ONA Statement On The Reproductive Health Equity Act Court Ruling - 04/15/26

The Oregon Nurses Association (ONA) strongly condemns the federal court ruling on April 14 undermining the Reproductive Health Equity Act—a law that has been critical to ensuring patients across Oregon can access reproductive healthcare without cost barriers or discrimination.

For nearly a decade, the Reproductive Health Equity Act has guaranteed coverage for contraception, abortion care, and other essential reproductive health services without out-of-pocket costs in Oregon. This ruling threatens to erode those protections.

As nurses and frontline healthcare professionals, we see every day what happens when care— including reproductive care—is delayed, denied, or made unaffordable. The consequences are real: worse health outcomes, deepening inequities, and preventable suffering.

While the immediate impact of this ruling is not yet clear and the law remains in effect for now, this decision sets a dangerous precedent that cannot go unchallenged. Oregon has long been a leader in protecting reproductive freedom and advancing health equity, and ONA members have been on the frontlines of that work. We are proud of that legacy and we refuse to go backward.

We stand with our patients. We stand for science-based care. And we call on state leaders to continue fighting this ruling to ensure every Oregonian can access the care they need, when they need it, without barriers.

Let us be clear: care decisions belong to patients and their providers—not courts, not politicians, and not employers—because healthcare is not a privilege; it’s a fundamental human right. 

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Healthcare Workers Vote To Unionize At Blue Mountain Hospital District (Photo) - 04/10/26

Workers are joining ONA to stabilize the hospital and improve patient care. 

(JOHN DAY, Ore.) - An overwhelming majority of healthcare workers at the Blue Mountain Hospital District filed union authorization cards to join the Oregon Nurses Association (ONA) April 10. The workers include more than 120 local registered nurses, radiology technologists, certified nursing assistants, emergency medical technicians, service and maintenance workers, laboratory workers, and environmental service workers who work at Blue Mountain Hospital and the district’s care center, clinics, labs, offices, and hospice services.

Local healthcare workers are coming together to gain a stronger voice in hospital decision-making, bring stability and transparency back to the district, boost recruitment and retention, and ensure local families have access to high-quality healthcare that’s reliable, affordable and close to home.

“Five years ago we had eight permanent doctors. Today we have none,” said Danielle Hunt, an ONA member and radiology technologist at Blue Mountain Hospital. “Patients shouldn’t have to start over with a temporary provider every appointment. We’re unionizing to make sure every patient has a provider who knows you, your history, and your health.” 

Blue Mountain Hospital District is a public health district that includes Blue Mountain Hospital—Grant County’s only hospital and a critical access facility—the Strawberry Wilderness Community Clinic in John Day, the Blue Mountain Care Center in Prairie City, and other essential local healthcare services. Local frontline healthcare providers and staff in the district care for more than 7,000 people in Grant County and the surrounding region, often building strong bonds and lifelong relationships with the patients they serve.  

“By the time you’ve been here 5 years, everyone who comes through the door is a friend or neighbor. By 10 years, it’s a lot of family too. We owe it to them to make sure we provide outstanding care every step of the way,” said Darol Craig, an ONA member and radiologic technologist at Blue Mountain Hospital.

Caregivers point to years of instability as a driving factor in their decision to unionize. Over the last four years, the district has had four different CEOs and undergone significant changes including care cuts, layoffs and outsourcing. Like many rural healthcare systems, the district has also struggled with looming federal cuts to Medicaid funds. 

Last fall, the Blue Mountain Hospital District laid off 9 staff members, calling it a direct response to “cuts to Medicaid in the One Big Beautiful Bill” along with rising costs and declining use. 

