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Applying for OHP? New rules start Jan. 1, 2027.

Why this site exists: The state explains the new OHP rules across more than a dozen documents. This site puts what applicants need in one place, in plain words. Each page lists its official sources.

Have medical bills? Read this before Jan. 1, 2027.

Through Dec. 31, 2026, OHP can help with medical bills from up to 3 months before you apply.

Starting Jan. 1, 2027, it is 1 month for most adults ages 19 to 64.

More about past medical bills

The short version

• What's new: Starting Jan. 1, 2027, many adults ages 19 to 64 must meet new work or activity rules to get OHP.
• Good news: Many people already meet them, or don't have to.
• When OHP looks: The month before you apply.
• Records first: OHP checks its own records, like payroll and school records, before it asks you for anything.

Meet the rules any one way

• Income: Your household brings in $580 or more a month.
• School: You go to school at least half-time.
• 80 hours: You spend 80 hours a month on work, volunteering, school, or job training. Add them up.

What counts, in plain words

You may not have to if you

• Are pregnant, or were in the last 12 months
• Care for a child 13 or younger, or for someone with a disability
• Have a serious or disabling health condition
• Are American Indian or Alaska Native
• Were in foster care at 18 and are under 26

There are more reasons. OHP checks some reasons itself. For others, you just tell OHP. See every reason

What to do

1. Take the 1-minute check. Your answers stay on your device.
2. Apply online, by phone, in person, or on paper.
3. Answer every question about work, school, and volunteering. If a reason fits you, tell OHP.

Go deeper

• OHP sent me a letter What it means and how to answer on time
• I was turned down Your options, including free legal help
• I have a health condition You may not have to meet the rules
• Immigration status Healthier Oregon and your privacy
• Words on your letters Plain meanings for OHP words
• Hours log Print it and write down your hours

Sources for this page

We checked these on Nov. 2, 2026. Want every detail? See every source and the public fact log.

1. OHP Work or Activity Rules and Federal Changes to Oregon Health Plan
   Oregon Health Authority. Date on it: Last updated Sept. 18, 2026.
2. How will providers be affected by federal changes to Oregon Health Plan (OHP)? (HR1 provider FAQ) PDF
   Oregon Health Authority. Date on it: No date shown.
3. New Federal Rules: Impact to Oregon Health Plan and Healthier Oregon (staff and partner talking points) PDF
   Oregon Health Authority. Date on it: Last updated June 9, 2026.
4. Applicant and renewal journey maps (OHP work or activity rules) PDF
   Oregon Health Authority. Date on it: No date shown.
5. Medicaid Program; Community Engagement Requirement for Certain Individuals (interim final rule), 91 Fed. Reg. 33348
   Centers for Medicare & Medicaid Services. Date on it: Published June 3, 2026; effective July 31, 2026.
6. HR1 mythbusters (OHP) PDF
   Oregon Health Authority. Date on it: No date shown.
7. Work or Activity Rules for Some Oregon Health Plan (OHP) Members PDF
   Oregon Health Authority. Date on it: Updated June 1, 2026.
8. OHP work or activity rules: exemptions explainer and checklist PDF
   Oregon Health Authority. Date on it: No date shown.
9. Sample notice: New OHP Rules Begin 01/01/2027 (ONE outreach notice, English) PDF
   Oregon Health Authority. Date on it: No form number or revision date shown.