Treatment FAQ

who makes the laws and policies about drug abuse treatment?

by Prof. Emely O'Conner MD Published 2 years ago Updated 2 years ago
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What is drug policy in America?

In America, drug policy involves the laws that control the distribution and use of both prescription and illicit drugs. From the classification of drugs according to their potential for abuse to the legalization or decriminalization of certain drugs, drug policy has undergone many changes over the years.

How has drug policy changed over the years?

From the classification of drugs according to their potential for abuse to the legalization or decriminalization of certain drugs, drug policy has undergone many changes over the years. According to the Office of National Drug Control Policy, drug courts send someone to treatment instead of prison every four minutes.

What is the policy for controlling prescription drug abuse?

The policy for controlling prescription drug abuse contains four major points: Education : It is critical to educate parents, youths and patients about the dangers of prescription drugs.

How has the government tried to curb drug and alcohol abuse?

Beginning in the late 1900s with laws which outlawed opium smoking, popularized in the U.S. by Chinese railroad workers, state and federal governments have instituted various laws and policies meant to curb drug and alcohol abuse within the nation.

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Who are the stakeholders in drug abuse?

Key stakeholders can include: patients, family members, physicians, clinicians, researchers and policy makers.

What does the Samhsa do?

The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services (HHS) that leads public health efforts to advance the behavioral health of the nation and to improve the lives of individuals living with mental and substance use disorders, and ...

What federal law influences the confidentiality procedures in addictions counseling?

In the substance abuse treatment field, confidentiality is governed by federal laws (42 U.S.C. § 290dd-2) and regulations (42 CFR Part 2) that outline the limited circumstances under which information about an individual's drug or alcohol treatment may be disclosed without the individual's consent.

What did the Drug Addiction Treatment Act of 2000 do?

(2000). Drug Addiction Treatment Act of 2000 (DATA 2000). This Act allows individual practitioners to administer narcotic controlled substances in schedules III – V for the purpose of narcotic addiction treatment, outside of an opioid treatment practice.

What was the name of the federal agency that preceded the Substance Abuse and Mental Health Services Administration?

History and legal definition CSAP was established in 1992 from the previous Office of Substance Abuse Prevention by the law called the ADAMHA Reorganization Act.

What level of government is responsible for mental health?

Policies, programs and legislation in the fields of mental health, mental illness and addiction are the responsibility of both provincial/territorial jurisdictions and the federal government and involve numerous departments and agencies.

Which entity protects and regulates the use of PHI related to alcohol and drug abuse?

HIPAA Notice of Privacy Practices The privacy of your protected health information (PHI) is protected under the federal HIPAA Privacy Rule.

Is drug use protected under Hipaa?

The information shared is protected. If you tell your doctor that you have been using drugs or drinking alcohol in risky ways (e.g., while driving, or illegally) the doctor cannot have you arrested or send you to jail. HIPAA protects you from the provider sharing (disclosing) your information to non-treatment entities.

Can I talk about patients without saying their name?

Forbid any reference to the client's first name, last name, or description to protect their identity. It doesn't just stop at talking about patients without using names, there's more that needs to take place. Obviously, continue to reiterate that gossiping about patients isn't allowed at your practice.

What is the SUPPORT Act?

Section 3022(b) of the SUPPORT Act amends section 306(b) of the FD&C Act to give FDA authority to debar a person who has been convicted of a felony involving illegal importation of drugs or controlled substances, or who has engaged in a pattern of importing certain adulterated or misbranded drugs or controlled ...

What is the data 2000 Act?

Drug Addiction Treatment Act of 2000 (DATA 2000) DATA 2000, part of the Children's Health Act of 2000, permits physicians who meet certain qualifications to treat opioid dependency with narcotic medications approved by the Food and Drug Administration (FDA)—including buprenorphine—in treatment settings other than OTPs.

What is mat certification?

Specialist Certifications The MAT Lower Body module studies the approach to the assessment and correction of muscular imbalances within the lower body. Students are trained on the MAT tools used to identify restrictions in joint instability that relate to muscle tightness and weakness.

What are the laws that regulate the use of drugs?

