Oregon Administrative Code

332-015-0040 Education Applicant’s education must incorporate the general educational requirements listed in the NARM CPM candidate information bulletin, including: (1) Core competencies developed by MANA; (2) NARM written test specifications; (3) NARM skills assessment test spec…

332-015-0050 NARM Midwifery Examination The qualifying examination is the NARM examination. An applicant is responsible for payment of all fees for NARM applications, examinations, and any other fees paid directly to NARM. Statutory/Other Authority: ORS 676.615, 687.480 & 687.485…

332-015-0080 License Display and Posting Requirements (1) An LDM must show proof of valid license or post the license document in public view at the LDM’s primary workplace. (2) An LDM must carry the license identification card (pocket card) or post the official license in plain …

332-020-0000 License Issuance and Renewal (1) LICENSING: An LDM is subject to the provisions of OAR Chapter 331, Division 30 regarding the issuance and renewal of a license, and provisions regarding authorization to practice, identification, and requirements for issuance of a dup…

332-020-0010 Continuing Education (1) Standard Continuing Education Renewal Requirements: To maintain licensure, an LDM must complete at least 35 continuing education hours every two years from the date of initial licensure, and every two years thereafter. Continuing education un…

332-020-0015 Continuing Education: Audit and Required Documentation (1) The Office will audit a select percentage of licensees determined by the Board to verify compliance with continuing education requirements. (2) An LDM notified of selection for audit of continuing education a…

332-025-0015 Peer Review and Sentinel Events (1) Pursuant to ORS 687.480, an LDM must participate in peer review. (2) "Peer review" means the candid review and evaluation, subject to ORS 41.675, of midwifery practice. The objective of peer review includes reviewing the care provi…

332-025-0020 General Practice Standards (1) An LDM must include the designation LDM after their name when completing birth certificates. (2) In accordance with ORS 687.480 and 687.493, an LDM must maintain equipment and appropriate legend drugs and devices consistent with the inf…

332-025-0021 Risk Assessment Practice Standards (1) Recognizing the importance of collaborative maternal health care, when determining the appropriateness of community birth, an LDM must assess risks, including ongoing and cumulative risks, by using clinical skills and expertise,…

332-025-0022 Care Practice Standards (1) The Office and Board adopt by reference the MANA core competencies dated August 4, 2011. A copy can be obtained from the Office. (2) An LDM may: (a) Order and receive laboratory and ultrasound results; and (b) Order and receive fetal surve…

332-025-0110 Records of Care Practice Standards (1) The LDM must maintain complete and accurate records of each birthing person and newborn. (2) Records mean written or electronic documentation, including but not limited to: (a) Midwifery care provided to birthing person and newb…

332-025-0120 Informed Consent Practice Standards (1) Informed consent means the consent obtained following a thorough and easily understood explanation of the information to the mother or mother’s guardian. (2) The explanation must be both verbal and written. (3) An LDM must docu…

332-025-0125 Disclosure for Patients of Traditional Midwives (1) Pursuant to ORS 687.415 an individual who is acting as a traditional midwife, does not use legend drugs and devices, does not advertise as a midwife, and provides the required written disclosures to clients, may pra…

332-025-0130 Practice Standards for Terminating Midwifery Care (1) The procedure for terminating midwifery care in a non-emergent situation is as follows: (a) Provide written notice no fewer than three business days as postmarked, unless the birthing person is in labor or during …

332-026-0000 Access to and Administration of Legend Drugs and Devices (1) An LDM is prohibited from purchasing or administering legend drugs and devices, until the continuing education listed in OAR 332-020-0010 has been completed and attestation submitted to the Office upon rene…

332-026-0010 Approved Legend Drugs For Maternal Use An LDM may administer the following legend drugs as approved by the Board for maternal use: (1) Anti-Hemorrhagics for use by intramuscular injection includes: (a) Synthetic Oxytocin (Pitocin, Syntocin and generic); (b) Methylerg…

332-026-0020 Approved Legend Drugs For Neonatal Use An LDM may administer the following legend drugs as approved by the Board for neonatal use: (1) Eye Prophylaxis for disease of the newborn is limited to Erythromycin Ophthalmic (0.5%) Ointment (Ilotycin, AK-Mycin and generics). …

