ORS 441.020: Application; fees; rules.

(1) Licenses for health care facilities, except long term care facilities as defined in ORS 442.015, must be obtained from the Oregon Health Authority. (2) Licenses for long term care facilities must be obtained from the Department of Human Services. (3) Applications shall be upon such forms and shall contain such information as the authority or the department may reasonably require, which may include affirmative evidence of ability to comply with such reasonable standards and rules as may lawfully be prescribed under ORS 441.025. (4)(a) Each application submitted to the Oregon Health Authority must be accompanied by the license fee. If the license is denied, the fee shall be refunded to the applicant. If the license is issued, the fee shall be paid into the State Treasury to the credit of the Oregon Health Authority Fund for the purpose of carrying out the functions of the Oregon Health Authority under and enforcing ORS 441.015 to 441.119, 441.761 to 441.795 and 441.993; or (b) Each application submitted to the Department of Human Services must be accompanied by the application fee or the annual renewal fee, as applicable. If the license is denied, the fee shall be refunded to the applicant. If the license is issued, the fee shall be paid into the State Treasury to the credit of the Department of Human Services Account for the purpose of carrying out the functions of the Department of Human Services under and enforcing ORS 431A.050 to 431A.080, 441.015 to 441.119 and 441.993. (5) Except as otherwise provided in subsection (8) of this section, for hospitals with: (a) Fewer than 26 beds, the annual license fee shall be $5,000. (b) Twenty-six beds or more but fewer than 50 beds, the annual license fee shall be $7,400. (c) Fifty or more beds but fewer than 100 beds, the annual license fee shall be $13,800. (d) One hundred beds or more but fewer than 200 beds, the annual license fee shall be $26,100. (e) Two hundred or more beds, but fewer than 500 beds, the annual license fee shall be $34,000. (f) Five hundred or more beds, the annual license fee shall be $48,280. (6) A hospital shall pay an annual fee of $3,000 for each hospital satellite indorsed under the hospital’s license. (7) The authority may charge a reduced hospital fee or hospital satellite fee if the authority determines that charging the standard fee constitutes a significant financial burden to the facility. (8) For long term care facilities with: (a) One to 15 beds, the application fee shall be $2,000 and the annual renewal fee shall be $1,000. (b) Sixteen to 49 beds, the application fee shall be $3,000 and the annual renewal fee shall be $1,500. (c) Fifty to 99 beds, the application fee shall be $4,000 and the annual renewal fee shall be $2,000. (d) One hundred to 150 beds, the application fee shall be $5,000 and the annual renewal fee shall be $2,500. (e) More than 150 beds, the application fee shall be $6,000 and the annual renewal fee shall be $3,000. (9) For ambulatory surgical centers, the annual license fee shall be: (a) $1,750 for certified and high complexity noncertified ambulatory surgical centers with more than two procedure rooms. (b) $1,250 for certified and high complexity noncertified ambulatory surgical centers with no more than two procedure rooms. (c) $1,000 for moderate complexity noncertified ambulatory surgical centers. (10) For birthing centers, the annual license fee shall be $750. (11) For outpatient renal dialysis facilities, the annual license fee shall be $2,000. (12) The authority shall prescribe by rule the fee for licensing an extended stay center, not to exceed: (a) An application fee of $25,000; and (b) An annual renewal fee of $5,000. (13) The authority may assess a late fee not to exceed $1,250 for a hospital that fails to pay a renewal license fee required under this section. The late fee shall be added to the required renewal license fee and must be paid by the health care facility before the authority may renew the license. (14) During the time the licenses remain in force, holders are not required to pay inspection fees to any county, city or other municipality. (15) Any health care facility license may be indorsed to permit operation at more than one location. If so, the applicable license fee shall be the sum of the license fees that would be applicable if each location were separately licensed. The authority may include hospital satellites on a hospital’s license in accordance with rules adopted by the authority. (16) Licenses for health maintenance organizations shall be obtained from the Director of the Department of Consumer and Business Services pursuant to ORS 731.072. (17) Notwithstanding subsection (4) of this section, all moneys received for approved applications pursuant to subsection (8) of this section shall be deposited in the Quality Care Fund established in ORS 443.001. (18) As used in this section: (a) “Hospital satellite” has the meaning prescribed by the authority by rule. (b) “Procedure room” means a room where surgery or invasive procedures are performed. [Amended by 1957 c.697 §1; 1971 c.650 §19; 1971 c.730 §5; 1973 c.840 §5; 1977 c.284 §4; 1977 c.751 §20a; 1979 c.696 §15; 1987 c.428 §3; 1987 c.918 §7; 1995 c.449 §1; 1997 c.249 §139; 2001 c.100 §2; 2001 c.900 §161; 2009 c.595 §720; 2009 c.792 §§53,53a; 2009 c.828 §84; 2017 c.679 §11; 2018 c.50 §4; 2021 c.97 §54; 2023 c.507 §22; 2025 c.623 §1] 441.020. (1) Licenses for health care facilities, except long term care facilities as defined in ORS 442.015, must be obtained from the Oregon Health Authority. (2) Licenses for long term care facilities must be obtained from the Department of Human Services. (3) Applications shall be upon such forms and shall contain such information as the authority or the department may reasonably require, which may include affirmative evidence of ability to comply with such reasonable standards and rules as may lawfully be prescribed under ORS 441.025. (4)(a) Each application submitted to the Oregon Health Authority must be accompanied by the license fee. If the license is denied, the fee shall be refunded to the applicant. If the license is issued, the fee shall be paid into the State Treasury to the credit of the Oregon Health Authority Fund for the purpose of carrying out the functions of the Oregon Health Authority under and enforcing ORS 441.015 to 441.119, 441.761 to 441.795 and 441.993; or (b) Each application submitted to the Department of Human Services must be accompanied by the application fee or the annual renewal fee, as applicable. If the license is denied, the fee shall be refunded to the applicant. If the license is issued, the fee shall be paid into the State Treasury to the credit of the Department of Human Services Account for the purpose of carrying out the functions of the Department of Human Services under and enforcing ORS 441.015 to 441.119 and 441.993. (5) Except as otherwise provided in subsection (8) of this section, for hospitals with: (a) Fewer than 26 beds, the annual license fee shall be $5,000. (b) Twenty-six beds or more but fewer than 50 beds, the annual license fee shall be $7,400. (c) Fifty or more beds but fewer than 100 beds, the annual license fee shall be $13,800. (d) One hundred beds or more but fewer than 200 beds, the annual license fee shall be $26,100. (e) Two hundred or more beds, but fewer than 500 beds, the annual license fee shall be $34,000. (f) Five hundred or more beds, the annual license fee shall be $48,280. (6) A hospital shall pay an annual fee of $3,000 for each hospital satellite indorsed under the hospital’s license. (7) The authority may charge a reduced hospital fee or hospital satellite fee if the authority determines that charging the standard fee constitutes a significant financial burden to the facility. (8) For long term care facilities with: (a) One to 15 beds, the application fee shall be $2,000 and the annual renewal fee shall be $1,000. (b) Sixteen to 49 beds, the application fee shall be $3,000 and the annual renewal fee shall be $1,500. (c) Fifty to 99 beds, the application fee shall be $4,000 and the annual renewal fee shall be $2,000. (d) One hundred to 150 beds, the application fee shall be $5,000 and the annual renewal fee shall be $2,500. (e) More than 150 beds, the application fee shall be $6,000 and the annual renewal fee shall be $3,000. (9) For ambulatory surgical centers, the annual license fee shall be: (a) $1,750 for certified and high complexity noncertified ambulatory surgical centers with more than two procedure rooms. (b) $1,250 for certified and high complexity noncertified ambulatory surgical centers with no more than two procedure rooms. (c) $1,000 for moderate complexity noncertified ambulatory surgical centers. (10) For birthing centers, the annual license fee shall be $750. (11) For outpatient renal dialysis facilities, the annual license fee shall be $2,000. (12) The authority shall prescribe by rule the fee for licensing an extended stay center, not to exceed: (a) An application fee of $25,000; and (b) An annual renewal fee of $5,000. (13) The authority may assess a late fee not to exceed $1,250 for a hospital that fails to pay a renewal license fee required under this section. The late fee shall be added to the required renewal license fee and must be paid by the health care facility before the authority may renew the license. (14) During the time the licenses remain in force, holders are not required to pay inspection fees to any county, city or other municipality. (15) Any health care facility license may be indorsed to permit operation at more than one location. If so, the applicable license fee shall be the sum of the license fees that would be applicable if each location were separately licensed. The authority may include hospital satellites on a hospital’s license in accordance with rules adopted by the authority. (16) Licenses for health maintenance organizations shall be obtained from the Director of the Department of Consumer and Business Services pursuant to ORS 731.072. (17) Notwithstanding subsection (4) of this section, all moneys received for approved applications pursuant to subsection (8) of this section shall be deposited in the Quality Care Fund established in ORS 443.001. (18) As used in this section: (a) “Hospital satellite” has the meaning prescribed by the authority by rule. (b) “Procedure room” means a room where surgery or invasive procedures are performed.