Guide to U.S. Drug Laws. Federal drug laws, including the Controlled Substances Act, regulate the possession, trafficking, and manufacturing of drugs. Even though states have their own laws on drugs, federal laws supersede state laws—including those regarding the medical/recreational use of marijuana. No federal laws regulate drug testing ...

What are federal drug laws?

Federal drug laws exist to control the use, manufacturing, possession, and distribution of various drugs that are legal and illegal. 1. Federal agencies collaborate with both state and local law enforcement to ensure effective controls over substances that are deemed to be a danger to individuals and to society.

What did Nixon do to control drugs?

During his presidency, the Comprehensive Drug Abuse Prevention and Control Act of 1970 was passed. 1 One aspect of this law was the Controlled Substances Act (CSA), which allowed federal jurisdiction over specific plants, drugs, and chemical substances. It established a classification or scheduling system for drugs. 1

What are some examples of Schedule I drugs?

Schedule I drugs have a high potential for misuse, no accepted medical treatment in the United States, and a lack of safety even if they were to be supervised by a medical professional. Heroin, GHB, LSD, Quaaludes, and marijuana are examples of Schedule I drugs.

Why did the new mandatory minimum sentencing laws create a rise in prison populations?

The new mandatory minimum sentencing laws created a rise in prison populations due to drug charges. About half of the federal prison population is serving time for drug offenses. The vast majority of this group was involved in drug trafficking (96%), while only 0.8% were serving time for possession in 2013. 1.

How many arrests were made for drug charges in 2012?

Most drug offenses are handled at the state level. In 2012, the DEA made just over 30,000 arrests for drug charges, while state and local police made over 1.3 million arrests for drug offenses. 1.

What are the two drugs that are considered Schedule II?

Schedule II drugs have a high potential for misuse and addiction, but they can be used in the United States with strict controls. Cocaine, PCP (phencyclidine), methamphetamine, and opioids such as methadone, fentanyl, morphine, and hydrocodone are Schedule II substances.

What is the Drug Addiction Treatment Act of 2000?

The Drug Addiction Treatment Act of 2000 and the New Hampshire Case Example. Anyone in the United States who watched television in the 1980s may recall an adorable cartoon paper man bouncing up and down the stairs of the capitol building and explaining to children how a bill becomes a law. [1] . The song, etched into the memory ...

Which branch of government is responsible for healthcare?

In terms of healthcare access and coverage, Americans benefit from all three branches of government: the legislative, executive, and judicial . The legislative branch, as noted, has made significant strides toward expanding healthcare coverage in general and access to substance abuse treatment in particular.

What are the benefits of ACA?

The following is an excerpt of the promises made in this area: 1 Greater equality with other types of covered services: ACA works in conjunction with the Mental Health Parity and Addiction Equity Act of 2008, which requires coverage for mental health disorders to be equal to the level of coverage for treatment for physical conditions, such as diabetes. 2 No more pre-existing condition exclusions: All ACA plans must provide coverage for insured individuals and not reject claims for a pre-existing condition, including prior or current substance abuse. 3 An increase in the number of community health centers: In 2015 alone, 700 community health centers were slated to open to serve the needs of local communities; services include substance abuse treatment services. 4 Funding for substance abuse treatment: In 2014, the federal budget included a $50 million dedication to treatment and support services for individuals experiencing substance abuse. [15]

How did the Affordable Care Act impact the US?

One of the greatest reported achievements of the ACA is that it has significantly upped the number of Americans with insurance coverage. Per the US Department of Health and Human Services, 16.4 million Americans who did not have coverage before the ACA had healthcare coverage after it was implemented. [12] This considerable uptick owes in part to the fact that the ACA created the Health Insurance Exchange or Marketplace, a forum in which different health insurance policies (at bronze, silver, gold, and platinum levels) are matched to applicants with the assistance of a trained navigator.#N#To ensure Americans would not be priced out of the marketplace plans, the federal government subsidizes plans for qualifying applicants. [13] To keep the government from over- or underspending, when those insured with a marketplace plan receive a federal subsidy, they will have to report it on their federal taxes; those insured individuals who received too high of a subsidy, based on their income, may owe the IRS while those who received too little of a subsidy will get a federal tax credit. These rules do not apply to those who have Medicaid as this program is fully subsidized. Under the ACA, qualifying individuals who have a low-income level may be eligible for Medicaid (a mixed federal and state program). A navigator can help people to find out if they are eligible for Medicaid.

