This article is a teaching exercise, designed to focus students’ attention on the challenges of regulatory enforcement. It grows out of the author’s Robert Wood Johnson Foundation Public Health Law Fellowship during which she worked with the Oregon Health Authority. The case example is drawn from Oregon’s regulation of in-home care agencies (IHCA). Students are asked to formulate suggestions for enhancing compliance with IHCA regulations in the absence of additional funding. The author includes her own recommendations for positive and negative incentives for regulatory compliance, which she developed during her fellowship.


Teaching Exercise, In-home Care Agencies (IHCA), Oregon, Health Law, Regulatory Compliance, Limited Resources

Publication Date


Document Type


Place of Original Publication

The Journal of Law, Medicine & Ethics

Publication Information

43 (S2) The Journal of Law, Medicine & Ethics 33 (2015)


COinS Sharona Hoffman Faculty Bio