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Oregon Health Authority Director James Schroeder’s Statement in Response to Secretary of State Fagan’s Audit of Measure 110

Salem, Ore. — Oregon Health Authority (OHA) responded to Secretary of State Shemia Fagan’s audit of the implementation of Measure 110 (“Too Early to Tell: The Challenging Implementation of Measure 110 Has Increased Risks, but the Effectiveness of the Program Has Yet to Be Determined”) with the following statement from director James Schroeder.

“The Secretary of State is right: It is too soon to measure the success of Measure 110. However, OHA recognizes that Measure 110 can only achieve the voters’ intent and reduce the harms from untreated substance use if OHA provides timely, robust support to its implementation and effective, reliable assistance to the Measure 110 Oversight and Accountability Council. OHA will deliver on that commitment.

“Measure 110 represents a new approach to reducing the terrible toll illicit substance use takes on people and families in communities statewide. Measure 110’s first-in-the-nation approach provides more resources for harm reduction, treatment, peer counseling, housing, and other services that will give people with substance use disorders the services and support they need to recover, prevent relapse and live healthier lives.

“Under Measure 110, these services are provided through locally coordinated Behavioral Health Resource Networks (BHRNs). Last fall, BHRNs in every Oregon county received funding from OHA to begin delivering more comprehensive and integrated services at the local level.

“The launch of these networks represents the real start of Measure 110 in Oregon.

“OHA agrees with all the Secretary of State’s recommendations directed toward our role in implementing Measure 110. We will pursue each recommendation with urgency and focus.

“Governor Kotek has made it a top priority to make the behavioral health system and Measure 110 work better for communities statewide. I recognize that Measure 110’s success depends on Oregon’s ability to solve many larger challenges in the behavioral health system, such as the need to expand treatment capacity and better support counselors and other workers. I’m committed to getting better outcomes for people with substance use disorders and other behavioral health needs. I look forward to reporting on our progress.”

In the agency’s Management Response to the Secretary of State’s Measure 110 audit, state health officials pledged to take action on four recommendations directed to OHA:

  • Publish the first iteration of a strategic plan that describes how Measure 110 services are being integrated into the overall behavioral health system in Oregon, by Sept. 30, 2023.
  • Identify and address data reporting gaps to better track and evaluate the impact of Measure 110. This work is already underway and will continue through 2023 and 2024, as the state launches new data reporting systems.
  • Improve the technical support OHA provides to the Measure 110 Oversight and Accountability Council (OAC).
  • Help the OAC expand collaboration with the Oregon Department of Corrections, housing programs, and other partners who can aid Measure 110’s successful implementation.



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