Get ready for changes to the Oregon Health Plan (OHP)

Overview‍ ‍Changes for non-citizens‍ Toolkit‍ H.R. 1 timeline

What members can do now:

Make sure their contact information is up to date.

Online:
one.oregon.gov

Call:
800-699-9075

Find local help:
OregonHealthCare.gov/gethelp

For more information:
benefits.oregon.gov

Overview

Starting January 1, 2027, there will be changes for some OHP members. These rules will apply to any new applications or when current members renew their benefits.

Why this is happening:
A federal law changed Medicaid across the country. In Oregon, Medicaid is called the Oregon Health Plan, or OHP. In 2025, Congress passed H.R. 1, a law often called the “One Big Beautiful Bill.” These new rules came from this federal law and apply to every state.

Starting January 1, 2027:
Members who renew coverage after January 1, 2027, may have to submit proof of work or an activity, such as school or volunteer work. For 2027, self-attestation will be allowed.

Starting October 1, 2027:
Members will have more frequent renewals. More details are coming soon.

Who is impacted?
Adults ages 19-64 who are part of the ACA (Affordable Care Act) Medicaid expansion population. This includes OHP members in the Young Adults with Special Health Care Needs (YSHCN) and Healthier Oregon programs.

  
    Work and activity rule decision guide
  
        Are you age
        19 to 64?
      
        Yes
      
        No
      
        Are you any of the following?*
      
        Pregnant
Caring for a child under age 14 or for someone with a disability
A foster youth up to age 26

        A person with a disability or serious medical need
American Indian or Alaska Native
Incarcerated in the last 3 months

        No
      
        Yes
      
        You’ll need to do 1 of these:
      
          Work
        
          Volunteer
        
          Or be enrolled in training or education
        
        No work or activity rule
      
            No work or activity rule
          
            May need to submit documents
          
      Are you age 19 to 64?
    
No

        No work or activity rule
      
Yes

          Are you any of the following?*
        
          Pregnant
Caring for a child under age 14 or for someone with a disability
A foster youth up to age 26
A person with a disability or serious medical need
American Indian or Alaska Native
Incarcerated in the last 3 months

Yes

            No work or activity rule
          
            May need to submit documents
          
No

              You’ll need to do 1 of these:
            
                Work
              
                Volunteer
              
                Or be enrolled in training or education

OHP members in this population must do 3 things:

Renew every 6months

All members in these populations, even if they are exempt for work requirement.
Start date: late 2027

Check for work/activity exemption

Caregiver of child under age 14
In treatment for substance use disorder
Disabling mental condition
Developmental, intellectual, or physical disability
Complex health need (details coming)
In a hospital, facility, or traveling for medical care

Submit proof

Exemption, or
80 hours/month of work or approved activities, including student (half-time or more) or
$580/month in earned income (For seasonal workers: $580 average for the last 6 months)

Changes for non-citizens

OHP members with the following immigration statuses will move to the Healthier Oregon Program (HOP), this will not affect current coverage:

Refugee and Asylee
Humanitarian Parolee, paroled for less than 1 year (Afghan evacuees, Ukrainians, Cuba/Haiti/Nicaragua, Venezuela parolees)
Survivor of trafficking and domestic violence (T visas, U visas, VAWA self-petitioners)
Temporary Protected Status (TPS)

All HOP members will move from CCOs to Oregon Open Card starting January 1, 2027

Core benefits remain the same (primary care, behavioral health, and dental), but care coordination and optional CCO services may not be available.
Open card members have their benefits managed directly by Oregon Health Authority (OHA) through Acentra.
Mixed-status families may need to navigate two health care systems.
Limited provider network to begin but is expected to grow.

Preparing community for the Healthier Oregon (HOP) transition

Keep your contact information up to date

Use a mailing address you check regularly.
Watch for letters, text messages, and emails from your CCO and OHP.
Sign up for ONE text and email alerts.
Learn about OHP enrollment assistors and how to find them.

Ask if your doctor accepts Open Card

Ask your doctor or clinic if they accept
Open Card.
If not, plan to switch providers before
January 1, 2027.
Ask for copies of important medical records.
Make sure you have enough medication during the transition to a new provider.

Learn about Open Card resources

Find doctors and clinics that accept Open Card.
Learn about transportation to medical appointments.
Learn about language and interpreter services.

Community Toolkit

Oregon Health Authority (OHA)

The Oregon Health Authority released an HRI toolkit. Watch their website for continuing updates.

Health Share of Oregon

Health Share is working on building out our toolkit and will continue to update this page in the coming months with new content. If you would like to co-brand any of these materials, please reach out to membercomms@healthshareoregon.org.

Our materials will include options in the following languages:

Arabic, Chinese (simplified), Chinese (traditional), Dari, Korean, Russian, Somali, Spanish, Ukrainian, and Vietnamese.

Key messages for September-October materials: