Trump Administration takes Steps to Expand Access to Treatment for Opioid Use Disorder

“We are going to stop the inflow of drugs into New Hampshire and into our country 100%,” Trump promised. Before the speech, the president and first lady visited a Manchester fire house where they met with first responders, who are often called upon to treat overdose victims. “Unless you have really, really powerful penalties, led by the death penalty for the really bad pushers and abusers, we are going to get nowhere,” he said. needs to review the security of your connection before proceeding. Expanding naloxone distribution by first responders is certainly a noble goal, but his announcement lacked any specific mention of how the administration plans to pay for the ever-increasing cost of this lifesaving medication. But Democrats criticized Mr. Trump for what they characterized as a tepid response to an urgent calamity, arguing that his failure to request funding for the effort revealed a lack of seriousness about addressing the issue.

The fact that any doctor, with no extra training, can prescribe medications that caused this crisis, but doctors need several hours of training and a waiver on their DEA to prescribe buprenorphine, a medication that could curb this crisis, is ludicrous. Mr. Botticelli, I am interested in what you listed as evidence-based ideas and what you seem to be suggesting as a given positive by reducing opioid prescribing. I would suggest that this crack down on patients with chronic pain and the doctors who treat us has nothing to do with this fake news story of an opioid “epidemic” that you seem to use so freely in your article.

“HEALing will harness the depth and reach of CDC, NIH, FDA, Substance Abuse and Mental Health Services Administration, and other federal agencies to address solutions to the opioid epidemic from a collaborative, multidimensional perspective. While there have been many worthwhile projects at each of these agencies, many of these efforts have been duplicative, or even competed with one another. This has wasted valuable time and resources and has led to confusion and conflict. In order to fully address the crisis, solutions need to include strategies to reduce new cases of opioid use disorder, treat patients who currently have opioid use disorder, and expand access to resources that prevent opioid harms. It also would have been much more significant if Azar had announced that the administration will expand Medicaid access nationally, since for many people, that is their only way to get health care. Or if there could be nationwide acceptance of syringe service programs or safe injection sites, since states with conservative leadership will likely never see such harm reduction programs come to their area.

Trump also said his plan would crack down on international and domestic illicit drug supply chains. Part of that would include requiring electronic data for 90 percent of international mail shipments with goods, he said. On August 10, the president said the opioid crisis was a “national emergency” and promised to make that declaration official in the coming days. President Trump’s Administration is strengthening criminal penalties for dealing and trafficking opioids in the United States.DOJ will seek the death penalty against drug traffickers, where appropriate under the law. Save lives by expanding opportunities for evidence-based treatments for opioid addiction.

President Donald J. Trump’s Initiative to Stop Opioid Abuse and Reduce Drug Supply and Demand

The money from the budget will mainly go to expanding coverage of Medication Assisted Treatment and helping states monitor and track clinics that prescribe a large amount of opioids, which many public health officials deem necessary to resolving the crisis. Trump reiterated in his speech that the administration will dedicate resources to ensure the accessibility and affordability of alcoholism and anger medication-assisted treatments. You seem to freely suggest that there is actually an Opioid Epidemic and that somehow people prescribed pain medication for chronic pain are a big part of an artificially inflated problem. We sir are not the issue, but we are being made to suffer by addiction specialists that either are not fully informed or just don’t care about the true statistics.

Many law enforcement officials at the national, state, and local levels have come to understand the futility of this approach. During my time at the Office of National Drug Control Policy under President Obama, the most frequent request from law enforcement officials was to increase access to treatment. A major initiative will be a federal advertising campaign targeting young adults and children. The administration plans to spend money on commercials that depict the devastating effects of drugs to scare children away from ever using them. He said there was little evidence that tougher sentencing reduced the availability of street drugs and urged Trump to work with Republican state governors to expand the Medicaid federal health program so that drug addicts could get more access to healthcare and counseling.

The FDA had requested the recall in June, saying the reformulated drug was being abused by people who injected it. She said declaring a national emergency is fine, but the proclamation alone doesn’t solve the problem. Whistleblowers told “60 Minutes” that the companies that distribute opioids from manufacturers to pharmacies had knowingly flooded communities with pills even though they were aware of illegal opioid operations there.

  • We sir are not the issue, but we are being made to suffer by addiction specialists that either are not fully informed or just don’t care about the true statistics.
  • We owe answers and hope to parents like Jeanne and Jim Moser of New Hampshire, who spoke at the announcement and whose son died of a fentanyl overdose in 2015.
  • In 2017, Trump alsodonated his third quarter salaryto the Department of Health and Human Services in an effort to combat the opioid crisis.
  • Researchers also say fentanyl has continued to spread fast, despite interdiction efforts, contributing to more overdose deaths in the western United States where the synthetic opioid had been scarce.
  • Although no financial plans were discussed during the speech, in hislatest budget proposalreleased in February, Trump called for an allocation of nearly$17 billion in 2019to fight the opioid epidemic.

In July 2017, the Department of Justice shut down the country’s biggest Darknet distributor of drugs. That same Fiscal Year, U.S. Immigration and Customs Enforcement took more than 2,300 pounds of fentanyl off the streets. President Trump’s Initiative to Stop Opioid Abuse, unveiled in 2018, confronts the driving forces behind the opioid crisis. Since President Donald J. Trump issued a nationwide call to action, the results offer hope that America can solve the worst drug crisis in U.S. history.

