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Money for Measure 110 addiction services finally arrives; Oregon auditors spot problems

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Money for Measure 110 addiction services finally arrives; Oregon auditors spot problems


After almost six months of delays, funds are nearer to reaching dependancy providers suppliers in Oregon. The council overseeing Measure 110′s rollout completed approving grant purposes on Thursday and grantees ought to have their cash by the top of the summer season.

The milestone comes sooner or later after the Oregon Secretary of State’s Workplace, which is conducting an audit, despatched a letter to Oregon Well being Authority calling out “areas of danger” in the best way this system has been administered thus far.

OHA Director Patrick Allen famous his company’s “missteps” on Measure 110 in shows to legislative committees on Wednesday and Thursday.

“There’s been some challenges, and never least of which we’ve definitely made some errors as we’ve achieved this work,” he advised the Senate Judiciary and Poll Measure 110 Committee on Wednesday. He stated the company “vastly underestimated the complexity” of reinventing the behavioral well being system and that the pandemic has positioned further stresses on the company’s workforce, which led to competing priorities.

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Oregon State Capitol constructing, Might 18, 2021. The Oregon Secretary of State’s Workplace is conducting an audit of Measure 110 implementation.

Kristyna Wentz-Graff / OPB

When voters handed Oregon’s landmark drug decriminalization regulation in November 2020, they diverted about $300 million in marijuana tax {dollars} to pay for drug and alcohol therapy and restoration providers each two years. The majority of this biennium’s Measure 110 funding, about $276 million, was initially stalled because the inexperienced neighborhood council tasked with distributing the funds struggled to design and execute an advanced grant program with little help from the state. Then, after greater than 130 Oregon Well being Authority workers stepped in to take over software opinions, bureaucratic processes additional delayed the discharge of funds.

Thursday morning, nevertheless, the Measure 110 Oversight and Accountability Council voted on the final of 236 purposes representing 326 entities throughout the state throughout a subcommittee assembly. Now, Oregon Well being Authority is negotiating contracts with grant winners, a course of that the state estimates will take till late July or early August to finish. After the company writes up the contracts, the council votes on whether or not or to not approve them.

“We really feel large,” Council Tri-Chair Ron Williams advised The Lund Report. “We’re hopeful and optimistic that the county overview course of will proceed on schedule. We plan to have half the counties achieved throughout the subsequent couple weeks.”

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As of this writing, two contracts totaling about $2.8 million, for Harney and Jefferson counties, had been accomplished and funded. These contracts, obtained by The Lund Report, provide few particulars about what the cash can be spent on and the way. Reporting necessities included within the contracts require monitoring of whether or not individuals battling substance use dysfunction are in a position to entry providers extra shortly after the networks obtain funding. But it surely’s unclear how the efficacy of particular packages that obtain funding, akin to rewards-based packages, can be tracked.

Beneath the measure, suppliers making use of for funds in numerous areas of the state, in lots of circumstances by county, should collectively type “Behavioral Well being Useful resource Networks.” Every community should present a spread of providers that features wants screening, intervention planning, low-barrier substance use therapy, peer assist, housing providers, hurt discount and supported employment.

And, suppliers should present providers in a manner that aligns with the spirit of Measure 110. For instance, providers should be culturally competent, inclusive and low barrier. Because of this packages can’t eject a affected person for a single relapse, and that hurt discount providers — akin to overdose reversing medicine, fentanyl testing strips and clear syringes — must be obtainable for people who find themselves not able to abstain from substance use. In some areas, a single supplier serves as your entire community.

Grant candidates sought greater than $400 million, which is a minimum of $65 million greater than is accessible for distribution. So not all had been absolutely funded, or weren’t funded in any respect. Suppliers working collectively in Harney County requested $4.6 million, however had been solely allotted $857,711. Every county’s allocation is predicated on components such because the variety of individuals on Medicaid, variety of individuals experiencing homelessness, variety of drug overdose deaths and the variety of arrests.

Oregon Well being Authority was not in a position to say by press time when tribes will get their set-aside of the funding, which quantities to $11.2 million.

