Combined legislative roll-call positions

Janelle S Bynum public records

4,696 captured recordsJanuary 9, 2017–July 23, 2026

About these records

This combines the candidate's complete configured legislative archives: Oregon Legislative Assembly OData measure votes and United States House roll calls. Every entry preserves its chamber, stable member identity, exact evidence, and direct official source. It never infers a position from attendance, silence, sponsorship, a voice vote, or an omitted name.

Procedural votes, amendments, nominations, resolutions, final-passage votes, executive actions, and official statements remain separately labeled. A statement or department announcement is not converted into a legislative vote or proof that the officeholder personally performed the underlying work.

Archive status: Complete and directly captured from Oregon Legislative Assembly OData measure votes and United States House roll calls

Public record at a glance

What this archive contains

These are descriptive counts from captured official records, not an ideology, effectiveness, or intent score. Subject labels are navigation aids assigned from official measure text. A vote does not establish why the candidate voted that way or support for every provision in a measure.

Vote events: 4,696
Unique measures: 4,058
Final passage: 3,138
All Yes / No events: 3,832 / 518

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503 measures

Page 1 of 21

Healthcare21 recorded events
H R 8800 — National Defense Authorization Act for Fiscal Year 2027
Amendment · Voted no on amendment: 18 · Other procedural vote · Voted yes: 1 · Final passage · Voted no: 1 · Amendment · Voted yes on amendment: 1 · July 21, 2026–July 22, 2026
What this issue meant
This bill sets forth policies and authorities for FY2027 for Department of Defense (DOD) programs, activities, and military construction as well as the national security programs of the Department of Energy (DOE).
This grouped history includes amendment votes. Those positions concern proposed changes to the measure and are kept separate from any final-passage vote.
Read exact official source text21 official records
The official measure description explains the issue; each dated record below proves the candidate's published position.
Official measure description
National Defense Authorization Act for Fiscal Year 2027
This bill sets forth policies and authorities for FY2027 for Department of Defense (DOD) programs, activities, and military construction as well as the national security programs of the Department of Energy (DOE). Among other elements, the bill authorizes the procurement of various items, including aircraft and ships;…
July 22, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 22, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 22, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 22, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 22, 2026 · Voted yesOther procedural vote
On Motion to Recommit
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July 22, 2026 · Voted noFinal passage
On Passage
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted yes on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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July 21, 2026 · Voted no on amendmentAmendment
On Agreeing to the Amendment
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Healthcare1 recorded event
H R 9770 — Making continuing appropriations for fiscal year 2027, and for other purposes.
Final passage · Voted no: 1 · July 21, 2026–July 21, 2026
What this issue meant
Continuing Appropriations Act, 2027 This bill provides continuing FY2027 appropriations for federal agencies and extends various expiring programs and authorities. Specifically, the bill provides continuing FY2027 appropriations to federal agencies through the earlier of December 4, 2026, or the enactment of the…
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The official measure description explains the issue; each dated record below proves the candidate's published position.
Official measure description
Making continuing appropriations for fiscal year 2027, and for other purposes.
Continuing Appropriations Act, 2027 This bill provides continuing FY2027 appropriations for federal agencies and extends various expiring programs and authorities. Specifically, the bill provides continuing FY2027 appropriations to federal agencies through the earlier of December 4, 2026, or the enactment of the…
July 21, 2026 · Voted noFinal passage
On Passage
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Healthcare1 recorded event
H R 8823 — Putting Patients First by Strengthening Provider Accountability in FECA Act
Final passage · Voted yes: 1 · July 20, 2026–July 20, 2026
What this issue meant
This bill explicitly authorizes the Department of Labor to suspend payments under the federal workers’ compensation program to certain providers convicted of fraud. (Current regulations establish various grounds for excluding a provider from payment under the program, including a conviction for fraudulent activity in…
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The official measure description explains the issue; each dated record below proves the candidate's published position.
Official measure description
Putting Patients First by Strengthening Provider Accountability in FECA Act
