Category Archives: Public View

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D.C. Update – March 18, 2016

News from the States

  • Northwest High Intensity Drug Trafficking Area report examines Washington State post-marijuana legalization, finds increased rates of marijuana usage and impaired driving
  • Ohio Board of Pharmacy adopts resolution allowing for personal furnishing of naloxone

Around the Agencies

  • Department of Veteran Affairs announces full coverage for veterans with hepatitis C for current fiscal year
  • CMS releases new tool tracking disparities between Medicare beneficiaries
  • NIH study discovers mindfulness meditation engages a different brain pathway than opioids

In the News

  • ASAM announces addition of addiction medicine as new medical subspecialty under the American Board of Preventative Medicine
  • Health Affairs survey reports $15.4 billion in annual spending by physicians to report quality measures

News from the States

Northwest High Intensity Drug Trafficking Area report examines Washington State post-marijuana legalization, finds increased rates of marijuana usage and impaired driving
The Northwest High Intensity Drug Trafficking Area (NWHIDTA) released a report last week finding increased rates of marijuana usage and impaired driving in the wake of Washington State’s legalization of marijuana. The report states that between 2013 and 2014, forty-eight percent of student expulsions and 42 percent of suspensions directly involved the use of marijuana. Twenty-four percent of individuals aged 18 to 25 reported past-month marijuana usage in 2014, with 17 percent using marijuana weekly and 6 percent using marijuana daily. Marijuana usage among Washington adults was 5 percent higher than the national average between 2012 and 2013. The report further asserts that between 2010 and 2014, the number of drivers with active tetrahydrocannabinol (THC) in their blood during fatal driving accidents increased 122 percent from 16 percent in 2010 to 23 percent in 2014. The NWHIDTA notes that marijuana from Washington State has been found in 43 different States around the country.

Read the full report here.

Ohio Board of Pharmacy adopts resolution allowing for personal furnishing of naloxone
The Ohio Board of Pharmacy adopted a resolution allowing Board-licensed facilities to stock “non-patient specific” naloxone earlier this month. This measure will allow facilities to keep additional doses of naloxone on site in the event of emergency. The regulatory statement notes that this resolution “addresses a concern raised by a number of entities that wanted to have naloxone on-site but could not afford the cost of equipping all staff.”

Read the full resolution here.

Around the Agencies

Department of Veteran Affairs announces full coverage for veterans with hepatitis C for current fiscal year
The Department of Veteran Affairs has announced their ability to cover treatment for veterans with all stages of hepatitis C within the current fiscal year. Secretary David Shulkin noted that the expanded care is the result of both increased Congressional funding and reduced hepatitis C drug prices. The Department of Veteran Affairs was allocated $1 billion for hepatitis C drug purchases in FY 2016, an increase from the $696 million appropriated in FY 2015. The Department of Veteran Affairs has requested $1.5 billion for FY 2017 to continue expanding veterans’ access to hepatitis C treatment.

Read the full story here.

CMS releases new tool tracking disparities between Medicare beneficiaries
The Centers for Medicare & Medicaid Services’ (CMS) Office of Minority Health has released a new tool tracking disparities between Medicare beneficiaries. The tool displays geographic, racial, and ethnic differences in hospitalizations, emergency room visits, and readmissions for chronic conditions. The tool also measures the overall prevalence and variation of chronic conditions. CMS hopes the tool will be used to better understand health outcome disparities throughout the country. KPMG and the National Opinion Research Center (NORC) at the University of Chicago helped develop the tool as part of CMS’s broader plan to improve Medicare quality.

Access the tool here.

NIH study discovers mindfulness meditation engages a different brain pathway than opioids
A National Institutes of Health (NIH) study partially funded by the National Center for Complementary and Integrative Health has discovered that mindfulness meditation engages a separate pain relief brain pathway than opioid pain relievers. This finding provides specific evidence of how mindfulness meditation works to provide pain relief. The study examined four separate treatment groups, finding that participants who meditated during administration of saline or naloxone experienced lower pain intensity than the control groups. The researchers concluded that mindfulness meditation therapy combined with other pharmacologic or non-pharmacologic options may provide new approaches to pain treatment.

Read the full announcement here.

In the News

ASAM announces addition of addiction medicine as new medical subspecialty under the American Board of Preventive Medicine
Earlier this week the American Society of Addiction Medicine (ASAM) celebrated the addition of addiction medicine as a new subspecialty by the American Board of Medical Specialties (ABMS) under the American Board of Preventive medicine. This new inclusion will allow addiction medicine fellowship training programs to be accredited by the Accreditation Council on Graduate Medical Education (ACGME), thereby increasing access to funding for programs bolstering the substance use disorder workforce. ASAM also notes that this development will help to include addiction medicine specialists within health networks. The announcement was the result of more than a decade of work by ASAM members to increase access to treatment and address the substance use disorder workforce.

Read the full press release here.

Health Affairs survey reports $15.4 billion in annual spending by physicians to report quality measures
A new survey published by Health Affairs reports that physicians spent $15.4 billion a year on health quality measure reporting for Medicare, Medicaid, and private health insurance companies between 2014 to 2015. The survey finds that physician practices spend 15 hours a week or more on work related to health quality tracking and reporting. Survey authors note that the majority of the time spent on health quality reporting involves data entry. Eighty percent of the practices surveyed reported spending more resources on quality measurement compared to three years ago, with half of the practices reporting that existing quality measures are time consuming due to frequent duplication of similar measures. The survey recommends that the industry make efforts to standardize quality measures to improve efficiency.

Read the full study here.

Should you have any questions, or require additional information, please do not hesitate to contact Robert Morrison, Executive Director, (202) 293-0090 or Shalini Wickramatilake-Templeman, Public Policy Associate, at (202) 293-0090.