“I love my job and I love my team. They are incredible caregivers who do their best for our patients and community everyday. But if the district keeps going the way it is, I’m not sure we’ll have a hospital much longer,” said Doris Harper, an ONA member and a registered nurse at Blue Mountain Hospital. “We want this hospital to succeed. We want it to be here for our kids and grandkids. We want it to be here to take care of us someday. We can’t afford to sit on the sidelines and hope things improve on their own. We’re rolling up our sleeves and fighting for a voice in our community’s healthcare to make sure local healthcare providers are still here in 50 years, ready to care for the next generation of Grant County families.” 

“This is personal for us. We want the best care for every patient because we know they’re grandparents, aunts, uncles, friends and neighbors. Everybody matters,” said Hunt.

Healthcare providers will now begin preparing for contract negotiations with the district. Workers plan to prioritize transparency and accountability in hospital decisions along with measures to increase recruitment and retention of skilled healthcare staff and ensure sustainable healthcare across Grant County. 

Healthcare workers at Blue Mountain Hospital District are the latest in a wave of Oregon health professionals who have chosen to join ONA in recent years. Over the last 5 years, more than 10,000 nurses and caregivers have voted to join ONA to raise standards for patients, expand access to care, improve working conditions and build healthier communities.    

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'Healthcare Without Fear Act' Becomes Law (Photo) - 04/09/26

Landmark bill holds federal immigration agents accountable in hospitals, protects patient information and ensures patients can seek care without fear.

(PORTLAND, Ore.) – Surrounded by nurses and allies, Oregon Governor Tina Kotek signed ‘The Healthcare Without Fear Act’ into law at a celebratory event April 9. The law's passage is a major victory for patients and healthcare providers and will help ensure all Oregonians can safely access care—regardless of their immigration status. 

The Healthcare Without Fear Act, Senate Bill 1570, was ceremonially signed at the Immigrant and Refugee Community Organization alongside other bills in the 2026 Immigrant Justice Package. The new law helps ensure federal immigration agents are held accountable to the same standards as state and local law enforcement inside hospitals; protects patients’ private health information; and ensures every Oregonian can access healthcare without fearing for their health and safety. 

The act was the Oregon Nurses Association’s (ONA’s) top legislative priority in 2026. 

“I became a nurse to care for all patients—regardless of their background or immigration status,” said Ellie Murray, an ONA member and registered nurse at OHSU. “The Healthcare Without Fear Act demonstrates our commitment to care for our neighbors and allows everyone to seek care without fear. Thank you to Governor Kotek, Senator Campos and Oregon’s elected leaders and allies for taking action to ensure our hospitals remain places of healing, dignity, and trust for everyone.”

The Healthcare Without Fear Act requires hospitals to create policies around all law enforcement interactions; designate a point person to interface with law enforcement to establish consistency, efficiency and reduce burdens on frontline caregivers; and to clearly delineate public and private spaces within hospitals. It also protects patient privacy by classifying immigration status and place of birth as protected health information and empowers healthcare providers to share information about immigration rights or legal services with patients and their families.

“Healthcare is a human right and everyone deserves to seek care without fear,” said Cristian Mendoza Ruvalcaba, ONA member, nurse practitioner and candidate for Oregon Senate District 3. “As a nurse practitioner, I’ve cared for patients from all walks of life and have seen the consequences when people are too afraid to get care—illnesses get worse, public health risks increase and trust in our healthcare systems erodes. Healthcare facilities must remain safe, welcoming spaces for all Oregonians. I’m proud to support the Healthcare Without Fear Act to protect access to healthcare, strengthen our communities, and ensure each person is treated with dignity and respect.” 

Senate Bill 1570 is part of a national effort to protect vulnerable patients and hold federal government agencies accountable. California passed a similar bill (California Senate Bill 81) in 2025. 

Last year, the Trump administration eliminated long-standing “sensitive location” protections which restricted immigration enforcement at hospitals, clinics, schools, places of worship and other areas. 

Since that change, federal immigration agents in Oregon shot two people in a hospital parking lot; arrested an entire family trying to take their sick 7-year-old daughter to the ER; and have reportedly entered hospital restricted areas, exposed patients’ private health information, and interfered with patients’ care.