This bill explicitly authorizes the Department of Labor to suspend payments under the federal workers’ compensation program to certain providers convicted of fraud. (Current regulations establish various grounds for excluding a provider from payment under the program, including a conviction for fraudulent activity in…
July 20, 2026 · Voted yesFinal passage
On Motion to Suspend the Rules and Pass, as Amended
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Healthcare1 recorded event
H R 3106 — Weatherizing Infrastructure in the North and Terrorism Emergency Readiness Act of 2025
Final passage · Voted yes: 1 · July 13, 2026–July 13, 2026
What this issue meant
This bill requires the Department of Homeland Security (DHS) to develop and conduct an exercise to enhance collective domestic preparedness for and response to a terrorist attack during an extreme cold weather event (e.g., an event caused by a polar vortex when Arctic air expands southward). The scenario in the…
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The official measure description explains the issue; each dated record below proves the candidate's published position.
Official measure description
Weatherizing Infrastructure in the North and Terrorism Emergency Readiness Act of 2025
This bill requires the Department of Homeland Security (DHS) to develop and conduct an exercise to enhance collective domestic preparedness for and response to a terrorist attack during an extreme cold weather event (e.g., an event caused by a polar vortex when Arctic air expands southward). The scenario in the…
July 13, 2026 · Voted yesFinal passage
On Motion to Suspend the Rules and Pass
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Healthcare2 recorded events
H R 6644 — 21st Century ROAD to Housing Act
Final passage · Voted yes: 2 · February 9, 2026–June 23, 2026
What this issue meant
This act establishes and modifies various federal housing programs. TITLE I--OPPORTUNITIES FOR HOUSING (Sec. 101) This section requires the Department of Housing and Urban Development (HUD) to review the performance of organizations that receive grants to provide housing counseling services.
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The official measure description explains the issue; each dated record below proves the candidate's published position.
Official measure description
21st Century ROAD to Housing Act
This act establishes and modifies various federal housing programs. TITLE I--OPPORTUNITIES FOR HOUSING (Sec. 101) This section requires the Department of Housing and Urban Development (HUD) to review the performance of organizations that receive grants to provide housing counseling services. Such review may take into…
June 23, 2026 · Voted yesFinal passage
On Motion to Suspend the Rules and Concur in Senate Adt to House Adt to Senate Adt
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February 9, 2026 · Voted yesFinal passage
On Motion to Suspend the Rules and Pass, as Amended
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Healthcare2 recorded events
S 2 — Secure America Act
Other recorded vote · Voted yes: 1 · Final passage · Voted no: 1 · June 9, 2026–June 9, 2026
What this issue meant
This act provides $70 billion in funding to the Department of Homeland Security (DHS), U.S. Customs and Border Protection (CBP), and U.S. Immigration and Customs Enforcement (ICE) through FY2029 for immigration enforcement, border security, and related activities.
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The official measure description explains the issue; each dated record below proves the candidate's published position.
Official measure description
Secure America Act
This act provides $70 billion in funding to the Department of Homeland Security (DHS), U.S. Customs and Border Protection (CBP), and U.S. Immigration and Customs Enforcement (ICE) through FY2029 for immigration enforcement, border security, and related activities. It is known as a reconciliation bill and includes…
June 9, 2026 · Voted yesOther recorded vote
On Motion to Commit
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June 9, 2026 · Voted noFinal passage
On Passage
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Healthcare2 recorded events
H R 8646 — Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Act, 2027
Other procedural vote · Voted yes: 1 · Final passage · Voted no: 1 · June 4, 2026–June 4, 2026
What this issue meant
Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Act, 2027
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The official measure description explains the issue; each dated record below proves the candidate's published position.
June 4, 2026 · Voted yesOther procedural vote
On Motion to Recommit
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June 4, 2026 · Voted noFinal passage
On Passage
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Healthcare2 recorded events
H RES 1333 — Providing for consideration of the bills (H.R. 8646) Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Act, 2027; (H.R. 7726) Stop Child Care Scams Act; (H.R. 7892) No Aid for Ghost Students Act; and (H.R. 8872) Preventing Waste, Fraud, and Abuse in TANF Act
Other procedural vote · Voted no: 1 · Resolution · Voted no: 1 · June 3, 2026–June 3, 2026
What this issue meant
Providing for consideration of the bills (H.R. 8646) Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Act, 2027; (H.R. 7726) Stop Child Care Scams Act; (H.R. 7892) No Aid for Ghost Students Act; and (H.R. 8872) Preventing Waste, Fraud, and Abuse in TANF Act
