102 sections in this chapter.
ORS 410.505 Definitions for ORS 410.505 to 410.545. As used in ORS 410.505 to 410.545
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(1) “Admission assessment” means a professional program that provides an assessment of the long term care needs of persons applying for or considering admission to an intermediate care facility or who have remained in a skilled nursing facility for more than 30 days, and who are …
ORS 410.510 Establishment of procedure for assessment. For reasons stated in ORS 410.030 (2), the Department of Human Services shall establish a procedure for assessment of the long term care needs of each person making application for admission to an intermediate care facility and for each person who remains in a skilled nursing facility for more than 30 days. [1989 c.912 §3]
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[Repealed or reserved.]
ORS 410.515 Notice of availability of admission assessment services; disclosure form; department to provide services; maximum fees. (1) Prior to admission to an adult foster home, as defined in ORS 443.705, a residential care facility, as defined in ORS 443.400, an assisted living facility or a nursing facility that is not Medicaid certified, the person seeking admission shall be advised by the facility of the availability of admission assessment services at the person’s own expense and shall sign a disclosure form indicating that the person has been so advised
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(2) The Department of Human Services shall establish a fee and provide assessment services to such persons upon request. The department shall establish a maximum fee that certified programs may charge such persons. (3) Adult foster homes, residential care facilities, assisted liv…
ORS 410.520 When assessment to occur; exceptions. (1) Subject to subsection (2) of this section, admission screening shall occur
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(a) Before admission to an intermediate care facility; and (b) Within seven days following the 30th day from admission to a skilled nursing facility. (2) Subsection (1) of this section does not apply for the following: (a) Patients transferred from one facility to another providi…
ORS 410.525 Disclosure of fees; waiver of assessment; additional assessment services. (1) If the admission assessment is performed by a certified program, the program shall disclose to the person receiving the assessment any portion of the fee that may be charged to that person, and shall inform the person of the right of the person to receive an assessment from the Department of Human Services or an area agency on aging at no charge
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(2) The department or area agencies on aging shall not charge any portion of the fee to the person receiving the assessment. (3) Once the person or persons performing the assessment have met the minimum federal criteria, the person receiving the assessment shall have the option t…
ORS 410.530 Department authority; delegation; advisory committee; rules. (1) The Department of Human Services has the following authority which it may delegate to any program certified by the department to provide assessment services
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(a) To provide information and education to the general public, hospitals, nursing facilities, physicians, physician associates, naturopathic physicians and nurses regarding availability of the assessment program. (b) To accept referrals from individuals, families, physicians, na…
ORS 410.535 Rules. The Department of Human Services shall adopt rules to carry out the provisions of ORS 410.505 to 410.545, including, but not limited to
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(1) Granting exceptions to ORS 410.540; and (2) Insuring confidentiality of all client information gathered during the admission assessment process. [1989 c.912 §8]
ORS 410.540 Compliance as condition for licensure. Compliance with the provisions of ORS 410.505 to 410.545 shall be a condition for licensure as a nursing facility. [1989 c.912 §7]
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[Repealed or reserved.]
