1. OHPB September 1, 2026 draft meeting minutes

The Oregon Health Policy Board (OHPB) held its September 1, 2026 meeting, which served as the annual Cost Growth Target public hearing. Presenters reported that Oregon's healthcare cost growth reached 6.7% in 2024, exceeding the state's 3.4% cost growth target, with total healthcare expenditures of approximately $43.2 billion. Medical pharmacy spending, hospital outpatient services, and prescription drug costs were identified as significant contributors to the excess growth. Board members expressed interest in collaboration with the Oregon Prescription Drug Affordability Board to explore drug cost policies under evaluation in other states, with formal policy referrals anticipated through the Committee on Health Care Affordability. OHA Interim Director Pakseresht briefed the Board on implementation of federal HR1 requirements, including anticipated changes to Oregon Health Plan (OHP) eligibility, renewal processes, and coverage. Board members raised concerns about provider network adequacy as Healthier Oregon members transition to OHP Open Card coverage, with specific attention to behavioral health provider participation and barriers to accessing trusted providers. Chair Isaacson requested information on OHA's efforts to expand the fee-for-service provider network, and Director Pakseresht committed to providing additional detail on provider recruitment. OHA presented preliminary Contract Year 2027 capitation rates for Coordinated Care Organizations (CCOs), reflecting a 6.1% statewide increase excluding maternity payments. Factors influencing rate development included anticipated membership reductions, changes in member acuity tied to federal eligibility requirements, medical cost trends, and actuarial soundness. OHA identified next steps as final actuarial certification, federal review, and issuance of CY2027 CCO contracts. The presentation fulfilled the preliminary rate determination reporting requirement established by Oregon HB 4039. The Board voted 8-1 to approve a proposed membership slate for the Health Information Technology Oversight Council (HITOC), adding members representing physician assistant, rural and immigrant health, behavioral health, and consumer advocate categories. Dr. Hemmings voted in opposition, having raised questions about how health information technology expertise is weighed alongside community representation in the recruitment process.