UPDATE: At right is the Department of Social and Health Services’ timeline for opening the mental health system to competitive bidding (click on it to expand). It includes a long window for public comment and an even longer phase-in process. From what I’m hearing from providers, consumers and lawmakers since this original post, the public comment period is going to be rough.
ORIGINAL POST, Nov. 22, 3:25 p.m. – A sharp exchange Thursday between Gov. Jay Inslee’s human services director and the longest-serving state senator was a preview to an upcoming Legislative debate about Inslee’s plan to open Washington’s outpatient mental health system to competitive bidding.
Testifying before a Senate committee, Kevin Quigley, secretary of the Department of Social and Health Services, unveiled Inslee’s plan (here’s a one-pager on the plan) to respond to federal pressure to reconfigure the mental health system beginning in 2016.
DSHS Secretary Kevin Quigley
Inslee’s proposal calls for the state, beginning as soon as next April, to open the state’s mental health and substance abuse treatment services to competitive bidding, likely drawing interest from private managed care firms. Bids would be accept by region. One potential model could include physical health care in the bidding as well.
If this sounds dry, think of it this way: Inslee is talking about one of the biggest privatizations of state services ever, with at least $750 million a year in spending and care for 135,000 severely ill people at stake.
And he wants lawmakers to do it this Legislative session.
That’s going to be a tough sell, given the reception Quigley got Thursday.