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Oregon’s new Medicaid rental assistance aims to prevent homelessness

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Oregon’s new Medicaid rental assistance aims to prevent homelessness


Beginning Nov. 1, Oregon’s Medicaid program takes on a new approach to improving overall health via housing benefits.

Qualifying Oregon Health Plan members will be eligible for six months of rent payments, including missed payments. Those receiving rental support also can apply for six months of storage and/or utilities assistance. And the Oregon Health Plan will provide tenant support like help understanding a lease or navigating transportation systems.

To qualify, an individual must be an OHP member who meets designated income requirements and does not have the resources to prevent homelessness, has a qualifying health condition and an existing lease.

In Salem, for example, an individual must make $19,200 or less to qualify, or 30% of the area’s average yearly income, which is defined by the U.S. Department of Housing and Urban Development as one of the markers someone is at risk of homelessness. For a family of four, the maximum income is $27,400.

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Members also can be covered for medically necessary home improvements, such as adding wheelchair ramps or pest removal, and the costs of associated lodging during work on the project. These benefits have different requirements than the rental and tenant assistance programs. More information on how to qualify can be found on the Oregon Health Authority website.

Other states have begun implementing similar programs but, “we’re the first in the country to test out the structure of this being a benefit, meaning that eligible members are entitled to receive these benefits,” according to Steph Jarem, OHA 1115 waiver policy director.

Dave Baden, OHP’s deputy director for policy and programs, emphasized the purpose of the program is to keep people at risk of homelessness in their current housing.

“It really is focusing on trying to keep those most at risk still housed, hopefully leading to them being able to have some short-term help that would lead them to some better long-term outcomes,” Baden said during a media briefing. “Preventing people from becoming homeless really is about expanding preventive services.”

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The rental assistance is just one piece of Oregon’s current 1115 waiver, which lets states ask the federal government for permission to try new things with Medicaid. The current waiver began in October 1, 2022 and will continue until September 30, 2027 when it can be changed or continued for another five-year period.

“The 1115 more broadly is meant to be a demonstration to show that new innovative things can happen in the Medicaid program. … It’s an opportunity for states to lead with new innovative ideas to address and improve health for the people that the Medicaid program serves,” said Oregon Medicaid Director Emma Sandoe.

Oregon implements different programs under its Medicaid waiver

The current waiver implemented several programs.

One aspect of the waivers is intended to address health-related social needs, which housing falls under. Also included are outreach and engagement, climate and nutrition. Benefits addressing these needs already are in place, except the nutrition assistance which will start in January.

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Oregon has a maximum of $904 million in federal funding to spend on the current waivers’ health-related social needs benefits. As part of the deal, the state must contribute at least $71 million.

An additional $119 million was set aside for Community Capacity Building Funds, $38 million of which already has been distributed based on total enrollment to Coordinated Care Organizations around the state. These organizations oversee local Medicaid services and providers.

More of the funding will be given out next year. The grants “will be invested in infrastructure to be able to deliver on the waiver program and benefits,” according to PacificSource vice president of Medicaid programs Erin Fair Taylor. PacificSource is the Coordinated Care Organization for four regions in the state.

More than $3.8 million was granted to PacificSource Marion/Polk with $244,000 set aside for the Salem Housing Authority.

The housing authority plans to use the funds “to provide housing support services, including case management to address landlord/tenant conflicts, referrals to community resources, and financial support,” said spokesperson Sarah Murray.

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“We also have been talking quite extensively with our local housing providers and collectively they have been sharing that preventing homelessness is more cost effective than helping families in a shelter find housing,” Jarem said.

“Helping families move from that homelessness space into housing can cost about $15,000 on average per household, and that would be compared to about $3,000 on average per household to prevent homelessness in the first place,” she said.

Applications for rental assistance through the Oregon Health Plan open Nov. 1

OHP members can apply for many of the new benefits. They will be eligible one time to receive the six months of rent assistance until the trial period ends in 2027.

