[{"_1":2,"_98":-5,"_99":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":44,"_46":47,"_48":49,"_50":51,"_52":53,"_54":55,"_56":57,"_58":59,"_60":61,"_62":63,"_64":65,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},"mediaId",6265874,"mediaKeyId","3088402-322d19d7c549f5664f86e393302a58b4","parentId",3088402,"title","Bill would require Oregon dental laboratories to register with Health Licensing Office and disclose materials","audioSeconds",0,"startMs",2053000,"endMs","viewUrl","/Search/View?dp=1&key=3088402-322d19d7c549f5664f86e393302a58b4&start=2053&end=2053","thumbnailUrl","https://assets.pipeline.soar.com/3088402-322d19d7c549f5664f86e393302a58b4/thumbnail_2053000.jpg","articleUrl","/articles/6265874/Oregon/Bill-would-require-Oregon-dental-laboratories-to-register-with-Health-Licensing-Office-and-disclose-materials","mediaUrl","https://secure.pipeline.soar.com/6265874-1c052ba19f1a2e2632cab7cc873dff06/orig.mp4?Expires=1776589619&Signature=LqINO9DLxx48wjKXkVUxEq20M-r~aLSNOfcn-eQivQSX8~rQfaLTLBJIM3kT-9Om~MASJiXvYVMEhroSSXldhTMrtB3h1DN54LJ7ah23VblVzu85pyM4VMLlhO9iFzoXXdROG~Ptmoy91WvMxo3k8KgiHqhYIaferBt5ALXVfAmL6bmmr0npo2GFvBrNkS3eLEfjS7JrMqJ2Rbd6ZBbPLyP~TXCNeTrresEYEiMWJsFo~Yz3usfpwcoyGf05so~joJDFISPb~Cjp9-6Rxo29PH8PEopHhWNwXbxHyMh0JjAKJCbVKru-nkrtCiUBga9S1Zbvn4efJFhgo74mEdTgwA__&Key-Pair-Id=KUT5TJCACFTXG","author","Oregon State Legislature","date","2025-04-22T00:00:00Z","article","The Senate Committee on Health Care held a public hearing April 22 on House Bill 2,594, a measure that would establish a registration program for dental laboratories operating in Oregon and require material content and point‑of‑origin disclosures to dentists filling work orders.

Representative Hi Pham, a pediatric dentist and sponsor, told the committee the bill would increase transparency about the materials and sources used to make crowns, bridges, dentures and similar restorations. “Patient protections should always come first in medical care,” Pham said, urging an aye vote.

Representative Cyrus Javidy, also a dentist, described practical reasons dentists seek this information, including material durability and aesthetic expectations. Maureen McGee, representing the Oregon Association of Dental Laboratories, told the committee the program is industry‑supported, fee‑supported and modeled on laws adopted in other states. McGee said the policy was first advanced in 2023 and had been included in omnibus proposals in 2024; she said stakeholders worked with the Health Licensing Office on an implementable model.

Eric Thorn, testifying for the National Association of Dental Laboratories, and Carrie Peel, executive director of the Oregon Association of Dental Laboratories, told the committee similar points: registration enhances accountability and has been adopted in multiple states. Peel estimated there are about 60 dental laboratories that service Oregon dentists but said labs are hard to track because many business registrations do not include the word “lab.”

Committee members discussed exemptions included in the bill for in‑house dental‑office labs and educational programs. Staff and witnesses clarified that a laboratory owned and operated by a practicing dentist that does not perform work for outside practices is exempt; larger organizations that operate independent labs that serve outside providers would not be exempt. Witnesses noted that Washington and several other states have adopted similar registration programs.

Representative Pham and Maureen McGee said the bill passed unanimously out of the House committee and received 51 votes in favor on the House floor with 9 members absent, as noted in committee remarks. The public hearing was opened and later closed; no committee vote was recorded during the hearing in this session.

