Relating to health directives.
HB 3211 requires Oregon Health Authority to create and publish a nonopioid directive form. This form allows Oregon patients to formally indicate they do not want opioids administered or prescribed, except in specific circumstances. Health care providers must honor the form unless it's an emergency (where opioids are medically necessary) or for intraoperative use. The bill also establishes procedures for signing, revoking, and recording the form in medical records, while protecting providers from liability for following it in good faith. The law takes effect January 1, 2026.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
May 2025
Introduced Jan 13, 2025
Signed May 27, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
A-Engrossed
→
Enrolled
·
5 edits
·
May 27, 2025
MODERATE
The bill was finalized from its A-Engrossed version to the Enrolled version, adding formal passage dates and signatures, and expanding the Oregon Health Authority's rulemaking requirements to include confidentiality compliance and specific exemptions for substance use disorder treatment and hospice care.
Scope change
The bill's scope remains focused on opioid directive forms, but the rulemaking requirements were expanded to include additional protections and exemptions.
TIMELINE
Added formal passage dates (House April 14, 2025; Senate May 15, 2025) and signatures for approval by the Governor and House Clerk.
REQUIREMENT
Added requirement that rules must ensure recording, disclosure, or distribution of directive form data complies with state and federal confidentiality and consent laws.
Added exemptions allowing opioid administration for individuals with substance use disorders or hospice patients, even if they have a nonopioid directive form.
TECHNICAL
Removed the legislative committee digest and summary sections that were present in the A-Engrossed version.
Changed the bill title from 'A-Engrossed' to 'Enrolled' to reflect final passage and approval.
Floor votes · Senate May 15, 2025 · House Apr 14, 2025
How they voted
27–0
Passed · 3 other
Total votes 30
May 15, 2025
D
Democratic18
88% Yea
R
Republican12
91% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
21
Key actions
7
Committee
4
May 27, 2025
Signed into law
Governor signed.
lower
May 20, 2025
Upper · Passed
President signed.
upper
May 20, 2025
Lower · Passed
Speaker signed.
lower
May 15, 2025
Upper · Passed
Third reading. Carried by Broadman. Passed.
upper
May 13, 2025
Upper · Passed
Recommendation: Do pass the A-Eng. bill.
upper
Apr 15, 2025
Committee
Referred to Early Childhood and Behavioral Health.
upper
Apr 15, 2025
Introduced
First reading. Referred to President's desk.
upper
Apr 14, 2025
Lower · Passed
Third reading. Carried by Levy E. Passed.
lower
Apr 7, 2025
Lower · Passed
Recommendation: Do pass with amendments and be printed A-Engrossed.
lower
Jan 17, 2025
Committee
Referred to Behavioral Health and Health Care.
lower
Jan 13, 2025
Introduced
First reading. Referred to Speaker's desk.
lower
2 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Cyrus Javadi
DDemocratic
P
Em Levy
DDemocratic
Co
Anthony Broadman
DDemocratic
Co
Ed Diehl
RRepublican
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