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20190714-215527-62

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Submitted by Ms. Pauline I … on

In March, CSG Justice Center staff traveled to Oregon twice to brief legislators on the proposed Behavioral Health Justice Reinvestment legislation related to the final recommendations from the steering committee. CSG Justice Center staff also attended hearings in both the House and Senate Judiciary Committees when the proposed legislation was discussed.

During the first site visit, CSG Justice Center staff met with legislative leadership on the Judiciary Committee, Public Safety Subcommittee of Ways and Means, and Human Services Subcommittee of Ways and Means to provide updates on the proposed legislation that reflects the Oregon Behavioral Health Justice Reinvestment steering committee’s final recommendations. CSG Justice Center staff also met with Oregon Housing and Community Services and the Oregon Health Authority regarding supportive housing financing.

During the second site visit, CSG Justice Center staff were at both the House and Senate Judiciary Committee meetings to brief members on the final recommendations of the steering committee that are reflected in proposed legislation (HB 3281 and SB 973) and continued to meet with legislative leadership on the Judiciary Committee, Public Safety Subcommittee of Ways and Means, and Human Services Subcommittee of Ways and Means to introduce the Oregon Behavioral Health Justice Reinvestment project and proposed grant program.

In addition to these two site visits, CSG Justice Center staff began finalizing impact estimates related to the project’s final recommendations and began discussions regarding what Phase II and implementation of any new policies could entail.

Next month, CSG Justice Center staff will be available to state legislative leadership to answer questions regarding the final recommendations of the steering committee, continue conversations about the possibility of piloting a Coordinated Care Organization’s management of a jail’s health care system, and introduce CSG Justice Center implementation staff to Oregon champions.

TTA Short Name
JR Oregon Technical Assistance (Mar 2019)
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Provider Reference
TTA Title
JR Oregon Technical Assistance (March 2019)
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Marion County
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Justice Reinvestment
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Milestone
Milestone Title
March 19–22, 2019 Site Visit
Milestone Description

o Meeting with Oregon Senator (Judiciary Committee) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
o Meeting with Oregon Senator (Health Care Committee) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
o Meeting with Senior Policy Advisor (Oregon Health Authority) and Government Relations Liaison (Oregon Housing and Community Services) to discuss supportive housing financing.
o Meeting with Senior Policy Advisor (Oregon Health Authority) and Government Relations Director (Oregon Health Authority) to discuss the Oregon Behavioral Health Justice Reinvestment project.
o Meeting with Health Care Policy (Association of Counties) to discuss the Oregon Behavioral Health Justice Reinvestment project.
o Meeting with Oregon Rep. (Health Care Committee and Human Services subcommittee of Ways and Means) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
o Meeting with Oregon Senator (Ways and Means Committee) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
o Meeting with Oregon Senator (Health Care Committee Chair) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
o Meeting with Legislative Assistant to Oregon Senator (Co-chair of Human Services subcommittee of Ways and Means) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
o Meeting with Oregon Representative (Majority Leader, Judiciary Committee Chair) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
o Meeting with Oregon Representative (Judiciary Committee, former chair) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.

Milestone Title
March 25–29, 2018 Site Visit
Milestone Title
Phone Calls
Milestone Description

• 3/06: Call with Health Care Director (Coquille Nation) and Police Chief (Coquille Nation) to receive their input on tailoring recommendations to the needs of tribal members.
• 3/08: Call with Counsel to Judiciary Committee (Oregon State Legislature) to review the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
• 3/08: Call with Director (Oregon Health Authority) and Executive Director (Oregon Criminal Justice Commission) to discuss the Oregon Behavioral Health Justice Reinvestment project.
• 3/14: Call with steering committee member and Director (Yamhill County Health and Human Services) to continue conversations regarding a final recommendation from the steering committee to have a Coordinated Care Organization manage a jail’s heath care system to provide a continuum of care.
• 3/15: Call with Addiction Treatment (Recovery and Prevention Manager, Oregon Health Authority) to discuss Oregon’s IMD 1115 waiver and opportunities to align final recommendations of the steering committee with new opportunities in the upcoming waiver.
• 3/15: Call with Director (Oregon Health Authority) and Executive Director (Oregon Criminal Justice Commission) to discuss the Oregon Behavioral Health Justice Reinvestment project.
• 3/18: Call with Counsel to Judiciary Committee (Oregon State Legislature) to review the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
• 3/19: Call with Heath Care Policy (Association of Counties) to discuss the Oregon Behavioral Health Justice Reinvestment project.
• 3/20: Call with Oregon Senator (Judiciary Committee and Health Care Committee) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
• 3/22: Call with Counsel to Judiciary Committee (Oregon State Legislature) to review the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
• 3/22: Call with Director (Oregon Health Authority) and Executive Director (Oregon Criminal Justice Commission) to discuss the Oregon Behavioral Health Justice Reinvestment project.
• 3/25: Call with Research (Oregon State Hospital) to discuss the Oregon Behavioral Health Justice Reinvestment project.
• 3/29: Call with Counsel to Judiciary Committee (Oregon State Legislature) to review the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
• 3/29: Call with Oregon Representative (Health Care Committee and Co-chair of Health Services Subcommittee of Ways and Means) to introduce the final recommendations from the steering committee that are reflected in proposed Behavioral Health Justice Reinvestment legislation.
• 3/29: Call with Director (Oregon Health Authority) and Executive Director (Oregon Criminal Justice Commission) to discuss the Oregon Behavioral Health Justice Reinvestment project.

Milestone Title
Research Monthly Status
Milestone Description

In March, final data analyses were conducted on Oregon Health Authority (OHA) data. Medicaid and state hospital data were matched to the criminal justice data that was provided to OHA in December 2018. Research staff reviewed the analysis to incorporate into public presentations and discussions.

Research - Monthly Log:
• 3/4: Renewed honing of estimates of status quo jail, emergency department, and state hospital costs associated with creation of incremental piloting of policy package.
• 3/5: Developed slide collection of key analyses and began detailed methodology documentation.
• 3/7: Corresponded with OHA to tie up loose ends on data presentations.
• 3/12-3/20: Reviewed policy summary document and various tables and graphic visualizations; continued honing of status quo cost estimates and impacts from policy package.
• 3/14-3/27: Began communications with CJC and CSG Justice Center staff regarding potential data-sharing arrangement with CJC pursuant to appropriate sign-off by counties that provided jail data.
• 3/15: Received updated policy costs and incorporated them into overall cost and impact estimates.
• 3/19: Corresponded with OSH to explain state hospital assumptions and intended use of estimates.
• 3/20: Reviewed draft handouts on key findings, recommendations, and impacts.
• 3/28: Sent emails to source counties regarding data-sharing request for arrangement with CJC.

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