346 sections in this chapter.
ORS 441.005 [Amended by 1971 c.730 §1; 1973 c.840 §1; repealed by 1977 c.751 §57]
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[Repealed or reserved.]
ORS 441.007 [1973 c.840 §2; repealed by 1977 c.751 §39]
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[Repealed or reserved.]
ORS 441.010 [Amended by 1971 c.730 §3; 1973 c.840 §3; 1977 c.751 §18; renumbered 442.300]
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LICENSING AND SUPERVISION OF FACILITIES AND HEALTH MAINTENANCE ORGANIZATIONS
ORS 441.015 Licensing of facilities and health maintenance organizations; compliance with rules and standards. (1) No person or governmental unit, acting severally or jointly with any other person or governmental unit, shall establish, conduct, maintain, manage or operate a health care facility or health maintenance organization, as defined in ORS 442.015, in this state without a license
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(2) Any health care facility or health maintenance organization which is in operation at the time of promulgation of any applicable rules or minimum standards under ORS 441.025 or 731.072 shall be given a reasonable length of time within which to comply with such rules or minimum…
ORS 441.017 [1981 c.231 §2; 1987 c.753 §1; 2009 c.595 §719; repealed by 2009 c.792 §49]
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[Repealed or reserved.]
ORS 441.020 (1) Licenses for health care facilities, except long term care facilities as defined in ORS 442.015, must be obtained from the Oregon Health Authority
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(2) Licenses for long term care facilities must be obtained from the Department of Human Services. (3) Applications shall be upon such forms and shall contain such information as the authority or the department may reasonably require, which may include affirmative evidence of abi…
ORS 441.021 [2009 c.792 §4b; 2009 c.792 §54; 2011 c.720 §195a; repealed by 2025 c.623 §5]
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[Repealed or reserved.]
ORS 441.022 Factors to be considered in licensing. In determining whether to license a health care facility pursuant to ORS 441.025, the Oregon Health Authority or the Department of Human Services shall consider only factors relating to the health and safety of individuals to be cared for therein and the ability of the operator of the health care facility to safely operate the facility, and may not consider whether the health care facility is or will be a governmental, charitable or other nonprofit institution or whether the facility is or will be an institution for profit. [1967 c.584 §2; 1971 c.730 §6; 1973 c.840 §6; 1987 c.428 §4; 2001 c.900 §162; 2009 c.595 §721; 2009 c.792 §55]
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[Repealed or reserved.]
ORS 441.025 License issuance; rules; renewal; disclosure; transfer; posting. (1)(a) Upon receipt of a license fee and an application to operate a health care facility other than a long term care facility, the Oregon Health Authority shall review the application and conduct an in-person site inspection of the health care facility. The authority shall issue a license if it finds that the applicant and health care facility comply with ORS 441.015 to 441.119 and 441.993 and the rules of the authority provided that the authority does not receive within the time specified a certificate of noncompliance issued by the State Fire Marshal, deputy, or approved authority pursuant to ORS 479.215
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(b) The authority shall, following payment of the fee, annually renew each license issued under this subsection unless: (A) The health care facility’s license has been suspended or revoked; or (B) The State Fire Marshal, a deputy or an approved authority has issued a certificate …
ORS 441.026 Licensing of extended stay centers; rules. (1) As used in this section
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(a) “Extended stay center” means a facility that provides extended stay services. (b) “Extended stay services” means post-surgical and post-diagnostic medical and nursing services provided to a patient who is recovering from a surgical procedure performed in an ambulatory surgica…
ORS 441.030 Denial, suspension or revocation of licenses; restrictions on admission; penalties. (1) The Oregon Health Authority or the Department of Human Services may assess a civil penalty and, pursuant to ORS 479.215, shall deny, suspend or revoke a license, in any case where the State Fire Marshal, or the representative of the State Fire Marshal, certifies that there is a failure to comply with all applicable laws, lawful ordinances and rules relating to safety from fire
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(2) The authority may: (a) Assess a civil penalty or deny, suspend or revoke a license of a health care facility other than a long term care facility in any case where it finds that there has been a substantial failure to comply with ORS 441.015 to 441.119 and 441.993 or the rule…
ORS 441.034 Expedited licensing process; fees; rules. (1) As used in this section
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(a) “Applicant” includes a person’s or governmental unit’s parent corporation or any entity affiliated with the person, governmental unit or parent corporation through ownership, governance, control or membership. (b) “Health care facility” does not include a: (A) Long term care …
ORS 441.035 [Amended by 1959 c.222 §2; 1959 c.466 §1; 1971 c.730 §9; repealed by 1971 c.734 §21]
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[Repealed or reserved.]
