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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 (UPL) limits what purchasers in Oregon will pay for specific drugs. 

The Prescription Drug Affordability Board has been working with consultants, Myers and Stauffer LC, on an upper payment limit study. As part of the study, consultants held 23 community meetings and focus groups this past April through July, surveying constituents and compiling feedback. The board also hosted question and answer sessions with constituents during the July 24 board meeting. 

The UPL report will include the constituent engagement portion, recommendations for board consideration, and concepts for implementing an upper payment limit in Oregon. The board has been reviewing portions of the report and will continue the discussion at the Oct. 16 meeting. The board will consider the final report for approval at the Nov. 20 board meeting. The board will provide the report to the Oregon Legislature at the end of November. 

This page has all the board resources for the UPL study, with links to draft reports, slideshows, documents submitted by constituents, and video recordings.

Board Meeting Resources

Constituent Group Engagement Report

Consumer Outreach Report

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 July 2, 2024 no recording available July 16, 2024
Patient Advocacy July 1, 2024 July 11, 2024
Manufacturers July 1, 2024
July 10, 2024