72nd OREGON LEGISLATIVE ASSEMBLY--2003 Regular Session
HA to HB 2120
LC 1074/HB 2120-6
HOUSE AMENDMENTS TO
HOUSE BILL 2120
By COMMITTEE ON HEALTH AND HUMAN SERVICES
May 2
On page 1 of the printed bill, delete line 3 and insert '
417.705, 417.710, 417.775, 430.630 and 431.385; and declaring an
emergency.'.
Delete lines 5 through 30 and delete pages 2 through 4 and
insert:
' { + SECTION 1. + } ORS 417.705 is amended to read:
' 417.705. As used in ORS 417.705 to 417.797:
' (1) 'Community mobilization' means government and private
efforts to increase community awareness and facilitate the active
participation of citizens and organizations in projects and
issues that will have positive impact on the well-being of
children, families and communities.
' (2) 'Local commission' means a local commission on children
and families established pursuant to ORS 417.760.
' (3) 'Local coordinated comprehensive plan' or 'local plan '
means a local coordinated comprehensive plan for children and
families that is developed pursuant to ORS 417.775 through a
process coordinated and led by a local commission and { - that
is the single plan for: - } { + that consists of:
' (a) A community plan that identifies the community's needs,
strengths, goals, priorities and strategies for: + }
' { - (a) - } { + (A) + } Creating positive outcomes for
children and families;
' { - (b) - } { + (B) + } Community mobilization;
{ - and - }
' { - (c) - } { + (C) + } Coordinating programs, strategies
and services for children who are 0 { - to - } { +
through + } 18 years of age and their families among community
groups, government agencies, private providers and other
parties { + ; and
' (D) Addressing the needs of target populations; and
' (b) The service plans listed in ORS 417.775 (6) that
designate specific services for the target populations identified
in the community plan + }.
' (4) 'Services for children and families' does not include
services provided by the Department of Education or school
districts that are related to curriculum or instructional
programs.
' (5) 'State commission' means the State Commission on Children
and Families established under ORS 417.730.
' { + SECTION 2. + } ORS 417.710 is amended to read:
' 417.710. Subject to the availability of funds therefor and
the specific provisions of ORS 417.705 to 417.797 and 419A.170,
it is the purpose of ORS 417.705 to 417.797 and 419A.170 to:
' (1) Authorize the State Commission on Children and Families
to set statewide guidelines for the planning, coordination and
delivery of services for children and families in conjunction
with other state agencies and other planning bodies;
' (2) Vest in local commissions on children and families the
authority to distribute state and federal funds allocated to the
local commissions to supervise services or to purchase services
for children and families in the local area and to supervise the
development of the local coordinated comprehensive plan { - for
services - } ;
' (3) Provide a process for comprehensive local planning for
services for children and families to provide local services that
are consistent with statewide guidelines;
' (4) Retain in the state the responsibility for funding of
services for children and families through a combination of
local, state and federal funding, including the leveraging of
public and private funds available under ORS 417.705 to 417.797
and 419A.170; and
' (5) Retain state supervision of child protection and other
services that should be uniform throughout the state and that are
necessarily the state's responsibility.
' { + SECTION 3. + } ORS 417.775 is amended to read:
' 417.775. (1) Under the direction of the board or boards of
county commissioners, and in conjunction with the guidelines set
by the State Commission on Children and Families, the main
purposes of a local commission on children and families are to
promote wellness for children of all ages and their families in
the county or region, if the families have given their express
written consent, to mobilize communities and to develop policy
and oversee the implementation of a local coordinated
comprehensive plan described in this section. A local commission
shall:
' (a) Inform and involve citizens;
' (b) Identify and map the range of resources in the community;
' (c) Plan, advocate and fund research-based initiatives for
children who are 0 { - to - } { + through + } 18 years of age
and their families;
' (d) Develop local policies, priorities and measurable
outcomes;
' (e) Prioritize activities identified in the local plan and
mobilize the community to take action;
' (f) Prioritize the use of nondedicated resources;
' (g) Monitor implementation of the local plan; and
' (h) Monitor progress of and evaluate the outcomes identified
in the local plan that are reviewed under ORS 417.797, and report
on the progress in addressing priorities and achieving outcomes.
' (2)(a) A local commission may not provide direct services for
children and their families.
