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Behavioral Health

By Trish Garner

A Work Session was held regarding HB 2015- 4  in the Joint Ways & Means Subcommittee on Public Safety which returned it to the full Ways & Means Committee with a “do pass” recommendation. A Ways & Means Committee Work Session resulted in a “do pass” recommendation. This bill generally directs the Oregon Health Authority to submit to the Legislature by September 15, 2026, a report with findings and recommendations about operating secure residential facilities in Oregon. The A - 4  amendment appropriates $1.3 million in General Fund and $977,888 in federal fund monies. On the surface this bill might look more like a revenue or a study bill but instead it directs OHA to undertake important actions designed to modify current practices taking place in residential treatment facilities. For example, the OHA must adopt rules to support such facilities in developing early transition programs for residents. It is mandated to identify alternatives to the current requirements on nurse staffing, which provide that a nurse be present at all times (on call nursing doesn’t count). This requirement is particularly challenging in non-urban settings. Another ongoing problem is a requirement that a patient must be physically present in the facility in order for the facility to be paid for its services. This is particularly complicated when a patient is moving to transition from the facility. HB 2015A – A4 also seeks to evaluate methods to group patients who have similar needs for services in the same facilities and thereby optimize care.    

In a Work Session the Ways & Means Joint Subcommittee on Human Services passed and referred HB 2024 -6   to the full Ways & Means Committee. This bill appropriates $45,000,000.00 to the Oregon Health Authority to establish a grant program that would support the recruitment and retention of behavioral health workers at eligible entities. These entities must provide behavioral health services to youth or adults where at least half of the clients are uninsured or enrolled in Medicare or the state medical assistance program. The services include, for example, office-based medication-assisted treatment, a suicide prevention hot line, and urban American Indian and tribal mental health health programs. The bill also directs OHA to implement an incentive payment program that would increase employee wages at these facilities at rates which are commensurate with entities that aren’t providing these services. The latter presumably refers to private behavioral health care facilities.

HB 2059 – 4   was heard in the Ways & Means Joint Committee on Human Services Work Session and was returned to the full Ways & Means Committee. The bill directs that OHA establish a unit dedicated to developing facilities that provide adult behavioral health services across state trauma regions and that $90,000,000,00 be appropriated to OHA for this purpose.  These facilities include inpatient psychiatric facilities, residential treatment homes, adult foster homes, residential substance use disorder treatment programs and crisis facilities. The unit is directed to develop plans and provide funding for the construction and staffing of these facilities in collaboration with regional partners and practitioners. 

HB 2467 -  4 and -6  modifies the criteria by which an individual with a mental illness can be civilly committed or be compelled to receive treatment. On June 10th, the Ways & Means Subcommittee on Public Safety passed the bill to the full Ways & Means Committee with a “do pass” recommendation. It was then scheduled for a hearing before the W&M Committee on June 13th, but it has since been pulled from that Committee agenda. 

HB 2467 defines factors a court can use to justify civil commitment, which include danger to self or others, being unable to provide for basic personal needs, or having a chronic mental disorder.  Dangerousness to self requires that a person engage in or threaten to engage in behavior that is likely to result in serious physical harm in the near future. The “danger to others” standard uses similar language but omits the word “serious.” Notably, both standards eliminate the current legal requirement of an “imminent” danger. The A - 4 Amendment clarifies that “serious physical harm” means serious physical injury, pain or other physiological impairment that causes a risk of death, serious and irreversible deterioration of health of any bodily organ. 

The A - 6 Amendment provides $6.5 million to the Oregon Health Authority for payments to community mental health programs regarding civil commitments and for providing public defense to financially eligible persons who are civilly committed. 

During the Subcommittee hearing, an interesting and frequently asked question was raised: assuming that HB 2467’s proposed changes in civil commitment law will result in a greater number of people qualifying for civil commitment and given the current lack of residential space for individuals with behavioral health issues, where are they going to be treated?  One response is that other bills are funding increased behavioral health capacity, i.e. HB 2059 (see above) and HB 5025, the OHA budget. The other, more complicated point articulated by proponents is that HB 2467 represents a first step in a process to more efficiently and effectively organize the delivery of behavioral health care services in Oregon. There are two processes to compel treatment for people with severe mental health symptoms; one is civil commitment and the other is the criminal “aid and assist” process.  “Aid and assist” refers to the process which takes place when an individual is charged with a crime but is unable to “aid and assist” in their defense. The latter individuals are sent to the Oregon State Hospital where currently 95% of all patients at OSH are “aid and assist” patients. This situation leaves individuals with serious mental health symptoms untreated and just waiting until their symptoms result in an arrest for a crime. HB 2467 seeks to at least clarify the civil commitment process. It is also anticipated that in future Sessions the legislature may consider outpatient, not inpatient, civil commitments as well as guardianships that would support continued medication management and treatment of individuals in their communities. 

