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HB2789 • 2025

Prohibits the Oregon Health Authority under specified circumstances from requiring, as a condition of reimbursing the cost of the service, a primary care provider to order a covered care management service provided by a licensed registered nurse to a medical assistance recipient.

Prohibits the Oregon Health Authority under specified circumstances from requiring, as a condition of reimbursing the cost of the service, a primary care provider to order a covered care management service provided by a licensed registered nurse to a medical assistance recipient.

Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Representative Nelson,, Senator Patterson, Representative Nathanson,
Last action
2025-06-11
Official status
Chapter Number Assigned
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Prohibits the Oregon Health Authority under specified circumstances from requiring, as a condition of reimbursing the cost of the service, a primary care provider to order a covered care management service provided by a licensed registered nurse to a medical assistance recipient.

Digest: The Act allows a registered nurse to bill for certain services without needing an order from the patient's PCP.

What This Bill Does

  • Digest: The Act allows a registered nurse to bill for certain services without needing an order from the patient's PCP.
  • (Flesch Readability Score: 62.8).
  • Prohibits the Oregon Health Authority under specified circumstances from requiring, as a condition of reimbursing the cost of the service, a primary care provider to order a covered care management service provided by a licensed registered nurse to a medical assistance recipient.
  • Takes effect on the 91st day following adjournment sine die.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2025-06-11 House

    Chapter 204, (2025 Laws): effective on the 91st day following adjournment sine die.

  2. 2025-05-28 House

    Governor signed.

  3. 2025-05-22 House

    Speaker signed.

  4. 2025-05-22 Senate

    President signed.

  5. 2025-05-21 Senate

    Third reading. Carried by Patterson. Passed. Ayes, 27; Excused, 3--Bonham, Manning Jr, Taylor.

  6. 2025-05-20 Senate

    Carried over to 05-21 by unanimous consent.

  7. 2025-05-19 Senate

    Recommendation: Do pass.

  8. 2025-05-19 Senate

    Second reading.

  9. 2025-05-13 Senate

    Work Session held.

  10. 2025-04-22 Senate

    Public Hearing held.

  11. 2025-03-06 Senate

    First reading. Referred to President's desk.

  12. 2025-03-06 Senate

    Referred to Health Care.

  13. 2025-03-04 House

    Third reading. Carried by Nelson. Passed. Ayes, 55; Nays, 2--Cate, Yunker; Excused, 3--Lively, Nguyen H, Wallan.

  14. 2025-02-27 House

    Rules suspended. Carried over to March 4, 2025 Calendar.

  15. 2025-02-25 House

    Second reading.

  16. 2025-02-24 House

    Recommendation: Do pass.

  17. 2025-02-20 House

    Work Session held.

  18. 2025-01-28 House

    Public Hearing held.

  19. 2025-01-17 House

    Referred to Behavioral Health and Health Care.

  20. 2025-01-13 House

    First reading. Referred to Speaker's desk.

Official Summary Text

Digest: The Act allows a registered nurse to bill for certain services without needing an order from the patient's PCP. (Flesch Readability Score: 62.8).
Prohibits the Oregon Health Authority under specified circumstances from requiring, as a condition of reimbursing the cost of the service, a primary care provider to order a covered care management service provided by a licensed registered nurse to a medical assistance recipient.
Takes effect on the 91st day following adjournment sine die.
Relating to: Relating to services provided by registered nurses; and prescribing an effective date.
Current location: Chapter Number Assigned

Current Bill Text

Read the full stored bill text 
83rd OREGON LEGISLATIVE ASSEMBLY--2025 Regular Session
Enrolled
House Bill 2789
Sponsored by Representative NELSON, Senator PATTERSON; Representative NATHANSON (Pre-
session filed.)
CHAPTER .................................................
AN ACT
Relating to services provided by registered nurses; and prescribing an effective date.
Be It Enacted by the People of the State of Oregon:
SECTION 1.
Section 2 of this 2025 Act is added to and made a part of ORS chapter 414.
SECTION 2. (1) The Oregon Health Authority may not require a primary care provider
to order a covered care management service, as listed in the schedule developed under sub-
section (2) of this section, as a condition of reimbursing the costs of the service when:
(a) The service is provided to a medical assistance recipient by a registered nurse li-
censed under ORS 678.010 to 678.410;
(b) The service is within the nurse’s authorized scope of practice; and
(c) The patient does not have a primary care provider.
(2) The authority shall, in consultation with stakeholders:
(a) Develop and maintain a schedule of covered care management services for which a
registered nurse may seek reimbursement under this section; and
(b) Establish billing and documentation protocols to protect program integrity, including
the use of national provider identifiers by registered nurses seeking reimbursement under
thissection.
SECTION 3.
Section 2 of this 2025 Act becomes operative on January 1, 2026.
SECTION 4. The Oregon Health Authority may take any action before the operative date
specified in section 3 of this 2025 Act that is necessary to enable the authority to exercise,
on and after the operative date specified in section 3 of this 2025 Act, all the duties, functions
and powers conferred on the authority by section 2 of this 2025 Act.
SECTION 5. This 2025 Act takes effect on the 91st day after the date on which the 2025
regular session of the Eighty-third Legislative Assembly adjourns sine die.
Enrolled House Bill 2789 (HB 2789-INTRO) Page 1
Passed by House March 4, 2025
..................................................................................
Timothy G. Sekerak, Chief Clerk of House
..................................................................................
Julie Fahey, Speaker of House
Passed by Senate May 21, 2025
..................................................................................
Rob Wagner, President of Senate
Received by Governor:
........................M.,........................................................., 2025
Approved:
........................M.,........................................................., 2025
..................................................................................
Tina Kotek, Governor
Filed in Office of Secretary of State:
........................M.,........................................................., 2025
..................................................................................
Tobias Read, Secretary of State
Enrolled House Bill 2789 (HB 2789-INTRO) Page 2