OR| Oregon Department of Consumer and Business Services – Insurance Division Bulletin 2025-06 clarifies and reaffirms the requirement for all health benefit plans in Oregon, including grandfathered plans, to provide coverage for FDA-approved COVID-19 vaccines and their administration without cost-sharing or network restrictions, in line with prior guidance and statutory obligations.
Key Points:
- Health benefit plans in Oregon must cover the full cost of FDA-approved COVID-19 vaccines and administration, with no cost sharing or network limitations, as outlined in Bulletin DFR 2021-1.
- The Oregon Division of Financial Regulation reiterates these requirements following new coordination under the West Coast Health Alliance, which aligns the state’s guidelines with those of California, Washington, and Hawaii as of September 2025.
- This coverage mandate, effective immediately, applies in addition to any other state or federal requirements for vaccine coverage, and all insurers are expected to comply as an ongoing public health measure.