OR HB4156

Modifies Medicaid supplemental reimbursement requirements for emergency medical services (EMS) providers owned or operated by local governments, state agencies, or federally recognized Indian tribes

Replaces the "intergovernmental transfer program" with a broader "funding mechanism" for transferring funds between EMS providers and the Oregon Health Authority to cover costs of serving coordinated care organization members

Allows General Fund moneys to be used to certify expenditures as eligible for federal financial participation, whereas previous law prohibited any General Fund use for implementation

Caps administrative fees at 20% of emergency medical services costs, with providers allowed to count up to 120% of the fee as an operating cost

Declares an emergency, making the act effective immediately upon passage