Oregon
Oregon expands free Medicaid health insurance to tens of thousands more people – Ashland News – Community-Supported, NonProfit News
The state is the third nationwide to expand coverage to people who earn more than limits set by the federal government
By Lynne Terry, Oregon Capital Chronicle
After two years of planning, Oregon is officially expanding its Medicaid program to give tens of thousands of more people access to the free health insurance program.
The Oregon Health Authority announced on July 1 the launch of its OHP Bridge Plan to those who earn more than the federal limits for traditional Medicaid. The Oregon Health Plan, the state’s version of Medicaid, currently covers 1.4 million Oregonians who earn up to 138% of the federal poverty level, or nearly $21,000 a year for one person or more than $43,000 a year for a family of four.
The OHP Bridge is extending Medicaid benefits to those who earn up to 200% of the federal poverty level. That means that individuals who earn about $30,000 a year or families of four who earn $62,400 a year will qualify.
Oregon Health Authority officials expect the plan to cover 100,000 Oregonians by 2027.
Dr. Sejal Hathi, director of the health authority, said in a news conference the plan marks a “significant milestone” in Oregon and will help eliminate health inequities, a health authority goal.
“We know that these higher rates of coverage are associated with better health outcomes, with greater health care access and with fewer health inequities, and we want to keep it that way,” Hathi said.
Who qualifies
People can apply for OHP Bridge coverage by going to ONE.Oregon.gov or HealthCare.gov. People in Oregon will qualify for OHP Bridge if they:
Are 19 to 64 years old
Have an income between 138% and 200% of the federal poverty level
Are a U.S. citizen or have eligible immigration status
Do not have access to other affordable health insurance
The income limits change every March. For more information, go here: ohp.oregon.gov/Bridge.
Oregon is the third state nationwide — after Minnesota and New York — to expand Medicaid to beyond the traditional federal income limits. But it’s the first state to offer that coverage at no cost, without monthly premiums or co-pays.
“We know that cost sharing in any form, whether that’s premiums or co-pays, is a barrier to care for people in this income range, and were we to have either or both of those, we would actually see decreased access to care, which is counterproductive for the goals of the state,” said state Sen. Elizabeth Steiner, a medical doctor and one of the lawmakers who developed the bridge plan.
Like those on Medicaid, people who qualify for the bridge plan will enjoy free medical, dental and mental health care along with some other benefits, such as transportation to medical appointments.
“This means that more people will be able to get the diagnoses, treatment and other services they need, preventing delays and care that nearly 300,000 Oregonians otherwise report due to costs,” Hathi said.
Gil Muñoz, chief executive officer of Virginia Garcia Memorial Health Center, which serves many Medicaid patients in Forest Grove, said during the news conference that the plan is a win for working families who have a tough time paying for housing, food, transportation and child care. He said it’s also a boon for providers to work with lower-income families to get them diagnostic services, specialist care and hospital treatment that they need.
“It eases the path to better health and better prevention for these families,” Muñoz said.
Federal approval
Oregon won approval from the federal Centers for Medicare and Medicaid Services to offer the plan under a Medicaid waiver. That approval means that the federal government will pay much of the cost of the plan, diverting money that it would normally pay in subsidies to people who otherwise would buy health insurance on the federal marketplace. The state will pay the remaining cost.
Under traditional Medicaid, the federal government picks up about 60% of the cost, and Oregon pays the rest. Payments for the bridge plan will work differently, with the federal government depositing money into an account and the state reconciling that later. Erica Heartquist, a health authority spokeswoman, said the state estimates that Oregon will receive about $500 million in federal revenue to cover an average of 65,000 members per month over the next 12 months. The state is likely to spend $10 million to administer the program and cover costs not paid for by federal funds.
Health officials say keeping people covered is cheaper in the end because they take care of basic problems early or even before they start by regularly seeing a primary care provider and receiving preventive care, like cancer screenings and blood tests that track cholesterol and diabetes risk. Those without insurance often wait until a health problem worsens until they’re severely ill and care is more expensive or seek treatment in an emergency room, which is the most expensive kind of care and drives up overall health care costs.
“The basic health plan, OHP Bridge, is a great deal for Oregon taxpayers,” Hathi said.
The plan has been in the works in Oregon for two years, following passage of House Bill 4035 during the 2022 session, which launched a task force to develop the plan. One of the plan’s biggest targets is to cover people who’ve recently lost Medicaid coverage. During the pandemic, the federal government provided extra benefits to states that kept people enrolled, regardless of any income changes. That meant that even when people’s income changed and they technically no longer met the limit, they enjoyed the free coverage.
But last spring, that changed when the federal government ended the program. Since then state officials have gone through the Medicaid rolls, making sure that everyone on Medicaid qualifies. In Oregon, more than 80% of those covered kept the insurance — one of the highest rates in the country, according to an analysis by KFF Health News.
