NAMI Oregon Oregon
 
  Welcome
  Annual Conference
  Education
  Upcoming Trainings
  Advocacy
  Membership
  Affiliates
  NAMI Northwest Walk
  Latest Research from NIMH
  Newsroom
  Support


from NAMI.org
Join NAMI Today Keep up with NAMI news stories, events and blogs, connect with your affiliate and bring support and hope to others.
Register for the 2015 NAMI National Convention in San Francisco
Find a Discussion Groups
Top News Stories
Find more at NAMI.org
stars graphic

 

 | Print this page | 
Public Policy Update

March 11, 2015
Chris Bouneff, Executive Director

Greetings, NAMI public policy followers --

A quick update on the legislative session:

* NAMI Oregon's housing bill, HB 2825, was approved by the House Health Care Committee last week and moves on to the Joint Ways and Means Committee for consideration on funding. The bill passed out of committee on a 9-0 vote, so it enjoyed strong bipartisan support. We'll keep people posted on its progress in Ways and Means.

* We are still working through a huge list of bills that touch on the mental health and addiction system. I had hoped to have a comprehensive list out last week, but the session's pace and other goings on around NAMI seem to have me perpetually responding to emerging events.

* Several bills we're following may be of interest to NAMI members. A trio of bills introduced by Rep. Alissa Keny-Guyer touch on communication between providers and an individual's family or support system, discharge planning after hospitalization, and a requirement for an insurer to pay for case management after a hospitalization for a mental health crisis. NAMI Oregon has not taken a position on the legislation, although we are participating in discussions about how the bills could be amended.

All three bills have a public hearing scheduled for Wednesday at 1 p.m. before the House Health Care Committee. HB 2948 is intended to align state law with medical privacy sections in the federal Health Insurance Portability and Accountability Act (HIPAA) that permit communication between a health care provider and a patient's family or other support network in certain circumstances. HB 2023 addresses discharge planning from a hospital setting for someone hospitalized with a mental health crisis. And HB 2022 focuses on reimbursement for case management so that the transition from inpatient treatment to any outpatient treatment and support services is more seamless.

You can search legislation by surfing over to the Oregon Legislature's website at: www.oregonlegislature.gov.

* Two bills that NAMI supported passed the House last week and are headed for the Senate. Both bills were priorities for Disability Rights Oregon, the federally-designated protection and advocacy organization with which we regularly partner.

HB 2363 requires that the use of seclusion and restraints be documented in hospital emergency rooms for people who are on mental health holds and are awaiting civil commitment evaluations and hearings. The problem of "boarding" in emergency rooms continues to grow. The use of seclusion and restraints is documented in other treatment environments. The bill extends those documentation requirements to emergency rooms.

HB 2368 clarified that if a person has both a advance psychiatric directive and a medical health care directive that the psychiatric directive takes precedence when there is a conflict between the two documents.

As always, if you have any questions or comments, please feel free to email me directly.

Thanks,

Chris

 

2014 Public Policy Survey Results

NAMI member and allies overwhelmingly picked housing as their top priority in our recent public policy priorities survey. Click here to read the results and summary of the survey, which will be discussed at June's public policy meeting.

NAMI Oregon Releases Health Transformation Guide

Many Oregonians may still be puzzled by the term "health transformation," but the changes forthcoming in Oregon's Medicaid system could vastly improve health care in our state or just be another shot in the dark that fails to hit its intended target. NAMI Oregon has long advocated for an integrated health care system that focuses on individual and family health. To that end, NAMI Oregon is pleased to issue its "Policy Guide to Health Transformation and Integration in Oregon" that collects all of NAMI's various positions on health care transformation into one document. This will serve as our guiding vision for our advocacy on health care reform.

Please see previous Public Policy Updates below.

Previous Public Policy Updates

Stay involved with us - sign up for our e-news and legislative alerts, and click the links below to view minutes from Public Policy Committee meetings.

Tell us your story - if you have a personal story that illustrates the need for changes in statewide mental health policy and you would like to become an advocate for policy improvement, complete our Advocate Information Form and return it to us today.