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Whereas suppliers, politicians and observers have balked on the size of time it’s taken to get funds out the door, state officers and the oversight council have contended the duty at hand has been an arduous one. The variety of purposes was “unprecedented,” in keeping with Oregon Well being Authority, and by no means earlier than has a neighborhood council made up of these harmed most by the conflict on medicine — together with individuals who’ve been incarcerated and who’re in restoration — been tasked with designing and implementing a grant program that doles out a whole lot of tens of millions of {dollars}.

In a letter despatched to Allen on Wednesday, state auditors issued a listing of suggestions for this system.

Points pinpointed by auditors by conversations with the council mirrored issues The Lund Report recognized in its protection of Measure 110 beginning in February. Their findings and proposals embody:

  • The Oversight and Accountability Council didn’t obtain details about particular person grantee efficiency and didn’t obtain public feedback from conferences, regardless of asking the well being authority for this stuff.
  • Measure 110 doesn’t present readability across the roles and of the well being authority and the council, subsequently the Legislature ought to present that readability.
  • The Oregon Well being Authority “has not at all times supplied satisfactory assist” to the council and has skilled staffing points. That has contributed to delays in funding. Subsequently auditors advocate that adequate and devoted workers assist the council and that the authority present well timed and clear responses to the council’s questions.
  • The council “developed an inefficient grant analysis course of, due partly to an absence of assist and steerage.” Once more, extra assist from the well being authority is really helpful.
  • “Inadequate grant administration and monitoring pose a danger that suppliers won’t use funding in alignment with the fairness and therapy assist objectives” of Measure 110. Auditors advocate the well being authority “develop sturdy grant administration and monitoring processes, together with guaranteeing adequate information is collected to allow these processes,” and that it give the oversight council adequate assist “whereas growing and voting on guidelines for information assortment and reporting.”
  • Ongoing ethics and battle of curiosity coaching was additionally really helpful for the council.

In its protection of Measure 110, The Lund Report has usually not obtained clear, well timed solutions from Oregon Well being Authority to questions on numbers, staffing and different facets of Measure 110 implementation.

Williams, who serves as council tri-chair and is a distinguished neighborhood organizer in Portland, stated the council has discovered useful classes, akin to to ask for knowledgeable recommendation early on within the course of and that the well being authority must play a extra strategic position. He expects the following spherical of Measure 110 grant funding to go extra easily, he stated.

To what extent entry to therapy and restoration providers will broaden because of the funding will turn into extra clear as contracts are negotiated and cash is spent. Within the meantime, Williams stated he’s particularly excited to see the investments being made in housing as a result of discovering secure and inexpensive locations to reside for people who find themselves recovering from dependancy is “an incredible want.”

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“I’m additionally enthusiastic about — there are some proposals that we’ve authorized to extend detox and sobering, and there are some proposals that truly make it doable for people who’re categorically ineligible for Medicaid or uninsured to be to get inpatient therapy.” Williams stated. “So simply the entire array of providers I’m enthusiastic about.”

The council will start to simply accept purposes for the following spherical within the fall of 2023.

You may learn the state auditor’s letter right here.

The Lund Report is monitoring the implementation of Measure 110 as a part of a reporting fellowship sponsored by the Affiliation of Well being Care Journalists and The Commonwealth Fund. Emily Inexperienced will be reached at emily@thelundreport.org.



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Oregon Department of Forestry leader resigns as controversy roils agency

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Oregon Department of Forestry leader resigns as controversy roils agency


Cal Mukumoto answers to the Oregon Board of Forestry, a citizen board appointed by the governor that helps oversee and implement forest policy. His resignation was announced Thursday during a board meeting by Chair Jim Kelly.Sean Meagher/The Oregonian

Oregon State Forester Cal Mukumoto has resigned.

Mukumoto’s resignation was announced Thursday by Board of Forestry Chair Jim Kelly during a meeting of the board. Mukumoto answers to the board, a citizen panel appointed by the governor that helps oversee and implement forest policy.

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Oregon moms in the Legislature are driven by a passion for kids • Oregon Capital Chronicle

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Oregon moms in the Legislature are driven by a passion for kids • Oregon Capital Chronicle


Children are a top priority for the moms in the Legislature and a big reason why many of them are there.

Take Emerson Levy, a renewable energy attorney in Bend. When she ran for the Legislature for the first time in 2020, she was motivated by her 4-year-old daughter, June. A self-described policy nerd, she wanted to support good policies in Salem, particularly those to protect children. 