About 222,000 have fallen off, and state officials have pointed them to the federal marketplace to buy individual coverage. Hathi said that up to 30,000 people who stayed on Medicaid during the pandemic but no longer qualify will be moved to the bridge plan because they qualify under the bridge plan’s income limits.
Though they will enjoy most Medicaid benefits, those on the bridge plan will not qualify for long-term care, nor will they be able to obtain social services that were approved under a CMS waiver to improve the environment of Medicaid patients. Under the waiver, Oregon can offer climate support, such as a free air conditioner or air filter, to help patients cope with extreme weather events and wildfire smoke; housing support for up to six months; and nutrition education and food assistance.
Officials rolled out the climate benefit this spring, though fewer patients are getting air conditioners than originally hoped. The housing benefit is expected to be offered toward the end of the year and the food benefit after that.
Lynne Terry has more than 30 years of journalism experience, including a recent stint as editor of The Lund Report, a highly regarded health news site. She reported on health and food safety in her 18 years at The Oregonian, was a senior producer at Oregon Public Broadcasting and Paris correspondent for National Public Radio for nine years.
When asked if he’d like to join the music program Keys, Beats, Bars, Mikey, who’s currently incarcerated at MacLaren Youth Correctional Facility in Woodburn, figured it would be a good chance to spend some time outside of his unit.
Through a series of workshops, the program brought local musicians and educators into the facilities. They made beats and taught the group about rhyme schemes and rap bars. It was a way for Mikey and his peers to make music, but also to discuss common interests and their shared experiences at MacLaren as they brainstormed lyrics.
Eventually, they recorded a song, “No Ceilings,” about the barriers of incarceration, the music video for which is premiering at a July 11 benefit concert at the Tomorrow Theater dubbed the Restorative Justice Showcase.
Several formerly incarcerated artists feature on the night’s bill, including Keys, Beats, Bars co-founder Talilo Marfil and influential rapper and activist Mic Crenshaw, who led the workshops that produced “No Ceilings.” Hip-hop artist Swiggy Mandela will lead a live cypher, or freestyle rap session, with music by duo Alley Oop to end the show.
Mikey, not his real name, called the songwriting process “therapeutic.”
“Being able to listen to the beats or just channel that, in a positive way,” Mikey says, “I’m glad that I got the opportunity to utilize that while I’m here.”
Music has always been a part of Mikey’s life. His mom played Mariah Carey and DeBarge, and his grandma always had something on when they spent time together on weekends. When he’s feeling irritated or doesn’t want to be bothered, he turns to music.
“You find little achievements and little accolades along the way that, while you’re doing your time, make it easier to get through the day,” Mikey says. “Some people like reading books. Some people like playing basketball. Some people like listening to music.”
Marfil, who is also executive director of the peer advocacy program Ascending Flow, says he wishes he’d had programs like this when he was incarcerated. He found support through church, “but not everybody relates to church,” he says.
After his release, Marfil enrolled in Outside the Frame, an organization that provides homeless youth access to filmmaking resources. “It made me feel like my story mattered and that it was worth telling,” he says. “They gave me opportunities to show my films, my music, to the greater public in front of sold-out shows. Going from dreaming about it in a cell to actually doing it is a game changer for an individual.”
Keys, Beats, Bars runs several music programs for disadvantaged youth. But Marfil, alongside musician and community organizer Adam Carpinelli, launched the workshops at MacLaren.
“I’ve seen it give them hope,” Marfil says. “I think that’s the most important thing: hope, motivation, inspiration and, for a moment, a sense of relief through expression.”
To protect their anonymity, the music video couldn’t feature Mikey, who raps on the song, and his bandmates directly. Instead, Marfil contracted an artist to animate the song’s narrative, which follows a boy from childhood to incarceration.
“Usually, you don’t get to do stuff like that up in jail,” Mikey says, adding that he appreciated the project’s follow-through. “It was kind of cool being able to get the opportunity to record.”
MacLaren is Oregon’s largest juvenile correctional facility. It houses up to 187 youth, ranging ages 12 to 25. While similar to a jail or prison, this style of youth correctional facility places a stronger focus on education and rehabilitation. In contrast to juvenile transitional facilities and residential programs, MacLaren is closed-custody, meaning it’s secure and fenced. In 2025, a Marion County grand jury tasked with assessing MacLaren’s conditions titled its report “Cascading Failures,” citing gang activity, extensive contraband, sexual abuse and staff shortages.
Marfil stresses the role programs like Keys, Beats, Bars play in larger efforts toward restorative justice, and towards ameliorating systemic inequities in the U.S. prison system.
Projecting incarcerated youths’ voices outside of detention facilities is a powerful means for effecting change.