' (b) Notwithstanding paragraph (a) of this subsection, a local
commission may provide direct services for children and their
families for a period not to exceed six months if:
' (A)(i) The local commission determines that there is an
emergency;
' (ii) A provider of services discontinues providing the
services in the county or region; or
' (iii) No provider is able to offer the services in the county
or region; and
' (B) The family has given its express written consent.
' (3) The local commission shall lead and coordinate a process
to assess needs { + , strengths, goals, priorities and
strategies, + } and identify county or regional outcomes to be
achieved. The process shall be in conjunction with other
coordinating bodies for services for children and their families
and shall include representatives of education, mental health
services, developmental disability services, alcohol and drug
treatment programs, public health programs, child care providers,
law enforcement and corrections agencies, private nonprofit
entities, local governments, faith-based organizations,
businesses, families, youth and the local community. The process
shall include populations representing the diversity of the
county or region.
' (4) Through the process described in subsection (3) of this
section, the local commission shall coordinate the development of
a single local plan for coordinating { + community + } programs,
strategies and services for children who are 0 { - to - } { +
through + } 18 years of age and their families among community
groups, government agencies, private providers and other parties.
The local plan shall be a comprehensive area-wide service
delivery plan for all services to be provided for children and
their families in the county or region, if the families have
given their express written consent. The local plan shall be
designed to achieve state and county or regional outcomes based
on state policies and guidelines and to maintain a level of
services consistent with state and federal requirements.
' (5) The local commission shall prepare the local coordinated
comprehensive plan and applications for funds to implement ORS
417.705 to 417.797 and 419A.170. The local plan, policies and
proposed service delivery systems shall be submitted to the board
or boards of county commissioners for approval prior to
submission to the state commission. The local plan shall be based
on identifying the most effective service delivery system
allowing for the continuation of current public and private
programs where appropriate. The local plan shall address needs,
strengths and assets of all children, their families and
communities, including those children and their families at
highest risk.
' (6) { - The local coordinated comprehensive plan shall
include: - }
' { - (a) - } Subject to the availability of funds:
' { + (a) The local coordinated comprehensive plan shall
include: + }
' (A) Identification of ways to connect all state and local
planning processes related to services for children and their
families into the local coordinated comprehensive plan to create
positive outcomes for children and their families; { + and + }
' (B) Provisions for a continuum of social supports at the
community level for children from the prenatal stage through 18
years of age, and their families, that takes into account areas
of need, service overlap, asset building and community strengths
as outlined in ORS 417.305 (2) { - ; - } { + .
' (b) The local coordinated comprehensive plan shall
reference: + }
' { - (C) - } { + (A) + } A voluntary local early childhood
system plan created pursuant to ORS 417.777;
' { - (D) - } { + (B) + } Local alcohol and other drug
prevention and treatment plans developed pursuant to ORS 430.258;
{ - and - }
' { + (C) Local service plans, developed pursuant to ORS
430.630, for the delivery of mental health services for children
and their families;
' (D) Local public health plans, developed pursuant to ORS
431.385, that include public health issues such as prenatal care,
immunizations, well-child checkups, tobacco use, nutrition, teen
pregnancy, maternal and child health care and suicide prevention;
and + }
' (E) { + + }The local high-risk juvenile crime prevention
plan developed pursuant to ORS 417.855 { - ; and - } { + . + }
' { - (b) - } { + (7) The local coordinated comprehensive
plan shall include + } a list of staff positions budgeted to
support the local commission on children and families. The list
shall indicate the status of each position as a percentage of
full-time equivalency dedicated to the implementation of the
local coordinated comprehensive plan. The county board or boards
of commissioners shall be responsible for providing the level of
staff support detailed in the local plan and shall ensure that
funds provided for these purposes are used to carry out the local
plan.
' { - (7) - } { + (8) + } The local coordinated
comprehensive plan shall:
' (a) Improve results by addressing the needs, strengths and
assets of all children, their families and communities in the
county or region, including those children and their families at
highest risk;
' (b) Improve results by identifying the methods that work best
at the state and local levels to coordinate resources, reduce
paperwork and simplify processes, including data gathering and
planning;
' (c) Be based on local, state and federal resources;
' (d) Be based on proven practices of effectiveness for the
specific community;
' (e) Contribute to a voluntary statewide system of formal and
informal services and supports that is provided at the community
level, that is integrated in local communities and that promotes
improved outcomes for Oregon's children;
' (f) Be presented to the citizens in each county for public
review, comment and adjustment;
' (g) Be designed to achieve outcomes based on
research-identified proven practices of effectiveness; and
' (h) Address other issues, local needs or children and family
support areas as determined by the local commission pursuant to
ORS 417.735.
