NASADAD 2006 Annual Meeting Public Policy Breakfast June 3, 2006 Albuquerque, New Mexico

1
NASADAD 2006 Annual MeetingPublic Policy
BreakfastJune 3, 2006Albuquerque, New Mexico

• Progress
• Priorities.
• Future Directions...
• and
• 
  Member Discussion

2
NASADAD Public Policy Committee(as of May 2006)

• Flo Stein (NC), Chair
• Executive Committee
• Dave Wanser (TX)
• Maria Canfield (NV)
• Marty Gaudiose (OH)
• Bill Lowenstein (ME)
• Michael Couty (MO)
• Jack Kemp (DE)
• Don Eubanks (MN)

• Members
• Kathryn Jett (CA)
• Frances Harding (NY)
• Kimberly Johnson (ME)
• Stephenie Colston (FL)
• Barbara Cimaglio (VT)
• NPN Representatives
• Deborah Synhorst (IA)
• Mike Magnusson (OH)
• Chairs of Other Committees
• Doug Allen (WA), Research
• Ken Batten (VA), Criminal Justice

3
Partners A Partial List

• Government
• SAMHSA
• ONDCP
• OMB
• NIAAA
• NIDA
• DOJ
• CDC
• Dept. of Ed
• HHS Office of Ingvt Affairs
• Capitol Hill

• Non-Government
• NGA
• CADCA
• NAADAC
• CWLA
• LAC
• TCA
• NCJA
• ASAM
• APHSA
• NASTAD
• NCSL, HPTS
• TASC
• MHLG - includes NASMHPD
• NACo, NACBHD

4
Public Policy Communication

• D.C. Updates
• Monthly Public Policy Committee Conference Calls
  Open to all Members. Conference call minutes
  posted on NASADAD Web Page
• Monthly Public Policy Division Reports Posted on
  Web Page
• Public Policy Division Quarterly Reports
  submitted to the Board
• Develop Agenda, Provide Reports for the 1-800
  MEET ME calls
• Participation on other NASADAD Conference Calls
  Child Welfare Comm, NPN Executive Comm, NTN
  Comm, Executive Comm.
• Calls to State Directors, before and after Hill
  Visits

5
2006 Public Policy Priorities from November 2005
Inquiry

• Strengthen State Substance Abuse Systems and the
  Office of the Single State Authority (SSA)
• Expand Access to Prevention and Treatment
  Services
• Implement an Outcome and Performance Measurement
  Data System
• Ensure Clinically Appropriate Care
• Promote Effective Policies Related to
  Co-occurring Populations

6
Strengthen State Substance Abuse Systems and the
Office of the Single State Authority

• Second Chance Act H.R. 1704/S. 1934
• Background First introduced in 2004 by Rep.
  Portman (R-OH) and bipartisan co-sponsors e.g.
  Reps. Davis (D-IL), Souder (R-IN) to address
  recidivism and improve the manner in which
  offenders return home
• Issue Public Policy Committee (PPC) found (1) no
  mention of State substance abuse agencies and (2)
  no requirement that SSAs be consulted with in the
  authorized grant program.
• NASADAD Action
• NASADAD worked to ensure that applications for
  the demonstration grant must include proof of
  extensive collaboration with SSA in order to be
  considered.
• Included 50 letters to House and Senate offices

7
Strengthen State Substance Abuse Systems and the
Office of the Single State Authority

• Second Chance Act -cont
• Action
• Secured spot for Ken Batten (VA), CJ Chair, to
  testify on February 8, 2006 before House
  Government Reform Subcommittee assisted with
  draft testimony and hearing preparation
• Helped lead a coalition of National organizations
  and worked with Hill staff on adding treatment
  language
• Results Latest draft of H.R. 1704 includes
• SSA defined and included throughout the bill
• State substance abuse agencies as collaborative
  partner in strategic planning taskforces
• Several new grant programs to expand substance
  abuse treatment
• Outlook and Next Steps
• House mark up potentially this month
• Faith-based language will receive attention