ORS 410.545 Implementation of ORS 410.505 to 410.545 requires federal funding. Implementation of ORS 410.505 to 410.545 is subject to federal fund participation of the admission assessment activities specified in ORS 410.510 to 410.530. [1989 c.912 §12]
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(Advisory Council)
ORS 410.550 Medicaid Long Term Care Quality and Reimbursement Advisory Council; membership; duties. (1) The Medicaid Long Term Care Quality and Reimbursement Advisory Council is created, to consist of 12 members. Appointed members shall be residents of the State of Oregon and representative of the geographic locations of all long term care facilities and community-based care facilities in this state. The members shall include
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(a) The Long Term Care Ombudsman, who shall serve as a standing member of the council; (b) A representative of the Governor’s Commission on Senior Services, to be appointed by the commission; (c) A representative of the Oregon Disabilities Commission, to be appointed by the commi…
ORS 410.555 Submission of changes to Medicaid reimbursement system to council; advisory recommendation; approval; report; budget review; rules. (1) The Department of Human Services shall submit to the Medicaid Long Term Care Quality and Reimbursement Advisory Council, for the council’s review and recommendation, any proposed change or modification to the Oregon Medicaid reimbursement system for long term care services and community-based care services
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(2) Upon review of any proposed change or modification under subsection (1) of this section, the council shall issue a written advisory recommendation to the department. The recommendation shall state whether the council supports or opposes the proposed change or modification and…
ORS 410.560 Eligibility determination dashboard. The Department of Human Services and the Oregon Health Authority shall create a dashboard to measure the amount of time it takes the department, the authority and area agencies, as defined in ORS 410.040, to complete eligibility determinations for long term care services and supports provided through the medical assistance program. [2025 c.617 §1]
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(Temporary provisions relating to eligibility determinations for Medicaid-funded long term care services and supports) Note: Sections 2 and 7, chapter 617, Oregon Laws 2025, provide: Sec. 2. (1) The Department of Human Services and the Oregon Health Authority shall conduct an ope…
ORS 410.595 Legislative intent and findings. The Legislative Assembly finds and declares that the interest and welfare of the public are served by the Home Care Commission that operates in accordance with section 11, Article XV of the Oregon Constitution, and ORS 410.595 to 410.625 and also are served by operations that
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(1) Do not compromise the resources of elderly persons, persons with physical disabilities, persons with developmental disabilities or mental illnesses or the family members of elderly persons, persons with physical disabilities or persons with developmental disabilities or menta…
ORS 410.596 Statewide plan to expand access to skilled home care and personal support workforce. (1) The Home Care Commission shall adopt a statewide plan to
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(a) Increase participation in the home care registry maintained by the commission under ORS 410.604; (b) Increase the number of home care workers and personal support workers in this state in order to meet the need that will arise with the implementation of the Fair Labor Standar…
ORS 410.598 Training and testing for home care workers and personal support workers; rules. (1) The Department of Human Services, acting on behalf of and subject to the approval of the Home Care Commission, shall adopt by rule minimum training standards for home care workers and personal support workers and shall establish procedures for testing home care workers and personal support workers on their mastery of the skills and knowledge to be acquired through the training. The training standards must require a minimum number of hours of orientation and assessment of competency before a home care worker or personal support worker is permitted to provide home care services to a client. The minimum number of hours may be greater for home care workers who will be providing enhanced care and services, such as medication management
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(2) The department shall provide training on the mandatory training topics established under this subsection and on any other training that the department or the commission deems appropriate for the professionalization of home care workers and personal support workers. The traini…
ORS 410.600 Definitions for ORS 410.595 to 410.625. As used in ORS 410.595 to 410.625
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(1) “Activities of community inclusion” includes but is not limited to volunteer activities, employment, development of community life skills and participation in social and recreational community events. (2) “Activities of daily living” includes but is not limited to the followi…
ORS 410.602 Home Care Commission; membership; rules. (1) The Home Care Commission is created, consisting of nine members appointed by the Governor and confirmed by the Senate as provided in ORS 171.562 and 171.565. Five members shall be elderly persons or persons with disabilities who are receiving or who have received home care services. One member shall be appointed to represent each of the following entities, or a successor entity, for as long as a comparable entity exists
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(a) Governor’s Commission on Senior Services; (b) Department of Human Services; (c) Oregon Disabilities Commission; and (d) Oregon Association of Area Agencies on Aging and Disabilities. (2) The members shall be appointed for terms of three years. A member is eligible for reappoi…