What is a statute followed by?

Typically, a statute has a discrete name followed by the word act, such as the Affordable Care Act. This overview on the making of federal laws provides greater context for the following discussion on the federal acts that affect drug treatment and the people who experience substance abuse.

Does the ACA make it easier for substance abusers to get health insurance?

As the ACA streamlined the process for applying for health insurance, including Medicaid, it made it easier for uncovered individuals who are experiencing substance abuse to get insurance. Even further, the ACA has provisions that are designed to improve access to substance abuse treatment.

Is heroin abuse back to the 1970s?

At present, heroin abuse rates have nearly returned to the rates of the 1970s, and the country is steeped in a prescription opioid abuse epidemic. [8] . When the US is entrenched in a drug epidemic, such as the prescription opioid epidemic, each resident faces a risk of substance abuse.

What are federal regulations for substance abuse?

Federal regulations apply to states, local governments, and religious organizations that receive Substance Abuse Prevention and Treatment Block Grant s or Projects for the Assistance in the Transition from Homelessness Formula Grants, or both. The following federal regulations apply to states, local governments, and religious organizations that receive discretionary funding to pay for substance use prevention and treatment services:

What is the Comprehensive Addiction and Recovery Act?

The Comprehensive Addiction and Recovery Act (CARA) of 2016 authorizes over $181 million each year (must be appropriated each year) to respond to the epidemic of opioid abuse, and is intended to greatly increase both prevention programs and the availability of treatment programs. CARA launched an evidence-based opioid and heroin treatment and interventions program; strengthened prescription drug monitoring programs to help states monitor and track prescription drug diversion and to help at-risk individuals access services; expanded prevention and educational efforts—particularly aimed at teens, parents and other caretakers, and aging populations—to prevent the abuse of opioids and heroin and to promote treatment and recovery; expanded recovery support for students in high school or enrolled in institutions of higher learning; and expanded resources to identify and treat incarcerated individuals suffering from addiction disorders promptly by collaborating with criminal justice stakeholders and by providing evidence-based treatment. CARA also expanded the availability of naloxone to law enforcement agencies and other first responders to help in the reversal of overdoses to save lives. CARA also reauthorizes a grant program for residential opioid addiction treatment of pregnant and postpartum women and their children and creates a pilot program for state substance abuse agencies to address identified gaps in the continuum of care, including non-residential treatment services.

What is the Children's Health Act?

The Children’s Health Act of 2000 (PDF | 531 KB) reauthorizes SAMHSA programs that work to improve mental health and substance abuse services for children and adolescents. It also provides SAMHSA the authority to implement proposals that give U.S. states more flexibility in how they use block grant funds, with accountability based on performance. The Act also allows SAMHSA to consolidate discretionary grant authorities, which provides the Secretary of HHS with more flexibility to respond to individuals and communities in need of mental health and substance abuse services. It also provides a waiver from the requirements of the Narcotic Addict Treatment Act, allowing qualified physicians to dispense (and prescribe) Schedule III, IV, or V narcotic drugs, or combinations of such drugs, approved by the Food and Drug Administration (FDA) to treat heroin addiction. Additionally, the Act provides a comprehensive strategy to combat methamphetamine use.

What is the cures act?

The Cures Act addresses many critical issues including leadership and accountability for behavioral health disorders at the federal level, the importance of evidence-based programs and prevention of mental and substance use disorders, and the imperative to coordinate efforts across government. The Cures Act established the position ...

What is the SUPPORT Act?

SUPPORT Act. H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act of 2018, was made law to address the nation’s opioid overdose epidemic. The legislation includes provisions to strengthen the behavioral health workforce through increasing addiction medicine education;

What is the purpose of the National Mental Health and Substance Use Policy Laboratory?

The Cures Act created the National Mental Health and Substance Use Policy Laboratory (Policy Lab). The Policy Lab is working to promote evidence-based practices and service delivery models, and evaluating models that would benefit from further development and expansion.

What is the federal interagency coordination committee on the prevention of underage drinking?

The federal Interagency Coordinating Committee on the Prevention of Underage Drinking, which provides high-level leadership from SAMHSA and other federal agencies to coordinate federal efforts to prevent and reduce underage drinking.

