The Oregon State Legislature convened on April 21, 2025, to discuss critical legislation aimed at improving access to behavioral health care in the state. The primary focus was on House Bill 2013, which seeks to expand the definition of eligible providers to include licensed outpatient facilities that employ certified alcohol and drug counselors (CADCs). This change is intended to enhance the ability of these facilities to bill insurance plans, thereby increasing access to addiction treatment services.

During the meeting, a representative highlighted the pressing need for this legislation, citing a significant shortage of mental health providers in Oregon, particularly in rural and underserved areas. The lack of access to care has resulted in delays in treatment and increased reliance on emergency services, worsening health outcomes for individuals with mental health and substance use disorders. By recognizing outpatient facilities with CADCs as eligible providers, the bill aims to bridge this gap and facilitate better insurance coverage for addiction services.

The discussion also included an amendment proposed by the Oregon Health Authority, which clarified the definition of eligible facilities to ensure that only those with certified substance use disorder programs employing CADCs would qualify. This amendment was designed to maintain high standards for care while expanding access.

In addition to House Bill 2013, the meeting addressed a minority report that proposed incorporating Oregon into the Social Work Licensure Compact. This compact would allow licensed social workers to practice across state lines without needing separate licenses, thus addressing workforce shortages and improving access to care, especially in rural areas. The compact aims to streamline the licensing process, reduce bureaucratic delays, and enhance the mobility of qualified professionals.

The representatives emphasized the urgency of these measures, noting that many families in crisis face long wait times for care, sometimes giving up on seeking help altogether. The proposed legislation and compact are seen as vital steps toward ensuring that Oregonians have timely access to the mental health services they need.

As the meeting concluded, lawmakers expressed their commitment to advancing these initiatives, recognizing the importance of addressing the behavioral health care crisis in Oregon. The next steps will involve further discussions and votes on the proposed bills, with the hope of implementing these changes to improve access to care for all Oregonians.