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June 3, 2026 · Voted noOther procedural vote
On Ordering the Previous Question
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June 3, 2026 · Voted noResolution
On Agreeing to the Resolution
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Healthcare1 recorded event
S 2393 — Fiscal Year 2025 Veterans Affairs Major Medical Facility Authorization Act
Final passage · Voted yes: 1 · May 20, 2026–May 20, 2026
What this issue meant
Fiscal Year 2025 Veterans Affairs Major Medical Facility Authorization Act
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The official measure description explains the issue; each dated record below proves the candidate's published position.
May 20, 2026 · Voted yesFinal passage
On Motion to Suspend the Rules and Pass
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Healthcare3 recorded events
H R 6938 — Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026
Other recorded vote · Voted yes: 2 · Final passage · Voted yes: 1 · January 8, 2026–January 8, 2026
What this issue meant
This bill provides FY2026 appropriations to several federal departments and agencies for activities and programs related to commerce, law enforcement, science, energy and water development, public lands, and the environment. Specifically, the bill includes 3 of the 12 regular FY2026 appropriations bills: the Commerce,…
Read exact official source text3 official records
The official measure description explains the issue; each dated record below proves the candidate's published position.
Official measure description
Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026
This bill provides FY2026 appropriations to several federal departments and agencies for activities and programs related to commerce, law enforcement, science, energy and water development, public lands, and the environment. Specifically, the bill includes 3 of the 12 regular FY2026 appropriations bills: the Commerce,…
January 8, 2026 · Voted yesOther recorded vote
On Retaining Division A
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January 8, 2026 · Voted yesOther recorded vote
On Retaining Divisions B and C
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January 8, 2026 · Voted yesFinal passage
On Passage
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Healthcare2 recorded events
H R 498 — Do No Harm in Medicaid Act
Other procedural vote · Voted yes: 1 · Final passage · Voted no: 1 · December 18, 2025–December 18, 2025
What this issue meant
This bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18. The bill defines these procedures to mean those that are intended to change the body of an individual to no longer correspond to the individual's biological sex (male or female), including…
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Official measure description
Do No Harm in Medicaid Act
This bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18. The bill defines these procedures to mean those that are intended to change the body of an individual to no longer correspond to the individual's biological sex (male or female), including…
December 18, 2025 · Voted yesOther procedural vote
On Motion to Recommit
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December 18, 2025 · Voted noFinal passage
On Passage
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Healthcare2 recorded events
H R 6703 — Lower Health Care Premiums for All Americans Act
Other procedural vote · Voted yes: 1 · Final passage · Voted no: 1 · December 17, 2025–December 17, 2025
What this issue meant
Lower Health Care Premiums for All Americans Act
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The official measure description explains the issue; each dated record below proves the candidate's published position.
December 17, 2025 · Voted yesOther procedural vote
On Motion to Recommit
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December 17, 2025 · Voted noFinal passage
On Passage
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Healthcare2 recorded events
H RES 953 — Providing for consideration of the bills (H.R. 6703) Lower Health Care Premiums for All Americans Act; (H.R. 498) Do No Harm in Medicaid Act; and (H.R. 3492) Protect Children’s Innocence Act; and relating to consideration of the bill (H.R. 4776) SPEED Act
Other procedural vote · Voted no: 1 · Resolution · Voted no: 1 · December 17, 2025–December 17, 2025
What this issue meant
Providing for consideration of the bills (H.R. 6703) Lower Health Care Premiums for All Americans Act; (H.R. 498) Do No Harm in Medicaid Act; and (H.R. 3492) Protect Children’s Innocence Act; and relating to consideration of the bill (H.R. 4776) SPEED Act
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December 17, 2025 · Voted noOther procedural vote
On Ordering the Previous Question
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December 17, 2025 · Voted noResolution
On Agreeing to the Resolution
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Healthcare2 recorded events
H R 21 — Born-Alive Abortion Survivors Protection Act
Other procedural vote · Voted yes: 1 · Final passage · Voted no: 1 · January 23, 2025–January 23, 2025
What this issue meant
