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Rulemaking Activity

HCRQI Rulemaking Activity

Information relating to rulemaking actions by the Health Care Regulation and Quality Improvement section can be accessed below and includes information on current Rule Advisory Committees (RACs) in progress as well as information on how a person or community affected by our regulatory functions may apply to serve on a Rule Advisory Committee (RAC). RACs are an important process that allow members of the public and communities to provide input and suggestions during the development of new rules or amending current rules. 

The following rules have been recently adopted or amended:

  • Physical Environment - Rules addressing project review requirements for new construction or rennovations and the physical environment standards for health care facilities ​​- Permanent Administrative Order PH-7-2025

Notice of Temporary Rulemaking: OAR chapter 333, divisions 590 and 615 - Demonstration of Need for Acute Inpatient Beds and Psychiatric Hospitals

The Oregon Health Authority (OHA) is temporarily amending rules in OAR chapter 333, divisions 590 and 615, temporarily suspending OAR 333-615-0020, and temporarily adopting OARs 333-615-0025, 333-615-0035, 333-615-0060, and 333-615-0070 relating to the analysis of information an applicant must provide to OHA to demonstrate the need for psychiatric inpatient beds. These amendments are necessary to be able to adequately evaluate a Certificate of Need application using relevant data, methods, and timelines. There are currently outdated data references in the rules that direct an applicant to review data outside the window of time relevant to current applicants. Additionally, there are assumptions built into the current rules that direct an applicant to assume a declining use rate for hospitals, and prescribes methodology built on this now inaccurate trend for Oregon’s hospital use rates. Current rules reference studies that are no longer published or relevant to the grant of a Certificate of Need. Prior to the submission of any letter of intent, the updated rules must be in place so current, relevant data, timelines, and methodology can be analyzed and used for purposes of reviewing the application.​

Temporary rules are effective October 22, 2025 through April 19, 2026. 

OHA intends to make these rule changes permanent through a permanent rulemaking process prior to expiration.

For more details, please see the Temporary Administrative Order, including the Statement of Need and Justification and the full text of the temporary rule:
If you have any questions or would prefer a hardcopy be sent, please email Matt Gilman at matt.s.gilman@oha.oregon.gov or Mellony Bernal at mellony.c.bernal@oha.oregon.gov​


On this page:

Notice of Proposed Rulemaking - OAR 333-027, 035, 071, 500, 505, and 535 - "Workplace Violence Prevention Safety Requirements in Health​care Settings and Administrative Updates"

The Oregon Health Authority, Public Health Division, Health Care Regulation and Quality Improvement section is amending and adopting administrative rules in OAR chapter 333, divisions 027, 035, 071, 500, 505 and 535 in response to the passage of SB 537 (2025 OL ch. 535, §9, 12-13). Key updates include: 

Home Health Agencies, Hospice Programs, Special Inpatient Care Facilities
  • Adopting and implementing policies and procedures to identify and assess health and safety-related risks to staff and providing that information to staff responsible for providing services;
  • Providing workplace training to all personnel;
  • Conducting safety assessments; 
  • Implementing client identification processes; 
  • Creating safety check-in processes; and  
  • Implementing the use of visual flagging and electronic health record flagging for purposes of identifying persons that may pose a potential threat or who have disruptive behavior.
​​Hospitals
  • Implementing the use of visual flagging and electronic health record flagging for purposes of identifying persons that may pose a potential threat or who have disruptive behavior; 
  • Requiring bullet-resistant emergency room intake window in hospitals when under new construction or undergoing renovations; and
  • Prohibiting requiring staff last name to be included on name badge.   
Additional regulatory changes include removing outdated language and allowing greater flexibility for a home health agency to serve a larger service area when serving a historically underserved population.  Also, in alignment with hospital rules, the rules propose requiring a home health agency, hospice program or special inpatient care facility (SICF) to conduct an equity analysis of populations that may be impacted by a request to waive an administrative rule and provide steps to mitigate possible impacts to disproportionately affected populations.  Due to passage of SB 965 (2023 Oregon Laws, ch. 199), confidentiality provisions were added for filing a complaint about a hospice program, and procedures clarified for employees reporting possible violations of rules. 

