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Stakeholders Hopeful, But Say Some Opioid Commission Recs Miss The Mark

Bram Sable-Smith
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KBIA/Side Effects Public Media
Credit Bram Sable-Smith / KBIA/Side Effects Public Media
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KBIA/Side Effects Public Media

A presidential commission last week released its report on recommendations to help curb the nation鈥檚 opioid crisis. Indiana stakeholders say they鈥檙e heartened the crisis is receiving national attention but think parts of the report missed the mark.

from the President鈥檚 Commission on Combating Drug Addiction and the Opioid Crisis, a list of policy recommendations, not demands, outlined dozens of actions the government could take to help Americans addicted to opioids. Among them include expanding federal drug courts and block granting addiction money to states.

The report also recommended mandatory checks of drug monitoring databases, which track who receives controlled substances.

In Indiana, mandatory checks of the state鈥檚 monitoring program 鈥 called INSPECT 鈥 aren鈥檛 required, though pharmacists are required to enter prescribing information as soon as a prescription is filled.

The commission also recommended Congress pass the Prescription Drug Monitoring Act, which would direct the Department of Justice to create a federal prescription data-sharing hub. But INSPECT Director Kara Slusser said states already share prescription drug data across state lines through a program called PMP InterConnect.

鈥淭his is one of the biggest misconceptions about PDMPs. There鈥檚 no need for a national PDMP,鈥 Slusser said.

The program, developed through the National Association of Boards of Pharmacy, has been in place since 2011.

Slusser said  it鈥檚 not the first time she鈥檚 heard people mention a federal database, but the majority of states already use PMP InterConnect

鈥淚t鈥檚 absolutely utilized,鈥 said Slusser. 鈥 If you ask any PDMP director in the country the only mechanism for sharing state data is pmp nterconnect. And most people within the PMP community will tell you 44 and soon to be 45 states are already connected鈥.

Though the commission said Congress was on the hook for helping fund response to the crisis, the report stopped short of recommending a specific amount, an omission that disappointed treatment advocates.

Justin Phillips, founder of the addiction treatment advocacy group Overdose Lifeline, testified before the commission, as she has to state agencies in the past. She said she鈥檚 somewhat heartened the conversation is being buoyed by high-profile politicians such as .

鈥淲hen we put it in writing and when we hear recommendations and we hear more than one person on the commission who鈥檚 been a leader for a number of years 鈥 then that gives me more faith they鈥檒l continue to fight.鈥

She said she tries to keep the faith.

鈥淭hat said, I also have experience that we have a report that things aren鈥檛 moving and things aren鈥檛 happening and that concerns me," Phillips added.

The recommendations are just that 鈥 recommendations. They don鈥檛 mandate the president or Congress implement certain policies, though the White House said in a statement it was grateful for the report and would review the recommendations in the coming weeks.

This story was produced by , a reporting collaborative focused on public health. 

Copyright 2021 Side Effects Public Media. To see more, visit .

Producer Sarah Fentem comes to Side Effects after covering health policy for the Indiana Public Broadcasting regional news collaborative.
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