' { - (8) - } { + (9) + } In developing the local
coordinated comprehensive plan, the local commission shall:
' (a) Secure active participation pursuant to subsection (3) of
this section;
' (b) Provide for community participation in the planning
process, including media notification;
' (c) Conduct an assessment of the community that identifies
needs and strengths;
' (d) Identify opportunities for service integration; and
' (e) Develop a local coordinated comprehensive plan and budget
to meet the priority needs of a county or region.
' { - (9) - } { + (10) + } The state commission { - on
Children and Families - } may disapprove { - a - } { + the
part of the + } local coordinated comprehensive plan { - in
whole or in part - } { + relating to the planning process
required by this section and the voluntary local early childhood
system plan.
' (11)(a) The state commission may disapprove the planning
process and the voluntary local early childhood system plan + }
only upon making specific findings that the local plan
substantially fails to conform to the principles, characteristics
and values identified in ORS 417.708 to 417.725 and 417.735 (4)
{ - . If the state commission disapproves a local plan in whole,
the state commission shall identify with particularity the manner
in which the local plan is deficient. If the state commission
disapproves only part of the local plan, the remainder of the
local plan may be implemented. The staff of the state commission
shall assist in remedying the deficiencies in the local plan. The
state commission shall set a date by which the local plan or the
deficient portion thereof shall be revised and resubmitted. - }
{ + or that the local plan fails to conform with the planning
process requirements of this section. The staff of the state
commission shall assist the local commission in remedying the
deficiencies in the planning process or the voluntary local early
childhood system plan. The state commission shall set a date by
which any deficient portions of the planning process or the
voluntary local early childhood system plan must be revised and
resubmitted to the state commission by the local commission.
' (b) The state commission does not have approval authority
over the following service plans referenced in the local
coordinated comprehensive plan:
' (A) The local alcohol and other drug prevention and treatment
plans developed pursuant to ORS 430.258;
' (B) Local service plans, developed pursuant to ORS 430.630,
relating to the delivery of mental health services;
' (C) Local public health plans developed pursuant to ORS
431.385; and
' (D) Local high-risk juvenile crime prevention plans developed
pursuant to ORS 417.855.
' (12) The state commission, the Governor's Council on Alcohol
and Drug Abuse Programs, the Department of Human Services and the
Juvenile Crime Prevention Advisory Committee may jointly approve
the community plan that is part of the local coordinated
comprehensive plan, but may not jointly approve the service plans
that are referenced in the local plan. If the community plan is
disapproved in whole, the agencies shall identify with
particularity the manner in which the community plan is deficient
and the service plans may be implemented. If only part of the
community plan is disapproved, the remainder of the community
plan and the service plans may be implemented. The staff of the
agencies shall assist the local commission in remedying the
disapproved portions of the community plan. The agencies shall
jointly set a date by which the deficient portions of the
community plan shall be revised and resubmitted to the agencies
by the local commission. In reviewing the community plan, the
agencies shall consider the impact of state and local budget
reductions on the community plan. + }
' { - (10) - } { + (13) + } If a local commission determines
that the needs of the county or region it serves differ from
those identified by the state commission, it may ask the state
commission to waive specific requirements in its list of
children's support areas. The process for granting waivers shall
be developed by the state commission prior to the start of the
review and approval process for the local coordinated
comprehensive plan described in ORS 417.735 (4) and shall be
based primarily on a determination of whether the absence of a
waiver would prevent the local commission from best meeting the
needs of the county or region.
' { - (11) - } { + (14) + } From time to time, the local
commission may amend the local coordinated comprehensive plan and
applications for funds to implement ORS 417.705 to 417.797 and
419A.170 { + . The local commission must amend the local plan to
reflect current community needs, strengths, goals, priorities and
strategies. Amendments become effective + } upon approval of the
board or boards of county commissioners and the state commission
{ - on Children and Families - } .
' { + (15) The local commission shall keep an official record
of any amendments to the local coordinated comprehensive plan
under subsection (14) of this section. + }
' { - (12) - } { + (16) + } The local commission shall
provide an opportunity for public and private contractors to
review the components of the local coordinated comprehensive
plan { + and any amendments to the local plan + }, to receive
notice of any component that the county or counties intend to
provide through a county agency and to comment publicly to the
board or boards of county commissioners if they disagree with the
proposed service delivery plan.
