Brookings June 22, 2020
EXECUTIVE SUMMARY
The breadth, depth, and dynamic evolution of the opioid crisis have left states exploring a plethora of strategies to reduce the supply, inappropriate use, and harm caused by prescription opioid analgesics and illicit opioids. While considerable research has focused on the impact of various supply strategies and prescribing practices, significant structural changes affecting the treatment of substance use disorder—enabled and advanced by states’ policy decisions—have received far less attention.