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An effective compliance program is essential in today's evolving health care environment and can be a hospital's most valuable tool. As your hospital continues to assess, develop, and ultimately operate its compliance program, the role of OAHHS and its Compliance Advisory Committee can be a resource for your hospital and assist in addressing any compliance-related issues as they arise.

Compliance Advisory Committee (CAC)

The OAHHS Compliance Advisory Committee (CAC) provides a networking forum for health care compliance professionals. This group meets regularly to assist Oregon hospitals in understanding and meeting the expectations of those who pay for hospital services and those who regulate hospitals.
Specifically, the OAHHS CAC serves to:
  • Raise awareness and discussion of current and future changes to the health care regulatory landscape.
  • Advise OAHHS and providing feedback regarding the impact of proposed legislation and rulemaking.
  • ​Propose new and/or revised regulations or laws through OAHHS to lawmakers and rule makers.
  • ​Provide a forum for questions and discussion of best practices when putting new laws and regulations into effect.
To contact some about your login or to be added to the CAC Listerv, please email your request to


EMTALA Resources

EMTALA was enacted by Congress in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 (42 U.S.C. §1395dd). EMTALA requires Medicare-participating hospitals with emergency departments to screen and treat the emergency medical conditions of patients in a non-discriminatory manner to anyone, regardless of their ability to pay, insurance status, national origin, race, creed or color. OAHHS has the below EMTALA templates for use of its Oregon hospital members.


HIPAA Resources

Oregon hospitals and health systems understand the need for privacy of patient health information. Hospitals have always had systems in place to protect the privacy of that information. The Health Insurance Portability and Accountability Act (HIPAA) calls for safeguards to protect the privacy and security of patient information. The Act also includes provisions requiring use of industry-wide standard codes and data sets for certain administrative and financial transactions. The HIPAA Resources are intended to be a living documents. As we build on the information available on this page, we welcome suggestions, requests for information or questions about the law.


These HIPAA resources are provided to assist health care providers in complying with the HIPAA privacy and security regulations. The information on this page is provided solely for general instructional purposes and does not create a business or professional services relationship. While all reasonable attempts are made to ensure the accuracy and timeliness of all information, the Oregon Association of Hospitals and Health Systems does not make any express or implied representations or warranties about the accuracy or timeliness of this information for any purpose or the suitability of this information for use. The information is provided with the understanding that the publisher is not engaged in rendering legal or other professional services. This page may contain links to other web sites operated by third parties. OAHHS is not responsible for any content that appears on the linked sites.

By accessing this page, you acknowledge that you have both read this disclaimer and understood its terms.

End-of-Life & Support Person Resources

SB 1606 prohibits discrimination by hospitals against an individual based on the patient having a POLST, advanced directive or similar instructions. Treatment may not be conditioned on whether the patient has completed end-of-life care instructions.

In addition, SB 1606 requires a hospital to allow patients with disabilities to designate at least three support persons, and to allow at least one support person to be present with the patient in the emergency department and during the hospital stay if necessary to facilitate care and for any discussion in which the patient is asked to elect hospice care or to sign an advance directive or other instrument.

Additionally, SB 1606 requires a hospital to ensure that before life-sustaining procedures are withheld or withdrawn from a patient who has an intellectual or developmental disability, the patient’s health care representative or attending provider must contact Oregon DHS to provide notice to the patient’s case manager.