[{"_1":2,"_112":-5,"_113":-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",[32,76,88,100],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":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,"_75":74},"mediaId",6261955,"mediaKeyId","3117265-dab51ec23a44d1a31ac20ff817a297f2","parentId",3117265,"title","Committee hears bill to let OHA consider adding anesthesiologists and CRNAs to incentive program for rural retention","audioSeconds",452,"startMs",2106000,"endMs",2558000,"viewUrl","/Search/View?dp=1&key=3117265-dab51ec23a44d1a31ac20ff817a297f2&start=2106&end=2558","thumbnailUrl","https://assets.pipeline.soar.com/3117265-dab51ec23a44d1a31ac20ff817a297f2/thumbnail_2106000.jpg","articleUrl","/articles/6261955/Oregon/Committee-hears-bill-to-let-OHA-consider-adding-anesthesiologists-and-CRNAs-to-incentive-program-for-rural-retention","mediaUrl","https://secure.pipeline.soar.com/6261955-ce3820635cb205ea205a6747855e63de/orig.mp4?Expires=1770583501&Signature=mgSKFSyqy5qO8OlceG6c7qngnJYm0biSaO3DWpcHQTUzJ2AgbSgtVqrogi8GRt~8wz5AJj3KiBpHJ1t0l6izAnHQYAX1H2XXiNl9H6VoI7FJ4NpqHNNLgmgNaX43rJb7NDuQsNiB8XlpefvK1UW-QOubq7RZAOAY2u93L06wBnBt1mT1cVR99EYScELThzBH2hUuP2cub4JBAnYL7zskun-001ZMCCg~5R2-emRGKktnLaTGEEjloNPX7d8iYSS5kean~TN87kTa-9PSiwgaTm-Vs4RbxeMZDwEtEpfHSm7ZLyPYdXAc2so7GL7cVQ9atvZJpHg0JuVc3Mt90h84JA__&Key-Pair-Id=KUT5TJCACFTXG","author","Oregon State Legislature","date","2025-04-24T00:00:00Z","article","House Bill 2591 A would direct the Oregon Health Authority to adopt rules to add physician anesthesiologists and certified registered nurse anesthetists (CRNAs), including trainees, to the state health care provider incentive program that offers loan repayment, scholarships and other supports for providers who commit to serving high‑need or rural areas.

Representative Hai Pham, the bill sponsor, and anesthesia stakeholders told the Senate Committee on Health Care that Oregon faces a severe anesthesia workforce shortage. Hunter Aldridge, president of the Oregon Society of Anesthesiologists and a practicing anesthesiologist, testified that recent surveys show many anesthesia providers intend to leave the state and that job postings currently far outnumber available providers. He said recent counts show roughly 50 open job postings for physician anesthesiologists and about 38 for nurse anesthetists. Jared Fairchild, government relations chair for the Oregon Association of Nurse Anesthetists, said graduates frequently carry six‑figure student debt and that a CRNA starting salary in Oregon is commonly in the roughly $250,000 range; physician job offers referenced during the hearing were described in the $400,000–$500,000 range.

Rural clinicians described how anesthesia shortages delay or reduce surgical capacity: Kelly Coelho of Day Surgery at Riverbend said her center lost coverage for one of three operating rooms and required five months to recruit replacement staff. Kia Gilbert, a CRNA at Providence Hood River Memorial Hospital, said rural tax credits and tuition‑repayment incentives were central to recruiting and retaining staff; she noted she remained in a rural position after completing a multi‑year loan‑forgiveness obligation.

Witnesses and sponsors said HB 2591 A is intended to allow OHA to evaluate inclusion of anesthesiology providers in incentive programs rather than immediately mandating benefits; some committee members raised questions about offering loan forgiveness to high‑income specialties. Testimony described a sunset of an existing rural provider tax credit in 2027 and highlighted new educational capacity coming online (George Fox University) that may help expand the pipeline. The committee closed the public hearing; no formal vote was recorded during the session.","mediaType","Video","parentTitle","Senate Committee On Health Care 04/24/2025 3:00 PM","oneSentenceSummary","House Bill 2591 A would direct the Oregon Health Authority to consider adding anesthesiologists and certified registered nurse anesthetists to the state's health care provider incentive program to improve rural access. Testimony described workforce shortages, large student debt among trainees, and rural recruitment challenges.","taxTitle","Health Care, Senate, Committees, Legislative, Oregon","taxId",17872,"location","Oregon","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6261960,"'Hannah's Law' would ensure clinical nursing decisions in schools remain with licensed nurses, sponsors say",808,1071000,1879000,"/Search/View?dp=1&key=3117265-dab51ec23a44d1a31ac20ff817a297f2&start=1071&end=1879","https://assets.pipeline.soar.com/3117265-dab51ec23a44d1a31ac20ff817a297f2/thumbnail_1071000.jpg","/articles/6261960/Oregon/Hannahs-Law-would-ensure-clinical-nursing-decisions-in-schools-remain-with-licensed-nurses-sponsors-say","https://secure.pipeline.soar.com/6261960-46eec26327ce99bfba74cb6e9ef27df5/orig.mp4?Expires=1770583501&Signature=HEmthtnOOKrwF0iIIIxjQ24WGeSmw2q3wyMyyZu9VgZ0kbfuqnziBD~t9hk3a8YBwaT6yQvc2GlliFqWudBc5u-BYboAQln8RuqtLC~2nNMri3GVIuZHzeGRmq7~BShlQHn-vW76V9M3hbPQcTWQhoDmfZ5M2QVf1BVej5cGR7vjEetrfZPWesVlEPYb0fb2Kb2tVt9L4Nj4U74e~jlF3CKQTAMReFO0y7fehuupua5TRPfZBiHvt62WGgsmHy8N-imasTs1u823trzi7bxbro5-g92XnzCXGJ5--QIfLWuqNvm8pqjKW98IA5J~FJRs-om7DN5Kf7LDyaiWwBxITw__&Key-Pair-Id=KUT5TJCACFTXG","House Bill 2948, known in testimony as “Hannah’s Law,” would clarify that clinical nursing decisions in schools — supervision, assignment and evaluation of nursing practice — must be made by licensed registered nurses, while allowing administrators to direct non‑clinical, employment‑related tasks.