' { + SECTION 4. + } { + The amendments to ORS 417.775 by
section 3 of this 2003 Act apply to local coordinated
comprehensive plans in effect on or after January 1, 2005. + }
' { + SECTION 5. + } ORS 430.630 is amended to read:
' 430.630. (1) In addition to any other requirements that may
be established by rule by the Department of Human Services, each
community mental health and developmental disabilities program
shall provide the following basic services to persons with mental
retardation and developmental disabilities and alcohol abuse,
alcoholism, drug abuse and drug dependence:
' (a) Outpatient services;
' (b) Aftercare for persons released from hospitals and
training centers;
' (c) Training, case and program consultation and education for
community agencies, related professions and the public; and
' (d) Guidance and assistance to other human service agencies
for joint development of prevention programs and activities to
reduce factors causing mental retardation and developmental
disabilities and alcohol abuse, alcoholism, drug abuse and drug
dependence.
' (2) As alternatives to state hospitalization, it shall be the
responsibility of the community mental health and developmental
disabilities program to insure that, subject to the availability
of funds, the following services for the mentally retarded and
developmentally disabled, alcohol abuser, alcoholic, drug abuser
and drug-dependent persons are available when needed and approved
by the Department of Human Services:
' (a) Emergency services on a 24-hour basis, such as telephone
consultation, crisis intervention and prehospital screening
examination;
' (b) Care and treatment for a portion of the day or night,
which may include day treatment centers, work activity centers
and preschool programs;
' (c) Residential care and treatment in facilities such as
halfway houses, detoxification centers and other community living
facilities;
' (d) Continuity of care, such as that provided by service
coordinators, community case development specialists and core
staff of federally assisted community mental health centers;
' (e) Inpatient treatment in community hospitals; and
' (f) Other alternative services to state hospitalization as
defined by the department.
' (3) In addition to any other requirements that may be
established by rule of the department, each community mental
health and developmental disabilities program, subject to the
availability of funds, shall provide or ensure the provision of
the following services to persons with mental or emotional
disturbances:
' (a) Screening and evaluation to determine the client's
service needs;
' (b) Crisis stabilization to meet the needs of persons
suffering acute mental or emotional disturbances, including the
costs of investigations and prehearing detention in community
hospitals or other facilities approved by the department for
persons involved in involuntary commitment procedures;
' (c) Vocational and social services that are appropriate for
the client's age, designed to improve the client's vocational,
social, educational and recreational functioning;
' (d) Continuity of care to link the client to housing and
appropriate and available health and social service needs;
' (e) Psychiatric care in state and community hospitals,
subject to the provisions of subsection (4) of this section;
' (f) Residential services;
' (g) Medication monitoring;
' (h) Individual, family and group counseling and therapy;
' (i) Public education and information;
' (j) Prevention of mental or emotional disturbances and
promotion of mental health;
' (k) Consultation with other community agencies; and
' (L)(A) Preventive mental health services for children and
adolescents, including primary prevention efforts, early
identification and early intervention services. Preventive
services should be patterned after service models that have
demonstrated effectiveness in reducing the incidence of
emotional, behavioral and cognitive disorders in children.
' (B) As used in this subsection:
' (i) 'Early identification' means detecting emotional
disturbance in its initial developmental stage;
' (ii) 'Early intervention services' for children at risk of
later development of emotional disturbance means programs and
activities for children and their families that promote
conditions, opportunities and experiences that encourage and
develop emotional stability, self-sufficiency and increased
personal competence; and
' (iii) 'Primary prevention efforts' means efforts that prevent
emotional problems from occurring by addressing issues early so
that disturbances do not have an opportunity to develop.
' (4) A community mental health and developmental disabilities
program shall assume responsibility for psychiatric care in state
and community hospitals, as provided in subsection (3)(e) of this
section, in the following circumstances:
' (a) The person receiving care is a resident of the county
served by the program. For purposes of this paragraph, 'resident
' means the resident of a county in which the person maintains a
current mailing address or, if the person does not maintain a
current mailing address within the state, the county in which the
person is found, or the county in which a court committed
mentally ill person has been conditionally released.
' (b) The person has been hospitalized involuntarily or
voluntarily, pursuant to ORS 426.130 or 426.220, except for
persons confined to the Secure Child and Adolescent Treatment
Unit at Oregon State Hospital, or has been hospitalized as the
result of a revocation of conditional release.
