The Oregon Health Authority (Authority) may terminate a clinic’s or prescriber’s participation in the Vaccines for Children (VFC) program or Vaccine Access Program (VAP) based on the following:

1. (1) Violation of the terms of the program agreement.
2. (2) Conviction of fraud related to any federal, state, or locally financed health care program or commission of an act that is subject to criminal or civil penalties under Medicaid statutes.
3. (3) Conviction of interference with the investigation of health care fraud.

4. (4) An action by a state licensing authority relating to a prescriber’s professional competence, professional conduct, or financial integrity, that results in the prescriber either:

   1. (a) Having their license suspended or revoked; or
   2. (b) Surrendering the license while a formal disciplinary proceeding was pending before a licensing authority.
5. (5) Suspension or exclusion from participation in a federal or state-administered health care program for reasons related to professional competence, professional performance, or other reason.
6. (6) Improper billing practices, including billing for the cost of state-supplied vaccines, excessive charges or unnecessary vaccination visits.
7. (7) Failure to correct deficiencies in operations after receiving written notice of the deficiencies from the Authority.

8. (8) The Authority shall consider the following factors in determining the sanctions to be imposed (this list includes but is not limited to these factors):

   1. (a) Seriousness of the offenses;
   2. (b) Extent of violations by the prescriber;
   3. (c) History of prior violations by the prescriber;
   4. (d) Prior imposition of sanctions;
   5. (e) Prior education provided by the Authority; and
   6. (f) Prescriber willingness to comply with VFC or VAP rules and procedures.

Statutory/Other Authority

ORS 413.042 & 431.250

Statutes/Other Implemented

ORS 413.042 & 431.250

History

PH 1-2025, amend filed 01/22/2025, effective 01/22/2025
PH 39-2016, f. & cert. ef. 12-22-16