CCC Public Policy Mid-year Update

Jul 23, 2019

In December 2018 Central City Concern’s (CCC) Executive Leadership Team and the Board of Directors approved the 2019 CCC Public Policy Agenda, intended to guide our public policy and advocacy engagement efforts. Since then, CCC has sought engagement opportunities for staff, clients, residents and patients that aligned with the agenda. Dozens of staff and nearly 100 current and former clients have participated in advocacy activities across local and regional efforts, Oregon’s 2019 state legislative session and the 116th Congress and federal administration.

During the first six months of the year the state legislative session has dominated our public policy team’s attention; we reviewed and tracked more than 40 bills through the legislative process. Dialogue about any of our policy focus areas often circled back to two main issues: affordable housing and the needs of communities impacted by the criminal justice system. For example, the State of Oregon is currently working on a waiver update to the substance use disorder 1115 Medicaid waiver. When this effort was initially announced in January 2019, housing was not part of the expected changes; seven months later, we expect supportive housing and better engagement with reentry populations for the purpose of improving access to substance use disorder treatment.

Our public policy team, other staff and clients have also participated in a number of legislative activities since the beginning of the year:

City of Portland passed the Fair Access in Renting (FAIR) ordinance

  • Two CCC staff members attended regular meeting for seven months to support the crafting of this legislation
  • CCC’s Flip the Script program staff and participants provided public testimony and a joint letter of support during the council’s review of the legislation

Multnomah County Budget hearings

  • 100 clients and former clients from the Recovery Mentor Program, Law Enforcement Assisted Diversion (LEAD® program) and Puentes attended to advocate for substance use disorder treatment, mental health care and housing investments
  • Eight clients and former clients provided direct testimony to county commissioners

State legislative session

  • CCC staff, clients and program alumni took 31 meetings with 14 of the 17 legislators that represent CCC programs/properties and sent in more than 140 emails to senators and representatives
  • CCC’s Health Service Advisory Council, a group of current patients, sent a budget letter seeking more funding for behavioral health and palliative care
  • Staff and clients participated in four lobby days with our community partners at, the Housing Alliance, Partnership for Safety and Justice, Oregon Primary Care Association and Oregon Council for Behavioral Health
  • Staff provided public comment at five committee hearings to advocate for palliative care, supportive employment, opposing criminalization of homelessness, supportive housing and self-sufficiency/wraparound services for families on Temporary Assistance for Needy Families (TANF)
  • Significant state budget and policy changes for which CCC advocated include:
     
    • – $334 million in new revenue for Oregon Health Plan
    • – $13 million to increase reimbursement rates for behavioral health
    • – $54.5 million capital and rental subsidy investment for permanent supportive housing
    • – $20 million for TANF recipients to access stable housing, employment and behavioral health services in addition to standard TANF benefits
    • – Substance use disorder was declared a chronic illness to support more health focused responses over criminalization
    • – 1% increase in the Oregon state Earned Income Tax Credit (EITC) for low-income families
  • CCC sent in letters to the federal registry opposing federal administrative changes that will hurt our communities

    • Public Charge: CCC opposes the federal government changing its policy on how low-income immigrant communities can use social services, including access to urgent care clinics and food stamps. While the “public charge” rule has been in place for several decades, the current administration seeks to make it even more penalizing for community members to seek assistance in times of crisis. We believe the current rule is burdensome enough and doesn’t need to increase targeting of low-income communities.
    • Mixed Status in affordable housing: CCC opposes evicting immigrant families from subsidized housing. Current rules prohibit non-citizens (including immigrants in the US with legal status) from using housing benefits. The current rules allow for parents of citizens or spouses of citizens receiving housing benefits to also reside in the same home. The current administration seeks to remove allowances for families to stay together in the same household even if the non-citizen member is not receiving the housing assistance directly.

    CCC advocated for some bills, including SB 179 for Palliative Care and HB 2310 for supported employment, that were not successful this session and we are committed to continuing the work needed to make these services available to those most in need. In the big picture, we saw great movement toward solutions for the communities we serve during this first half of the year.

    There is always more work to be done and more advocacy that will be needed to secure the future we know our communities deserve. For the remainder of the year we will stay focused on our priorities, including the Coordinated Care Organizations (CCO) 2.0 roll out, funding for Community Health Centers in the federal budget ($1.68 billion), ensuring equitable access to housing developed by funds from the Metro Bond, additional improvements to our criminal justice system and the statewide strategic plan for improving access to substance use disorder treatment.

    As we move forward, we aim to involve friends and supporters of CCC even more in our advocacy work! Check in regularly with our newly refreshed Advocacy and Public Policy page to find out what we're working on. You can also sign up below for our periodic advocacy emails to learn about ways to get involved, including attending meetings, contacting elected officials and spreading awareness about the legislative issues that affect those we serve.   

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Medicaid Waiver Extension is Good News for Central City Concern

Jan 13, 2017

On Friday, Jan. 13, Governor Brown announced the federal government extended Oregon’s Medicaid Demonstration Waiver for another five years, effective immediately to run through June 2022.

“This is great news for Central City Concern,” said Executive Director Ed Blackburn. “As a health care provider serving people with very low incomes or experiencing homelessness, we have many patients who are highly dependent on Medicaid to access medical, mental health, and substance use disorder treatment.”

In 2013, the year before Medicaid expansion in Oregon, 47 percent of CCC’s patients were uninsured; two years later in 2015, only 11 percent of CCC’s patients lacked health insurance coverage. This expansion of Medicaid coverage improved CCC patients' access to needed care as well as enabling CCC to offer a more intensive care model that responds appropriately to the needs of these high-risk populations. Without Medicaid expansion, CCC could lose the capacity to serve as many as 2,000 homeless and very low-income patients.

“We treat every patient as an individual,” said Blackburn, “and many of those individuals rely on the Oregon Health Plan to access desperately needed services. Lisa G. is just one example of the many people who need this support and benefited from Oregon’s Medicaid expansion here at CCC.”

Lisa G. was terrified of losing her health insurance. Before Medicaid expansion, the Oregon Health Plan denied her coverage three times. “It’s something I think about all the time. Without the Oregon Health Plan,” Lisa said, “I just don’t know where I’d be.”

Lisa, 23, used drugs such as heroin and methamphetamine for five years. She also struggled with bipolar disorder, which further complicated her ability to stop using drugs. She tried quitting with no luck, until eight months ago when she accessed recovery support services through CCC. In Lisa’s case, medication assisted treatment helped her tackle her opioid addiction, so she could then focus on her severe bipolar disorder and other medical issues at CCC’s Old Town Clinic.

Lisa now lives in supportive alcohol and drug-free recovery housing and works in CCC’s On-Call Staffing program. She hopes one day to become a peer mentor and help others to overcome their opioid addiction. Without Medicaid expansion, Lisa wouldn’t have had access to critical recovery services that led to integrated health care, housing and employment services.

“Medicaid not only supports these individuals in their health and well-being,” said Blackburn, “but also leverages other resources such as housing and employment, further enhancing the health and well-being of our entire community. Though there are uncertainties about health care on the national scene, we’re tremendously relieved Oregon’s Medicaid Waiver will continue for five more years.”

CCC is a large non-profit organization, founded in 1979 in Portland, OR, that serves people experiencing or vulnerable to homelessness by providing health care and recovery services, housing, and employment services. In the last year, CCC helped more than 13,000 people, most through our 11 Federally Qualified Health Center (FQHC) sites that offer integrated behavioral health and primary care. For more information, visit centralcityconcern.org.