The Joint Committee on Ways and Means convened on March 22, 2025, to discuss critical funding issues impacting Oregon's Medicaid services, particularly for individuals with intellectual and developmental disabilities (IDD). The meeting highlighted the essential role of case management entities in supporting some of the state's most vulnerable citizens.

The session began with a powerful statement emphasizing that case management entities are not merely service providers but vital lifelines for individuals with disabilities. These entities ensure the health, safety, and well-being of their clients, and their absence could lead to devastating consequences. The speaker reflected on Oregon's historical treatment of individuals with disabilities, noting that the state has made significant strides in becoming a national leader in Medicaid, particularly in expanding access to care.

Key discussions centered around the importance of community-based services that prioritize autonomy, dignity, and person-centered planning. Case managers play a crucial role in individual support planning, focusing on clients' hopes and dreams while addressing their needs for independence, housing, and employment. They also work proactively to prevent crises, including abuse investigations and eviction prevention.

The meeting underscored the complexities of navigating disability services in the country. Case managers advocate for individuals, helping them access the services they are entitled to and bridging gaps between clients, families, and service providers. The absence of these services significantly increases the risk of homelessness, hospitalization, abuse, or even death for individuals with IDD.

The call for fully funding Medicaid was a central theme, with advocates urging the committee to consider the implications of potential cuts to these essential services. The meeting concluded with a personal testimony from Jason Lohman, a legal secretary with the Oregon Department of Justice, who shared his own experiences of privilege and support, underscoring the importance of accessible services for all individuals.

Overall, the meeting highlighted the urgent need for continued investment in Medicaid and disability services to ensure that vulnerable populations receive the support they need to thrive in their communities.