Oregon
2019 Oregon Revised Statutes | Volume: 03 | Chapter 127| Death with Dignity: Section 127.800
Introduction
Oregon's Death with Dignity Act legalized physician assisted suicide. The law includes the following protection of conscience provisions.
OR Rev Stat ยง 127.885 s.4.01. Immunities; basis for prohibiting health care provider from
participation; notification; permissible sanctions.
Except as provided in ORS 127.890:
(1) No person shall be subject to civil or criminal liability or
professional disciplinary action for participating in good faith compliance
with ORS 127.800 to 127.897. This includes being present when a qualified
patient takes the prescribed medication to end his or her life in a humane
and dignified manner.
(2) No professional organization or association, or health care provider,
may subject a person to censure, discipline, suspension, loss of license,
loss of privileges, loss of membership or other penalty for participating or
refusing to participate in good faith compliance with ORS 127.800 to
127.897.
(3) No request by a patient for or provision by an attending physician of
medication in good faith compliance with the provisions of ORS 127.800 to
127.897 shall constitute neglect for any purpose of law or provide the sole
basis for the appointment of a guardian or conservator.
(4) No health care provider shall be under any duty, whether by contract,
by statute or by any other legal requirement to participate in the provision
to a qualified patient of medication to end his or her life in a humane and
dignified manner. If a health care provider is unable or unwilling to carry
out a patient's request under ORS 127.800 to 127.897, and the patient
transfers his or her care to a new health care provider, the prior health
care provider shall transfer, upon request, a copy of the patient's relevant
medical records to the new health care provider.
(5)(a) Notwithstanding any other provision of law, a health care provider
may prohibit another health care provider from participating in ORS 127.800
to 127.897 on the premises of the prohibiting provider if the prohibiting
provider has notified the health care provider of the prohibiting provider's
policy regarding participating in ORS 127.800 to 127.897. Nothing in this
paragraph prevents a health care provider from providing health care
services to a patient that do not constitute participation in ORS 127.800 to
127.897.
(b) Notwithstanding the provisions of subsections (1) to (4) of this
section, a health care provider may subject another health care provider to
the sanctions stated in this paragraph if the sanctioning health care
provider has notified the sanctioned provider prior to participation in ORS
127.800 to 127.897 that it prohibits participation in ORS 127.800 to
127.897:
(A) Loss of privileges, loss of membership or other
sanction provided pursuant to the medical staff bylaws, policies and
procedures of the sanctioning health care provider if the sanctioned
provider is a member of the sanctioning provider's medical staff and
participates in ORS 127.800 to 127.897 while on the health care facility
premises, as defined in ORS 442.015, of the sanctioning health care
provider, but not including the private medical office of a physician or
other provider;
(B) Termination of lease or other property contract or other nonmonetary
remedies provided by lease contract, not including loss or restriction of
medical staff privileges or exclusion from a provider panel, if the
sanctioned provider participates in ORS 127.800 to 127.897 while on the
premises of the sanctioning health care provider or on property that is
owned by or under the direct control of the sanctioning health care
provider; or
(C) Termination of contract or other nonmonetary remedies provided by
contract if the sanctioned provider participates in ORS 127.800 to 127.897
while acting in the course and scope of the sanctioned provider's capacity
as an employee or independent contractor of the sanctioning health care
provider. Nothing in this subparagraph shall be construed to prevent:
(i) A health care provider from participating in ORS
127.800 to 127.897 while acting outside the course and scope of the
provider's capacity as an employee or independent contractor; or
(ii) A patient from contracting with his or her attending physician and
consulting physician to act outside the course and scope of the provider's
capacity as an employee or independent contractor of the sanctioning health
care provider.
(c) A health care provider that imposes sanctions pursuant to paragraph
(b) of this subsection must follow all due process and other procedures the
sanctioning health care provider may have that are related to the imposition
of sanctions on another health care provider.
(d) For purposes of this subsection:
(A) "Notify" means a separate statement in writing to
the health care provider specifically informing the health care provider
prior to the provider's participation in ORS 127.800 to 127.897 of the
sanctioning health care provider's policy about participation in activities
covered by ORS 127.800 to 127.897.
(B) "Participate in ORS 127.800 to 127.897" means to perform the duties of
an attending physician pursuant to ORS 127.815, the consulting physician
function pursuant to ORS 127.820 or the counseling function pursuant to ORS
127.825. "Participate in ORS 127.800 to 127.897" does not include:
(i) Making an initial determination that a patient has a
terminal disease and informing the patient of the medical prognosis;
(ii) Providing information about the Oregon Death with
Dignity Act to a patient upon the request of the patient;
(iii) Providing a patient, upon the request of the
patient, with a referral to another physician; or
(iv) A patient contracting with his or her attending
physician and consulting physician to act outside of the course and scope of
the provider's capacity as an employee or independent contractor of the
sanctioning health care provider.
(6) Suspension or termination of staff membership or privileges under
subsection (5) of this section is not reportable under ORS 441.820. Action
taken pursuant to ORS 127.810, 127.815, 127.820 or 127.825 shall not be the
sole basis for a report of unprofessional or dishonorable conduct under ORS
677.415 (2) or (3).
(7) No provision of ORS 127.800 to 127.897 shall be construed to allow a
lower standard of care for patients in the community where the patient is
treated or a similar community. [1995 c.3 s.4.01; 1999 c.423 s.10]
Note: As originally enacted by the people, the leadline
to section 4.01 read "Immunities." The remainder of the leadline was added
by editorial action.