OAR 581-022-2220 (Health Services) Implementation Tool Release

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Oregon Department of Education - Oregon achieves - together

To: Superintendents, Communicable Disease Preparedness Liaisons, Charter School Leaders, Principals, Special Education Directors, School Nurses, K-12 Public Information Officers 
From: Kati Moseley; Administrator, Health in Education 
Date: December 4, 2023 
Re: OAR 581-022-2220 (Health Services) Implementation Tool Release 


Dear Colleagues, 

School health services foster academic excellence, belonging and wellness, enabling each student to participate fully in their education. School nurses and other school staff address immediate health concerns, provide care for chronic conditions, support disease prevention and health promotion, and reduce individual student health barriers to education.  

The Oregon Department of Education has created a new tool to assist districts with implementing requirements found in the recently updated OAR 581-022-2220 (Health Services Rule). This tool is designed to support districts, public charter schools, and ESD programs in creating their prevention-oriented health services plan and ensuring that all other requirements are met. 

The State Board of Education adopted the revised Health Services Rule in June 2023; the updated rule is in effect for the 2023-24 school year. Districts will report on their compliance as part of Division 22 annual reporting in November 2024.  


OAR 581-022-2220 (Health Services) Implementation Tool 

The Health Services OAR requires school districts, education service districts, and public charter schools to develop, implement, and annually update a written prevention-oriented health services plan for all students. The plan must describe a health services program for all students at each facility that is owned or leased, where students are present for regular programming. The Health Services OAR also includes additional health services requirements not included in the prevention-oriented health services plan.  

The Oregon Department of Education (ODE) developed this tool and these instructions as a guide to meeting the requirements detailed in the Health Services OAR. Both may be found on ODE’s new OAR 581-022-2220 (Health Services) Resources webpage. Districts, schools, or programs may use any plan format that best supports local planning implementation while ensuring that the plan includes the content and components required in the OAR. 


Planning Support 

ODE will be holding office hours from 3:30-4:30 PM on Monday, December 11 and Monday, January 8 to review the OAR, provide an overview of the implementation tool, and answer any questions.  

ODE remains committed to supporting students and staff throughout the school year and promoting healthy and safe learning environments. By nurturing a healthy school environment, school health services are critical to supporting student learning, and help create a foundation for all students to thrive academically and socially. We will continue to partner with you to ensure full-time in-person learning for every student, every school day.  

Please email any questions to ODE’s support inbox, ODE.HealthySchools@ode.oregon.gov.