1. (1) Medical clearance is not required prior to provision of services; however, the Crisis Stabilization Center must ensure that each individual is assessed for physical health issues per the medical protocols in subsection (2).

2. (2) Medical protocols must be approved by the Medical Director. The protocols must:

   1. (a) Specify the components of the screening for physical health issues required in subsection (1).
   2. (b) Designate those physical health issues that, when found, require transfer to a setting capable of providing the level of care required.
   3. (c) Specify the steps for follow up and coordination with physical health care providers in the event the individual is found to have an infectious disease or other major medical problem.

3. (3) At least one unexpired opioid overdose kit for emergency response to suspected overdose must be available in the Crisis Stabilization Center at all times. Opioid overdose kits do not require a prescription and are not specific to an individual (see ORS 689.684).

   1. (a) All opioid overdose kits must include an ultraviolet light-protected hard case and must contain, but not be limited to:

      1. (A) Two doses of an FDA-approved short-acting, non-injectable, opioid antagonist medication.
      2. (B) One pair non-latex gloves.
      3. (C) One face mask.
      4. (D) One disposable face shield for rescue breathing; and
      5. (E) One short-acting, non-injectable, opioid antagonist medication administration instruction card.

   2. (b) Opioid overdose kits must be:

      1. (A) Installed in an easily accessible, highly visible, and unlocked location.
      2. (B) At a height of no more than 48 inches from the floor.
      3. (C) In a location without direct sunlight.
      4. (D) In an area where temperatures are maintained between 59 F and 77 F; and
      5. (E) Have a sign clearly indicating the location and content of the kit.
      6. (F) Checked daily to ensure the required components have not been removed or damaged.
      7. (G) Checked monthly to ensure the short-acting, non-injectable, opioid antagonist medication has not expired; and
      8. (H) Restocked immediately after use.
   3. (c) Upon recognizing a person is likely experiencing an overdose, program staff must immediately respond based on the medical emergency procedures of the facility.
   4. (d) A person who has reasonable cause to believe an individual is experiencing an overdose, and in good faith administers short-acting, non-injectable, opioid antagonist medication, is protected against civil liability or criminal prosecution unless the person, while rendering care, acts with gross negligence, willful misconduct, or intentional wrongdoing as described in Oregon Revised Statute (ORS) 689.681.

   5. (e) Administration of short-acting, non-injectable, opioid antagonist medication must be documented by the program staff who administered the medication. Documentation must be submitted to the Division within 48 hours of the incident and must include:

      1. (A) Name of the individual.
      2. (B) Description of the incident including date, time, and location.
      3. (C) Time 9-1-1 contacted.
      4. (D) Time of administration(s) of short-acting, non-injectable, opioid antagonist medication.
      5. (E) Individual's response.
      6. (F) Transfer of care to EMS; and
      7. (G) Obtain the signature of the person submitting the report to the authority.
   6. (f) Program staff must fully cooperate with emergency medical service (EMS) personnel. Program staff must not interfere with or impede the administration of emergency medical services.
4. (4) Opioid overdose medication and kits which are the personal property of an individual receiving services at the Crisis Stabilization Center, do not need to be kept in a locked location.

Statutory/Other Authority

ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168

Statutes/Other Implemented

ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665

History

BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026