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June 7, 2012—Many were shocked when two large, publicly traded companies sent letters of intent to the Oregon Health Authority expressing their intention to apply to become a coordinated care organization. Now it’s not clear if they, or a third out-of-state organization, will even apply.

Oregon will have to contribute an additional $500 million in the next two-year budget to meet its share of the expansion of healthcare coverage for the state’s poorest residents. Meanwhile, the Addictions and Mental Health Division has disappeared to be combined with a separate division, and activists complain about the loss of a full-time HIV care manager.