Adopted April 2, 2026
847-035-0030: Adding EMT nasopharyngeal swabs for infectious disease testing and EMR intranasal epinephrine administration for anaphylaxis.
The rulemaking makes two changes to the Emergency Medical Services (EMS) scope of practice. First, for Emergency Medical Technicians (EMTs) and higher-level EMS providers to perform nasopharyngeal swabs for infectious disease testing. This testing method has been part of the national scope of practice for EMTs since 2019 and would expand testing access beyond hospitals and traditional healthcare facilities. EMS providers are trained in airway management and safely performed this task during the 2020 emergency with no complaints or patient safety issues reported. Second, for Emergency Medical Responders (EMRs) and higher-level EMS providers to administer intranasal auto-injector epinephrine for anaphylaxis. Training requirements would be minimal since the procedure matches current intranasal naloxone administration, the cost is similar to current epinephrine auto-injectors, and nasal administration reduces needle stick injury risk.
847-035-0020: Updating the National Association of EMS Physicians course name.
The rulemaking updates the EMS physician course name to reflect that the National Association of EMS Physicians (NAEMSP) renamed its Medical Direction Overview Course to the Foundations of Medical Oversight Course. The course helps medical directors provide quality medical oversight by covering system design, EMS clinician credentialing and training, clinical care, quality improvement, and state-specific legislation and regulation. Dr. David Lehrfeld, MD, Oregon Health Authority's Medical Director for EMS and Trauma, confirmed the courses are equivalent.
Adopted January 8, 2026
The proposed rules implement House Bill 2143 (2025) that was passed by the Oregon Legislature and signed into law by Governor Kotek in June 2025. This legislation allows individuals with specific training in five-needle protocol (5NP) to apply for registration with the Oregon Medical Board beginning March 1, 2026. In Oregon, 5NP is defined as a standardized, supportive treatment for substance use disorders, mental health conditions, and trauma. The proposed rulemaking is needed to establish the 5NP technician qualifications, registration process, training requirements, and sanitation and best practice standards for 5NP treatments. Additionally, HB 2143 also authorizes the OMB to establish registration and renewal fees for 5NP technicians. The proposed rulemaking sets fees at $100 for initial registration and $50 annually ($100 biennially) for renewal starting March 1, 2026. Also, the OMB will apply its existing Criminal Records Check Fee to 5NP technicians during the initial application process and as needed for renewals or investigations, as permitted under HB 2143. See the
5NP webpage for more information.
Public comments received.
847-070-0005, 847-070-0016, 847-070-0017, 847-070-0019, 847-070-0022, 847-070-0033, 847-070-0037, 847-070-0045, 847-070-0060, 847-008-0070, 847-010-0073: Implementing SB 874 (2025) and the National Certification Commission for Acupuncture and Oriental Medicine name change The proposed rulemaking implements SB 874(2025) adding a definition for “Traditional Eastern medicine” to provide cohesion and clarify the OMB’s authority to regulate acupuncturists. The bill replaced the term “Oriental medicine” with “Traditional Eastern medicine” throughout ORS chapter 677. The bill also clarifies the definition of "acupuncture" and updates the Oregon Association of Acupuncturists name. SB 874 did not change the scope of practice for acupuncturists in Oregon. Additionally, the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is changing their name to the National Certification Board for Acupuncture and Herbal Medicine (NCBAHM) in January 2026. The proposed rule also makes this update. Their exam titles, including Foundations of Oriental Medicine, will remain the same. No public comments received.
847-035-0030: Clarifying EMTs may only assist with single dose medication syringes and vials On May 16, 2025, the EMS Committee reviewed if an Emergency Medical Technician (EMT) may access medication vials, with a syringe and needle, and draw up a medication for an on-scene Paramedic. The EMS Committee concluded EMTs should not be pulling up medications from vials, unless preloaded, except epinephrine as provided in the current rule. The proposed amendment clarifies that an EMT may assist the on-scene Advanced EMT, EMT-Intermediate, or Paramedic by opening, assembling and uncapping preloaded single dose medication syringes and vials. Comments provided prior to November 19, 2025, will be reviewed by the EMS Advisory Committee on November 21, 2025. No public comments received.
The proposed rulemaking implements SB 476 (2025) section 7a which updated the definition for “approved medical school” to include the Committee on Accreditation of Canadian Medical Schools, effective January 1, 2026. As of July 1, 2025, Canadian medical schools were no longer accredited by the Liaison Committee on Medical Education (through U.S. Department of Education). Without the proposed amendment, Canadian medical school graduates would have to apply for Oregon licensure as an international medical graduate and meet additional requirements. No public comments received.