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What was the name of the law that was passed in 1970 to curb drug abuse?

1970 — Following decades of attempts to curb illegal drug trade and increased drug addiction statistics within the U.S., President Nixon signed into law the Comprehensive Drug Abuse and Prevention and Control Act of 1970. This law compressed the Harrison Act and its various amendments and alterations into one comprehensive law.

What would happen if someone was found to be in possession of one of the drugs banned by the Harrison Act?

Interestingly, if an individual was found to be in possession of one of the drugs banned by the Harrison Act, the federal criminal charge would be tax evasion. In 1971 the Nixon administration enacted legislation from which the phrase “war on drugs” was first coined (“The Harrison Act”). 1970 — Following decades of attempts to curb illegal drug ...

What laws were passed in the late 1800s?

Beginning in the late 1900s with laws which outlawed opium smoking, popularized in the U.S. by Chinese railroad workers, state and federal governments have instituted various laws and policies meant to curb drug and alcohol abuse within the nation. Since the late 1800s to today, laws and policies have been developed to stem both the supply and demand of illegal drugs, distribution and availability of prescription medications. In 1920 the U.S. government instituted prohibition against production, distribution, and consumption of all alcoholic beverages. The Nixon administration in 1971, declared war on illegal drugs which continues to rage to this day.

What are the drugs that are considered Schedule I?

Drugs considered Schedule I include: heroin, marijuana, and various hallucinogenics while Schedule II drugs include morphine and cocaine. As with the Harrison Act of 1914, the Controlled Substance Act of 1970 focused mainly on the supply side of narcotic distribution and the penalties involved with possession and distribution.

What drugs were not included in the Harrison Act?

Not included in the Harrison Act were amphetamines, barbiturates, marijuana, hashish, nor hallucinogenic drugs of any kind. During this era in the U.S., “states rights” held more legislative power than did the federal government.

What were the two major factors that influenced the war on drugs?

It was determined that intravenous drug users who regularly shared needles were at increased risk of contracting HIV. To increase awareness, Congress in 1986 passed the Anti-Drug Abuse Act which increased the federal block grant program for substance abuse and addiction services and increased funding for the study of AIDS.

What are the two classifications of drugs?

Drugs considered Schedule I include: heroin, marijuana, ...

When did the federal drug treatment program drop?

Since 1981 the federal share of payment for drug treatment programs has dropped well below the state share, and federal activities in the treatment field, particularly the mission of NIDA, have concentrated on biomedical and, to a lesser degree, behavioral and social sciences research.

What are the three fundamental ideas about drugs?

Three fundamental ideas about drugs, the people who use them, and ways to respond to them lie behind drug treatment and virtually all other instruments of drug policy in the United States. Embodied in criminal, medical, and libertarian approaches, these governing ideas have dominated the terms of public discussion and the gross allocation ...

What is the role of churches in the drug problem?

In the criminal view of the drug problem, families, with churches and schools as social backstops, are fundamentally responsible for teaching children to behave responsibly and morally, behavior that includes shunning intoxicating drugs.

Which era was the Methadone program underwritten by the federal government?

Thus, as the Kennedy-Johnson era "War on Poverty" gave way to the Nixon era "War on Crime," a rapid expansion of the methadone treatment program begun by the city of New York in the wake of the Dole-Nyswander research was underwritten by the federal government and implemented nationally.

When did the National Institute of Mental Health separate from the National Institute of Drug Abuse?

In 1973 the narcotic drug abuse branch of the National Institute of Mental Health was separated and elevated to become the National Institute on Drug Abuse (NIDA), collecting from across a number of government departments all of the major treatment and prevention services and drug abuse research programs.

Is the climate surrounding drug problems changing?

The climate surrounding drug problems appears to be changing in the United States, but its future direction is uncertain. A complex balance of ideas and policies led to the current forms of drug treatment and treatment delivery.

Can drug treatment be detailed?

As a result, there can be no detailed analysis of drug treatment without first understanding what these ideas are, where they come from, how they relate to each other, and how they have shaped the role and functions of treatment. Three fundamental ideas about drugs, the people who use them, and ways to respond to them lie behind drug treatment ...

What are the exceptions to drug free workplace policies?