Jarem said other benefits, such as tenancy supports, are more flexible.

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Applications open on Nov. 1. Applicants should anticipate about two weeks to process and an additional wait to receive the benefit, if eligible.

Preparations for the 2027 to 2032 waiver application will begin next year.

“We have an external, third-party evaluation, and they’ll have a midpoint evaluation that will help inform some of that, and we’ll work with CMS (Centers for Medicare and Medicaid Services) to understand what they’re seeing in other states as well,” Jarem said.

“Ultimately, they are the deciders of whether or not benefits like this will continue,” she said. “Overall, though, we’ve built the structures into our systems with the understanding that this will, that there is an effort to create stability in the program.”

Anastasia Mason covers state government for the Statesman Journal. Reach her at acmason@statesmanjournal.com or 971-208-5615.

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Lawyers claim repeated denial to clients at Oregon ICE facilities

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Lawyers claim repeated denial to clients at Oregon ICE facilities


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U.S. District Court Judge Ann Aiken heard additional testimony during a two-hour hearing on Dec. 18 in Innovation Law Lab’s lawsuit against U.S. Immigration and Customs Enforcement, Customs and Border Protection, and the Department of Homeland Security over what they say is a systemic denial of access to counsel at Oregon ICE facilities.

Attorneys with Innovation Law Lab first filed the suit in October on behalf of CLEAR Clinic and the farmworker union Pineros y Campesinos Unidos del Noroeste. An amended complaint was filed on Nov. 13, adding “Leon X” as a plaintiff and seeking class action status.

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The suit asks Aiken to issue a preliminary injunction requiring the federal government to grant access to counsel before someone is transferred out of state.

In a Dec. 15 court filing, Innovation Law Lab said ICE, CBP and DHS’s system for access to counsel is “no system at all.”

Director of Legal Advocacy at Innovation Law Lab Tess Hellgren again told Aiken that the federal government has been making mass arrests and detaining people across Oregon to meet quotas disclosed in other cases.

“What defendants have not made efforts to increase, as established by their own declaration, is access to counsel at the Oregon field offices,” Hellgren said. “Individuals detained at these Oregon field offices are allowed to access counsel only if it is convenient for defendants.”

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Hellgren said access to counsel at Oregon field offices is crucial.

“What happens at these Oregon facilities before transfer may result in irreversible consequences for an individual case,” Hellgren said.

Surge of ICE arrests in Oregon in recent months

Civil immigration arrests increased 1,400% since October and 7,900% compared to 2024, according to Innovation Law Lab.

Emily Ryo, a professor at Duke University Law School, submitted research in a declaration for the lawsuit using data released by ICE in response to a Freedom of Information Act request.

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That dataset revealed that the average daily ICE arrest rate in Oregon rose from 0.3 to 1.39 per day in the summer of 2025. In October, daily arrests in Oregon surged to 17.45 arrests per day.

The Portland Immigrant Rights Coalition said that during October, the hotline received reports of more than 292 detentions, at a rate of 15 to 45 per day. PIRC received reports of at least 35 people detained in Woodburn in a single day.

Woodburn declared a state of emergency on Nov. 21. Other nearby cities, like Salem, have also declared emergencies.

In November, PIRC received reports of 373 detentions, and the hotline received reports of 94 detentions in the first week of December, according to court documents.

Organizing Director for PCUN Marlina Campos said the organization has had to stop focusing on key campaigns to be in “rapid response mode.”

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Staff patrol the streets to monitor ICE activity and notify PCUN members if they cannot leave their homes or go to work. Staff have also canvassed door-to-door and heard directly about ICE’s impact, Campos said. At least four PCUN members have been arrested, she said.

Campos described Oct. 30 on the stand, saying she saw masked agents cross the street as she made her way to PCUN’s office in Woodburn. Campos said she got out of her car, started recording and contacted PIRC.

“There was a lot of panic,” Campos said. “It was unbelievable.”

