices starting January 2027.
Make sure your contact information is up to date, open and read all mail from OHP and follow the instructions and deadlines in your notice.
What’s changing
Changes for some non-citizen members - October 1, 2026
Some immigrants, refugees, asylees, survivors of domestic violence and survivors of human trafficking will move to Healthier Oregon, an OHP program.
Work and activity requirements - January 1, 2027
OHP members ages 19 to 64 will need to meet new work or activity requirements to keep their coverage. This may include working, volunteering, going to school, caring for another person, earning more than $580 per month of household income or qualifying for an exemption. View our FAQ section below to learn more.
Shortened retroactive coverage period - January 1, 2027
There will be a shorter amount of time that OHP can cover medical care you received before you applied for coverage.
Healthier Oregon moves to Open Card - January 1, 2027
Members who have OHP through Healthier Oregon will move to OHP Open Card.
More frequent renewals - October 2027
Many OHP members will begin renewing coverage more often.
Many adults will renew every six months. Most children and other members will renew every 12 months.
Plan ahead: What you can do now
Update your contact information at benefits.oregon.gov
Open and read all mail from OHP and/or the ONE Customer Service Center.
Follow the instructions in the letter. If action is needed, be sure to respond by the deadline listed in your letter.
Learn about possible work requirements and exemptions by exploring the FAQ below.
Check this page regularly for updates.
You can also follow updates at OHP.Oregon.gov/HR1
Get help with HR1
For questions about your eligibility or help understanding your letters or notices from OHP, call Oregon Health Authority.
Oregon Health Plan Customer Service
Contact for help with:
- Enrollment/renewals
- Changing your name or address
- Understanding your letters or notices
FAQ about the HR1 changes
Explore detailed answers to your questions about how the new HR1 rules will change your Oregon Health Plan coverage in 2027.
Work and activity requirements
What are the new work or activity requirements?
Beginning in 2027, OHP members ages 19 to 64 may need to show that they meet new federal work or activity requirements to keep their health coverage.
Depending on your situation, you may meet the requirement by:
- Earning more than $580 per month of household income
- Working
- Volunteering
- Going to school at least half-time or in a training program
- Providing care for a family member or another person
- A combination of work, volunteer, education or training programs that add up to 80 hours a month
- Or qualifying for an approved exemption
Exemptions
What are the new work or activity requirements?
Beginning in 2027, OHP members ages 19 to 64 may need to show that they meet new federal work or activity requirements to keep their health coverage.
Depending on your situation, you may meet the requirement by:
- Earning more than $580 per month of household income
- Working
- Volunteering
- Going to school at least half-time or in a training program
- Providing care for a family member or another person
- A combination of work, volunteer, education or training programs that add up to 80 hours a month
- Or qualifying for an approved exemption
Eligibility and coverage
What are the new work or activity requirements?
Beginning in 2027, OHP members ages 19 to 64 may need to show that they meet new federal work or activity requirements to keep their health coverage.
Depending on your situation, you may meet the requirement by:
- Earning more than $580 per month of household income
- Working
- Volunteering
- Going to school at least half-time or in a training program
- Providing care for a family member or another person
- A combination of work, volunteer, education or training programs that add up to 80 hours a month
- Or qualifying for an approved exemption
Healthier Oregon & OHP Open Card
What are the new work or activity requirements?
Beginning in 2027, OHP members ages 19 to 64 may need to show that they meet new federal work or activity requirements to keep their health coverage.
Depending on your situation, you may meet the requirement by:
- Earning more than $580 per month of household income
- Working
- Volunteering
- Going to school at least half-time or in a training program
- Providing care for a family member or another person
- A combination of work, volunteer, education or training programs that add up to 80 hours a month
- Or qualifying for an approved exemption
Renewal requirements
What are the new work or activity requirements?
Beginning in 2027, OHP members ages 19 to 64 may need to show that they meet new federal work or activity requirements to keep their health coverage.
Depending on your situation, you may meet the requirement by:
- Earning more than $580 per month of household income
- Working
- Volunteering
- Going to school at least half-time or in a training program
- Providing care for a family member or another person
- A combination of work, volunteer, education or training programs that add up to 80 hours a month
- Or qualifying for an approved exemption
Additional information
What are the new work or activity requirements?
Beginning in 2027, OHP members ages 19 to 64 may need to show that they meet new federal work or activity requirements to keep their health coverage.
Depending on your situation, you may meet the requirement by:
- Earning more than $580 per month of household income
- Working
- Volunteering
- Going to school at least half-time or in a training program
- Providing care for a family member or another person
- A combination of work, volunteer, education or training programs that add up to 80 hours a month
- Or qualifying for an approved exemption