Health Affairs June 1, 2023
The overdose and addiction crisis continues to intensify, taking the lives of more than 100,000 Americans in 2021. Despite strong evidence that the three Food and Drug Administration (FDA)-approved medications (buprenorphine, extended-release naltrexone, and methadone) for the treatment of opioid use disorder (OUD) reduce mortality and improve patient outcomes, it is estimated that only 13 percent of the 7.6 million Americans with this treatable illness receive evidence-based medication treatment. To help close this enormous treatment gap, the Substance Abuse and Mental Health Services Administration proposed new rules that are designed to increase access to and retention in medication treatment at opioid treatment programs (OTPs), which primarily consists of treating OUD with methadone. The proposed rules would allow more flexibility at...