ORS 441.037 Hearings; procedures; judicial review. (1) When the Oregon Health Authority or the Department of Human Services proposes to refuse to issue or renew a license, or proposes to revoke or suspend a license, opportunity for hearing shall be accorded as provided in ORS chapter 183
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(2) Adoption of rules, conduct of hearings, issuance of orders and judicial review of rules and orders shall be in accordance with ORS chapter 183. [1971 c.734 §56; 1977 c.582 §47; 1987 c.428 §7; 2001 c.900 §165; 2009 c.595 §724]
ORS 441.038 Additional remedies. (1) Notwithstanding the existence and pursuit of any other remedy, the Oregon Health Authority may, in the manner provided by law, maintain an action in the name of the state for injunction or other process against any person or governmental unit to restrain or prevent the establishment, conduct, management or operation of a health care facility or health maintenance organization without a license
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(2) Notwithstanding the existence and pursuit of any other remedy, the Department of Human Services may, in the manner provided by law, maintain an action in the name of the state for injunction or other process against any person or governmental unit to restrain or prevent the e…
ORS 441.040 [Amended by 1959 c.222 §3; 1971 c.730 §10; repealed by 1971 c.734 §21]
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[Repealed or reserved.]
ORS 441.044 Complaints about standard of care in facility; retaliation prohibited; rules. (1) Rules adopted pursuant to ORS 441.025 shall include procedures for the filing of complaints as to the standard of care in any health care facility and provide for the confidentiality of the identity of any complainant
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(2) A health care facility, or person acting in the interest of the facility, may not take any disciplinary or other adverse action against any employee who in good faith brings evidence of inappropriate care or any other violation of law or rules to the attention of the proper a…
ORS 441.045 [Amended by 1959 c.222 §4; 1959 c.466 §2; 1971 c.730 §11; repealed by 1971 c.734 §21]
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[Repealed or reserved.]
ORS 441.046 Facility prohibited from interfering with employee’s disclosure of abuse, violations of laws or threats to health and safety of resident; rules. (1) A long term care facility may not interfere with the good faith disclosure of information by an employee or a volunteer concerning the abuse or mistreatment of a resident in the long term care facility, violations of licensing or certification requirements, criminal activity at the facility, violations of state or federal laws or any practice that threatens the health and safety of a resident of the facility to
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(a) The Long Term Care Ombudsman, the Department of Human Services, a law enforcement agency or other entity with legal or regulatory authority over the long term care facility; or (b) A family member, guardian, friend or other person who is acting on behalf of the resident. (2) …
ORS 441.047 Requirement to provide resident with information about Long Term Care Ombudsman services. Upon the admission of a resident to a long term care facility, the facility shall provide the resident with information developed by the Long Term Care Ombudsman describing the availability and services of the ombudsman. [2019 c.117 §2]
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Note: 441.047 was added to and made a part of 441.015 to 441.119 by legislative action but was not added to any smaller series therein. See Preface to Oregon Revised Statutes for further explanation.
