Oregon’s homelessness and fentanyl emergencies demand immediate fixes to problems decades in the making. Discussions in the state legislature and at the Association of Oregon Counties (AOC) seek policy solutions for meaningful progress in the 2024 short legislative session and beyond.

The Joint Interim Committee on Addiction and Community Safety Response was announced by legislative leadership in September in response to widespread dissatisfaction with the implementation and impact of Ballot Measure 110. The committee, led by Senate Majority Leader Kate Lieber and House Judiciary Committee Chair Jason Kropf, met for the first time on Oct. 18 and focused on the “demand” side of Oregon’s addiction crisis. 

State and national experts provided testimony on substance use trends, prevention and treatment science, and what Oregon’s addiction response system needs to turn the tide. Researcher and clinician Dr. Kimberly Sue presented her findings and recommendations for designing nimble treatment systems for the fentanyl era. Her testimony, along with that of crisis service providers from across the state, underscored the need for immediate response capacity (modeled after police, fire and ambulance response) and smooth transitions for individuals moving through the continuum of care program, from peer-led outreach and harm reduction to detox and crisis stabilization, treatment, supported housing, and recovery services. 

Witnesses cited eliminating the excessive administrative burden on existing providers and the red tape that is slowing or preventing the development of new workforce and new treatment facilities as opportunities for immediate improvement to addiction response in Oregon. 

Testimony was also given on the efficacy of adequately funded local and statewide prevention initiatives and the lack of proper investment in every level of addiction prevention and response, most acutely in prevention and services for youth. The next committee meeting, on Nov. 6, during regularly scheduled “legislative days,” will focus on the “supply” side of the addiction crisis and public safety interventions.

AOC health and human services’ priorities for the 2024 short legislative session address discrete but key steps to create the responsive, coordinated public safety and health systems required to foster safe livable public spaces and healthy communities. AOC’s first priority is to establish a reliable process and schedule for the state to assess the cost of providing the core mental health and addiction services that counties are statutorily required to provide. Currently, Oregon Health Authority lead staff members do not have cost estimates for these services, and thus are unable to craft an agency recommended budget to match current or projected need. 

AOC’s second priority for the 2024 session, a continuation of our 2023 priority, is to mitigate the liability risk shift to counties and their local providers for services to court-mandated populations, such as those persons ordered to community aid and assist restoration services. In the last few years, Oregon has sincerely begun to transition from an institution-based system to a community-based system to serve individuals in court-mandated behavioral health treatment.  However, the system is not currently equipped to provide these services without an adequate investment in community service capacity or liability protection for counties and providers who serve a rising number of people, some with more acute and complex medical and mental health needs.

On Oct. 27, AOC will hold a joint meeting of its public safety and health and human services steering committees to prepare for expected efforts to fix Measure 110 in the 2024 session. AOC staff will field reports from public safety and community mental health program partners on current impacts of Measure 110, hear from the proponents of reform proposals currently in the public domain, and listen to member discussion of policy positions that will give Oregon counties the authority and tools they need to be healthy, vibrant, and safe.

AOC has also embarked on a longer-term health and human services summit series which kicked off on Oct. 2, with a dual purpose of elevating and propagating local solutions across the state and preparing counties to offer statewide solutions in the 2025 legislative session and beyond. The next meeting in this ongoing series will be Friday, Nov. 3, from 1 to 4 p.m.

Make sure to attend these educational sessions coming up at the AOC Annual Conference in Eugene, on Nov. 15:

  • The Opioid Crisis and the Untapped Potential of Local Public Health Response and Prevention
  • The 60th Anniversary of the Community Mental Health Act – Have We Realized the Vision?
  • Oregon’s Local Homelessness Response Experiment: Preliminary Findings and Progress

Contributed by: Jessica Pratt | AOC Legislative Affairs Manager