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In November 2020, Oregon voters passed by referendum Measure 110, or the Drug Addiction Treatment and Recovery Act. The measure’s goal is to establish a more health-based, equitable and effective approach to drug addiction in Oregon by shifting the response to drug possession from criminalization to treatment and recovery.
The 24/7/365 Addiction Recovery Centers (ARCs) required by Oct. 1, 2021 can be housed in or operated by existing qualified providers. There will be an RFP process for contracts.
A grants program will pay for the treatment and recovery services. Funding for the grants will come from marijuana revenue transfer and law enforcement savings from reduced arrest and adjudication of drug offenses. Those funds will be transferred into the Treatment and Recovery Services fund by the end of each fiscal year.
Funding: The funding source specified in the bill is marijuana tax taken from the Mental Health, Alcoholism and Drug Services account. These funds are currently used to pay for non-Medicaid behavioral health services through the County Financial Assistance Agreements. Shifting these funds requires backfilling with general fund dollars so existing services and service providers can remain effective.
Services: The measure does not include the full array of addiction treatment services and how they will be integrated into the current healthcare system. Currently, there is limited capacity to serve people at acute levels of care for addiction treatment.
Staffing: ARCs are meant to offer services 24/7/365. Trained credentialed workers will be required for assessments. We currently have a severe shortage in our behavioral health workforce. OHA proposed investments in the workforce for the 2021 budget, which are included in the Governor’s Recommended Budget. It will take time, however, to solve the workforce issue.
OHA wants to ensure Measure 110’s intervention supports and services are integrated into the broader behavioral health and healthcare systems, so participants have access to a continuum of care that meets their needs and improves healthcare and public safety outcomes.
There must be robust participation in program design and oversight by consumers and representatives from BIPOC and tribal communities.
The Governor’s office and legislature must ensure shifts in OHA marijuana funding do not result in disruptions to existing services.
OHA wants to ensure marijuana funds are used only to purchase services and supports that have no other funding means.
OHA welcomes your questions and comments about Measure 110 implementation.
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