Oregon Health Authority Public Health: Hospital, health facility and certificate of need rulemaking (OAR chapter 333) · October 4, 2026 · Primary source
Risk factor tables
Summary
Oregon Health Authority adopted permanent risk factor tables under OAR 333-077-0125, effective November 3, 2025, establishing three-table frameworks for birth center transfer and consultation obligations. Table I covers medical and obstetric history conditions, Table II covers conditions arising during current pregnancy, and Table III covers newborn conditions, each distinguishing high-risk conditions requiring mandatory hospital transfer from conditions requiring perinatal provider consultation. Psychiatric conditions including schizophrenia, bipolar I disorder, postpartum psychosis, and psychotropic medication use, as well as substance use with high risk of adverse fetal or maternal effects, appear as consultation or transfer triggers.
What this may mean
The tables create mandatory clinical decision rules for licensed Oregon birth centers and direct-entry midwives, specifying when a client must be transferred to hospital-based care versus when consultation with a physician, CNM, NP, or PA suffices. Facilities operating out-of-hospital birth settings in Oregon are directly governed by these classification criteria, which carry licensing and regulatory compliance consequences.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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