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 less than 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 up 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, to 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 Building, Room 260, 350 Winter St. NE, Salem, Oregon 97301
- Tuesday, May 9, 2017 at 10 a.m.
Location: 350 Winter St. NE Salem, OR 97301
Second floor, Room 2D – check in at second floor reception desk
- Wednesday, Nov. 30, 2016
- Thursday, Dec. 8, 2016
- Friday, Dec. 16, 2016
- Wednesday, Dec. 28, 2016
Location: Lake Oswego office, 15555 Bangy Road, Suite 200, Lake Oswego, 97305
- Thursday, Jan. 12, 2017
Due to inclement weather, this meeting has been changed to dial-in only. Please see the agenda below for dial-in information.
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
Aug. 3, 2016, from 10 a.m. to noon: BHP Subcommittee meeting.
At this first meeting of the BHP Subcommittee, actuaries from Wakely Consulting Group presented their BHP study update.
Sept. 9, 2016, from 9 to 11:30 a.m.: BHP Subcommittee meeting.
Wakely Consulting Group provided responses to questions and requests from the advisory group regarding their BHP study update and DCBS presented the draft outline of its policy report and requested feedback from advisory group members.