ORS 410.603 Developmental Disabilities and Mental Health Committee. (1) The Home Care Commission shall create a Developmental Disabilities and Mental Health Committee
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(2) The committee shall provide information and make recommendations to the commission and to the Department of Human Services on: (a) Methods of improving the quality of services available to persons with developmental disabilities or mental illnesses and the family members of p…
ORS 410.604 Duties of commission; executive director. (1) The Home Care Commission shall ensure the quality of home care services by
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(a) Establishing qualifications for home care workers and personal support workers, with the advice and consent of the Department of Human Services, to ensure the effective delivery of home care services by a qualified, committed, experienced and well-trained workforce; (b) Condu…
ORS 410.605 Private pay home care worker program; rules. (1) This section establishes a program, administered by the Home Care Commission, to enable private individuals to purchase home care services from the commission through the home care registry. The commission shall administer the program in a manner that
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(a) Builds and strengthens the home care workforce that provides home care services to medical assistance recipients by offering home care workers the opportunity to obtain additional work from private payers and by attracting additional home care workers to the home care registr…
ORS 410.606 Referral of qualified individuals on home care registry. (1)(a) The Department of Human Services, an area agency, other public agency or support services brokerage shall provide to an individual seeking a home care worker or a personal support worker names of qualified individuals, in the appropriate geographic area, who have been placed on the home care registry
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(b) The Home Care Commission may adopt criteria for referrals in order to ensure the effective delivery of home care services from qualified, committed, experienced and well-trained home care workers and personal support workers and to ensure that, for private pay home care worke…
ORS 410.607 Home care and personal support worker classifications and payment rates. (1) The Home Care Commission shall convene a subcommittee of the commission to define and establish classifications of home care workers and personal support workers. The classifications shall be based on the worker’s training, level of skill and the scope of the services provided by the worker
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(2) The commission shall establish payment rates for each classification of home care worker participating in the program described in ORS 410.605. [2014 c.116 §4; 2018 c.75 §13] Note: 410.607 was enacted into law by the Legislative Assembly but was not added to or made a part of…
ORS 410.608 Selection of home care or personal support worker; right to terminate employment; eligibility determination made by Department of Human Services. (1) An elderly person or a person with a disability who hires a home care worker or personal support worker has the right to select the home care worker or personal support worker, including a family member
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(2) An elderly person or a person with a disability who hires a home care worker or personal support worker has the right to terminate the employment of the home care worker or personal support worker at any time and for any reason. (3) The Department of Human Services shall dete…
ORS 410.610 [1981 c.183 §1; 1987 c.428 §27; 1989 c.721 §50; renumbered 124.050 in 1995]
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[Repealed or reserved.]
ORS 410.612 Collective bargaining. (1) For purposes of collective bargaining under ORS 243.650 to 243.809, the Home Care Commission is the employer of record for home care workers and personal support workers
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(2) Except as provided in ORS 410.614 and 410.619, home care workers and personal support workers may not be considered to be employees of the State of Oregon, an area agency, a support services brokerage or other public agency. (3)(a) The Oregon Department of Administrative Serv…
ORS 410.614 Rights of home care and personal support workers. (1) Notwithstanding ORS 243.650 (19) and (20), the Home Care Commission shall be considered a public employer and home care workers and personal support workers shall be considered public employees governed by ORS 243.650 to 243.809
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(2) Home care workers and personal support workers have the right to form, join and participate in the activities of labor organizations of their own choosing for the purpose of representation and collective bargaining with the commission on matters concerning employment relation…
ORS 410.619 Home care and personal support workers not state employees; exception. (1) A home care worker or personal support worker who is not otherwise employed by the Home Care Commission, the Department of Human Services, the Oregon Health Authority, an area agency or a support services brokerage shall not be deemed to be an employee of the state, whether or not the state selects the home care worker or personal support worker for employment or exercises any direction or control over the home care worker or personal support worker, for the purpose of the state’s liability for the actions of the home care worker or personal support worker
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(2) The state shall be deemed an employer of home care workers or personal support workers for the purposes of: (a) ORS 410.605, 410.606, 410.612 and 410.614 and ORS chapter 657B; and (b) ORS chapter 657, except as provided in ORS 657.730 (4). [Formerly 411.159; 2014 c.116 §10; 2…
ORS 410.620 [1981 c.183 §2; renumbered 124.055 in 1995]
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[Repealed or reserved.]