Part 3 is helping those struggling with addiction through evidence-based treatment and recovery support services. Advocates claim it slows down recovery for people struggling with opioid addiction. The drug restricted, Buprenorphine, is considered a transformative opioid treatment. Studies have shown it is an excellent tool for reducing deaths from opioid overdose.

Biden administration cancels Trump administration plan for opioid treatment drug

The FDA approved Buprenorphine in 2002 for opioid addiction treatment. Yet, only a few doctors have the proper certification to prescribe it. About 5% of America’s physicians possess the federal waiver, and fewer use it. Advocates hope that by eliminating unnecessary qualifications, more doctors will use Buprenorphine. With fewer restrictions around the drug, more patients could gain access to the medication. The administration’s goal is to reduce overdose by 40% over 3 years in the communities selected.

Katz was once Trump’s assistant HHS secretary for mental health and substance use. She believed the policy was not ready for release and needed more restrictions. Without proper limits, a catastrophe like the opioid epidemic could occur, starring Buprenorphine. Trump said that he was working with Congress to find $6 billion in new funding for 2018 and 2019 to fight the opioid crisis. The plan will also seek to cut opioid prescriptions by a third over three years by changing federal programs, he said.

In addition, Medicare will cover in person and virtual delivery of counseling and therapy services furnished by OTPs, broadening access to these critical services, particularly for those living in rural areas who are often the hardest hit by the opioid crisis. The program created during the Obama administration subsidizes state Medicaid programs that provide insurance coverage for roughly 40% of Americans receiving opioid addiction treatment. While screening federal inmates and placing them in treatment is a good start, the vast majority of prisoners with substance use disorder are in state and local jails, and the plan does not speak to that population. The federal plan also calls for the use of only one medication, naltrexone, rather than allowing all three approved medications for addiction treatment, which have been so promising in reducing overdose deaths for those leaving Rhode Island’s correctional facility.

The Trump Administration Opioid Action Plan

There has been a more than 20 percent increase in young adults aged 18 to 25 receiving outpatient treatment. Those who screen positive and are approved for placement in residential reentry may volunteer for naltrexone treatment and be connected with recovery services. The Administration is working to ensure first responders are supplied with naloxone, a lifesaving medication used to reverse overdoses. Customs and Border Protection saw a 66 percent increase in the advance electronic data they received on international mail packages in FY 2018 compared to FY 2017.

Health care is a major point of differentiation in the upcoming US presidential elections. Part 1 is reducing demand and over-prescription, including educating Americans about the dangers of opioid misuse. Part 2 is cutting down on the supply of illicit drugs by cracking down on the international and domestic drug supply chains that devastate American communities.

Clinicians have mixed opinions about Trump administration’s newest plan to fight opioid crisis

Now we are getting screwed even if our problems are legitimate and doctor approved. Historically, OTPs could not enroll as providers in Medicare or be paid for services provided to Medicare beneficiaries, but under the policies adopted in today’s final rule, beginning January 1, 2020, Medicare will pay for OUD treatment services provided by OTPs, including methadone. Today’s final rule will increase access to OUD treatment options for Medicare beneficiaries.

They also continue with the Trump administration’s trend with being short on specific details. I hope their vague reference to criminal justice changes does not mean they will put opioid users in prison. The U.S. has more people incarcerated than any other country, largely because there are so many people in prison for nonviolent drug offenses. The opioid crisis, and other drug epidemics before it, have shown that prison time alcohol tapering does not significantly alter one’s drug use and heightens the risk of overdose after release. “The federal government has taken some important steps to increase access to evidence-based treatment for opioid use disorder,” said Beau Kilmer, who heads the Rand Corporation’s Drug Policy Research Center. Addiction is a disease that once hid in the dark and wasn’t talked about among families, let alone as a public health concern.

The Trump administration recently unveiled its latest strategy on confronting the nation’s opioid crisis, the HEALing Communities Study, which will award grants to specific facilities in four states. Healio Primary Care Today asked medical professionals from several different specialties on the front lines of the opioid epidemic to discuss the strengths and weaknesses of the proposed strategy. The president’s plan also calls for expanded research into less-addictive pain killers and efforts to reduce the over-prescribing of opioids.

A dangerous loophole for drug ads needs to be closed

He even promised to lift and review Methadone treatment regulations. But experts in both the legal and healthcare sectors advised against it. Many believe the Department of Health and Human Services did not have the authority alcohol use disorder vs alcoholism to remove a Congress regulation. According to the Washington Post, the new guidelines had “legal and clinical concerns.” They were an attempt by the Trump administration to bypass Congress’s mandated requirements.

Ever since, the Trump Administration applied an all-of-Government approach to the epidemic, taking an extraordinary range of actions that reflect the President’s commitment to stopping the crisis in its tracks. “The HEALing Communities Study is an exciting, unprecedented effort to support communities in using and expanding our scientific understanding of effective interventions. It is a major new step in local and national efforts that are beginning to turn the tide on this public health crisis,” HHS Secretary Alex Azar said in the release. From Opioid Crisis Trump traveled to New Hampshire on Monday to outline his plans to combat opioid addiction. New Hampshire’s death rate from opioid overdoses is twice the national average.

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