D.C. Update – March 8, 2016

Around the Agencies

  • CMCS and HRSA release informational bulletin on maternal, infant, and early childhood home visiting services coverage
  • CDC and Governors seek stricter limits on painkiller prescribing
  • CDC releases new Prevention Status Report
  • NIAAA study finds significant increase in marijuana use and marijuana use disorders between 2001-2002 and 2012-2013

In the News

  • NDCI releases prescription drug misuse fact sheet
  • Society for Adolescent Health and Medicine releases substance use resources for parents and adolescents

News from NASADAD

  • NASADAD requests comments on 42 CFR Part 2 Proposed Rulemaking

Around the Agencies

CMCS and HRSA release informational bulletin on maternal, infant, and early childhood home visiting services coverage
The Center for Medicaid & CHIP Services (CMCS) and the Health Resources and Services Administration (HRSA) released an informational bulletin describing best practices for the development of evidence-based home visiting programs for maternal, infant, and early childhood services last week. The bulletin aims to help States design benefit packages for pregnant women and families. The Affordable Care Act created the first national Maternal, Infant, and Early Childhood Home Visiting program, allowing States, tribal organizations, and non-profit organizations to apply for federal grants assisting evidence-based home services. Services include child and adult screening for mental health and substance use disorders, case management, and caregiver training. The program has more than doubled in size since its creation, and is now implemented in 26 percent of counties across the United States as of July 2015.

Read the full bulletin here.

CDC and Governors seek stricter limits on painkiller prescribing
The Centers for Disease Control and Prevention (CDC) along with the National Governors Association (NGA) are seeking stricter limits on painkiller prescribing, as reported by the Pew Charitable Trusts. The CDC recently issued a draft proposal that would change prescribing guidelines to encourage doctors to utilize drug-free treatment options and non-opioid pain relievers for chronic pain and related conditions before prescribing opioid pain medication. The NGA unanimously approved the CDC initiative, with Governor Peter Shumlin of Vermont noting that opioid pain medication presents the biggest drug control problem currently facing the United States. The CDC’s proposed guidelines advise prescribing three days’ worth of pain medication instead of the commonly prescribed 30-day supply in order to prevent diversion of extra pills.

Read the full article here.

CDC releases new Prevention Status Report
Last week the Centers for Disease Control and Prevention (CDC) released a new Prevention Status Report for all 50 States and Washington, DC. The CDC’s Prevention Status Report outlines the current status of public health policies as well as best practices for dealing with notable public health problems. This Prevention Status Report contains information on alcohol-related harms, prescription drug overdose, and tobacco use. The reports for each State compare State-level data versus national averages and provide ratings on the regulations surrounding each State’s prescription drug monitoring programs (PDMP).

Access the new Prevention Status Report here.

NIAAA study finds significant increase in marijuana use and marijuana use disorders between 2001-2002 and 2012-2013
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has published a study finding a significant increase in both marijuana use and marijuana use disorders between 2001-2002 and 2012-2013. Past-year prevalence of marijuana use was 4.1 percent in 2001-2002 compared to 9.5 percent in 2012-2013. Past-year prevalence of marijuana use disorders experienced a similar increase, with 1.5 percent past-year incidence in 2001-2002 compared to 2.9 percent in 2012-2013. Both increases were found to be statistically significant. The study asserts that “nearly 3 of 10 marijuana users manifested a marijuana use disorder in 2012-2013.” This increase was attributed to the growing prevalence of marijuana use among adults.

Read the full study here.

In the News

NDCI releases prescription drug misuse fact sheet
The National Drug Court Institute (NDCI) has released a new fact sheet on prescription drug misuse. The fact sheet, titled “Understanding and Detecting Prescription Drug Misuse and Misuse Disorders” outlines the characteristics of the most commonly misused prescription drugs and their associated symptoms of misuse. The NDCI fact sheet also includes treatment suggestions, including medication assisted treatment (MAT), for individuals who may have developed a substance use disorder.

Read the full fact sheet here.

Society for Adolescent Health and Medicine releases substance use resources for parents and adolescents
The Society for Adolescent Health and Medicine (SAHM) has released new resources on substance use for parents and adolescents. The resources compile existing SAHM resources on substance use, support groups, and treatment service locators for both adolescents and their parents. Both resources also provide external links to other organizations working on issues related to substance use and substance use disorders.

Access the SAHM resource for adolescents here.

Access the SAHM resource for parents of adolescents here.

News from NASADAD

NASADAD requests comments on 42 CFR Part 2 Proposed Rulemaking
During last Monday’s NASADAD’s All States Public Policy call, guests from the Legal Action Center spoke about 42 CFR Part 2 and the Notice of Proposed Rulemaking by HHS, which was published in the Federal Register on February 9th. During the call, it was suggested that NASADAD consider commenting on the proposed rule as an Association. Comments on the proposed rule are due by 5 pm on Monday, April 11th.

In order for NASADAD to meet the deadline, we request that any comments for the Association’s consideration be submitted by COB Friday, March 18th to swickramatilake@nasadad.org. Comments will then be summarized for the Board of Directors to review at their next meeting March 24th-25th. The Board may also review other groups’ statements that have been made available at that point. The Legal Action Center will be releasing a template for the field to use in crafting comments on the proposed rule. The template will likely be released in the next 2 weeks, and NASADAD will send it to membership as soon as possible.

More information about confidentiality can be found on the NASADAD website, including comments by other organizations regarding potential changes to 42 CFR Part 2.

Should you have any questions, or require additional information, please do not hesitate to contact Robert Morrison, Executive Director, (202) 293-0090 or Shalini Wickramatilake-Templeman, Public Policy Associate, at (202) 293-0090.