Oregon HealthCare.gov

Basic Health Program summary

Section 1331 of the Affordable Care Act gives states the option to establish a Basic Health Program (BHP) to replace Qualified Health Plan (QHP) coverage through the Marketplace for people in households below 200 percent of the federal poverty level (FPL). BHP, like QHPs, can cover people with incomes 138 percent to 200 percent of the FPL and lawfully present non-citizens with incomes 0 percent to 138 percent of the FPL who are ineligible for Medicaid due to immigration status.

House Bill (HB) 4017 directs the Department of Consumer and Business Services, in collaboration with the Oregon Health Authority (OHA), and in consultation with a stakeholder advisory group, consider and report recommendations for the BHP and secure an update on the Wakely Consulting Group and Urban Institute “Oregon Basic Health Program Study” report to the Legislature in 2014.

Committee membership

The stakeholder advisory groups must include advocates for low-income individuals and families, advocates for consumers of health care, representatives of health care provider groups, representatives of coordinated care organizations, and representatives of the health insurance industry.

BHP Alternatives and 1332 Waivers Subcommittee

BHP Alternatives Subcomittee members

  • Shanon Saldivar, insurance agent, Revell Coy Insurance
  • Jesse Ellis O’Brien, OSPIRG
  • Cathy Merz, insurance agent, Cathy Merz Insurance
  • Victoria Demchak, Oregon Primary Care Association
  • Sean McAnulty, Project Access Now
  • Janet Bauer, Oregon Center for Public Policy
  • Doug Barber, Lobby Oregon
  • Jeremiah Rigsby, CareOregon
  • Lori Long, Health Net
  • Tim Sweeney, Oregon Health Authority
  • Theresa Barney, Moda Health
  • Michael Schopf, Providence Health & Services
  • John Mullin, Oregon Law Center
  • Kim Fredlund, Oregon DHS

Oregon agency staff

  • Anthony Behrens, Oregon Health Insurance Marketplace
  • Katie Button, Oregon Health Insurance Marketplace

Meeting dates and materials

Unless otherwise noted, the meetings below will all be held at: Labor and Industries Bldg., Room 260, 350 Winter St. NE, Salem 97301

BHP Stakeholder Subcommittee

BHP Subcommittee members

  • Martin Taylor, CareOregon
  • Courtni Dresser, Oregon Medical Association
  • Chris Boone, insurance agent, Boone Insurance Associates
  • Cathy Merz, insurance agent, Cathy Merz Insurance
  • Janet Bauer, Oregon Center for Public Policy
  • Heather Raeburn, FamilyCare
  • Shanon Saldivar, insurance agent, Revell Coy Insurance
  • Victoria Demchak, Oregon Primary Care Association
  • Hannah Rosenau, Oregon Foundation for Reproductive Health
  • Shonna Butler, life and health insurance broker, Tomlin Benefit Planning
  • Sean McAnulty, Project Access Now
  • Shannon Conley, Trillium Community Health Plan

Oregon agency staff

  • Dawn Jagger, Oregon Health Insurance Marketplace
  • D’Anne Gilmore, Oregon Health Insurance Marketplace
  • Oliver Droppers, Oregon Health Authority

Meeting dates and materials

August 3, 2016 from 10:00 am – 12:00 pm: BHP Subcommittee meeting.

At this first meeting of the BHP Subcommittee, actuaries from Wakely Consulting Group will present their BHP study update.

September 9, 2016 from 9:00 am - 11:30 am: BHP Subcommittee meeting.

Wakely Consulting Group will provide responses to questions and requests from the advisory group regarding their BHP study update and DCBS will present the draft outline of its policy report and request feedback from advisory group members.