Connecting the Dots: Why Oregon’s Economic Forecast Matters for the Nursing Workforce

Most people see a state revenue forecast and think about tax receipts. At the Oregon Center for Nursing (OCN), we look at these numbers as a weather report for the nursing workforce.

The Oregon Economic and Revenue Forecast released today by the Office of Economic Analysis (OEA) shows Oregonโ€™s “wallet” is tightening, with a projected structural deficit and a 5% reduction in state agency budgets.

For the nursing workforce, the data indicate that our challenge isn't an overall “shortage” of licensed nurses. Instead, our research shows a maldistribution; nurses are moving away from specific sectors like public health and long-term care, creating critical vacancies in some areas while others remain stable.

Here is how the new economic data might impact that balance:

1. Widening the Gap Between Sectors

The OEA report shows that the “Education and Health Services” sector remains economically strong overall. However, if the state implements 5% cuts to public-sector budgets, we create a fiscal divide.

What the data suggests: If state-funded sectors (like public health or mental health) face budget constraints while private-sector healthcare continues to grow, we will likely see more nurses migrate toward the private sector. The economic forecast isn't predicting a loss of nurses in Oregon; itโ€™s predicting a shift that could leave our most vulnerable public systems further behind.

2. The “Hidden Cost” of Training for High-Need Areas

The forecast mentions potential public funding pressure on community colleges and universities. Nursing programs are notoriously expensive to run because of the required faculty-to-student ratios.

What the data suggests: When budgets are tight, colleges face pressure to “right-size” high-cost programs. If we lose capacity in our nursing schools, we lose a potent tool for correcting maldistribution. We need a steady pipeline of new graduates, specifically trained in rural health, mental health, and long-term care, to fill the gaps where they are widest.

3. Infrastructure vs. Staffing Stability

Oregon is currently investing in 465 new treatment beds for behavioral health. This is a vital capital investment. However, the OEA forecast warns that the operational money, the funds used to pay the people working in those rooms, is under pressure.

What the data suggests: We are at risk of building the physical space but lacking the competitive budget to attract nurses to the behavioral health sector. Without sustainable funding for personnel, those “new beds” won't draw nurses back into the sector; they will simply remain empty rooms.

4. Competitive Wages in a “Flat” Budget Year

The state is looking at keeping some public-sector wages flat (0% cost-of-living increases) to manage the deficit. 

What the data suggests: To correct the maldistribution of nurses, we have to make every sector an attractive place to work. If public-sector or state-contracted roles can't keep pace with inflation, we won't be able to recruit nurses into the areas where they are needed most.

The Bottom Line

The March 2026 OEA Forecast confirms that Oregon is moving into a period of fiscal discipline. From our perspective at OCN, the goal isn't just “finding more nurses.” Itโ€™s ensuring that our stateโ€™s economic policy doesn't accidentally push nurses out of the sectors that need them most.

The data tells us that to have a balanced nursing workforce, we must have a balanced economic approach.

Picture of Jana Bitton, MPA

Jana Bitton, MPA

Jana has been a driving force at the Oregon Center for Nursing since 2009, where she has served in progressive leadership roles, including Program Manager, Program Director, Development Director, and now Executive Director. Under her stewardship, the organization has advanced its mission to address critical nursing workforce issues and promote innovation in healthcare. A proud Pacific Northwest native, Jana earned a Bachelorโ€™s degree in Journalism from California State University, Northridge, and a Master of Public Administration from Portland State University. Renowned for her expertise in nursing workforce strategy, healthcare workforce development, nonprofit leadership, and public administration, Jana is a respected thought leader and advocate for the future of healthcare delivery.
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