Supporters said the program would be self‑supporting through registration fees and would not, they expect, raise restoration costs for patients based on experience in other states.","mediaType","Video","parentTitle","Senate Committee On Health Care 04/22/2025 3:00 PM","oneSentenceSummary","House Bill 2,594 would require dental laboratories that serve Oregon dentists to register with the Health Licensing Office and disclose material content and point of origin for restorations; backers said the measure promotes transparency and consumer protection.","taxTitle","Health Care, Senate, Committees, Legislative, Oregon","taxId",17872,"location","Oregon","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_46":81,"_48":82,"_50":83,"_52":84,"_54":55,"_56":57,"_58":85,"_60":61,"_62":63,"_64":86,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6265878,"Supporters urge registry, rules for five‑needle auricular protocol outside licensed acupuncture",922,1151000,2073000,"/Search/View?dp=1&key=3088402-322d19d7c549f5664f86e393302a58b4&start=1151&end=2073","https://assets.pipeline.soar.com/3088402-322d19d7c549f5664f86e393302a58b4/thumbnail_1151000.jpg","/articles/6265878/Oregon/Supporters-urge-registry-rules-for-fiveneedle-auricular-protocol-outside-licensed-acupuncture","https://secure.pipeline.soar.com/6265878-03bab95190c743d90ef1a327061e4742/orig.mp4?Expires=1776589619&Signature=jDUdp8VNiPjrfNX6Mof7qA2B9NnYRnpwJH0-CDmNQp3YPdF1XJ26GbwTL~WJWyfxYFZsQHfM5caAY5iDNoBPyUgSgnG1wLbruO7JUzhjerXLXRUBZnBxWaLZOurd6w1PuiJx8YFDoL-qyvbObR6SHiJqiSXGUddQ5rNY0oLqM06rpjr-D-5uSwIJ-qG5--c279MjsC5y8y1mt-mz9BBWpppdytOINTAZ6lbBeGjSvjXtrvkCDcEy~L~SM27XKIiQc5nCl2o2m1ZzJcLqzzu2AlTO7eoRwQqPgCQYodk9qdDxPnnLLEXG~hEeLGypM7DEvUBzYpypT7HbGBa3g6PHeQ__&Key-Pair-Id=KUT5TJCACFTXG","The Senate Committee on Health Care heard testimony April 22 on legislation to recognize and regulate the five‑needle auricular acupuncture protocol (often called 5NP or NADA protocol) and to require the Oregon Medical Board to create a registry of qualified providers.

Witnesses said the five‑needle protocol is a low‑cost, easy‑to‑learn intervention used internationally in addiction recovery, behavioral‑health settings and disaster responses. Winona Vidakunis, a graduate of Polka Tech Acupuncture School and a member of the Oregon Association of Acupuncturists, told the committee the five‑needle protocol “can improve patient outcomes in terms of program retention, reductions in cravings, anxiety, sleep disturbance, and need for pharmaceuticals.”

Susan Williams, former chair of the Arizona Acupuncture Board of Examiners, described Arizona’s legislative approach and told the committee that after the state enacted a certification program for acupuncture detoxification specialists, “there have been absolutely no complaints filed” and a reported 45.7% increase in certified addiction‑treatment specialists in Arizona. Williams testified that Oregon’s bill is substantially similar and would expand access while maintaining public safety.

Miranda Miller, coalition manager for the Oregon Heals Coalition, told the committee the protocol is especially useful for communities of color, people with trauma histories and people with substance‑use disorders because it is accessible and has few contraindications. Licensed acupuncturist Moses Cooper said community acupuncture and ear‑protocol approaches “calm minds and relax bodies” and argued the treatment should be widely available to trained providers.

Under the measure described by staff, the Oregon Medical Board would be required to establish rules and a registry of individuals qualified to provide the protocol; the bill’s text would take effect on the 90th day following adjournment sine die, per the staff overview. Testimony noted that about 28 states allow non‑acupuncturists to provide the protocol under various certification or exemption frameworks.

Committee members asked whether licensed acupuncturists are already allowed to provide the protocol in Oregon; witnesses confirmed licensed acupuncturists may provide 5NP, and the bill creates a pathway for trained non‑licensed providers to offer it under rules and a registry maintained by the Oregon Medical Board.

The public hearing was opened and later closed on the bill; no committee vote was recorded during the hearing.