SB 873 (2025) repeals ORS 677.120, the licensure of volunteer emeritus physicians, to remove unneeded regulations, effective January 1, 2026. The proposed rulemaking implements the bill by repealing the related rules. No out-of-state physician currently holds a volunteer emeritus license. As an alternative, House Bill 4096 (2022) created an authorization for out-of-state physicians to practice in Oregon for up to 30 days each calendar year, see ORS 676.347. Compared to the volunteer practice now allowed in ORS 676.347, the Volunteer Emeritus license is more restrictive, costly, and cumbersome for out-of-state physicians. The proposed rulemaking also updates the rule outlining the qualifications for licensure by expedited endorsement because it referenced qualifications established in the volunteer emeritus license rules. There are no substantive changes to the qualifications for expedited endorsement. No public comments received.
847-065-0010, 847-065-0015, 847-065-0020, 847-065-0025, 847-065-0030, 847-065-0035, 847-065-0040, 847-065-0045, 847-065-0050, 847-065-0055, 847-065-0065, 847-065-0070: Implementing HB 3043 (2025) making updates the Health Professionals’ Services Program For the Health Professionals’ Services Program (HPSP), HB 3043 (2025) adds criteria to the initial evaluation process, updates definitions for direct supervisor and diversion agreements, and authorizes boards to define substantial noncompliance with the program, effective January 1, 2026. The proposed rulemaking updates the HPSP rules to align with HB 3043. No public comments received.
Adopted October 2, 2025
ORS 183.341 requires all state agencies to adopt rules of procedure to provide a reasonable opportunity for interested persons to be notified of the agency’s intention to adopt, amend or repeal a rule. To align with current practice and account for advances in technology, the rule amendments remove specific delivery methods and requirements to provide notice to specific media outlets. For more than 15 years, the Oregon Medical Board has emailed rulemaking notices to persons on the OMB’s interested parties list. Currently, there are over 1,100 emails on this list. There are links on the OMB’s webpage to allow anyone to sign up. OMB has been mailing the Capitol Press room in the State Capitol rulemaking notices. With construction and other changes, this room no longer exists, and mail was returned. To ensure the media still receive rulemaking notices, OMB staff added the Oregon Capitol press corps members to OMB’s interested party list, which includes Associated Press reporters. No public comments received.
847-010-0300: Implementing SB 1557 (2024) and SB 729 (2025) for access to mental health assessment, treatment, or services. Each person is an individual with unique strengths and needs and must be met with developmentally, culturally and linguistically appropriate and individually responsive services that recognize the individual as a whole person. SB 1557 (2024) and SB 729 (2025) direct the Oregon Medical Board, among other health licensing agencies that license or certify mental or behavioral health providers, to adopt rules that prohibit licensees from denying any individual to access mental health assessment, treatment or services on the basis that the individual also has an intellectual or developmental disability. The rulemaking implements this statutory requirement. No public comments received.
847-020-0170: Updating licensure examination requirements for the Medical Council of Canada Qualifying Examination. In 2021, the Medical Council of Canada Qualifying Examination (MCCQE) part 2 was discontinued and no longer required to receive Licentiate of Medical Council of Canada (LMCC) certification. The examination requirement for LMCC only requires a physician to pass MCCQE part 1. Other states such as Washington, California, Maine, Minnesota, and Arizona that accept a Canadian examination require LMCC certification, rather than specifying MCCQE parts. To align with the Oregon Medical Board’s current practice of accepting LMCC certification for examination purposes, the rulemaking updates the requirement to LMCC certification. No public comments received.
The rulemaking clarifies the locum tenens status requirements, that the licensee must not qualify for active status under OAR 847-008-0015. No public comments received.
Adopted July 10, 2025
847-005-0005: Adding Health Professionals’ Services Program passthrough fee for licensees.The rule adds that an emeritus status licensee may not receive indirect monetary compensation for their practice in Oregon.
The Veterans Auto and Education Improvement Act of 2022 (HB 7939) was signed into law on January 5, 2023, and amended on December 23, 2024, at 50 U.S.C. § 4025a as part of the Servicemembers Civil Relief Act (SCRA) supporting servicemembers and their spouses. The rule implements licensing portability for servicemembers, or their spouse or domestic partner licensed in another state and relocated to Oregon by military orders. No public comments received.
The rule allowed an Advanced Emergency Medical Technician (AEMT) to prepare and administer vasodilators: nitroglycerine. The rule amendments added for “cardiac chest pain sublingual," to clarify not by other routes. Second, the rule stated an AEMT could prepare and administer epinephrine for anaphylaxis, which was also repeated in the EMT scope of practice. The rule amendments removed the duplicative language in the AEMT scope of practice to clarify, similar to an EMT, an AEMT may prepare and administer subcutaneous and intramuscular epinephrine for anaphylaxis. Lastly, for EMT-Intermediates (EMT-I) the rule allowed preparation and administration of vasoactive medications epinephrine and vasopressin. The rule amendments added “for cardiac arrest" to clarify. No public comments received.