HB 4053 Oregon House · 2026 Regular Session

Relating to emergency medical services; and prescribing an effective date.

Summary

Establishes the Emergency Medical Services Program Fund. Changes the name of the Pediatric Emergency Medical Services Advisory Committee to the Emergency Medical Services for Children Advisory Committee. Directs the Oregon Health Authority to establish by rule minimum educational requirements for licensure as an emergency medical services provider. Prohibits a person from using certain titles or initials unless the person is licensed at a level that corresponds to the title or initials. Becomes operative on January 1, 2027. Establishes the Long Term Care and Senior Care Emergency Medical Services Advisory Subcommittee within the Emergency Medical Services Advisory Committee to provide advice and recommendations to the committee on issues related to long term care and senior care. Becomes operative on January 1, 2029. Takes effect on the 91st day following adjournment sine die.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2026

Committee Review

Feb 2026

House Passage

Mar 2026

Senate Passage

Mar 2026

Signed into Law

Mar 2026

Introduced Feb 2, 2026 Signed Mar 31, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

A-Engrossed → Enrolled · 5 edits · Mar 5, 2026

MODERATE

The bill was finalized for signature (Enrolled) after passing the House, removing the A-Engrossed summary and adding sponsor names. Substantively, the bill establishes a new Emergency Medical Services Program Fund, sets a January 1, 2027 start date, and updates the EMS Program to include a State EMS Medical Director and biennial reporting requirements.

Scope change

The bill's scope remains focused on Oregon's emergency medical services system, but it adds specific administrative structures and reporting mandates.

FISCAL

Establishes a new Emergency Medical Services Program Fund in the State Treasury to support workforce development and training.

REQUIREMENT

Requires the Oregon Health Authority to publish a biennial report on the program's activities.

Creates a new role for a State EMS Medical Director to provide medical oversight and serve as a liaison with agencies.

TIMELINE

Confirms the bill becomes operative on January 1, 2027, allowing the authority to take preparatory actions before that date.

TECHNICAL

Removed the A-Engrossed summary and editor's digest, replacing them with the final Enrolled text and sponsor list.

Floor votes · Senate Mar 2, 2026 · House Feb 19, 2026

How they voted

27–1

Passed · 2 other

Total votes 30

Mar 2, 2026

D Democratic18

18 Yea

100% Yea

R Republican12

9 Yea 1 Nay 2

75% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 31, 2026

Signed into law

Governor signed.

lower

Mar 5, 2026

Upper · Passed

President signed.

upper

Mar 4, 2026

Lower · Passed

Speaker signed.

lower

Mar 2, 2026

Upper · Passed

Third reading. Carried by Reynolds. Passed.

upper

Feb 27, 2026

Upper · Passed

Recommendation: Do pass the A-Eng. bill.

upper

Feb 19, 2026

Committee

Referred to Health Care.

upper

Feb 19, 2026

Introduced

First reading. Referred to President's desk.

upper

Feb 19, 2026

Lower · Passed

Third reading. Carried by Grayber. Passed.

lower

Feb 16, 2026

Committee

Subsequent referral to Ways and Means rescinded by order of the Speaker.

lower

Feb 16, 2026

Lower · Passed

Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.

lower

Feb 2, 2026

Committee

Referred to Health Care with subsequent referral to Ways and Means.

lower

Feb 2, 2026

Introduced

First reading. Referred to Speaker's desk.

lower

1 primary · 14 co-sponsors