---
type: "Bill"
title: "Relating to health care; declaring an emergency."
description: "<b>Digest: The Act changes the laws about when a nurse has to have a license and gives money to Lane County to pay for same-day health care. (Flesch Readability Score: 73.0).</b>"
jurisdiction: "us/states/or"
legislature: "Oregon Legislative Assembly"
session: "2024R1"
identifier: "HB 4136"
citation: "Oregon HB 4136 (2024R1)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Charlie Conrad", "Floyd Prozanski", "James Manning Jr.", "Julie Fahey", "Nancy Nathanson", "Paul Holvey"]
version_count: 5
action_count: 22
vote_count: 4
first_action: "2024-02-05T16:09:01+00:00"
last_action: "2024-03-28T20:51:09+00:00"
source: "openstates"
source_identifier: "ocd-bill/fb2b82f5-1778-4119-b9a2-235a3eae085c"
source_url: "https://olis.oregonlegislature.gov/liz/2024R1/Measures/Overview/HB4136"
source_hash: "802c19769ef7ec88fddfddd4de99f71a7217d0d79d8bcfd2bd863fceacefd594"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-or"]
---

# Oregon HB 4136 (2024R1) — Relating to health care; declaring an emergency.

<b>Digest: The Act changes the laws about when a nurse has to have a license and gives money to Lane County to pay for same-day health care. (Flesch Readability Score: 73.0).</b>

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **House Amendments to Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2024R1/Downloads/MeasureDocument/HB4136/House%20Amendments%20to%20Introduced)
2. **Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2024R1/Downloads/MeasureDocument/HB4136/Introduced)
3. **A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2024R1/Downloads/MeasureDocument/HB4136/A-Engrossed)
4. **HBHHC Amendment -3** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2024R1/Downloads/ProposedAmendment/25978)
5. **Enrolled** (enrolled) — [source](https://olis.oregonlegislature.gov/liz/2024R1/Downloads/MeasureDocument/HB4136/Enrolled)

## Votes

- Rules suspended. Third reading. Carried by Nathanson. Passed. — **50–2** (pass) · lower
- Rules suspended. Third reading. Carried by Manning Jr. Passed. — **26–3** (pass) · upper
- Heard and Reported Out with Amendments — **11–0** (pass) · lower
- Heard and Reported Out — **46–0** (pass) · legislature

## Sponsors

- Charlie Conrad — primary (person)
- Floyd Prozanski — primary (person)
- James Manning Jr. — primary (person)
- Julie Fahey — primary (person)
- Nancy Nathanson — primary (person)
- Paul Holvey — primary (person)
- Ben Bowman — cosponsor (person)
- Dacia Grayber — cosponsor (person)
- Mark Gamba — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2024-02-05T16:09:01+00:00** First reading. Referred to Speaker's desk. `introduction, reading-1, referral-committee`
- **2024-02-05T19:10:57+00:00** Referred to Behavioral Health and Health Care. `referral-committee`
- **2024-02-07T23:01:00+00:00** Public Hearing held.
- **2024-02-14T23:02:00+00:00** Work Session held.
- **2024-02-19T16:57:28+00:00** Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means. `committee-passage-favorable`
- **2024-02-19T16:57:29+00:00** Referred to Ways and Means by order of Speaker. `referral-committee`
- **2024-02-27T15:41:00+00:00** Assigned to Subcommittee On Human Services. `referral-committee`
- **2024-02-28T16:03:00+00:00** Returned to Full Committee.
- **2024-02-28T16:02:00+00:00** Work Session held.
- **2024-03-01T18:32:00+00:00** Work Session held.
- **2024-03-01T23:23:39+00:00** Recommendation: Do pass. `committee-passage-favorable`
- **2024-03-04T19:41:38+00:00** Second reading. `reading-2`
- **2024-03-04T23:18:12+00:00** Rules suspended. Third reading. Carried by Nathanson. Passed. `passage, reading-3`
- **2024-03-05T18:36:39+00:00** First reading. Referred to President's desk. `introduction, reading-1, referral-committee`
- **2024-03-05T20:17:17+00:00** Referred to Ways and Means. `referral-committee`
- **2024-03-06T16:51:15+00:00** Recommendation: Do pass the A-Eng. bill. `committee-passage-favorable`
- **2024-03-06T19:01:51+00:00** Second reading. `reading-2`
- **2024-03-06T19:47:09+00:00** Rules suspended. Third reading. Carried by Manning Jr. Passed. `passage, reading-3`
- **2024-03-07T21:16:50+00:00** Speaker signed. `passage`
- **2024-03-08T00:02:53+00:00** President signed. `passage`
- **2024-03-27T21:05:22+00:00** Governor signed. `executive-signature`
- **2024-03-28T20:51:09+00:00** Chapter 39, (2024 Laws): Effective date March 27, 2024.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fb2b82f5-1778-4119-b9a2-235a3eae085c`. Confidence: reported (aggregated from official Oregon legislature records).