OregonSB 7392025 Regular SessionSenateWALLET

Relating to long term care oversight.

Sponsored By: Deb Patterson (Democratic), Sara Gelser Blouin (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

10 provisions identified: 8 benefits, 1 costs, 1 mixed.

New care operators must hire experts

Applicants without experience operating or managing an Oregon residential care facility must hire a qualified consultant or management company. The contract must cover at least the first six months of operation. Required work includes policy and quality reviews, periodic on-site audits, and monthly reports. The Department of Human Services can extend the period if the facility is not in substantial compliance. This applies to licenses issued or renewed on or after the law’s effective date.

Care applicants get clearer oversight information

Residential care facilities must give applicants a state-developed explanation of licensing and inspections, and provide it upon request. This applies to admission applications made on or after the law’s effective date. Facilities placed in enhanced oversight must give written notice to current and prospective residents and residents’ designated contacts. After enhanced oversight ends, facilities may tell residents they are no longer in the program.

Residents get alerts about unsafe care

Residential care facilities must collect a chosen contact’s name, preferred contact details, and language at admission, unless the resident or representative declines. Facilities must immediately update those details after written notice. Facilities must notify residents and designated contacts within 72 hours after receiving reports of widespread or systemic violations causing death or serious harm, or restricting admissions. They must also make those reports available. When Oregon agencies confirm facility abuse, they must immediately notify the facility. The facility must give written findings to residents, their case managers, guardians, designated contacts, and the person found responsible.

Faster investigations when care complaints allege deaths

Oregon must start an on-site investigation within 24 hours or by the next business day’s end when a complaint alleges a licensing violation caused death. Other covered complaints require investigation without undue delay, separate from adult protective services investigations. Investigators must assess staffing when alleged shortages or possible staffing failures contributed, interview available identified witnesses privately unless requested otherwise, and document evidence. Findings must reach the facility, complainant, and Long Term Care Ombudsman within 90 days after the investigation starts. Confirmed violations require immediate written notice to the facility and Ombudsman, plus a report describing the complaint, violation, harm, and penalties or license conditions. Reports generally cannot identify residents but must disclose deaths or physical injuries.

Care homes face regular safety checks

Covered residential care, training, and treatment facilities and homes must be inspected 90–120 days after initial licensing and ownership changes. They also need inspections after renewal applications and fees arrive, and before renewal. Adult foster homes need on-site inspections 90–120 days after initial licensing, annually, and upon renewal applications—even with two-year licenses. Their renewals require completed inspections and criminal checks, with no registry abuse finding against the applicant or an employed nursing assistant. They must substantially comply, meaning any deficiencies pose no more than negligible risk to residents’ health or safety. After three straight years of substantial compliance, department-licensed adult foster homes can receive two-year terms; lost compliance can restore annual renewal. The adult foster home inspection changes apply to licenses issued or renewed on or after the law’s effective date.

Care homes get admissions review deadlines

A facility barred from new admissions after a complaint investigation can submit a written statement after fixing the violation. The Department of Human Services must decide within five calendar days whether the facility has reached substantial compliance. If it has, the department must lift the admissions restriction within 24 hours. The facility may then notify residents.

More funding for Oregon care programs

For the two-year budget starting July 1, 2025, Oregon adds $301,014 in state behavioral health funding. It also raises federal behavioral health spending authority by $301,014. Aging and disability programs gain $2.606369 million in state funding and $2.447526 million in federal spending authority. These increases depend on the respective 2025 budget enactments, HB 5025 and SB 5526. Federal increases exclude funds described in section 2 of each respective budget law. These provisions set no household payment amount or new eligibility rule.

Stronger safeguards before care homes open

Oregon residential facilities and adult foster homes must submit care and safety policies with their license applications. These must cover training, care planning, medicines, food, safety, emergencies, and closing the facility. Adult foster homes must also include succession plans. Before issuing an initial license, the agency must inspect the facility, approve its policies, and confirm it meets legal requirements. Adult foster home inspections must be in person.