332-026-0030 Approved Devices An LDM may use the following Board approved devices: (1) Devices for injection of medications including: (a) Needles. (b) Syringes. (2) Devices for administration of intravenous fluids including: (a) Drip sets. (b) Catheters. (3) Devices for maternal…

332-040-0000 Fees (1) An applicant and licensee are subject to the provisions of OAR 331-010-0010 and 331-010-0020 regarding payment of fees, penalties and charges. (2) Fees established by the Office pursuant to ORS 676.576 are as follows: (a) Application: (A) License: $150. (B) …

333-003-0010 Definitions For purposes of OAR 333-003-0020 through 333-003-0080, the following definitions apply: (1) “Authority” means the Oregon Health Authority. (2) “Bioterrorism” has the meaning given that term in ORS 433.442. (3) "Communicable disease" has the meaning given …

333-003-0020 Authority of the Public Health Director During a Public Health Emergency (1) If the Governor declares a Public Health Emergency under ORS 433.441 the Public Health Director may take any action authorized in ORS 433.443 or 431A.015. (2) If the Governor has not declare…

333-003-0040 Diagnostic and Treatment Protocols (1) If the Public Health Director creates diagnostic and treatment guidelines or protocols in response to an emergency under ORS 431A.015 or a declared public health emergency under 433.441, the Director shall consult with appropria…

333-003-0050 Access to Individually Identifiable Health Information (1) During a declared public health emergency the Public Health Director and local public health administrators shall be given immediate access to individually identifiable health information. (2) If the Public H…

333-003-0065 Civil Penalties (1) Any person or entity that fails to comply with a protocol, order, other requirement imposed by the Public Health Director under ORS 431A.010, 431A.015, or 433.443 or these rules is subject to the imposition of civil penalties not to exceed $500 pe…

333-003-0070 Temporary Restriction of Movement (1) If the Public Health Director or the local public health administrator reasonably believes a person within the Public Health Director's or the local public health administrator's respective jurisdiction may have been exposed to a…

333-003-0080 Effect of Declaration Ending Immediately upon termination of the declaration of the public health emergency, all actions taken pursuant to these rules are terminated unless an emergency related to the declaration has been proclaimed under ORS 401.055 or continuation …

333-003-0100 Volunteer Registry: Scope The rules in OAR 333-003-0100 to 333-003-0210 pertain to the registration and deployment of health care providers and support and administrative personnel to provide health care, public health and supportive services and to the designation o…

333-003-0105 Volunteer Registry: Definitions For purposes of OAR 333-003-0100 through 333-003-0140, the following definitions apply: (1) "Cooperative Agreement" means an agreement between the Public Health Division and a local public health authority under ORS 401.657. (2) "Crede…

333-003-0110 Volunteer Registry: The Health Care Personnel and Provider Registry (1) Under ORS 401.654 the Public Health Division (Division) is authorized to maintain a volunteer registry of health care providers and support and administrative personnel who may be deployed by the…

333-003-0115 Volunteer Registry: Registration of Currently Licensed Health Care Providers; Renewal (1) A health care provider who is currently licensed, registered or certified may apply to the Public Health Division (Division) to be registered as a health care provider to provid…

333-003-0116 Volunteer Registry: Out-of-State Health Care Providers (1) The Public Health Division (Division) may enter into agreements with other states to facilitate the registry of out-of-state health care providers in the registry established under these rules. (2) During a s…

333-003-0117 Volunteer Registry: Registration of Formerly Licensed Health Care Providers and Support and Administrative Personnel; Renewal (1) A person who was licensed, certified or otherwise authorized to provide health care services not more than 10 years prior to the date of …

333-003-0118 Volunteer Registry: Duties of Registrants (1) A registrant is required to complete an orientation session offered or approved by the Public Health Division (Division) and complete mandatory training offered or approved by the Division including but not limited to Inc…

333-003-0119 Volunteer Registry: Criminal Background Checks The Public Health Division shall perform criminal background checks in accordance with OAR chapter 943, division 7, or through the Oregon State Police. Statutory/Other Authority: ORS 401.670 Statutes/Other Implemented: O…

