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Drug Addiction Treatment and Recovery Act (Measure 110)

View the Measure 110 Behavioral Health Resource Network (BHRN) Dashboard for approval progress, service entity coverage and funding progress by county.

Background

In November 2020, Oregon voters passed by referendum Measure 110, or the Drug Addiction Treatment and Recovery Act. When they passed the ballot measure, the people of Oregon recognized:

  • Drug addiction and overdoses are a serious problem in Oregon. 
  • Oregon needs to expand access to drug treatment. 
  • A health-based approach to addiction and overdose is more effective, humane and cost-effective than criminal punishments. 
  • Making people criminals because they suffer from addiction is expensive, ruins lives and can make access to treatment and recovery more difficult.

It is the policy of the State of Oregon that screening, health assessment, treatment and recovery services for drug addiction are available to all those who need and want access to those services.

Read OHA's response to the Secretary of State audit of Measure 110 implementation

​The purpose of Measure 110 is to make screening health assessment, treatment and recovery services for drug addiction available to all those who need and want access to those services; and to adopt a health approach to drug addiction by removing criminal penalties for low-level drug possession.

Multiple criminal sentencing laws regulating the possession of controlled substances changed from felonies to Class E violations on February 1, 2021.

The initial measure required OHA to establish:

  • A Treatment and Recovery Services fund, financed with marijuana revenues. This would fund the new Addiction Recovery Centers and Community Access to Care grants.
  • Fifteen 24/7/365 Addiction Recovery Centers throughout the state by Oct. 1, 2021.
  • A grant program to support the Addiction Recovery Centers.
  • A second grant program to increase access to community-based services.
  • An Oversight and Accountability Council to oversee the distribution of the grants. OHA would provide technical, logistical and other necessary supports to the council. 
  • A 24/7 Telephone Addiction Recovery Center by Feb. 1, 2021. 

​Senate Bill 755 (2021) modified some of the requirements of Measure 110. The bill also provided details required for Measure 110 implementation. Some of the changes include:

  • Renaming Addiction Recovery Centers to Behavioral Health Resource Networks.
  • Establishing the authority of the Oversight and Accountability Council to distribute grants to providers. When distributing grants, the council must also ​​​​ensure access to culturally specific and linguistically responsive care for historically underserved populations.
  • Adding details surrounding the newly created Class E violation.
  • Establishing Secretary of State auditing requirements.
  • Clarifying possession of substances.
  • Differentiating Class E violations, Class A misdemeanors and felony charges depending on the quantity of substances in possession.

Read Sen​​ate Bill ​​755 for full details.

Behavioral Health Resource Networks (BHRNs) are established in Senate Bill 755. A BHRN is an entity or group of entities working together to provide substance use services in Oregon. They serve people with substance use disorders ​​or harmful substance use. 

At least one BHRN must be established in every county and Tribal area. 

Services provided by the BHRNs must be free of charge to the client. BHRNs must bill insurance for services where possible before using grant funds. 

Each BHRN must provide trauma-informed, culturally specific and linguistically responsive services. Services include but are not limited to:

  • Screening for health and social service needs.
  • Screening and referral for substance use disorder.
  • Access to an individualized intervention plan.
  • Case management.
  • Low-barrier substance use disorder treatment.
  • Harm reduction services.
  • Peer-supported services.
  • Housing.
  • Mobile and virtual outreach.
  • Referral to appropriate outside services.

2019-2021​​

$22.3 million dollars in Access to Care grants were awarded to 70 organizations across Oregon in 2021. Awardees can use these funds to increase community access to service for people with substance use disorders or harmful substance use. Services can include low-barrier treatment, housing, peer support and harm reduction services.

2021-2023​​

The Req​u​est for Grant Proposals to establish the Behavioral Health Resource Networks (BHRNs) for each county requires interagency collab​​oration and the establishment of Memoranda of Understanding (MOUs) with other entities. This ensures that each BHRN can provide a complete list of services as required by Senate Bill 755 and Chapter 944.   

  • This grant opportunity opened Nov. 9, 2021 and initially closed Dec. 9, 2021. It was extended to Dec. 16, 2021, to give organizations more time to apply.
  • Because of the large number of applications received, the funding timeline was extended. This allowed more time for review and evaluation.

​​Behavioral Health Resource Networks are meant to offer services 24/7/365. Trained credentialed workers will be required for screenings, assessments and other services outlined in Measure 110 and Senate Bill 755. 