This bill establishes requirements for the degree of care a health care practitioner must provide in the case of a child born alive following an abortion or attempted abortion. Specifically, a health care practitioner who is present must (1) exercise the same degree of care as would reasonably be provided to any other…
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Official measure description
Born-Alive Abortion Survivors Protection Act
This bill establishes requirements for the degree of care a health care practitioner must provide in the case of a child born alive following an abortion or attempted abortion. Specifically, a health care practitioner who is present must (1) exercise the same degree of care as would reasonably be provided to any other…
January 23, 2025 · Voted yesOther procedural vote
On Motion to Recommit
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January 23, 2025 · Voted noFinal passage
On Passage
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Healthcare1 recorded event
HB 4092 — Requires the Oregon Health Authority to conduct a study to determine the funding required for each community mental health program to provide the services and perform the functions required by law related to individuals with behavioral health disorders in specified age groups.
Other procedural vote · Voted yes: 1 · March 7, 2024–March 7, 2024
What this issue meant
Digest: The Act requires the OHA to study how much money local mental health programs need to comply with state laws. The Act requires the OHA to contract with a certain council to work with a group of people who provide mental health and substance use treatment. The Act requires the group to study the impact of state…
Read exact official source text1 official record
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March 7, 2024 · Voted yesOther procedural vote
Rules suspended. Third reading. Carried by Nosse. Passed.
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Healthcare1 recorded event
SB 1521 — Requires the Department of Human Services to contract with at least one organization by July 1, 2024, to provide enhanced supports to employers of personal support workers and describes the supports that must be provided by the organization.
Other procedural vote · Voted yes: 1 · March 7, 2024–March 7, 2024
What this issue meant
Digest: The Act requires DHS to contract with at least one organization to provide a new type of service to people who hire personal support workers. The Act makes changes to the statutes about agency with choice service providers. The Act requires DHS to contract with at least one agency providing agency with choice…
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March 7, 2024 · Voted yesOther procedural vote
Rules suspended. Third reading. Carried by Reynolds. Passed.
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Healthcare1 recorded event
SB 1578 — Directs the Oregon Health Authority to establish and maintain an online portal with the functionality to provide online scheduling for health care providers and coordinated care organizations to use to contact health care interpreters directly for purposes of serving Oregon Health Plan members and to process billing for health care interpreter services that were rendered to Oregon Health Plan members.
Other procedural vote · Voted yes: 1 · March 7, 2024–March 7, 2024
What this issue meant
Digest: The Act directs the OHA to set up a health care interpreter management system. The Act requires the OHA to contract with a nonprofit entity to establish a recruitment and retention program. The Act sets out certain requirements for the nonprofit. The Act requires the nonprofit to submit a report to the OHA each…
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March 7, 2024 · Voted yesOther procedural vote
Rules suspended. Third reading. Carried by Nelson. Passed.
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Healthcare2 recorded events
HB 4003 — Directs the Department of State Police to study the causes of and ways to address the medical examiner shortage, and to provide the results of the study to the appropriate interim committees of the Legislative Assembly no later than October 1, 2024.
Other procedural vote · Not voting: 1 · Other procedural vote · Voted yes: 1 · February 14, 2024–March 6, 2024
What this issue meant
Digest: The Act tells a state agency to study the shortage of MEs in this state. The Act tells the agency to provide the results of the study to the legislature by October 1, 2024. The Act goes into effect when the Governor signs it. (Flesch Readability Score: 65.0). Directs the Department of State Police to study the…
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March 6, 2024 · Not votingOther procedural vote
House concurred in Senate amendments and repassed bill.
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February 14, 2024 · Voted yesOther procedural vote
Rules suspended. Third reading. Carried by Wallan. Passed.
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Healthcare2 recorded events
HB 4010 — Specifies that flavoring of a prescription drug is not compounding.
Other procedural vote · Not voting: 1 · Final passage · Voted yes: 1 · February 22, 2024–March 6, 2024
What this issue meant
Digest: The Act makes changes to laws about prescription drugs and some health care providers. The Act says the Oregon State Hospital does not have to do certain things about staffing. The Act changes the term "physician assistant" to "physician associate." (Flesch Readability Score: 62.1). Specifies that flavoring of…