Representative Travis Nelson, a registered nurse and sponsor of the bill, told the Senate Committee on Health Care that current practice often leaves school nurses supervised by non‑nurses who lack the clinical training to assess nursing decisions. Nelson described cases in which parents or nurses had to intervene to ensure medically complex students received licensed care in school.

Wendy Niskanen, executive director of the Oregon School Nurses Association, testified the bill would protect students and uphold the nursing process and the Oregon Nurse Practice Act by ensuring clinical judgments are not overruled by nonmedical supervisors. She described “Hannah,” a seventh grader with medical complexities who needs consistent licensed nursing support; Niskanen said the student was denied necessary assistance when nonmedical staff judged the needs nonclinical.

Committee discussion focused on balancing limited district resources with clinical safety. Witnesses and the sponsor described the bill as clarifying existing boundaries: school administrators may continue to supervise nurses for employment‑related duties, but the clinical autonomy of nurses would guide patient care decisions. Testimony noted Washington state has enacted similar protections and that the bill was developed with input from school nurses, administrators, the state board of nursing and other stakeholders.

The committee closed the public hearing after testimony; members asked questions about implementation and collaboration between nurses and administrators but did not record a committee vote during the session.","House Bill 2948 (Hannah's Law) would clarify that only registered nurses may supervise, evaluate, or assign clinical nursing tasks in schools. Supporters said the change protects medically complex students and aligns school practice with the Oregon Nurse Practice Act.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6261965,"Panel backs requiring electronic death‑certificate filing; committee hears support and implementation concerns",869,701000,1570000,"/Search/View?dp=1&key=3117265-dab51ec23a44d1a31ac20ff817a297f2&start=701&end=1570","https://assets.pipeline.soar.com/3117265-dab51ec23a44d1a31ac20ff817a297f2/thumbnail_701000.jpg","/articles/6261965/Oregon/Panel-backs-requiring-electronic-deathcertificate-filing-committee-hears-support-and-implementation-concerns","https://secure.pipeline.soar.com/6261965-451f1973c77d195220cd9d7fafe5da07/orig.mp4?Expires=1770583501&Signature=KxiRO3GaoEPybnojjjn912rnbmdl-AdpQS~QySnfrrd6zSXRrW-goAPKkcsVXTsSoTm-mcGuTKWJWB5kCIqisi5X-s9k0WCwMu6tub87AVI8dcPfvEzshsQr9qaJfVS4TF2PJYYLXTTwbThFTeclbpAexN-uzLb7pMHket0ET3VFM4jp6z~yQGMeodtAHIP~Kk8HutnB6i2ZbI-h4QX6DWH0r1WbgKqKjXO3wV9TgXAqZ-DM41o4hX5dEvqhcAGB86dA5EYq~QZFKUX44cKdYGuSmqXg8ySWFpY52t76bbS9JZxKLsoSSbPuNEg8tLRVPMtQ-OmqEt49aaGJ8Soh9A__&Key-Pair-Id=KUT5TJCACFTXG","House Bill 3127 A would require medical certifiers and medical examiners to use the state’s electronic vital‑events reporting system — OVERS — when completing death certificates, removing a paper exception for health facilities that report fewer deaths.

Supporters told the Senate Committee on Health Care that requiring electronic filing shortens the time families wait for certified death certificates. Senator Fred Gerard said his family waited about six weeks for a death certificate in one case and described the administrative hurdles families face when paperwork is delayed. Angela Mackenzie Tucker, president‑elect of the Oregon Funeral Directors Association, said electronic filing is more accurate, more secure and far quicker than paper workflows that require funeral directors and families to deliver documents in person.

The Oregon Medical Association testified in support of the bill’s goal but flagged implementation problems. Courtney Dresser said clinicians who use OVERS reported “clunks” in the software — vague error messages, inaccurate cause‑of‑death tables and staffing limitations that sometimes shift responsibility to a primary care physician who lacks complete information. OMA asked for continued engagement between clinicians and the Oregon Health Authority to improve OVERS usability prior to a mandate.