ORS 410.625 Authority of commission; budget. (1) In carrying out its duties under ORS 410.595 to 410.625, the Home Care Commission may
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(a) Enter into an interagency agreement or a contract with any state agency for the performance of the commission’s duties or the leasing of office space; (b) Provide nonemployee compensation to home care workers and personal support workers or prospective home care workers and p…
ORS 410.630 [1981 c.183 §3; renumbered 124.060 in 1995]
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[Repealed or reserved.]
ORS 410.631 Noncompetition agreements voidable by home care worker and personal support worker. Notwithstanding ORS 653.295, a noncompetition agreement as defined in ORS 653.295 made in the context of an employment relationship or contract with a home care worker or personal support worker, as defined in ORS 410.600, is voidable by the home care worker or personal support worker and may not be enforced by a court of this state. [2017 c.360 §1; 2018 c.75 §19]
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[Repealed or reserved.]
ORS 410.632 Certain covenants between employer and home care worker or personal support worker voidable by worker. A covenant between an employee and an employer not to solicit employees of the employer or solicit or transact business with customers of the employer made in the context of an employment relationship or contract with a home care worker or personal support worker, as defined in ORS 410.600, is voidable by the home care worker or personal support worker and may not be enforced by a court of this state. [2017 c.360 §2; 2018 c.75 §20]
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[Repealed or reserved.]
ORS 410.640 [1981 c.183 §4; 1983 c.434 §3; renumbered 124.065 in 1995]
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[Repealed or reserved.]
ORS 410.650 [1981 c.183 §5; 1983 c.434 §1; 1983 c.740 §139; renumbered 124.070 in 1995]
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[Repealed or reserved.]
ORS 410.660 [1981 c.183 §6; renumbered 124.075 in 1995]
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[Repealed or reserved.]
ORS 410.670 [1981 c.183 §7; 1987 c.428 §28; renumbered 124.080 in 1995]
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[Repealed or reserved.]
ORS 410.680 [1981 c.183 §8; 1985 c.651 §1; renumbered 124.085 in 1995]
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[Repealed or reserved.]
ORS 410.690 [1981 c.183 §9; 1983 c.434 §2; 1985 c.651 §2; renumbered 124.090 in 1995]
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[Repealed or reserved.]
ORS 410.700 [1981 c.183 §10; renumbered 124.095 in 1995]
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STATE POLICY ON PERSONS WITH DISABILITIES
ORS 410.710 State policy on persons with disabilities. The Legislative Assembly finds and declares that it is a policy of this state that
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(1) All persons regardless of any disability have the right to live their lives with dignity and to participate in society and all state programs to the fullest extent possible. (2) There is a need for education of state employees and the public generally about the capacity of pe…
ORS 410.715 Person suffering brain injury to be considered person with disability. It is the policy of the state that any person experiencing an injury defined as an injury to the brain caused by extrinsic forces where the injury results in the loss of cognitive, psychological, social, behavioral or physiological function for a sufficient time to affect that person’s ability to perform activities of daily living shall be considered a person with a disability. [1991 c.402 §1; 2007 c.70 §182]
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[Repealed or reserved.]