The exceptions to this are federal contractors and grantees, as well as safety- and security-sensitive industries and positions. Federal statutes on drug-free workplace policies can be divided into two broad groups, or categories, of legislation. One category includes laws such as the Drug-free Workplace Act of 1988.

Why is legal counsel important for drug testing?

The most important federal laws and regulations of this type to consider are: For employers considering drug testing, legal counsel is advisable, because lawsuits have been filed against employers for invasion of privacy, wrongful discharge, defamation, and discrimination.

What is FMLA treatment?

Treatment of drug or alcohol addiction. Treatment of another physical illness or incapacity related to substance use (such as kidney failure) Caring for a close family member who is undergoing treatment for these conditions. FMLA also prohibits employers from retaliating against workers who request FMLA leave.

What is the Civil Rights Act?

The Civil Rights Act, 28 Code of Federal Regulations (CFR), 42 is a landmark law that prohibits private employers with 15 or more employees from discriminating against individuals on the basis of race, sex, religion, or nationality. Employers implement a drug-free workplace policy need to keep in mind Title VII ...

Why do unions support drug testing?

However, some unions actually support such programs because of their potential to reduce workplace injuries and accidents.

What is the ADA?

The Americans With Disabilities Act (ADA) is perhaps the most important federal civil rights legislation that affects employers when developing and implementing drug-free workplace policies. It prohibits all U.S. employers with more than 15 employees from discriminating against qualified job applicants and employees because of a physical disability.

When was the NRLA passed?

Passed in 1935 , this law provides a legal framework for all management and labor negotiations.

When did the Drug Abuse Treatment Act become law?

1972 — The Drug Abuse Treatment Act became law, leading to the creation two years later of the National Institute on Drug Abuse, the lead federal agency charged with advancing the study of addiction and its treatment.

When did the Supreme Court decide to recognize drug addiction as a disease?

1962 — The U.S. Supreme Court made the landmark ruling to recognize drug addiction as a disease rather than a criminal act, in the Robinson v. California decision. 1966 — The passage of the Narcotic Addict Recovery Act increased federal involvement in and support for the development of addiction treatment services.

What is the law that gives a person immunity from naloxone?

These “Narcan” or “Good Samaritan” laws have provided civil or criminal immunity to healthcare providers or lay responders (illicit drug users included), who administer naloxone in cases of suspected overdose.

What is the slogan for drug abuse?

Today, as the number of Americans who abuse illicit substances still continues to rise, according to the latest survey by the National Institute on Drug Abuse, slogans like “Just Say No” and “War on Drugs” have largely given way to an emphasis on treatment for drug addiction.

Why should we improve prescription drug monitoring programs?

Improve prescription drug monitoring programs in order to prevent abuse and “to help at-risk individuals access services”. Prohibit inquiries by the Department of Education (DOE) into past conviction (s) for the possession or sale of illegal drugs as a criterion for receiving federal financial aid.

What is the slogan for the war on drugs?

Not long ago, “Just Say No” was the famous rallying cry of America’s drug abuse efforts, as part of a larger national War on Drugs. These two slogans (“Just Say No” and “the War on Drugs”) probably best epitomize the U.S. government’s approach to addiction and substance abuse in the 1980s and early 1990s: a popular campaign to teach school-aged ...

What was the name of the group that helped alcoholics?

1940-1945 — Recovering alcoholics in the group “Alcoholics Anonymous” (AA) were reportedly recruited at DuPont, Remington Arms and other companies to spearhead the first modern industrial alcoholism programs—the first forerunners of what today are known as “Employee Assistance Programs” (EAPs).

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Federal Drug Laws

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Federal drug laws exist to control the use, manufacturing, possession, and distribution of various drugs that are legal and illegal.1 Federal agencies collaborate with both state and local law enforcement to ensure effective controls over substances that are deemed to be a danger to individuals and to society. Fed…
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Possession

  • The charge of possession can be broken into 2 categories: simple possession and possession with the intent to distribute. 1. Simple possession occurs when a person is caught with a small amount of an illegal substance for personal use.5 Under federal law, simple possession is a misdemeanor that can carry a sentence of up to a year in jail and/or a fine of at least $1,000, whi…
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Trafficking Or Distribution

