The Oregon Health Authority (OHA), Public Health Division is proposing to permanently adopt administrative rules in chapter 333, division 271 relating to the execution of a non-opioid directive form. A non-opioid directive form is a method for an individual to communicate their wishes to not receive opioids for pain management and instead receive alternatives. The Oregon Health Plan (OHP) and other health insurance organizations have coverage for alternative pain management medications. There are specific exemptions for using opioid in medical situations including emergency, hospice and substance use disorder care.
These proposed administrative rules are in response to passage of
HB 3211 (2025 Oregon Laws, chapter 154) and include the following:
- Recording and revoking form;
- Confidentiality and data handling;
- Exemptions; and
- Liability protections.
For more details, please see the Notice of Proposed Rulemaking, including the Statements of Need and Fiscal and Racial Equity Impacts, and the full text of the proposed rules at:
You are invited to review and comment on the proposed rules. There are two (2) options to provide comment:
1. You may provide oral (spoken) testimony during a public hearing scheduled on
Tuesday, November 17, 2026, at 11:30 A.M. Pacific Time via video/phone conference using Microsoft Teams
- To provide oral testimony during this hearing:
- Join using the
Meeting URL. You can also find the join link for the meeting in the Notice of Proposed Rulemaking under “Remote Meeting Details" using the “Meeting URL."
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You may also contact the Public Health Division Rules Coordinator at
publichealth.rules@odhsoha.oregon.gov to sign-up to give oral testimony and receive the link for the Microsoft Teams video conference via calendar appointment.
- To join the hearing via phone (audio/listen only), you may dial 971-277-2343, phone conference ID 926 591 023#
2. Written comments may be submitted before
5:00 P.M. Pacific Time on November 23, 2026:
OHA, Public Health Division
Brittany Hall, Administrative Rules Coordinator
800 NE Oregon St. Suite 930
Portland, OR 97232
* Comments sent by regular mail must be postmarked by 5:00 P.M. Pacific Time on November 23, 2026.
- Send comments by fax to: 971-673-1299
Final rules will be filed after consideration of all comments.
If you have questions or would like a paper copy of the Notice of Proposed Rulemaking, please contact Victoria Demchak at
victoria.m.demchak@oha.oregon.gov or 503-509-6915.
Accessibility Statement: For individuals with disabilities or individuals who speak a language other than English, OHA can provide free help. Some examples are: sign language and spoken language interpreters, real-time captioning, braille, large print, audio, and written materials in other languages. If you need help with these services, please contact the Public Health Administrative Rules Coordinator at 971-673-1222, 711 TTY or
publichealth.rules@odhsoha.oregon.gov at least 48 hours before the meeting. All relay calls are accepted. To best ensure our ability to provide a modification please contact us if you are considering attending the meeting and require a modification. The earlier you make a request the more likely we can meet the need.