It is a violation to:

1. (1) Refuse to cooperate with an investigation or survey, including but not limited to failure to permit Oregon Health Authority (Authority) staff access to the ambulance service, its documents or records;
2. (2) Fail to implement a corrective action plan;
3. (3) Refuse or fail to comply with an order issued by the Authority;
4. (4) Refuse or fail to pay a civil penalty;
5. (5) Be convicted of a crime, including Medicare or Medicaid fraud, relating adversely to the person’s capability of owning or operating an ambulance service;
6. (6) Make a material omission or misrepresentation of facts on an application for a license or variance, or in response to an inquiry or investigation. This includes fraud or deception in obtaining or attempting to obtain a license or variance or in any other transaction with the Authority;
7. (7) Loan, borrow, or use the license of another, or knowingly aid or abet the improper granting of a license;
8. (8) Deface, alter, remove or obliterate any portion of any official entry upon a license, licensing decal, or variance issued by the Authority;
9. (9) Refuse to respond to or render prehospital emergency care because of a patient's race, ethnicity, religion, age, gender, sexual orientation, disability, medical problem or financial inability to pay;
10. (10) Fail to report to the Authority any matter required by ORS 682.220(4) and OAR 333-265-0080;
11. (11) Fail to protect health information from unlawful use or disclosure in accordance with state and federal privacy laws;
12. (12) Alter or inappropriately destroy medical records;
13. (13) Willfully prepare or file false reports or records, or induce another to do so;

14. (14) Engage in any of the following:

    1. (a) Incompetence, negligence or misconduct in operating the ambulance service or in providing emergency medical care and transportation to patients;
    2. (b) Abuse or abandonment of patients;
    3. (c) Failure to comply with the county ambulance service plan, area trauma plan, or other lawfully promulgated policies, plans, or procedures;
    4. (d) Failure to meet response time standards as prescribed by the county ambulance service plan or if no ambulance service plan is in effect, the area trauma plan;
    5. (e) Misuse or misappropriation of medications or medical materials; and
    6. (f) Other conduct determined by the Authority to pose a significant threat to the health, safety and well-being of ambulance patients;
15. (15) Fail to comply with any provision in OAR chapter 333, division 250 or division 255;
16. (16) Operate without a license;
17. (17) Unless exempt under ORS 682.035, allow or permit a person without a healthcare license to provide emergency or non-emergency medical care for which a license is required; or

18. (18) During a Governor-declared emergency, failure to comply with an applicable provision of a Governor's Executive Order or failing to comply with guidance issued by the Authority implementing an Executive Order.

    Note: Copies of the Executive Orders are available at: https://www.oregon.gov/gov/admin/Pages/executive-orders.aspx Copies of Oregon Health Authority Guidance are available at: https://govstatus.egov.com/OR-OHA-COVID-19

Statutory/Other Authority

ORS 682.017 & 682.068

Statutes/Other Implemented

ORS 682.017 - 682.117 & 682.991

History

PH 19-2025, amend filed 09/24/2025, effective 01/01/2026
PH 12-2021, amend filed 03/11/2021, effective 03/11/2021
PH 7-2017, f. & cert. ef. 3-21-17