July 10, 2023

Wyden, Merkley Call for Temporary Continued Maternal Care at Baker City Hospital

Senators’ letter echoed community requests for “continued service while they work to fill the substantial gap in local maternal care.”

Washington, D.C. – U.S. Senators Ron Wyden and Jeff Merkley today urged St. Alphonsus Health Systems to continue maternal care services at the Baker City hospital to let the Eastern Oregon community work with federal and state agencies to develop alternative solutions.

St. Alphonsus Hospital in Baker City announced in June its intent to cease maternity care and birthing services starting July 30.

“We have heard from doctors and nurses, parents and expectant parents, and large Baker City-based employers about the importance of having maternity care and birthing services available in Baker City for the residents’ safety and wellbeing,” the senators wrote. “We urge you to continue labor and delivery services for an additional six months while the community works to fill the substantial gap in local maternity care. In the meantime, we have identified several resources to help you keep your maternity center open.”

In their letter, Wyden and Merkley offered federal, state, and local nursing service resources to help St. Alphonsus continue to provide safe and stable maternity care beyond July 30, including gathering financial support from large employers like Beef Northwest Feeders, streamlining licensing for RNs, and deploying nurses from the federal United States Public Health Service Commissioned Corps,

“Baker County residents have relayed their concerns about the impacts of families having to travel 45 miles to La Grande, through a mountain pass that can be treacherous in winter, if open at all, in order to receive maternity care,” the senators continued. “The community highly values the maternity care provided by the hospital and is willing to work with you to keep the services in place. We understand staffing issues have been challenges for quite some time, yet the decision to quickly close the facility has left many in the community at a loss.”

The entire letter is below.

July 10, 2023

Odette Bolano

President and CEO

Saint Alphonsus Health System

1055 N Curtis Rd

Boise, ID 83706

RE:  Maternity Center at St. Alphonsus Hospital in Baker City, Oregon

Dear Ms. Bolano,

We write to encourage Trinity Health and the Saint Alphonsus Health System to reverse their decision to cease all labor and delivery services at the maternity center at Saint Alphonsus Hospital in Baker City, Oregon beginning on July 31, and instead continue services for a period of at least six months to allow the community to work on alternatives to support expectant parents.

As you are all well aware, physicians, nurse practitioners, nurses and expectant parents were stunned by Saint Alphonsus’ recent decision to abruptly cease labor and delivery services at Baker City due to staffing shortages. The community highly values the maternity care provided by the hospital and is willing to work with you to keep the services in place. We understand staffing issues have been challenges for quite some time, yet the decision to quickly close the facility has left many in the community at a loss. 

We have heard from doctors and nurses, parents and expectant parents, and large Baker City-based employers about the importance of having maternity care and birthing services available in Baker City for the residents’ safety and wellbeing. We urge you to continue labor and delivery services for an additional six months while the community works to fill the substantial gap in local maternity care. In the meantime, we have identified several resources to help you keep your maternity center open.   

Baker County residents have relayed their concerns about the impacts of families having to travel 45 miles to La Grande, through a mountain pass that can be treacherous in winter, if open at all, in order to receive maternity care. We have heard from new mothers whose lives were saved because they had access to excellent care at St. Alphonsus Hospital during difficult births. Employers like Beef Northwest and the Baker School District have added that lack of quality maternity care services will make it nearly impossible to attract and retain qualified staff with growing families.

Since learning of the imminent closure of the maternity center, we have worked to identify federal, state, and local resources to help St. Alphonsus continue to provide safe and stable maternity care beyond July 30th. After discussions with multiple federal and state agencies, local businesses, and community residents, we have identified the following resources to provide the nursing services that we understand St. Alphonsus needs to keep its maternity center open:  

  • United States Public Health Service Commissioned Corps: The federal United States Public Health Service Commissioned Corps has the capacity to deploy RNs trained in obstetrics care to St. Alphonsus. These federal resources can be deployed if all State resources have been exhausted. We urge St. Alphonsus to work with the State to determine whether all staffing options have been explored. If it is appropriate to deploy federal resources from the United States Public Health Services Commissioned Corps, we stand ready to assist in this process. 
  • Local Business Support: Beef Northwest Feeders, one of the largest private employers in Baker County, sent us a letter outlining their commitment to support St. Alphonsus and find solutions to keep its maternity center open. We have attached this letter for your reference and urge you to work with Beef Northwest Feeders and other local businesses on options to keep your maternity center open.  
  • Streamlined Licensing of RNs: Governor Kotek’s team is willing to connect out-of-state RNs, including from out-of-state contract nurse agencies, with the Oregon Board of Nursing to expedite the nurse licensing process. We urge you to work with the Governor’s office to streamline the nurse licensing process for out-of-state RNs you need to keep your maternity center open. 

We urge you to pursue all resources available to you as well as the resources we have outlined above and to keep the St. Alphonsus maternity center open for an additional six months. Given the urgency of this situation and the imminent closure of the maternity center, we request an update and response to this letter by Monday, July 17. Thank you for your commitment to serving the health care needs of Baker County families.   

Sincerely, 

Ron Wyden                                                                                   Jeffrey A. Merkley

United States Senator                                                                  United States Senator

CC: Dina Ellwanger, President, Saint Alphonsus Health System Eastern Oregon