“At Legacy Emanuel, we have seen federal immigration officers without proper identification, in clinical areas where they should not be, and in situations that interfere with patient care and staff responsibilities,” said Stephanie Funk, an ONA member and nurse at Legacy. “Clear, consistent laws like the Healthcare Without Fear Act are essential to allow healthcare professionals to do our jobs and give every patient the care and dignity they deserve.”

The Healthcare Without Fear Act was a key element of the 2026 Immigrant Justice Package—more than a dozen pieces of legislation designed to protect vulnerable Oregonians and respond to federal attacks against immigrant communities. 

More information on the Healthcare Without Fear Act can be found at OregonRN.org/CareWithoutFear.

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Oregon Nurses File Wage Theft Lawsuit Against Asante - 03/20/26

Asante accused of manipulating workers’ paychecks and stealing healthcare workers' wages.  

(MEDFORD, Ore.) –  On March 18, an Oregon Nurses Association (ONA) member leader filed a class action lawsuit against Asante for wage theft and violating Oregon law. Asante is accused of multiple illegal accounting practices including manipulating workers’ timecards, making unauthorized wage deductions, time rounding, refusing to pay workers’ earned differentials, refusing to pay missed meals and breaks, and failure to pay workers’ wages on time.

Nurses are suing to stop Asante’s illegal accounting practices, recover lost wages owed to healthcare workers, and ensure a fair and accurate accounting of all workers’ hours and pay.

“Nurses and healthcare workers show up every day to care for our community and we expect to be paid fairly for our work. When we clock in, we trust that Asante is paying us properly. That trust has been broken,” said Fred Katz, RN, an ONA bargaining unit chair at Asante Rogue Regional Medical Center and ONA board member. “This isn’t an honest mistake. Asante is systematically manipulating timecards as a structure of fiscal policy and enforced work rules. It’s just wrong."

We know many workers are afraid to speak up. That’s why nurses are taking the lead. We are standing up for every hourly worker who relies on fair pay to pay their rent, cover their bills and feed their families. It’s time for Asante to take accountability for its actions. It needs to stop breaking the law and start paying frontline healthcare workers every dollar they’ve earned," Katz said. 

Class counsel estimates 6,000 hourly workers have been victims of Asante’s wage theft since 2020—including nearly 5,000 current employees. Plaintiffs estimate Asante owes workers $500,000 in unpaid wages. Asante is facing an additional $2 million in statutory penalties and damages plus interest and court costs.

“As a nurse with Asante for over nine years, the work we do matters deeply to me and my colleagues. We’re very proud of the care and attention we provide to our patients and our community. We’re asking Asante to bring that same level of care and attention to its payroll practices to ensure workers are paid accurately,” said Juniper Arthurs, RN, an ONA bargaining unit leader at Asante Rogue Regional, and a named plaintiff in the suit. “This case will provide a full and fair review of payroll practices and address any wages owed. All workers should feel confident they are being paid what they’ve earned.”

Wage theft is the failure to pay workers the full wages they are legally entitled to. It is the largest form of theft in the United States costing workers billions of dollars each year. Wage theft can take many forms, including requiring employees to work off the clock, denying workers their legal meal breaks or payment for missed breaks, illegal deductions and overtime violations among others.

Asante is accused of illegally “rounding” workers timesheets among other unlawful accounting practices. Rounding workers’ timesheets is illegal in Oregon. It can lead to providers working for free off the clock and working more hours for less pay. Oregon law requires companies to pay workers for all hours worked to ensure accurate timekeeping and fair compensation.

How rounding works:

Examples: A nurse clocks in at 5:53 a.m. and begins caring for patients. Asante rounds the time so it only pays the nurse starting at 6 a.m. regardless of the amount of work the nurse performed before 6. Alternatively, if a nurse clocks out of a shift at 7:07 p.m. due to work demands, Asante only pays them for work until 7 p.m.—refusing to pay the nurse for all hours worked.

