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Upper payment limit study

In 2023, the Oregon Legislature expanded the board’s mission through Senate Bill 192 to “develop a plan for establishing upper payment limits on drugs sold in this state that are subject to affordability reviews under ORS 646A.694.” An upper payment limit, or UPL, limits what purchasers in Oregon will pay for specific drugs. The Legislature said the UPL plan should include outreach to constituent groups.

To fulfill its mandate, the board worked with consultants Lou Savage and Myers and Stauffer LC to host 23 community meetings and focus groups in April, May and June 2024. The board chair, vice chair, and consultants met with representatives from hospitals, pharmacies, insurance companies, manufacturers, pharmacy benefit managers, advocacy groups, patients and consumers. The board also hosted question and answer sessions with constituents during the July 24 board meeting.

This page includes links to reports, slideshows, documents submitted by constituents, and video recordings.

Reports

  • Draft Upper Payment Limit Report - August 2024
  • Consumer Outreach Report - June 2024

  • Constituent meeting materials

    Documents submitted by constituents

    Board question and answer session with constituents (July 24 board meeting)

    Constituent meeting video recordings:

    Constituent Group Session 1 Session 2
    Community Forums May 8, 2024 May 14, 2024
    Non-Grocery Pharmacy May 16, 2024 June 12, 2024
    Grocery Store Pharmacy 5/29/2024 no recording available June 5, 2024
    Insurers/Carriers May 16, 2024 May 29, 2024
    Hospitals May 20, 2024 May 30, 2024
    340B May 22, 2024 May 30, 2024
    PBM 7/2/2024 no recording available 7/16/2024
    Patient Advocacy July 1, 2024 7/11/2024
    Manufacturers July 1, 2024
    7/10/2024