The COVID-19 pandemic has negatively impacted Oregon's health care workforce. OHA has taken many steps to offset the challenges. These steps include offering grants for behavioral health workforce recruitment and retention. 

Read more about how Oregon is supporting its behavioral health workforce.​

​

2/1/2023: Combined Measure 110 providers served more than 60,000 people during early implementation, preliminary reporting shows​

9/20/2022: OHA report highlights progress on behavioral health investments in Oregon​​

9/2/2022: Measure 110 Oversight and Accountability Council approves final Oregon county for drug treatment and recovery services funding​​

8/25/2022: Measure 110 Oversight and Accountability Council approves Lincoln County funding for drug treatment and recovery services​

8/18/2022: Measure 110 Oversight and Accountability Council approves Multnomah County funding for drug treatment and recovery services​

7/28/2022: Measure 110 Oversight and Accountability Council has now approved BHRNs in 31 counties for drug treatment and recovery services​

7/21/2022: Measure 110 Oversight and Accountability Council has now approved BHRNs in 29 counties for drug treatment and recovery services​ ​

7/15/2022: ​Measure 110 Oversight and Accountability Council has now approved BHRNs in 27 county regions for drug treatment and recovery services​​

7/7/2022: Measure 110 Oversight and Accountability Council has approved BHRNs in 23 county regions for drug treatment and recovery services​​

6/23/2022: Measure 110 Oversight and Accountability Council has approved BHRNs in more than half of all county regions for drug treatment and recovery services​​​

6​/17/2022: Measure 110 Oversight and Accountability Council has approved BHRNs in half of all county regions for drug treatment and recovery services​

6/16/2022: Measure 110 Oversight and Accountability Council approves new grant agreements for drug treatment, recovery services​

6/9/2022: ​Measure 110 Oversight and Accountability Council approves new grant agreements for drug treatment, recovery services

6/3/2022: Measure 110 Oversight and Accountability Council approves new grant agreements for drug treatment, recovery services

5/27/2022: Measure 110 Oversight and Accountability Council approves BHRN grant agreement for drug treatment, recovery services in Jefferson County

5/20/2022: Measure 110 Oversight and Accountability Council approves first BHRN grant agreement for drug treatment, recovery services in Harney County

5/13/2022: Measure 110 Oversight and Accountability Council approves more BHRN applications for Oregon counties

5/5/2022: Measure 110 Oversight and Accountability Council approves more BHRN applications for Oregon counties

4/28/2022: Measure 110 Oversight and Accountability Council approves more BHRN applications for Oregon counties

4/22/2022: Measure 110 Oversight and Accountability Council approves more BHRN applications for Oregon counties

4/18/2022: M110 Oversight and Accountability Council adopts funding formula; approves BHRNs for Morrow and Baker Counties​

Preliminary Measure 110 Data: July – September 2022

Ov​​​erview

This report reflects the following data as reported by BHRN partners for 7/1/2022 through 9/30/2022:

  • Total number of clients served by BHRN partners in each service area
  • Total Measure 110 expenses incurred

This data is preliminary. The data will change as BHRN partners submit new reports or correct previous reports.

OHA exported the data on January 30, 2023.

Client Data Colle​​ction Process:

Each BHRN provider must use an online form to submit data for each quarter they receive Measure 110 funding. They report the number of unique clients served across the seven designated Measure 110 service areas. Counties with no reports for a designated service area will show no data.

For each designated service area, the “Client Counts" field collects the total number of unique clients served by a BHRN partner. It does not reflect the number of times a client received services across service areas or BHRN partners.

When more than one BHRN partner receives funds to provide a designated service in a county:

  • OHA combines their reported client counts for the service total.
  • As a result, the county's service totals may count a client more than once. This may happen if the client received the same service from more than one BHRN partner in the county.

When clients receive more than one service from a BHRN partner (e.g., an assessment and then treatment), they will appear in both designated service counts. ​



Provider Resources

Measure 110 Resources and BHRN contact information 

Oregon Administrative Rules (Chapter 944): These rules govern the implementation of Measure 110 and Senate Bill 755.

Oversight and Accountability Council

This statewide, 22-member council:
  • Represents diverse communities and backgrounds.  
  • Oversees BHRN implementation and funding. 
  • Meets every Wednesday from 1:30 to 3:30 p.m. 

Meeting dates, recordings and material

Council rules and rulemaking notices

About Measure 110

Informational webinar

Hotline flyer

Fact sheets for individuals:

Fact sheets for providers:

Questions?

OHA welcomes your questions and comments about Measure 110 implementation.

Email us