A Public Hearing and a Work Session were held in the Rules Committee regarding  HB 3294 – 3   which resulted in a unanimous “do pass” recommendation and, due to a minimal fiscal impact, the rescission of a subsequent referral to the Ways & Means Committee. This legislation proposes changes to previous laws regarding hospital staffing plans and minimum nurse-to-patient ratios [HB 2697 (2023) and SB 469 (2015)]. HB 3294-3 provides that hospitals must either comply with nurse-to-patient staffing ratios established by a nurse staffing committee or if one has not been established, the hospital must comply with nursing staffing ratios applicable to the hospital. In an effort to clarify the enforcement processes, OHA is also granted the authority to consolidate complaints that contain the same complaints and assess penalties on hospitals which have not adopted a hospital-wide nurse staffing plan. 

On a party line vote (4  Democrats to 3 Republicans) the House Committee on Rules passed HB 3835A -  13    and referred it to Ways & Means with a ”do pass” recommendation. The bill relates to the nature of restraint that can be used in foster care settings, when and how abuse complaints can be brought against staff, processes for out-of-state foster care placements and access to secure transportation services.  Rules regarding these issues were legislatively adopted in 2021 by SB 719 sponsored by Senators Sarah Gelser-Blouin and James Manning, Jr.  Since these rules were adopted, Oregon has seen a 41% reduction (2021-2024; from 90 to 53 facilities) in licensed residential facilities that can serve children and youth with behavioral or psychiatric treatment. Oregon has also lost more than half (from 31 to 14) of its programs that certify foster parents who provide specialized behavioral health treatment and support.  The System of Care Advisory Council sought to address these issues and made recommendations that were largely adopted in HB 3835. At the Work Session Senator Gelser-Blouin expressed her strong objection to HB 3835 – Amendment 13 and advocated on behalf of Amendment 11 which she had filed. She contends that the new rules weaken protections for foster youth. She also expressed concerns about re-establishing the use of out-of-state placements for foster youth, citing the documented abuses which took place regarding such placements prior to the 2021 passage of SB 719.

Child Care

By Katie Riley

Oregon legislators are proposing cuts to the Department of Early Learning and Care (DELC) budget (SB 5514) due to projected reduced funding for the state from federal sources and the corporate tax.  Cuts that are proposed include the Preschool Promise program that provides preschool for 3 and 4 year olds from families whose income is up to 200% of the Federal Poverty Level and Healthy Families, which provides long-term regular visits with high-need families. The cuts total about $45 million or approximately a 3% reduction from previous funding for the department.  The Employment Related Day Care, which provides subsidized child care for low-income working families and has a long waitlist is not one of the programs proposed for cuts.  The Oregonian article provides further details.

Criminal Justice

By Marge Easley

HB 3582 A, which removes the civil statute of limitations for sexual assault claims, passed unanimously out of Senate Judiciary on June 11 with a do-pass recommendation and is now headed to the Senate floor. The League submitted supportive testimony for the public hearing on June 10.

Education

By Jean Pierce

SB5516A is awaiting third reading in the House. In recognition of the revenue forecast, this bill would provide for an adjusted current service level of almost $11.4 billion. The committee is anticipating that local revenues will total $5.6 billion in the next two years, so total formula resources are expected to be more than $16.7 billion for the 2025-27

biennium. This represents a 10.5% increase over the 2023-25 biennium. The funds would provide a welcome boost, though it still falls short of the 30% increase recommended by the American Institute of Research which recommended a 30% increase in funding, with more attention to equitable spending for the education of low income and high needs students.

SB 5525-3, the HECC budget is awaiting third reading in the Senate. For the most part, the proposed budget maintains the Current Service Level, (CSL). It is important to note that the Oregon Opportunity Grant and Benefits Navigators would at least be maintained at CSL, but legislators expressed concern that funding for the Outdoor School Program would be cut. The allocation is 6.2% below the last biennium,  so this bill does nothing to address the fact that Oregon has been ranked 46th in the nation for state investment in higher education. They recognized that in future sessions, the thinking needs to shift from CSL to setting a higher target. 