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March 6, 2024 · Not votingOther procedural vote
House concurred in Senate amendments and repassed bill.
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February 22, 2024 · Voted yesFinal passage
Third reading. Carried by Nosse. Passed.
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Healthcare1 recorded event
HB 4149 — Requires pharmacy benefit managers to be licensed by the Department of Consumer and Business Services beginning January 1, 2025.
Other procedural vote · Voted yes: 1 · March 6, 2024–March 6, 2024
What this issue meant
Digest: The Act requires PBMs to be licensed and changes the definition of a PBM. The Act changes the way PBMs can audit drug stores. The Act requires PBMs to report certain information each year to DCBS. The Act makes changes to the way 340B drugs are covered by insurance. The Act protects certain information that is…
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March 6, 2024 · Voted yesOther procedural vote
Rules suspended. Third reading. Carried by Nathanson. Passed.
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Healthcare1 recorded event
SB 1503 — Establishes the Task Force on Community Safety and Firearm Suicide Prevention and requires the task force to report to the interim committees of the Legislative Assembly related to health care.
Final passage · Voted yes: 1 · March 6, 2024–March 6, 2024
What this issue meant
Digest: The Act makes a task force on community safety and suicide prevention. The Act provides money for research on those topics. (Flesch Readability Score: 63.2). Establishes the Task Force on Community Safety and Firearm Suicide Prevention and requires the task force to report to the interim committees of the…
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March 6, 2024 · Voted yesFinal passage
Third reading. Carried by Grayber. Passed.
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Healthcare1 recorded event
HB 4129 — Requires the Department of Human Services and the Oregon Health Authority to contract with no more than two agencies to provide agency with choice services to individuals who are older adults or who have disabilities.
Final passage · Not voting: 1 · March 5, 2024–March 5, 2024
What this issue meant
Digest: The Act requires OHA and DHS to contract with no more than two agencies to provide agency with choice services. The Act defines the services that must be provided and the rights of individuals who receive the services. The Act requires the OHA and DHS to adopt certain rules. The Act requires people who provide…
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March 5, 2024 · Not votingFinal passage
Third reading. Carried by Bowman. Passed.
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Healthcare1 recorded event
SB 1553 — Modifies the crime of interfering with public transportation to include the use of an unlawfully possessed controlled substance while in or on a public transit vehicle.
Other procedural vote · Not voting: 1 · March 5, 2024–March 5, 2024
What this issue meant
Digest: The Act changes the crime of interfering with public transportation. The Act makes using drugs on public transit a new way of committing the crime. (Flesch Readability Score: 65.5). Modifies the crime of interfering with public transportation to include the use of an unlawfully possessed controlled substance…
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March 5, 2024 · Not votingOther procedural vote
Rules suspended. Third reading. Carried by McLain. Passed.
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Healthcare1 recorded event
HB 4071 — Establishes the Task Force on Health Professional Licensing Modernization.
Other procedural vote · Voted yes: 1 · March 4, 2024–March 4, 2024
What this issue meant
Digest: The Act makes a task force to look at health professional regulatory boards. (Flesch Readability Score: 63.4). [[Establishes the Task Force on Health Professional Licensing Modernization. Directs the task force to submit three reports to the interim committees of the Legislative Assembly related to health, on or before September 15, 2024, September 15, 2025, and December 15, 2025. Sunsets on December 31, 2025. Takes effect on the 91st day following adjournment sine die.
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March 4, 2024 · Voted yesOther procedural vote
Motion to withdraw from Ways and Means failed.
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Healthcare1 recorded event
HB 4081 — Establishes the Emergency Medical Services Program and Emergency Medical Services Advisory Board within the Oregon Health Authority.
Other procedural vote · Voted yes: 1 · March 4, 2024–March 4, 2024
What this issue meant
Digest: The Act makes a program and an advisory board in the Oregon Health Authority to make it easier to get fast health care. (Flesch Readability Score: 61.4). Establishes the Emergency Medical Services Program and Emergency Medical Services Advisory Board within the Oregon Health Authority. Directs the authority to…
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March 4, 2024 · Voted yesOther procedural vote
Rules suspended. Third reading. Carried by Grayber. Passed.
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What this archive contains