For more details, including a description of each rule's proposed changes, the Statement of Need and Fiscal and Racial Equity Impacts, and the full text of the proposed rules select the following link:
Persons are invited to review and comment on the proposed rules. There are two (2) options to provide comment:
​1) You may provide oral (spoken) testimony during a public hearing scheduled on Tuesday, December 16, 2025, at 10:00 A.M. Pacific Time via video/phone conference using Microsoft Teams. 
  • ​​To provide oral testimony during this hearing:
    • ​Join using the Meeting URL. You can also find the join link for the meeting in the Notice of Proposed Rulemaking under “Remote Meeting Details” using the “Meeting URL."
    • You may also contact the Public Health Division Rules Coordinator at publichealth.rules@odhsoha.oregon.gov to sign-up to give oral testimony and receive the link for the Microsoft Teams video conference via calendar appointment.
    • To join the hearing via phone (audio/listen only), you may dial 971-277-2343, phone conference ID 593 652 434#
​2) Written comments may be submitted before 5:00 P.M. Pacific Time on December 22, 2025:
  • Email comments to: publichealth.rules@odhsoha.oregon.gov
  • Mail comments* to: OHA - Public Health Division
    Brittany Hall, Administrative Rules Coordinator
    800 NE Oregon St. Suite 930
    Portland, OR 97232
​​*Comments sent by regular mail must be postmarked by 5:00 P.M. Pacific Time on December 22, 2025.
  • Send comments by fax to 971-673-1299
Final rules will be filed after consideration of all comments. 
If you have questions or would like a paper copy of the Notice of Proposed Rulemaking, please contact Mellony Bernal at mellony.c.bernal@oha.oregon.gov


Notice of Proposed Rulemaking - OAR 333-020, 077, 505, and 530 - "Newborn Cytomegalovirus Screening and Diagnosis" ​

​The Oregon Health Authority, Public Health Division is proposing to amend Oregon Administrative Rules (OARs) in chapter 333, division 20, “Early Hearing Detection and Intervention" and adopt new rules in this division to reorganize and update rules relating to hearing screening requirements. Additionally, the Public Health Division is proposing to adopt new rules in OAR in chapter 333, division 20 relating to the passage of HB 2685 (Oregon Laws 2025, Chapter 488) during the 2025 legislative session and permanently amend OAR 333, division 077 relating to birthing centers and OAR 333, divisions 505 and 520 relating to hospitals to ensure compliance with new congenital cytomegalovirus screening requirements. Information about this rulemaking including how to comment on these proposed rules can be found by selecting the link below:

Notice of Proposed Rulemaking - OAR 333-071, 500, 501 and 503 - "Chan​​​ges to hospital licensing fees, investigations, surveys and staffing requirements due to 2025 legislation"

​The Health Care Regulation and Quality Improvement (HCRQI) section is proposing to permanently amend and repeal Oregon Administrative Rules in chapter 333, divisions 71, 500, 501 and 503 to implement changes due to passage of SB 842 (2025 OL chapter 623) and HB 3294 (2025 OL chapter 506​). These rules address the following changes due to passage of these measures: 
  • ​Removes definition for the term 'full compliance survey' that is only used in rules that are being repealed. 
  • Amends hospital licensing fees and adds a late fee for failing to submit its license renewal application and fee before December 1 of each year. (Per ORS 442.015, a hospital is defined to include a special inpatient care facility as defined by the OHA in rule.) 
  • Removes language that allows the OHA to charge separate fees for complaint investigations and compliance surveys.
  • Clarifies that information received during the receipt and review of a complaint prior to or in lieu of an investigation is confidential.
  • Removes hospital staffing enforcement language allowing OHA to determine violations and issue warnings and civil penalties in accordance with ORS 441.792. 
For more details, including a description of each rule's proposed changes, please see the Notice of Proposed Rulemaking, including the Statement of Need and Fiscal and Racial Equity Impacts, and the full text of the proposed rules:  
Members of the public are invited to review and comment on the proposed rules. There are two (2) options to provide comment:

