Where Oregon Spends Its Healthcare Dollars
The Oregon Health Authority is a $42 billion agency — nearly a third of the state's $138.9 billion total budget and the largest agency in Oregon government. This page breaks down where that money goes, how it's changing, and what it means for providers, CCOs, and patients. Sections link to deeper analysis as we publish it.
Total State Budget: $138.9BAll Funds, 2025-27 Biennium
Total state budget up 6.3% over 2023-25. OHA alone grew 17% ($36B → $42B), now 30.2% of the total. Source: LFO 2025-27 Budget Highlights.
Oregon Health Authority — At a Glance
Inside OHA's $42 Billion
How Oregon's healthcare budget breaks down by major funding stream. Hover for details.
Payments to Oregon's 16 Coordinated Care Organizations that manage physical, behavioral, and dental care for 1.2M+ OHP members. The single largest line item in state government.
Direct Medicaid payments for OHP members not enrolled in CCOs, plus dental fee-for-service, pharmacy carve-outs, and retroactive eligibility periods.
Healthier Oregon Program
Coverage for undocumented Oregon residents. 100% state-funded (no federal Medicaid match). Enrollment nearly doubled original projections.
Oregon's psychiatric hospital system — the single largest behavioral health facility in the state. Includes $56M for safety and staffing improvements.
Community mental health programs, substance use disorder treatment, residential facilities, 988 crisis system, youth behavioral health, and harm reduction.
Public Health Division
WIC, immunizations, environmental health, communicable disease surveillance, public health modernization, and county health department support.
Health Policy, Analytics & Admin
Health policy and rate-setting, all-payer claims database, quality metrics, Medicaid Management Information System (MMIS), IT infrastructure, and central services.
Behavioral Health Investment — Governor's $330M+ Package
The largest single behavioral health investment in Oregon history, on top of the $4.2B already flowing through OHA's behavioral health programs.
OHA Budget Growth: Four Biennia
OHA's budget grew 68% in eight years. General Fund more than tripled — driven by declining FMAP, provider tax expiration, and Healthier Oregon costs.
2021-23 inflated by COVID relief (ARPA, 6.2% enhanced FMAP). General Fund jumped from $5.3B to $10.5B in one biennium as $1.1B in hospital/insurer provider taxes shifted to GF and FMAP declined. Sources: LFO Budget Highlights, Oregon Blue Book.
Deep Dives
Each section gets its own analysis as we publish. Links go live as deep dives are completed.
CCOs & Oregon Health Plan
LiveThe $26.5B capitation system: how the 16 CCOs allocate funds, which are under financial stress, and what the 3.4% rate increase actually buys.
Behavioral Health
Coming SoonOregon State Hospital's $1B budget, the 196-bed residential expansion, Measure 110 funding outcomes, and the aid-and-assist crisis.
FMAP & Federal Risk
Coming SoonOregon's declining federal match rate, the $1.1B provider tax shift, and what happens if Congress cuts Medicaid.
Healthcare Workforce
Coming SoonThe 30-30-30 initiative ($46M), OHSU state funding ($147M), loan repayment, and whether Oregon can train its way out of a shortage.
OHA Budget Trends (2019-2027)
Coming SoonFour biennia of healthcare spending — the COVID cliff, the provider tax shift, and General Fund doubling.
Sources
- LFO 2025-27 Budget Highlights — Legislative Fiscal Office
- OHA 2025 End-of-Session Legislative Report — Oregon Health Authority
- OHA 2025-27 Governor's Recommended Budget — Oregon Health Authority
- CCO Capitation Rates Presentation — OLIS
- Lawmakers Set to Approve Bigger OHA Budget — Lund Report
- Federal Medical Assistance Percentage (FMAP) — KFF
- State Government Finance — Oregon Blue Book
OHA component-level figures are estimated from available legislative documents, OHA budget presentations, and Lund Report analysis. Exact program-level breakdowns are published in LFO's detailed budget reports (PDFs). This page will be updated as more granular data becomes available and as supplemental budgets are adopted.
For informational purposes only. Budget figures are drawn from publicly available legislative documents and may be subject to revision through supplemental budgets, emergency boards, or federal funding changes. Does not constitute financial, legal, or policy advice. Built by Oregon Intel — Praxis AI.