503 measures

H R 8800 — National Defense Authorization Act for Fiscal Year 2027

H R 9770 — Making continuing appropriations for fiscal year 2027, and for other purposes.

H R 8823 — Putting Patients First by Strengthening Provider Accountability in FECA Act

H R 3106 — Weatherizing Infrastructure in the North and Terrorism Emergency Readiness Act of 2025

H R 6644 — 21st Century ROAD to Housing Act

S 2 — Secure America Act

H R 8646 — Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Act, 2027

S 2393 — Fiscal Year 2025 Veterans Affairs Major Medical Facility Authorization Act

H R 6938 — Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026

H R 498 — Do No Harm in Medicaid Act

H R 6703 — Lower Health Care Premiums for All Americans Act

H RES 953 — Providing for consideration of the bills (H.R. 6703) Lower Health Care Premiums for All Americans Act; (H.R. 498) Do No Harm in Medicaid Act; and (H.R. 3492) Protect Children’s Innocence Act; and relating to consideration of the bill (H.R. 4776) SPEED Act

H R 21 — Born-Alive Abortion Survivors Protection Act

HB 4092 — Requires the Oregon Health Authority to conduct a study to determine the funding required for each community mental health program to provide the services and perform the functions required by law related to individuals with behavioral health disorders in specified age groups.

SB 1521 — Requires the Department of Human Services to contract with at least one organization by July 1, 2024, to provide enhanced supports to employers of personal support workers and describes the supports that must be provided by the organization.

HB 4003 — Directs the Department of State Police to study the causes of and ways to address the medical examiner shortage, and to provide the results of the study to the appropriate interim committees of the Legislative Assembly no later than October 1, 2024.

HB 4010 — Specifies that flavoring of a prescription drug is not compounding.

HB 4149 — Requires pharmacy benefit managers to be licensed by the Department of Consumer and Business Services beginning January 1, 2025.

SB 1503 — Establishes the Task Force on Community Safety and Firearm Suicide Prevention and requires the task force to report to the interim committees of the Legislative Assembly related to health care.

HB 4129 — Requires the Department of Human Services and the Oregon Health Authority to contract with no more than two agencies to provide agency with choice services to individuals who are older adults or who have disabilities.

SB 1553 — Modifies the crime of interfering with public transportation to include the use of an unlawfully possessed controlled substance while in or on a public transit vehicle.

HB 4071 — Establishes the Task Force on Health Professional Licensing Modernization.

HB 4081 — Establishes the Emergency Medical Services Program and Emergency Medical Services Advisory Board within the Oregon Health Authority.