“I felt this huge obligation to my young daughter,” Levy told the Capital Chronicle.

Levy lost in 2020, but she won in 2022 and now she’s headed back to Salem after winning a second term representing the Bend-based 53th District. She is among several mothers in the Legislature, both Democrat and Republican, who juggle the demands of raising children while representing their communities in Salem. Some even have other jobs as well.

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Serving in the Legislature is supposed to be a part time job, with 35-day sessions in even-numbered years and 160-day sessions the others, but the work spills into the rest of the year. 

“The Legislature may be part time, but our constituents are not part time,” said state Sen. Sara Gelser Blouin, a mother of four who represents Corvallis in Salem. “Nobody has part-time constituents.” 

Being a legislator in Oregon has become a full-time job, with jam-packed “legislative days” in Salem outside sessions to discuss policies and hear from state officials, experts and Oregonians. Lawmakers also serve on task forces and spend time leading up to sessions working on policies. And they need to be available to constituents, to listen and respond to their needs.

Being a mom is also a full-time role. Balancing both is challenging and time-consuming and the legislative job is not well paid.

But Oregon’s legislator moms are passionate about their roles and fighting for issues that impact Oregon kids the most.

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Democratic Rep. Emerson Levy of Bend says her daughter June has been a big influence on her career. (Courtesy of Emerson Levy)

School safety

Levy said her daughter drives her policy work and one of her top priorities is school safety. 

Her first year in the Oregon House, she championed funding for silent panic alarms that directly call 911 if there is a school shooting. That provision was passed last year as part of House Bill 5014 on school funding. It included $2.5 million for these alarms, which helped avert even more bloodshed at a September shooting at Apalachee High School in Winder, Ga. The provision is a “funded non-mandate,” which means school districts decide whether to install them. 

“Then we can learn from them before we bring it fully statewide,” Levy said. 

Levy, who’s a Democrat, has also backed bills to improve health insurance, which can be costly for families and others. Levy and Gelser Blouin, also a Democrat, along with Republican Rep. Cyrus Javadi of Tillamook, sponsored the Co-pay Fairness Bill this year to ensure that insurance companies consider financial assistance from pharmaceutical manufacturers towards patient deductibles. The bill, House Bill 4113, unanimously passed the Oregon House and Senate last March. 

In states that haven’t passed such legislation, so-called “copay accumulators” do not count towards deductibles, leaving some patients with extremely high medical bills.

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“Co-pay accumulators are one of the cruelest programs I’ve ever encountered,” Levy said. 

They especially impact people with rare diseases like hemophilia or lupus, who often don’t have a generic drug option. The bill, which was signed by Gov. Tina Kotek, banned the programs on Jan. 1. 

Navigating health care bureaucracy is something Levy has personal experience with because her adult brother has Down Syndrome. 

“Being June’s mom and being the sister of a disabled brother informs everything I do,” Levy said. 

A focus on education

Education is also a big focus for moms in the Legislature.

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“Kids are the future,” said Rep. Emily McIntire, an Eagle Point Republican who represents the 56th House District in Jackson County. “And setting up a firm foundation for our children is going to help us exponentially in the long run.”

She is serving on the House education and higher education committees and is a member of the Joint Ways and Means Subcommittee on Education, putting her in a good position to support school spending. An example: She backed a $10.4 billion increase in 2023 to the State School Fund, which funds the state’s secondary schools.

McIntire, whose children are now 16 and 22, is also in legislative leadership, serving as the House Republican assistant leader. McIntire said she was on the Eagle Point school board when local Republicans asked members if they would run to represent the district in the Legislature. She said she felt a calling, ran and won and is now serving her second term on the board while being elected to a second legislative term. 

“Everything I look at is through a lens of what’s best for kids,” she said.

Republican state Rep. Emily McIntire of Eagle Point (center) with her now 22-year-old daughter (left) and 16-year-old son in southern Oregon in 2023. (Courtesy of Rep. Emily McIntire)
Republican state Rep. Emily McIntire of Eagle Point (center) with her now 22-year-old daughter (left) and 16-year-old son in southern Oregon in 2023. (Courtesy of Rep. Emily McIntire)

Gelser Blouin is also passionate about education. Her oldest son, who has a rare developmental disability called Koolen-de Vries syndrome, is a big influence on her work. She has worked on bills on special education and focused on behavioral health, especially for children with disabilities. 

