Rhetoric vs. Reality: The Politics of Addiction Treatment Reform

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Presentation transcript:

Rhetoric vs. Reality: The Politics of Addiction Treatment Reform Gary Mendell, Founder & CEO, Shatterproof

My son, Brian

Defining Moment(S)

Foundation to Achieve Vision State Legislation Measurable Results

State legislation- opioid epidemic Good Samaritan Naloxone Prescriber Education PDMP Prescribing Guidelines

Prescription drug monitoring programs ~86% of opioids prescribed without doctor checking patient prescription history State Scorecard

California PDMP-A Case Study

Research Nation’s largest number of overdose deaths Hospitals treating opioid overdose every 25 mins Legislation introduced, strong opposition from CMA and others Winning CA would create domino effect to other states

CA State Senator Ricardo Lara (D-LA) Introduced SB482 Legislative Champion CA State Senator Ricardo Lara (D-LA) Introduced SB482 Require physicians to consult PDMP before prescribing any Schedule II and III substance First prescription and then annually Strengthening bill? Add Schedule IV to requirement First prescription and then every 3 months Pharmacists required to input data within 24 hours of filling a prescription, rather than within one week.

Lobbying Engaged Denton’s law firm Worked with Senator Lara’s Chief of Staff to educate them on the changes needed. Educated Senator Allen to persuade Senator Lara Educated each committee member

Coalition building Primary Broader Support Consumer Attorneys Consumer Watchdog Law Enforcement Broader Support Acclamation Insurance Management Services American Insurance Association Blue Shield of California California Chamber of Commerce California Dental Association California Pharmacists Association California Teamsters Center for Public Interest Law Children’s Advocacy Institute National Alliance on Mental Illness Pacific Business Group on Health Peace Officers Research Association of CA PRIUM Small Business California Teamsters

Grassroots engagement Op-Eds in key districts of potential opposing legislators

Grassroots engagement Nearly 2,000 engagements with legislators (phone, tweet, FB post, email)

Grassroots Engagement Testifying at Committee Hearing Personal stories and pleas for legislators to pass the bill Press conference with photos of loved ones lost to opioid overdose

A deal negotiated… … A Deal Broken

Leverage

Governor signed SB482 September 27, 2016 Bill Require physicians to consult PDMP before prescribing any Schedule II, III and IV substance First prescription and then every four months Did not get pharmacists required to input data within 24 hours of filling a prescription, rather than within one week. List what we won

Improve Quality of Care Treatment Task Force The Surgeon General’s Report on Alcohol, Drugs, and Health National Standard of Care Implementation Plan

Commonsense Steps States Can Take Prevent PDMP Legislation Adopt CDC Guideline Prescriber Education Treat / Rescue Treatment Quality Measures Good Samaritan / Naloxone Recovery Support Services Stigma Reduction

Shatterproof Rise Up Against Addiction 5K Walk/Run