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Health Services

Budget ($ millions)

Program changes in the 2003 legislatively adopted budget

Office of Mental Health and Addiction Services program changes and additions

• The 2003-05 budget includes caseload growth funds to support persons who are civilly or criminally committed by the courts and need either inpatient or enhanced community services.

• Performance-based contracting process for alcohol and drug treatment services will be piloted for at least five counties.

• Community mental health and residential alcohol and drug treatment services will be restored at the beginning of the biennium and continued contingent on the outcome of a possible tax surcharge referendum.

• Oregon Children's Plan will redevelop early intervention services for children 0-8 who are at risk for alcohol/drug and mental health problems.

• A Governor's Interim Mental Health Task Force will study mental health system problems and make recommendations for improvements in the 2005-07 biennium.

Office of Medical Assistance Programs changes and additions in the 2003 legislatively adopted budget

• Numerous actions will be taken to control expenditures while extending medical assistance to as many Oregonians as possible, including:
  • Move the line on the Prioritized List from 549 to 519.
  • Revise the OHP Standard package to consist of "core services" plus others which can be added by the Legislature, at a cost of $101.3 million General Fund.
  • Expand CHIP coverage to 200 percent FPL, adding $2.0 million General Fund.
  • Establish MEDS (Medical Expansion for persons with Disabilities and Seniors), a prescription drug program for seniors and persons with disabilities, adding $18 million General Fund.
  • Implement a limited hospital benefit for the OHP Standard benefit package.
  • Implement a provider tax on Medicaid managed care plans and hospitals to assist in the funding of services and reimbursement.

• Redesigned Health Plan, pending federal waiver request approval, is expected to provide:
• Physician services
• Lab and X-ray
• Prescription drugs
• Outpatient mental health
• Outpatient chemical dependency
• Limited medical supplies
• Emergency dental
• Ambulance services

• Pharmacy Program changes
  • The MEDS (Medical Expansion for persons with Disabilities and Seniors) Prescription Drug program is expected to be established with $18 million General Fund (with matching dollars).Seniors and persons with disabilities, probably up to 133 percent FPL, may apply. There will be an approximate 30-50 percent coinsurance and a cap on eligibles to keep within the budget.
  • Require prior authorization of fee-for-service (FFS) drugs for clients exceeding 15 drugs in a six-month period.
  • Move mail order market share to 15-18 percent of fee-for-service (FFS) prescription drugs.

Office of Public Health Systems program changes and additions in the 2003 legislatively adopted budget

• $200,000 in new General Fund support to develop of guidelines for care of pediatric patients for Emergency Medical Services for Children.

• $350,000 in new Other Funds to support and develop rural Emergency Medical Services programs.

• $250,000 in new Federal Funds for the support of rural communities access to emergency devices.

• $780,000 in reductions to General Funds statewide services that supported Environmental Services and Consultation.

Office of Disease Prevention and Epidemiology program changes and additions in the 2003 legislatively adopted budget

• Develop a juvenile diabetes database that will serve as a repository for data collected through school surveys and from reporting physicians, and make it available for scientific research.New funding of $100,000 will support development of the database.

• Oregon's Tobacco Prevention and Education Program was reduced significantly, from approximately $16 million to $5.7 million.

2003-2005 legislatively adopted budget

Client benefits/purchased services

Services provided by DHS

Central Administration

2003-2005 major revenue sources

FEDERAL FUNDS Title XIX – Medicaid Title XX – Woman, Infants, Children Grant (WIC) Alcohol/Drug and Mental Health Block Grant EPA State Revolving Fund Maternal and Child Health Block Grant OTHER FUNDS Tobacco Tax and Tobacco Settlement Local Partner Leverage Drug Rebate Infant Formula Rebate Department of Education