State v. Blake and behavioral health expansion

State v. Blake (ESB 5476) and 2E2SSB 5536 address justice system responses and expand behavioral health prevention, treatment, and services. ESB 5476, passed in 2021, addressed the State v. Blake decision. 2E2SSB 5536, passed in 2023, addresses controlled substances, counterfeit substances, and legend drug possession and treatment. 

View the 2E2SSB 5536 summary.

Receive updates related to SURSAC work and Substance Use Recovery Services plan implementation 

Who is leading the work?

The following agencies and organizations are collaborating on the work of ESB 5476 and 2E2SSB 5536:

Deliverables and timeline

Substance Use Recovery Services Advisory Committee (SURSAC) and plan

The Substance Use Recovery Services Advisory Committee has recommended several measures, many of which were adopted per 2E2SSB 5536, to help individuals with substance use disorder (SUD) access outreach, treatment, and recovery support services that are:

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

The committee includes a panel of individuals with lived experience, legislative representation, and subject matter expertise related to behavioral health community needs, harm reduction, outreach, treatment and recovery support services.

How to offer public comment during SURSAC 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.

SURSAC approved recommendations

SURSAC meeting schedule


Date How to join Meeting materials
March 4 Join Teams meeting Watch on TVW 
April 1 Join Teams meeting  
May 6 Join Teams meeting  
June 3 Join Teams meeting  
July 1 Join Teams meeting  
August 5 Join Teams meeting  
September 6 Join Teams meeting  
October 7 Join Teams meeting  
November 4 Join Teams meeting  
December 2 Join Teams meeting  

Past meetings

Dates Meeting materials


No meeting will be held in December 2023. 
November 6
October 2
September 11
July 10
June 12
May 1
April 3
March 6
February 13
January 9
Dates Meeting materials
December 5
October 3

SURSAC 5-hour ad-hoc meeting

September 26

September 12

SURSAC special meeting

September 9

August 1
July 11
June 6
May 2
April 4
March 7
February 7

January 3

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 re-offenses, 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).

Read the MOUD in jails program fact sheet.

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 Lauren Robbins for more information.

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.

View the Clubhouse International organization application.

Contact Lauren Robbins for more information.

Homeless Outreach Stabilization Transition (HOST) expansion

The Blake Bill (ESB 5476) established a plan for recovery services to assist persons with substance use disorder in accessing outreach, treatment, and support services that are low barrier, person-centered, informed by people with lived experience, and culturally and linguistically appropriate. HOST is designed to serve people who cannot access conventional physical and behavioral health services. HCA will expand HOST programs with the goal of increasing access to modified assertive community treatment delivered by multidisciplinary teams.

Read the Homeless Outreach Stabilization Transition (HOST) fact sheet.

Contact Meta Hogan 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.

Contact Ryan Keith or Suzanne Straub for more information.