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Overcoming Barriers to Treatment of Opioid Use Disorder | Substance Use and Addiction | JAMA


On January 14, 2021, days before a change in presidential administrations, the US Department of Health and Human Services (HHS) announced a plan to publish Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder “pursuant to 21 USC §823(g)(2)(H)(i)(II),” a provision of the Drug Addiction and Treatment Act of 2000 (DATA 2000).
1 This announcement caused a mix of enthusiasm, skepticism, and confusion in the medical community, and the retraction of the plan to publish the guideline less than 2 weeks later by the Biden administration has created an opportunity for fundamental and needed reform.
DATA 2000 was a major change in the treatment of addiction. For the first time since 1914, the law allowed physicians to prescribe an approved opioid agonist medication for the treatment of opioid use disorder (OUD) as part of general medical practice, provided these physicians met certain training and practice certification requirements, notifi ....

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