In July 2025, the federal government passed the House Resolution 1 (HR1) budget bill, also known as the One Big Beautiful Bill Act. HR1 requires big changes to Oregon Health Plan (OHP, also known as Medicaid). 

Starting in 2027 at the earliest, new federal rules will require OHP members to renew more often. Currently, most OHP members renew every two years. When the new rules start, many adult members wil need to renew every six months.

Some adult OHP members will also need to confirm they are working, volunteering, attending school, or exempt from requirements. These rules will apply to people between the ages of 19 and 64 who do not have Medicare or qualify for OHP programs based on disability or pregnancy. There are many reasons people can be exempt, such as caring for children under 14, or having serious or complex medical needs.

OHA is in the planning stages of how to put new federal rules into place and keep people covered, as much as possible. Here’s what OHP members should know now: 

• Work or activity requirements will not take effect until 2027 and will not affect all OHP members.
• Please keep your contact information current.
• Continue to report changes and respond to renewal letters.

We know that people are eager to have all the details about the changes ahead. The federal government hasn’t shared all the specifics yet, and they are not scheduled to do so until June 2026. In the meantime, OHA will continue to share information as we receive it.

How to stay informed  and find more information: 

• Visit the OHP member page about federal changes.
• Follow any of OHA’s social media channels: