State of Wisconsin
State Council on Alcohol and Other Drug Abuse
1 West Wilson Street, P.O. Box 7851
Madison, Wisconsin 53707-7851
PLANNING AND FUNDING COMMITTEE MEETING MINUTES
February 12, 2015
Members present: Todd Campbell, Steve Fernan, Tom Fuchs, Karen Kinsey, Joyce O’Donnell, Emanuel Scarbrough, Duncan Shrout, Sally Tess
Members excused: Irene Secora
Guests: Norman Briggs
Staff: Kris Moelter
Call to Order – Joyce O’Donnell the meeting to order at 9:38 a.m.
Review of November 21, 2014 meeting minutes – Duncan Shrout moved (Tom Fuchs second) to approve the meeting minutes. Motion passed unanimously.
Public comment – None.
Update from December SCAODA meeting – Ms. O’Donnell updated the committee on the December SCAODA meeting. The legislative study committee on problem-solving courts is requesting the legislature support the expansion of treatment alternative programs and treatment court programs. Nancy Michaud gave a presentation on the annual Synar Report, which showed the tobacco sales to underage people dropped from the prior year. The Department of Health Services Deputy Secretary Kevin Moore is now the state’s Medicaid director. He will no longer represent DHS on SCAODA. The new DHS representative has not been determined. Lou Oppor reported that DHS will fund three regional opiate treatment centers in rural and underserved areas. The request for proposal was recently released.
Review proposed biennial budget and agency budgets – Kris Moelter distributed a chart with the AODA-related budget items from the executive budget, including items that agencies had requested but were not included in the budget. The committee discussed the items at length and decided to recommend SCAODA support the expansion of Medicaid to cover substance use disorder treatment in residential treatment centers.
Most of the discussion was on the proposal to drug test recipients of certain public benefits. The committee decided to recommend that SCAODA send a letter to the legislature opposing the drug testing proposal as set forth in the budget but also making recommendation on how to implement a program should the legislature decide it wants to pass that part of the budget. SCAODA should oppose drug testing because there is no evidence that it serves any purpose. The Florida program has been found unconstitutional. In Tennessee fewer than three percent tested positive and it cost the state more money to test than it saved. Testing also stigmatizes people in the lower socio-economic brackets as drug users even though data show they do not use illegal drugs any more than people in other socio-economic groups.
If drug testing is going to become law, SCAODA should recommend some changes to the current proposal. Specifically, the testing should be expanded to all recipients of public benefits, not just low income recipients. It also should not sanction people who test positive for illegal drugs. Sanctions should only be imposed on those who refuse to be screened, take the drug test, or refuse treatment. Also, more money needs to be appropriated for treatment. There is currently not enough capacity to provide substance use disorder treatment, so more funds are needed if more people need treatment. The drug testing should also include alcohol because it is the most abused substance and more people need alcohol treatment than treatment for other drugs.
Ms. Moelter will send the committee members a summary of the discussion that will be included in the materials for the March SCAODA meeting.
AODA ad hoc funding committee – Todd Campbell reported that the committee looked at historical AODA funding and some existing AODA funding. At its next meeting the committee will identify service gaps and then look at how those gaps could be funded. The committee is focusing specifically on those programs and initiatives that relate directly to AODA. The committee will update this committee at the April meeting.
Committee and agency reports – Steve Fernan reported that 2015 Youth Risk Behavior Survey will be conducted this winter/spring. The survey retains the AODA-related questions so a trend analysis can be done. A preliminary report will be ready for the June or September SCAODA meeting. The Department of Public Instruction recently received four grants—one on improving school-based mental health services, one to research bullying; a school climate transformation grant, and an emergency management operations grant. In addition to addressing the specific goals of the grants, they will help increase the capacity for training schools statewide. DPI is in the process of awarding small AODA grants to school districts. It anticipates awarding 50, two-year grants.
Mr. Shrout reported on the work of the Intervention and Treatment Committee’s Substance Use Disorder Workforce ad hoc Committee. ITC will review the preliminary report at its April meeting and bring the report to SCAODA in September. The committee has made recommendations, subject to ITC review.
The Department of Safety and Professional Services (or its successor) should create a committee to review all applications for substance use disorder counselor certification and help the agency set certification standards.
DHS should create a .5 position to help people obtain substance use disorder counselor certification.
All certified substance use disorder counselors who are currently certified and in good standing will not have to complete additional educational requirements to remain certified.
Increase Medicaid reimbursement rates for substance use disorder counselors.
DHS should work with the educational institutions to develop a substance use disorder counselor recruitment plan.
Emanuel Scarbrough reported that the Prevention Committee’s Marijuana ad hoc Committee has been meeting. The committee is focusing its work on four areas: legal/regulation, prevention, medical marijuana, and treatment.
Agenda items for next meeting – An update of the March SCAODA meeting; the workforce development ad hoc committee recommendations; an update on the funding ad hoc committee; an update on legislative and budget items.
The meeting adjourned at 1:20 p.m.
Next meeting: April 16, 2015 at 9:30 a.m. (THIS IS DATE CHANGE)