' (c) Payment is made for the first 60 consecutive days of
hospitalization.
' (d) The hospital has collected all available patient payments
and third-party reimbursements.
' (e) In the case of a community hospital, the department has
approved the hospital for the care of mentally or emotionally
disturbed persons, the community mental health and developmental
disabilities program has a contract with the hospital for the
psychiatric care of residents and a representative of the program
approves voluntary or involuntary admissions to the hospital
prior to admission.
' (5) Subject to the review and approval of the department, a
community mental health and developmental disabilities program
may initiate additional services after the services defined in
this section are provided.
' (6) Each community mental health and developmental
disabilities program and the state hospital serving the program's
geographic area shall enter into a written agreement concerning
the policies and procedures to be followed by the program and the
hospital when a patient is admitted to, and discharged from, the
hospital and during the period of hospitalization.
' (7) Each community mental health and developmental
disabilities program shall have a mental health advisory
committee, appointed by the board of county commissioners or the
county court or, if two or more counties have combined to provide
mental health services, the boards or courts of the participating
counties or, in the case of a Native American reservation, the
tribal council.
' (8) A community mental health and developmental disabilities
program may request and the department may grant a waiver
regarding provision of one or more of the services described in
subsection (3) of this section upon a showing by the county and a
determination by the department that mentally or emotionally
disturbed persons in that county would be better served and
unnecessary institutionalization avoided.
' (9) Each community mental health and developmental
disabilities program shall cooperate fully with the Governor's
Council on Alcohol and Drug Abuse Programs in the performance of
its duties.
' (10)(a) As used in this subsection, 'local mental health
authority' means one of the following entities:
' (A) The board of county commissioners of one or more counties
that establishes or operates a community mental health and
developmental disabilities program;
' (B) The tribal council, in the case of a federally recognized
tribe of Native Americans that elects to enter into an agreement
to provide mental health services; or
' (C) A regional local mental health authority comprised of two
or more boards of county commissioners.
' (b) Each local mental health authority that provides mental
health services shall determine the need for local mental health
services and adopt a comprehensive local plan for the delivery of
mental health services for children, families and adults that
describes the methods by which the local mental health authority
shall provide those services. The local mental health authority
shall review and revise the local plan biennially. The purpose of
the local plan is to create a blueprint to provide mental health
services that are directed by and responsive to the mental health
needs of individuals in the community served by the local plan.
' (c) The local plan shall identify ways to:
' (A) Coordinate and ensure accountability for all levels of
care described in paragraph (e) of this subsection;
' (B) Maximize resources for consumers and minimize
administrative expenses;
' (C) Provide supported employment and other vocational
opportunities for consumers;
' (D) Determine the most appropriate service provider among a
range of qualified providers;
' (E) Ensure that appropriate mental health referrals are made;
' (F) Address local housing needs for persons with mental
health disorders;
' (G) Develop a process for discharge from state and local
psychiatric hospitals and transition planning between levels of
care or components of the system of care;
' (H) Provide peer support services, including but not limited
to drop-in centers and paid peer support;
' (I) Provide transportation supports; and
' (J) Coordinate services among the criminal and juvenile
justice systems, adult and juvenile corrections systems and local
mental health programs to ensure that persons with mental illness
who come into contact with the justice and corrections systems
receive needed care and to ensure continuity of services for
adults and juveniles leaving the corrections system.
' (d) When developing a local plan, a local mental health
authority shall:
' (A) Coordinate with the budgetary cycles of state and local
governments that provide the local mental health authority with
funding for mental health services;
' (B) Involve consumers, advocates, families, service
providers, schools and other interested parties in the planning
process;
' (C) Coordinate with the local public safety coordinating
council to address the services described in paragraph (c)(J) of
this subsection;
' (D) Conduct a population based needs assessment to determine
the types of services needed locally;
' (E) Determine the ethnic, cultural and diversity needs of the
population served by the local plan;
' (F) Describe the anticipated outcomes of services and the
actions to be achieved in the local plan;
' (G) Ensure that the local plan coordinates planning, funding
and services with:
' (i) The educational needs of children and adults;
' (ii) Providers of social supports, including but not limited
to housing, employment, transportation and education; and
' (iii) Providers of physical health and medical services;
' (H) Describe how funds, other than state resources, may be
used to support and implement the local plan;
' (I) Demonstrate ways to integrate local services and
administrative functions in order to support integrated service
delivery in the local plan; and
' (J) Involve the local mental health advisory committees
described in subsection (7) of this section.
