SHARE Initiative

The Oregon Health Authority (OHA) developed the Supporting Health for All through Reinvestment, or SHARE Initiative, to implement the legislative requirement of House Bill 4018 (Oregon Legislature, 2018) which aims to address Social Determinants of Health (SDOH).  The SHARE Initiative began in 2021.  The primary goals are to: (1) Safeguard public dollars by requiring that a portion of Coordinated Care Organization’s (CCO’s) profits are reinvested in their respective communities; and, (2) Improve member and community health by requiring reinvestments go toward upstream factors that impact health(for example, housing, food, transportation, educational attainment or civic engagement).

The SHARE Initiative includes the following program requirements:

Requirement 1: Spending must fall within social determinants of health and equity (SDOH-E) domains and include spending toward a statewide housing priority.

Requirement 2: Spending priorities must align with community priorities from community health improvement plans (CHIP).

Requirement 3: A portion of funds must go to SDOH-E partners.

Requirement 4: CCO’s must designate a role for their community advisory councils (CAC’s) related to SHARE Initiative spending decisions.

To view the 2024 SHARE Initiative Guidance for CCO’s, click HERE

2026 SHARE Applications for Coos and Curry Counties will be released on Monday, July 21, 2025 at 8:00am PST.

2026 SHARE Applications will close on Friday, August 29, 2025 at 5pm PST.

If you questions regarding SHARE, email us at SHARE@advancedhealth.com.