Originally posted on facingaddiction.org
Wednesday, April 05, 2017
Thursday, March 09, 2017
NCADD-NJ’s Testimony on the Proposed Fiscal Year 2018 State Budget Delivered to the Assembly and Senate Budget Committees
From: Edward Martone, Policy AnalystNational Council on Alcoholism and Drug Dependence - New Jersey
Over the past several years, this Legislature and Governor have taken significant, substantive initiatives to retard the on-going tragedy of addictions. Much of that effort has been reflected in the annual outlays in the state’s Budget. And yet the crisis deepens.
One has a choice of dreadful statistics to pick from. Opioid deaths in the nation have surpassed 30,000 per annum. This represents a nearly 75 percent rise since 2014, according to the Centers for Disease Control. As recently as 2007, gun homicides outnumbered heroin deaths by more than 5 to 1. The latter has now eclipsed the former.
This Legislature and Governor have heroically extended the use of naloxone, enhanced the reimbursement rates for inpatient drug therapy, allowed more people to benefit from the Medicaid program, mandated recovery housing on college and university campuses, established a recovery high school structure, instituted both the needle exchange and drug court projects statewide, among other measures adopted to do battle with this scourge.
This Legislature and Governor understand well, that addressing behavioral health issues would take some of the stress from other government services. Beyond the moral imperative to assist our brothers and sisters in crisis, an investment in initiatives that lessen the destructive ramifications of addictive behavioral will permit us to spend less on law enforcement, prisons, and social services.
There remains the risk of the limited resources of the state being overwhelmed by the need. Also, the block granting, and repeals being deliberated upon in Washington, D. C. for the ACA, Medicaid and healthcare funding in general, hang ominously over the proceedings here in the Garden State. New Jersey’s government may well find itself forced to backfill cuts to worthy programs that are being jeopardized by “repeal and replace” shenanigans in our country’s capital.
The NCADD-NJ organization, along with its 1,000 Advocate Leaders, strongly support many of the proposals in the 2018 state Budget, including: the expansion ($2.8m)of the extant Recovery Coach program from its current five counties to eleven, the opening of a 696 bed facility ($2m) at the former Mid State prison to provide drug and alcohol treatment to many in our state’s correctional system, an additional $12m to house 18 and 19 year-olds struggling with addictions, an allotment of $1m to $1.5m for college recovery dorms, an allocation of $5m for the statewide enhancement of a successful pilot project that provides telehealth hubs with a psychiatrist on call for pediatricians to receive training on screening children for behavioral health and substance misuse conditions, $136m (largely from federal sources) to continue improved Medicaid reimbursement rates for behavioral health services, and $64m in new monies for Drug Courts.
Although not appearing as a line item within the extant proposal upon which you are deliberating, the Governor’s suggestion offered in his Budget Address calling for hundreds of millions of dollars drawn from Horizon Blue Cross Blue Shield’s $2.4b in reserves deserves careful consideration and may well be a mechanism for stepping up the state’s response to the opioid epidemic.
Finally, I’d like to call your attention to pending legislation that seeks no expenditure of state funds, but which would reinforce long-term recovery from addictions. A.3684 would direct the Department of Human Services to facilitate the establishment of four new peer-to-peer Recovery Community Centers. The state presently has two publicly-funded and two privately-funded facilities.
Thursday, March 02, 2017
Every year, the NJ Senate and Assembly Budget Committees hold public hearings and work to approve the Governor’s proposed budget typically released in his annual Budget Address. You can read the entire text of the speech here if you missed it on February 28th
Now it is our turn as advocates to have our voices heard. The NJ Senate and Assembly Budget Committee hearings are a unique opportunity for you to tell your story. NCADD-NJ has sent over 70 advocates to testify at these hearings in the past, and has submitted many written testimonies as well.
When we typically think of the word “budget” we tend to think of money. Let’s put that aside for a minute and think of it in the context of our individual or family budgets. You have a certain amount of money, and you need to prioritize how you spend. A budget could go towards rent/mortgage, food, dining out, household bills, gifts for family, gasoline and the list goes on.
The NJ Legislature needs to see that funding addiction prevention, treatment, family and recovery support works, just the same way as when you pay your electric bill you want to see that light in your house go on. The budget is all about prioritizing.
