Please submit your written comments and/or register for verbal comments using this survey.

If you need assistance signing up, please contact Daphne Peck at 503-373-1985.

Only complete submissions can be accepted.

Sign-up
Before we begin the sign-up process, we need gather some basic information about you and your comments in questions 1-11. Then you can choose to sign-up for verbal comments, written comments or both. 

Here are some details about the comment process: 
 
Verbal comments
All public meetings are recorded. Please consider this as you plan your comments especially when sharing personal or medical information about yourself or another person. We encourage commenters to show respect to others present, including using the name and pronouns used by each participant. For more detail about verbal comment policy visit our How to Participate page. In the rare event that a large number of people register to comment, not everyone who registers will get a chance to testify; for that reason we encourage everyone to provide written comment.

Written comments
Public comments submitted through this survey will serve as your written testimony. Submitted comments will be posted on the website. Please consider this as you prepare your written comments, especially if you include personal or medical information about yourself or another person. For more detail about verbal comment policy visit our How to Participate page.

Written comments submitted to HERC or VbBS will be shared with both committees. 

Advance materials written comments
Please submit VbBS advance materials written comments by the announced date at: https://www.surveymonkey.com/r/Advance-Comments

Public records requests
Meeting recordings and written comments are subject to public records requests. If a public records request is made, your complete comment will be released including your name and any health information provided. Only contact information would be withheld.​

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* 1. Your first and last name (please include credentials, if applicable)

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* 2. Please enter your email address.

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* 3. Please provide a phone number we can reach you for any questions or clarifications. Note: business lines may be subject to public disclosure; personal phone numbers are not subject to disclosure.

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* 4. I am an Oregon Health Plan member or a caregiver/family member for a member.

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* 5. I am an OHP provider.

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* 6. I am a resident of Oregon.

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* 7. Date and name of the meeting or meetings for which you wish to give public testimony:

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* 8. Topic you wish to testify about.

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* 9. Support for the staff's recommendation for the topic.

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* 10. I have read the Commission's public comment policies.

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* 11. I wish to provide:

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