Having a baby in Oregon

Program

Oregon Health Plan (OHP)

Agency

Oregon Health Authority

Medicaid limit

190% of the poverty level

CHIP unborn-child option

Yes, at the Medicaid limit

12-month postpartum coverage since

April 1, 2022

Presumptive eligibility

Not for the pregnancy group, but hospitals can still make presumptive determinations.

Hospitals in every state may make presumptive eligibility determinations.

Oregon pays up to 12 weeks for recovery and bonding combined, plus 2 more weeks for pregnancy (14 total), at up to 100% of wages, max $1,692.16 a week for claims from June 28, 2026.

Program

Paid Leave Oregon (Oregon Paid Family and Medical Leave Insurance)

Legal maximum, your own health

14 weeks

Paying since

September 3, 2023

Pay

100% of your average weekly wage if you earn 65% or less of the state average weekly wage; above that, 65% of the state average weekly wage plus 50% of your wages above that amount. Max $1,692.16/week for benefit years starting on or after June 28, 2026 ($1,636.56 if your benefit year started earlier); min $70.51.

Job protection

Yes, in the Paid Leave law itself, for employees who have worked at least 90 consecutive days for the employer, at employers of any size. You get your same job back; if it no longer exists, employers with 25+ employees must offer an equivalent job (within 50 miles), and employers with fewer than 25 may give a different job with similar duties and the same pay and benefits. Health insurance continues during leave. Leave runs at the same time as federal FMLA when both apply; the Oregon Family Leave Act (OFLA, unpaid) separately covers some other reasons such as bereavement.

Who qualifies

You must work for an employer in Oregon and have earned at least $1,000 in wages in your base year (or alternate base year), with no minimum time on the job to get benefits. Covers full-time, part-time and seasonal workers of nearly all employers. Self-employed people, independent contractors and Tribal government employers can opt in. Not covered: federal employees and some other excluded groups.

Notes

Weekly max did change mid-2026, but on June 28, 2026, not July 1: per the Oregon Employment Department, the max rose from $1,636.56 to $1,692.16 (min from $68.19 to $70.51) for Paid Leave claims whose benefit year begins on or after June 28, 2026; anyone whose benefit year began earlier keeps the $1,636.56 cap for that whole benefit year. Up to 12 weeks per 52-week benefit year for family, medical and safe leave combined; only the parent who gives birth can add up to 2 more weeks (14 total) for pregnancy, childbirth or related conditions including lactation. Bonding leave must be used within the first year after birth, and each parent can take their own 12 weeks. If your employer has an approved equivalent plan, you apply through that plan instead. Tell your employer at least 30 days ahead for planned leave; apply from 30 days before to 30 days after leave starts (missing written notice can cut your first payment by 25%). Job protection applies at employers of any size for employees with 90+ days of service; employers with fewer than 25 workers get more flexibility if the job no longer exists. The 2026 contribution rate is 1% of wages up to $184,500 (employees pay 60%; employers with 25+ employees pay 40%).

The weekly maximum is a ceiling, not a typical benefit. Checked October 2026. Amounts usually change January 1 and July 1, so confirm with the state before you plan.

In Oregon, the Oregon Health Plan covers lactation support through six months after birth, and licensed lactation consultants can enroll and bill directly.

Who can bill

IBCLC

Visit limits

Covered for pregnant and postpartum women (for six months postpartum)

IBCLCs can enroll on their own

Yes

Notes

Guideline Note 140 of the October 1, 2026 Prioritized List covers lactation support for pregnant members and through six months postpartum, and S9443 sits on funded Line 3 and pays $51.95 on the September 2026 OHP fee schedule. OHA added Oregon-licensed lactation consultants (licensure requires IBCLC standing) as a Medicaid provider type after a March 2020 State Plan notice, and OHA's active FFS provider file lists individually enrolled providers under provider type 61 - Lactation Consultant; the approved SPA itself could not be retrieved from medicaid.gov.

Oregon Medicaid member information

Full-time provider prices before any subsidy, in 2022 dollars. The national median for center infant care was $12,647 a year.