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Audit: Measure 110 invested nearly $800 million but structural weaknesses and data gaps limit assessment; OHA outlines implementation steps and disputes some of
Summary
A Secretary of State performance audit concluded Measure 110 invested roughly $800 million but found leadership turnover, data limitations and uneven local implementation undermined results; OHA agreed with three recommendations, disagreed with three, and described Submittable, ROADS and a contingency fund as part of its response.
A Secretary of State performance audit presented Tuesday to the Joint Legislative Audit Committee concluded that Measure 110'funded programs received nearly $800 million since 2021 but persistent structural and data problems have limited evaluation of program outcomes.
Audits Division Director Steve Bergman told the committee the December 2025 audit examined Measure 110 implementation at the Oregon Health Authority from 2021 through July 2025 and found that leadership turnover, unclear project management and multiple legislative changes hindered effective implementation. "Despite these investments, our audit found that the program has not delivered on its promise," Bergman said.
The audit cataloged four primary weaknesses: leadership and implementation failures early in the program; a lack of strategic integration with Medicaid and other systems that left Measure 110 services isolated; flawed or missing data that limit the state's ability to measure outcomes; and inconsistent deflection programs across counties…
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