ORS 441.048 Discrimination based on execution of POLST, advance directive or similar instruction prohibited. (1) As used in this section
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(a) “Advance directive” has the meaning given that term in ORS 127.505. (b) “Hospital” has the meaning given that term in ORS 442.015. (c) “POLST” has the meaning given that term in ORS 127.663. (2) A hospital may not: (a) Condition the provision of treatment on a patient having …
ORS 441.049 Support persons for patients with disabilities. (1) As used in this section
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(a) “Hospital” has the meaning given that term in ORS 442.015, excluding the Oregon State Hospital. (b) “Patient” means a patient admitted to a hospital or in an emergency department who needs assistance to effectively communicate with hospital staff, make health care decisions o…
ORS 441.050 [Amended by 1971 c.730 §12; 1973 c.840 §8; 1977 c.751 §22; 1987 c.428 §8; 2001 c.900 §166; 2009 c.595 §725; renumbered 441.038 in 2019]
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[Repealed or reserved.]
ORS 441.051 Discharge of patient to care of lay caregiver. (1) As used in this section
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(a) “Aftercare” includes all of the following: (A) Assistance with activities of daily living or instrumental activities of daily living. (B) Medical or nursing tasks such as wound care, the administration of medications and the operation of medical equipment. (C) Other assistanc…
ORS 441.052 Provision of opioid reversal medication upon discharge or release from hospital. (1) Upon the discharge or release of a patient, a hospital licensed under this chapter shall provide to the patient at least two doses of an opioid overdose reversal medication and the necessary medical supplies to administer the medication if
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(a) The hospital actively treated the patient for the patient’s opioid use disorder; and (b) The patient is discharged or released to an unlicensed private residence or other unlicensed setting. (2)(a) Except as provided in paragraph (b) of this subsection, a person who is acting…
ORS 441.053 Release of patient presenting with behavioral health crisis. (1) As used in this section
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(a) “Behavioral health crisis” means a disruption in an individual’s mental or emotional stability or functioning resulting in an urgent need for immediate treatment to prevent a serious deterioration in the individual’s mental or physical health. (b) “Lethal means counseling” me…
ORS 441.054 Discharge of patients receiving mental health treatment. (1) As used in this section
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(a) “Discharge” means the release of a patient from a hospital following admission to the hospital. (b) “Lay caregiver” means: (A) For a patient who is younger than 14 years of age, a parent or legal guardian of the patient. (B) For a patient who is at least 14 years of age, an i…
ORS 441.055 Health care facility medical staff and bylaws; rules. (1) The governing body of each health care facility shall be responsible for the operation of the facility, the selection of the medical staff and the quality of care rendered in the facility. The governing body shall
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(a) Ensure that all health care personnel for whom state licenses, registrations or certificates are required are currently licensed, registered or certified; (b) Ensure that physicians admitted to practice in the facility are granted privileges consistent with their individual t…
ORS 441.056 Credentialing telemedicine providers; rules. (1) The Oregon Health Authority shall prescribe by rule the information and documents that a governing body of an originating-site hospital may request for credentialing a telemedicine provider located at a distant-site hospital
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(2) The rules adopted by the authority under subsection (1) of this section must: (a) Prescribe a standard list of information and documents that shall be provided by a distant-site hospital; (b) Prescribe a list of information and documents that may be requested by an originatin…
ORS 441.057 [1975 c.360 §2; 1981 c.336 §1; 1987 c.428 §10; 2001 c.609 §16; 2001 c.900 §168; 2009 c.595 §727; 2009 c.792 §59; 2017 c.101 §13; 2018 c.61 §16; renumbered 441.044 in 2019]
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[Repealed or reserved.]
ORS 441.058 [1977 c.532 §2; 1979 c.168 §1; repealed by 1983 c.781 §8]
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[Repealed or reserved.]
