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2011 NPO Legislative Agenda


Legislative Action Page

The Oregon Legislature is currently considering a number of proposals that impact Nurse Practitioners. Following, please find a brief list of NPO’s Legislative Priorities including notes on how you can help, and where each of these bills in the Legislative process. If you have any questions about any of these items please contact Jack Dempsey at, or Sarah Masterson at Scroll to the bottom of the page for some tips for contacting your legislators. 

Federal Home Health Bill Introduced

June 23, 2011 - Earlier this week, Oregon Congressman Greg Walden introduced HR 2267, the Home Health Planning Improvement Act. This important legislation would allow Nurse Practitioners, Clinical Nurse Specialists, Certified Nurse Midwives, and Physicians Assistants to order home health services for Medicare beneficiaries. Under current law, only physicians can order home health services, which can result in delays for the patient, interruptions in continuity of care, and increased costs.

SB 608 heads to Governor Kitzhaber for his signature

SB 608 which extends the Rural Medical Liability Program has passed out of both the House and the Senate and now heads to the Governor for his signature. This program offers Malpractice Insurance subsidies for qualified physicians and Nurse Practitioners in rural and frontier areas, and is a critical tool in attracting and retaining providers to these communities. This was a top legislative priority for NPO, and a hugely important program for Oregon’s rural NPs.

HB 2397

HB 2397, which creates a loan forgiveness program for qualified rural primary care providers—including Nurse Practitioners, has passed unanimously out of the Oregon House. Next, this bill will go to the Senate for final approval.

Tips for contacting legislators:

Identify yourself as a nurse practitioner, and—if applicable—tell them that you are a constituent. Clearly identify which bill you are writing about, and whether you’d like them to support or oppose the legislation. Concisely state the reasons you support/oppose this legislation. Share examples of how this legislation could impact your practice. Close your email by thanking them for their time and consideration.

We need your help contacting legislators and asking for their support on the following bills:

NPO State Budget Priorities

Currently, a number of programs that offer incentives for NPs and other providers to practice in rural and underserved areas are in the Ways and Means Committee:

HB 2400, Rural Provider Loan Repayment Program: House Bill 2400 would fund the primary care loan repayment program. This is an established program with a proven track record of attracting and retaining health care professions—including NPs—in rural and underserved areas.

SB 952, Nurse Practitioner Dispensing: SB 952 lifts all restrictions on NP dispensing. It also creates a limited formulary for PA dispensing. 

Important Update on SB 858: Payment Parity for NPs in Independent Practice

Thank you so much for all of the calls and emails to Oregon Legislators urging them to support SB 858, which would require insurers to reimburse Nurse Practitioners in independent practice the same rate as physicians when they provide the same services.

Legislators have reported getting calls and emails from NP’s all over the state, and your work definitely helped highlight the importance and impact of this issue.

Unfortunately, this bill will not be moving forward this legislative session.

While this is disappointing in the short term, please know that ONA and NPO remain committed to and engaged in this work.

The Co-Chairs of the House Health Care Committee have acknowledged that payment parity for Nurse Practitioners is an issue worthy of discussion, particularly as we transition to a health care system that aims to focus on primary and preventive care. We fully anticipate that the committee will consider similar legislation when the February 2012 legislative session convenes.

We will be working to advance this discussion during the legislative interim, and will keep you posted on developments.

Thanks again for your time, interest, and advocacy.  If you have any questions, please e-mail  



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