Health Systems Division Oversight Council Updates April 2022

Measure 110 Oversight and Accountability Council April 8, 2022 Leticia M. Sainz Jon Collins HEALTH SYSTEMS DIVISION Office of Behavioral Health

Agenda Update and projections on rubric completion Review and approve new application approval process Define, select and authorize two subcommittees Review and develop county set aside formula for approval next week Review OAC action plan over next two weeks Health Systems Division, Office of Behavioral Health 2

Update on Rubrics Application Status: Total number of applications: 333 Each Application is reviewed by two separate reviewers to be considered complete 666 total rubrics when complete Total number of rubrics complete: 324 Out of the total number of rubrics complete: 184 were completed by OAC members and 140 total completed by OHA staff Health Systems Division, Office of Behavioral Health 3

Update on Rubrics County status: Two counties review complete and sub-committee approval: Intent to award letters will go out by end of next week upon formula approval (Morrow and Baker) Counties for subcommittee review next week: Umatilla, Union, Harney, Gilliam, Grant Polk, Klamath, Lake, Jefferson counties one review away from being complete Health Systems Division, Office of Behavioral Health 4

BHRN Application Approval Process September October August June April July May Key Council Decisions: 1st Review 2nd Review OAC approval needed for process 2 Sub-Committees form, review and make decisions on awards by county County Funding Formula Negotiations and contracting OAC delegates authority to Sub- Committees First Counties Funded Health Systems Division, Office of Behavioral Health 5

Sample Approval Process Motion The OAC delegates authority to the _[name of]_ subcommittee to approve applications for BHRN funding, subject to the OAC s ongoing oversight to the extent permitted or required by law. The OAC may withdraw or amend this delegation at any time. The _[name of]_ subcommittee is comprised of the following _[number]_ of voting OAC members. The OAC requests that OHA assist with sending rubrics and materials to members of this subcommittee. Voting to approve the applications (Morrow & Baker) as recommended by the original sub- committee Health Systems Division, Office of Behavioral Health 6

Sub-Committee Selection Decisions Will the OAC request volunteers to serve on the application approval subcommittees? What is the minimum number of members designed to serve on each subcommittee (OHA recommends 7) What is the minimum number of subcommittee members needed to establish quorum for decision-making? When and how often will each subcommittee meet each week (OHA recommends once each next week and twice weekly for each subcommittee in subsequent weeks) Health Systems Division, Office of Behavioral Health 7

Sample Sub-Committee Motion The OAC authorizes establishment of two application subcommittees. Subcommittees will establish their own schedules in coordination with OHA supports. Membership of each committee is as follows: [name of] Subcommittee members: [name of] Subcommittee members: Health Systems Division, Office of Behavioral Health 8

County Distribution Formula Proposal OHA is recommending a formula with 3 steps: 1. A base amount that reflects population size of each county. 2. A set of variables that reflect the needs of the community. 3. Weight variables based on council s values and importance. Health Systems Division, Office of Behavioral Health 9

County Distribution Formula Proposal Health Systems Division, Office of Behavioral Health 10

County Distribution Formula Proposal Houselessness Rate Federal Poverty Level Rent Limits Veteran Population Cost of Living Drug Overdose Deaths Crime Rate Medicaid Population Health Systems Division, Office of Behavioral Health 11

County Distribution Formula Proposal Each variable needs to be weighted based upon value so the weights total up to 100: Houselessness Rate 20% Federal Poverty Level 20% Rent Limits 20% Drug Overdose Deaths 20% Cost of Living 20% Health Systems Division, Office of Behavioral Health 12

County Distribution Formula Proposal Example of how it works: Oregon County Census Data 2020 Weighted Variables* 2020 Census Population Homelessness Count Federal Poverty Level Drug Overdose Deaths County BASE Rent Limits Cost of living Total Award Weight 20% 20% 20% 20% 20% 100% Multnomah 2,500,000 815,428 4555 13.2 507 127.5 254 $38,736,519.26 2,500,000 Washington 600,372 871 8.8 507 105.6 41 $13,590,859.87 2,000,000 Jackson 223,259 831 18.6 358 104.7 37 $11,457,283.71 2,000,000 Deschutes 198,253 1039 12.4 422 117.2 16 $9,739,797.50 1,500,000 Josephine 88,090 1254 22.2 342 98.4 20 $9,094,869.24 1,500,000 Polk 87,433 171 12 371 106.5 9 $5,655,129.13 1,000,000 Tillamook 27,390 205 16.5 338 103.1 6 $4,464,693.88 1,000,000 Wasco 26,670 116 12.2 360 95.4 5 $4,098,984.80 500,000 Gilliam 1,995 31 7 338 80.5 0 $2,634,291.17 500,000 Sherman 1,870 13 21.2 353 89.7 0 $2,774,589.20 $49,500,000 $265,000,000.00 Health Systems Division, Office of Behavioral Health 13

OAC Action Plan Sub-committees meet Determine weighted variables and vote on Funding Formula OHA to share sample initial award letter content Discussion of negotiation and final award phase Health Systems Division, Office of Behavioral Health 14