1) You may provide oral (spoken) testimony during a public hearing scheduled on Wednesday, November 19, 2025, at 11:00 A.M. Pacific Time via video/phone conference using Microsoft Teams. 
  • To provide oral testimony during this hearing:
    • Join using the Meeting URL. You can also find the join link for the meeting in the Notice of Proposed Rulemaking under “Remote Meeting Details” using the “Meeting URL."
    • You may also contact the Public Health Division Rules Coordinator at publichealth.rules@odhsoha.oregon.gov to sign-up to give oral testimony and receive the link for the Microsoft Teams video conference via calendar appointment.
    • To join the hearing via phone (audio/listen only), you may dial 971-277-2343, phone conference ID 769 353 904#
2)  Written comments may be submitted before 5:00 P.M. Pacific Time on November 21, 2025:
  • ​Email comments to: publichealth.rules@odhsoha.oregon.gov
  • Mail comments* to: OHA - Public Health Division
    Brittany Hall, Administrative Rules Coordinator
    800 NE Oregon St. Suite 930
    Portland, OR 97232

    *Comments sent by regular mail must be postmarked by 5:00 P.M. Pacific Time on November 21, 2025.

  • Send comments by fax to 971-673-1299
Final rules will be filed after consideration of all comments. 
If you have questions or would like a paper copy of the Notice of Proposed Rulemaking, please email mellony.c.bernal@oha.oregon.gov

​Health Licensing Office publishes FAQ for sign language interpreter medical licenses


During the 2025 Legislative Session, SB 950 (2025) was passed and signed into law by the Governor on May 28, 2025. The new law repeals the sign language interpreter (SLI) medical license, effective January 1, 2026. However, any SLI medical license issued between June 8, 2024, and December 31, 2025, will remain valid through January 1, 2029, allowing the SLI an additional three years to practice in settings determined by the Oregon Board of Sign Language Interpreters. Settings will be established in rules as of January 1, 2026.

Beginning January 1, 2026, the SLI medical licenses will no longer be issued or renewed due to SB 950 (2025), which repeals these licenses.

To support license holders and the public in understanding these changes, HLO has published a Frequently Asked Questions (FAQs):
​News regarding the Board of Sign Language Interpreters can be found here.

If you have any questions, please contact Josh Page at josh.page@oha.oregon.gov, or by calling (503) 934-0720. 

​​​

Accessibility Statement: For individuals with disabilities or individuals who speak a language other than English, OHA can provide free help. Some examples are sign language and spoken language interpreters, real-time captioning, braille, large print, audio, and written materials in other languages. If you need help with these services, please contact the Public Health Administrative Rules Coordinator at 971-673-1222, 711 TTY or publichealth.rules@odhsoha.oregon.gov at least 48 hours before the meeting. All relay calls are accepted. To best ensure our ability to provide a modification please contact us if you are considering attending the meeting and require a modification. The earlier you make a request the more likely we can meet the need.




​Certificate of Need Rulemaking Advisory Committee

​This RAC is being convened to review proposed amendments to OAR chapter 333, divisions 590 and 615 rules, so that the CN Program can adequately evaluate a CN application using relevant data, methods, and timelines. The RAC will review the temporary rules filed on October ​​22​, 2025​ and consider whether additional changes are necessary before proceeding with permanent rulemaking.

RAC applications are being accepted between 11/3/2025 - 11/14/2025. Persons interested in serving on the RAC are asked to complete and submit the following application form no later than 11/14/2025:

The CN Program will notify individuals selected to serve. 

