OANP is pleased to welcome Guilds with Benefits as our newest corporate partner. Their mission to provide a strong support system for freelancers and small business owners aligns with the needs of many naturopathic physicians who operate independent practices. By offering access to essential benefits, community-based resources, and marketing opportunities, they are committed to helping practitioners thrive both personally and professionally.

We are grateful for Guilds with Benefits’ support of the naturopathic profession and for the practical tools and advocacy they bring to our community. Partnerships like this help strengthen the foundation for independent practitioners across Oregon.

About Guilds with Benefits
Guilds with Benefits is more than a membership association. Our vibrant community unlocks essential physical and mental health support, 401(k) retirement access, exclusive member offers, and marketing opportunities to help you grow. At Guilds with Benefits, we understand that the freelance journey can be isolating and stressful. That's why we offer comprehensive mental health support as a cornerstone of our membership. Gain access to counseling for you and your whole family, plus discounted access to structured emotional support, coaching, and consulting designed specifically for self-employed professionals.

Our goal is to help you stay resilient and motivated, so you can thrive both personally and professionally. We're committed to bridging the gap in healthcare access for independent professionals. Guilds with Benefits is pushing for legislative change to offer group health coverage, especially if your team is just you. Stay tuned as we work to make quality healthcare accessible to all our members. Your guild is here for YOU.

Company Representative: Hollie Miller

Visit www.guildswb.com to learn more.

View Local Resources for Small Business Owners page. 

OANP is pleased to welcome Biodynamic Restoration as our newest corporate partner. Their commitment to creating safe, healthy living environments for individuals with CIRS, MCS, Lyme disease, and other immune-compromised conditions aligns with the naturopathic focus on root-cause resolution and whole-person care. Biodynamic’s work throughout the Pacific Northwest supports patients and the physicians who care for them by addressing medically important mold exposure with rigor and precision.

We are grateful for Biodynamic's support of the naturopathic profession and for the specialized expertise they bring to our community. Partnerships like this strengthen collaborative care for both physicians and patients.

About Biodynamic Restoration

OANP is excited to welcome EVEXIAS Health Solutions as our newest corporate partner. Their commitment to personalized, root-cause medicine and clinician education closely aligns with our naturopathic principles. The team at EVEXIAS Health Solutions is dedicated to supporting naturopathic physicians in Oregon to advance whole-person care.

We are grateful for EVEXIAS’s support of the naturopathic profession and for the resources they provide to help practices grow, innovate, and serve patients more effectively. Partnerships like this strengthen our community and expand opportunities for education, collaboration, and clinical excellence.

About EVEXIAS Health Solutions
EVEXIAS Health Solutions exists to put choice back in medicine, replacing one-size-fits-all care with root-cause, personalized solutions. Founded by integrative functional medicine experts, we combine comprehensive hormone testing & training, peptide therapy, our superior custom compounding pharmacy network and clinical-grade nutraceuticals to support proactive, whole-person care.

We've set a new gold standard in BHRT through the EvexiPEL® Method. EvexiPEL® is EVEXIAS’s patented bioidentical hormone pellet method - growing fast because it delivers consistent outcomes using our advanced dosing, insertion technique and patented pellets engineered for precision, consistency, and fewer complications.

EVEXIAS goes beyond protocols: we offer on- and off-site training, plus comprehensive practice-growth support, including pricing strategy, marketing and directory visibility, patient communication tools, operations systems and technology, ongoing consulting and medical support so practices grow without burnout.

Get Well. Live Well.

Local Representative:

Heidi Adler
Practice Development Specialist
Heidi.Adler@evexias.com
503-716-6697

Learn more at www.evexias.com

The Oregon Association of Naturopathic Physicians (OANP) is thrilled to announce our new partnership with Precision Analytical, Inc., the creators of the renowned DUTCH Test®. As a fellow Oregon-based organization located in McMinnville, their commitment to the functional and naturopathic medical communities makes them a natural and exciting addition to our Corporate Partners.