8
Expand Access to Prevention and Treatment
Services

• FY 2006 Appropriations
• Background Administration proposed (1) level
  funding for SAPT Block Grant (2) plus 25 m for
  CSAT with 150 m for ATR, and (3) a proposed
  decrease for CSAP of 14.4 m.
• Issue Increasing focus on restraining
  discretionary spending coupled with uncertainty
  regarding results of the Block Grant
• NASADAD Action NASADAD policy staff convened AOD
  national organizations to develop FY 2006
  recommendations worked with State Directors on
  State specific info to share conducted approx.
  50 approps. Hill visits attended House FY2005
  appropriations hearing drafted and submitted
  testimony on FY2006 appropriations priorities
  generated sign-on letters drafted House and
  Senate Report Language
• Results With a ATB Cut, SAPT Block Grant
  received 1.775 b or minus 17 m CSAT received
  398.9million (cut of 23.4m) and CSAP received
  192 m or decrease of 5.8 m. ATR receives
  level funding at 98 m. Report language was
  included in the Senate Report, which noted in
  part, The Committee also continues to express
  its strong support or preserving the current
  Block Grant and PPG as the foundation of our
  publicly funded substance abuse systemThe
  Committee remains concerned with any effort that
  could erode the strength of this vital funding
  stream.

9
Expand Access to Prevention and Treatment
Services

• FY 2007 Appropriations
• Background Proposed level funding of the SAPT
  Block Grant proposed cut of 12.3 million for
  CSAP decrease of 23.5 m for CSAT (includes a
  new grant of 25 million for methamphetamine
  vouchers, 70 m for voucher incentive program).
  Reduces programs in PRNS. Would eliminate DOJs
  Byrne/JAG program and RSAT and Dept. of Eds
  SDFSC-State Grants program.
• Issue Increasing focus on restraining
  discretionary spending coupled with uncertainty
  or negative view regarding results of the Block
  Grant
• NASADAD Action NASADAD policy staff convened AOD
  national organizations to develop FY 2007
  recommendations added DOJ Programs as part of
  the appropriations recommendations worked with
  State Directors on State specific info to share
  conducted 65 Hill visits drafted and submitted
  testimony on FY 2006 Labor/HHS appropriations
  priorities generated NASADAD letters for DOJ (94
  letters), Block Grant NASADAD only (94) Block
  Grant Sign on (94) NASADAD only Patriot Act
  Meth Program (44) and Patriot Meth Sign on (44).
  In addition, drafted House and Senate Report
  Language. Engaged others (NACo, etc) to assist
  with Block Grant.
• Results House Appropriations Committee may
  consider the bill funding SAMHSA as early as next
  week. Senate expected to consider in July.

10
Implement an Outcome and Performance Measurement
Data System

• Background An agreement set between SAMHSA and
  States to report core measures across all grants
  including SAPT Block Grant by end of FY 2007.
  
• Issues Move forward to achieve reporting but
  also (1) establish increased flexibility for
  States in managing SAPT Block Grant, (2) reduce
  reporting and paperwork burden, (3) federal
  realignment of resources and TA for data needs,
  and (4) create incentives for States rather than
  penalties for performance. In addition, work
  needs to be done to demonstrate how the Block
  Grant supports outcomes beyond NOMs.

11
Implement an Outcome and Performance Measurement
Data System

• NOMs contd
• Action
• Participation in Performance Data Workgroups for
  Prevention and Treatment to finalize measures
• Drafted FY 2006 and FY 2007 Congressional report
  language to ensure continued involvement of SSAs
• Educated NGA on importance of NOMS
• June 21st 2005 letter comments on FRN and TEDS
  client-level records
• August 29th 2005 letter commentson FRN and
  prevention NOMs
• Drafted and released NOMs Issue Brief
• Continued messaging of importance of NOMS in
  approps. letters, etc.
• Results
• Inclusion of Congressional Report language in FY
  2006 appropriations Report
• NOMs language included in NGAs 2006 Public
  Health Policy Statement
• Better understanding of NOMs and data reporting
  on Capitol Hill

12
Ensure Clinically Appropriate Care

• Methamphetamine
• Background Congress remains very interested in
  action to address methamphetamine with a slant on
  law enforcement and skepticism on treatment
  effectiveness and SAPT Block Grant
• Issue Balancing the need to be involved in the
  action versus inherent problems with the focus on
  a single drug
• NASADAD Action
• Priority to message (1) People can and do
  recover from methamphetamine, (2) coordinate with
  SSAs, (3) Prevention and Education are vital, (3)
  SAPT Block Grant is the best avenue to funnel
  resources and (4) continued commitment to
  research
• Use of NASADAD Issue Brief to message with data