In the Governor’s State of the State he made it clear what his priority would be for the remainder of his term. Here are just a few quotes from the speech
“Our state faces a crisis which is more urgent to New Jersey's families than any other issue we could confront. A crisis which is destroying families. One that is ripping the very fabric of our state. The crisis of drug addiction.”
“Our friends are dying. Our neighbors are dying. Our co-workers are dying. Our children are dying. Every day. In numbers we can no longer ignore.”
“According to the Surgeon General, an American dies every 19 minutes from an overdose of heroin or prescription opioids.”
Mary Forsberg, formerly of the NJ Policy Perspective gave some encouraging but cautionary words in her Advocacy Guide to the Budget titled ‘The 800- Page Gorilla’ when she states “A friendly supporter in the right place can make it happen. And if you make it into the Governor’s proposal you are in great shape. Once you make it into the Governor’s budget, you are rarely taken out, though in times of a declining economy new programs that have yet to develop a strong constituency can be among the first to be removed by the Legislature”. I could not agree more, and this even furthers the point that our community needs to show up in numbers, with our stories and ideas, to make addiction the number one priority in the state.
You can register here online (earlier the better) at any one of these public hearings in March
Mary went on to say that “Quite often, the hearings are the most productive part of the process for smaller advocates, particularly those who can tell a story and elicit sympathy.”
This anecdotal strategy is the core of the NCADD-NJ advocacy program. Our Advocacy Organizers even help you shape your testimony with helpful talking points if needed.
Here are just a few of the programs funded over the past few years with good advocacy and a Governor that understands addiction as a preventable and treatable health condition.
- · A massive drug court expansion for all 21 NJ counties
- · Accepting federal funds to expand health coverage through Medicaid
- · Continued expansion of services in the children’s system of care
- · Increased funding for treatment by $127 million dollars for behavioral health providers
- · Expanded use of naloxone (opiate blocker) in every NJ County and training for law enforcement.
- · $2.3 million in new funding to improve the way the State delivers services to people with drug addiction, moving away from fragmented treatment options to a single point of entry.
- · Reopening the Mid State Correctional Facility dedicated for inmates struggling with addiction
- · Recovery Coach Pilot Programs in hospitals
Here are a few of the Governor’s proposals this year for the budget.
- · $2.8 million in funding to continue supporting the Recovery Coach Program
- · $64 million to ensure the continued success of the NJ Drug Court program.
- · Increasing funding by $1 million for college housing programs set up for students in recovery.
- · $12 million investment for residential services within the Department of Children and Families to allow 18-19 year old young adults to receive substance use services in their facilities.
- · Increased funding for treatment by $127 million dollars for behavioral health providers.
- · $5 million for the statewide expansion of a program aimed at improving the capability of primary care physicians to screen, care for, manage and increase access to mental health services for children with behavioral health conditions and addiction issues.
NCADD-NJ encourages our citizen advocates to tell your story and advocate to better the chances to prevent, treat, and recover from addiction.
-Aaron Kucharski, NCADD-NJ Advocacy Coordinator
Monday, January 30, 2017
My name is Mariel Hufnagel. I am a certified yoga teacher and a competitive runner; I love sushi; and during my spare time can be found traveling, meditating, on the beach, drinking black coffee or laughing and snuggling with my amazing husband Anthony. I am also a formerly incarcerated convicted felon, formerly homeless and a sex trafficking survivor. I battled with alcohol and drug addiction, bipolar disorder and bulimia nervosa for most of my teenage years – entered recovery in May 2007 at the age of 21 and have maintained abstinence-based long-term recovery ever since. Since 2012 in an effort to face addiction – as well as demand the social rights of those who suffer and those who have lost their battle and those in recovery – I have immersed myself wholeheartedly in mental health, addiction and criminal justice reform advocacy. I believe in health equity and a person-centered system of care. I am employed full-time as an Advocacy Organizer with the National Council on Alcoholism and Drug Dependence – New Jersey (NCADD-NJ), where we run a statewide Advocacy Leadership Program.
