Program Introduction
In 2023, the Oregon Legislature passed House Bill (HB) 2665 to address the increased use of temporary staffing services by Oregon (OR) care facilities. HB 2665 instructs the Oregon Health Authority (OHA) to adopt rules and establish maximum rates that a temporary staffing agency (TSA) may charge to or receive from an entity that engages the temporary staffing agency. The Oregon Health Authority shall establish more than one maximum rate under this HB 2665. The maximum rates must bear a reasonable relationship to the Employment Department data.
New Rules and Maximum Bill Rates take effect: January 1, 2025
What are maximum bill rates?
HB 2665 establishes maximum bill rates that a temporary staffing agency (TSA) may charge to or receive from an entity that engages the TSA. Maximum bill rates are a combination of the TSA margin and the wage that is paid to the staff working for the TSA. OAR 409-039-0040 establishes the Maximum Agency Margin at 34.2% of the Bill Rate, meaning that the TSA will receive a maximum of 34.2% of the determined bill rate paid from the care facility to the TSA.
Who is affected by the new rules and rates?
These changes will affect temporary staff working at
facilities (ORS 443.305, 443.886, or 443.400) or a
skilled nursing facility (ORS 442.015) in the following roles:
- Registered nurse (Excludes: APRNs & Nurse Managers)
- Licensed practical nurse
- Certified medical assistant
- Certified nursing assistant
- Direct caregiver who provides health care services or assistance with activities of daily living to clients, residents, or patients
These changes will affect temporary staff working at
hospitals (
ORS 442.015) in the following roles:
- Registered nurse (Excludes: APRNs & Nurse Managers)
- Certified nursing assistant
What are the new maximum bill rates?
OAR 409-039-0040 establishes the Maximum Bill Rates for six personnel types:
Personnel Type
|
Maximum Bill Rates
|
Maximum Bill Rates (Holiday and Overtime) |
RN (Hospital)
| $131.95
| $197.93
|
RN (Other Facilities)
| $117.49
| $176.24
|
LPN/LVN
| $70.32
| $105.74
|
CMA
| $47.06
| $70.59
|
CNA*
| $42.23
| $63.35
|
Direct Caregiver
| $36.28
| $54.42
|
* Hospitals and other facilities