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OregonHB 40532026 Regular SessionHouseWALLET

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

Sponsored By: Dacia Grayber (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

7 provisions identified: 3 benefits, 0 costs, 4 mixed.

New EMS focus on kids, seniors, mental health

Beginning January 1, 2027, the state creates three specialty EMS groups. A Pediatric EMS committee guides pediatric‑ready centers, equipment, transfers, training, and data. A Behavioral Health EMS committee advises on urgent mental health care and regional centers. A Senior‑care EMS subcommittee focuses on emergencies in long‑term and memory care. The health authority may appoint senior council members to the senior‑care subcommittee.

New EMS fund and statewide program

Beginning January 1, 2027, the state creates an Emergency Medical Services (EMS) Program Fund. The fund holds state, federal, settlement, gift, and grant money, and interest stays in the fund. The Oregon Health Authority can spend this money to run EMS programs and give grants to local EMS providers. The program sets care standards, builds the workforce and a statewide curriculum, and runs quality improvement. A State EMS Medical Director leads medical oversight and the program reports to lawmakers every two years.

Stronger EMS advisory board and experts

The EMS Advisory Board has 19 diverse members and can adopt rules. It advises on standards, workforce needs, and regional plans. A Time‑Sensitive Medical Emergencies Committee of physicians and EMS experts guides care for stroke, heart, trauma, and similar emergencies. These membership changes apply to members appointed on or after January 1, 2027.

Regional EMS boards and 2029 plans

Starting January 1, 2027, the Oregon Health Authority sets EMS regions and creates a regional advisory board in each one. Each region must include at least one categorized hospital. Boards write regional EMS plans that the authority must approve. Plans are due by January 1, 2029.

State EMS data and reporting rules

Starting January 1, 2027, the state runs a statewide EMS data system. Ambulance services must report patient encounter data as the Oregon Health Authority’s rules require. The system uses national registries when available and must protect personal information. A registry is required only if a facility seeks a specific designation that needs it. The data supports quality improvement and public health.

When EMS changes take effect

Many EMS law changes start January 1, 2027. Others start January 1, 2029. State agencies may act early to prepare, like hiring staff and writing rules. This helps Oregon be ready when the new EMS duties begin.

Licensing and staffing rules for EMS

Starting January 1, 2027, you must be licensed to act as an EMS provider or use EMS titles. Every ambulance must have at least one crew member licensed above Emergency Medical Responder. Applicants must give training details, health evidence, and proof of finishing an Oregon Health Authority–approved course. EMS students in supervised clinical training may provide care and use their training titles. Counties may exempt volunteer‑only services by order after a public hearing.

Sponsors & Cosponsors

Sponsor

  • Dacia Grayber

    Democratic • House

Cosponsors

  • Ben Bowman

    Democratic • House

  • Daniel Nguyen

    Democratic • House

  • David Gomberg

    Democratic • House

  • Deb Patterson

    Democratic • Senate

  • Lamar Wise

    Democratic • House

  • Lesly Muñoz

    Democratic • House

  • Lisa Fragala

    Democratic • House

  • Lisa Reynolds

    Democratic • Senate

  • Mark Gamba

    Democratic • House

  • Paul Evans

    Democratic • House

  • Rob Nosse

    Democratic • House

  • Sarah McDonald

    Democratic • House

  • Tom Andersen

    Democratic • House

  • Travis Nelson

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 81 • No: 1

Senate vote • 3/2/2026

Third reading. Carried by Reynolds. Passed.

Yes: 27 • No: 1

Senate vote • 2/25/2026

Health Care: Heard and Reported Out

Yes: 5 • No: 0

House vote • 2/18/2026

Third reading. Carried by Grayber. Passed.

Yes: 41 • No: 0

House vote • 2/12/2026

Health Care: Heard and Reported Out with Amendments

Yes: 8 • No: 0

Actions Timeline

  1. Chapter 37, (2026 Laws): Effective date June 5, 2026.

    4/6/2026House

  2. Governor signed.

    3/31/2026House

  3. President signed.

    3/5/2026Senate

  4. Speaker signed.

    3/4/2026House

  5. Third reading. Carried by Reynolds. Passed.

    3/2/2026Senate

  6. Second reading.

    2/27/2026Senate

  7. Recommendation: Do pass the A-Eng. bill.

    2/27/2026Senate

  8. Work Session held.

    2/25/2026Senate

  9. Public Hearing held.

    2/23/2026Senate

  10. Referred to Health Care.

    2/19/2026Senate

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

    2/19/2026Senate

  12. Third reading. Carried by Grayber. Passed.

    2/18/2026House

  13. Second reading.

    2/17/2026House

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

    2/16/2026House

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

    2/16/2026House

  16. Work Session held.

    2/12/2026House

  17. Public Hearing held.

    2/10/2026House

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

    2/2/2026House

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

    2/2/2026House

Bill Text

  • Enrolled

    3/2/2026

    PDF

  • A-Engrossed

    2/16/2026

    PDF

  • House Amendments to Introduced

    2/16/2026

    PDF

  • HHC Amendment -2 (Adopted)

    2/12/2026

    PDF

  • HHC Amendment -1 (Proposed)

    2/10/2026

    PDF

  • HHC Amendment -2 (Proposed)

    2/10/2026

    PDF

  • Introduced

    1/28/2026

    PDF

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