333-003-0120 Volunteer Registry: Health Care Providers Not Included in the Registry A volunteer may provide emergency health care services at a designated emergency health care center if authorized to do so pursuant to the designated emergency health care center's emergency opera…

333-003-0125 Volunteer Registry: Activation of Registrants (1) The Public Health Division (Division) may activate the registry and direct registrants willing to provide volunteer services to proceed to any place in Oregon where such services are required. (2) The Division may als…

333-003-0130 Designation of Emergency Health Care Centers (1) The Public Health Division (Division) may designate a health care facility, a portion thereof, or any location as an emergency health care center. (2) During a declared emergency a designated emergency health care cent…

333-003-0140 Volunteer Registry: Training (1) The Public Health Division (Division) may require or otherwise make available to registrants training that the Division determines necessary or beneficial to the provision of services that may be rendered by registrants pursuant to OR…

333-003-0200 Public Health Emergency Plans The Public Health Director and local public health authorities shall use an incident command system framework in their respective public health emergency plans. Statutory/Other Authority: ORS 431A.020 Statutes/Other Implemented: ORS 431A…

333-003-0210 Volunteer Registry and Volunteers: Liability Protection; Workers' Compensation (1) Registrants and volunteers who perform services in accordance with ORS 401.651 through 401.670 and these rules are agents of the state under ORS 30.260 through 30.300 for the purposes …

333-003-1055 Declared Emergency: Waiver of Rules Applicable to Acute Care Health Care Facilities, Outpatient Renal Dialysis, Hospice, Home Heath, Emergency Medical Services, and Hemodialysis Due to Federal 1135 Waivers (1) This rule applies to: (a) Hospitals; (b) Ambulatory surgi…

333-003-5000 COVID-19 Related Requirements: Consent to Vaccination (1) A healthcare provider administering COVID-19 vaccinations may not require parental or guardian consent for a minor, age 15-17, who is exercising their right to consent to treatment under ORS 109.640. (2) A COV…

333-004-3000 Description of Oregon Reproductive Health Program (RH Program) (1) The Oregon Reproductive Health Program (the RH Program) resides within the Adolescent Health, ScreenWise, and Reproductive Health Section, in the Center for Prevention and Health Promotion of the Oreg…

333-004-3010 Definitions (1) "AbortionCare clinic" means a clinic operated by an agency certified with the Reproductive Health (RH Program) to receive reimbursement for abortion services provided to enrollees who meet Reproductive Health Equity Act (RHEA) eligibility criteria. (2…

333-004-3020 Agency Certification and Recertification Process (1) Agency eligibility. To be eligible to be certified with the RH Program, an applicant agency must: (a) Meet applicable licensing or regulatory requirements set forth by federal and state statutes, regulations, and r…

333-004-3030 Agency Certification Requirements (1) Agencies newly certified or recertified with the RH Program to operate RHCare clinics on or after October 27, 2022 shall: (a) Adhere to the following sections of the Certification Requirements for RHCare Clinics Version 3, incorp…

333-004-3040 Agency Responsibilities (1) Agencies must designate at least one and no more than two agency staff person(s) to serve as RH Program Coordinator (RHC). (2) Agencies must notify the Reproductive Health Program (RH Program) within 30 calendar days of a change in address…

333-004-3050 Agency Termination (1) Agency initiated termination. An agency may terminate certification. To terminate certification, the agency must (a) Submit written notice to the RH Program by secure electronic mail to rh.program@oha.oregon.gov 30 calendar days prior to the te…

333-004-3060 Purpose of RH Access Fund The RH Access Fund provides coverage to enrollees for a broad range of reproductive health services and supplies. Statutory/Other Authority: ORS 413.042, ORS 414.432, ORS 431.147, ORS 431.149, ORS 435.205 & ORS 435.230 Statutes/Other Impleme…

333-004-3070 Reproductive Health Access Fund Covered Services by Funding Source (1) Each of the funding sources that make up the Reproductive Health Access Fund (RH Access Fund) may only be used to cover the services defined in this rule and only for enrollees who meet the fundin…