2025-27 BienniumLiving Document

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

Other Funds
$56.1B
Other Funds: $56.1B (40.4%)
Federal Funds
$43.7B
Federal Funds: $43.7B (31.5%)
General Fund
$37.3B
General Fund: $37.3B (26.9%)
Lottery: $1.8B (1.3%)
Other Funds — $56.1B (40.4%)
Federal Funds — $43.7B (31.5%)
General Fund — $37.3B (26.9%)
Lottery — $1.8B (1.3%)

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

Total OHA Budget
$42B
30.2% of total state budget
OHP Enrollment
1.4M
1 in 3 Oregonians
CCO Avg PMPM
$530
CY2025 statewide average
FMAP Rate
58.18%
FY2027 — state pays ~42%
General Fund Share
$10.5B
Up from $5.3B in 2023-25
Healthier Oregon
105K
Enrolled, ~$1.3B cost
Hospital Provider Tax
$1.7B
Biennial revenue
OHA Positions
~6,000
FTE statewide

Inside OHA's $42 Billion

How Oregon's healthcare budget breaks down by major funding stream. Hover for details.

$42.00000000000001B
Total OHA

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.

$26.5B
63.1% of OHA
16 CCOs statewideAvg $530 PMPM (CY2025)Range: $445-$614 per CCO3.4% annual rate increase approvedCCO margins: 0.02% profit through June 2025

Direct Medicaid payments for OHP members not enrolled in CCOs, plus dental fee-for-service, pharmacy carve-outs, and retroactive eligibility periods.

$3.8B
9.0% of OHA
Dental FFS programsPharmacy carve-outsRetroactive eligibility periodsNon-CCO enrolled members

Healthier Oregon Program

Coverage for undocumented Oregon residents. 100% state-funded (no federal Medicaid match). Enrollment nearly doubled original projections.

$1.3B
3.1% of OHA
~105,000 enrolled87% General Fund, 13% federalNo federal match for undocumented adultsNearly 2x original enrollment projections

Oregon's psychiatric hospital system — the single largest behavioral health facility in the state. Includes $56M for safety and staffing improvements.

$1B
2.4% of OHA
$56M safety/staffing improvementsChronic capacity constraintsAid & assist backlog driverLargest BH facility in state

Community mental health programs, substance use disorder treatment, residential facilities, 988 crisis system, youth behavioral health, and harm reduction.

$3.2B
7.6% of OHA
196 new residential beds (HB 2059, $65M)Addiction/MH residential: $43MLocal MH programs: $45MYouth BH: $14MHarm reduction: $10M

Public Health Division

WIC, immunizations, environmental health, communicable disease surveillance, public health modernization, and county health department support.

$2.5B
6.0% of OHA
Public health modernization initiativeWIC nutrition programsImmunization programsCounty health department grants

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.

$3.7B
8.8% of OHA
CCO rate-setting and oversightAll-Payer Claims Database (APCD)MMIS (claims processing system)OHA reorganization costs

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.

Oregon State Hospital (operations + safety)
Largest single line item in BH spending
$1B

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

Live

The $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 Soon

Oregon State Hospital's $1B budget, the 196-bed residential expansion, Measure 110 funding outcomes, and the aid-and-assist crisis.

FMAP & Federal Risk

Coming Soon

Oregon's declining federal match rate, the $1.1B provider tax shift, and what happens if Congress cuts Medicaid.

Healthcare Workforce

Coming Soon

The 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 Soon

Four biennia of healthcare spending — the COVID cliff, the provider tax shift, and General Fund doubling.

Sources

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.