Lawyers detail difficulties contacting Oregon detainees before transfer

Aiken heard testimony from CLEAR Clinic staff attorney Josephine Moberg and Eugene immigration attorney Katrina Kilgren about their recent difficulties in meeting with clients at ICE offices in Portland and Eugene. Both submitted more than one declaration in support of the case.

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Moberg said she’s been to the Portland field office approximately 20 times since she began working at the CLEAR Clinic in June.

She said “oftentimes” officials say there is a problem that prevents her from meeting with prospective or current clients at the facility. Moberg said it takes a “few exchanges” before officers permit her entrance.

She spoke further about her experience of being denied access to the facility on July 30. According to a declaration, Moberg was at the facility, waiting in the lobby for more than an hour to meet with prospective clients, but was never able to do so. Her clients were transported out of Oregon, presumably while she was waiting, she said. Moberg submitted another declaration about a similar experience on Nov. 11 when she attempted to meet with seven prospective clients who had been arrested.

Officers came outside and told her and another attorney that the building was closed for Veterans’ Day. Large vans with tinted windows entered and left the facility as Moberg was outside.

Kilgren said attorneys have been told to wait outside the Eugene building since May and June of 2025. She said three dates stood out: Oct. 15, Nov. 5 and Nov. 19, when several people were arrested in the Eugene area.

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In a Nov. 4 declaration, she said she had appointments with two people she was representing but was refused permission to join them. A building security guard threatened to trespass her if she did not exit, she said.

She said access at the Eugene office keeps getting “more and more limited.”

Both Moberg and Kilgren spoke of difficulties scheduling meetings with clients at the Tacoma, Washington detention center and other facilities.

Moberg said she went to attend a video call with a client at the Louisiana detention center last week and learned he had already signed voluntary departure paperwork and had been deported before he was able to receive any advice about his rights.

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Federal government limits hearing response, denies claims

U.S Department of Justice attorney Michael Velchik did not provide an opening statement and called only CLEAR Clinic executive director Elena Tupper as a witness.

Velchik asked how many CLEAR Clinic attorneys she supervises and whether CLEAR Clinic is registered to have itself listed at ICE offices. Tupper said CLEAR Clinic is not, but the Equity Core of Oregon, which CLEAR Clinic is part of, is.

ICE, CBP and DHS denied that they regularly restrict access to lawyers and also asked the court not to grant class-action certification.

They said limitations exist at all three of ICE’s field offices in Oregon, located in Portland, Eugene, and Medford, because individuals cannot be held longer than 12 hours at the offices under land use agreements. Those limitations mean it is not always possible to accommodate immediate in-person visitation with attorneys before transport, lawyers for ICE, CBP, and DHS said in a Dec. 15 filing.

They said Innovation Law Lab presented “no evidence” that Leon X was likely to be arrested and subsequently unlawfully denied access to an attorney while in custody. They also pushed back against the existence of a uniform policy or practice as a reason Aiken should decline class-action certification.

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Velchik said the government was concerned that the lawsuit could be used “to leverage the machinery of the judiciary” to interfere with and affect the safety of ICE facilities and enforcement of immigration law.

“I can’t stress enough that the government emphatically opposes any injunction that would restrict our ability to protect the safety of federal officers and detainees by limiting where and how long they must be detained,” Velchick said.

He said the plaintiffs would want a CLEAR Clinic attorney to sign off before DHS could perform a transfer, a notion he called “insane.”

Aiken said she would take the court filings and testimony into consideration.

She said she would issue an opinion “as quickly as possible,” but did not provide a projected date for that decision.

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Dianne Lugo covers the Oregon Legislature and equity issues. Reach her at dlugo@statesmanjournal.com on X @DianneLugo or Bluesky @diannelugo.bsky.social.





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Who Could Contend for Top Honors in Oregon Boys Basketball? Here Are Six Contenders

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Who Could Contend for Top Honors in Oregon Boys Basketball? Here Are Six Contenders


We’ve just tipped off the 2025-26 high school basketball season in Oregon, but it’s never too early to start thinking about who might win state player of the year honors when the nets are cut down in March.

