House Joint Resolution 203 proposed an amendment to the Oregon Constitution establishing the obligation of the state to ensure every resident has access to cost-effective, medically appropriate and affordable health care. The ODA did not take a position on this bill but followed it closely. If passed, HJR 203 would have been placed on the November 2018 ballot. This concept was very controversial and received much debate and interest during session. Almost every day, individuals showed up at the capitol and outside on the steps to show support or opposition. Despite passing the House floor on a partisan 32-25 vote, the resolution failed to get the necessary votes in the Senate and it died in the Senate Health Care Committee. Near the end of session, there were rumblings about certain groups collecting signature for the ballot, but this is yet to be determined.