BOARD TRAINING Thank you for your willingness to

BOARD TRAINING

Thank you for your willingness to serve on the Alcohol, Drug Addiction, and Mental Health Services Board!

STATE OF THE STATE

• Responding to COVID -19 • Increased drug and alcohol consumption • Increased suicides, ideation, and attempts PRIORITY ISSUES • Enhancing access to crisis services • Addressing racism and health equity • Working with General Assembly on bills impacting the BH system • Working through the SFY 2022 -2023 Biennial Budget process • Partnering with federal and state leaders to ensure increased federal investments are utilized to support community services

Crisis Services • Multi-System Adults 988 OHIOMHAS PRIORITIES Hospital Access • Indigent placement funds • Bed boards Federal Grants Opiate Epidemic • Naloxone distribution

BIENNIAL BUDGET UPDATE HB 110

OACBHA SFY 2022 -2023 BUDGET PRIORITIES Language Recommendations: Modernize ADAMH Board authority related to contracting for services Clarify the ADAMH Board role as the community mental health and addiction planning and data sharing Responding to Board Member Appointment Amendment

• Changes currently included in HB 110 • All newly established Boards would have 5 to 9 members BOARD MEMBER APPOINTMENT • All existing Boards would have three years to decrease to 5 to 9 members • County Commissioners are listed as the decision makers • The ratio of County Commissioner appointments to state appointments would become 80/20. • The categorical appointments (individuals with lived experience, family members, and professionals) have been removed.

Governor Dewine As-introduced Budget – HB 110 SFY 2022 –Total All Funds $85, 758, 670, 947 SFY 2023 – Total All Funds $85, 810, 540, 364

• Sustained levels of community funding across multiple line items • $5. 5 M/year to support Multi-System Adult services OHIOMHAS HIGHLIGHT S • $6 M/year to improve quality in Class 2 and 3 residential settings • Increase in hospital operating funds

Federal e. FMAP impact on the State’s Medicaid commitment ADDITIONAL HIGHLIGHTS Increased funding for children’s services Increased funding to support BH services in DRC facilities

Student Wellness and Success – Student Support Funds Administration As-Introduced Proposal • $100 M increase in the Student Wellness and Success funds for each year • $500 M in SFY 2022 • $600 M in SFY 2023 ADDITIONAL HIGHLIGHTS House Proposal • Major changes in school funding and plans to utilize the Student Wellness and Success funds differently going forward • Disadvantaged Pupil Impact Aid • List of 25 allowable uses, including mental health

House process – Feb/March/April Senate process – April/May/June Conference Committee – end of June Final Budget approved and signed by the Governor by June 30, 2021. NEXT STEPS

ADDITIONAL TOPICS

• December Coronavirus Relief Package: • $1. 65 billion increases in: • Mental Health Block Grant • Substance Abuse Prevention and Treatment Block Grant FEDERAL INVESTMENT • American Rescue Plan: • $1. 5 billion increases in: • Mental Health Block Grant • Substance Abuse Prevention and Treatment Block Grant • First funding (from December package) announced • FY 2021 COVID-19 Supplemental Block Grant Funds Ohio amounts • Mental Health Block Grant + $25, 773, 140 • SAPT Block Grant + $60, 489, 869 (Timeline for these funds – March 2021 March 2023)

• $96 Million available for Ohio in the next federal fiscal year. • Ohio. MHAS has announced that $50 million will go to Boards via the first RFP • Needed flexibility • GPRA concerns STATE OPIOID RESPONS E

Surge planning Telehealth Remote/Virtual Meetings COVID-19 PANDEMIC SYSTEM IMPACT PPE Workforce Responding to evolving needs Increasing demand for MH and SUD services Vaccine distribution

BH AND MEDICAID BH Redesign – ongoing change for agencies and clients Re-bid of the entire Medicaid Managed Care Program Ohio. RISE

MEDICAID MANAGED CARE – PLANS NAMED The six MCOs selected for the next generation managed care program are: • • • United. Healthcare Community Plan of Ohio, Inc. Humana Health Plan of Ohio, Inc. Molina Healthcare of Ohio, Inc. Ameri. Health Caritas Ohio, Inc. Anthem Blue Cross and Blue Shield Care. Source Ohio, Inc. Ohio Medicaid is deferring for additional consideration its decision related to Buckeye Community Health Plan. • Transition is targeted for early 2022. • Medicaid members will have the opportunity to select a new plan during the 2021 open enrollment period later this summer. • If members do not select a plan, one will be automatically assigned to them, assuring continuous access to health care without interruption.

Aetna Better Health of Ohio has been selected as the Ohio. RISE vendor.

OACBHA Data Committee Working with Ohio. MHAS, Innovate Ohio, and others DATA WORK Priority: Ensuring Boards’ ability to access and share data in a bi -directional way with state and local partners.

RACISM AS A PUBLIC HEALTH CRISIS • On June 5 th, the OACBHA Members unanimously approved a statement declaring racism to be a public health crisis. • Established a Health Equity, Inclusion, and Diversity Council • First Focus = Training • Groundwater Approach

RECOVERY IS BEAUTIFUL CHANGING THE CONVERSATION • Recovery Is Beautiful is a movement providing hope and encouragement while changing the conversation in regard to mental illness and addiction. We want people to know and understand that: • Mental illness and addiction are chronic illnesses; • Both mental illness and addiction can be treated - treatment works, and people recover; and • Recovery is to be celebrated; individuals in recovery become active, contributing members of their communities!

CRISIS TEXT LINE • Crisis Text Line is a free, confidential service available 24/7 via text on mobile devices • Intended to broaden options available through community crisis hotlines • Goal is to move people from a hot moment to a cool calm • OACBHA rolls out statewide promotion of Crisis Text Line in Ohio • A toolkit of digital, print, and physical promotional materials is available for individuals and organizations who want to get involved • All materials available on the OACBHA webpage: http: //oacbha. org/crisis_text_line. php 24

REGISTRATION IS NOW LIVE! • May 11 -13, 2021 • 3 Keynote sessions • Fully virtual conference • 36 Breakout sessions • www. oacbha. org

“Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. ” ~ Margaret Mead

Contact Us Cheri L. Walter Liz Henrich Chief Executive Officer Associate CEO Ohio Association of County Behavioral Health Authorities cwalter@oacbha. org ehenrich@oacbha. org