The NCADD-NJ Advocacy Leadership Program started in 2008 and is a network of volunteer advocates, invested in promoting addiction as a public health issue. Our advocates are organized regionally throughout the state, working locally in their communities to educate and bring awareness to the public and decision makers surrounding addiction prevention, treatment and recovery support services. We believe that Electoral Politics, Public Policy, and Grassroots Community Organizing must be woven together in order to create social change. When these elements are working in harmony we can sustain change over the long haul with the help of developing a critical mass of diverse leaders in every community in New Jersey.
On January 10, 2017 something colossal occurred. Our Governor dedicated the majority of his State of the State Address to addiction. As a New Jersey resident, voter, and advocate I am overwhelmed and hopeful. Many of the things that Governor Chris Christie spoke of during his address are issues and solutions which NCADD-NJ Advocates have relentlessly fought for since 2010. There is a deep sense of satisfaction knowing that our voices are being heard and that we have become a constituency of consequence. Patience, relentless advocacy and training, stigma reduction, and working with community decision makers is a process but a process that clearly can lead to results.
During Christie’s speech, he covered the importance of a robust continuum of care, speaking about improving prevention, treatment and recovery support services. Some of his major points were:
- · The absolute need for evidence-based practices for prevention
- · Monitoring and curtailing the overprescribing of narcotic pain medication
- · The horrendous lack of beds available and the need of treatment on demand
- · Insurance companies, medical necessity and behavioral health insurance equality
- · Recovery housing for those in early recovery and those attending college
- · NIMBY (“not in my backyard” mentality)
He clearly addressed how untreated addiction is not only killing people, ruining lives and tearing families apart – but he spoke about the fiscal impact of untreated addiction, and the way it touches all other areas - the criminal justice, education, healthcare systems and so much more. New data shows the number of heroin and opiate-related deaths in New Jersey only continues to skyrocket, and is currently at more than twice the national average. In my opinion, the one thing that Christie missed in his speech was talking about the vital need for Peer-to-Peer recovery centers in this continuum of care. Recovery Centers provide a safe, healthy, educational and fun environment for people in recovery to grow and thrive – which increases one’s ability to maintain and sustain long-term recovery, thus reducing relapse rates and in turn stemming the tide of addiction. Without this vital piece of the puzzle we will never reach our desired outcomes.
Only 13 days after his address, Christie has already drafted and delivered proposed legislation. This to me speaks very loudly about his delivery. As noted on the Governor’s website, the proposed legislation is very aggressive and carries multiple provisions, including but not limited to:
• “No one will be turned away for insurance reasons from treatment if a licensed provider prescribes substance abuse disorder treatment.
• Insurance coverage for treatment of a substance abuse disorder will be required and any waiting period that could derail a person’s recovery will be eliminated.
• No longer will lives be put at risk by layers of needless bureaucracy; people diagnosed with a substance use disorder will have covered treatment for 180 days, starting the day they need it, including long term out-patient treatment with no interference from their carrier.
• Covered medication-assisted treatments will be required to be provided without the imposition of prior approval from a carrier.
• Onerous pre-payment obligations imposed by providers will be prohibited, and instead, patients will only be required to pay their copayment, deductible or co-insurance for their treatment.
• In addition, treatment for substance use disorders must be covered by the carrier to the same extent as any other covered medical condition without increased copayments, deductibles or co-insurance.
• The Office of Attorney General will be tasked with monitoring this system to prevent waste, fraud or abuse, and to ensure providers are not improperly treating patients or filling beds that could be used by others in need of treatment.”
With this speech and this new draft legislation, we can see a way to save lives through Public Policy that provides vision, direction and an agenda; Electoral Politics which determines who makes decisions and holds them accountable; and Grassroots Community Organizing which builds a constituency that fights for change. Although we have a long way to go, New Jersey is ahead of the curve and on the cusp of truly changing the way that addiction is viewed and treated.
I think what Christie has proposed is a tall-order and I fear that during his last term, due to bureaucracy (not intention), that he simply may not be able to accomplish it all. This means that New Jerseyans must pay attention to the upcoming gubernatorial election, and ensure that our next Governor is equally as vested in this. Now more than ever, we need people to stand up and speak out about addiction… humanizing it and breaking stigma, while simultaneously demanding that it is treated as a health condition.
“Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” Margaret Mead
View the full State of the State Address here: http://www.pbs.org/video/2365931658/