ORS 441.059 Access to previous X-rays and reports by patients of chiropractic physicians. The rules of a hospital that govern patient access to previously performed X-rays or diagnostic laboratory reports shall not discriminate between patients of chiropractic physicians and patients of other licensed medical practitioners permitted access to such X-rays and diagnostic laboratory reports. [1979 c.490 §2]
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[Repealed or reserved.]
ORS 441.060 Inspections; approval of plans and specifications; rules; fees. (1) The Oregon Health Authority shall make or cause to be made in-person site inspections of health care facilities licensed under ORS 441.025 (1) at least once every three years
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(2) The authority and the Department of Human Services may prescribe by rule that any licensee or prospective applicant desiring to make specified types of alteration or addition to its facilities or to construct new facilities shall, before commencing such alteration, addition o…
ORS 441.061 Delegation of health inspections to local public health authorities; financial assistance. (1) Upon agreement, the Director of Human Services may grant specific authorization to any local public health authority, as defined in ORS 431.003, to administer and enforce any law or rules of the Department of Human Services relating to inspections and issuance, revocation and suspension of licenses, or portion thereof, for long term care facilities
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(2) Pursuant to an agreement as provided in subsection (1) of this section, the director may provide funds and other resources to the local public health authority necessary to enable the local public health authority to perform the agreed upon functions. [1977 c.261 §2; 1987 c.4…
ORS 441.062 Coordination of inspections; rules. (1) In conducting inspections for the purpose of licensing health care facilities under ORS 441.020, the Oregon Health Authority and the Department of Human Services shall avoid unnecessary facility disruption by coordinating inspections performed by the authority or the department with inspections performed by other federal, state and local agencies that have responsibility for health care facility licensure
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(2) Whenever possible, the authority and the department shall avoid duplication of inspections by accepting inspection reports or surveys prepared by other state agencies that have responsibility for health care facility licensure for purposes of the inspection required for licen…
ORS 441.063 Use of facilities by licensed podiatric physicians and surgeons; regulation of admission and conduct. The rules of the hospital shall include provisions for the use of the hospital facilities by podiatric physicians and surgeons licensed under ORS 677.805 to 677.840, subject to rules and regulations governing the use established by the medical staff and the podiatric staff of the hospital. The staff shall regulate the admission and the conduct of the podiatric physicians and surgeons while using the facilities of the hospital and shall prescribe procedures whereby a podiatric physician and surgeon’s use of the facilities may be suspended or terminated. [1973 c.279 §2; 2007 c.71 §126; 2013 c.129 §29]
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[Repealed or reserved.]
ORS 441.064 Use of facilities by nurse practitioners and physician associates; rules regarding privileges and credentialing. (1) As used in this section
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(a) “Nurse practitioner” has the meaning given that term in ORS 678.010; (b) “Physician” has the meaning given that term in ORS 677.010; and (c) “Physician associate” has the meaning given that term in ORS 677.495. (2) The rules of any hospital in this state may grant privileges …
ORS 441.065 Exemption of certain religious institutions. (1) ORS 441.015 to 441.119 and 441.993 or the rules adopted pursuant thereto do not authorize the supervision, regulation or control of the remedial care or treatment of residents or patients in any home or institution that is described under subsection (2) of this section and is conducted for those who rely upon treatment solely by prayer or spiritual means, except as to the sanitary and safe conditions of the premises, cleanliness of operation and its physical equipment. This section does not exempt such a home or institution from the licensing requirements of ORS 441.015 to 441.119, 441.525 to 441.595, 441.815, 441.820, 441.990, 441.993, 442.342 and 442.344
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(2) To qualify under subsection (1) of this section, a home or institution must: (a) Be owned by an entity that is registered with the Secretary of State as a nonprofit corporation and that does not own, hold a financial interest in, control or operate any facility, wherever loca…
ORS 441.067 Inspection reports, complaint procedures and rules; posting. (1) The Department of Human Services shall provide to each licensed long term care facility in the state in writing in clear concise language readily comprehensible by the average person
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(a) The most recent inspection report conducted by the department of that facility; (b) An outline of the procedures for filing complaints against long term care facilities; and (c) A summary of rules of the department affecting patient care standards for long term care facilitie…
ORS 441.068 Hospital policies and procedures for dispensing HIV post-exposure prophylaxis drugs or therapies. (1) As used in this section, “hospital” has the meaning given that term in ORS 442.015, excluding special inpatient care facilities as defined by the Oregon Health Authority by rule
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(2) A hospital licensed under ORS 441.025 must: (a) Adopt a policy for the dispensing of human immunodeficiency virus post-exposure prophylaxis drugs or therapies; and (b) Have procedures in place to ensure that hospital staff dispense to a patient, with a patient’s informed cons…
ORS 441.070 [Amended by 1959 c.222 §5; repealed by 1971 c.730 §25]
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[Repealed or reserved.]