' (e) The local plan must describe how the local mental health
authority will ensure the delivery of and be accountable for
clinically appropriate services in a continuum of care based on
consumer needs. The local plan shall include, but not be limited
to, services providing the following levels of care:
' (A) Twenty-four-hour crisis services;
' (B) Secure and nonsecure extended psychiatric care;
' (C) Secure and nonsecure acute psychiatric care;
' (D) Twenty-four-hour supervised structured treatment;
' (E) Psychiatric day treatment;
' (F) Treatments that maximize client independence;
' (G) Family and peer support and self-help services;
' (H) Support services;
' (I) Prevention and early intervention services;
' (J) Transition assistance between levels of care;
' (K) Dual diagnosis services;
' (L) Access to placement in state-funded psychiatric hospital
beds; and
' (M) Precommitment and civil commitment in accordance with ORS
chapter 426.
' (f) In developing the part of the local plan referred to in
paragraph (c)(J) of this subsection, the local mental health
authority shall collaborate with the local public safety
coordinating council to address the following:
' (A) Training for all law enforcement officers on ways to
recognize and interact with persons with mental illness, for the
purpose of diverting them from the criminal and juvenile justice
systems;
' (B) Developing voluntary locked facilities for crisis
treatment and follow-up as an alternative to custodial arrests;
' (C) Developing a plan for sharing a daily jail and juvenile
detention center custody roster and the identity of persons of
concern and offering mental health services to those in custody;
' (D) Developing a voluntary diversion program to provide an
alternative for persons with mental illness in the criminal and
juvenile justice systems; and
' (E) Developing mental health services, including housing, for
persons with mental illness prior to and upon release from
custody.
' (g) Services described in the local plan shall:
' (A) Address the vision, values and guiding principles
described in the Report to the Governor from the Mental Health
Alignment Workgroup, January 2001;
' (B) Be provided to children and families as close to their
homes as possible;
' (C) Be culturally appropriate and competent;
' (D) Be, for children and adults with mental health needs,
from providers appropriate to deliver those services;
' (E) Be delivered in an integrated service delivery system
with integrated service sites or processes, and with the use of
integrated service teams;
' (F) Ensure consumer choice among a range of qualified
providers in the community;
' (G) Be distributed geographically;
' (H) Involve consumers, families, clinicians, children and
schools in treatment as appropriate;
' (I) Maximize early identification and early intervention;
' (J) Ensure appropriate transition planning between providers
and service delivery systems, with an emphasis on transition
between children and adult mental health services;
' (K) Be based on the ability of a client to pay;
' (L) Be delivered collaboratively;
' (M) Use age-appropriate, research-based quality indicators;
' (N) Use best-practice innovations; and
' (O) Be delivered using a community-based, multisystem
approach.
' (h) A local mental health authority shall submit to the
Department of Human Services a copy of the local plan and
biennial revisions adopted under paragraph (b) of this subsection
at time intervals established by the department.
' { + (i) Each local commission on children and families
shall reference the local plan for the delivery of mental health
services in the local coordinated comprehensive plan created
pursuant to ORS 417.775. + }
' { + SECTION 6. + } ORS 431.385 is amended to read:
' 431.385. (1) The local public health authority shall submit
an annual plan to the Department of Human Services for performing
services pursuant to ORS 431.375 to 431.385 and 431.416. The
annual plan shall be submitted no later than May 1 of each year
or on a date mutually agreeable to the department and the local
public health authority.
' (2) If the local public health authority decides not to
submit an annual plan under the provisions of ORS 431.375 to
431.385 and 431.416, the department shall become the local public
health authority for that county or health district.
' (3) The department shall review and approve or disapprove
each plan. Variances to the local public health plan must be
approved by the department. In consultation with the Conference
of Local Health Officials, the department shall establish the
elements of a plan and an appeals process whereby a local health
authority may obtain a hearing if its plan is disapproved.
' { + (4) Each local commission on children and families
shall reference the local public health plan in the local
coordinated comprehensive plan created pursuant to ORS
417.775. + }
' { + SECTION 7. + } { + This 2003 Act being necessary for
the immediate preservation of the public peace, health and
safety, an emergency is declared to exist, and this 2003 Act
takes effect July 1, 2003. + } ' .
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