Here are six players who are among the contenders for Oregon’s Mr. Basketball title come season’s end.

Gaines’ coach with the Hawks, Daniel Blanks, called his star point guard “the ultimate competitor and winner,” and Gaines led the team to a share of its first Mt. Hood Conference title last year when he averaged 21.5 points, 5.9 assists and 2.8 steals. He has drawn interest from Idaho, Oregon State, Seattle University and Utah and received an offer from Portland State.

Khyungra led the Falcons to the 5A state championship last year, averaging 23.5 points. He worked over the summer to add bulk to his slight frame to better endure the pounding coach Sean Kelly expects him to take this season.

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Lake, like older brother Josiah (Oregon State), will play Division I ball next year after signing with Montana last month. Now, the 6A all-state second-team selection will look to build upon a junior season during  which he averaged 21.1 points, 4.5 assists and 3.9 rebounds per game. “He is a complete player in all facets of the game,” said Timberwolves assistant coach Thomas Duggan.

Montague, better known as Fuzzy, received 6A all-state honorable mention list while averaging close to 17 points, five rebounds and five assists per game as a junior for Roosevelt before transferring across town to join the burgeoning Northeast Portland power — ranked No. 1 in the initial High School On SI Oregon rankings — over the summer.

Paschal broke out for the Rams during their run to the 6A state title in 2024, flashing the potential to become one of the top guards in the Northwest. He suffered a season-ending knee injury in January that derailed both a promising junior campaign (14.8 ppg, 6 rpg) and Central Catholic’s hopes of repeating as champion.

After a breakout junior season during which he averaged 20 points and six rebounds, Rigney seeks to lead the Lakers back to the 6A state tournament and bolster his hopes of going to a D-1 school. “Liam is a three level scorer who has to be accounted for on every possession,” said coach Tully Wagner.



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Critical audit says Oregon’s Measure 110 efforts lack stability, coordination and clear data on results

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Critical audit says Oregon’s Measure 110 efforts lack stability, coordination and clear data on results


SALEM, Ore. (KTVZ) — Measure 110 is still far from achieving its promise to help Oregonians struggling with addiction due to frequent policy changes and a lack of stability, coordination and data at the Oregon Health Authority, according to an audit released Wednesday by the Secretary of State Audits Division.  

“Oregon has struggled to respond to substance use for decades, and fentanyl is only making the problem worse. Enough is enough. We can and should do better,” said Secretary of State Tobias Read.

“With a consistent, long-term strategy, stronger coordination, and better data, Oregon can help more people get the care they need, and we’ll all have safer, healthier communities. These recommendations don’t require new resources, just a commitment to providing basic oversight, common-sense governance, and accountability.”

Here’s the rest of the news release highlighting key findings in the audit:

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Measure 110 faced serious headwinds from the start. Oregon reports some of the highest rates of substance use disorder in the nation. The pandemic, the rapid spread of fentanyl, and Oregon’s historically poor access to treatment only made the crisis worse. When voters passed Measure 110 in 2020, Oregon ranked 50th in the nation for access to treatment.

However, auditors found issues with frequently shifting legislative policies and uneven program implementation at OHA that contributed to the lack of results.

For example, legislators changed parts of Measure 110 nearly every year since it passed, making it hard for OHA to build or evaluate long-term strategies. Inside OHA, leadership changes, reorganizations, and unclear accountability weakened the program from the start. Measure 110 services are still not well integrated into Oregon’s broader behavioral health system, leaving them fragmented and harder to manage.

Auditors also found OHA lacks reliable information to track basic metrics — demographic data such as race, ethnicity, age, and gender is often missing or inconsistent, making it hard to know whether funding is reaching communities most harmed by the “war on drugs.”

Even determining whether the number of treatment providers has increased since 2020 is difficult, based on available OHA data. Without better data, neither OHA nor lawmakers can tell if policies, services, or millions of dollars in grant funding are improving access to treatment.

