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14 Ind. Health L. Rev. 1 (2017)

handle is hein.journals/inhealr14 and id is 1 raw text is: 





      THE  LAW  AND  POLICY  OF OPIOIDS  FOR PAIN  MANAGEMENT, ADDICTION
                      TREATMENT,   AND  OVERDOSE REVERSAL

                          Corey S. Davis* & Derek H. Carr**

                                 TABLE OF CONTENTS
I. INTRODUCTION..................................................................  1
II. OPIOIDS AND PAIN............................................................... 2

      A.  The burden of untreated pain.
      B.  The importance of opioid therapy
      C.  Potential pitfalls of opioid therapy
III. OPIOIDS AND DRUG RREATMENT.....................1.............................1

      A.  The burden of untreated opioid addiction
      B.  Medication assisted treatment
      C.  Federal Regulation of MAT: Historical Context

      D.  Federal Regulation of Methadone
      E.  Federal Regulation of Buprenorphine
      F.  Insurance Coverage of MAT
IV. ACCESS TO NALOXONE..................................................   ........ 26

      A.  Access to emergency overdose treatment
      B.  Addressing legal and policy barriers to naloxone access
             1. Immunity
             2. Prescribing outside of the traditional prescriber relationship
             3. Overdose Good Samaritan laws

             4. Over-the-counter access
V. CONCLUSION                         .................................................................. 37
                                  I. INTRODUCTION

   Perhaps few drugs are more emblematic of the human condition than those derived from
opioids. Preparations of the opioid poppy have been used for thousands of years for both their
euphoric and analgesic effects. These natural preparations have been joined by synthetic and semi-


          * Corey S. Davis Deputy Director, Network for Public Health Law, Southeastern
      Region
          ** Derek H. Carr Legal Fellow, Network for Public Health Law, Southeastern Region