Our stand on OHA certification.

Our decision

We are not pursuing OHA certification.

This was not a quick or careless decision. We have repeatedly and thoughtfully decided not to pursue OHA certification because the requirements do not align with how we protect our clients, our clinicians, or the communities we serve.

What guides us

We’re building something grounded in trust, safety, and community care — on our own terms.

Rebel Heart Therapy is a queer-owned and operated small business, created by and for LGBTQIA+, polyamorous, and kink communities. In a political climate where trans, queer, and other marginalized people face escalating threats — often from the very systems meant to protect us — we believe it is more important than ever to limit the reach of external institutions into our work and our clients’ lives.

Not unconditional trust

Oregon has made progress. That does not mean every state system gets automatic access.

While Oregon has made meaningful progress in affirming queer and trans rights, our trust in state systems is not unconditional. This approach does not work for our practice. We are building something grounded in trust, safety, and community care — on our own terms.

We are heartbroken by the loss of access for CareOregon clients.

We are heartbroken by recent policy changes that prevent our CareOregon clients from accessing covered mental health care at Rebel Heart Therapy. These decisions have disrupted meaningful relationships. We did not want this — but we will not compromise the integrity or independence of our practice to maintain it.

To be clear

• This was not a decision made lightly.
• This is not about devaluing clients with state insurance.
• This is about protecting the structure, autonomy, and integrity of our practice.

Both things can be true

We can decline certification and still value providers who choose it.

We remain grateful for OHA-certified partners in our community. Their presence allows us to confidently refer clients with state insurance to strong, affirming providers.