By Michael Karlik (October 30th, 2019)
Legislators are eyeing new mandates on providers of healthcare, as laid out in five bills forwarded to the General Assembly on Monday.
The Opioid and Other Substance Use Disorders Study Committee formed in 2017 to review substance-use disorders, medication-assisted treatment and gaps in the system of care.
Bill 1 would limit co-payments that acupuncturists and physical or occupational therapists could charge, as well as requiring insurance carriers to cover acupuncture and physical therapy visits in their plans.
The bill also makes permanent the requirement of opioid prescribers to limit new patients to a seven-day supply and to check with the state’s prescription drug monitoring program before refilling a prescription. Pharmacies upload prescriptions for some categories of medications to the program for providers to check before assigning drugs to patients.
Elsewhere in the package of legislation, insurance companies would be required to cover treatment for substance-use disorders.
Legislators also addressed opioid addiction within the criminal justice system, requiring jails and the Department of Corrections to provide treatment to those with an addiction, and to continue their treatment throughout their incarceration.
For the general population of Colorado, Bill 2 would extend legal protections to people who deliver expired opioid-countering drugs like naloxone, as well as requiring insurance to pay for such drugs if administered in a hospital.
Finally, legislators would direct millions of dollars into a range of programs. Individual placement and support programs would receive $2 million per year. Housing assistance would increase five-fold, to $5 million. A tweak to the definition of child abuse would include any instance of a baby being born affected by alcohol or other substance, unless prescribed.
“There is not one silver bullet to address the opioid epidemic; it’s a complex, enormous problem,” said Sen. Brittany Pettersen, D-Lakewood, said in a statement. “While today we passed the most impactful package we’ve seen yet, I know that our work isn’t done, and we are committed to continuing the work to address this crisis.”
Deaths due to opioids, either by prescription or heroin, numbered 9.8 per 100,000 Coloradans in 2017. That is nearly a 400% increase from 1999. Methamphetamine deaths were a distant second, and all drug deaths combined placed Colorado slightly below the national average of 21.7 overdose deaths per 100,000 people.
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Thinking Outside The Bottle
By Cory Phare (October 30th, 2019)
When the 72nd Colorado General Assembly launches its legislative session Jan. 8, it will have the opportunity to pass an innovative approach to stemming the opioid crisis: making alternative pain-management treatment as affordable as potentially addictive prescriptions.
On Tuesday, the legislature’s bipartisan Opioid and Substance Use Disorders Interim Study Committee advanced to the house a bill that would force insurers to cover opioid alternatives such as acupuncture, physical and occupational therapy and less-addictive drugs.
“In Colorado, we’re really on the cutting edge here,” said Rep. Chris Kennedy (D-Lakewood), the bill’s sponsor. “There are a lot of leads that people have been following on both the state and federal level, but this is taking it one step further. Rather than making it harder to get opioids, we want to make it easier to get alternative treatments for pain management.”
The committee, on which Kennedy serves as co-chair, is also planning to advance four other bills related to prevention, harm reduction, criminal-justice reform and recovery. This is the committee’s third round of attempting a comprehensive approach to address opioid addiction across the state, Kennedy said.
“This package of bills is unlike others we’ve seen before, both locally and nationally,” he said.
Read Full Story at Red.MSUDenver.edu