Member updates

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 some 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 early January 2027. The notices will ask for a response by early March 2027. Coverage may end March 31 if the member does not respond. Some members may have to renew their coverage every six to twelve months.

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. 

For details on HR1 work rules, activities and exemptions, visit: careoregon.org/HR1