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Agency Recommendation Summaries

Department of Social and Health Services - Mental Health

  Average Annual FTEs Near General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Current Budget 5,487.5 1,432,438 228,112 1,660,550
2025-27 Maintenance Level 5,338.9 1,501,108 135,386 1,636,494
Difference from 2025-27 Original (148.6) 68,670 (92,726) (24,056)
% Change from 2025-27 Original (2.7%) 4.8% (40.6%) (1.4%)

2026 Policy Other Changes

ADA Compliance 0.0 1,285 0 1,285
Administrative Reduction 0.0 (618) 0 (618)
DSH Reduction Delay 0.0 (70,100) 70,100 0
ESH Radio System Upgrades 0.0 500 76 576
Maple Lane Delay 0.0 (16,476) 0 (16,476)
New Hospital Accreditation 0.0 348 0 348
2026 Policy Other Changes Total 0.0 (85,061) 70,176 (14,885)

2026 Policy Transfers Changes

Reimagine DSHS 1,783.1 215,073 189,960 405,033
2026 Policy Transfers Changes Total 1,783.1 215,073 189,960 405,033
Total Policy Changes 1,783.1 130,012 260,136 390,148
2026 Policy Level 7,122.0 1,631,120 395,522 2,026,642
Difference from 2025-27 Original 1,634.5 198,682 167,410 366,092
% Change from 2025-27 Original 29.8% 13.9% 73.4% 22.0%

Policy Changes

ADA Compliance

Funding is provided for resources to support deaf and hard of hearing patients and residents at state facilities to implement a settlement agreement with the United States Department of Justice and to comply with the Americans with Disabilities Act. (General Fund - State)

Administrative Reduction

Funding is reduced to reflect a reduction in administrative services. (General Fund - State)

DSH Reduction Delay

A reduction to the federal disproportionate share hospital program is assumed to be delayed until fiscal year 2028. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)

ESH Radio System Upgrades

Funding is provided to updgrade the radio system on the Eastern State Hospital campus. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Maple Lane Delay

Funding is adjusted due to delays in the remodel to the Baker and Chelan units at Maple Lane. (General Fund - State)

New Hospital Accreditation

Funding is provided for consulting services to ensure the new forensic hospital under construction on the Western State Hospital Campus can be certified and accredited by the Centers for Medicare and Medicaid Services upon completion. (General Fund - State)

Reimagine DSHS

Funds are transferred between programs to align appropriations with the new Department of Social and Health Services organizational structure. (General Fund - Cash, General Fund - Federal, General Fund - Local, other funds)