Her Senate Bill 1557, which passed in last year’s session, makes it easier for children with severe emotional or behavioral disturbances to access Medicaid funds to provide extra support at school and at home. 

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“These kids have really complex needs. They’re struggling to stay at home with their families. They might be struggling to stay in school. Maybe they have a mental illness or have had contact with the juvenile justice system. Right now, many of these families know that they need help before that big crisis happens,” Gelser Blouin said.  

Her bill passed both chambers in 2024 with no opposition, and she plans to introduce a related bill in this year’s session. 

She said she believes that understanding the issues from the perspective of being a mom is vital.  

Representative Annessa Hartman, D-Gladstone, who has two daughters who are almost 11 and 13, agrees.

“I’m constantly thinking about how [each decision] will impact them in their future,” Hartman said.

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Hartman works for the Native American Youth and Family Center, a Portland-based nonprofit that supports the Indigenous community, and belongs to the Snipe Clan of the Cayuga Nation, which is part of the Haudenosaunee Confederacy based in New York. Her background has a major influence on her work. In crafting policies, she considers the “Seventh Generation Principle” of considering the impact of a decision on future generations.

“That’s embedded in my personal beliefs and teachings,” she said.

Her focus in the Legislature has been on championing issues around domestic violence and sexual assault, two issues that have had a severe effect on indigenous women in particular. 

At home, Hartman often asks her girls what they think about what they’re seeing in school — whether it’s poor handwriting or behavioral issues. She said their insight helps shape better policy.

“When I’m sharing that perspective, whether it’s my own caucus or committee, I say, ‘This is what my kids are seeing.’ It’s a powerful tool,” she said.  

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McIntire also consults with her children on policy matters. 

“When I’m home on the weekend and I have a house full of teenage boys, I’ll ask, ‘What do you guys think of this or of that?’” she said. 

Juggling act

Commuting to Salem adds hours to the workday of mom legislators — and other lawmakers. Gelser Blouin has a 45-minute drive from Corvallis to Salem, and she did that every day when her children were young. 

As for Levy, she spends 2.5 hours driving from Bend to Salem, while McIntire drives 3.5 hours one way from Eagle Point. Like most lawmakers, they rent apartments in Salem during the session.  

Levy said she wouldn’t be a representative if it weren’t for her husband, Sean Levy, who is the general council for St. Charles Health System and manages all the school pick-ups and drop-offs. 

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“And dinner!” Levy said.  

A former stay-at-home-mom, McIntire also relies on her husband for support. When she first joined the House in 2022, she struggled to stay in contact with her kids, who were then 12 and 19. 

“The hours of session are so overwhelming,” she said. “I don’t know that I would have been able to do this if my kids were younger.” 

Gelser Blouin, who had three under the age of five when she entered the Oregon Senate in 2005, said she paid friends and relied on family for child care. This was especially necessary as her kids entered middle and high school, when they needed to be driven to after-school activities, she said. Gelser Blouin said she focused on quality time with her kids when she was home in the evenings and weekends.  

Gelser Blouin also brought her kids to the Capitol. Her son, Sam, has always loved movies and movie production, so she brought him to legislative days when lawmakers discussed a film and video tax credit. Levy and Hartman helped organize a “Kids Caucus” during spring break last year, an idea that came from Hartman’s daughter, Marley, then 12. The event, organized in part by Hartman and Levy, was for all the children of lawmakers so they could meet one another and be on the floor while their parents were working.  

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Nicole Gelser (left) poses with her mother, state Sen. Sara Gelser Blouin in Washington D.C., where Nicole works for Oregon's U.S. Rep. Val Hoyle. (Courtesy of Sen. Sara Gelser Blouin)
Nicole Gelser (left) poses with her mother, state Sen. Sara Gelser Blouin in Washington D.C., where Nicole works for Oregon’s U.S. Rep. Val Hoyle. (Courtesy of Sen. Sara Gelser Blouin)

Instilling a love for public service

Some children of lawmakers follow a similar path, and many are civically engaged. 

Gelser Blouin said all four of her kids are voters and are involved in community activities. Her 24-year-old daughter Nicole is even pursuing a career in politics: She currently works as U.S. Representative Val Hoyle’s legislative aide in Washington D.C. 