Founded in 2012 by Mark Newman, MS, Precision Analytical was born from a mission to revolutionize hormonal healthcare. Recognizing the significant limitations of traditional urine and salivary tests, Mark set out to create a more comprehensive and accessible tool for practitioners. The result was the DUTCH Test® (Dried Urine Test for Comprehensive Hormones), an innovative method that delivers SIMPLY. BETTER. TESTING.

The DUTCH Test® uniquely combines the convenience of simple, at-home urine collection with the power of extensive, peer-reviewed insights. This advanced approach provides a comprehensive look at hormones and their metabolites, empowering providers to more effectively investigate and manage complex hormonal conditions for better patient outcomes.
As a CLIA-certified laboratory, Precision Analytical is dedicated to solving complex clinical questions and transforming lives through its innovative work. Their connection to our community runs deep; they have long employed Naturopathic Doctors on their education and clinical consultation teams, providing invaluable expertise and support to practitioners worldwide.

Please join us in giving a warm welcome to the entire team at Precision Analytical. We are incredibly excited about this partnership and look forward to the valuable resources and expertise they bring to OANP members.

Your Focus is on Patient Care

Physicians and providers in both ND-licensed and ND-pre-licensed States want to do what they do best – provide care for patients.  Sprague Israel Giles’ Natural Insurance Program is designed to provide you with comprehensive coverage, while simplifying the process – leaving you with more time to focus on patient care.

Patients have the best results when their healthcare professional can provide care within the full limit of his or her scope of practice. If your Medical Malpractice Liability insurance carrier does not cover the procedures you are performing or would like to perform, rendering that service can put you, your family, and your practice at risk for legal defense costs and any possible judgment, even if you did everything correctly. As a result, many Naturopathic Physicians are unable to perform to the full extent of their legal scope of practice in order to protect their assets and future.

Insurance Exclusively for Naturopaths

In response to the lack of available full Medical Malpractice Liability coverage, in 2010 SIG partnered with Naturopathic Physicians and an experienced, highly financially stable, Medical Malpractice insurance company to develop the most comprehensive and enhanced policy on the market. This Natural Insurance Program was created with the respect and understanding that Naturopathic medicine is a unique profession with unique needs. 

The Natural Insurance Program is intended to provide coverage for everything you do, including common Naturopathic modalities that are either unavailable or too costly to obtain from other insurance carriers. Below are just some of the areas that may be excluded from your current malpractice insurance policy but are covered under SIG’s Natural Insurance Program.

Cover the breadth of your practice with The Natural Insurance Program™ (including but not limited to):

•  Coverage for services in both ND-Licensed and ND-Pre-Licensed States!
  
• Telemedicine is covered!
  
• Aesthetic/Cosmetic Medicine is covered!
• Supervision of Medical Students Providing Direct Patient Care is covered!
• Information Distributed via Media to Non-Patients is covered!
• Cyber Security and HIPAA Violations are covered!
• Non-FDA approved medications are covered!
• Surgery is covered!
• Acupuncture/Massage Therapy is covered!
• Trigger point injections are covered!
• Prolotherapy is covered!
• HCG is covered!

Getting a Quote is Quick and Easy!

We look forward to the opportunity to provide you with the most complete Naturopathic insurance products (available in most states).  Apply now by downloading the application form, and we will provide you with a no-obligation quote.  If you would like more information before applying, please fill out the contact sheet below and someone from our staff will follow up with you.

Please feel free to contact us if you have any questions.  We are looking forward to providing you with unmatched service and expertise!

Lloyd Central Compounding Pharmacy is proud to be your trusted partner in patient care.

Located in Portland, Oregon, we are Oregon's premier resource for high-quality, customized medications tailored to meet the unique needs of your patients. Our state-of-the-art facilities, world-class staff, and unwavering commitment to excellence ensure we deliver the safest and most effective compounded solutions to your patients.

Whether it’s bioidentical hormone therapy, pediatric formulations, sterile injections, low dose naltrexone or specialized dosage forms, we are here to help you provide your patients with optimal outcomes. Experience the difference of working with a pharmacy that shares your dedication to holistic, patient-focused care.

Visit us at LCRX.com or call 503-281-4161 to learn more!

Welcome to the CanXida Candida Resource Center!

Navigating the intricacies of candida overgrowth can sometimes feel overwhelming. That’s where CanXida steps in as your trusted guide. We understand the complexities associated with candida and the importance of having reliable, researched-based resources at your fingertips. This page is designed as your one-stop-shop for all things candida-related.

From in-depth PDFs that delve into the nuances of candida management, to easy-to-follow handouts, expert guides, and specialized tools, every resource listed here is curated with your well-being in mind. Our goal? To equip you with the knowledge and tools needed to effectively manage and, ultimately, conquer candida overgrowth.

We recognize that each individual’s journey is unique. Whether you’re just beginning to understand candida or you’re well on your path to recovery, CanXida’s resources cater to all stages and needs. Our team of experts tirelessly work behind the scenes, continually updating and expanding this repository to ensure that you always have the most current and effective strategies at hand.

Your health and comfort are our utmost priority. As such, we invite you to delve deep into these resources. Read, learn, and empower yourself. Remember, with knowledge comes strength, and with CanXida by your side, you’re never alone on your journey towards optimal health.

If you have any questions or would like us to add more resources please don’t hesitate to contact us at support@canxida.com. You can also find a shorter version of this resource page here.

Lloyd Center Pharmacy is now Lloyd Central Compounding Pharmacy!

After over 25 years in the Lloyd Center Mall, and 10 years on East Burnside St, we decided we wanted to build a new, state-of-the-art compounding facility. We wanted to have the best sterile and non-sterile compounding facility in the state of Oregon, and we accomplished this. We take pride in the quality of our products, and in following all the state and federal regulations. 

For our patients who pick up their medications, parking is much easier as our new location has a huge parking lot. We are conveniently located near major freeways and have great access to bike parking and public transportation.

Our state-of-the-art building is at the intersection of NE Broadway and 26th street:

Lloyd Central Compounding Pharmacy
2606 NE Broadway St, Suite B
Portland, OR 97232

When we moved into this new building, we also decided to update our name. Lloyd Center Pharmacy is now Lloyd *Central* Compounding Pharmacy. After years of confusion with the mall, where we had been located from the 1980’s until 2007, we thought it was time for a change! We are proud of our many years of service in Portland, Oregon, and we look forward to many more years.

Project ECHO (Extension for Community Healthcare Outcomes) is an innovative telementoring program designed to create virtual communities of learners by bringing together healthcare providers and subject matter experts using videoconference technology, brief lecture presentations, and case-based learning, fostering an “all learn, all teach” approach.  Participants are engaged in the bi-directional virtual knowledge network by sharing clinical challenges and learning from experts and peers. 

Project ECHO has been recognized globally as a successful tool to improve patient care outcomes. Unlike telemedicine, this tele-mentoring model does not foster a health care provider and patient relationship. ECHO follows these four key principles:

• Subscribes to the disease management model of care that aims to improve quality, reduce variety, and standardize best practices.
• Fosters multidisciplinary partnerships that increase access to care and reduce health care costs.
• Engages health care providers to participate in case‐based learning under guided practice to provide specialized care to their own patients.
• Utilizes technology to promote face-to-face mentorship and sharing of knowledge and experience by experts and peers without the need for cost-intensive supervision, in-person trainings, and travel.

Published data demonstrates that patients who received care from providers mentored using the ECHO methodology had outcomes as good or better than those treated at specialized referral hospitals, which has largely been credited to leveraging the patient‐centered medical home model. 

How is the AAP involved?

The AAP serves as an ECHO Superhub, which is a pediatric training arm of the ECHO Institute. In this role, the AAP trains and supports partner organizations to serve as hubs. The mission of the AAP ECHO Superhub is to utilize the ECHO model to achieve optimal physical, mental, and social health and well-being of all children by sharing best practices and building capacity among all pediatric providers. In this capacity, the AAP ECHO team:

• Conducts ECHO immersion trainings for individuals and organizations interested in implementing pediatric-focused ECHOs
• Builds a community of learners by fostering interprofessional collaboration and sharing best practices in pediatric care
• Serve as a resource center, whereby AAP staff:
  • Provide technical assistance
  • Assist with curriculum development for various chronic health conditions
  • Create and expand partnerships

Interested in getting involved? Learn about our educational and mentorship opportunities. Learn about the various AAP ECHO topics.

Last Updated 02/21/2024  |  Source American Academy of Pediatrics  |  https://www.aap.org/en/practice-management/project-echo/about-us/

Ketotifen is a unique medication that has been gaining popularity in the United States, especially in the mast cell disease communities. It was patented in the 1970s by Sandoz Pharmaceuticals, but was not approved for use in the United States until 1999 in Zaditor® eye drops.

Ketotifen has a dual mode of action as an antihistamine and a mast cell stabilizer. This makes it effective in the prophylaxis and treatment of various allergic and respiratory conditions. It is both a selective H1 blocker antihistamine and a mast cell stabilizer, preventing the degranulation of mast cells, which release inflammatory mediators such as histamine and leukotrienes.

Oral ketotifen is used in the treatment of Mast Cell Activation Syndrome (MCAS), and mastocytosis, as well as for asthma and other allergic conditions. The starting dose is 1-2mg up to 8mg daily, usually taken at bedtime or twice a day if well tolerated. In the U.S. Ketotifen is only FDA approved as an eye drop to treat allergic conjunctivitis. Oral formulations such as capsules, tablets, and solutions are only available through compounding pharmacies in the U.S. Ketotifen can also be compounded into a cream and used topically for atopic dermatitis or other urticaria conditions. It is formulated as a 0.5% cream applied twice a day.

While generally well tolerated, ketotifen can cause sedation due to its antihistamine effects and its ability to cross the blood brain barrier. It has weak anticholinergic effects and can cause dry mouth and weight gain due to increased appetite/decreased satiety. Sedation usually decreases over time with long-term use, while its antihistamine and mast cell stabilizing effects persist.

Ketotifen should not be used in patients with a history of seizure disorder, as it can lower seizure threshold. Caution should be used in patients with prostatic hypertrophy, urinary retention, history of peptic ulcers, and coagulation disorders.

Ketotifen can be used alone or in combination with other allergy related medications to effectively treat inflammatory symptoms of MCAS, as well as many allergic and reactive conditions. With a strong safety profile and mild side effect profile, Ketotifen should be included in your treatment toolbox.

Aaron Bohn, PharmD

Disclosure: Aaron has been with Community Compounding Pharmacy since 2012. He serves as the Pharmacy Director and Pharmacist-in-Charge where he enjoys leading others with the same passion for compounding.

OHSU Medical Database Access: All licensed healthcare providers in Oregon not affiliated with OHSU have access to use the AccessMedicine database via OHSU’s license at no cost.  This database provides information on basic sciences and medicine, including the Lange Current Diagnosis and Treatment Series, Harrison's, and Goodman and Gilman's.  The Lange Self-Assessment Tool for the USMLEasy is also included.

For more information, including how to sign up, please view guide.

The content of this article was created by OHSU. OANP acknowledges that this article serves to provide information to our membership about resources available to Physicians and all information is copied from the creator’s website, listed above. OANP is not affiliated with these organizations and does not claim any association.