The bill sponsor and witnesses described an amendment added to preserve an exception for home burials for tribal members and others who opt for that practice; witnesses said that amendment removed the remaining organized opposition. Committee members did not take a recorded vote during the public hearing; sponsors and OHA staff said the requirement aligns with recommendations from an OHA work group studying equitable access to vital records.

Witnesses urged the committee to balance improved timeliness for families — witnesses said electronic filing can reduce wait times from weeks to under a week when a certifier signs promptly — with the need to ensure OVERS is user friendly for certifiers and supported by adequate staffing and training.","House Bill 3127 A would require medical certifiers and medical examiners to complete death certificates through the state's electronic reporting system (OVERS). Funeral directors and advocates told the committee the change reduces delays for grieving families; clinicians and the Oregon Medical Association raised usability and staffing concerns.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6261970,"Committee hears bill to let schools use needle-free and other pre-measured epinephrine",1024,21000,1045000,"/Search/View?dp=1&key=3117265-dab51ec23a44d1a31ac20ff817a297f2&start=21&end=1045","https://assets.pipeline.soar.com/3117265-dab51ec23a44d1a31ac20ff817a297f2/thumbnail_21000.jpg","/articles/6261970/Oregon/Committee-hears-bill-to-let-schools-use-needle-free-and-other-pre-measured-epinephrine","https://secure.pipeline.soar.com/6261970-ed0a9ba39a573fc9d87e5ec9d232468a/orig.mp4?Expires=1770583501&Signature=o4Ppz7hBV7yhzKngXnAQiCbGxQ0VuBwV2OuCTz3AH0jigwcf~pIB5QxaQ0I47opxwNxDtECfiJ4sttXUm1Ftpn9Snb37mpJxBtHcE9RmQo~0blCqE9OyY3mFQN3M135QXEtljstHyDeo~t5zyAdMJg7c1wyBb3ptOTemIvRaWQ00TfkMzWkXqK~EeLG5jYBJkyTY3v9MUhSmUbgJUcytUuTg1FR4W2rU5cP5x5xq5PZBUI8E98ZOGQgoHx~qeyBtRWbm3SGuXCICrkAlrsm9NJFPQLblSn~RVwa8Hs7FQzIm64MAG6ZK-UYFBc9862smmKIJBizZkuYMgij2uPUsCg__&Key-Pair-Id=KUT5TJCACFTXG","Senate Bill 1 would expand Oregon law to treat any “pre-measured dose of epinephrine” as an authorized medication for use in schools, allowing students or staff to administer epinephrine delivered by methods other than traditional auto-injectors.

Supporters told the Senate Committee on Health Care on April 24 that advances in delivery methods — including needle-free nasal sprays approved by the U.S. Food and Drug Administration — mean the statute should not be limited to auto-injectors. Senator Suzanne Weber (Oregon State Senator, District 16) told the committee the bill is a “simple fix” that would let the law accommodate future delivery methods. Mackenzie Worthington, testifying for Senate President Rob Wagner, said the measure also strengthens training requirements and explicitly updates criminal and civil liability protections for staff acting in good faith.

Proponents said broader language could reduce hesitation by staff and speed treatment when a child has a severe allergic reaction. Kaylee Desmond, a Lake Oswego teen who testified remotely, said a needle‑free nasal spray would offer an easier, less painful option and make administration and training simpler for school personnel.

Committee members asked detailed questions about the bill’s language. Senator Patterson and other committee members pressed whether “pre-measured” could be read to allow a school or clinic to draw multiple doses from a bulk vial and store them on a shelf. Supporters and staff said that was not the bill’s intent and that they would work on amendment language specifying manufacturer-sealed or otherwise prepackaged doses. Members also discussed whether the statutory language should explicitly include intranasal formulations; witnesses said the bill’s current language mentioning intramuscular and subcutaneous injection methods would not necessarily exclude intranasal delivery, but agreed to draft clarifying amendments.

There were no formal votes recorded in the hearing; committee staff said they would circulate amendment language to members for review before moving the bill forward. The committee closed the public hearing on SB 1 after additional testimony and indicated staff would work with bill sponsors on technical clarifications.

The hearing record includes statements from school and medical stakeholders urging swift action and clarification so that school policies and training align with available, FDA‑approved delivery options.","A Senate committee heard testimony on Senate Bill 1, which would expand the legal definition of medication in schools to include any pre-measured dose of epinephrine — not only auto-injectors — and update training and liability protections for staff who administer it.","actionData","errors"]

Article not found

Committee hears bill to let OHA consider adding anesthesiologists and CRNAs to incentive program for rural retention

'Hannah's Law' would ensure clinical nursing decisions in schools remain with licensed nurses, sponsors say

Panel backs requiring electronic death‑certificate filing; committee hears support and implementation concerns

Committee hears bill to let schools use needle-free and other pre-measured epinephrine