Alternative to discipline (ATD) programs are evidence-based treatments that help healthcare providers rehabilitate back into their career and protect their license when battling a substance use disorder (SUD). Specifically those practicing anesthesia, such as certified registered nurse anesthetists (CRNA), have one of the highest rates of SUDs due to the high stress environment and ability to access medications. Oregon no longer has an ATD program. This leaves all registered nurses (RNs), including advanced practice nurses (APRNS) and CRNA’s, unable to seek a third party program for assistance and rehabilitation with a SUD. The board of nursing (BON) now has control to revoke licenses and deliver repercussions as they see fit, without an alternative option for nurses struggling with SUD. Oregon must reinstate a third party ATD program to protect nurses and offer a non-punitive option to rehabilitate without fear of losing licensure.