PRIA Logo™
OregonHB 30432025 Regular SessionHouseWALLET

Relating to the impaired health professional program; and prescribing an effective date.

Sponsored By: Sponsor information unavailable

Signed by Governor

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

6 provisions identified: 0 benefits, 2 costs, 4 mixed.

Health professionals face monitoring and treatment costs

Beginning January 1, 2026, enrolled health professionals must sign monitoring agreements requiring at least two years of continuous compliance. They must follow recommended treatment and pay for independent evaluations, drug and alcohol tests, and treatment. Agreements require written consent for information sharing among the program, board, employer, evaluators, and treatment providers, subject to confidentiality laws. They also allow approved practice limits and workplace monitoring. Random testing and abstinence rules apply, with an exception for mental-health-only diagnoses when the board does not require testing. Prescribed drugs are allowed for documented medical conditions with program approval, when the board authorizes that approval. When an agreement requires substance-use reports from someone required to abstain, the deadline is 24 hours. Participants must report misdemeanor or felony arrests or convictions within three business days. They must also report applications for licenses in other states, employment or practice-setting changes, and compliance status. For self-enrolled participants, agreement information can reach the board only when the participant breaks the agreement.

Health professionals gain protections with entry safeguards

Beginning January 1, 2026, licensing boards cannot discipline professionals solely for self-referral, program participation, or a substance-use or mental-health diagnosis. Protection also covers pre-enrollment use of controlled substances, cannabis, or psilocybin, but only when the professional did not practice while impaired. Other grounds for discipline remain. Boards may create a self-referral option by rule. Professionals must attest that, to their knowledge, they are not under board investigation, and enrollment begins that day. They must receive an independent evaluation, and the program must check whether impaired practice endangered or endangers the public. Self-referral enrollment and successful completion are not reported to the board; related information is disclosed only for agreement noncompliance. Where a board creates a petition process, successful participants can ask it to remove participation information from board records. Removal is not automatic; the board decides whether to approve it.

Eligible health professionals face optional annual fee

Beginning January 1, 2026, licensing boards may set a $25 annual fee for each licensee eligible for the program. The fee applies only if the board adopts rules imposing it, even if the licensee does not enroll. Boards collect it with other licensing fees. It supports program enrollment and operations, not participants' individual clinical bills.

Nursing program refusal triggers discipline reports

Beginning January 1, 2026, the program must report covered nursing professionals who refuse participation or fail to follow its terms. Reports go to the Oregon State Board of Nursing for formal disciplinary action. This rule covers people licensed or certified by that board.

Social workers must report possible impairment

Beginning January 1, 2026, regulated social workers must report signs that another regulated social worker may be impaired or acting unprofessionally. Reports go to the State Board of Licensed Social Workers. Reporting is not required when confidentiality or health-information laws prohibit disclosure, or disclosure conflicts with ORS 675.580. The board keeps reported information confidential except as its rules allow. People who report or provide information in good faith are protected from civil-damages actions.

Statewide safeguards for impaired health professionals

Beginning January 1, 2026, Oregon standardizes its impaired health professional program. Licensing boards cannot create separate programs to monitor professionals referred or self-referred to it. Before a board referral, a board-approved, licensed expert must assess the professional using DSM-5-TR standards. The evaluator must diagnose a covered disorder and recommend care and fitness for returning to practice. The board must also check whether impaired practice endangered the public. The program monitors professionals but cannot diagnose or treat them; independent providers handle those services. Treatment plans follow ASAM standards or successor standards. Programs must report substantial noncompliance within one business day and send weekly enrollment and completion lists for board-referred participants. Those lists are not public records. Boards review reports and may restrict, suspend, modify, or revoke licenses, or end program participation. Conflict-free workplace monitors submit monthly reports, raise safety concerns, and receive noncompliance reports; programs assess their ability to monitor safe practice. Independent audits occur every four years, with findings sent to lawmakers and the Governor without identifying participants. A board work group receives staff support from the Oregon Medical Board and assistance from state agencies within confidentiality limits. Boards may prepare before the operative date. The act takes effect on the 91st day after the 2025 regular legislative session adjourns.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 103 • No: 6

Senate vote • 6/20/2025

Third reading. Carried by Gelser Blouin. Passed.

Yes: 27 • No: 1

House vote • 6/17/2025

Third reading. Carried by Pham H. Passed.

Yes: 48 • No: 4

legislature vote • 6/13/2025

Ways and Means: Heard and Reported Out

Yes: 20 • No: 1

House vote • 3/6/2025

Behavioral Health and Health Care: Heard and Reported Out

Yes: 8 • No: 0

Actions Timeline

  1. Chapter 499, (2025 Laws): Effective date September 26, 2025.

    8/7/2025House

  2. Governor signed.

    7/17/2025House

  3. President signed.

    6/24/2025Senate

  4. Speaker signed.

    6/23/2025House

  5. Third reading. Carried by Gelser Blouin. Passed.

    6/20/2025Senate

  6. Second reading.

    6/19/2025Senate

  7. Recommendation: Do pass.

    6/19/2025Senate

  8. Referred to Ways and Means.

    6/18/2025Senate

  9. First reading. Referred to President's desk.

    6/18/2025Senate

  10. Vote explanation(s) filed by Nelson.

    6/17/2025House

  11. Third reading. Carried by Pham H. Passed.

    6/17/2025House

  12. Second reading.

    6/16/2025House

  13. Recommendation: Do pass.

    6/16/2025House

  14. Work Session held.

    6/13/2025House

  15. Returned to Full Committee.

    6/5/2025House

  16. Work Session held.

    6/5/2025House

  17. Assigned to Subcommittee On Human Services.

    5/29/2025House

  18. Referred to Ways and Means by order of Speaker.

    3/12/2025House

  19. Recommendation: Do pass and be referred to Ways and Means.

    3/12/2025House

  20. Work Session held.

    3/6/2025House

  21. Public Hearing held.

    2/18/2025House

  22. Referred to Behavioral Health and Health Care.

    1/17/2025House

  23. First reading. Referred to Speaker's desk.

    1/13/2025House

Bill Text

Related Bills

Back to State Legislation