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Auditors issued six recommendations to OHA to strengthen Measure 110, including:

  • Develop an implementation roadmap with timelines, accountability, and clear deliverables.
  • Require all Measure 110-funded providers to participate in standardized data reporting.
  • Complete an analysis to create a baseline that can be compared to new data to measure progress.

“If OHA follows these recommendations, and the Legislature avoids the temptation to make further significant changes for some time, Measure 110 will be stronger and more likely to help Oregonians struggling with addiction,” said Secretary of State Read. “Clearer laws, better coordination, and better data will help ensure tax dollars actually get people into treatment.”

Read the full report on the Secretary of State website.


Oregon Health Authority responds to Measure 110 audit from the Oregon Secretary of State

PORTLAND, Ore. — Historically, Oregon’s behavioral health system has gone underfunded and overburdened. Today, with renewed focus and broad alignment, the Oregon Health Authority (OHA), is working to change that, reimagining what treatment can look like across the state when accountability meets action. An audit released by the Secretary of State shows that the agency has taken significant steps to strengthen program oversight and ensure responsible, effective use of Measure 110 dollars.

This important work is underway and producing meaningful results. As of today, there are 234 Behavioral Health Resource Network (BHRN) grantees across the state, with one in each county. These services include culturally and regionally specific care that connects or re-connects patients with the communities they call home. With each step taken to improve Oregon’s behavioral health system, lives are saved, bonds are rebuilt, and barriers to care are lowered for those who need it most.

“OHA appreciates the results of this audit and is acting with urgency on the findings,” said OHA’s Behavioral Health Division Director Ebony Clarke. “We are committed to ongoing work to strengthen oversight, responsible stewardship of Measure 110 dollars, and ensuring that every person in Oregon has access to the behavioral health services they need.”

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OHA acknowledges initial implementation of Measure 110 was challenged by tight timelines and insufficient staffing. However, in the last year OHA has significantly grown and stabilized the Measure 110 program through improved leadership, management, and staffing.

As noted by the SOS Audits Division, regular legislative changes since 2020 have impacted OHA’s ability to establish and stabilize BHRN programming and oversight.

OHA acknowledges past Measure 110 data limitations and has invested in Measure 110 data improvements. The data collected by the 234 grantees and submitted to OHA has increased dramatically. Through implementation of the Strategic Data Plan, OHA is already charting a forward-looking evaluative approach that emphasizes ongoing performance measures and BHRN provider-reported indicators. This method better captures program outcomes through programmatic and client-level metrics collected quarterly. These metrics will be publicly available via the BHRN program quarterly dashboard, which will provide aggregate data on program activities and service level metrics.

History of What Was Audited

Measure 110 was a ballot measure passed by Oregonians in 2020 to expand addiction services and social supports through redirected marijuana tax revenue and law enforcement savings.

As noted by the Secretary of State’s Audits Division, several legislative changes since 2020 have impacted OHA’s ability to establish and stabilize the Behavioral Health Resource Network’s (BHRN) programming and oversight. During its first years, these changes altered timelines, expectations and funding formulas. Most notably, HB 4002 (2024) shifted one of the foundational tenants of the original legal framework by recriminalizing drug possession and changed how people access BHRN services. Declining cannabis tax revenue and criminal justice cost savings have also reduced available funds.

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Despite these shifts, OHA remains focused on maintaining statewide access to treatment, harm reduction and recovery services. Even with funding instability for Measure 110’s BHRNs, OHA has ensured available funds are used efficiently and effectively to support essential behavioral health services statewide.

OHA Implementation and Program Improvements

Following two previous audits, OHA continues to take clear action – responding to past findings and addressing key issues raised in the most recent review. From 2022-2025, programs receiving Measure 110 funding reported 3 million encounters with people in need of addiction and social support services. , More than 80% of the funded BHRN providers performed outreach at least once per week and approximately 40% of these providers performed outreach five or more times weekly, resulting in thousands of new clients accessing critical BHRN services.