Stronger safety standards for memory care

Oregon’s memory care standards must cover care plans, building design, staffing, training, safety, and exit controls. They must address notices when residents leave unexpectedly, admission and transfer policies, emergency evacuations, and facility closures. These changes apply to memory care endorsements issued on or after the law’s effective date. They cover communities caring for people with Alzheimer’s disease or other forms of dementia.

Adult foster home fees become agency-set

The Department of Human Services sets application fees by rule for adult foster homes serving older adults or people with physical disabilities. This replaces the specified $20-per-bed fee for applications to that department. The new amount is not stated, so the law does not establish whether these applicants pay more or less. Applications to the Oregon Health Authority still carry a $20-per-bed fee.

Sponsors & Cosponsors

Sponsors

  • Deb Patterson

    Democratic • Senate

  • Sara Gelser Blouin

    Democratic • Senate

Cosponsors

  • Courtney Neron Misslin

    Democratic • Senate

  • Cyrus Javadi

    Democratic • House

  • David Brock Smith

    Republican • Senate

  • Janeen Sollman

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 103 • No: 3

House vote • 6/26/2025

Third reading. Carried by Hartman. Passed.

Yes: 48 • No: 0

Senate vote • 6/23/2025

Third reading. Carried by Gelser Blouin. Passed.

Yes: 29 • No: 1

legislature vote • 6/17/2025

Ways and Means: Heard and Reported Out with Amendments

Yes: 23 • No: 0

Senate vote • 4/9/2025

Human Services: Heard and Reported Out with Amendments

Yes: 3 • No: 2

Actions Timeline

  1. Effective date, January 1, 2026.

    8/13/2025Senate
  2. Chapter 619, 2025 Laws.

    8/13/2025Senate
  3. Governor signed.

    7/31/2025Senate
  4. Speaker signed.

    6/27/2025House
  5. President signed.

    6/27/2025Senate
  6. Third reading. Carried by Hartman. Passed.

    6/26/2025House
  7. Second reading.

    6/25/2025House
  8. Recommendation: Do pass.

    6/25/2025House
  9. Referred to Ways and Means.

    6/23/2025House
  10. First reading. Referred to Speaker's desk.

    6/23/2025House
  11. Third reading. Carried by Gelser Blouin. Passed.

    6/23/2025Senate
  12. Second reading.

    6/20/2025Senate
  13. Recommendation: Do pass with amendments to the A-Eng. bill. (Printed B-Eng.)

    6/19/2025Senate
  14. Work Session held.

    6/17/2025Senate
  15. Returned to Full Committee.

    6/11/2025Senate
  16. Work Session held.

    6/11/2025Senate
  17. Assigned to Subcommittee On Human Services.

    6/6/2025Senate
  18. Referred to Ways and Means by prior reference.

    4/18/2025Senate
  19. Recommendation: Do pass with amendments and be referred to Ways and Means by prior reference. (Printed A-Eng.)

    4/18/2025Senate
  20. Work Session held.

    4/9/2025Senate
  21. Work Session held.

    4/3/2025Senate
  22. Public Hearing held.

    4/1/2025Senate
  23. Public Hearing held.

    3/18/2025Senate
  24. Referred to Human Services, then Ways and Means.

    1/17/2025Senate
  25. Introduction and first reading. Referred to President's desk.

    1/13/2025Senate

Bill Text

  • JWM Amendment -A7 (Adopted)

    6/17/2025

  • JWMHS Amendment -A6 (Proposed)

    6/11/2025

  • JWMHS Amendment -A8 (Proposed)

    6/11/2025

  • SHS Amendment -3 (Proposed)

    4/9/2025

  • SHS Amendment -4 (Proposed)

    4/9/2025

  • SHS Amendment -5 (Adopted)

    4/9/2025

  • SHS Amendment -3 (Proposed)

    4/8/2025

  • SHS Amendment -4 (Proposed)

    4/8/2025

  • SHS Amendment -5 (Proposed)

    4/8/2025

  • SHS Amendment -3 (Proposed)

    4/3/2025

  • SHS Amendment -3 (Proposed)

    4/1/2025

  • SHS Amendment -3 (Proposed)

    3/18/2025

  • A-Engrossed

  • B-Engrossed

  • Enrolled

  • Introduced

  • Senate Amendments to A-Engrossed

  • Senate Amendments to Introduced

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