Out-of-State Residents Can Now Seek Medical Aid in Dying in Oregon

TUESDAY, March 29, 2022 (HealthDay News) -- Oregon will no longer require terminally ill patients to be residents of the state to use its law allowing physician aid in dying.

A lawsuit that challenged the residency requirement as unconstitutional was settled Monday, with the Oregon Health Authority and the Oregon Medical Board agreeing to stop enforcing the requirement and to ask the Legislature to remove it from the law that was first enacted in 1997, the Associated Press reported.

"This requirement was both discriminatory and profoundly unfair to dying patients at the most critical time of their life," Kevin Diaz, an attorney with Compassion & Choices, the national advocacy group that sued over Oregon's requirement, told the AP. Compassion & Choices sued on behalf of Nicholas Gideonse, M.D., a Portland family practice physician and associate professor of family medicine at Oregon Health and Science University who could not write terminal prescriptions for patients who lived just across the Columbia River in Washington state. While Washington has a similar law, it can be hard to find providers who will do it in the southwestern part of the state, where many hospital beds are in religiously affiliated health care systems that prohibit it, according to the AP.

"Any restriction on medical aid in dying that doesn't serve a specific medical purpose is difficult," Gideonse told the AP. "In no other way is my practice restricted to Oregon residents, whether that's delivering babies in the past or other care that I provide."

A group called National Right to Life opposes physician-assisted death, and spokeswoman Laura Echevarria said that without a residency requirement, Oregon risked becoming the nation's "assisted suicide tourism capital," the AP reported.

But that is unlikely, according to Diaz. He pointed out that Oregon's law has a number of safeguards, including a requirement that physicians determine whether patients are mentally capable, and that it is extremely difficult for terminally ill patients to make long trips to another state, and that many people want to die near home with their loved ones by their side, the AP reported.

Over 2,100 people have died after ingesting terminal drugs under the law since it took effect, according to data published last month by the Oregon Health Authority. California, Colorado, Hawaii, Maine, New Jersey, New Mexico, Vermont, Washington state, and Washington, D.C., have approved similar laws, all with residency requirements. Montana's Supreme Court has ruled that state law does not prohibit medical aid in dying.

Associated Press Article