Oregon isofficiallythe first state to create a long-term plan to replace Medicaid funding for Planned Parenthood if Congress permanently cuts off those funds, lawmakers and health officials said at a ceremonial bill signing
Gov. Tina Kotek, Democratic state lawmakers and healthcare professionals gathered at Planned Parenthood in Portland Wednesday to celebrate three new laws that strengthen access to abortion, gender-affirming care and vaccines in the wake of the Trump administration slashing funding for providers offering those services and cutting vaccine recommendations for children.
Kotek in March signed into lawHouse Bill 4127, which would use state dollars to backfill funding Planned Parenthood has lost since July 2025 when President Donald Trump signed a law blocking the healthcare providerfrom receiving Medicaid or Medicare reimbursements until June 30, 2026. The law also creates a contingency plan to pay for Planned Parenthood services should it lose access to Medicaid funding permanently.
Oregon lawmakers already secured$7.5 millionfor the state’s Planned Parenthood clinics in the latest legislative session, less than half of the $17 million in Medicaid reimbursements those clinics relied on in 2024.
Federal law has for nearly 50 years banned the use of Medicaid funds for abortion under a 1977 policy known as theHyde Amendment. And 90% of what Planned Parenthood clinics in Oregon provide are unrelated to abortion. Doctors at the clinics mostly provide vasectomies, treatment for sexually transmitted infections and screenings for breast and cervical cancer. Planned Parenthood’s Ontario clinic is the only exception. The eastern Oregon clinic is a 30 minute drive from the state’s border with Idaho, where abortion is banned in almost all cases. Planned Parenthood officials said 80% of that clinic’s patients are seeking abortion care from out-of-state.
“At a time when reproductive health care is under relentless attack across our country, Oregon chose to lead,” said Amy Handler, the president of Planned Parenthood of Southern Oregon. “This law reflects something deeply Oregonian. When people’s reproductive health care is threatened, we do not look away. We problem solve, we innovate and we fight to protect our communities.”
Bill sponsor and House Majority Leader Ben Bowman, D-Tigard, said the bill is the first of its kind in the country and reflects Oregon’s great tradition of being a national trailblazer.
“What I love about House Bill 4127 is that it continues in this tradition, albeit in a slightly different context,” he said at the event. “This particular big problem, the big problem we solved in this bill was manufactured. It was created by the President and by the United States Congress when they defunded Planned Parenthood.”
Oregon strengthens its shield law, vaccine access
Kotek also celebrated the signing ofHouseBill 4088, which builds off a 2023 lawshieldinghealthcare workers who assist with abortion or gender-affirming care in Oregon from lawsuits or professional discipline.
The law adds more legal protections for state employees, midwives and the individuals seeking abortion or gender-affirming care.
It prohibits public employees from assisting federal or out-of-state agencies in investigations into reproductive or gender affirming care activities that are legal in Oregon, including the governor, who under the law cannot extradite someone for receiving that care unless the individual participated in treason or other serious crimes.
It also prohibits the use of personally identifiable information related to reproductive or gender affirming care in most court proceedings, and adds applications for legal sex and name changes to the list of items exempt from public record, with some exceptions.
“The bills before us ensure that Oregon does not sit back to federal attacks that devastate our health care infrastructure,” said Sen. WInsvey Campos, D-Aloha. “Instead, we strengthened our laws and created sustainable paths to protect access to Oregonians across the state.”
Kotek also penned a celebratory signature onSenate Bill 1598, which requires state-regulated health plans to cover specified preventive health services, including vaccines. And, it authorizes the state to make recommendations for services to be covered and to issue standing orders for providers to dispense drugs and devices.
Dr. Jennifer McCall, a Portland primary physician, said it is a difficult time for healthcare providers to witness the federal government shift guidance on preventive services, disregarding science and people’s safety.
“We spend so much of our time asking patients to invest in prevention, to show up, to be proactive about their health, and then the system turns around and makes that harder than it needs to be,” she said. “It erodes trust in a way that’s, frankly, really hard to rebuild once it’s lost. Senate Bill 1598 is Oregon’s answer to that.”
Oregon in September joined a health advisory alliance withWashington, California and Hawaii following concerns about the credibility of the Centers for Disease Control and Prevention under Trump and Health and Human Services Secretary Robert F. Kennedy Jr., a longtime vaccine skeptic. In January, the alliancesplitfrom the federal government’s vaccine recommendations to follow the American Academy of Pediatrics’ longstanding pediatric vaccine recommendations.
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