RAC meetings have been scheduled for:
  • ​December 17, 2025 from 9 a.m. - 12 p.m.
  • January 7, 2026  from 9 a.m. - 12 p.m. (if needed)


S​B 537 - Workplace Violence Prevention Safety Requirements in Healthcare Settings

This RAC is being convened to consider proposed administrative rules relating to sections 8 through 13 of SB 537.​ The HCRQI section is developing administrative rules that address the following topics: 

  • Identification badge requirements;
  • Flagging systems to identify, communicate, monitor, and manage potential threats of violence or disruptive behavior by patients or other individuals;
  • Bullet-resistant, emergency room intake window requirements for hospitals; 
  • Information to be gathered during home health and hospice client intake; and 
  • Training on recognizing hazards in a home health care setting.
The application period for service on the RAC began on August 25, 2025, and concluded on September 8, 2025. The application process is now ​closed.

RAC meetings are scheduled as follows: 


Birthing Center Rule Advisory Committee 

This RAC has reviewed proposed amendments to the licensing requirements for a birthing center. RAC member recruitment is closed and RAC meetings have concluded. ​ Permanent rules​ were filed on November 3, 2025.​ 
Previous RAC meeting dates and notes:

​5.30.2019
​Agenda - Minutes
​7.17.2019​​
​​Agenda - Minutes
​9.4.2019
Agenda - Minutes
​10.16.2019
​​Agenda - Minutes
​11.22.2019
​Agenda - Minutes
​1.24.2020
​​Agenda - Minutes
3.2.2020
Agenda - Minutes
​8.3.2020
​​Agenda - Minutes
​7.21.2021
​Agenda - Minutes
​8.24.2021
Agenda - Minutes
9.13.2021
Agenda - Minutes
​10.18.2021
AgendaMinutes
​11.29.2021
Agenda Minutes
​1.10.2022
Agenda - Minutes
​2.15.2022
​​Agenda - Minutes
​3.8.2022
Agenda - Minutes
​10.4.2022
Agenda - Minutes
6.4.2024​ 
​​Agenda​ - Minutes

​Community Meeting Material


​​​​Health Care Regulation and Quality Improvement Rule Advisory Committee Community Participation ​


The Health Care Regulation and Quality Improvement (HCRQI) section is seeking persons and communities who would be affected by administrative rules relating to any of HCRQIs regulatory functions and who would be interested in serving on a rule advisory committee (RAC).

RACs are an important process that allow members of the public and communities to provide input and suggestions during the development of new administrative rules, amending or repealing existing rules, and identifying the potential fiscal impact on small business as well as the effect on racial equity in Oregon. Diverse opinions and viewpoints are an important part of the rulemaking process.

The following is a list of administrative rules pertaining to the regulatory and licensing functions of programs within HCRQI. Persons interested in serving on future RACs relating to any of these topics are encouraged to complete the RAC Interest Application form and send to mellony.c.bernal@oha.oregon.gov​. Applications will be saved and applicants contacted when future RACs are convened.
Regulatory programs:
  • Ambulatory surgery centers (OAR 333-076)
  • Caregiver registries (OAR 333-540)
  • Certificate of need (OAR 333-545 through 333-670)
  • Extended stay centers (OAR 333-076)
  • Freestanding birthing centers (OAR 333-076)
  • Health care practitioner referral (OAR 333-072)
  • Hemodialysis technician certification (OAR 333-275)
  • Home health agencies (OAR 333-027)
  • Hospice programs (OAR 333-035)
  • Hospitals (OAR 333-500 through 333-535)
  • In-home care agencies (OAR 333-536)
  • Non-transplant anatomical research recovery organizations (OAR 333-081)
  • Outpatient renal dialysis facilities (OAR 333-700)
  • Physician orders for life sustaining treatments (OAR 333-270)
  • Project plans and construction review for health care facilities, residential care, and assisted living facilities (OAR 333-675)
  • Special inpatient care facilities (OAR 333-071)
  • Tissue bank registries (OAR 333-080)