(1) Five-needle protocol (5NP) treatment must be practiced in accordance with Board rules and Oregon Laws 2025, chapter 296, section 2, including only:
- (a) To provide temporary relief from the symptoms of substance use disorder, mental health conditions, or trauma; and
- (b) Utilizing five ear points: shen men, sympathetic, liver, kidney, and lung points.
- (2) A 5NP technician may not use the title “acupuncturist” or advertise or hold themselves out as being an acupuncturist or otherwise indicate they are authorized to practice acupuncture as defined in ORS 677.757.
(3) A 5NP technician must obtain written consent from the individual or the individual’s representative prior to providing treatment by:
- (a) Clearly explaining the 5NP treatment, including needle placement, duration, and expected sensations;
- (b) Discussing potential risks and realistic treatment outcomes;
- (c) Respecting the individual’s right to decline treatment or withdraw consent at any time; and
- (d) Having the individual self-identify the reason(s) for the 5NP treatment and date of treatment.
- (4) Written consent for a 5NP treatment must be retained for at least three years from date of treatment and provided to the individual or the individual’s representative upon their request.
(5) For the individual and 5NP technician safety, a 5NP technician must:
- (a) Use only sterile, single-use disposable needles, ear seeds, or ear beads;
- (b) Adhere to sanitation and hygiene protocols;
- (c) Meet community standards of care; and
- (d) Establish clear procedures for handling complications or adverse reactions.
- (6) A 5NP technician must set and maintain professional boundaries with all individuals receiving 5NP treatments and protect the individuals’ privacy and dignity.
Statutory/Other Authority
ORS 677.265 & OL 2025, chapter 296, section 2 (HB 2143)
Statutes/Other Implemented
ORS 192.556 & OL 2025, chapter 296, section 2 (HB 2143)
History
OMB 1-2026, adopt filed 01/09/2026, effective 03/01/2026