OR HB3176

Home health agencies and home hospice programs must establish staffing committees with equal representation from managers and care staff to develop and review written staffing plans at least quarterly

Staffing plans must account for patient acuity, travel time, documentation requirements, on-call shifts, meal/rest periods, and staff competencies, with plans submitted to the Oregon Health Authority within 30 days of adoption

Civil penalties escalate for violations: warning for first offense, $1,750 for second, $2,500 for third, and $5,000 for fourth and subsequent violations within a four-year period, with potential license suspension or revocation

Disputes over staffing plans that cannot be resolved by committees proceed to binding arbitration, with the home health agency or hospice program paying arbitrator costs

Becomes operative January 1, 2026, with staffing committees required to develop compliant plans by January 1, 2027