Witnesses urged committee support, saying the proposal would expand access to a low‑cost tool used for addiction, trauma and mental‑health support while relying on the Medical Board to set qualifications and patient‑safety rules.","Witnesses told the Senate Health Care Committee that Senate Bill 2,143 (also cited as House Bill 2,143 in testimony) would establish a registry and rulemaking to allow trained non‑acupuncturists to deliver the five‑needle protocol used for addiction and trauma support.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":42,"_45":91,"_46":92,"_48":93,"_50":94,"_52":95,"_54":55,"_56":57,"_58":96,"_60":61,"_62":63,"_64":97,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6265881,"Bill would let registered nurses bill Medicaid directly for care coordination",1115,1115000,"/Search/View?dp=1&key=3088402-322d19d7c549f5664f86e393302a58b4&start=0&end=1115","https://assets.pipeline.soar.com/3088402-322d19d7c549f5664f86e393302a58b4/thumbnail_0.jpg","/articles/6265881/Oregon/Bill-would-let-registered-nurses-bill-Medicaid-directly-for-care-coordination","https://secure.pipeline.soar.com/6265881-d889bdec1c63dfede28dfc6c1210ca63/orig.mp4?Expires=1776589619&Signature=coSl-Y5NpSPoBuJYKS6ayeazzc8CfHPY0Cb4dVBn8b2Zv4eaDrFa0w2L6TCwtTeBUjh0pp8ZFJrg1bBKHJQ0vDbl-IjiBCUwrC8AfXsFvCyOeJbr6jE97YvL46s1-owlCUKcOLlRfuB0YMRYip0UAu5Nl5TwgGNoCfrBr6Qgc-eRM5AnFq46HkwfksAQigwAODMh6nJJs~60w8plqVLhRQPVnFi26097Wyjm1I9lguE7gi1nQKOQL2vtRW2axcApsnsValTr0jaN92MPSTmYQFQS2QxtUxcYVH8K7FSnkaf5oCJbeg19sgUKAoE6hHTCcvkOwabkFAFAhCLHZv946w__&Key-Pair-Id=KUT5TJCACFTXG","The Senate Committee on Health Care held a public hearing April 22 on House Bill 2,789, which would prohibit the Oregon Health Authority from requiring that certain case-management or care‑coordination services be ordered by a primary care provider before a registered nurse may seek Medicaid reimbursement.

Supporters said the change would let registered nurses provide and be reimbursed for transitional and care‑management services — for example, post‑hospital discharge follow‑up, wound checks and medication teaching — without the delay of securing a primary care order. Representative Travis Nelson, House District 44, introduced the bill and called it “a practical, patient‑centered bill” brought forward by the American Nurses Association to address gaps in access and equity.

The bill’s proponents described several rationales for the change. Jennifer Kennedy, RN, president of the American Nurses Association–Oregon and faculty at the OHSU School of Nursing, told the committee that RNs already deliver many of the services in question and that direct Medicaid billing would expand access where primary care is scarce. “Expanding Medicaid billing privileges to RNs will enhance patient access to timely preventive services, chronic disease management and patient education,” Kennedy said.

Saiko Izumi, a health‑services researcher in Portland, said more than half of Oregonians live with chronic illnesses that require ongoing management. “Allowing nurses to deliver services within their scope and bill for them without the bargaining of primary care providers will allow more patients to receive care they need, preventing worsening of their conditions and reducing overall cost,” Izumi said.

Other witnesses described examples and pilot work. Dana Womack, an RN and clinical informatics researcher who studied nurse‑led care coordination in rural Oregon, said nurses often fill urgent gaps when a patient lacks an established primary‑care relationship and can help avoid emergency visits by providing in‑home assessments and system navigation. Dr. Deva Rajan, a physician in the Department of Family Medicine at Oregon Health & Science University, described a clinic pilot of nurse‑led advanced care planning funded by the Cambria Health Foundation and conducted from July 2021 to December 2024; Rajan said standardized nurse‑led conversations improved documentation and continuity of care.

Committee members asked whether the change would require a Medicaid waiver. Witnesses said they would follow up with more detailed information about waivers and implementation mechanics; testimony did not establish a definitive answer.

The public hearing was opened by Chair Patterson and closed by the committee without a recorded vote; no formal action on the bill was taken during the hearing.

If enacted, the bill would direct the Oregon Health Authority to establish a list of covered care‑management services for which a registered nurse could seek reimbursement without a primary‑care order. The bill text and implementing guidance would determine whether billing would occur directly by individual RNs or through employing organizations or billing entities.

Proponents urged the committee to consider the bill as a way to reduce delays and inequities in access to basic care coordination for Medicaid enrollees, particularly in rural and underserved communities.","Supporters told the Senate Committee on Health Care that House Bill 2,789 would allow registered nurses to seek Medicaid reimbursement for specified care-management services without an order from a primary care provider, aiming to improve access in rural and underserved areas.","actionData","errors"]

Article not found

Bill would require Oregon dental laboratories to register with Health Licensing Office and disclose materials

Supporters urge registry, rules for five‑needle auricular protocol outside licensed acupuncture

Bill would let registered nurses bill Medicaid directly for care coordination