While the individual daily impact can be small, illegal accounting practices like rounding compound and multiply—affecting every hourly worker on every shift every day. Asante’s illegal accounting has been going on for years, preventing thousands of workers from being paid fairly and costing them potential overtime payments, premium and differentials, and earned sick time and leave benefits.

One nurse alone already won more than $5,000 in earned backpay after successfully challenging Asante’s illegal accounting practices through union grievances.

In addition to rounding, Asante is accused of illegally modifying workers’ timecards to prevent workers from receiving earned premium and differential pay. In these cases, Asante would allegedly alter workers’ timecards after the worker and their supervisor reviewed and approved them.

Asante has also refused to correct workers’ timesheet when workers’ reported having to skip meals and breaks due to short staffing or other issues; preventing workers from receiving the full pay they earned.

The lawsuit is filed in Jackson County Circuit Court.

• Click here for a copy of the lawsuit.

Asante is a multimillion-dollar healthcare system that is the largest healthcare provider in 9 counties across Southern Oregon and Northern California. It has more than 6,000 workers in hospitals, clinics and offices throughout the region. Asante executives are already under fire for closing maternity and inpatient services at Ashland’s only hospital and racking up more than $684,000 in state fines for violating Oregon’s safe staffing law. Asante executives also face six unfair labor practice charges (ULPs) including for refusing to meet and bargain with frontline healthcare workers and mounting questions about their decision to outsource local healthcare providers.

The ONA represents more than 1450 registered nurses and technical workers at Asante Rogue Regional Medical Center in Medford.

The Oregon Nurses Association Endorses Cristian Mendoza Ruvalcaba For Highly Competitive Senate District 3 Race - 03/19/26

Medford, Ore. - The Oregon Nurses Association (ONA) has endorsed Cristian Mendoza Ruvalcaba—a nurse practitioner, educator, and longtime union member—in the highly competitive race for Oregon Senate District 3.

Born and raised in Medford, Cristian brings frontline healthcare experience and deep roots in the Rogue Valley to one of the most closely watched legislative races in the state. As a registered nurse, educator, and union advocate, he has spent his career fighting for patients, caregivers, and working families across Southern Oregon.

“I am grateful for the endorsement of ONA and the backing of such an impactful organization that fights for the rights of patients and communities every day,” said Cristian. “As a nurse and a long-time ONA member, I am running to stand up for working families, our local communities, and to build a more just and equitable healthcare system. I can’t think of a better organization that fights for those same principles every day. Together, we can earn the votes of the people in Senate District 3 and build a future that works for every family."

ONA represents more than 25,000 nurses and frontline healthcare professionals statewide, and thousands of caregivers in the Rogue Value including at Providence Medford Medical Center and Asante Rogue Regional Medical Center.

Senate District 3 is expected to be one of the most competitive and closely watched races in Oregon this year following the decision by long-time incumbent Jeff Golden not to seek reelection. Cristian is currently facing off against four other Democrats for the party’s nomination in the May primary.

“Cristian is a tireless advocate for our community and a true champion for working people,” said Breanna Zabel, RN, chair of the ONA Providence Medford Bargaining Unit, and a district resident. “He knows firsthand what it takes to care for patients on the frontlines—and he’ll bring that same commitment to Salem. I’m proud our union is standing with him.”

Cristian is running for Senate to stand up for working families and safeguard access to healthcare and education. Improving these essential services in local communities is at the heart of his campaign.

“Southern Oregon raised me, and I’m proud to call it home,” said Cristian. “Healthcare in the Rogue Valley is essential to our communities, but it’s under tremendous strain. Corporate-driven healthcare and deep federal funding cuts are forcing patients to choose between medications and groceries, while worsening conditions for frontline caregivers. I’ll bring the voice of frontline experience to Salem—and I will always fight for our patients, our communities, and the people actually delivering the care.”

Interviews available upon request. You can learn more at www.cristianforsd3.com