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CSOO writes letters to policymakers in response to legislation and regulations on issues relating to opioid overdose. Below, you can find an archive of letters CSOO has recently sent:

Reducing Barriers to Substance Use Treatment Act, H.R. 3925

The Reducing Barriers to Substance Use Treatment Act, H.R. 3925, would
prohibit state Medicaid programs, beginning in October 1, 2020, and ending September 30, 2025, from imposing prior authorizations or other types of utilization control policies or procedures on medications approved to treat OUD, including, with respect to the provision of those medications, counseling services and behavioral therapy.

CREATE Opportunities Act

The CREATE Opportunities Act would provide $50 million each year from FY2020 through FY2023 for the Attorney General to make grants and enter into cooperative agreements with states and local governments to develop, implement, or expand programs to provide MAT to individuals who have OUD and are incarcerated. The bill also sets forth robust requirements for the covered programs, such as requiring that they offer two or more drugs that have been approved for the treatment of an opioid use
disorder and do not contain the same active moiety. The bill additionally requires that the covered programs maintain access to personnel that are sufficiently trained to provide services such as education, medication prescription and administration, screening, counseling, recovery support, and withdrawal management.

Comprehensive Addiction Resources Emergency (CARE) Act of 2019

Modeled directly on the Ryan White Act, the CARE Act of 2019 would provide $100 billion in federal funding over the next ten years to states, local governments, and other organizations and institutions to support federal research and programs to prevent drug use while expanding access to prevention, harm reduction, addiction treatment, mental health services, and recovery support services.

The Behavioral Health Coverage Transparency Act of 2019

The Behavioral Health Coverage Transparency Act would require issuers to disclose the analysis they perform in making parity determinations; require federal regulators to conduct random audits; and require the federal parity agencies to review denial rates for mental health versus medical claims. Additionally, it would create a central online portal so that people can access all information as a one-stop shop, and submit complaints and violations.

FY 2020 Appropriations Recommendations Related to Strengthening the Addiction Service Workforce

CSOO urged lead appropriators to support funding of important addiction prevention, treatment, harm reduction, and recovery support programs aimed at strengthening the addiction service workforce in Fiscal Year 2020.

The Medicaid Reentry Act, H.R. 4005

The Medicaid Reentry Act would grant states limited new flexibility to restart benefits for Medicaid-eligible incarcerated individuals 30 days prior to release. With this flexibility, states would be able to facilitate access to medication treatment for inmates prior to release and better coordinate care with community providers, allowing for uninterrupted, evidence-based treatment for these individuals during a transition when they are at heightened risk of overdose and death.

Reinforcing Evidence-Based Standards Under Law in Treating Substance Abuse (RESULTS) Act of 2018, H.R. 5272

The RESULTS Act would ensure that federal grants intended to treat mental health and substance use disorders fund initiatives that are rooted in scientific evidence. The legislation would also establish a waiver mechanism for new or innovative treatments that may offer promise but have not established a full evidence base.

Substance Use Disorder Workforce Loan Repayment Act of 2018

The Substance Use Disorder Loan Repayment Act would create a more robust treatment workforce by helping clinicians who pursue full-time substance use disorder treatment jobs in high-need geographic areas repay their student loans.

Advancing Cutting-Edge (ACE) Research Act

The Advancing Cutting-Edge (ACE) Research Act would provide the National Institutes of Health (NIH) with additional tools and flexibility to support innovative medical research to combat the opioid crisis.

Addiction Treatment Access Improvement Act, H.R. 3692

The Addiction Treatment Access Improvement Act would codify the Final Rule issued by the Department of Health and Human Services (HHS) in July 2016 that raised the DATA 2000 patient limit for certain physicians to 275 patients, eliminating the sunset date for nurse practitioners’ (NPs) and physician assistants’ (PAs) prescribing authority for buprenorphine, and expanding the definition of ‘qualifying practitioner’ to include nurse anesthetists, clinical nurse specialists, and nurse midwives.