In a significant move to address substance use disorders and mental health issues, the Oregon State Legislature has introduced House Bill 2143, which aims to formalize the practice of the "five-needle protocol." This bill, sponsored by Representatives Nosse and Nelson, was ordered by the House on April 7, 2025, and seeks to establish a framework for individuals trained in this specific acupuncture technique.

The five-needle protocol involves the stimulation of five specific points on the outer ear using sterile, single-use needles, ear seeds, or beads. This method is intended to provide temporary relief from symptoms associated with substance use disorders, mental health conditions, and trauma. Under the proposed legislation, individuals who complete the necessary training will be exempt from the requirement to obtain a traditional acupuncture license, provided they are registered with the Oregon Medical Board.

Key provisions of the bill include the establishment of a registry by the Oregon Medical Board, which will outline qualifications for registration, application processes, and standards for practice. This registry aims to ensure that only qualified individuals can administer the five-needle protocol, thereby maintaining safety and efficacy in its application.

The introduction of House Bill 2143 has sparked discussions among lawmakers and health professionals regarding its potential impact on public health. Proponents argue that the bill could enhance access to alternative treatment options for individuals struggling with addiction and mental health issues, particularly in underserved communities. However, some critics express concerns about the lack of comprehensive oversight and the potential for misuse of the protocol by untrained individuals.

The bill's implications extend beyond health care, touching on broader social issues such as addiction recovery and mental health support. As Oregon continues to grapple with rising rates of substance use disorders, the five-needle protocol could represent a valuable tool in the state's efforts to provide holistic care.

As the legislative session progresses, stakeholders will be closely monitoring the bill's developments, including any amendments or debates that may arise. If passed, House Bill 2143 could take effect 91 days after the legislature adjourns, marking a pivotal step in Oregon's approach to addressing pressing health challenges.