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State v. Blake: ESB 5476 and behavioral health expansion

State v. Blake (ESB 5476) addresses justice system responses and expands behavioral health prevention, treatment, and services.

Who is leading the work?

The following agencies and organizations are collaborating on the work of ESB 5476.

Deliverables and timeline

Substance Use Recovery Services Advisory (SURSA) Committee and plan

The Substance Use Recovery Services Advisory Committee will develop measures to help individuals with substance use disorder (SUD) access outreach, treatment, and recovery support services. Services will be:

  • Low barrier.
  • Person-centered.
  • Informed by people with lived experience.
  • Culturally and linguistically appropriate.

The committee will include a panel of individuals with lived experience, legislative representation, and local and national experts.

How to offer public comment during SURSA committee meetings:

  • If you want to provide feedback during the meeting, mention this in the chat at the beginning of the meeting.
  • There will be designated time for public feedback in the last 5-20 minutes of the meeting, depending on how many people want to share
  • Each person will have 3 minutes to provide their feedback.
  • Non-committee members will remain muted during the meeting until it is time for them to share feedback, if requested.
  • Feedback that is not provided during the meeting can be submitted via email to

SURSA committee meeting schedule

Substance use recovery services plan

The plan includes measures to assist individuals with substance use disorder (SUD) in accessing outreach, treatment, and recovery support services that are low barrier, person centered, informed by people with lived experience, and culturally and linguistically appropriate.

Medication for Opioid Use Disorder (MOUD) in jails program 

A full MOUD in jails program will provide incarcerated individuals the opportunity for an opioid use disorder (OUD) assessment, evidence-based medication for OUD, sustained treatment throughout incarceration, and connection to continue treatment upon release or transfer. Overall benefits may include reduction in morbidity and mortality due to overdose, reduced reoffenses, reduced complications during withdrawal, improved jail staff safety, cost savings, reduced transfers to emergency departments, custodial costs, and overall improved relationships.

The MOUD in jails program contributes to the Washington State Opioid and Overdose Response Plan under goal 2 by expanding low-barrier access to MOUD in state jails (2.2.1), providing alternative funding to address the Medicaid gap for incarcerated individuals (2.2.10), and expanding access to and utilization of behavioral health services, including opioid use disorder medications in the criminal legal system, and improve effectiveness and coordination of jail reentry services across the state (strategy 2.4).

Clubhouse services

In response to State V. Blake, HCA has started efforts to expand Clubhouse International and Peer Run organizations. The expansion will include organizations who incorporate evidence-based practice models such as Clubhouse International, Recovery Community Organizations, and Recovery Cafe.

Contact: for more information.

Peer Run funding expansion webinars 

You are invited to attend an information session presented by HCA and local subject experts on the Clubhouse International model from HERO House. The information session will cover Clubhouse expansion funding for 2022- 2023.

The next webinar is scheduled: 

  • Wednesday, June 1 
    10 a.m. - 11:15 a.m. 
  • Microsoft Teams meeting: Join the meeting
  • Or call in number 833-322-1218 (audio only) 
  • The meeting phone conference ID number is 821 672 269#

Webinar will be held on Microsoft TEAMS.

View TEAMS instructions.  

Peer Run organizations funding opportunities 

Applications are available to assist HCA expand Clubhouse International organizations. Expansion will occur across all regions based on evidence-based or other practice models including Peer Run models such as Recovery Cafes, recovery community organizations, or other psychosocial rehabilitation program models. 

Contact: for more information.

Homeless Outreach Stabilization Transition (HOST) expansion

HCA will expand HOST programs with the goal of increasing access to modified assertive community treatment delivered by multidisciplinary teams. 

Contact for more information.

Recovery Navigator program 

The Recovery Navigator program (RNP) is a statewide effort, in partnership with Behavioral Health Administrative Organizations (BHASOs), to provide community-based outreach, intake, assessment, and connection to services. These services support youth and adults with substance use disorder (SUD), including individuals with co-occurring substance use disorders, mental health conditions, and others who are referred from community sources.