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.
On this page
- Who is leading the work?
- Deliverables and timeline
- SURSAC meeting schedule
- Substance use recovery services plan
- Medication for Opioid Use Disorder (MOUD) in jails program
- Clubhouse services
- Peer Run organization funding opportunities
- Homeless Outreach Stabilization Transition (HOST) expansion
- Recovery Navigator program
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Who is leading the work?
The following agencies and organizations are collaborating on the work of ESB 5476.
- Health Care Authority (HCA)
- Behavioral health administrative service organizations (BH-ASO)
- LEAD National Support Bureau (Public Defender Association)
- Learn about the LEAD National Support Bureau
- Department of Commerce
- Administrative Office of the Courts
Deliverables and timeline
Substance Use Recovery Services Advisory Committee (SURSAC) 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 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 to hcaesb5476@hca.wa.gov.
SURSAC approved recommendations
- Plan recommendation 1 (Recovery housing incentives and vouchers)
- Plan recommendation 2 (Legal advocacy)
- Plan recommendation 3 (LGBTQIA housing)
- Plan recommendation 4 (Training Foster Parents of Children with SUD)
- Plan recommendation 5 (Paraphernalia Law)
- Plan recommendation 6 (BHASO RNP data)
- Plan recommendation 7 (Health Hubs)
- Plan recommendation 8 (Education/Employment Support)
- Plan recommendation 9 (WRHL and asset mapping)
- Plan recommendation 10 (Diversion Referral programs)
- Plan recommendation 11 (Initial SUD Engagement and Measurement)
- Plan recommendation 12 (Stigma Reducing Outreach in Schools)
- Plan recommendation 13 (Data Infrastructure for Diversion, RNP, and Services)
- Plan recommendation 14 (Safe Supply workgroup)
- Plan recommendation 15 (Rural Access and Expansion of OTPs)
- Plan recommendation 16 (Recovery Housing Zoning)
- Plan recommendation 18 (Continuum of Housing) Provide a continuum of housing along the substance use and recovery spectrum, including people who use drugs. (NOTE: Significant changes were made to the subcommittee’s original recommendation following SURSAC discussion, and prior to committee approval, so the original draft is not hyperlinked here. Details of the approved recommendation are included in the Substance Use Recovery Services Plan).
SURSAC meeting schedule
2023
| Date | How to join | Meeting materials |
|---|---|---|
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January 9, 2023 |
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February 13, 2023 |
Housing and Recovery through Peer Services (HARPS) presentation |
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March 6, 2023 |
Recovery Navigator Program (RNP) Quarterly report Introduction to Foundational Community Supports presentation |
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April 3, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
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May 1, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
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June 12, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
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July 10, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
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August 7, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
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September 11, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
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October 2, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
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November 6, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
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December 4, 2023 9 - 11 a.m. |
Join TEAMS meeting | TVW livestream link |
Past meetings
- 2022
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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.
- Preliminary report
- Final Plan
December 1, 2022 - Adopt rules/contract
December 1, 2023
- Final Plan
- Plan (December 2022-2023)
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: lauren.robbins@hca.wa.gov 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.
Contact: lauren.robbins@hca.wa.gov 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@hca.wa.gov 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.
- Read the Recovery Navigator uniform program standards
- Read the Recovery Navigator program fact sheet
- View the Recovery Navigator program provider directory
Contact ryan.keith@hca.wa.gov or suzanne.straub@hca.wa.gov for more information.