ORS 410.720 Mental health and addiction services for senior citizens and persons with disabilities. It is the policy of this state to provide mental health and addiction services for all Oregon senior citizens and persons with disabilities through a comprehensive and coordinated statewide network of local mental health services and alcohol and drug abuse education and treatment. These services should involve family and friends and be provided in the least restrictive and most appropriate settings
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(2) The Department of Human Services and the Oregon Health Authority shall facilitate the formation of local community partnerships between the senior, disability, mental health, alcohol and drug abuse and health care communities by supporting the development of program approache…
ORS 410.730 Self-Sufficiency Trust Fund; rules. (1) The Self-Sufficiency Trust Fund is established, separate and distinct from the General Fund, in the State Treasury. Interest earned, if any, shall inure to the benefit of this fund. The purpose of the Self-Sufficiency Trust Fund is to provide a life-care planning option to meet the supplemental service needs of individuals with disabilities by enabling parents, families and others to plan more secure futures for their dependents with disabilities or other named beneficiaries with disabilities without fear of loss of benefits or invasion of trust principal
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(2) The State Treasurer shall be custodian of the Self-Sufficiency Trust Fund, and the Oregon Department of Administrative Services shall direct payments from the trust fund upon vouchers properly certified by the Director of Human Services. (3) The Director of Human Services may…
ORS 410.732 Disabilities Trust Fund; rules. (1) The Disabilities Trust Fund is established, separate and distinct from the General Fund, in the State Treasury. The purpose of the Disabilities Trust Fund is to provide supplemental services to meet the needs of low income and indigent individuals with disabilities
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(2) The State Treasurer shall be custodian of the Disabilities Trust Fund and the Oregon Department of Administrative Services, subject to appropriations, shall direct payments for the benefit of low income and indigent people with disabilities or recipients of services from the …
ORS 410.740 Oregon Deaf and Hard-of-Hearing Services Program; advisory committee. (1) The Oregon Deaf and Hard-of-Hearing Services Program is created in the Department of Human Services. The purpose of the program is to assist members of the public and state agencies in making agency programs available and accessible to individuals who are deaf or hard of hearing
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(2) The program may also provide the following: (a) Identification and publicity of the needs and concerns of individuals who are deaf or hard of hearing as their needs and concerns relate to the full achievement of economic, social, legal and political equity. (b) Advice to the …
ORS 410.750 Department of Human Services to provide services to individuals with brain injuries; Brain Injury Advisory Committee. (1) As used in this section, “brain injury” means damage to the brain from an internal or external source that results in total or partial impairment in critical functions, including but not limited to attention, memory, reasoning, problem solving, processing speed, decision-making, learning, perception, sensing, speech and language, motor and physical function or psychosocial behavior, and that is of sufficient severity to produce partial or total disability
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(2)(a) The Department of Human Services shall provide the following services to individuals with brain injuries, delivered in a person-centered manner and in collaboration with the individual: (A) Service coordination; (B) Resource navigation; (C) Advocacy; and (D) Options counse…
ORS 410.751 Reports to Legislative Assembly. During each odd-numbered year regular session of the Legislative Assembly, the Department of Human Services shall report to the Joint Committee on Ways and Means and the committees of the Legislative Assembly related to health or human services, in the manner provided in ORS 192.245, on the
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(1) Types of services provided under ORS 410.750; (2) Number of individuals with brain injuries who received services described in ORS 410.750 (2); (3) Barriers faced by individuals with brain injuries in accessing needed services; and (4) Needs of individuals with brain injuries…
ORS 410.850 [1985 c.647 §2; repealed by 1987 c.523 §1 (410.851 enacted in lieu of 410.850)]
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MISCELLANEOUS
ORS 410.851 Policy on patient-based reimbursement system for long term care facilities; rules. (1) The Legislative Assembly finds and declares that patients admitted to and cared for by long term care facilities in Oregon are more impaired than in the past. In keeping with the traditional commitment of the State of Oregon to the care and protection of its citizens who are frail or elderly or who have disabilities, as expressed in ORS 410.010, the Legislative Assembly declares that a patient-based reimbursement system emphasizing quality incentives is appropriate for long term care facilities. Such a system would reward long term care facilities for outcomes, such as maintaining or improving a patient’s condition, and meet the legitimate costs of caring for patients
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(2) As used in this section, “patient-based reimbursement” means reimbursement for direct patient care according to the needs of the patient, based on multiple levels of patient health, functioning and impairment. (3) A patient-based reimbursement system does not require the Depa…
ORS 410.855 Agencies that provide direct support services. (1) As used in this section
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(a) “Assessed hours” means the number of hours of direct support services that the Department of Human Services determines is needed by an individual in a month. (b) “Client” means an individual who enrolls with an agency that provides direct support services to the individual. (…