HIPAA Privacy Rule Clarification

The U.S. Department of Health and Human Services has issued a clarification on when it is appropriate for mental health care providers to share information protected under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, especially with family members and loved ones. The HIPAA Privacy Rule allows for health care providers to share information about a patient's care with family members not only when permission has been expressly granted, but also in circumstances when the patient may be unable to grant permission but the provider deems sharing information will be in the patient's best interest. For details, read the HIPPA Privacy Rule guidance.

Communication Checklists

Communication between care providers and family members of patients seeking treatment for mental illness improves the quality of care and reduces the risk of suicide for these patients. While confidentiality is a fundamental component of a therapeutic relationship, misunderstandings by clinicians about the limitations created by HIPAA, FERPA, and state laws for preserving confidentiality has caused unnecessary concern regarding disclosure of relevant clinical information. 

To address this deficit of communication, the Oregon Council on Child and Adolescent Psychiatry published a checklist for mental health providers in 2012.  The authors, Dr. Stewart Newman and Jerry Gabay (NAMI Oregon Board Member), have created a companion checklist to help families seek information from providers. Click here to view both the provider checklist and the family member checklist.


Related Files

Public Policy Committee meeting minutes - August 2010 (PDF File)
Public Policy Committee meeting minutes - September 2010 (PDF File)
Public Policy Committee meeting minutes - November 2010 (PDF File)
Public Policy Committee meeting minutes - February 2011 (PDF File)
Public Policy Committee meeting minutes - March 2011 (PDF File)
Public Policy Committee meeting minutes - April 2011 (PDF File)
Public Policy Committee meeting minutes - May 2011 (PDF File)
Public Policy Committee meeting minutes - October 2011 (PDF File)
Public Policy Committee meeting minutes - November 2011 (PDF File)
Public Policy Committee meeting minutes - January 2012 (PDF File)
Public Policy Committee meeting minutes - February 2012 (PDF File)
Public Policy Committee meeting minutes - March 2012 (PDF File)
Public Policy Committee meeting minutes - June 2012 (PDF File)
Public Policy Committee meeting minutes - August 2012 (PDF File)
Public Policy Committee meeting minutes - November 2012 (PDF File)
Public Policy Committee meeting minutes - December 2012 (PDF File)
Public Policy Committee meeting minutes - January 2013 (PDF File)
Public Policy Committee meeting minutes - March 2013 (PDF File)
Public Policy Committee meeting minutes - December 2013 (PDF File)
Advocate Information Form (Word Document)
June 2011 Public Policy Update (PDF File)
July 2011 Public Policy Update (PDF File)
October 2011 Public Policy Update (PDF File)
November 2011 Public Policy Update (PDF File)
December 2011 Public Policy Update (PDF File)
January 2012 Public Policy Update (PDF File)
February 2012 Public Policy Update (PDF File)
March 2012 Public Policy Update (PDF File)
May 2012 Public Policy Update (PDF File)
August 2012 Public Policy Update (PDF File)
October 2012 Public Policy Update (PDF File)
February 2013 Public Policy Update (PDF File)
March 2013 Public Policy Update (PDF File)
April 2013 Public Policy Update (PDF File)
July 2013 Public Policy Update (PDF File)
December 2013 Public Policy Update (PDF File)
January 2014 Public Policy Update (PDF File)
March 2014 Public Policy Update (PDF File)
October 2014 Public Policy Update (PDF File)
January 2015 Public Policy Update (PDF File)
CCO Basics Fact Sheet (PDF File)
CCOs By County (PDF File)
DOJ Civil Agreement (PDF File)
2013 Legislative Priorities (PDF File)
Housing Bill Summary (PDF File)
Budget Fact Sheet (PDF File)
Medication Access Fact Sheet (PDF File)
Human Services and Housing Committee list (PDF File)
2014 Public Policy Survey (PDF File)
State Budget (PDF File)
Medical Access House Bill 2421 (PDF File)
Housing Funding House Bill 2825 (PDF File)
February 2015 Public Policy Update (PDF File)
Housing Fund Testimony (PDF File)
February 27, 2015 Public Policy Update (PDF File)

 | Print this page |