Modern medical research confirmed how aging-related bone loss is the leading cause of disrupting cellular calcium signaling, which damages mitochondrial functions and causes abnormal cellular behaviors, leading to over 150 degenerative diseases. This bone-leeching ionic calcium deficiency we experience with aging is not remedied by standard calcium supplementation, which provides inactive protein-bound calcium. AIC's unique healing pathway has shown significant efficacy in treating difficult diseases such as many types of cancer, osteoporosis, autoimmune diseases, neurodegenerative diseases, cardiovascular diseases, and metabolic syndrome. Partnering with clinicians and researchers worldwide, over 100,000+ people have already experienced the healing power of AIC therapy. When our body communicates clearly, healing takes place.

Additional Resources:

View AIC Therapy Dosing Protocol

Schedule a private Q&A session www.aictherapy.com/book-a-consultation. 

Learn more about Pronuvia at www.aictherapy.com/

Contact Jae Lee at pronuvia@gmail.com

OANP Members receive premium discounts with Aegis Insurance associates! Just another reason to join OANP and support your profession!

Aegis Insurance Associates, LLC, have been dedicated supporters of the OANP and naturopathic profession since 2012! They are a Scottsdale, Arizona based broker with nearly forty years of malpractice experience, has built a ground-up solution solely for Naturopathic Doctors. Aegis has the authority to quote, bind, issue, and service ND policies. In addition, they serve as the initial contact in the event of a claim or any questions NDs may have regarding their coverage.

OANP Members receive premium discounts with Aegis Insurance associates! Sign into your OANP profile for benefit access.

Aegis Insurance Associates, LLC, have been dedicated supporters of the OANP and naturopathic profession since 2012! They are a Scottsdale, Arizona based broker with nearly forty years of malpractice experience, has built a ground-up solution solely for Naturopathic Doctors. Aegis has the authority to quote, bind, issue, and service ND policies. In addition, they serve as the initial contact in the event of a claim or any questions NDs may have regarding their coverage.

• Log into your OANP account.
• In the toolbar on the right side of your login page, click "Manage Profile" under the "My Profile" heading.
• Under "Invoices, Payments, & History", select the "Membership" option.
• View/Print your membership card. BAM!

Membership Committee:
The OANP has a volunteer position available to serve on the Membership Committee. The role of the membership committee is to promote membership growth, assist in identifying new member benefits, and to develop strategies for member retention and recruitment. Expected time commitment is 2-3 hours a month. If you are interested, please email beth@oanp.org.

Legislative Key Contacts Task Force – We need YOU!
As part of our legislative strategic plan, we are putting together a key contact task force to help build relationships with all 90 legislators in Oregon. We are hoping to connect with NDs in all of the legislative districts who are interested in developing and cultivating relationships, attending town halls in your districts, and meeting your legislators for coffee or a tour of your clinic a few times a year. This type of relationship development will help the success of all future legislative efforts. If you are interested, please email beth@oanp.org.

Oregon POLST Coalition
The Oregon POLST (portable orders for life sustaining treatment) Coalition is comprised of valued and committed representatives from stakeholder organizations and agencies. OANP is looking for an ND that is interested in representing the profession on this committee. Expected time commitment is 2-3 hours a month.  If you are interested, please email beth@oanp.org.

If you find that you feel that OANP doesn’t represent you on any specific issue, you might have misunderstood just why OANP exists and why it is much more than any single issue.

OANP’S CORE MISSION

1. Our right to exist. You would think after being licensed in Oregon since 1927, this shouldn't be much of a concern. Think again. Both Florida and Nevada for example, used to be licensed states and had their licensing laws revoked in 1959 and 1987 through the aggressive efforts of proponents of conventional medicine.

Over the years OANP has had to fend off multiple attempts to dissolve the Oregon Board of Naturopathic Medicine and fold it under other regulatory bodies that oversee tattoo artists, and nutritionists.

I have had it intimated to me personally by an insurance executive that we might just be lucky to still be practicing at all. He was implying that “they” have the power to take that away from us if we get too “uppity.” My involvement with OANP is why that didn’t, and doesn’t rattle me. We can never let our defense down. The menace is real, and our best ongoing defense is the continual advancement of our profession.

