'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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