You may have seen headlines this month about the release of Governor Brown’s Recommended State Budget. As discussed in yesterday’s post, the Oregon state budget takes several months and three major steps from start to finish. We begin with data, reports, and recommendations from each governmental agency as to how services are currently operating, and what it would take to continue them (ARB). Next, the Governor synthesizes the disparate agency requests into a single budget, recommending it to the legislature, and to all Oregonians (GRB). The state legislature then takes those critical components, pairs them with months of gathered input and information from...
Read MoreFor the IDD system, the budgeting process is often a roller-coaster of emotion and advocacy. Service levels, program funding, and provider rates are all determined by the biennial state budget. On December 1st, Governor Kate Brown released her Governor’s Recommended Budget (GRB), which is a detailed budget plan for the 2017-2019 biennium. To get a handle on where the GRB falls in the full budget process, let’s take a closer look at it from start to finish. First stop: The Agency Request Budget (ARB) An Agency Request Budget is a formal report submitted by each state agency detailing their funding priorities. The report includes an outline of how they would...
Read MoreWe have talked a lot about the series of policy changes back in late 2013 that resulted in the statewide Community First Choice K Plan, in consolidating services and payment into the eXPRS Plan of Care, and the rise of the Adult Needs Assessment as a primary point of departure for service planning and funding. Today, we believe that more change is necessary if Oregon is to regain a functional, sustainable structure for IDD services. In our last post, we talked about the series of changes that reshaped the landscape for intellectual and developmental disability (IDD) services in Oregon. From the summer of 2013 until the close of 2015, we were taking on new processes, new...
Read MoreWe have talked a lot about the series of policy changes back in late 2013 that resulted in the statewide Community First Choice K Plan, in consolidating services and payment into the eXPRS Plan of Care, and the rise of the Adult Needs Assessment as a primary point of departure for service planning and funding. The entire system still struggles to find equilibrium in the wake of such wholesale change. Equity in service allocations, rates of pay, and time spent on face-to-face services vs. paperwork has been disrupted due to choices made during the implementation of these policies. Today, we believe that more change is necessary if Oregon is to regain a functional,...
Read MoreNearly one year ago, the Oregon Support Services Association shared our February 2015 Vision for the Future of Disability Services in Oregon. It was meant to be a comprehensive look at what we want for our service system, with ideas about how we might get there. While the ultimate vision hasn’t changed substantially, the ideas for how we get there have been refined to fit a January 2016 understanding of the world. Click here to view the OSSA Vision For the Future of Disability Services in Oregon, January 2016. As OSSA President Larry Deal and I reviewed our vision one year in, we were both struck by how much the IDD field has learned over the past 12 months. We...
Read MoreCommunity-based services are different. In 2001, Oregon made a deep investment in community supports when it began to develop Support Services Brokerages. This style of service, which seeks to serve people where and how they wish to live, is very different from the institutional settings of the past. People make different choices when you let them, they express different needs than you might have anticipated–they surprise you. Oregon found that community-based services demanded a wider diversity of providers. People inviting workers into their homes expected different things from those providers: willingness to take direction directly from the individual as...
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