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News Release

Oregon Nurses Call On Legacy Health To Sign Binding Agreement After Ignoring ICE Concerns - 01/08/26

Portland, Ore. — On December 10, the Oregon Nurses Association (ONA) sent a letter to Legacy Health requesting an urgent meeting to address the growing and deeply troubling practice of ICE bringing detained individuals to Legacy Emanuel Medical Center. More than four weeks later, Legacy failed to provide a substantive response. As a result, ONA is calling on the health system to immediately sign a binding Memorandum of Understanding (MOU) to protect the rights, safety, and privacy of people in ICE custody.

 

The December 10 letter, addressed to Legacy Emanuel President Bahaa Wanley, outlined serious concerns raised by bedside nurses that Legacy is failing to uphold fundamental patient rights. These include patient confidentiality, patients’ ability to participate in decisions about their own care, and compliance with the Oregon Nurse Practice Act. The letter called for safeguards to protect patient rights and ensure legal compliance when ICE is present in the hospital.

 

“Legacy’s silence and lack of response is deeply concerning,” said Peter Starzynski, spokesperson for ONA. “When ICE activity interferes with patient care, frontline caregivers are placed in an impossible position—forced to choose between their ethical obligations and unclear or unsafe practices. Legacy has refused even the most basic step of meeting with us to address these concerns and ensure ICE is held accountable.”

 

In light of the recent killing of Renee Nicole Good by ICE agents Minneapolis, it is clear that ICE’s violence is escalating without any real accountability. This reality makes Legacy Health’s responsibility to act to protect patients and staff even more urgent—and further underscores the need for a formal agreement with ONA to protect patients, uphold ethical care standards, and ensure the safety of frontline caregivers.

 

The MOU

The proposed MOU would establish clear, enforceable standards at Legacy Emanuel, including:

  • Requiring ICE and all federal law enforcement to comply with legal requirements before questioning, searching, or detaining anyone in a hospital.
  • Preserving patient privacy by restricting law enforcement access to clinical spaces without proper legal authority.
  • Reaffirming that law enforcement is never the medical decision-maker and may not interrupt or terminate care.
  • Upholding HIPAA protections for all patients, including those in custody
  • Providing patient education, interpreter access, and connections to legal and social services.
  • Creating a joint labor–management committee to oversee implementation and training.
  • Guaranteeing non-retaliation for nurses who advocate for patient safety, privacy, and ethical care.

You can read the full MOU here and the accompanying letter here.

 

“What we’re asking for are simple, commonsense healthcare practices,” Starzynski said. “Nurses and other frontline caregivers need to be able to do their jobs ethically and legally. Every patient—regardless of immigration status—deserves dignity, privacy, safe medical care, and a full understanding of their rights. Right now, those standards are not being met for people in ICE custody at Legacy Emanuel.”

 

ONA urges Legacy Health to immediately commit to the proposed MOU, so caregivers can provide consistent, lawful, and compassionate care to every patient who enters its facilities.

 

ONA’s mission is clear: we exist to protect patient privacy, uphold human dignity, and provide equitable care to every person who walks through the doors of the hospitals and clinics where we work. ICE’s targeting of immigrant communities is wrong and fundamentally inconsistent with these values. These actions—whether carried out or threatened—create fear that prevents people from going to work, moving freely in their communities, and seeking medical care when they need it most.  That fear directly undermines the core principles of being a frontline nurse, provider, or caregiver.

 

The more than 24,000 represented healthcare professionals of the Oregon Nurses Association are steadfast in ensuring that Oregon’s healthcare system remains a place of healing—never an extension of law enforcement—where all people, regardless of immigration status, can receive care without fear.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

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Oregon Nurses Call On Legacy Health To Sign Binding Agreement After Ignoring ICE Concerns - 01/08/26

Portland, Ore. — On December 10, the Oregon Nurses Association (ONA) sent a letter to Legacy Health requesting an urgent meeting to address the growing and deeply troubling practice of ICE bringing detained individuals to Legacy Emanuel Medical Center. More than four weeks later, Legacy failed to provide a substantive response. As a result, ONA is calling on the health system to immediately sign a binding Memorandum of Understanding (MOU) to protect the rights, safety, and privacy of people in ICE custody.

 

The December 10 letter, addressed to Legacy Emanuel President Bahaa Wanley, outlined serious concerns raised by bedside nurses that Legacy is failing to uphold fundamental patient rights. These include patient confidentiality, patients’ ability to participate in decisions about their own care, and compliance with the Oregon Nurse Practice Act. The letter called for safeguards to protect patient rights and ensure legal compliance when ICE is present in the hospital.

 

“Legacy’s silence and lack of response is deeply concerning,” said Peter Starzynski, spokesperson for ONA. “When ICE activity interferes with patient care, frontline caregivers are placed in an impossible position—forced to choose between their ethical obligations and unclear or unsafe practices. Legacy has refused even the most basic step of meeting with us to address these concerns and ensure ICE is held accountable.”

 

In light of the recent killing of Renee Nicole Good by ICE agents Minneapolis, it is clear that ICE’s violence is escalating without any real accountability. This reality makes Legacy Health’s responsibility to act to protect patients and staff even more urgent—and further underscores the need for a formal agreement with ONA to protect patients, uphold ethical care standards, and ensure the safety of frontline caregivers.

 

The MOU

The proposed MOU would establish clear, enforceable standards at Legacy Emanuel, including:

  • Requiring ICE and all federal law enforcement to comply with legal requirements before questioning, searching, or detaining anyone in a hospital.
  • Preserving patient privacy by restricting law enforcement access to clinical spaces without proper legal authority.
  • Reaffirming that law enforcement is never the medical decision-maker and may not interrupt or terminate care.
  • Upholding HIPAA protections for all patients, including those in custody
  • Providing patient education, interpreter access, and connections to legal and social services.
  • Creating a joint labor–management committee to oversee implementation and training.
  • Guaranteeing non-retaliation for nurses who advocate for patient safety, privacy, and ethical care.

You can read the full MOU here and the accompanying letter here.

 

“What we’re asking for are simple, commonsense healthcare practices,” Starzynski said. “Nurses and other frontline caregivers need to be able to do their jobs ethically and legally. Every patient—regardless of immigration status—deserves dignity, privacy, safe medical care, and a full understanding of their rights. Right now, those standards are not being met for people in ICE custody at Legacy Emanuel.”

 

ONA urges Legacy Health to immediately commit to the proposed MOU, so caregivers can provide consistent, lawful, and compassionate care to every patient who enters its facilities.

 

ONA’s mission is clear: we exist to protect patient privacy, uphold human dignity, and provide equitable care to every person who walks through the doors of the hospitals and clinics where we work. ICE’s targeting of immigrant communities is wrong and fundamentally inconsistent with these values. These actions—whether carried out or threatened—create fear that prevents people from going to work, moving freely in their communities, and seeking medical care when they need it most.  That fear directly undermines the core principles of being a frontline nurse, provider, or caregiver.

 

The more than 24,000 represented healthcare professionals of the Oregon Nurses Association are steadfast in ensuring that Oregon’s healthcare system remains a place of healing—never an extension of law enforcement—where all people, regardless of immigration status, can receive care without fear.

 

The Oregon Nurses Association (ONA) represents a diverse community of more than 24,000 nurses and healthcare professionals throughout Oregon. Together, we use our collective power to advocate for critical issues impacting patients, nurses and healthcare professionals including a more effective, affordable and accessible healthcare system; better working conditions for all healthcare professionals; and healthier communities. For more information visit www.OregonRN.org.

 

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