HB 4069 requires behavioral health employers (like residential treatment facilities, detox centers, mobile crisis teams, and shelters that contract with Oregon Health Authority) to create and implement a written safety plan for their workers. The plan must specifically address lone workers, facility safety reporting procedures for structural hazards, and details about required safety training. Employers must provide the plan to new hires and make it easily accessible to all staff. The law takes effect July 1, 2027, with implementation timelines based on existing contracts with the Oregon Health Authority.
Establishes the Home and Community-Based Services Workforce Standards Board. Prescribes the duties of the board. Directs the board to establish minimum working standards for the home and community-based services workforce. Requires the board to take certain actions before adopting proposed minimum standards. Directs certain state agencies to conduct a fiscal impact analysis to determine whether a proposed minimum standard will increase the fiscal obligations of the state, including an increase in Medicaid reimbursement rates. Requires the board to report to the Legislative Assembly and to the Governor the increase in funding needed to implement the standard. Provides that a rule establishing a minimum standard may not take effect before the Legislative Assembly has appropriated funding and the board has received approval from the Centers for Medicare and Medicaid Services, if applicable. Permits the Bureau of Labor and Industries to conduct investigations, issue subpoenas, administer oaths, obtain evidence and take testimony to make determinations regarding implementation and compliance with the minimum standards established by the board. Provides remedies for allegations of violations of the minimum standards established by the board. Clarifies that relief may be sought for alleged violations no sooner than 90 days after a rule establishing a minimum standard takes effect. Requires the board to conduct a quadrennial comprehensive review, including a labor market analysis to inform the board's decisions to adopt new minimum standards or revise existing standards. Requires the board to submit a biennial report to the Governor and the Legislative Assembly summarizing the results of the comprehensive review and any actions taken by the board in the prior biennium. Requires the online registry administered by the Department of Human Services to include workers from the home and community-based services workforce. Requires that any public hearing conducted by the board be accessible through electronic or virtual means, if possible. .
] Requires the Oregon Health Authority to, no later than June 30, 2027, adopt a uniform process for credentialing [ organizational ] behavioral health providers and [ establish a centralized portal for processing applications ] select an existing electronic credentialing system . Prohibits a coordinated care organization from requiring a behavioral health provider to comply with any additional credentialing procedures. Requires a coordinated care organization to begin using the selected electronic credentialing system no later than July 1, 2027. Requires the authority to minimize unnecessary administrative burden for individual and organizational behavioral health providers who serve medical assistance recipients and to report biennially to the Governor and the Legislative Assembly. Allows certain licensed behavioral health care providers to provide supervision for other behavioral health care providers who hold different license types. [ Provides that the Mental Health Regulatory Agency will provide administrative and regulatory oversight and centralized service for the State Board of Licensed Social Workers. ] Takes effect on the 91st day following adjournment sine die.
Establishes coverage levels for doula services in the state medical assistance program and for health benefit plans that provide coverage for pregnancy and childbirth expenses. Requires the Oregon Health Authority, coordinated care organizations and health benefit plans that provide coverage for pregnancy and childbirth to provide coverage for services of lactation counselors. Specifies that minimum coverage level modifications for doula services and required coverage for lactation counselor services become operative on January 1, 2028. Directs the Traditional Health Workers Commission to establish a voluntary registration system for lactation counselors. Becomes operative on January 1, 2028. Creates the Oregon Perinatal Collaborative in the Oregon Health and Science University. Declares an emergency, effective on passage.
Requires the Oregon Health Authority to adopt a payment mechanism to pay certain nonprofit reproductive health care providers that are not eligible to receive federal Medicaid funds for services provided to medical assistance recipients. Applies to claims for payment for services provided on or after July 4, 2025, if the claim is not eligible for federal financial participation and has not yet been paid. Declares an emergency, effective on passage.
] [ Authorizes ] Requires the State Treasurer to [ loan ] use up to [ 20 percent of ] $44 million from the Unclaimed Property and Estates Fund to guarantee a loan made to a rural [ hospitals ] hospital for financial stabilization. Declares an emergency, effective on passage.
Allows an attending physician to provide ibogaine to a patient for the patient's consumption to treat certain disorders. Defines "attending physician" and "ibogaine." Exempts ibogaine, when obtained, provided and consumed as specified, from the definition of "controlled substance." Takes effect on the 91st day following adjournment sine die.
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.
Expands the rural health care income tax credit to include pharmacist services performed in rural communities. Directs the Office of Rural Health to establish criteria for certifying pharmacists as eligible for the credit. Applies to tax years beginning on or after January 1, 2027. Takes effect on the 91st day following adjournment sine die.
Directs a hospital to implement a hospital-wide nurse staffing plan that has been developed and adopted by the hospital nurse staffing committee or, if the committee has not adopted a plan, a hospital-wide nurse staffing plan that meets the statutory requirements. Directs that the statutory direct care registered nurse-to-patient staffing ratios constitute the nurse staffing plan for a unit if the hospital nurse staffing committee has not adopted a nurse staffing plan for the unit. Changes from four to five the number of patients that a direct care registered nurse may be assigned for a medical-surgical unit under the statutory staffing ratios. Allows a type C hospital to vary from the statutory direct care registered nurse-to-patient staffing ratios. Modifies the definition of type C hospital. Requires a unit manager to notify the cochairs of the hospital nurse staffing committee after each deviation from a nurse staffing plan. Directs the Oregon Health Authority to determine whether a complaint is valid or not within 30 days after receiving the complaint. Requires the authority to accept an attestation from a hospital as sufficient documentation the hospital took certain actions. Establishes a maximum amount in civil penalties that may be imposed for violations of the hospital staffing requirements. Directs that all civil penalties collected shall be paid into the Hospital Quality Assurance Fund. Requires the authority to submit an annual report on the number and types of violations to the committees or interim committees of the Legislative Assembly related to health care. Prohibits the impositions of civil penalties for violations that occur before July 1, 2030.
