Oregon

- In 2011 became the third state to pass DPC legislation.  For the text of the law, see ORS § 735.500 and ORS § 735.510.  We recommend reviewing ORS Title 56 Insurance to better understand the "business of insurance" hurdles that must be avoided; note that Oregon requires registration to perform in-office dispensing with the state medical board.  For DPC practices contemplating adding a physician assistant, note that a different set of rules apply for in-office dispensing by a PA.  

- Oregon's Dept of Consumer & Business Services has a homepage for their retainer law, but has also published several documents that physicians contemplating a DPC practice will want to reference:

The Oregon DPC law is probably the second worst available (only West Virginia's DPC law is worse).  DPC physicians will be disappointed in many ways:

  • The law fails to explicitly state that DPC is "not insurance"
  • The Oregon Dept of Insurance was granted
    • the ability to investigate and subpoena DPC practices
    • broad authority to adopt new rules
  • A separate license and registration is needed to operate a DPC practice
  • The law fails to distinguish DPC and Concierge practices (as evidenced by this registered list of practices - click the link and then filter by "retainer" practices to see the listing)