“The song is really just a reflection of being in the facilities and dreaming of what could be possible without the barriers that got them there in the first place, and what they want the community to see about themselves when they get out,” Marfil says. “‘No Ceilings’ is a good example of seeing that youth who are incarcerated have hopes and dreams, and they can contribute something to society.”
SEE IT: Restorative Justice Showcase & Voices From the Inside: A Youth Music Video Premiere at Tomorrow Theater, 3530 SE Division St., tomorrowtheater.org. 3 pm Saturday, July 11. $15. All ages.
HEAR: “No Ceilings” by Keys, Beats, Bars streams on YouTube and Apple Music.
Oregon
National report: Oregon great for giving kids health insurance, bad for teaching them how to read
The Annie E. Casey Foundation releases the Kids Count Data Book annually, with its new 2026 edition mainly drawing on data from 2024. State-based organizations work with the Annie E. Casey Foundation on the report, including Our Children Oregon and the Children’s Alliance in Washington.
The report is a snapshot in time of how well the country is supporting its youngest residents in 16 different indicators, including percentage of children living in poverty, kids who lack health insurance and reading proficiency among fourth graders.
David Wieland, policy and advocacy director for Our Children Oregon, said all of the indicators are related and play a role in a child’s well-being.
“We can’t just say that we’ll address reading outcomes through the educational system,” Wieland said. “We actually need to look holistically at child well-being if we want to really improve any one of these single indicators.”
Oregon lags behind the vast majority of states when it comes to educational indicators, ranked at 44 of 50 states. At 31, Washington ranks a bit higher.
But outside of the classroom, the two states fare better. Both Oregon and Washington are in the top 10 of states in health and community indicators.
“These are often the result of policy choices that we make,” Wieland said. “Oregon has prioritized ensuring that children — we should celebrate that.”
But federal changes may hurt states’ progress.
As Children’s Alliance in Washington state mentions in their press release sharing the Kids Count Data, “The numbers do not reflect the current reality for kids and families impacted by federal cuts to vital programs that have already come into effect.”
One policy choice Oregon made allows students to opt out of standardized testing. As a result, Oregon’s testing participation rates are below 95%, the federal requirement.
Wieland said this policy makes Oregon’s outcomes “less reliable.”
“We simply know with less certainty how we compare,” Wieland said.
In addition to rankings, the report calculates index scores for each state, allowing year-over-year comparisons. Both Oregon and Washington’s scores declined compared to their pre-pandemic scores from 2019, and so have the index scores in 45 other states. Only Mississippi and Louisiana saw improvements. South Carolina stayed stable.
Looking Ahead
Through Oregon’s Early Literacy Success Initiative, the state has sent grants to school districts to help improve reading and provide more support for students in elementary school. But it may be a while before those investments show improvement in reports like the Kids Count Data Book, said Our Children Oregon executive director Bridget Dazey.
“We do have to be patient as the state and school districts try new things,” Dazey said. “At the same time, we can confidently say we’re underinvesting in students and so it shouldn’t be so delayed that we wait five to seven years to see how things start to shape up.”
Going forward, Dazey said her organization is working with a coalition of organizations on the next edition of the group’s Children’s Agenda, a list of legislative priorities for lawmakers. Dazey said the state also needs a vision that looks out beyond the legislature’s two-year budget cycle that school districts use to plan spending.
“We need to be thinking long term,” Dazey said. “Our state has gotten really comfortable with thinking about things in the biennium.”
This story comes to you from the Northwest News Network, a collaboration between public media organizations in Oregon and Washington.
The Oregon Lottery offers several draw games for those aiming to win big.
Here’s a look at July 6, 2026, results for each game:
Winning Powerball numbers from July 6 drawing
17-44-63-66-67, Powerball: 04, Power Play: 2
Check Powerball payouts and previous drawings here.
Winning Pick 4 numbers from July 6 drawing
1PM: 8-8-0-7
4PM: 4-2-9-2
7PM: 8-2-5-5
10PM: 7-7-2-2
Check Pick 4 payouts and previous drawings here.
Winning Win for Life numbers from July 6 drawing
18-28-41-70
Check Win for Life payouts and previous drawings here.
Winning Megabucks numbers from July 6 drawing
14-19-20-21-25-38
Check Megabucks payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
When are the Oregon Lottery drawings held?
- Powerball: 7:59 p.m. on Monday, Wednesday and Saturday.
- Mega Millions: 7:59 p.m. on Tuesday and Friday.
- Pick 4: 1 p.m., 4 p.m., 7 p.m. and 10 p.m. daily.
- Win for Life: 7:30 p.m. on Monday, Wednesday, and Saturday.
- Megabucks: 7:29 p.m. on Monday, Wednesday, and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by an Oregon editor. You can send feedback using this form.
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