Oregon Revised Statutes

Or. Rev. Stat. § 656.225 (2026)

Compensability of certain preexisting conditions

✓ current as of May 2026
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      656.225 Compensability of certain preexisting conditions. In accepted injury or occupational disease claims, disability solely caused by or medical services solely directed to a worker’s preexisting condition are not compensable unless:

      (1) In occupational disease or injury claims other than those involving a preexisting mental disorder, work conditions or events constitute the major contributing cause of a pathological worsening of the preexisting condition.

      (2) In occupational disease or injury claims involving a preexisting mental disorder, work conditions or events constitute the major contributing cause of an actual worsening of the preexisting condition and not just of its symptoms.

      (3) In medical service claims, the medical service is prescribed to treat a change in the preexisting condition as specified in subsection (1) or (2) of this section, and not merely as an incident to the treatment of a compensable injury or occupational disease. [1995 c.332 §3]

Notes of Decisions
Cited in 28 cases (7 in the last 5 years), 1996–2026 · leading case: Arms v. SAIF Corp., 343 P.3d 659 (Or. Ct. App. 2015).
Arms v. SAIF Corp., 343 P.3d 659 (Or. Ct. App. 2015). · cites it 30× “Claimant requested a hearing, asserting that “SAIF should be liable for the medical services pursuant to ORS 656.225 [related to worsening of preexisting conditions] or on the basis of a consequential condition claim.”
SAIF Corp. v. Sprague, 217 P.3d 644 (Or. 2009). · cites it 8× “245(l)(a) incorporates the limitations on compensability of preexisting conditions — that is, conditions that preexisted the workplace injury 1 — that are provided in ORS 656.225. Under ORS 656.225, medical services directed at treating only a preexisting condition generally are…”
SAIF Corp. v. Sprague, 190 P.3d 443 (Or. Ct. App. 2008). · cites it 12× “The statute provides, "For every compensable injury, the insurer or the self-insured employer shall cause to be provided medical services for conditions caused in material part by the injury for such period as the nature of the injury *444 or the process of the recovery…”
Luckhurst v. Bank of Am., 1 P.3d 1031 (Or. Ct. App. 2000). · cites it 7× “) ORS 656.225 provides, in part, that: “In accepted injury or occupational disease claims, disability solely caused by or medical services solely directed to a worker’s preexisting condition are not compensable unless: “(1) In occupational disease or injury claims other than…”
Mize v. Comcast Corp-AT & T Broadband, 145 P.3d 315 (Or. Ct. App. 2006). · cites it 2× “245(1)(a) provides: "For every compensable injury, the insurer or the self-insured employer shall cause to be provided medical services for conditions caused in material part by the injury for such period as the nature of the injury or the process of the recovery requires,…”
SAIF Corp. v. Martinez, 182 P.3d 873 (Or. Ct. App. 2008). · cites it 2× “245(l)(a) provides, in part: “For every compensable injury, the insurer or the self-insured employer shall cause to be provided medical services for conditions caused in material part by the injury for such period as the nature of the injury or the process of the recovery…”
SAIF Corp. v. Walker, 996 P.2d 979 (Or. 2000). · cites it 2× “4 Both parties also point to ORS 656.225, which pertains to the compensability of certain preexisting conditions, as contextual support for their respective readings of ORS 656.”
Schleiss v. SAIF Corp., 317 P.3d 244 (Or. 2013). “” ORS 656.225. 3 “Medically stationary means that “no further material improvement would reasonably be expected from medical treatment, or the passage of time.”
SAIF Corp. v. Swartz, 270 P.3d 335 (Or. Ct. App. 2011). · cites it 2× “That statute provides: “For every compensable injury, the insurer or the self-insured employer shall cause to be provided medical services for conditions caused in material part by the injury for such period as the nature of the injury or the process of the recovery requires,…”
SAIF Corp. v. Carlos-Macias, 325 P.3d 827 (Or. Ct. App. 2014). “245, which provides, in part: “(l)(a) For every compensable injury, the insurer or the self-insured employer shall cause to be provided medical services for conditions caused in material part by the injury for such period as the nature of the injury or the process of the…”
Sprague v. United States Bakery, Saif Corp., 116 P.3d 251 (Or. Ct. App. 2005). “245(l)(a) provides: “For every compensable injury, the insurer or self insured employer shall cause to be provided medical services for conditions caused in material part by the injury for such period as the nature of the injury or the process of recovery requires, subject to…”
Carrillo v. SAIF, 484 P.3d 398 (Or. Ct. App. 2021). “Other cases cited by the parties have not involved the issue presented here—whether a combined condition can derive from a preexisting condition and its symptoms.”
— Or. Rev. Stat. § 656.225(1) — 4 cases
Arms v. SAIF Corp., 343 P.3d 659 (Or. Ct. App. 2015). “Claimant requested a hearing, asserting that “SAIF should be liable for the medical services pursuant to ORS 656.225 [related to worsening of preexisting conditions] or on the basis of a consequential condition claim.”
Luckhurst v. Bank of Am., 1 P.3d 1031 (Or. Ct. App. 2000). “) ORS 656.225 provides, in part, that: “In accepted injury or occupational disease claims, disability solely caused by or medical services solely directed to a worker’s preexisting condition are not compensable unless: “(1) In occupational disease or injury claims other than…”
Carrillo v. SAIF, 484 P.3d 398 (Or. Ct. App. 2021). “Other cases cited by the parties have not involved the issue presented here—whether a combined condition can derive from a preexisting condition and its symptoms.”
Arms v. SAIF Corp. (In re Arms), 424 P.3d 797 (Or. Ct. App. 2018).
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