ORS 441.073 Rules regarding staff ratio in long term care facilities; variances; posting. (1) The Department of Human Services shall adopt rules specifying maximum number of patients per nursing assistant per shift in long term care facilities
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(2) The department may grant variances in the staffing requirements within a shift based on patient care needs or nursing practices. (3) A statement of the specific staffing requirement for each time period required by subsection (1) or (2) of this section in a particular facilit…
ORS 441.075 [Amended by 1969 c.314 §44; repealed by 1971 c.730 §25]
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[Repealed or reserved.]
ORS 441.077 Revocation of license and other penalties for imposing restrictions upon certain physicians; construction of section. (1) If the governing body of a health care facility or health maintenance organization excludes or expels a person licensed under ORS chapter 677 from staff membership, or limits in any way the professional privilege of the person in the health care facility or health maintenance organization solely because of the school of medicine to which the person belongs, the license of the health care facility shall be subject to revocation in the manner provided in ORS 441.030. A health maintenance organization which violates this section shall be subject to penalties provided in ORS 731.988 and 731.992
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(2) Nothing in this section is intended to limit the authority of the governing body of a health care facility or health maintenance organization with respect to a person who has violated the reasonable rules and regulations of the health care facility or health maintenance organ…
ORS 441.078 Disability discrimination prohibited in provision or insurance coverage of organ transplantation. (1) As used in this section
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(a) “Auxiliary aids and services” means: (A) Qualified interpreters or other effective methods of making aurally delivered material available to individuals with hearing impairment; (B) Qualified readers, audio recordings of texts or other effective methods of making visually del…
ORS 441.079 Eye, organ and tissue transplants. (1) As used in this section and ORS 441.082
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(a) “Entity” means an individual, corporation, business trust, partnership, limited liability company, association, joint venture or an instrumentality of an entity. (b) “Eye bank” means an entity that is licensed or regulated under federal or state law to engage in the recovery,…
ORS 441.080 [Repealed by 1971 c.730 §25]
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[Repealed or reserved.]
ORS 441.081 [1979 c.680 §2; repealed by 1981 c.784 §38]
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[Repealed or reserved.]
ORS 441.082 Registration of organ procurement organization, tissue bank and eye bank; rules; penalties. (1) The Oregon Health Authority shall adopt by rule standards and a system of registration for every organ procurement organization, tissue bank and eye bank doing business in this state
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(2) An organ procurement organization, tissue bank or eye bank may not do business in this state unless it has registered with the authority. (3) Each organ procurement organization, tissue bank and eye bank shall provide to the authority at least every three years current docume…
ORS 441.083 Drug information to be provided patients of long term and intermediate care facilities. (1) If a long term care facility or an intermediate care facility required to be licensed pursuant to ORS 441.015 charges patients for drugs, the following shall be made available to the patient on request
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(a) Name of the drug; (b) Amount paid by the facility for the drug; and (c) Amount charged by the facility for the drug. (2) If a pharmacy charges any person for a drug administered to a patient in a long term care facility or an intermediate care facility, the pharmacy shall pro…