Gun Policy

By Marge Easley

There was a last-minute surprise when SB 243 B was heard in House Judiciary on June 11—the appearance of a -13  amendment. If passed, the amended bill would still ban rapid-fire devices and give Oregon’s cities and counties the authority to regulate firearms in public buildings, and a new section of the bill would be added to provide an effective date of March 15, 2026, for the implementation of Measure 114, the “Reduction of Gun Violence Act.” The measure, which requires a permit to purchase a firearm and bans large-capacity magazines, has been held up in the courts since its passage in 2022 and currently awaits a ruling by the Oregon Supreme Court on its constitutionality. It was announced on June 12 that oral arguments are set for November 6.

At the federal level, there was news on June 9 that sixteen states, including Oregon, filed suit against the Trump administration over its plan to allow the sale of forced-reset triggers and return to the owners those triggers that were previously seized. Last month the Justice Department made a deal with the manufacturer of the devices to allow them to be sold, despite a Biden administration determination that semiautomatic rifles equipped with the devices operate essentially as illegal machine guns.

Healthcare

By Christa Danielson

SB 951 enrolled, signed by Governor Kotek. The bill would keep management service agencies away from patient care. It also Voids noncompetition agreements, nondisclosure agreements and nondisparagement agreements between certain business entities and medical professionals, with specified exceptions, This bill will strengthen the prohibition on the corporate practice of medicine. This bill will not allow a management service organization to set clinical policies, make diagnostic coding decisions or set prices for medical services. The League submitted testimony in support

HB 2690 Insurance Mandate Review Board. In Ways and Means. This would support LPRO to study a specific number of proposed measures related to health This would cost approximately 600,000 per biennium. This is the third year for similar bills to be promoted and is designed to provide more in-depth analysis of proposed health insurance mandates. The Committee would not set policy but would examine proposed legislation for  scientific proof of benefit, equality and accessibility along with cost to the health system. The bill is in Ways and Means but has strong support from the Legislators.

HB 3212 Pharmacy Benefit Managers-attempts to save rural pharmacies by limiting the powers of Pharmacy Benefit managers who have been previously able to determine where someone should go for their medications, get deals that are not passed on to patients and/or attempt to get money from pharmacies after the point of sale without a possibility of appeal. The bill is in House Rules.

SB 296 A This bill would authorize a study of discharges from the hospital to an appropriate level of care. This is to be done by the Department of Health and OHA. This bill is a continuation of a volunteer work group who came up with ten recommendations to help get patients out of the hospital who do not need hospital level of care. The bill contains many items but importantly the study would examine how to get patients on medicaid faster, but would also include money to cover 100 days of nursing home care for medicaid patients discharged from the hospital. Money is also included to study the regulatory environment for care settings, study options to increase adult foster home settings, and to study options to waive asset testing for Medicaid coverage of long term care.  The fiscal amount asked for is around 8 million for the biennium, but would provide very important work to facilitate appropriate usage of hospital and help hospitals maintain services.  This bill is assigned to the Joint Ways and Means subcommittee on Human Services.

Hb 3134 Will require reporting by insurances of Prior Authorizations to DCBS make data available to the public. This date will include number of days it takes to make a PA determination, the number of appeals and the time spent. This bill would also prohibit insurers to require additional prior authorization during a surgical procedure if further surgeries are deemed necessary. This bill had broad support and passed the House and the Senate. LWVOR testified in support.

Housing

By Nancy Donovan and Debbie Aiona

HB 5011 Oregon Housing and Community Services (OHCS) Budget

The Legislative Fiscal Office recommends a 2025-27 total funds budget for the Housing and Community Services Department of $2,667,240,094 and 478 positions (474.50 FTE). This is a 28.2% decrease from the 2023-25 legislatively approved budget, and 39.3% increase from the 2025-27 current service level. The recommended budget includes the following General Fund investments:

 ·       $204.9 million General Fund to support homeless and emergency shelters.

·       $50.3 million General Fund rehousing services; HB 5011 – Work Session Recommendations.

·       $87.4 million in one-time General Fund support for long term (up to 24 months) rental assistance.

·       $33.6 million General Fund for eviction prevention services.

·       $10 million General Fund to support housing initiatives of Oregon’s nine federally recognized Native American tribes.

·       $8 million to fund an increase in the services subsidy rate for housing units in the agency’s permanent supportive housing portfolio.