2. Scope of practice. Oregon has possibly the strongest ND scope of practice in the nation. We need to always be surveying the landscape and stand ready to defend what we are legally able to do. Here is a brief look at the work that has been done by OANP to protect and expand this over the last decade:

-       In 2009 we added a comprehensive drug formulary that allows us to prescribe and de-prescribe every medication used in primary care.

-       In 2015 we fixed a law in Oregon that specifically prohibited NDs from calling ourselves “specialists” as part of the credentialing bill.

-       In 2015 we fended off an attempt to exclude NDs from being able to sign off on philosophical and medical exemptions for vaccinations.

-       In 2017 we cleaned up a bundle of laws and subsequent rules that were ambiguous regarding ND practice, and therefore excluded us. These exclusions by omission accumulated over a long time.  

-       In 2018 we have added the authority to return student athletes to play after a concussion.

All it takes is a law here or there, saying NDs “shall not” do this or that, to prohibit some of the most lucrative practices of our most financially successful doctors.  

We need OANP to be forever monitoring our state’s legislative and regulatory landscape. To not ever be caught by surprise. Ready to mount a vigorous defense of our scope of practice.

CURRENT ADVANCEMENT FOCUS

1. Insurance barriers to patient access. This is one of our two battle fronts with insurers. Some NDs have chosen, and have become successful at a cash only practice. I think everyone envies that freedom! 97% of Oregonians have some form of comprehensive health insurance and strongly prefer to utilize it. Only about 10% of our state’s patient population is able to pay for their care without utilizing insurance. That leaves 90% who have no access when ND care is cash only. I want to believe every successful ND wishes for every other ND to also be successful. If we fix health insurance, the entire profession will increase its reach in helping all the people around us, rich and poor alike. Having NDs who do take insurance, and especially OHP, increases our relevancy to Oregon’s policy efforts to get health care to all of its citizens. Participation in insurance plans by at least some NDs entrenches the entire ND profession, supporting our core mission.

The number one reason NDs need to always be included within the state's definition of “primary care” is barriers to patient access. No one is saying every ND in the state MUST be a fully burdened primary care provider. We need to support those who take it on. They are serving OANP’s core mission. OANP members and leadership need to always be serving on state committees related to health care. The colleagues who have served our profession this way deserve a lot of gratitude from the rest of us. We need to be forever encouraging each other to step up. These roles are voluntary. There is a lot of personal time and attention invested so we, you, can have a seat at the tables where decisions are being made that include, exclude, and otherwise affect all NDs.

2. Fair payments from insurers for our services. Private insurance pay parity is the biggest legislative lift OANP has taken on since our initial licensing law in 1927. OANP was formed in 1909. It took 18 years to achieve licensure in Oregon! We are charging ahead with insurance pay parity in 2019.

There is an enormous amount of exasperation about insurance pay parity among NDs who find themselves dependent on patients who are dependent on 3rd party payers. As a profession we have struggled economically, and have lost too many naturopathic doctors in this state over the years unable to make a living. Those doctors either moved away, or for them, rightfully chose gainful employment in another field. Most of us are still not making what we deserve, or need. It is our biggest problem as a profession today. It has come to my attention that there is some misdirected blame towards OANP for taking so long to address this problem.

I must protest that we have very much been working on this difficult problem long before now. Everything I have personally been a part of since joining the OANP board, has been focused on this very problem. Our failed lawsuit against Health Net initiated in 2015 was specifically about pay parity and removing patient barriers. In retrospect the lawsuit was a false start.

Here we have a federal law, the ACA, declaring insurance companies and plans shall not discriminate against any provider working within their scope of practice. Shall not discriminate including payments for services.

