Oregon runs a state-based marketplace, but unlike most SBM states it currently relies on the federal HealthCare.gov technology platform to handle enrollment rather than its own separate website. That's changing: Oregon is transitioning to a fully state-run marketplace platform starting in fall 2026, ahead of the 2027 plan year, which will move enrollment off the federal system entirely.
Oregon has expanded Medicaid under the ACA, so adults earning up to 138% of the federal poverty level generally qualify for the Oregon Health Plan, the state's Medicaid program, instead of needing a subsidized marketplace plan.
Because Oregon's enrollment platform is changing soon, residents should watch for updated instructions and a possibly different website when shopping for coverage for the 2027 plan year, rather than assuming the process will look identical to prior years. Until that transition completes, the enrollment experience closely resembles HealthCare.gov's standard process.