OR HB2268

Entities offering health care cost sharing arrangements (faith-based alternatives to insurance) must register with the Director of the Department of Consumer and Business Services, submit fingerprints for criminal background checks, and post a $25,000 bond or irrevocable letter of credit

Registrants must file annual reports by January 31 disclosing number of members, total fees collected, claims paid, reserve amounts, marketing materials, and an audit summary; reports become public documents posted on the department's website

All marketing communications must clearly state the arrangement is not health insurance and list excluded services commonly covered by insurance (such as reproductive health, STD treatment, HIV/AIDS medications, and gender-affirming care)

Sellers must assess residents' eligibility for the Oregon Health Plan or qualified health plans on the exchange and compare costs and coverage before entering an arrangement; licensed insurance producers and insurers are prohibited from selling these arrangements

Violations constitute unlawful trade practices; civil penalties up to $5,000 per violation may be assessed, and registrations may be revoked; provisions become operative January 1, 2026