No one in government was, and as of yet, has been willing to write rules. No one has stepped up to enforce this law. Federal judges can interpret laws and absolutely enforce them. We found a way to go after that with the lawsuit. After a lot of sweat and tears, we got thrown out of court. Not on the merits of our case, rather a technicality the insurers dragged out, that still leaves me stunned. We could not show sufficient patient financial harm because none of the doctors involved required their patient to pay them the full price for the denied service. Do we have heart? Yes, to a fault. Are we quitters? No.

In 2015 we did some reimbursement investigations through friendly conventional offices. That effort revealed just how bad our relative pay differential is. It wasn't until 2018 and $3,500 of OANP membership dues spent to buy a data query -- that we are finally able to produce irrefutable evidence of our insurance pay disparity problem.

OANP is right now in the strongest position we have ever been to prevail with a private insurance pay parity bill at the Oregon legislature. It is time, and all of our hard work has lead up to this point. If you are a licensed ND practicing in the state of Oregon, there is a need for you to belong to OANP along with the rest of us. We won’t last long as a profession if we all choose one by one to go it alone.

The work of OANP is never done. Our ND tent is big enough to include you too. We need everyone’s support and commitment to stand together in common cause.

If you can, please renew your OANP membership or join today! https://www.oanp.org/page/Join

Jeff Clark, ND
OANP Legislative Chair

• Inadequate Charting: When a Licensee is disciplined for inadequate charting, a condition of probation will be to complete continuing education on best practices in charting as well as submit between 5-15 patient charts to a ND to review and determine if the probationer is charting adequately. The Licensee will send charts directly to the reviewing ND. The reviewing ND will have a check list to guide their review of the patient charts. After their review, the ND will submit to the Board a short report on the adequacy of the patient charts.
  
  
• Negligent Prescribing: When a Licensee is disciplined for negligent prescribing, a condition of probation will be to complete continuing education on responsible prescribing practices as well as submit between 5-15 charts for patients s/he is currently prescribing medication. The Licensee will submit the charts directly to the reviewing ND. The ND will review the patient charts to determine and ensure that the probationer is prescribing within the appropriate guidelines and engaging in best practices in prescribing.
  
  Considerations, Suggested Compensation and Time Commitment:
  
  
• ND’s with DEA licenses that are actively prescribing are encouraged to participate to review patient charts for licensees found in violation for negligent prescribing. The reviewing ND may not have any financial or personal connection with the probationer Licensee.
  
  
• The suggested rate for licensees to pay ND for chart reviews is $100 per hour. The approximate time per quarter, for 10 charts and findings report, is approximately 2-5 hours.
  
  Mary-Beth Baptista – Executive Director
  Oregon Board of Naturopathic Medicine
  800 NE Oregon Street, Suite 407
  Portland OR 97232
  971/673-0193 main
  971/673-0226 (fax)

• Adds NDs to list of providers eligible for subsidies for malpractice insurance for rural providers and allocation of those subsidies by specialty.
• Adds NDs to list of providers who have limitations on liability who provide voluntary medical services for accidental death, injury, etc.
• Adds NDs to providers relating to issuance and commissions on life insurance policies.
• Relating to unfair claims, adds NDs to list of providers
• Adds NDs to providers who can provide medical care under discount medical plans for uninsured motorist. Law Enforcement
• Adds NDs to providers required to provide information relating to missing persons.
• Adds NDs to providers required to inform law enforcement about certain non-accidental injuries. Liability Protection
• Protects MDs, nurses, etc. from certain liability for providing care at OHSU. Extends that protection to NDs.
• Adds NDs to providers protected for giving emergency medical assistance.
•  Adds NDs to providers protected from liability for use of defibrillator in public setting. 

Telecommunications:
Adds NDs to who can attest that patient has medical condition to prevent termination of telecomm services for non-payment. 

Medical Leave:
Clarifies that NDs may make determination that person may or may not qualify as bone marrow donor for medical leave.

Medicare: Clarifies definition of "physician" to include "naturopathic physician"  for purpose of Medicare supplemental plans and pre-existing conditions.