Information Resources for Policy

Alternative Pain Management and Treatment for Opioid Use Disorder – Federal Employees' Compensation Act Bulletin NO. 18-06

Announces a policy guiding the authorization of alternative, non-opioid pain management treatments and treatment for opioid use disorder (OUD) for federal workers receiving workers' compensation. Aims to reduce barriers to non-opioid pain treatment, such as alternative pain medication, cognitive behavioral therapy (CBT), physical therapy, transcutaneous electrical nerve stimulation (TENS), and other treatment without medication, as well as in-patient pain management programs. Increases patient access to OUD treatments, including medication-assisted treatment (MAT), opioid treatment programs, in-patient, out-patient, and emergency services.

Sponsor: Office of Workers' Compensation Programs (OWCP)
Center for Behavioral Health Statistics and Quality (CBHSQ)

Serves as the lead federal agency for behavioral health statistics. Supports basic and applied research in behavioral health data systems, including annual data collection efforts on mental illness and substance use nationally. Conducts special data collection and analysis projects, and assists in developing policies for national health statistics research.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
CMS Roadmap: Strategy to Fight the Opioid Crisis

Describes the Centers for Medicare & Medicaid Services (CMS) activities to address the opioid epidemic related to prevention, treatment, and data. Highlights program successes, innovative approaches, and future goals of CMS efforts to address the opioid crisis.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
Ending the HIV Epidemic: A Plan for America

Provides an overview of a ten-year U.S. Department of Health and Human Services (HHS) initiative, starting in fiscal year (FY) 2020, to end the epidemic of HIV, which remains a significant public health issue in America. Outlines the Centers for Disease Control and Prevention's (CDC) role in the initiative, working with national, state, and local partners in efforts to diagnose, treat, and prevent new HIV infections, and respond to potential HIV outbreaks. Aims to jump start progress on reducing HIV and prevent a resurgence of the disease across the country. Includes national HIV data snapshots and links to other federal resources on a range of HIV-related topics.

Sponsor: Centers for Disease Control and Prevention (CDC)
Indian Health Service (IHS) Office of Clinical and Preventive Services (OCPS)

Provides an overview of Indian Health Service's (IHS) Office of Clinical and Preventive Services (OCPS) which is responsible for developing and managing clinical services and public health programs for IHS that cover a wide range of services, including alcohol, substance abuse, and behavioral health programs. Serves as an advocate for Native American health issues at the national level. Sets policy and budget priorities for IHS Area Offices and health facilities. Offers technical support to local clinical and preventive health programs.

Sponsor: Indian Health Service (IHS)
Medicare Coverage of Services in Opioid Treatment Programs

Describes a new benefit that covers opioid use disorder (OUD) treatment services under Medicare Part B medical insurance. Enables the Centers for Medicare & Medicaid Services (CMS) to make bundled payments to certified opioid treatment programs (OTPs) for OUD treatment services for an episode of care provided to Medicare Part B beneficiaries. Covers the following services under the new benefit: opioid agonist and antagonist medication-assisted treatment (MAT) medications approved by the U.S. Food and Drug Administration (FDA), substance use counseling, individual and group therapy, toxicology testing, intake activities, and periodic assessments.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
New Federal Employees' Compensation Act (FECA) Policy on Opioid Medications

Announces a policy, effective September 23, 2019, whereby injured federal workers receiving workers' compensation that are newly prescribed opioids will be limited to an initial 7-day supply. Allows an injured worker to receive a maximum of four sequential 7-day supply prescriptions, an initial and three subsequent prescriptions, for a total of 28 days before prior authorization is required. For additional opioid prescriptions exceeding the initial 28-day period, the prescribing physician will need to submit a form certifying the medical necessity of continued opioid use for approval from the Office of Workers' Compensation Programs (OWCP).

Sponsor: Office of Workers' Compensation Programs (OWCP)
Office of National Drug Control Policy COVID-19 Fact Sheet

Summarizes policy changes made by federal National Drug Control Program agencies in response to the COVID-19 pandemic. Outlines program and policy changes designed to ensure individuals with substance use disorders (SUDs) can continue to safely access important treatment and recovery support services during the pandemic. Addresses several priority areas, including guidance for prevention, treatment, and recovery services; use of telemedicine and electronic prescribing, flexibility for methadone and buprenorphine treatment, access to prescribed controlled substances, support for rural and tribal communities; and relief opportunities for individuals, providers, and small businesses. Provides links to programs and agencies for additional details related to specific policy changes.

Sponsor: Office of National Drug Control Policy (ONDCP)
Opioid Policy Four-Point Strategic Plan to Protect Federal Injured Workers

Announces a four-point strategic plan to protect injured federal workers covered under the Federal Employee's Compensation Act from the risk of opioid misuse and addiction. Includes details on these policy initiatives and their progress, information on any new policies, as well as a discussion of opioid facts and risk factors for opioid misuse, addiction, and overdose, and links to additional resources.

Sponsor: Office of Workers' Compensation Programs (OWCP)
Overdose Response Strategy (ORS)

Consists of a public health and public safety collaboration between 21 high intensity drug trafficking areas (HIDTAs) and the Centers for Disease Control and Prevention (CDC) across 34 states. Seeks to help communities reduce fatal and non-fatal drug overdose rates by improving information sharing across agencies and supporting evidence-based interventions. Equips Overdose Response Strategy (ORS) states with one Drug Intelligence Officer (DIO) and one Public Health Analyst (PHA) who are responsible for helping to increase communication, data flow, and intelligence sharing between public safety and public health sectors within and across ORS states. Works to create an essential information-sharing network and data-driven action approach designed to reduce overdose and help save lives.

Sponsor: Centers for Disease Control and Prevention (CDC)
What is "Ending the HIV Epidemic: A Plan for America"?

Provides an overview of a ten-year U.S. Department of Health and Human Services (HHS) initiative, that started in fiscal year (FY) 2020, to end the HIV epidemic in America. Highlights how the initiative was developed, lists its target goals, and discusses the three different phases of the plan, with phase one focusing on 57 jurisdictions throughout seven states with high rates of rural HIV diagnoses. Includes key strategies, data, and tools utilized by the initiative.

Sponsor: U.S. Department of Health & Human Services