The document provides an overview of the federal health reform law and its implications for Oregon. Key points include: - The law significantly increases funding for prevention, community health centers, and delivery system reforms. It also expands Medicaid and provides subsidies for private insurance. - This creates opportunities for Oregon but also challenges around implementing the insurance exchange, determining essential health benefits, and ensuring adequate health workforce. - Oregon faces many decisions around how to implement the law, such as whether to set up its own exchange, explore a public plan option, expand coverage early, and pursue other state-level reforms.