SAMHSA’s Methadone Reforms Toothless

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Addiction Recovery Bulletin

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Jan. 12, 2023 – SAMHSA’s new proposals are also geared to help “those who reside far from an OTP or who lack access to reliable transportation to receive treatment … care for loved ones and engage in other required activities of daily living.” That’s good, because 90 percent of clinics are in urban areas.

To be sure, the recognition of harmful past practices and that patients should be partners in treatment decisions is positive, but at the same time SAMHSA believes: “Much of what is proposed will not represent a significant burden for OTPs … The proposed rule supports OTPs in their on-going provision of equitable and evidence-based care to often marginalized patients with opioid use disorder.”

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