This work is made possible in part by OHA’s substantial process improvements, including:

Leadership and Structure

  • Hiring a dedicated Measure 110 Executive Director (October 2024), program manager (February 2025) and additional leadership staff (2025).
  • Expanding the M110 program team from three to 18 full-time positions, providing stability and expertise.
  • Embedding project management, grant administration and cross-division coordination into daily operations.

Governance and Oversight

  • Reorganizing the program to ensure alignment with the OHA Director, Behavioral Health Division Director and Governor’s Office priorities and strategies.
  • Successfully completing the 2025 grant process and incorporating lessons learned for the upcoming funding cycle.
  • Preparing for the shift of grant-making authority from the Oversight and Accountability Council (OAC) to OHA in 2026 under Senate Bill 610 (2025).

Data and Accountability

  • Launching enhanced Behavioral Health Resource Network (BHRN) grant reporting in 2025, including client-level reporting.
  • Implementing standardized expenditure and staffing reporting to ensure the responsible use of every Measure 110 dollar.
  • Utilizing a public facing dashboard to ensure robust data is collected and shared, including plans for additional data reporting for the current grant cycle.

Additionally, while the Audits Division recommends OHA conduct a baseline study to determine the impact of Measure 110 funded services, data limitations and the availability of appropriate data comparisons significantly hinder OHA’s ability to conduct such a study, possibly to the point of rendering it impossible. However, OHA has invested in many data improvements that will allow the agency to report out on BHRN program impact and client outcomes by 2027.

Work to Improve Access to Behavioral Health Services Continues

“We have built a responsive high performing team overseeing M110 implementation to help build a system that is coordinated, evidence-based and responsive,” Clarke said. “OHA is committed to collaborating with partners to ensure we are leading with stability, collaboration and compassion.”

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OHA continues to advance the equity goals at the heart of Measure 110 by improving culturally specific services, strengthening funding processes and ensuring that communities disproportionately harmed by past drug policies have access to care.

Substance use disorder is a long-term public health challenge. OHA will continue strengthening Measure 110 implementation and ensuring that public funds are used effectively to support treatment and recovery to reduce harm and save lives across Oregon.


House Republican Leader Lucetta Elmer Responds to State Audit on Measure 110

SALEM, Ore. — Today, House Republican Leader Lucetta Elmer (R-McMinnville) released the following statement in response to the audit released by the Secretary of State showing Ballot Measure 110 (2020) — which aimed to replace criminalization of substance use disorder with a public health approach — failed due to poor strategies, inadequate data, and wasted resources:

The Secretary of State’s audit confirms what too many Oregon families have already lived through: Measure 110 failed to deliver on its promise to help people struggling with addiction, and the state failed to provide the leadership and oversight needed to prevent that failure.

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Measure 110 was sold as a compassionate, public health approach. Instead, it became a system with no clear direction, no meaningful accountability, and no urgency — even as overdose deaths continued to rise. In 2023 alone, more than 1,700 Oregonians died from drug overdoses. While overdose deaths declined in nearly every other state, Oregon fell further behind.

The audit makes clear that the Oregon Health Authority lacked stability, coordination, and measurable goals. Funds were distributed without consistent oversight, data was insufficient to show whether programs were working, and services were not integrated into Oregon’s broader behavioral health system. The result was wasted time, wasted resources, and lives lost that did not need to be.

This was not a failure of compassion — it was a failure of leadership.

Oregonians expect their government to act when policies aren’t working, especially when lives are on the line. Instead, warning signs were ignored, repeated requests for improvement went unanswered, and accountability was absent.

We owe it to families, first responders, and people battling addiction to do better. A public-health approach must be focused on saving lives, getting people into treatment, and delivering results — not protecting a broken system. Oregonians deserve urgency, transparency, and leadership that is willing to admit when something isn’t working and course-correct immediately.

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