Healthier Oregon: Health Insurance Expanded through OHP

As of July 1, 2022, adults 19-25 and 55 and older are now eligible for full Oregon Health Plan (OHP) benefits and other services and supports, regardless of their immigration status. OHP is free health coverage for people who live in Oregon and who meet income and other criteria. It covers health care services like medical, mental health, dental, prescriptions, tests, x-rays, hospital care, and rides to and from health care appointments. The expansion is the result of House Bill (HB) 3352, which put into law a program called “Cover All People.” The program is now known as “Healthier Oregon.”

The U.S. Census Bureau estimates reports that 12.2% of residents in Malheur County under age 65 are without health insurance, compared to 8.6% in Oregon. With expanded OHP coverage, hopefully more people will have health insurance and receive the health care they need.

Eligibility is open to people who live in Oregon who:

  • Meet income and other criteria,
  • Don’t qualify for full OHP benefits because of their immigration status, and
  • Are 19-25 years old or 55 years and older.

For example, before, a 22-year-old without a qualifying immigration status could only get CWM benefits (also known as emergency Medicaid). As of July 1, 2022, this person is eligible for full OHP benefits. If someone is a lawful permanent resident (LPR), ​​they will not need to wait five years before they are eligible for ​full OHP benefits through Healthier Oregon. ​OHP does not affect immigration status. OHP is not considered public charge.

Lisa is here to help!

For more information visit Oregon.gov/HealthierOregon or call Lisa Almaraz, OHP Application Assister and Health Specialist at the Malheur County Health Department at 541-889-7279 x136 or email lisa.almaraz@malheurco.org.

Download flyers in English and Spanish, or simply click on the images below.

Oregon to provide 12 months of continuous postpartum medical coverage to OHA members

Federal decision ‘critical to ensuring health and well-being of mothers and their babies’

The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), has approved Oregon’s request to expand Medicaid and Children’s Health Insurance Program (CHIP) coverage, known as Oregon Health Plan (OHP), to one year postpartum.

The change, approved and announced Wednesday, will allow individuals to maintain continuous OHP coverage and access medically necessary physical, oral and behavioral health services for 12 months after childbirth.

Currently, most states continue pregnancy-related Medicaid coverage for only 60 days after childbirth. The expansion of coverage was made possible by a new state plan opportunity included in the American Rescue Plan.

Medicaid covers 42% of births in the nation. A report published by the HHS Office of Assistant Secretary for Planning and Evaluation (ASPE) highlights the inequity that rates in pregnancy-related deaths are two to three times higher among black non-Latino and American Indian/Alaska Native populations compared to white populations. The report further explains that one in three pregnancy-related deaths occur between one week and one year after childbirth. The extension of coverage is aimed at advancing Oregon Health Authority’s goal of eliminating health inequities by 2030.

The postpartum period is an important time for physical recovery; addressing pregnancy spacing and family planning needs; managing chronic conditions that may have been exacerbated during pregnancy; providing breastfeeding support; and ensuring mental health.

“Providing postpartum support and care is critical to ensuring the health and well-being of mothers and their babies,” states Interim State Medicaid Director Dana Hittle.

Visit Medicaid.gov to learn more about the Medicaid and CHIP state plan amendment extensions of postpartum coverage in Oregon.

For assistance applying for the Oregon Health Plan, contact the Malheur County Health Department at 541-889-7279.