13
Ensure Clinically Appropriate Care

• Methamphetamine Action contd
• Educated Congress on the benefits of including a
  treatment component to the Patriot Act
• Secured a spot for John McVay (NE) to present
  testimony before a Senate Town Hall Meeting on
  January 23, 2006
• Secured an opportunity for Janet Zwick (IA) and
  Kathy Jett (CA) to brief over 100 Hill Staff on
  methamphetamine on February 14, 2006. NACO joined
  NASADAD in the briefing sponsored by the House
  Methamphetamine Caucus
• Policy Staff presented during NACos Annual
  Meeting
• Results
• Authored new grant program within the Patriot Act
  for pregnant and parenting women offenders in
  criminal justice system
• Working to provide resources for the Patriot Act
  program 20 Senators wrote in May 2006 to the
  Senate Appropriations Committee seeking resources
  
• Opportunity to educate on the Block Grant while
  addressing methamphetamine WITH DATA ON OUTCOMES

14
Promote Effective Policies Related to
Co-occurring Populations

• Mentally Ill Offender Treatment and Crime
  Reduction Act, S. 1194
• Background Introduced in June 2003 by Sen. Mike
  DeWine (R-OH) to address the revolving door of
  the mentally ill and the criminal justice system
  focus on co-occurring mh/aod disorders.
• Encourages collaboration between relevant (CJ,
  MH, JJ) agencies by offering planning and
  implementation grants.
• Issue No involvement of SSAs. Recommend one
  specific predetermined clinical intervention for
  co-occurring populations
• NASADAD Action
• Joint Public Policy Committee Criminal Justice
  Committee call held to discuss recommendations,
  drafted letter and sent recommendations to Hill
  to DeWine (R-OH), Strickland (R-OH) and others.
• Asked that State Substance Abuse Authorities be
  included

15
Promote Effective Policies Related to
Co-occurring Populations

• Mentally Ill Offender Act NASADAD Action contd
• Policy Staff worked with Hill staff on changes
  that included
• (1) SSAs as a collaborative partner
• (2) SSAs as eligible grant applicants and
• (3) expanding the types of treatment to be
  mentioned in the application from integrated
  treatment to treatment that is clinically
  appropriate
• Result
• Recommendations were included in final version of
  the bill and passed
• MIOA was funded at 5 million for FY 2006 DOJ
  released the RFA in April applications were due
  June 2, 2006.

16
Other Issues Prescription Drug Monitoring
Programs (PMPs)

• Background In 2004, the House considered and
  passed H.R. 3015, the National All Schedules
  Prescription Electronic Reporting (NASPER) Act,
  by Rep. Whitfield (R-KY) to establish within HHS
  a formula grant for the establishment and
  implementation of PMPs
• Issue The original draft included language that
  would give States that received a grant under
  this program preference when applying for drug
  abuse grants
• NASADAD Action Policy Staff worked with Hill
  staff on compromise language that
• Delayed the starting date of the preference until
  3 years after funds are first appropriated
• Limited the number of grants affected by the
  preference
• Allowed the Secretary of HHS to consider
  exemption for States meeting certain requirements
  
• Next Steps Policy Staff has sent letters to Mr.
  Leavitt offering assistance as this program is
  implemented

17
Other Issues

• SAMHSA Reauthorization Issues
• Underage Drinking
• Chief interest STOP Act (Report Cards)
• NASADAD Policy Staff attended ICCPUD State-team
  meeting in October 2005
• Letters in January 2006 to Secretary Leavitt,
  SAMHSA Administrator Curie and Surgeon General
  Richard Carmona
• Meetings with Mr. Curie and Dr. Carmona
• Synar
• Potential interest in a lower compliance rate and
  institutionalizing the Synar Fix
• NASADAD Policy Staff secures fix language
  through appropriations process
• Performance and Outcome Data/Accountability
• Potential Interest in penalties or targets

18
Other Issues

• SAMHSA Reauthorization Issues contd
• Family treatment
• Potential interest in new set-aside
• SAPT Block Grant Flexibility/set-asides
• Potential mandates/interest in new set-aside
• More on methamphetamine
• Sky is the limit

19
Future Challenges

• Continued Acceptance of Prioritizing our
  Priorities
• We recommend our continued focus on tangible
  wins on core issues most important to the
  majority of members
• Reliance on inquiry regarding priorities
• Looking at Policy Issues through the Right Lens
• Ensuring that members coordinate with Policy
  Staff when issues come up
• At times, an issue may be framed through the lens
  of the Executive Branch only Lack of filter
  regarding broad picture
• Remembering the value of consensus and collective
  security
• Data to support the Associations position
• Outcomes data similar to the SAPT Block Grant
  letter with some mention of use - absolutely
  critical

20
NASADAD Public Policy Staff

• Thanks you for your
• Participation
• Energy
• Expertise
• Time

21
Discussion Possible Topics

• How are we doing?
• How is our communication?
• How can we improve?