“That’s the job she’s wanted since middle school!” Gelser-Blouin proudly said.  

Though Levy’s daughter, June, is still young at age 9 now, she seems poised to be a politician — or maybe a political strategist. June wisely noted during her mother’s reelection campaign that “it’s gonna be harder this time.” That turned out to be true, with Levy facing a more aggressive campaign with her opponent running negative ads. 

June is also Levy’s toughest critic. 

“Anytime she sees trash on the street or people that need housing, it’s absolutely my fault,” Levy said. “I should be working harder.”  

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Sen. Sara Gelser Blouin (left) talks policy with then-Rep. Karin Power at the Capitol while Power's baby plays. Power announced in early 2022 she would not seek a new term because of the low legislative pay. (Courtesy of Sen. Sara Gelser Blouin)
Sen. Sara Gelser Blouin (left) talks policy with then-Rep. Karin Power at the Capitol while Power’s baby plays on Feb. 17, 2017. Power announced in early 2022 she would not seek a new term because of the low legislative pay. (Courtesy of Sen. Sara Gelser Blouin)

Low pay

Moms in the Legislature and others say that one of the downfalls of being a legislator in Oregon is the low pay: $43,434 in 2025. That’s not enough to support a family.

“There’s no way you could raise four kids on one legislator’s salary,” Gelser Blouin said. 

Two years ago, three female legislators — two of them moms — quit because of the pay. At the time, their salaries were $33,000 a year. 

Lawmakers set their salaries and are reluctant to boost them too much out of concerns that voters might consider that self-serving. So legislators referred a measure to November’s ballot to create an independent committee to set the salaries of legislators and other statewide officials but voters opposed that.

McIntire believes the low salary limits the type of person who can serve. 

“If you want it to be a citizens’ Legislature, then you should be able to have all citizens able to do it,” McIntire said. 

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Others, including Sen. Gelser Blouin, agreed. 

“Most of us that are in elected positions in state government make less than the staff that reports to us,” Gelser Blouin said. 

But the moms have made their jobs work, thanks to help from their husbands and others. And they said the difficulty in trying to make the world better for their children is worth it.

YOU MAKE OUR WORK POSSIBLE.

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Oregon climate assessment highlights need for wildfire preparedness

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Oregon climate assessment highlights need for wildfire preparedness


PORTLAND Ore. (KPTV) – An Oregon Climate Assessment released Wednesday, highlights the need for more wildfire preparedness, how the state’s weather is impacted by rising temperatures, and advises policymakers on steps to take.

The assessment, released by the Oregon Climate Change Research Institute at Oregon State University could serve as a major blueprint for preventing or mitigating wildfire damage in the Pacific Northwest, like those currently burning in Los Angeles.

“The hazards are real, regardless of what people think of some of the reasons why our climate is changing,” said Erica Fleishman, OCCRI Director. “We’re seeing differences in weather and climate, and it’s important to be thinking of ways to protect themselves, and the people, places, and values they have.

The Seventh iteration of the report, which is 300 pages long and meant to inform policymakers and the public alike, indicates the state has increased its average temperature by 2.2 degrees Fahrenheit in the past century and will exceed five degrees by 2074.

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In addition, the region has received below-average precipitation for 18 of the past 24 water years. These two facts combined show a reason for caution in future years and the need for preventative action to be taken based on the difficulty of fighting wildfires in both Oregon and California.

SEE ALSO:

The Oregon State Fire Marshal is sending 12 strike teams to southern California to help battle wind-driven wildfires burning in the Los Angeles area.

“One can’t prevent those fires but can impact lives and structures from being lost,” Fleishman said. “A lot of things can be done to harden structures, homes, businesses. We’ve seen some difficulty and confusion with single evacuation zones and mobility challenges of loved ones and neighbors.”

In many areas across the Portland Metro area, homes are densely constructed close to vegetation, and these recent wildfires have many paying attention to what they can do big or small to keep their communities safe.

“I know there are stark climate differences between Southern California and Northern Oregon but it’s definitely a concern because of how much worse it’s been getting throughout the years,” one resident said. “Really just being mindful in any wooded area such as this.”

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“Knowledge of the biological, physical, and social impacts of climate change better informs society’s decisions about how to respond,” Fleishman added.

The state has made the 300-page assessment viewable to the public.



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