·       $3.9 million for downpayment assistance.

·       $2 million for foreclosure avoidance services provided by certified housing counsellors.

·       $2 million for manufactured home repair and replacement.

This budget, released on June 10, included a substantial reduction from the $130.2 million allocated in 2023-25 for emergency rent assistance and homelessness prevention to $33.6 million for the 2025-27 budget currently proposed by the Legislature. Housing advocates have expressed concern over the large reduction in what is a highly cost-effective approach to addressing homelessness. Keeping people in housing is much less expensive than funding a shelter bed. Moving people from shelters to housing is complex, costly, and has a lower success rate.

Governor Kotek acknowledged the difficult choices facing the Legislature this session. In recognition of the importance of preventing homelessness, the Legislative Fiscal Office included a budget note in its June 10 letter to the Transportation and Economic Development Committee. It recommends that OHCS report back to the Joint Ways and Means Committee in February 2026 with a recommendation for maximizing direct assistance to households in need of eviction and homelessness prevention services.

Bills passed

• HB 2964 A Enrolled requires OHCS to award loans for the predevelopment costs of affordable housing and a grant to assist nonprofits receiving grants or loans. The bill passed the House Committee on Housing and Homelessness on April 15. It was then referred to the Senate Committee on Housing and Development. The bill passed the Senate on June 12 with 24 Ayes; and 4 Nays. LWV testimony supported passage of this bill.

• HB 3054 A Enrolled will limit rent increases and sales constraints by a landlord in a home park or marina, which can threaten residents’ ability to stay in their homes. It creates an exception for certain infrastructure upgrades approved by a vote of the tenants. It will fix at six percent maximum rent increases for rental spaces in larger facilities and will limit to 10 percent the maximum increase in rent paid by the purchaser of a dwelling or home in a facility. It will prohibit a landlord from requiring aesthetic improvements or internal inspections as conditions of sale. The bill passed the House, and the Senate Committee on Housing and Development held a work session on May 19 and recommended passage. On June 12 the bill was passed by the Senate  with 17 Ayes and 10 Nays. LWVOR submitted a letter in support. 

• HB 3521 is now headed to Gov. Kotek’s desk for her signature. It will allow Oregon renters who haven’t signed a lease agreement to have their deposits returned if the home  has mold, unsafe electrical wiring or other defects making it uninhabitable. With so few rentals available for prospective tenants,”hold deposits” can help renters secure a home. However, some landlords have taken advantage of the system to pressure renters to accept residences that do not meet health and safety standards. Landlords will have five days to return deposits or face a fee equivalent to the deposit they charged or more. The bill passed the House Committee on Housing and Homelessness on April 17 in a 33-18 vote, and on June 12, it passed the Senate Committee on Housing and Development in a 20 - 8 vote. When enacted, the bill will apply to deposits received on or after Jan. 1, 2026.

Bill Progressing

The Joint Committee on Ways and Means Subcommittee on Transportation and Economic Development held  work session this week on  SB 829 A which would require the Department of Consumer and Business Services to establish an Affordable Housing Premium Assistance Fund to help eligible entities with the costs of paying property insurance or liability insurance premiums for affordable housing, shelters and other facilities. It also requires the department to study the feasibility of creating and operating a state reinsurance program or devising another solution to support price stability in the market for insurance to cover affordable housing. The Joint Ways and Means Committee held a work session on June 13 and voted Do Pass with an -A3 Amendment. 

Immigration

By Becky Gladstone and Claudia Keith

Highlights - News 

League of Women Voters Condemns Use of Federal Force on Peaceful Protestors | League of Women Voters (last updated June 8 2025) 

Protests grow across the U.S. as people push against Trump’s mass deportation policies - OPB

Trump Shifts Deportation Focus, Pausing Most Raids on Farms, Hotels and Eateries - The New York Times

Trump administration tells immigrants from Cuba, Haiti, Nicaragua and Venezuela they have to leave - ABC News  

Immigration officers on fast track to deportation | Oregon / Northwest | centraloregondaily.com  

New Washington laws strengthen protections for immigrant communities amid federal attacks | Local News | Spokane | The Pacific Northwest Inlander | News

President Trump Tells Citizens to ‘Fiercely Guard’ American Way of Life in New Naturalization Ceremony Message

Friday, June 13 – Washington State House Democrats

Legislative Bulletin — Friday, June13, 2025 - National Immigration Forum

Oregon Legislature BIPOC Caucus - Social Media Link

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