  • Drug trafficking and distribution laws set penalties for the transportation, sale, or smuggling of drugs. This term also applies to the illegal distribution of prescription drugs.7 Trafficking is a felony, and the penalties depend on the substance or substances, amount of drugs involved, where the drugs are distributed, where the arrest occurs, and if drugs were distributed to minors.7
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Manufacturing

  • Manufacturing refers to involvement of any step of producing an illicit drug, such as sales of chemicals used to make drugs or equipment used to produce drugs, or assisting in the production process.8 Growing marijuana is considered manufacturing, along with production of methamphetamine.8 A person caught with 1-49 marijuana plants can face up to 5 years in priso…
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Marijuana Laws

  • Federal laws consider marijuana to be a Schedule I drug, with penalties for the possession, distribution, growth, or sale of marijuana. However, various states have established laws and regulations for medicinal and even recreational use of marijuana.1 When it comes to marijuana, federal law enforcement agencies have traditionally targeted criminal networks instead of indivi…
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State Drug Laws

  • Each state has individual laws regarding drug offenses, and these laws can be very different.States each have their own statutory authorities, scheduling bodies, and controlled substance acts, though federal agencies can take over jurisdiction at any time.1,11 Most drug offenses are handled at the state level. In 2012, the DEA made just over 30,000 arrests for drug …
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Workplace and Drug Testing Laws

  • A number of federal requirements surround workplace drug testing. Private employers do not need a policy to ensure drug-free workplaces, with the exception of federal contractors and companies in safety or security-sensitive industries.15,16 There are 2 categories of federal laws regarding substance use in the workplace: those aimed at substance use in the workplace and t…
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Prevention

  • H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act of 2018, was made law to address the nations opioid overdose epidemic. The legislation includes provisions to strengthen the behavioral health workforce through increasing addiction medicine education; standardize the delivery of addictio…
See more on samhsa.gov

Functions

  • The Cures Act established the position of Assistant Secretary for Mental Health and Substance Use. The Cures Act codified the role of the Chief Medical Officer, which provides a clinical perspective at the national level that is imperative to sound stewardship and implementation of high quality, effective services. The Act also codified the Center for Behavioral Health Statistics …
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Purpose

  • The Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC) was created by the Cures Act to ensure better coordination across the entire Federal Government related to addressing the needs of individuals with serious mental illness or serious emotional disorders and their families. The Committee represents collaboration across multiple Departments and fourtee…
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Programs

  • The Comprehensive Addiction and Recovery Act (CARA) of 2016 authorizes over $181 million each year (must be appropriated each year) to respond to the epidemic of opioid abuse, and is intended to greatly increase both prevention programs and the availability of treatment programs. CARA launched an evidence-based opioid and heroin treatment and inter...
See more on samhsa.gov

Introduction

  • The Affordable Care Act of 2010 is one aspect of a broader movement toward reforming the health care system. The Affordable Care Act makes health insurance more affordable for individuals, families, and small business owners. People living with mental health challenges or substance use disorders often have problems getting private health insurance. Now there are sp…
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Funding

  • The Garrett Lee Smith Memorial Act (PDF | 180 KB), signed into law in October 2004, was the first legislation to provide funding specifically for youth suicide prevention programs. Under this legislation, funding was set aside for campuses, states, tribes, and U.S. territories to develop, evaluate, and improve early intervention and suicide prevention programs. This funding appropri…
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Benefits

  • The Childrens Health Act of 2000 (PDF | 531 KB) reauthorizes SAMHSA programs that work to improve mental health and substance abuse services for children and adolescents. It also provides SAMHSA the authority to implement proposals that give U.S. states more flexibility in how they use block grant funds, with accountability based on performance. The Act also allows …
See more on samhsa.gov

Timeline

  • The following Federal Register notice details the final notice of revisions to the mandatory guidelines for the federal workplace drug testing programs: The following Federal Register notice highlights a correction to the effective date of the revisions to the mandatory guidelines for the federal workplace drug testing programs published in the Federal Register on November 25, 2008:
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Accreditation

  • In the United States, treatment of opioid dependence with opioid medications is governed by Federal Regulation 42 CFR Part 8, which provides for an accreditation and certification-based system for opioid treatment programs. The regulation acknowledges that addiction is a medical disorder that may require differing treatment protocols for different patients. The Division of Pha…
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